Updated in 8/31/2012 1:58:06 PM      Viewed: 766 times      (Patent)

Mason-Allen suture technique - METHODS OF SUTURING AND REPAIRING TISSUE USING A CONTINUOUS SUTURE PASSER DEVICE

Justin D Saliman
ABSTRACT
Described herein are methods of repairing tissue using a continuous suture passer. In particular, described herein are methods for forming complex suture patterns using a continuous suture passer. The continuous suture passer is typically configured so that the tissue penetrating element (e.g., needle) may be completely withdrawn into the device. The continuous suture passer may be configured as a grasper having two jaws, wherein the tissue penetrating member may pass the suture between the two jaws. The jaws may open and close so that the tissue contacting surfaces of the jaws are parallel, and so that the suture may be passed between the jaws when they are in any position.
Notes
Claims

1. A method of forming a complex suture pattern in tissue using a continuous suture passer, the method comprising:

accessing a tissue to be sutured with a continuous suture passer, wherein the continuous suture passer includes a first jaw and a second jaw, and a tissue penetrating member configured to extend from the first jaw to the second jaw through the tissue to pass a suture therebetween;

positioning the tissue to be sutured between the first and second jaws while the tissue penetrating member is completely retracted within the first jaw;

extending the tissue penetrating member from the first jaw to engage a predetermined position on the second jaw and thereby passing a suture through the tissue in a first direction, and then retracting the tissue penetrating member completely within the first jaw;

repositioning the tissue between the first and second jaws, and;
extending the tissue penetrating member from the first jaw to engage a predetermined position on the second jaw and retracting the tissue penetrating member completely within the first jaw, thereby passing a suture through the tissue in a second direction.

2. The method of claim 1, wherein the step of accessing comprises arthroscopically accessing the tissue to be sutured.

3. The method of claim 1, further comprising pre-anchoring a suture in or near the tissue to be sutured.

4. The method of claim 1, further comprising coupling a suture to the continuous suture passer

5. The method of claim 1, further comprising using a knotless anchor.

6. The method of claim 1, wherein the step of accessing comprises accessing the tissue with a continuous suture passer configured so that the first and second jaws open substantially parallel to each other.

7. The method of claim 1, wherein the step of positioning the tissue comprises closing the first and second jaws a non-predetermined amount to grasp the tissue.

8. The method of claim 1, wherein the step of positioning the tissue comprises locking the first jaw in a position relative to the second jaw.

9. The method of claim 1, further comprising repositioning the continuous suture passer and repeating the steps of extending the tissue penetrating member to form a complex suture pattern selected from the group consisting of: a medial row modified Mason-Allen repair; an interweave stitch; a medial row modified Mason-Allen double row repair; a baseball stitch; a baseball stitch incorporated into a double row repair; a modified Mason-Allen stitch; an inverted mattress stitch; a figure eight margin convergence stitch; a buried figure of eight margin convergence stitch; a medial row modified Mason-Allen double row repair; a baseball stitch double row repair; a modified Mason-Allen repair; a method of performing a basic tension setting repair; and an advanced tension-setting repair.

10. A method of forming a complex suture pattern in tissue using a continuous suture passer, the method comprising:

accessing a tissue to be sutured with a continuous suture passer, wherein the continuous suture passer includes a first jaw, a second jaw, and a tissue penetrating member configured to extend from the first jaw to the second jaw through the tissue to pass a suture therebetween;

positioning the tissue to be sutured between the first and second jaws while the tissue penetrating member is completely retracted into the first jaw;

extending the tissue penetrating member from the first jaw to engage the second jaw and thereby passing a suture through the tissue in a first direction, and then retracting the tissue penetrating member completely within the first jaw;

repositioning the tissue to be sutured between the first and second jaws, and;
extending the tissue penetrating member from the first jaw to the second jaw and retracting the tissue penetrating member completely within the first jaw, thereby passing a suture through the tissue in a second direction.

11. The method of claim 10, wherein the step of accessing comprises arthroscopically accessing the tissue by passing the suture passer through a cannula to reach the target tissue.

12. The method of claim 10, further comprising pre-anchoring a suture in or near the tissue to be sutured.

13. The method of claim 10, further comprising coupling a suture to the continuous suture passer.

14. The method of claim 10, further comprising using a knotless anchor.

15. The method of claim 10, wherein the step of accessing comprises accessing the tissue with a continuous suture passer configured so that the first and second jaws open substantially parallel to each other.

16. The method of claim 10, wherein the step of positioning the tissue comprises grasping the tissue by closing the first and second jaws over the tissue a non-predetermined amount.

17. The method of claim 10, wherein the step of positioning the tissue comprises grasping the and locking the first jaw in a position relative to the second jaw.

18. The method of claim 10, further comprising repositioning the continuous suture passer and repeating the steps of extending the tissue penetrating member to form a complex suture pattern selected from the group consisting of: a medial row modified Mason-Allen repair; an interweave stitch; a medial row modified Mason-Allen double row repair; a baseball stitch; a baseball stitch incorporated into a double row repair; a modified Mason-Allen stitch; an inverted mattress stitch; a figure eight margin convergence stitch; a buried figure of eight margin convergence stitch; a medial row modified Mason-Allen double row repair; a baseball stitch double row repair; a modified Mason-Allen repair; a method of performing a basic tension setting repair; and an advanced tension-setting repair.

19. A method of making complex suture patterns as part of an arthroscopic surgery using a continuous suture passer, the method comprising:

accessing a tissue to be sutured by passing a continuous suture passer through a cannula, wherein the continuous suture passer includes a first jaw and a second jaw configured to open and close substantially in parallel relative to each other, and a tissue penetrating member configured to extend from the first jaw to the second jaw through the tissue to pass a suture therebetween;

positioning the tissue to be sutured between the first and second jaws while the tissue penetrating member is completely retracted into the first jaw;

extending the tissue penetrating member from the first jaw to engage the second jaw and thereby passing a suture through the tissue in a first direction, and then retracting the tissue penetrating member completely within the first jaw;

repositioning the tissue to be sutured between the first and second jaws, and;
extending the tissue penetrating member from the first jaw to the second jaw and retracting the tissue penetrating member completely within the first jaw, thereby passing a suture through the tissue in a second direction.