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US4781190: Method of arthroscopic repair of a limb joint

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Filing Information

Inventor(s) Lee; Wilson K. C. ·
Assignee(s) LEE WILSON K C ·
Attorney/Agent(s) Cushman, Darby & Cushman ·
Primary Examiner Richard C. Pinkham ·
Assistant Examiner Gary Jackson ·
Application Number US6850702
Filing date 04/11/1986
Issue date 11/01/1988
Predicted expiration date 04/11/2006
U.S. Classifications 128/334.R  · 128/339  ·
International Classifications A61B 1704  ·
Kind CodeA
International Classifications 128339;334 R;340;335 ·
Foreign Priority AUPH1081 - 06/18/1985 ·
13 Claims, No Drawings


Abstract

A method of surgical repair using a needle having two sharpened ends, under arthroscopic control by passing a needle into the joint until the eye of the needle just emerges from the skin on the distal side of the joint, then pulling the suture through the joint to the outside while the needle remains partially within the joint capsule and passing the needle back to the opposite side of the joint so as to reverse the maneuver, so that the needle remains partially within the joint capsule.

Independent Claims | See all claims (13)

  1. 1. A method for surgical repair, under arthroscopic control, of a lesion in a tissue of a limb joint of a mammal comprising the steps of:(a) inserting a straight needle, carrying a suture previously knotted at one end, via the end distal from an eccentrically placed eye aperture into the joint at the anterior medial aspect of the joint,which needle has two tapered, sharpened ends and is 0.5 to 30 cm long;(b) advancing the tip of the needle under arthroscopic control using either direct vision or television monitor control, until it reaches the medial side of the tear;(c) pushing the needle through the tissue and advancing it so that the trailing tip of the needle remains inside the joint capsule and the eye aperture of the needle is just outside the skin of the joint on the lateral side;(d) pulling the free end of the suture through to the exterior of the joint;(e) pushing the needle back through the tissue in the reverse direction until the eye aperture of the needle is just outside the skin and the tip of the longer arm of the needle is just adjacent to the tissue;(f) pulling the suture through to the exterior of the joint as in step (d); and(g) repeating the procedure as many times as required to repair the lesion.
  2. 7. A method for repair of a peripheral tear in the lateral meniscus of the tibiofemoral joint of a mammal;comprising the steps of:(a) inserting a straight needle, carrying a suture previously knotted at one end, via the end distal from an eccentrically placed eye aperture into the knee joint at the anterior medial aspect of the joint,which needle has two tapered, sharpened ends and is 0.5 to 30 cm long;(b) advancing the tip of the needle under arthroscopic control using either direct vision or television monitor control, until it reaches the medial side of the tear;(c) pushing the needle through the meniscus and advancing it so that the trailing tip of the needle remains inside the joint capsule and the eye aperture of the needle is just outside the skin of the knee on the lateral side;(d) pulling the free end of the suture through to the exterior of the knee;(e) pushing the needle bach through the meniscus in the reverse direction until the eye aperture of the needle is just outside the skin and the tip of the longer arm of the needle is just adjacent to the meniscus;(f) pulling the suture through to the exterior of the knee as in step d; and(g) repeating the procedure as many times as required to repair the tear.

References Cited

U.S. Patent Documents

Document NumberAssigneesInventorsIssue/Pub Date
US2516710 MASCOLO DELFINO P Mascolo Jul 1950
US2833284 SPRINGER HENRY A Springer May 1958
US4512346 LEMOLE GERALD M Lemole Apr 1985
US4597390 Mulhollan et al. Jul 1986
US4602635 MULHOLLAN JAMES S Mulhollan et al. Jul 1986

Foreign Patent Documents

Document NumberAssigneesInventorsIssue/Pub Date
DE867420SCHEFFEL RUDOLF DR MEDJan 1953

Other Publications

"Suture of New and Old Peripheral Meniscus Tears" by Per Hamberg, M.D. et al., Linkoping, Sweden, J. of Bone and Joint Surg., vol. 65A, p. 193, (1983).
"Arthroscopic Meniscal Repair" by Clancy and Graf, M.D.
"Meniscal Repair" by Barber & Stone, J. of Bone and Joint Surg., vol. 67B, p. 39, (1985).
"The Acufex Big Bend Stitcher--Position is Everything"; L. Crane.
"A Technique of Arthroscopic Meniscal Repair", Lawrence Crane, M.D.

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