# US 11,076,849 B2 · Suture delivery with asynchronous needle capture

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- Number: US 11,076,849 B2
- Document ID: US11076849B2
- Status: Granted
- Kind: B2
- Application number: 16/263,569
- Filed: 2019-01-31
- Published: 2019-05-30
- Granted: 2021-08-03
- Earliest claimed: 2015-06-01
- Assignees: Terumo Medical Corporation
- Applicants: Terumo Medical Corporation
- Inventors: Chun-Chia Juan; Yu-Shih Weng
- Web page: https://patentgrep.com/patent/US11076849B2

## CPC

- A61B 17/0625: {the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator (A61B17/06109 takes precedence)}
- 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 17/0469: {Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery}
- A61B 2017/00663: {the implement being a suture}
- A61B 2017/00672: {Locating means therefor, e.g. bleed back lumen}
- A61B 2017/047: {having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body}
- A61B 2017/0472: {Multiple-needled, e.g. double-needled, instruments}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An elongated deployment shaft carrying a needle deployment assembly with needles carrying sutures and a stabilizer. A catcher tube over the shaft having a catcher assembly at a distal end may retain a portion of the needles when passed through the tissue into engagement with catcher assembly. The catcher and needle deployment assemblies are configured to asynchronously engage the plurality of needles when moved distally beyond the catcher assembly. A sheath over the catcher tube may sandwich the tissue against the stabilizer when expanded. A first actuator may move catcher tube distally to decrease distance between proximal and distal ends of the stabilizer expand it and may move the sheath distally to sandwich the tissue. A second actuator may deflect the needles outward to move proximally through the tissue and engage the catcher and return a portion of each not retained by the catcher to a distal position.

## Claims

### Claim 1

A suture delivery device for suturing an opening on tissue comprising:
an elongated deployment shaft;
a needle deployment assembly carried by the shaft, including a plurality of needles carrying suture material configured to have an insertion profile at a distal position and to deflect radially outwards to a piercing angle when moved proximally relative to the shaft;
a stabilizer carried by the shaft at a location proximal of the needle deployment assembly, wherein the stabilizer is reconfigurable between an unexpanded insertion profile and an expanded profile;
a catcher tube coaxially and slidably disposed over the shaft having a catcher assembly at a distal end, wherein the catcher assembly and needle deployment assembly are configured to asynchronously engage and retain at least a portion of each of the plurality of needles carrying the suture material when the needles are passed through the tissue to be sutured to a proximal position beyond the catcher assembly and then returned distally such that distal movement of the needle deployment assembly causes a first subset of the plurality of needles to engage the catcher assembly at a first time and continued distal movement of the needle deployment assembly causes a second subset of the plurality of needles to engage the catcher assembly at a second time subsequent to the first time; and
a sheath coaxially and slidably disposed over the catcher tube, wherein a distal end of the sheath is configured to sandwich tissue to be sutured against the stabilizer when expanded.

### Claim 2 (depends on 1)

The suture delivery device of claim 1, wherein an actuation force associated with engaging the first subset of the needles and an actuation force associated with engaging the second subset of the needles is each less than an actuation force required to engage all the needles simultaneously.

### Claim 3 (depends on 1)

The suture delivery device of claim 1, wherein the catcher assembly is configured to engage a detachable needle tip of each of the plurality of needles.

### Claim 4 (depends on 1)

The suture delivery device of claim 1, wherein the catcher assembly comprises a plurality of capture points.

### Claim 5 (depends on 4)

The suture delivery device of claim 4, wherein the plurality of capture points are longitudinally spaced with respect to each other.

### Claim 6 (depends on 4)

The suture delivery device of claim 4, wherein each of the plurality of capture points is created by a catching element.

### Claim 7 (depends on 6)

The suture delivery device of claim 6, wherein each catching element is configured to only engage a different subset of the needles.

### Claim 8 (depends on 6)

The suture delivery device of claim 6, wherein each catching element has a disk configuration.

### Claim 9 (depends on 6)

The suture delivery device of claim 6, wherein each catching element has a dished configuration.

### Claim 10 (depends on 9)

The suture delivery device of claim 9, wherein the catcher assembly comprises nested dished catching elements.

### Claim 11 (depends on 4)

The suture delivery device of claim 4, wherein a single catching element defines the plurality of capture points.

### Claim 12 (depends on 11)

The suture delivery device of claim 11, wherein the catching element has a chair shaped configuration.

### Claim 13 (depends on 1)

The suture delivery device of claim 1, wherein the catcher assembly has a single capture point and the plurality of needles comprises a first subset of needles having a first length and a second subset of needles having a second length, such that the second length is shorter than the first length.

### Claim 14

A method for delivering a suture comprising:
providing an elongated deployment shaft, a needle deployment assembly carried by the shaft, including a plurality of needles carrying suture material, a stabilizer carried by the shaft at a location proximal of the needle deployment assembly, a catcher tube coaxially and slidably disposed over the shaft having a catcher assembly at a distal end, and a sheath coaxially and slidably disposed over the catcher tube;
advancing the elongated deployment shaft to a desired position in a body;
reconfiguring the stabilizer from an unexpanded insertion profile to an expanded profile;
sandwiching tissue to be sutured between a distal end of the sheath and the expanded stabilizer;
deflecting the plurality of needles radially outwards to a piercing angle from an insertion profile at a distal position with proximal movement relative to the shaft;
moving the plurality of needles to a proximal position beyond the catcher assembly by passing through the tissue to be sutured;
engaging the catcher assembly with a first subset of the plurality of needles at a first time when moved distally from the proximal position,
engaging the catcher assembly with a second subset of the plurality of needles at a second time subsequent to the first time after further distal movement;
retaining at least a portion of each of the plurality of needles carrying the suture material with the catcher assembly; and
returning a portion of each of the plurality of needles not retained by the needles to the insertion profile at the distal position.

### Claim 15 (depends on 14)

The method of claim 14, wherein an actuation force associated with engaging the first subset of the needles and an actuation force associated with engaging the second subset of the needles is each less than an actuation force required to engage all the needles simultaneously.

### Claim 16 (depends on 14)

The method of claim 14, wherein the catcher assembly comprises a plurality of capture points and wherein the first subset of needles only engages a first capture point and the second subset only engages a second capture point.

### Claim 17 (depends on 14)

The method of claim 14, wherein the plurality of needles comprises a first subset of needles having a first length and a second subset of needles having a second length, such that the second length is shorter than the first length, and wherein the catcher assembly engages the first subset of needles at the first time and engages the second subset of needles at the second time.

### Claim 18 (depends on 14)

The method of claim 14, wherein engaging the catcher assembly with the plurality of needles allows a detachable needle tip of each needle to be retained.