CA1131090A - Surgical instrument for stitching up soft tissues with lengths of spiked suture material - Google Patents

Surgical instrument for stitching up soft tissues with lengths of spiked suture material

Info

Publication number
CA1131090A
CA1131090A CA295,449A CA295449A CA1131090A CA 1131090 A CA1131090 A CA 1131090A CA 295449 A CA295449 A CA 295449A CA 1131090 A CA1131090 A CA 1131090A
Authority
CA
Canada
Prior art keywords
needle
stop
suture material
bore
tissue
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA295,449A
Other languages
French (fr)
Inventor
Nikolai N. Kapitanov
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
VSESOJUZNY NAUCHNO-ISSLEDOVATELSKY I ISPYTATELNY INSTITUT MEDITSINSKOI T EKHNIKI
Original Assignee
VSESOJUZNY NAUCHNO-ISSLEDOVATELSKY I ISPYTATELNY INSTITUT MEDITSINSKOI T EKHNIKI
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by VSESOJUZNY NAUCHNO-ISSLEDOVATELSKY I ISPYTATELNY INSTITUT MEDITSINSKOI T EKHNIKI filed Critical VSESOJUZNY NAUCHNO-ISSLEDOVATELSKY I ISPYTATELNY INSTITUT MEDITSINSKOI T EKHNIKI
Application granted granted Critical
Publication of CA1131090A publication Critical patent/CA1131090A/en
Expired legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/06076—Needles, e.g. needle tip configurations helically or spirally coiled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A61B2017/06171—Sutures helically or spirally coiled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

ABSTRACT OF THE DISCLOSURE

The surgical instrument for stitching up soft tissues with lengths of spiked suture material comprises a hollow body which houses a tubular needle having a through bore adapted to accommodate said length of suture material to be introduced into the tissue being sutured along with the needle, and a stop stationary with respect to the body and accommodated inside the through bore of the needle. Both the needle and the stop are shaped as coils having the same dia-meter and lead, and the needle is mounted slidably along the stop so as to retain the length of suture material in the tissue being sutured while extracting the needle therefrom.

Description

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The present invention relates to medical equipment and has particular reference to surgical instruments for stitch-ing up soft tissues, the instrument may be applied predom-inantly for suturing thick-walled organs, e.g., the walls of the left ventricie of the heart or of the liver, with lengths of spiked suture material which may be a metal or a dissolv-; able matter.

A surgical instrument for stitching up soft tissues with lengths of spiked suture material is known (cf. an earlierfiled application by the same inventor, having a Convention priority date of March 11, 1977), said instrument comprising a hollow body which houses a tubular needle having a through bore adapted to accommodate a length of spiked suture material to be introduced into the tissue being sutured along with the needle, and a stop stationary with respect to the body and accommodated inside the through bore of the needle. The needle is mounted slidably along the stop so as to retain the length of suture material in the tissue being stitched while extracting the needle therefrom. In addition, the needle has a drive to move along the stop, said drive being defined by a cyllndrical rod running inside the body so as to envelope the stem carrying the stop, said rod terminating at one of its ends in a handgrip, while the other end there-of has a tapered hole adapted to engage a tapered sleeveserving for a detachable mounting of the needle at the rod end.

The afore-discussed surgical instrument for stitching up soft tissues with lengths of spiked suture material oper-ates as follows.
~`
The tapered sleeve of the tubular needle with a length of suture material is fitted into the tapered hole of the cylindrical rod of the instrument to make the latter ready for operation. Then, the needle is pricked at the juxta-,. -- 1 --~ .

~3~
posed lips of the wound in a soft tissue in such a manner thatthe needle should pass through both of the wound lips. Next, with the body of the instrument not withdrawn from the sur-face of the tissue being sutured, one must retract the hand-grip of the instrument upwards, thus making the needle toslide alon~ the stop to be extracted from the tissue, whereas the stop and the length of suture material thrusting there-against remain immobile, and the length of suture material is left in the tissue, thus holding together the wound mar-gins. This done, the instrument is withdrawn from the thus-established suture. To apply a next suture, the used-up needle is replaced by the one charged with suture material.

The afore-described known instrument is capable of su-turing soft tissues of any thickness throughout the depth of incision, which adds to -the regeneration rate of the tissue lying in the plane of incision in deeply~seated wounds due to an improved contact of the ais~ected tissues being sutured.
However, the instrument proves to be inapplicable in cases where some vital blood vessels, ducts, or nerves run nearby the wound margin (e.g., when the margin of the wound on the heart lies close to the coronary artery) this beiny accounted for by the fact that said instrument is applicable for sutur-ing deeply seated wounds only when rather long distances from the wound margin to the point of the needle introduction illtO the tissue are available, since the needle should make up an angle with the wound incision, the thicker the tissue being sutured the longer the above distance~

' 30 It is a primary object of the present invention to pro-l~ vide a surgical instrument for stitching up soft tissues with lengths of spiked suture material that will ensure su~
ture application in close vicinity to the line incision.

The inventon resides in that in a surgical insturment for stitching up soft tissues with lengths of spiked suture
- 2 -'. ~

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material, comprising a hollow body which houses a tubular needle having a through bore adapted to accommodate said length of suture material to be introduced into the tissue being sutured along with the needle, and a stop stationary with respect to the body and accommodated inside the ,through bore of the needle, said needle being mounted slidably along the stop so as to retain the length of suture material in the tissue being sutured while extracting the needle there-', from, according to the invention, both the needle and the stop are shaped as coils having the same mean diameter andlead.

Such an embodiment of the instrument provides for quick and relia~le suturing of the tissue of deep-seated wounds over the entire plane of incision by applying sutures with lengths of spiked suture material, involviny a minimum area of the organ being sutured into the suture formation zone due ~, to applying a suture immediately to the line of incision, which adds to the regeneration rate of the tissue involved in the surgery owing to eliminating any possibility of forming ~ an inner nook and makes for healing the wound by first inten--, tion.

Furthermore, the proposed construction of the instrument `~ 25 enables one ~o suture using a dissolvable material, such as ~` biopolymers.
: , The instrument is applicable both for stitching together ` the walls of internal and parenchymatous organs and the mar-,' 30 gins of superficial wounds.

', The instrument is capable of higher manoeuvrability when `- applying sutures.

It is expedient that the needle be provided with a screw drive to impart thereto motion along the stop.

.
:

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The above feature provides for a smooth, jerkless and uniform motion of the tubular needle along the stop, while being extracted from the tissue being sutured, which adds to the quality of the suture applied.
In what follows, the present invention is illustrated in a disclosure of preferred embodiments thereof with reference to the accompanying drawings, wherein:

Fig. 1 is a longitudinal-section view of a surgical in-strument for stitching up soft tissues with lengths of spiked suture material, according to the invention;

; Fig. 2 is a fragmentary cutaway view of the instrument of Fig. 1 as shown in the position where the tubular needle is screwed all the way onto the stop, and the suture material is brought out from the needle;

Fig. 3 is an enlarged-scale view of a tubular needle with a cylindrical sleeve, according to the invention;

; Fig. 4 is a scaled-up view of portion IV of the tubular needle of Fig. l;

; 25 Fig. 5 is a length of spiked suture material used in the instrument according to the invention;

Fig. 6 is another embodiment of a length of suture mater-ial used in the instrument according to the invention Fig. 7 represents a technique for introducing the instru-ment needle into the juxtaposed wound lips, according to the invention;

Fig. 8 represents a technique for extracting the instru-ment needle from the tissue having been stitched up; and ~33~

Fig. 9 shows a suture resulting from stitching up soft tissues by the instrument, according to the invention.

Referring now to the accompanying drawings, the surgical instrument for stitching up soft tissues with lengths of spiked suture material comprises a hollow body 1 (Figs. 1, 2) which houses a tubular needle 2 (Figs. 1, 2, 3) having a through bore 3 (Fig. 4) adapted for accommodating a length 4 of suture material provided with spikes 5 (Fig. 5). The length 4 of suture material is coil-shaped, though it may also be shaped as a flexible rod, like a length 4a (Fig. 6), whereas used as the suture material may be a metal (shaped as a wire), or a dissolvable material such as biopolymers.
The through bore 3 (Fig. 4) of the needle 2 accommodates a stop 6 (Figs. 1, 2, 4) adapted for the needle 2 to slide therealong and for retaining the length 4 of suture material in the tissue being sutured. Both the tubular needle 2 and the stop 6 are shaped as coils having the same mean diameter and lead so as to enable the needle 2 to slide along the stop 6.
.
The body 1 (Figs. 1, 2) is held positively to a hollow cylinder 8 through a screw 7, the stop 6 being attached to the cylinder 8 by means of a ring 9.
The needle 2 has a screw drive to ~lide along the stop 6, said drive being provided by a cylindrical rod 10 running inside the hollo~ cylinder 8 and having a screw thread 11 adapted to engage a stud pin 12. The cylindrical rod 10 terminates at one of i~s ends in a lug 13 to be rotated by, whereas the other end of the rod 10 is shaped as a cylindri-` cal shoulder onto which a cylindrical sleeve 14 (Figs. 1, 2, ! 3) is fitted to provide a detachable mounting of the needle 2 at the end of the rod 10 (Figs. 1, 2). To loc~ the sleeve 35 14 on the rod 10, a pin 15 is provided.

)~
I ;

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- The surgical instrument for stitching up soft tissues with lengths of spiked suture material operates as follows.
i The instrument as shown ln Fig. 1 is ready for operation The tubular coil-shaped needle 2 is introduced into the juxtaposed margins of a wound 16 (Fig. 7) by rotating the instrument clockwise till the body 1 contacts the surface of a tissue 17 in such a manner that the needle should prick at both of the lips of the wound 16. Thereupon, with the body 1 not withdrawn from the surface of the tissue 17, one must ` rotate the rod 10 (Fig. 1) counterclockwise by the lug 13 till the screw 12 thrusts against the end of the screw thread 11 as shown in Fig. 2. As a result, the stop 6 (Figs. 2, 8) and the length 4 of suture material resting thereagainst re-main immobile so that the length 4 of suture material is left in the suture 17 (Fig. 8) to hold together the margins of the wound 16. This done, one must withdraw the instrument from the wound, and the margins of the wound 16 get stitched together as shown in Fig. 9. To place a next suture one must remove the needle 2 (Fig. 3) along with the sleeve 14 from the rod 10 (Fig. 1) and the stop 6 and load the needle with the next length 4 of suture material, whereupon the needle 2 is fitted again into the instrument, and the wound is stitched with the next length 4 of suture material.

i .

X

Claims (2)

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. A surgical instrument for suturing soft tissues with lengths of spiked suture material, comprising: a hollow body having an axial bore formed therein; a needle housed within said bore of said body, said needle being movable with respect to said body and having a longitudinal bore formed therethrough adapted to accommodate a length of suture ma-terial adapted for introduction along with said needle into the tissue being sutured; a stop fixedly mounted in said bore of said body such that it is stationary with respect thereto, at least a portion of said stop extending within said bore of the needle; said needle and said stop each being shaped as coils having the same mean diameter and lead; said needle being movably mounted in the body such that upon movement of said needle relative to said body to extract the same therefrom, said needle will slide relative to said stop which is fixed with respect to said body whereupon said length of suture material is pushed from within said needle bore by said stop and remain in the tissue being stitched.
2. A surgical instrument as claimed in claim 1, fur-ther including screw drive means for imparting to the needle a sliding motion with respect to the stop.
CA295,449A 1977-01-24 1978-01-23 Surgical instrument for stitching up soft tissues with lengths of spiked suture material Expired CA1131090A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SU772447214A SU715082A1 (en) 1977-01-24 1977-01-24 Surgical suturing apparatus
SU2447214 1977-01-24

Publications (1)

Publication Number Publication Date
CA1131090A true CA1131090A (en) 1982-09-07

Family

ID=20693485

Family Applications (1)

Application Number Title Priority Date Filing Date
CA295,449A Expired CA1131090A (en) 1977-01-24 1978-01-23 Surgical instrument for stitching up soft tissues with lengths of spiked suture material

Country Status (8)

Country Link
US (1) US4204541A (en)
JP (1) JPS53115595A (en)
CA (1) CA1131090A (en)
CH (1) CH624291A5 (en)
DE (1) DE2801096C3 (en)
FR (1) FR2377796A1 (en)
GB (1) GB1560465A (en)
SU (1) SU715082A1 (en)

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DE2801096B2 (en) 1979-12-06
CH624291A5 (en) 1981-07-31
FR2377796A1 (en) 1978-08-18
GB1560465A (en) 1980-02-06
US4204541A (en) 1980-05-27
FR2377796B1 (en) 1982-05-21
DE2801096C3 (en) 1980-08-14

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