Suturing instrument and method for uterine preservation

摘要

A suturing instrument includes an elongate body member, a needle deployment mechanism, and a depth adaptor. The elongate body member includes a distal portion that defines an opening. The needle deployment mechanism is at least partially disposed within the elongate body member and moves the needle out of the suturing instrument and into tissue. The depth adaptor is disposed in the opening at the distal portion of the elongate body member and controls the depth that the needle penetrates into the tissue.

主权项

1. A method comprising:
securing a first suture to a first sacrospinous ligament on a first side of a pelvic region of a patient; securing a second suture to a second sacrospinous ligament on a second side of the pelvic region, opposite the first side of the pelvic region; securing the first suture to a vaginal apex of the patient at a first location; securing the second suture to the vaginal apex at a second location; and tensioning the first and second sutures such that the vaginal apex is approximated to the first sacrospinous ligament and the second sacrospinous ligament, wherein securing the first suture to the vaginal apex at the first location and securing the second suture to the vaginal apex at the second location include coupling an adaptor to a suturing instrument, the adaptor preventing a needle carrier of the suturing instrument from passing entirely through a thickness of a vaginal wall.