CA2184326A1 - Surgical instrument for suturing - Google Patents

Surgical instrument for suturing

Info

Publication number
CA2184326A1
CA2184326A1 CA002184326A CA2184326A CA2184326A1 CA 2184326 A1 CA2184326 A1 CA 2184326A1 CA 002184326 A CA002184326 A CA 002184326A CA 2184326 A CA2184326 A CA 2184326A CA 2184326 A1 CA2184326 A1 CA 2184326A1
Authority
CA
Canada
Prior art keywords
jaw
needle
sections
shield
clamp device
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.)
Abandoned
Application number
CA002184326A
Other languages
French (fr)
Inventor
Steven B. Hoel
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.)
Individual
Original Assignee
Individual
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
Priority to US08/534,023 priority Critical patent/US5569271A/en
Priority to EP96306026A priority patent/EP0824891A1/en
Application filed by Individual filed Critical Individual
Priority to CA002184326A priority patent/CA2184326A1/en
Publication of CA2184326A1 publication Critical patent/CA2184326A1/en
Abandoned legal-status Critical Current

Links

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
    • A61B17/0493Protective devices for suturing, i.e. for protecting the patient's organs or the operator
    • 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
    • A61B17/062Needle manipulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs

Abstract

A surgical device is used for manipulating suture needles. The device is formed of two elongate members hinged together. On one side of the hinge, the elongate members form a pair of jaws which are relatively moveable. One the other end of the elongate members there are handles formed which allow the user to manipulate the jaws about the hinge. An arcuate shield is integral with one of the jaws at its center. The shield extends laterally and arcuately from the jaw and covers the opposing jaw. The placement of the shield is such that a needle which is held between the jaws is protected from sticking any one or anything.
The jaw members may be made up of several units forming segmented jaws.

Description

' ~ . 2~4326 8~RGIcAL 1,~ FOR SUTURING

BA~K~uN~ OF INVENTION

This invention relates to surgical in~Lrl Ls, more particularly to a surgical instrument for use in surgical suturing.

In certain surgical procedures the physician or surgeon must suture two sides of tissue together. This is accomplished by passing the point of a needle, often a curved needle, through the two sides of tissue successively or simultaneously and then pulling the r~~ ; n~r of the needle body through the tissue to carry the suture thread with it. The needle may be pulled or driven completely through by hand or using in~LL, -ntS such as needle drivers, haemostats or similar plier-like devices. Whether the needle is cleared by hand or by in~ LL I L~ there will be an exposed needle point being moved around a confined space, usually with numerous nurses' or surgeons' hands, fingers, wrists or other parts in close proximity. There is obviously considerable opportunity for accidental needle-prick of those hands, fingers or wrists, a prick that in recent years is potentially lethal to those receiving the wound no matter how minor.

It is an object of the present invention to provide a surgical in~LL, ~nt adapted for driving, r-n;p~ ting and extracting or clearing a suture needle with means protecting against accidental pricks by the needle point of persons who must have their fingers or hands near the suturing site during surgical procedures.

SUMMARY OF INVENTION

The present invention provides a needle-driving instrument having a front integral shield to prevent ~ . 2184326 accidental needle pricks of personal conducting or assisting in surgical procedures.

According to the principles of the invention, there is provided a plier-like instrument with a pair of elongated members pivotally hinged to each other at a point between their midpoints and one of their ends to provide relatively long handles and relatively short "jaws" or clamp ends. The "jaw" or clamp end of one of the members is provided with a curved shield plate positioned to guard the point of the needle held properly between the jaw members.

BRIEF DESCRIPTION OF THE DRAWINGS

The present invention can be more readily understood from the following ~PtA; l~d description when read in conjunction with the ~c~ ,-nying drawings wherein:

Figure 1 is a perspective view of a typical needle-driver of the prior art;

Figure 2 is a perspective view of a needle-driver/retriever of the present invention showing the needle-shield element;

Figure 3 is an elevation view of the needle-driver/retriever of the present invention in the open position;

Figure 4 is a front elevation view of the needle-driver/retriever of the present invention illustrating the manner in which a curved suture needle is gripped by the needle and used;

Figure 5 is a front elevation view of the needle-driver/retriever of the present invention of a slightlymodified form to better acs~ te the gripping and chiPl~;nq of a straight suture needle as shown; and Figure 6 is a front elevation view, partially cut away, of the needle-driver/retriever of the present invention having a slightly modified structure.

DETAILED DESCRIPTION OF T~E INVENTION

When referring to the drawings hereinafter, like elements and features of the invention are designated by the same reference numbers or same identifications throughout the various figures.

With reference now to Figure l there is shown in a perspective view a typical form of a metal surgical clamp designated generally as 10 of a type often used in the prior art as a needle-driver/retriever in surgical oceduLes. The clamp 10 i6 comprised of a pair of elongated members, ll and 12, pivotally hinged at 13 to form jaw elements or sections 14 and 15, handle elements or sections 16 and 17 with grip loops 18 and 19 for better controlled manipulation. also provided near the loops are small ratchet tabs, 20 and 21, forming a releasable pLeS~L~ sustaining lock r ~h~n;~m for holding the jaws clamped on an object between them.

The needle-driver/retriever of the present invention, in its preferred : ~:';r ~, is shown in figures 2-5 and is similar in its handle area to the prior art clamp of Figure 1 thus providing a certain familiarity of "feel" and operation to the user.

As shown, the needle-driver/retriever of the present invention designated generally as 30 comprises a ~ ~ 8432~

pair of relatively thin, elongated members 31 and 32 pivotally hinged together preferably closer to one end than to the other. The shorter portions of the two pivoted members form a pair of "jaws," 34 and 35. The jaws may be shaped with generally flattened inwardly facing (opposing) surfaces to provide clamping action. The larger ends of the pivoted members form handle members, 36 and 37, and in the preferred ~ L terminate in grip loops, 38 and 39. As in the prior art, the needle-driver/retriever is provided with ratchet tabs, 40 and 41, as releasable clamp hold r -~hAn i ~c . Thus the handle ends of the needle-driver/retriever of the present invention will have a familiar "feel" to users who are experienced with Figure 1 type prior art clamps.

Added to and integral with one of the jaw elements, 34, of the driver/retriever 30, is a shield element, 40, which is the preferred r-~o~;r-nt is in the form of a small curved plate that extends longitn~;nAlly for most of the length of the jaw portion, 34. The shield element 40 extends laterally from the jaw element on which it is mounted or of which it is a part curving over the opposite jaw as shown so that anything held between the driver jaws is protected from accidental or unintentional contact with other objects.

The driver 30 may be made of plastic or metal material such as that used in prior art clamps but preferably is of a stA;nlP~q steel to provide desirable overall strength, a springy resiliency in the handles and a high resistance to breakage. The member 31 and 32 may be of generally round, oval or rectangular (with rounded edge) cross-section over most of their length with an appropriate shape about the pivot point to form the hinge as is well known in the art. The shield 40 is to be of an appropriate th;~knpss to be relatively stiff and resistant to bending.

As may be seen in the end view of Figure 4, the shield 40 may be made as an extension of the inner-clamp face 41 of jaw element 34 and be formed in a sufficiently wide arc to clear, yet shield, a curved suture needle, 42, clamped between the jaws 34 and 35 as it would be at times during use.

When used in conjunction with a straight suture needle such as needle 42a in Figure 5 it may be preferable to construct the shield 40a as an extension of the outer-face or surface 43 of jaw 37a as shown. In such a construction, the straight needle may be held between the clamped jaws at a greater distance from its point without the needle point tou~h;nq the shield than would be the case in the construction of Figure 4.

obviously the shield extending from the outer-face of the clamp jaw 37a of Figure 5 may be shaped to ac ~qte either a curved or straight needle. Thus, the present invention contemplates use of shield forms not of the smooth-even curves shown in the ~mho~;r-nt illustrated in Figures 3, 4 and 5 of the drawings. For example, the shield may be straight or flat along a portion of its lateral-extent or it may comprise two or more flat, planer sections 44,45,46,47 and 48 connected together to form an angled shielding structure as shown in Figure 6.

Thus, there have been disclosed specific c ' -;r ~s of the shield needle-driver/retriever of the present invention. It is understood that this invention is to be in no way limited to the illustrated structures but is to be construed to include in and all variations and modifications that may occur to those skilled in the art, still within the spirit of the invention as is to be limited only as set forth in the following claims when read in their true scope.

Claims (5)

1. In a clamp device of the type used for driving, manipulating, clearing and extracting a suture needle in surgical procedures that comprises a pair of elongated members pivotally hinged to each other at a point along their lengths between their midpoints and their first ends to form a pair of jaw sections extending from about said hinge point to said first end and to form a pair of handle sections from about the hinge point to the second ends of said members, said jaw sections being adapted to clamp and hold therebetween a suture needle near its midsection with the ends of said needle extending laterally from between said jaw sections, the improvement comprising: a shield plate affixed to one of said jaw sections over essentially the full length of said one jaw section and extending laterally outward and arcuately over the other of said jaw sections so as to shield from accidental contact with other objects one end of a suture needle clamped between said jaw sections near the midsection of said suture needle for manipulation of said needle by a user of said clamp device.
2. The clamp device improvement as defined in claim 1 wherein said shield plate is an integral part of said one jaw section.
3. The clamp device improvement as defined in claim 1 wherein said shield plate comprises a plurality of flat planer sections joined at their longitudinal edges.
4. The clamp device improvement as defined in claim 2 wherein the inner surface of said shield member extends from the inner surface of said one jaw section that faces said other jaw section.
5. The clamp device improvement as defined in claim 2 wherein the outer surface of said shield plate extends from the outer surface of said one jaw section that faces away from said other jaw section.
CA002184326A 1993-10-04 1996-08-28 Surgical instrument for suturing Abandoned CA2184326A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US08/534,023 US5569271A (en) 1993-10-04 1995-09-26 Surgical instrument for suturing
EP96306026A EP0824891A1 (en) 1993-10-04 1996-08-19 Surgical instrument for suturing
CA002184326A CA2184326A1 (en) 1993-10-04 1996-08-28 Surgical instrument for suturing

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US13144393A 1993-10-04 1993-10-04
US08/534,023 US5569271A (en) 1993-10-04 1995-09-26 Surgical instrument for suturing
EP96306026A EP0824891A1 (en) 1993-10-04 1996-08-19 Surgical instrument for suturing
CA002184326A CA2184326A1 (en) 1993-10-04 1996-08-28 Surgical instrument for suturing

Publications (1)

Publication Number Publication Date
CA2184326A1 true CA2184326A1 (en) 1998-03-01

Family

ID=27427286

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002184326A Abandoned CA2184326A1 (en) 1993-10-04 1996-08-28 Surgical instrument for suturing

Country Status (3)

Country Link
US (1) US5569271A (en)
EP (1) EP0824891A1 (en)
CA (1) CA2184326A1 (en)

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US6355050B1 (en) 1992-12-10 2002-03-12 Abbott Laboratories Device and method for suturing tissue
US5527322A (en) 1993-11-08 1996-06-18 Perclose, Inc. Device and method for suturing of internal puncture sites
EP1105049A4 (en) * 1998-07-22 2007-10-17 Angiolink Corp Vascular suction cannula, dilator and surgical stapler
US6964668B2 (en) 1999-03-04 2005-11-15 Abbott Laboratories Articulating suturing device and method
US7235087B2 (en) 1999-03-04 2007-06-26 Abbott Park Articulating suturing device and method
US20040092964A1 (en) 1999-03-04 2004-05-13 Modesitt D. Bruce Articulating suturing device and method
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US7001400B1 (en) 1999-03-04 2006-02-21 Abbott Laboratories Articulating suturing device and method
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US6358258B1 (en) 1999-09-14 2002-03-19 Abbott Laboratories Device and method for performing end-to-side anastomosis
US6558399B1 (en) 2000-06-30 2003-05-06 Abbott Laboratories Devices and method for handling a plurality of suture elements during a suturing procedure
US6730102B1 (en) 2000-11-06 2004-05-04 Abbott Laboratories Systems, devices and methods for deploying needles
US6663654B1 (en) 2001-10-23 2003-12-16 Abbas M. Husain Forceps with foreign body locator
US6878110B2 (en) * 2002-01-14 2005-04-12 Seung Choul Yang Surgical instruments and method for creating anatomic working space in minilaparotomy procedure
US7160309B2 (en) 2002-12-31 2007-01-09 Laveille Kao Voss Systems for anchoring a medical device in a body lumen
WO2005007005A2 (en) * 2003-07-14 2005-01-27 Dexteus Guard for forceps to avoid accidental needle pricks
US7462188B2 (en) 2003-09-26 2008-12-09 Abbott Laboratories Device and method for suturing intracardiac defects
US7449024B2 (en) 2003-12-23 2008-11-11 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US7883517B2 (en) 2005-08-08 2011-02-08 Abbott Laboratories Vascular suturing device
WO2007019016A1 (en) 2005-08-08 2007-02-15 Abbott Laboratories Vascular suturing device
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US20070060895A1 (en) 2005-08-24 2007-03-15 Sibbitt Wilmer L Jr Vascular closure methods and apparatuses
JP5172865B2 (en) 2007-03-15 2013-03-27 ラフィス・メディカル・インコーポレーテッド Interchangeable tip suturing device, system, and method for use with various needles
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
EP2180836A4 (en) * 2007-07-26 2015-08-12 Alpha Scient Corp Surgical suturing device, method and tools used therewith
US9226748B2 (en) 2007-07-26 2016-01-05 Alpha Scientific Corporation Surgical suturing device, method and tools used therewith
US20090082796A1 (en) * 2007-09-21 2009-03-26 Allergan, Inc. Modified tenotomy scissors with conjunctiva risers
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US10765422B2 (en) * 2012-03-05 2020-09-08 Passer Stitch, Llc Apparatus and method for passing suture through soft tissue
US11337690B2 (en) * 2011-06-08 2022-05-24 Boss Instruments, Ltd., Inc. Offset jaw suturing device, system, and methods
US20150073440A1 (en) * 2011-12-21 2015-03-12 Empire Technology Development, Llc Suture collector
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
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US9636110B2 (en) 2013-03-13 2017-05-02 Alpha Scientific Corporation Structural support incorporating multiple strands
AU2014232723A1 (en) 2013-03-15 2015-10-08 Alpha Scientific Corporation Surgical suturing device with transverse engagement
US10080584B2 (en) 2015-12-03 2018-09-25 Timothy L. Miller System and method for receiving tube forceps for use in body piercings
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Also Published As

Publication number Publication date
US5569271A (en) 1996-10-29
EP0824891A1 (en) 1998-02-25

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Legal Events

Date Code Title Description
FZDE Discontinued