# US 10,499,906 B2 · Aiding and guiding instrument for surgical sutures > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,499,906 B2 - Document ID: US10499906B2 - Status: Granted - Kind: B2 - Application number: 15/317,800 - Filed: 2015-06-05 - Published: 2017-04-27 - Granted: 2019-12-10 - Earliest claimed: 2014-06-12 - Assignees: Med-Europe European Medical Supplies S.R.L. - Applicants: Med-Europe European Medical Supplies S.R.L. - Inventors: Marco Minarini - Web page: https://patentgrep.com/patent/US10499906B2 ## CPC - A61B 17/0482: {Needle or suture guides (guides for drills, pins or wire A61B17/17; guides for puncturing needles A61B17/3403)} - 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 2017/00946: {malleable} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An aiding and guiding instrument for surgical sutures includes a frame that can be rested on a patient proximate to a wound to be sutured and/or to flaps of body tissue and/or prosthetic tissue to be mutually fixed. The frame defines, on the other side from the area configured to be placed on the patient, a plurality of raised portions arranged in series. At least some of the raised portions are mutually spaced to define respective seats for accommodating blocks. In the gap between each block and each contiguous raised portion, it is possible to temporarily stably accommodate a portion of a suture thread. At least one portion of the frame, associated with the raised portions and seats, can be plastically deformed to maintain the shape obtained following a deformation imparted by a user, and freely select the frame shape, and of the mutual arrangement of the raised portions and blocks. ## Claims ### Claim 1 An aiding and guiding instrument for surgical sutures, the instrument comprising: a frame configured to be placed on a patient, said frame defines a plurality of raised portions arranged in series, at least some of said raised portions being mutually spaced apart to define a plurality of accommodation seats for blocks and a block disposed in each one of the accommodation seats wherein in a gap comprised between each block and each contiguous raised portion, a respective portion of a suture thread is temporarily stably accommodated, wherein at least one portion of said frame, associated with said raised portions and with said seats, can be plastically deformed, to maintain a shape obtained following a deformation imparted by a user, and the shape of said frame, and of the mutual arrangement of said raised portions and of said blocks, wherein said frame comprises a casing made of deformable material provided with said raised portions and said seats, and a core made of plastically deformable material stably arranged in said casing, following a deformation imparted by a user on said casing, said core, and said casing, configured to maintain the shape, wherein said casing is constituted substantially by a contoured plate and has a plurality of longitudinally aligned windows, which define said seats, between each contiguous pair of said windows said plate being folded so as to define respective pairs of said raised portions, which face toward corresponding said seats, wherein each of said blocks has a substantially parallelepiped base, with a transverse cross-section substantially complementary to each one of said windows, and an end portion with a progressively decreasing transverse cross-section, having a first identification code, two mutually opposite walls of said substantially parallelepiped base abutting elastically against contiguous respective said raised portions, which are marked by a second identification code, for temporary stably accommodating a portion of a suture thread in a corresponding gap defined between one of said walls and the corresponding said raised portion. ### Claim 2 (depends on 1) The instrument according to claim 1, wherein said core is constituted by a stem made of a plastically deformable material, said plate being provided with respective longitudinally aligned recesses configured for the stable placement of said stem. ### Claim 3 (depends on 1) The instrument according to claim 1, wherein said base of each one of said blocks is coupled to a corresponding base of an adjacent block by way of a corresponding connecting shank, which is accommodated in said recesses which are defined by said plate. ### Claim 4 An aiding and guiding instrument for surgical sutures, the instrument comprising: a frame configured to be placed on a patient, said frame defines a plurality of raised portions arranged in series, at least some of said raised portions being mutually spaced apart to define a plurality of accommodation seats for blocks and a block disposed in each one of the accommodation seats, wherein in a gap comprised between each block and each contiguous raised portion, a respective portion of a suture thread is temporarily stably accommodated, wherein at least one portion of said frame, associated with said raised portions and with said seats, can be plastically deformed, to maintain a shape obtained following a deformation imparted by a user, and the shape of said frame, and of the mutual arrangement of said raised portions and of said blocks, wherein said frame comprises a casing made of deformable material provided with said raised portions and said seats, and a core made of plastically deformable material stably arranged in said casing, following a deformation imparted by a user on said casing, said core, and said casing, configured to maintain the shape, wherein said casing is constituted substantially by a contoured plate and has a plurality of longitudinally aligned windows, which define said seats, between each contiguous pair of said windows said plate being folded so as to define respective pairs of said raised portions, which face toward corresponding said seats, wherein said plate is closed by a strip arranged on an opposite side with respect to said raised portions and is configured to rest on the patient. ### Claim 5 (depends on 1) The instrument according to claim 1, wherein said core is made of a plastically deformable material selected from gold, silver, platinum, iron, nickel, copper, aluminum, zinc, tin, and lead. ### Claim 6 (depends on 4) The instrument according to claim 4, wherein said casing is made of a polymeric material, each one of said blocks being made of an elastomeric material, said strip being made of double sided adhesive felt. ### Claim 7 An aiding and guiding kit for surgical sutures, said kit comprising: a plurality of instruments comprising a frame configured to be placed on a patient, said frame defines a plurality of raised portions arranged in series, at least some of said raised portions being mutually spaced apart to define a plurality of accommodation seats for blocks and a block disposed in each one of the accommodation seats, wherein in a gap comprised between each block and each contiguous raised portion, a respective portion of a suture thread is temporarily stably accommodated, wherein each one of said instruments has at least one portion of said frame, associated with said raised portions and with said seats, which can be plastically deformed, to maintain the shape obtained following a deformation imparted by a user, and a shape of said frame, and of the mutual arrangement of said raised portions and of said blocks, wherein said frame comprises a casing made of deformable material provided with said raised portions and said seats, and a core made of plastically deformable material stably arranged in said casing, following a deformation imparted by a user on said casing, said core, and said casing, configured to maintain the shape, wherein said casing is constituted substantially by a contoured plate and has a plurality of longitudinally aligned windows, which define said seats, between each contiguous pair of said windows said plate being folded so as to define respective pairs of said raised portions, which face toward corresponding said seats, wherein said plate is closed by a strip arranged on an opposite side with respect to said raised portions and is configured to rest on the patient. ### Claim 8 (depends on 4) The instrument according to claim 4, wherein said core is constituted by a stem made of a plastically deformable material, said plate being provided with respective longitudinally aligned recesses configured for the stable placement of said stem. ### Claim 9 (depends on 4) The instrument according to claim 4, wherein said core is made of a plastically deformable material selected from gold, silver, platinum, iron, nickel, copper, aluminum, zinc, tin, and lead.