CA2115300C - Suture package - Google Patents

Suture package Download PDF

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Publication number
CA2115300C
CA2115300C CA002115300A CA2115300A CA2115300C CA 2115300 C CA2115300 C CA 2115300C CA 002115300 A CA002115300 A CA 002115300A CA 2115300 A CA2115300 A CA 2115300A CA 2115300 C CA2115300 C CA 2115300C
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CA
Canada
Prior art keywords
rectangular
flap
panel
package
rectangular panel
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 - Lifetime
Application number
CA002115300A
Other languages
French (fr)
Other versions
CA2115300A1 (en
Inventor
Michael Sterling
Susan Critzer
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.)
Covidien AG
Original Assignee
Sherwood Service AG
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 Sherwood Service AG filed Critical Sherwood Service AG
Publication of CA2115300A1 publication Critical patent/CA2115300A1/en
Application granted granted Critical
Publication of CA2115300C publication Critical patent/CA2115300C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114Packages or dispensers for needles or sutures
    • A61B17/06133Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels
    • A61B17/06138Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels including a retainer comprising three or more foldable panels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114Packages or dispensers for needles or sutures
    • A61B2017/06152Packages or dispensers for needles or sutures containing a suture wound in a figure-8 configuration

Abstract

A direct dispensing, surgical suture package is disclosed. The package comprises a first rectangular panel 1 and a second rectangular panel 2. The second panel is foldably connected to a short side of the first rectangular panel. The package also comprises a first rectangular flap 3 which is foldably connected to a long side of the first rectangular panel. Further, the package comprises a second rectangular flap 4. The second flap is foldably connected to a long side of the second rectangular panel. The package further comprises means for accessing a surgical needle between the second rectangular panel and flap. The package is useful for dispensing a suture from it without having to open, tear or mutilate any of the panels or flaps.

Description

32,062 Suture PackacLe Background And 8ummarv Of The Invention This invention relates to a surgical suture package. The package is self-contained and permits direct dispensing of a single-armed or double-armed suture, with or without a pledget.
The significance of packaging is most evident in the packaging of surgical sutures. It is essential that the package protect the product and maintain sterility throughout its period of potential use.
Sutures may be stored in hospitals for several years, although the usual storage time is much shorter. It is also essential that the package provide rapid and positive means of identification, and release of the undamaged product, ready for use by the surgeon.
There are many sizes of sutures, and many materials of construction such as catgut or polyglycolic acid for absorbables, and silk, cotton, nylon, polyethylene terephthalate, polypropylene, stainless steel, insulated stainless steel and other materials for use as non-absorbables. There are several different needle types in common use including pointed straight, pointed curved, three cornered straight, three cornered curved, curved both regular and reverse cutting, and needles with side cutting edges of various types. The variations and combinations of each of the above, to meet the .. _ 2 preferences of many surgeons for different operative procedures, means that the suture manufacturer needs to supply different suture package combinations. These suture package combinations can run into the thousands.
The importance of positive identification while maintaining an efficient, economical package can thus be readily appreciated.
It is also important to provide convenience to the surgeon and to limit the risk of accidentally enclosing foreign items in the patient by limiting the number of estraneous packaging materials associated with use of the product in the operating theater. A
count is often kept to ensure that each item is accounted for and removed from the operating field.
Considering the ramifications of accidentally enclosing such material in the patient during the surgical procedure, is it absolutely essential to minimize this hazard.
Finally, it is essential in a package containing a surgical needle or needles, that the suture is protected from contact with the sharp point or cutting edge of the needle, which could partially cut the suture or the package. Also, the armed needle edges and point need to be protected to maintain their sharpness.
The prior art generally discloses a surgical suture or sutures package in a strippable outer envelope. Contained in the strippable outer envelope is an inner envelope or pouch which is sterile. The suture strand or strands have been formed into various configurations of coils and loops, and are contained in or on various rstainers, cards, or reels within the inner envelope.

g -The suture is normally prepared for the surgeon by stripping the outer envelope and transferring the inner envelope by sterile forceps, or by projecting it across a sterile barrier, into the sterile area of the operating room. The sterile inner envelope is then opened at the time of use.
The package of the present invention has .. advantages over the prior art. After stripping the outer envelope, the card containing the suture is exposed. The suture can then be directly dispensed without opening the card, either from the front (for right-handed arming), or the back (for left-handed arming). The needle is completely visible, as is its point orientation:
Another advantage is that the self-contained suture card can be printed with complete suture and needle identification. Special ink effects, e.g.
stripping and coloring used in the printing, allows a color coding description of the suture and/or needle materials for ease of identification.
The surgical suture card described is enclosed in as envelope. At least one web of the envelope is a clear (transparent) material which allows full visibility of the descriptive literature on the card. The envelope is sealed by methods known in the art, e.g. heat sealing.
Ac improved direct dispensing surgical suture package containing a single surgical suture strand (single- or double-armed, with or without a pledget) has been invented. The racka5a coaprises a paper or similar material rard with four main rectangular panels, such that when folded in a prescribed manner, a suture compartment is created into which the suture may be manually or automatically wound.
The label is divided with perforations or scores into four main panels. Two of these panels are joined at one of the narrower ends. To one of these is connected a third panel along the longer edge. To the other panel is connected a fourth panel along the opposite longer edge.
Along the joining edge of these two panels is an opening, either symmetric or asymmetric to the joining edge.
In addition to the main panels, there are three lesser flaps, each connected to a different panel. A flap with slits, designed for retaining the various surgical needles, is connected to the third panel on the available longer side. To the shorter edge of the second panel is attached a lesser flap which completes the suture compartment when folded. To the longer edge of the fourth panel is connected a tab which may be tucked into a slit in the second panel upon completion of folding.
Upon complete folding, the aforementioned opening creates a recess, through which the needled suture may be directly accessed without opening any flaps or tabs.
Further, an improvement may be made in which a foam block may be adhered with adhesive on the flap with slits for embedding the needle for tip protection.
According to a broad aspect, the invention provides a suture package comprising: a first rectangular panel; a second rectangular panel foldably connected to a short side of the first rectangular panel; a first rectangular flap foldably connected to a long side of said first rectangular panel; a second rectangular flap foldably connected to a long side of the second rectangular panel;

-4a-and means for accessing a surgical needle between said second rectangular panel and said second rectangular flap.
According to a further embodiment of the present invention, there is provided a two part, self contained package, the package having a first part capable of dispensing a sterile surgical suture, the first part comprising a first rectangular panel; a second rectangular panel foldably connected at a short side thereof to a short side of the first rectangular panel, the second panel containing a first slit; a first rectangular flap foldably connected to a long side of said first rectangular panel; a second rectangular flap foldably connected to a long side of the second rectangular panel; a third flap foldably connected to a long side of the first rectangular flap, the third flap containing a plurality of second slits for retaining a surgical needle; a fourth flap foldably connected to a long side of the second rectangular flap; a tuck tab foldably connected to the other short side of said second rectangular panel; and a recess between said second rectangular panel and said second rectangular flap, for accessing a surgical needle; and a second part comprising an envelope capable of being peeled opened; said first part contained within said envelope.
Description Of The Drawings Having thus generally described the invention, reference will now be made to the following drawings, illustrating preferred embodiments of the invention.
In the drawings, Figure 1 is a front view of the support card;

-4b-Figure 2 is a front view showing the preferred folding sequence of the left-hand flap 3 onto the main panel 1 forming the suture compartment;

-Figure 3 is a front view showing the preferred folding sequence of the flap 3 and panel 1 onto panel s further forming the suture compartment;
Figure 4 is a front view showing the preferred folding sequence of the lesser flap 4 further enclosing the suture compartment;
Figure 5 is a front view of the preferred folding sequence of the needle f lap 5 onto the suture compartment, thereby fully enclosing the suture within;
Figure 6 is a front view showing the placement of the needle in the slits of the needle flap 5 according to design and the size of the needle.
Figure ~ is a front view of the preferred folding sequence of the flap 4 onto the fully enclosed suture compartment;
Figure 8 is a front view of the preferred folding sequence of the tuck tab 7 behind the suture support card self-containing the suture package;
Figure 9 is a back view showing the insertion of tuck tab 7 into a receptacle slit for completing the fold of the support card;
Figure 10 is a front view showing the completely folded support card holding the needled suture as presented to a right-handed surgeon during use; and Figure 10 also shows the preferred.
orientation of the suture support card before loading it into a strippable envelope having at least one transparent side.
. Detailed Description The following embodiments describe the best mode of carrying out the invention:

-l. A two part, direct dispensing, self-contained sterile surgical suture package, the first part comprising:
a first rectangular panel 1;
a second rectangular panel 2 foldably connected to a short side of the first rectangular panel, the second panel containing a first slit;
a first rectangular flap 3 foldably connected to a long side of said first rectangular panel;
a second rectangular flap 4 foldably connected to a long side of the second rectangular paael;
a third flap 5 foldably connected to a long side of the first rectangular flap, the third flap containing a plurality of second slits for retaining a surgical needle;
a fourth flap 7 foldably connected to a short side of the second rectangular flap;
a tuck tab 8 foldably connected to the other long side of said second rectangular panel; and a recess between said second rectangular panel and flap, for accessing a surgical needle;
and the second part comprising:
a strippable envelope, the first part contained within the strippable envelope.
2. A two part, direct dispensing, self-contained sterile surgical suture package, the first part comprising:
a first rectangular panel ~;
a second rectangular panel 2 foldably connected to a short side of the first rectangular panel;

.: _, _ a first rectangular flap 3 foldably connected to a long side of said first rectangular panel;
a second rectangular flap 4 foldably connected to a long side of the second rectangular panel;
a recess between said second rectangular panel and flap, for accessing a surgical needle; and means for containing said second rectangular flap on said second rectangular panel;
and the second part comprising:
a strippable envelope, the first part contained within the strippable envelope.
3. A two part, direct dispensing, self-contained sterile surgical suture package, the first part comprising:
a first rectangular panel 1;
a second rectangular panel 2 foldably connected to a short side of the first rectangular panel;
a first rectangular flap 3 foldably connected to a long side of said first rectangular panel;
a second rectangular flap 4 foldably connected to a long side of the second rectangular panel;
means for accessing a surgical needle between said second rectangular panel and flap; and means for containing said second rectangular flap on said second rectangular panel;
and the second part comprising:
_ c strippable envelope, the first part contained within the strippable envelope.
4. A direct dispensing, surgical suture package comprising:

., _8_ a first rectangular panel l;
a second rectangular panel 2 foldably connected to a short side of the first rectangular panel;
a first rectangular flap 3 foldably connected to a long side of said first rectangular panel;
a second rectangular flap 4 foldably _ connected to a long side of the second rectangular panel; and means for accessing a surgical needle between said second rectangular panel and flap.
Referring to Figure 8, the suture support card is and remains before, during and after its use a single piece. The needled suture end is exposed at all times ready for direct dispensing without moving any flaps or tabs, from the front or back. The needled strand end can be lifted with the hand or with a needle holder.
The acrd is preferably manufactured from a sterilizable paper of about 901b. weight, capable of withstanding sterilization without adverse effects.
The paper may be coated with about 1/2 mil polyethylene so it is heat sealable. Such paper is known in the trade and is readily available.
Referring to Figure 10, the self contained suture support card of this invention may be used with a strippable outer envelope. The envelope material, the method of manufacturing the envelope, and the method of loading the self-contained card of Figure 9 into .the envelope are well-known in the suture packaging art.
After the suture is dispensed, the card continues to be intact and in one piece. Thus no . , - 9 -additional materials or articles other than the surgical suture are added to the operating area.
Related hasards are thus minimised and accountability is simplified.
Figure 1 shops a preferred suture card. The card is nut out and scored from a sheet of sterilizable .-.paper, which may be coated with polyethylene for heat sealing by a method known in the art. The card consists of two central panels i,2 to each of which are foldably attached a first and second side flap 3,4 to opposite edges. To central panel 2 is foldably attached a lesser flap 6. To flap 3 is foldably attached a lesser flap 5 containing slits for needle retention. To flap 4 is foldably attached a lesser locking tab 7. The tab 7 is placed into the retaining slit 8 on central panel 2, as shown in Figure 9, and after the folding sequence shown in Figures 2-7.
Referring to Figure 5, for a curved needle, the desired orientation is usually such that the arc of travel from the butt to the point is in a clockwise direction. This orientation is sometimes termed a right-handed orientation because on dispensing, the needle is properly presented for a right-handed use.
The needles are thus placed into the needle slits on flap 5 with a right-handed orientation. Since this package can be used from either the front (for a right-handed user) or the back (for a left-handed user), either needle orientation may be accessed, depending on the "handedness" of the user, which is a _ - significant advantage.
Figures 2-8 show the preferred folding and self-containing of the suture support card.
specifically, Figure 2 shows a flap 3 folding onto the - 1o -panel 1 enclosing the suture. The suture matriu can be achieved by winding by hand is a figure 8 or serpentine configuration, or by machine yielding the same result, so that when dispensed, the suture is freely removed from the package and ready for use. Figure 3 shows the folding of the suture compartment 1,3 onto panel 2.
R~ferring specifically to Figures 4 to 9, the folding sequence is illustrated in relation to enclosing the suture compartment with lesser flaps 5,6, and placing the needle in the slits of flap,5.
Figure 8 shows a means for self-containing the support card. That is, a tab lock 7 is inserted into the slit of panel 2 to provide a self-contained package.

Claims (8)

1. A suture package comprising:
a first rectangular panel;
a second rectangular panel foldably connected to a short side of the first rectangular panel;
a first rectangular flap foldably connected to a long side of said first rectangular panel;
a second rectangular flap foldably connected to a long side of the second rectangular panel; and means for accessing a surgical needle between said second rectangular panel and said second rectangular flap.
2. The package of claim 1 wherein the means for accessing the surgical needle comprises a recess between said second rectangular panel and flap.
3. The package of claim 1 or 2 further comprising means for containing said second rectangular flap on said second rectangular panel.
4. The package of claim 1, 2 or 3 wherein the second rectangular panel contains a first slit and the package further comprises a third flap foldably connected to a long side of the first rectangular flap, the third flap containing a plurality of second slits for retaining a surgical needle;
a fourth flap foldably connected to a short side of the second rectangular flap; and a tuck tab foldably connected to the other long side of said second rectangular panel.
5. A surgical suture dispenser having a first part comprising the package of claim 1, 2, 3 or 4 and a second part comprising a strippable envelope, the first part contained within the strippable envelope.
6. A two part, self-contained package, the package having a first part capable of dispensing a sterile surgical suture, the first part comprising:
a first rectangular panel;

a second rectangular panel foldably connected at a short side thereof to a short side of the first rectangular panel, the second panel containing a first slit;
a first rectangular flap foldably connected to a long side of said first rectangular panel;
a second rectangular flap foldably connected to a long side of the second rectangular panel;
a third flap foldably connected to a long side of the first rectangular flap, the third flap containing a plurality of second slits for retaining a surgical needle;
a fourth flap foldably connected to a long side of the second rectangular flap;
a tuck tab foldably connected to the other short side of said second rectangular panel; and a recess between said second rectangular panel and said second rectangular flap, for accessing a surgical needle;
and a second part comprising:
an envelope capable of being peeled opened, said first part contained within said envelope.
7. The package of claim 6 further comprising means for containing said second rectangular flap on said second rectangular panel.
8. A surgical suture dispenser having a first part comprising the package of claim 6 or 7, wherein said envelope is a strippable envelope, the first part contained within the strippable envelope.
CA002115300A 1993-02-11 1994-02-09 Suture package Expired - Lifetime CA2115300C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/016,363 1993-02-11
US08/016,363 US5348146A (en) 1993-02-11 1993-02-11 Suture package

Publications (2)

Publication Number Publication Date
CA2115300A1 CA2115300A1 (en) 1994-08-12
CA2115300C true CA2115300C (en) 2006-05-02

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Family Applications (1)

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CA002115300A Expired - Lifetime CA2115300C (en) 1993-02-11 1994-02-09 Suture package

Country Status (15)

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US (1) US5348146A (en)
EP (1) EP0610680B1 (en)
JP (1) JP3248705B2 (en)
KR (1) KR940019280A (en)
AT (1) ATE154502T1 (en)
AU (1) AU675812B2 (en)
CA (1) CA2115300C (en)
DE (1) DE69403821T2 (en)
DK (1) DK0610680T3 (en)
ES (1) ES2104194T3 (en)
GR (1) GR3023802T3 (en)
HK (1) HK1007950A1 (en)
PL (1) PL302197A1 (en)
TW (1) TW251232B (en)
ZA (1) ZA94922B (en)

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US5427243A (en) * 1994-06-15 1995-06-27 Ethicon, Inc. Temporary pacing wire package
US6409016B1 (en) * 2000-06-27 2002-06-25 Genzyme Corporation Holder and dispenser for spools, tube-shaped devices, and cylindrical devices with recessed ends
CA2491147C (en) * 2002-07-17 2011-10-25 Tyco Healthcare Group Lp Suture pledget package
DE102004006398B4 (en) * 2004-02-10 2006-06-08 Atmel Germany Gmbh Method and device for synchronizing a functional unit to a predetermined clock frequency
US7600634B2 (en) * 2006-04-03 2009-10-13 Tyco Healthcare Group Lp Packaging for surgical sutures
CN101356946B (en) * 2007-07-31 2013-07-24 荷兰联合利华有限公司 Composition for coating, process for coating and frozen coated confection
JP6734839B2 (en) * 2015-02-27 2020-08-05 マニー株式会社 Packaging material for suture with needle
US20200405299A1 (en) * 2018-03-06 2020-12-31 Sharp Fluidics, Llc Chiral needle packages and receptacles

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Also Published As

Publication number Publication date
DK0610680T3 (en) 1997-07-07
JPH0767881A (en) 1995-03-14
EP0610680A2 (en) 1994-08-17
GR3023802T3 (en) 1997-09-30
KR940019280A (en) 1994-09-14
JP3248705B2 (en) 2002-01-21
DE69403821T2 (en) 1997-10-09
HK1007950A1 (en) 1999-04-30
ZA94922B (en) 1994-08-24
US5348146A (en) 1994-09-20
EP0610680A3 (en) 1994-10-26
PL302197A1 (en) 1994-08-22
AU675812B2 (en) 1997-02-20
DE69403821D1 (en) 1997-07-24
ATE154502T1 (en) 1997-07-15
CA2115300A1 (en) 1994-08-12
TW251232B (en) 1995-07-11
EP0610680B1 (en) 1997-06-18
AU5508794A (en) 1994-08-18
ES2104194T3 (en) 1997-10-01

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