# US 10,307,146 B2 · Laparoscopic port site closure device

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- Number: US 10,307,146 B2
- Document ID: US10307146B2
- Status: Granted
- Kind: B2
- Application number: 15/104,189
- Filed: 2015-08-31
- Published: 2017-08-31
- Granted: 2019-06-04
- Earliest claimed: 2014-11-21
- Assignees: Ki Seong Kim
- Applicants: Ki Seong Kim
- Inventors: Ki Seong Kim
- Web page: https://patentgrep.com/patent/US10307146B2

## CPC

- A61B 17/0057: {Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect (sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009)}
- A61B 17/0482: {Needle or suture guides (guides for drills, pins or wire A61B17/17; guides for puncturing needles A61B17/3403)}
- A61B 17/06004: {Means for attaching suture to needle (tipping A61B17/06195)}
- A61B 17/06109: {Big needles, either gripped by hand or connectable to a handle}
- A61B 17/06114: {Packages or dispensers for needles or sutures (packages for sharps A61B50/3001; for dental floss A61C15/043; packages for needles in general B65D85/24)}
- A61B 17/34: Trocars; Puncturing needles
- A61B 17/06119: {of cylindrical shape}
- A61B 2017/0023: {disposable}
- A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)}
- A61B 2017/00637: {for sealing trocar wounds through abdominal wall}
- A61B 2017/00663: {the implement being a suture}
- A61B 2017/06042: {located close to needle tip}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Disclosed is a laparoscopic port site closure device. The device is configured such that a cartridge receiving a surgical suture therein is provided at a fore-end of a needle guide for port site closure; the surgical suture is caught in a needle tip that is pierced through a body tissue by being guided by the needle guide; and when the needle is withdrawn, the surgical suture is pulled out along a path through which the needle was pierced into the tissue, and the surgical suture is tied outside a patient's body, thereby being capable of closing a laparoscopic port site.

## Claims

### Claim 1

A laparoscopic port site closure device, which is in a tube shape for being introduced into a port site, comprising: a tubular body provided with needle guides that face each other and guide insertion of a needle; wings mounted to a lower portion of the tubular body such that the wings are opened and closed through a cam method; and an operating stick penetrating through the tubular body to operate the wings by being rotated to push and open the wings and to pull and close the wings by being rotated reversely, the laparoscopic port site closure device further comprising:
a replaceable cartridge provided on a lower end of the tubular body to be detachably combined with the operating stick, wherein the cartridge is provided with the wings capable of being opened by operating the operating stick, and provided with a compartment for receiving surgical suture therein, wherein
the laparoscopic port site closure device is configured such that opposites ends of the surgical suture in the compartment are threaded through the wings such that the ends of the surgical suture are capable of being pulled out of a patient's body after being caught by a suture slot of a needle that is pierced into the patient's body from outside.

### Claim 2 (depends on 1)

The device of claim 1, wherein the tubular body is divided into two parts, and includes a cone-shaped handle and a tube that extends from the handle, wherein inner protrusions are provided inside of the tube at a lower portion thereof at positions facing each other;
needle guide holes are provided on the handle for guiding introduction and withdrawal of the needle, the needle guide holes ranging from an upper portion of the handle to a side wall of the tube at opposite positions; and
a crank-shaped guide groove is provided inside the handle and guides a rotation and forward-backward movement of the operating stick and fixes a location of the operating stick.

### Claim 3 (depends on 1)

The device of claim 1, wherein the operating stick includes a handle and a rod that extends from the handle, with outer protrusions provided at an end of the rod at opposite positions, and guide protrusions provided below the handle by protruding at opposite positions, the guide protrusions serving to mount and demount the cartridge such that the cartridge is combined with the tubular body.

### Claim 4 (depends on 1)

The device of claim 1, wherein the cartridge includes:
a first support including a mounting slot provided in a center thereof, and locking channels provided on opposite positions of an outer circumferential surface thereof;
a second support provided beneath the first support, the second support being in a planar shape so as to support a surface of each of the wings, and including wing protrusions disposed opposite to each other as a pivot of the wings;
a third support being in a planar shape rotated at an angle of 90 degrees relative to the second support, having a width to come into close contact with the wings when the wings are closed, and including the compartment that is in a cone shape and is provided at a lowermost end thereof, and a cover for covering the compartment; and
the wings each including: a wing hole for being engaged with the wing protrusions of the second support; an arch-shaped link hole that is provided outside the wing hole, the link hole having an opening at an edge thereof with a ridge provided by protruding in the opening; a mounting hole for mounting an end of the surgical suture; and a communication slot provided on an outer surface of the wing to communicate with the mounting hole, wherein the wings comprise a pair of wings that are disposed opposite to each other.

### Claim 5 (depends on 3)

The device of claim 3, wherein when the cartridge including the wings is assembled with the tubular body, the cartridge shares a same center point as the tubular body and has no protruding surfaces.

### Claim 6 (depends on 3)

The device of claim 3, wherein the compartment includes a notch provided at a portion of an outer surface thereof so as to serve as a suture outlet for the surgical suture that is received therein.

### Claim 7

A laparoscopic port site closure device, which is in a tube shape for being introduced into a port site, the device comprising: wings mounted to a lower portion of a tubular body such that the wings are opened and closed through a cam method; and an operating stick penetrating through the tubular body to operate the wings by being rotated to push and open the wings and to pull and close the wings by being rotated reversely, the laparoscopic port site closure device further comprising:
a needle including a suture slot for catching and pulling out surgical suture by being concavely formed on a needle tip in an opposite direction of pulling the surgical suture; and
a replaceable cartridge provided on a lower end of the tubular body to be detachably combined with the operating stick, wherein the cartridge is provided with a compartment for receiving surgical suture therein, and
wherein the tubular body is provided with needle guides that face each other, wherein each needle guide being configured to guide insertion of the needle.