Importance

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Abstract

An endoscopic instrument assembly for fastening bodily tissue is disclosed. The assembly includes a surgical instrument for insertion into and withdrawal from the passageway of a cannula. The instrument has a tube with a neckdown region between the proximal and distal ends of the tube. The proximal and distal ends of the tube have a diameter greater than the neckdown region. When the instrument is inserted into the passageway of the cannula, the radial clearance at the neckdown region of the tube is greater than the clearance at the tube distal end. The instrument includes a suture filament for fastening the tissue, and a needle attached to the distal end of the filament. When the instrument is inserted through the cannula, the filament has a length where the needle lies adjacent the neckdown region of the tube and is contained within the greater radial clearance offered by the neckdown region. Consequently, the drag force observed during insertion of the instrument through the cannula because of frictional contact between the needle and the inner wall of the cannula is significantly lessened or avoided altogether. This reduction in drag force can be accomplished without sacrificing other important design features of the surgical instrument.

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First Claim