Devices and methods for suture placement

Abstract

A suturing device includes an elongate body, a needle holder, an actuator, a needle and a needle retainer. The needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The needle holder includes a distal end section having a distal-most tip, and defines a needle passage and a distal opening adjacent the distal-most tip. The actuator is operable between a first operating position and a second operating position. Movement of the actuator from the first operating position toward the second operating position moves the needle in an advance direction. The needle is in the needle passage. The needle retainer engages the needle holder and the needle when the actuator is in the first operating position and inhibits movement of the needle toward distal opening while the actuator is in the first operating position.

1 . A suturing device comprising:
 an elongate body including a proximal end portion and a distal end portion;   a needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the needle holder including a distal end section having a distal-most tip, the needle holder defining a needle passage, a distal opening adjacent the distal-most tip and a proximal hole extending into the needle passage, wherein the proximal hole is spaced from the distal opening;   a needle in the needle passage, the needle including a first end, which is pointed, and a second end, which is opposite the first end;   an actuator interacting with the elongate body and operable between a first operating position and a second operating position, wherein the actuator is configured such that movement of the actuator from the first operating position toward the second operating position moves the needle in an advance direction; and   a needle retainer extending into the needle passage through the proximal hole and engaging the needle when the actuator is in the first operating position and configured to inhibit movement of the needle toward the distal opening while the actuator is in the first operating position.   
     
     
         2 . (canceled) 
     
     
         3 . (canceled) 
     
     
         4 . The suturing device of  claim 1 , wherein a resilient portion of the needle retainer extends into the needle passage through the proximal hole. 
     
     
         5 . The suturing device of  claim 1 , wherein the needle passage is curved following a needle passage radius, and the needle is a curved needle. 
     
     
         6 . The suturing device of  claim 5 , wherein proximal hole is located through a section of the needle holder nearest to the center of the needle passage radius. 
     
     
         7 . The suturing device of  claim 5 , wherein the proximal hole is located where the needle holder begins to curve away from a distal end portion longitudinal axis of the elongate body. 
     
     
         8 . The suturing device of  claim 7 , wherein the elongate body has a bayonet configuration. 
     
     
         9 . (canceled) 
     
     
         10 . The suturing device of  claim 1 , wherein an entirety of the needle retainer is made from the resilient material. 
     
     
         11 . The suturing device of  claim 9 , wherein the needle retainer is a flexible sleeve that surrounds the needle holder and terminates at a lower end, which extends into the proximal hole. 
     
     
         12 . The suturing device of  claim 9 , wherein the needle retainer is a resilient barbell shaped retainer. 
     
     
         13 . The suturing device of  claim 1 , wherein the needle retainer is a sleeve that surrounds the needle holder and terminates at a lower end, which extends into the proximal hole. 
     
     
         14 . The suturing device of  claim 1 , wherein the needle retainer is a resilient barbell shaped retainer having a portion extending into the proximal hole. 
     
     
         15 . The suturing device of  claim 1 , wherein the needle moves from a retracted position toward a released condition as the actuator moves from the first operating position toward the second operating position, and the proximal hole extends into the needle passage near where the second end of the needle resides when the needle in the retracted position. 
     
     
         16 . The suturing device of  claim 15 , further comprising a suture extending from the second end of the needle. 
     
     
         17 . The suturing device of  claim 16 , wherein the suture extends through the distal opening when the needle is in the retracted position and the actuator is in the first operating position. 
     
     
         18 . A suturing device comprising:
 an elongate body including a proximal end portion and a distal end portion;   a needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the needle holder including a distal end section having a distal-most tip, the needle holder defining a needle passage and a distal opening adjacent the distal-most tip;   a needle in the needle passage, the needle including a first end, which is pointed, and a second end, which is opposite the first end;   an actuator interacting with the elongate body and operable between a first operating position and a second operating position, wherein the needle moves from a retracted position toward a released condition as the actuator moves from the first operating position toward the second operating position;   a needle retainer engaging the needle holder and the needle when the actuator is in the first operating position and configured to inhibit movement of the needle toward distal opening while the actuator is in the first operating position; and   a suture extending from the second end of the needle, wherein the suture extends through the distal opening when the needle is in the retracted position and the actuator is in the first operating position.   
     
     
         19 . The suturing device of  claim 18 , wherein the needle holder includes a proximal hole extending into the needle passage, and at least a portion of the needle retainer extends through the proximal hole. 
     
     
         20 . The suturing device of  claim 19 , wherein the needle retainer extends through the proximal hole near where the second end of the needle resides when the needle in the retracted position. 
     
     
         22 . The suturing device of  claim 18 , wherein the needle holder includes a proximal hole extending into the needle passage, wherein the proximal hole is spaced from the distal opening. 
     
     
         23 . The suturing device of  claim 22 , wherein a portion of the needle retainer extends into the needle passage through the proximal hole.