Back to results
US 10,117,734 B2Granted
Mesh positioning system for laparoscopic ventral hernia repair
AssigneeEthicon, Inc.
InventorsJianxin Guo, Simon Cohn, Michael Cardinale, Doug Souls
Life of this patent
Estimating the term…
Abstract
Novel mesh implant positioning systems for use in laparoscopic body wall defect repairs, such as hernia defects, are disclosed. The systems utilize one or more bar members combined with surgical sutures and needles to position a mesh implant adjacent to a body wall defect without the need for stay sutures. Also disclosed are assemblies of the positioning systems with surgical mesh repair implants, and methods of repairing body wall defects such as hernias with the assemblies.
Claims10
A positioning system for use in facilitating a laparoscopic hernia repair procedure, comprising:
- a first bar member having a top side, a bottom side, a center, a longitudinal axis, a central suture opening aligned with the center, first and second suture openings, and a first suture slot in the bottom side;
- a pivot hub member extending down from the bottom side of the first bar member, said hub member having a distal end with an outwardly extending flange, a central passage in communication with the central suture opening, and opposed lateral slots in communication with the central passage and the first suture slot;
- a second bar member pivotally mounted to the first bar member, said second bar member having a top side, a bottom side, a center, a longitudinal axis, and a slot through the second bar member, said slot having a first end in alignment with the center and adapted to receive the distal end of the pivot hub member and a second end adapted to receive a suture;
- and,
- a surgical suture having a distal end and a proximal end, wherein the proximal end of the suture is mounted in the first suture opening such that the suture extends out from the top side of the first bar member.
2 more elements
A surgical repair assembly, comprising:
- a surgical repair mesh having a top side and a bottom side, a center, and a major axis and a minor axis;
- a positioning system, comprising:
- a first bar member having a top side, a bottom side, a center, a longitudinal axis, a central suture opening aligned with the center, first and second suture openings, and a first suture slot in the bottom side;
- a pivot hub member extending down from the bottom side of the first bar member, said hub member having a distal end with an outwardly extending flange, a central passage in communication with the central suture opening, and opposed lateral slats in communication with the central passage and the first suture slot;
- a second bar member pivotally mounted to the first bar member, said second bar member having a top side, a bottom side, a center, a longitudinal axis, and a slot through the second bar member, said slot having a first end in alignment with the center and adapted to receive the distal end of the pivot hub member and a second end adapted to receive a suture;
- and,
- a surgical suture having a distal end and a proximal end, wherein the proximal end of the suture is mounted in the first suture opening such that the suture extends out from the top side of the first bar member,
- wherein the top side of the first bar member engages the bottom side of the mesh such that the longitudinal axis of the bar member is substantially aligned with the major axis of the mesh, and the longitudinal axes of the first and second bar members are substantially aligned, and the needle and suture pass through the mesh at the central suture opening and the first and second suture openings such that the suture extends out from the mesh above the central opening, and a first suture segment is formed on the top side of the mesh between the first and second suture openings, and a second suture segment is formed in the first suture slot between the second suture opening and the central suture opening.
5 more elements
Dependencies are inferred from the claim text.