# US 10,441,272 B2 · Suture magazine for suture passing surgical device

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- Number: US 10,441,272 B2
- Document ID: US10441272B2
- Status: Granted
- Kind: B2
- Application number: 15/637,413
- Filed: 2017-06-29
- Published: 2019-01-03
- Granted: 2019-10-15
- Earliest claimed: 2017-06-29
- Assignees: Medos International Sarl
- Applicants: Medos International Sárl
- Inventors: Adam Gustafson
- Web page: https://patentgrep.com/patent/US10441272B2

## CPC

- A61B 17/0469: {Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery}
- A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)}
- A61B 17/0485: {Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet}
- A61B 17/06061: {Holders for needles or sutures, e.g. racks, stands (hand-held holding instruments A61B17/0483; holders for articles A61B50/20; racks for syringes or for hypodermic or infusion needles A61M5/008)}
- A61B 17/06133: {of parallelepipedal shape, e.g. made of rectangular or slightly oval panels}
- A61B 2017/00367: {Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like}
- A61B 2017/00407: {Ratchet means}
- A61B 2017/0403: {Dowels}
- A61B 2017/0409: {Instruments for applying suture anchors}
- A61B 2017/0479: {Packages or dispensers for MIS suturing instruments}
- A61B 2017/06042: {located close to needle tip}
- A61B 2017/06095: {pliable}
- A61B 2017/06142: {having needle- or suture- retaining members, e.g. holding tabs or needle parks}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A surgical instrument for use in passing suture through tissue is provided that includes first and second jaws disposed on a distal end of an elongate shaft and configured to grasp tissue therebetween, and a needle selectively movable along a longitudinal channel extending through an outer side wall of the first jaw. The first jaw has a cavity configured to seat a removable and replaceable suture magazine. The suture magazine can be coupled to a suture magazine carrier that is removed before the surgical instrument is activated cause to the needle to advance distally and thereby pass a suture coupled thereto through tissue in a patient's body. As the needle is retracted proximally, a subsequent suture portion, such as a loop, is loaded onto the needle. The jaws remain in the body during passing the suture through the tissue.

## Claims

### Claim 1

A surgical instrument for use in passing suture through tissue, comprising:
a suture magazine having a longitudinal slot;
first and second jaws disposed on a distal end of an elongate shaft and configured to grasp tissue therebetween, the first jaw having a cavity configured to removably and replaceably seat the suture magazine, and the first jaw having a retaining feature configured to mate with a corresponding retaining feature of the suture magazine; and
a needle selectively movable along a longitudinal channel extending through an outer side wall of the first jaw and having a suture retaining feature that is formed at a distal end thereof and configured to grasp a suture releasably coupled to the suture magazine, wherein the longitudinal slot of the suture magazine is configured to facilitate passage of the needle therethrough.

### Claim 2 (depends on 1)

The surgical instrument of claim 1, wherein the retaining feature of the first jaw is configured to mate with a snap feature.

### Claim 3 (depends on 1)

The surgical instrument of claim 1, wherein the first jaw has distal and proximal positioning features disposed at distal and proximal ends thereof and configured to mate with corresponding distal and proximal positioning features of the suture magazine to maintain a position of the suture magazine relative to the first jaw.

### Claim 4 (depends on 1)

The surgical instrument of claim 1, further comprising a handle disposed at a proximal end of the elongate shaft, the handle having an actuator configured to selectively activate the needle.

### Claim 5 (depends on 1)

The surgical instrument of claim 1, wherein the suture retaining feature of the needle comprises a notch.

### Claim 6 (depends on 1)

The surgical instrument of claim 1, wherein the suture magazine has at least one suture releasably coupled thereto by forming a plurality of suture loops disposed around a side wall of the suture magazine and along a plurality of suture-retaining features spaced apart along a longitudinal axis of the suture magazine.

### Claim 7 (depends on 6)

The surgical instrument of claim 6, wherein the suture-retaining features comprise slots formed in the side wall of the suture magazine.

### Claim 8 (depends on 6)

The surgical instrument of claim 6, further comprising a suture magazine carrier removably coupled to the suture magazine.

### Claim 9 (depends on 8)

The surgical instrument of claim 8, wherein the suture magazine carrier is configured to seat the suture magazine such that the suture loops are formed around the suture magazine.

### Claim 10 (depends on 8)

A surgical system comprising the surgical instrument of claim 8, wherein the suture magazine carrier with the suture magazine removably coupled thereto is coupled to an anchor inserter instrument.

### Claim 11

A surgical instrument for use in passing suture through tissue, comprising:
first and second jaws disposed on a distal end of an elongate shaft and configured to grasp tissue therebetween;
a needle selectively movable along a longitudinal channel extending through an outer side wall of the first jaw and having a notch that is formed therein and is configured to grasp a suture releasably coupled to a suture magazine; and
a suture magazine configured to releasably mate to the first jaw, the first jaw having a cavity configured to removably and replaceably seat the suture magazine, and the suture magazine including a longitudinal slot configured to facilitate passage of the needle therethrough.

### Claim 12 (depends on 11)

The surgical instrument of claim 11, wherein the suture magazine includes a protrusion configured to mate with a protrusion of the first jaw to releasably mate the suture magazine to the first jaw.

### Claim 13 (depends on 11)

The surgical instrument of claim 11, wherein the suture magazine has at least one suture releasably coupled thereto by forming a plurality of suture loops disposed around a side wall of the suture magazine, and the suture magazine has a plurality of slots formed in the side wall of the suture magazine and having the at least one suture retained therein.

### Claim 14 (depends on 11)

The surgical instrument of claim 11, further comprising a suture magazine carrier removably coupled to the suture magazine.

### Claim 15 (depends on 14)

The surgical instrument of claim 14, wherein the suture magazine carrier is configured to seat the suture magazine such that the suture loops are formed around the suture magazine.

### Claim 16 (depends on 11)

The surgical instrument of claim 11, wherein the first jaw has distal and proximal positioning features disposed at distal and proximal ends thereof and configured to mate with corresponding distal and proximal positioning features of the suture magazine to maintain a position of the suture magazine relative to the first jaw.

### Claim 17 (depends on 11)

The surgical instrument of claim 11, further comprising a handle disposed at a proximal end of the elongate shaft, the handle having an actuator configured to selectively activate the needle.

### Claim 18

A surgical instrument for use in passing suture through tissue, comprising:
a suture magazine;
first and second jaws disposed on a distal end of an elongate shaft and configured to grasp tissue therebetween, the first jaw having a cavity configured to removably and replaceably seat the suture magazine; and
a needle selectively movable along a longitudinal channel extending through an outer side wall of the first jaw and having a suture retaining feature that is formed at a distal end thereof and configured to grasp a suture releasably coupled to the suture magazine.

### Claim 19 (depends on 18)

The surgical instrument of claim 18, wherein the suture magazine has a longitudinal slot that is configured to facilitate passage of the needle therethrough.

### Claim 20 (depends on 18)

The surgical instrument of claim 18, wherein the suture magazine includes a protrusion configured to mate with a protrusion of the first jaw when the suture magazine is seated in the cavity.
