|Número de publicación||US3857396 A|
|Tipo de publicación||Concesión|
|Fecha de publicación||31 Dic 1974|
|Fecha de presentación||22 Ago 1973|
|Fecha de prioridad||22 Ago 1973|
|Número de publicación||US 3857396 A, US 3857396A, US-A-3857396, US3857396 A, US3857396A|
|Cesionario original||C Hardwick|
|Exportar cita||BiBTeX, EndNote, RefMan|
|Citas de patentes (2), Otras citas (1), Citada por (80), Clasificaciones (11)|
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet|
[ Dec. 31, 1974  SUTURE CLAMP  Inventor: Charles W. l-lardwick, 600 W. 27th St., Sanford, Fla. 32771  Filed: Aug. 22, 1973  Appl. No.: 390,514
 References Cited UNITED STATES PATENTS 10/1890 Brennen 403/391 2/1939 I Dickie et al 24/115 A UX OTHER PUBLICATIONS A New Method of Sternal Approximation, The Annals of Thoracic Surgery, Vol. 15, No'. 5,-May 1973, pp.
Primary Examiner-Lucie l-l. Laudenslager Attorney, Agent, or Firm-Duckworth, Hobby & Allen [5 7] ABSTRACT A suture clamp includes a compressible member having a hole extending therethrough and means for locking the suture in the hole, the locking means including a ridge extending along'a first outer surface of the member substantially transverse to the hole. The ridge is pressed into the member by a scissor clamp having two pivot arms with clamping jaws at the extremities thereof, one of the jaws having a die extending substantially parallel with the corresponding arm such that the die presses the ridge into the member when the member is positioned between the jaws and the jaws are compressed together.
6 Claims, 6 nm'w'm Figures PATENTEUBEBB 1 I974 SHEET 10F 2 FIG. 3
'PATENTEBHEW 1 I914 3; 857. 39s
' SHEET 20F 2 'IIIIIII/ W FIG. 6
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to surgical tools, and in particular relates to apparatus useful for clamping sutures, and the like. i
2. Description of the Prior Art In medical practice, deep incisions or injuries are stitched with a suture, which may comprise strong synthetic monofilament, silk, or an inert surgical wire. Generally the incision is stitched in a manner to leave both ends of the suture proximal to each other. After each stitch, the physician ties the suture ends together.
There are certain problems associated with this tying technique. For example, slippage of suture knots can make the tying operation difficult. Further, the tying of surgical wires is difficult under the best conditions.
There have been suggestions in the prior art for employing clamps to replace the tying off process. McConnaughey, in US Pat. No. 462,270, teaches a compressible sleeve having a slot for fitting over the suture, and a scissor clamp for compressing the slot..In U.S. Pat. No. 3,664,345, Dabbs et al., disclose a surgical button useful for retaining a suture after a stitch is taken in a wound. Davidson, in U.S. Pat. No. 2,075,508, teaches a similar arrangemment. Other suture retention techniques are taught in the following U.S. Pat. Nos. 3,580,256 to Wilkinson et als, 3,650,274 to Edwards et al.; and- 3,31 l,l l to Singerman et a]. Examples of ligation clamps are disclosed in U.S. Pat. Nos. 3,503,398 to Fogarty et al; and 3,175,556. to Wood et al.
SUMMARY OF THE INVENTION The present invention contemplates suture clamping means comprising a compressible member having a hole extending therethrough and means for locking a suture in the hole,'the locking meanscomprising a ridge extending along a first outer surface of the member substantially transverse to the hole, and a corresponding groove on the opposite surface.
The present invention further includes a scissor clamp useful for holding the member firmly while it is slid down suture into proper position, then for crimping the ridge into the member and compressing the member to lock the suture in the hole.
THE DRAWING FIG. 1 is a perspective view of a clamp member in ac-' cordanc with the present invention.
FIG. 2 is a front view of an alternate embodiment of the clamp member of FIG. 1.
FIG. 3 is a perspective view of scissor clamping means according to the present invention.
FIG. 4 is a perspective view illustrating the manner in which the clamping means of FIG. 3 is employed with the clamp member of FIG. 3.
FIGS. 5 and 6 are cross sectional end views of the clamping means of FIG. 3 and the clamp member of FIGS. 1 and 2.
DETAILED DESCRIPTION The suture clamp of the present invention includes a compressible clamp member for receiving the suture and a scissor-like clamp for compressing the clamp member for locking the suture in place. This arrangement will now be described with reference to the drawing.
Noting FIG. 1, the suture clamp of the present invention includes a compressible clamp member 10 having two holes l2, 14 extending therethrough. The clamp member 10 suitably comprises any one of a malleable metal which is inert to human tissue; for example, stainless steel or tantallum may be employed.
The clamp member 10 further includes means for locking suture in the holes l2, 14. In accordance with the present invention, the locking means comprises a ridge 16 extending along an outer surface 18 of the I member 10 and substantially transverse to the holes 12, 14. Preferably, the ridge 16 is an integral part of the clamp member 10. The clamp member 10 further includes a groove 20 extending along another outer surface 22 opposing, and parallel to the ridge 16. In use, the suture is threaded through one of the holes, 12, 14, the wound is stitched and the suture threaded through the other hole and the clamp member 10 is clamped as described below with reference to FIGS. 3-6.
An alternate embodiment of the clamp member is shown in FIG. 2 and is referred to generally as 10'. The clamp member 10' is essentially identical to the clamp member 10 of FIG. 1 except that the'member 10' includes slots l3, l5 communicating with the respective holes 12, 14 and extending to the adjacent side walls between the two outer surfaces 18, 22. In use, the alter nate clamp member 10"is-em'ployed in a manner similar to that described above with respect to the clamp 10, except that both ends of the suture may be pushed into the holes 12, 14 via the communicating slots l3, 15 after the stitching operation is completed.
A scissor clamp specifically adapted for the embodiments of the clamp members like that shown in FIGS.
l and 2 will now be described with reference to FIG. 3.
Noting FIG. 3, the clamp, referred to generally as 30, includes two arms 32, 34 pivotably joined together in a scissor-like fashion by a pivot pin 36. Each arm 32 has a respective clamping jaw 38, 40 at one extremity thereof. One jaw 38 has a die 42 extending substantially parallel with the corresponding arm 32, the die having dimensions substantially corresponding to the ridge 16 in the clamping member 10 of FIG. 1. The jaw 38 further includes a flexible plate 44 having a slot 46 therein adapted to receive the ridge 16 when the clamp member 10 is positioned between the jaws 38,40. The other jaw has a flexible tongue 48 adjacent thereto having dimensions corresponding to the groove 20. A keyway 50 is formed in the other jaw 40, and is dimensioned so as to receive the tongue 48 when depressed.
Operation of the clamp 30 in cooperation with the clamp member -l0 will be described with reference to FIGS. 4-6.
As shown in FIG. 4, prior to the clamping operation a suture 52 is threaded through one hole 12 of the clamp member 10, the wound is stitched and the suture 52 is then threaded through the other hole 14. The clamp 30 is then brought into engagement with the clamp member 10. Now noting FIG. 5, the clamp member 10 is positioned'between the jaws 38, 40 of the clamp 30 such that the ridge 16 extends through the slot 46 and is opposing the die 42. Additionally, the tongue 48 fits loosely in the groove 20. When the jaws 38, 40 are compressed (note FIG. 6), the ridge 16 is deformed and pressed into the clamp member 10, restricting the cross sectional area of the holes 12, 14 and locking the suture 52 therein. During compression, the tongue 48 enters the keyway 50 allowing the clamp member to be further deformed so as to flatten the groove 20. I While a specific suture clamp arrangement is shown in the drawings and described above, it will be understood that various modifications can be made without departing from the spirit and scope of the present invention. For example, the clamp member 10 may comprise a single hole through which both lengths of suture are threaded.
I claim: 1. Suture clamping means comprising: a compressible member having a hole extending I therethrough; means for locking a suture in said hole, said locking means comprising a ridge extending along a first outer surface of said member substantially transverse to said hole and wherein compression of said ridge reduces the cross-sectional area of said hole to lock suture therein.
2. Clamping means as recited in claim 1 further comprising a groove extending along another surface of said member opposing said ridge.
3. Clamping means as recited in claim 2 further comprising another. hole through said member substantially parallel with said one hole.
4. Clamping means as recited in claim 2 wherein said member comprises a malleable material inert to human tissue.
5. Clamping means as recited in claim 1 furthercomprising said member having a slot extending from a surface thereof and communicating with said hole.
6. Clamping means comprising:
a compressible member having a hole extending therethrough;
a ridge extending along an outer surface of said member substantially transverse to said hole; and means for reducing the cross-sectional area of said hole, said means comprising said ridge.
|Patente citada||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US438400 *||5 Feb 1890||14 Oct 1890||By Direct And Mesne Assign||Connector for electric conductors|
|US2149209 *||14 Nov 1935||28 Feb 1939||Western Union Telegraph Co||Wire connecting sleeve|
|1||*||A New Method of Sternal Approximation, The Annals of Thoracic Surgery, Vol. 15, No. 5, May 1973, pp. 544 546.|
|Patente citante||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US4201215 *||6 Sep 1977||6 May 1980||Crossett E S||Apparatus and method for closing a severed sternum|
|US4286598 *||6 Nov 1978||1 Sep 1981||Kapitanov Nikolai N||Forceps for isolation of part of blood vessel during anastomosis|
|US4532926 *||20 Jun 1983||6 Ago 1985||Ethicon, Inc.||Two-piece tissue fastener with ratchet leg staple and sealable latching receiver|
|US4532927 *||20 Jun 1983||6 Ago 1985||Ethicon, Inc.||Two-piece tissue fastener with non-reentry bent leg staple and retaining receiver|
|US4534350 *||20 Jun 1983||13 Ago 1985||Ethicon, Inc.||Two-piece tissue fastener with compressible leg staple and retaining receiver|
|US4535764 *||15 Abr 1983||20 Ago 1985||Tayco Developments, Inc.||Surgical bone tie|
|US4548202 *||20 Jun 1983||22 Oct 1985||Ethicon, Inc.||Mesh tissue fasteners|
|US4573469 *||20 Jun 1983||4 Mar 1986||Ethicon, Inc.||Two-piece tissue fastener with coinable leg staple and retaining receiver and method and instrument for applying same|
|US4627437 *||5 Jun 1985||9 Dic 1986||Ethicon, Inc.||Method of applying a fastener to tissue with a pair of hollow needles|
|US4693248 *||29 Jul 1985||15 Sep 1987||Ethicon, Inc.||Two-piece tissue fastener with deformable retaining receiver|
|US4750492 *||27 Feb 1985||14 Jun 1988||Richards Medical Company||Absorbable suture apparatus, method and installer|
|US4823793 *||30 Oct 1985||25 Abr 1989||The United States Of America As Represented By The Administrator Of The National Aeronuautics & Space Administration||Cutting head for ultrasonic lithotripsy|
|US5282812 *||10 Jul 1991||1 Feb 1994||Suarez Jr Luis||Clamp for use in vascular surgery|
|US5282832 *||9 Oct 1992||1 Feb 1994||United States Surgical Corporation||Suture clip|
|US5304188 *||26 Ene 1993||19 Abr 1994||Marogil Joseph B||Surgical clamp and method|
|US5330442 *||9 Oct 1992||19 Jul 1994||United States Surgical Corporation||Suture retaining clip|
|US5376101 *||27 Dic 1993||27 Dic 1994||The United States Surgical Corporation||Suture retaining clip|
|US5514159 *||13 Sep 1994||7 May 1996||United States Surgical Corporation||Guillotine suture clip|
|US5531763 *||7 Oct 1994||2 Jul 1996||United States Surgical Corporation||Suture cinching apparatus|
|US5643295 *||25 Ene 1995||1 Jul 1997||Yoon; Inbae||Methods and apparatus for suturing tissue|
|US5665109 *||29 Dic 1994||9 Sep 1997||Yoon; Inbae||Methods and apparatus for suturing tissue|
|US5725582 *||18 Ago 1993||10 Mar 1998||Surgicraft Limited||Surgical implants|
|US5810853 *||16 Ene 1996||22 Sep 1998||Yoon; Inbae||Knotting element for use in suturing anatomical tissue and methods therefor|
|US5951590 *||9 Jun 1998||14 Sep 1999||Goldfarb; Michael A.||Soft tissue suture anchor|
|US5984933 *||29 Jul 1997||16 Nov 1999||Yoon; Inbae||Apparatus for suturing tissue|
|US6015427 *||7 Jul 1997||18 Ene 2000||Eclipse Surgical Technologies, Inc.||Heart stabilizer with controllable stay suture and cutting element|
|US6074409 *||21 Jun 1999||13 Jun 2000||Dynamic Surgical Inventions Llc||Soft tissue suture anchor|
|US6409743 *||8 Jul 1999||25 Jun 2002||Axya Medical, Inc.||Devices and methods for securing sutures and ligatures without knots|
|US6423088||30 Jun 2000||23 Jul 2002||Axya Medical, Inc.||Sharp edged device for closing wounds without knots|
|US6679896||28 Mar 2002||20 Ene 2004||Scimed Life Systems, Inc.||Transvaginal suture spacer devices and methods of use|
|US6916327||7 Mar 2001||12 Jul 2005||Metacardia, Inc.||Device for creating an anastomosis, including penetration structure and eversion structure|
|US6936052||7 Mar 2002||30 Ago 2005||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US6974462||19 Dic 2001||13 Dic 2005||Boston Scientific Scimed, Inc.||Surgical anchor implantation device|
|US6991597||7 Mar 2002||31 Ene 2006||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US7025772||7 Mar 2002||11 Abr 2006||Scimed Life Systems, Inc.||System for implanting an implant and method thereof|
|US7033379||10 Jun 2002||25 Abr 2006||Incisive Surgical, Inc.||Suture lock having non-through bore capture zone|
|US7235043||7 Mar 2002||26 Jun 2007||Boston Scientific Scimed Inc.||System for implanting an implant and method thereof|
|US7361138||31 Jul 2003||22 Abr 2008||Scimed Life Systems, Inc.||Bioabsorbable casing for surgical sling assembly|
|US7402133||14 Ago 2003||22 Jul 2008||Boston Scientific Scimed, Inc.||Spacer for sling delivery system|
|US7758614||5 Abr 2002||20 Jul 2010||Tornier, Inc.||Coupling member for knotless sutures and ligatures|
|US7824326||29 Feb 2008||2 Nov 2010||Boston Scientific Scimed, Inc.||Bioabsorbable casing for surgical sling assembly|
|US8033983||14 Ago 2003||11 Oct 2011||Boston Scientific Scimed, Inc.||Medical implant|
|US8162816||7 Mar 2002||24 Abr 2012||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US8496657||29 Ago 2008||30 Jul 2013||P Tech, Llc.||Methods for utilizing vibratory energy to weld, stake and/or remove implants|
|US8617048||7 Mar 2002||31 Dic 2013||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US8617185||13 Feb 2008||31 Dic 2013||P Tech, Llc.||Fixation device|
|US8632453||15 Jul 2008||21 Ene 2014||Boston Scientific Scimed, Inc.||Spacer for sling delivery system|
|US8747439||10 Jul 2006||10 Jun 2014||P Tech, Llc||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US8808329||3 Abr 2012||19 Ago 2014||Bonutti Skeletal Innovations Llc||Apparatus and method for securing a portion of a body|
|US8814902||31 Jul 2006||26 Ago 2014||Bonutti Skeletal Innovations Llc||Method of securing body tissue|
|US8845687||17 Sep 2013||30 Sep 2014||Bonutti Skeletal Innovations Llc||Anchor for securing a suture|
|US8845699||6 Mar 2012||30 Sep 2014||Bonutti Skeletal Innovations Llc||Method of securing tissue|
|US9060767||2 Mar 2009||23 Jun 2015||P Tech, Llc||Tissue fastener and methods for using same|
|US9067362 *||31 Oct 2007||30 Jun 2015||P Tech, Llc||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US9078645||18 Dic 2012||14 Jul 2015||Edwards Lifesciences Corporation||Knotless suture anchoring devices and tools for implants|
|US9078652||18 Jun 2013||14 Jul 2015||Edwards Lifesciences Corporation||Side-entry knotless suture anchoring clamps and deployment tools|
|US9089323||21 Feb 2006||28 Jul 2015||P Tech, Llc||Device and method for securing body tissue|
|US9138222||17 Feb 2004||22 Sep 2015||P Tech, Llc||Method and device for securing body tissue|
|US9149281||7 Jun 2013||6 Oct 2015||P Tech, Llc||Robotic system for engaging a fastener with body tissue|
|US9155544||20 Mar 2002||13 Oct 2015||P Tech, Llc||Robotic systems and methods|
|US9173647||21 Feb 2006||3 Nov 2015||P Tech, Llc||Tissue fixation system|
|US9173650||31 May 2011||3 Nov 2015||P Tech, Llc||Methods and devices for trauma welding|
|US9192395||7 May 2013||24 Nov 2015||P Tech, Llc||Robotic fastening system|
|US9226828||20 Sep 2013||5 Ene 2016||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9271741||8 Ago 2013||1 Mar 2016||P Tech, Llc||Robotic ultrasonic energy system|
|US9271766||11 Nov 2013||1 Mar 2016||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9271779||13 Ago 2013||1 Mar 2016||P Tech, Llc||Methods of using a robotic spine system|
|US9402668||4 Dic 2013||2 Ago 2016||P Tech, Llc||Tissue fixation system and method|
|US9421005||6 Feb 2007||23 Ago 2016||P Tech, Llc||Methods and devices for intracorporeal bonding of implants with thermal energy|
|US9439642||24 Feb 2010||13 Sep 2016||P Tech, Llc||Methods and devices for utilizing bondable materials|
|US9463012||5 Oct 2005||11 Oct 2016||P Tech, Llc||Apparatus for guiding and positioning an implant|
|US9486227||25 Jul 2013||8 Nov 2016||P Tech, Llc||Robotic retractor system|
|US9504571||5 Jun 2013||29 Nov 2016||Edwards Lifesciences Corporation||Systems for implanting annuloplasty rings with microanchors|
|US20020123529 *||20 Dic 2001||5 Sep 2002||Hoechst Aktiengesellschaft||Fluorophenyl-substituted alkenylcarboxylic acid guanidides, process for their preparation, their use as a medicament or diagnostic, and medicament containing them|
|US20030009196 *||10 Jun 2002||9 Ene 2003||James Peterson||Suture lock having non-through bore capture zone|
|US20030236541 *||21 Jun 2002||25 Dic 2003||Michael Callicrate||Method and system for removing antlers|
|US20060241695||10 Jul 2006||26 Oct 2006||Bonutti Peter M||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US20080039845 *||6 Feb 2007||14 Feb 2008||Bonutti Peter M||Methods and devices for intracorporeal bonding of implants with thermal energy|
|EP0808130A1 *||25 Ene 1996||26 Nov 1997||YOON, InBae||Methods and apparatus for suturing tissue|
|EP0808130A4 *||25 Ene 1996||25 Mar 1998||Inbae Yoon||Methods and apparatus for suturing tissue|
|Clasificación de EE.UU.||606/232, 606/142, 24/115.00A, 403/391|
|Clasificación cooperativa||A61B2017/0454, A61B17/04, A61B2017/0488, A61B2017/0464, A61B17/0487|