FR2699394A1 - Surgical needle holder. - Google Patents

Surgical needle holder. Download PDF

Info

Publication number
FR2699394A1
FR2699394A1 FR9215744A FR9215744A FR2699394A1 FR 2699394 A1 FR2699394 A1 FR 2699394A1 FR 9215744 A FR9215744 A FR 9215744A FR 9215744 A FR9215744 A FR 9215744A FR 2699394 A1 FR2699394 A1 FR 2699394A1
Authority
FR
France
Prior art keywords
needle holder
clamp
jaw
surgical needle
handle
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.)
Granted
Application number
FR9215744A
Other languages
French (fr)
Other versions
FR2699394B1 (en
Inventor
Bluet Jean-Luc
Leclerc Yves
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
Application filed by Individual filed Critical Individual
Priority to FR9215744A priority Critical patent/FR2699394B1/en
Priority to PCT/FR1993/001262 priority patent/WO1994014381A1/en
Priority to AU57031/94A priority patent/AU5703194A/en
Publication of FR2699394A1 publication Critical patent/FR2699394A1/en
Application granted granted Critical
Publication of FR2699394B1 publication Critical patent/FR2699394B1/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • 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
    • A61B17/062—Needle manipulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2833—Locking means
    • 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
    • A61B17/0483—Hand-held instruments for holding sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2833—Locking means
    • A61B2017/2837—Locking means with a locking ratchet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2946—Locking means

Landscapes

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

Abstract

La présente invention a pour objet un porte-aiguille chirurgical comprenant un manche (1) portant à l'une de ses extrémités un mors de pince fixe (2) sur lequel est articulé un mors de pince mobile (4). Selon l'invention, le mors mobile (4) comporte une extrémité (13) qui, lorsque la pince est ouverte, fait saillie à l'extérieur en constituant un ergot de retenue pour le fil de suture (17) et qui, lorsque la pince est fermée, est escamotée dans un logement (14) du mors fixe (2).The present invention relates to a surgical needle holder comprising a handle (1) carrying at one of its ends a fixed gripper jaw (2) on which is articulated a movable gripper jaw (4). According to the invention, the movable jaw (4) has an end (13) which, when the clamp is open, protrudes outwards, constituting a retaining lug for the suture (17) and which, when the clamp is closed, is retracted into a housing (14) of the fixed jaw (2).

Description

Lors d'une intervention chirurgicale endoscopique, on réalise un noeud de suture ou de ligature à l'aide de porte-aiguille qu'on introduit dans des orifices relativement étroits de la peau. Du fait de cette étroitesse, il est difficile de manoeuvrer convenablement les porte-aiguille pour former la boucle nécessaire à la réalisation du noeud.During an endoscopic surgical procedure, a suture or ligature knot is made using a needle holder which is introduced into relatively narrow orifices in the skin. Because of this narrowness, it is difficult to maneuver properly the needle holders to form the loop necessary for the realization of the knot.

La présente invention a pour objet un porte-aiguille qhirurgical perfectionné qui remédie à cet inconvénient.The present invention relates to an improved surgical needle holder which overcomes this drawback.

Ce porte-aiguille comprend un manche portant à l'une de ses extrémités un mors de pince fixe sur lequel est articulé un mors de pince mobile et est caractérisé en ce que le mors mobile comporte une extrémité qui, lorsque la pince est ouverte, fait saillie à 11 extérieur en constituant un ergot de retenue pour le fil de suture et qui, lorsque la pince est fermée, est escamoté dans un logement du mors fixe. This needle holder comprises a handle carrying at one of its ends a fixed clamp jaw on which is articulated a movable clamp jaw and is characterized in that the movable jaw has an end which, when the clamp is open, makes protruding outside 11 constituting a retaining lug for the suture and which, when the clamp is closed, is retracted into a housing of the fixed jaw.

On a décrit ci-après, à titre d'exemple non limitatif, un mode de réalisation du porte-aiguille selon l'invention avec référence au dessin annexé dans lequel:
La Figure 1 est une vue en élévation du
porte-aiguille;
La Figure 2 est une vue à plus grande échelle
de l'extrémité du porte-aiguille formant pince;
La Figure 3 est une vue en perspective du mors
mobile de la pince;
Les Figures 4a à 4d sont des schémas montrant
l'utilisation du porte-aiguille selon
l'invention.An embodiment of the needle holder according to the invention has been described below, by way of non-limiting example, with reference to the appended drawing in which:
Figure 1 is an elevational view of the
needle holder;
Figure 2 is an enlarged view
from the end of the needle holder forming a clamp;
Figure 3 is a perspective view of the jaw
mobile clamp;
Figures 4a to 4d are diagrams showing
the use of the needle holder according to
the invention.

Tel qu'il est représenté au dessin, le porte-aiguille selon l'invention comporte un manche tubulaire 1 dont une extrémité est terminée par un mors de pince 2; son autre extrémité porte un élément de poignée 3.As shown in the drawing, the needle holder according to the invention comprises a tubular handle 1, one end of which is terminated by a clamp jaw 2; its other end carries a handle element 3.

Un mors de pince mobile 4 est articulé en 5 sur le mors 2. Il est relié par une tige 6 qui traverse le manche 1 et un élément de poignée 7 qui est articulé en 8 sur l'élément de poignée 3. Une crémaillère de verrouillage 9 articulée en 10 sur l'élément de poignée 3 peut coopérer avec une arête 11 portée par l'élément de poignée 7 pour bloquer la pince en position fermée. Une butée réglable 12 portée par l'élément de poignée 3 permet d'éviter qu'un effort de traction trop important soit exercé sur la tige 6 et limite ainsi l'effort de serrage des mors 2 et 4. A movable clamp jaw 4 is articulated at 5 on the jaw 2. It is connected by a rod 6 which passes through the handle 1 and a handle element 7 which is articulated at 8 on the handle element 3. A locking rack 9 articulated at 10 on the handle element 3 can cooperate with an edge 11 carried by the handle element 7 to lock the clamp in the closed position. An adjustable stop 12 carried by the handle element 3 makes it possible to avoid an excessive pulling force being exerted on the rod 6 and thus limiting the clamping force of the jaws 2 and 4.

Comme on le voit plus particulièrement aux Figures 2 et 3, le mors mobile 4 est solidaire d'un ergot 13 qui lorsque la pince 2-4 est ouverte fait saillie à l'extérieur du mors fixe 2, en étant disposé obliquement de façon à faire un angle aigu avec le manche. Lorsque la pince est fermée, l'ergot 13 est disposé dans un logement 14 du manche de sorte qu'il ne fait alors absolument pas saillie à l'extérieur de la pince.As seen more particularly in Figures 2 and 3, the movable jaw 4 is integral with a lug 13 which when the clamp 2-4 is open protrudes outside the fixed jaw 2, being arranged obliquely so as to make an acute angle with the handle. When the clamp is closed, the lug 13 is disposed in a housing 14 of the handle so that it then absolutely does not protrude outside the clamp.

Pour relier deux éléments 15a et 15b, on fait passer une aiguille 16 accrochée à un fil 17 dans les deux éléments 15a et 15b. L'extrémité du fil voisine de l'aiguille 16 est maintenue par un premier porte-aiguille 18 qui peut être un porte-aiguille de type usuel ou bien un porte-aiguille selon l'invention pour éviter d'avoir à utiliser deux types différents de porte-aiguille.To connect two elements 15a and 15b, pass a needle 16 attached to a wire 17 in the two elements 15a and 15b. The end of the thread adjacent to the needle 16 is held by a first needle holder 18 which can be a needle holder of the usual type or else a needle holder according to the invention to avoid having to use two different types of needle holder.

Avec ce porte-aiguille 18 on enroule le fil 17 sur un deuxième porte-aiguille 19 selon l'invention de façon qu'il forme une boucle 17a qui s'accroche à l'ergot 13 et est maintenue par celui-ci (Figures 4a et 4b). Puis, avec ce porte-aiguille 19, on saisit le deuxième chef du fil 17; lorsqu'on serre sur le fil les deux mors de la pince 11 ergot 13 s'escamote (Figure 4c). Il ne reste plus qu'à exercer une traction sur les deux chefs du fil 17; la boucle 17a glisse sur le porte-aiguille 19 et vient former un noeud 17b qui se serre (Figure 4d). With this needle holder 18 the thread 17 is wound on a second needle holder 19 according to the invention so that it forms a loop 17a which hooks onto the lug 13 and is held by it (Figures 4a and 4b). Then, with this needle holder 19, the second head of the thread 17 is grasped; when tightening on the wire the two jaws of the clamp 11 lug 13 retracts (Figure 4c). It only remains to exert traction on the two heads of the wire 17; the loop 17a slides on the needle holder 19 and forms a knot 17b which is tightened (Figure 4d).

On voit aux Figures 4a à 4d que, lors de la ligature des deux porte-aiguille 18 et 19 gardent une orientation presque constante. It can be seen in FIGS. 4a to 4d that, during the ligation of the two needle holders 18 and 19 keep an almost constant orientation.

Il va de soi que la présente invention ne doit pas être considérée comme limitée au mode de réalisation décrit et représenté, mais en couvre au contraire toutes les variantes. It goes without saying that the present invention should not be considered as limited to the embodiment described and shown, but on the contrary covers all variants.

Claims (1)

RevendicationClaim Porte-aiguille chirurgical comprenant un manche (1) portant à l'une de ses extrémités un mors de pince fixe (2) sur lequel est articulé un mors de pince mobile (4), caractérisé en ce que le mors mobile (4) comporte une extrémité (13) qui, lorsque la pince est ouverte, fait saillie à l'extérieur en constituant un ergot de retenue pour le fil de suture (17) et qui, lorsque la pince est fermée, est escamotée dans un logement (14) du mors fixe (2). Surgical needle holder comprising a handle (1) carrying at one of its ends a fixed clamp jaw (2) on which is articulated a movable clamp jaw (4), characterized in that the movable jaw (4) comprises an end (13) which, when the clamp is open, projects outside to constitute a retaining lug for the suture (17) and which, when the clamp is closed, is retracted into a housing (14) fixed jaw (2).
FR9215744A 1992-12-21 1992-12-21 Surgical needle holder. Expired - Fee Related FR2699394B1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
FR9215744A FR2699394B1 (en) 1992-12-21 1992-12-21 Surgical needle holder.
PCT/FR1993/001262 WO1994014381A1 (en) 1992-12-21 1993-12-17 Surgical needle-holder for endoscopic suture ou ligature
AU57031/94A AU5703194A (en) 1992-12-21 1993-12-17 Surgical needle-holder for endoscopic suture ou ligature

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9215744A FR2699394B1 (en) 1992-12-21 1992-12-21 Surgical needle holder.

Publications (2)

Publication Number Publication Date
FR2699394A1 true FR2699394A1 (en) 1994-06-24
FR2699394B1 FR2699394B1 (en) 1995-04-07

Family

ID=9437129

Family Applications (1)

Application Number Title Priority Date Filing Date
FR9215744A Expired - Fee Related FR2699394B1 (en) 1992-12-21 1992-12-21 Surgical needle holder.

Country Status (3)

Country Link
AU (1) AU5703194A (en)
FR (1) FR2699394B1 (en)
WO (1) WO1994014381A1 (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998036791A1 (en) * 1997-02-20 1998-08-27 Karl Ernst Ambs Surgical instrument
EP1716810A1 (en) * 2005-04-26 2006-11-02 Nakazawa, Shiro Endoscopic surgical instrument
ITMO20090314A1 (en) * 2009-12-24 2011-06-25 X Med S R L CALIPER FOR PERCUTANEOUS TRACHEOSTOMY
WO2014110043A1 (en) * 2013-01-08 2014-07-17 Boston Scientific Scimed, Inc. Low profile medical device and related methods of use
WO2017154958A1 (en) * 2016-03-08 2017-09-14 信行 櫻澤 Needle holder for endoscopic surgery and suturing method employing same

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9351721B2 (en) 2012-02-16 2016-05-31 Coopersurgical, Inc. Suture passers and related methods

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1810805A1 (en) * 1968-11-25 1970-06-04 Dr Med G Metz Preformed ligature material and magazine clips for surgical vessel ligature
US4602635A (en) * 1983-11-14 1986-07-29 Mulhollan James S Remote surgical knot tier and method of use
DE9109097U1 (en) * 1991-07-24 1991-09-19 Klemm, Bernd, 7801 Umkirch, De
DE9110518U1 (en) * 1991-08-24 1991-11-07 Storz, Karl, Dr.Med.H.C., 7200 Tuttlingen, De
EP0484671A2 (en) * 1990-10-05 1992-05-13 United States Surgical Corporation Endoscopic surgical instrument
DE9204296U1 (en) * 1992-03-30 1992-05-14 Wisap Gesellschaft Fuer Wissenschaftlichen Apparatebau Mbh, 8029 Sauerlach, De
US5152780A (en) * 1990-05-31 1992-10-06 Tnco, Inc. Micro-instrument

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1810805A1 (en) * 1968-11-25 1970-06-04 Dr Med G Metz Preformed ligature material and magazine clips for surgical vessel ligature
US4602635A (en) * 1983-11-14 1986-07-29 Mulhollan James S Remote surgical knot tier and method of use
US5152780A (en) * 1990-05-31 1992-10-06 Tnco, Inc. Micro-instrument
EP0484671A2 (en) * 1990-10-05 1992-05-13 United States Surgical Corporation Endoscopic surgical instrument
DE9109097U1 (en) * 1991-07-24 1991-09-19 Klemm, Bernd, 7801 Umkirch, De
DE9110518U1 (en) * 1991-08-24 1991-11-07 Storz, Karl, Dr.Med.H.C., 7200 Tuttlingen, De
DE9204296U1 (en) * 1992-03-30 1992-05-14 Wisap Gesellschaft Fuer Wissenschaftlichen Apparatebau Mbh, 8029 Sauerlach, De

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998036791A1 (en) * 1997-02-20 1998-08-27 Karl Ernst Ambs Surgical instrument
EP1716810A1 (en) * 2005-04-26 2006-11-02 Nakazawa, Shiro Endoscopic surgical instrument
ITMO20090314A1 (en) * 2009-12-24 2011-06-25 X Med S R L CALIPER FOR PERCUTANEOUS TRACHEOSTOMY
WO2011077409A3 (en) * 2009-12-24 2015-11-19 X-Med S.R.L. Forceps for percutaneous tracheostomy
WO2014110043A1 (en) * 2013-01-08 2014-07-17 Boston Scientific Scimed, Inc. Low profile medical device and related methods of use
US9510824B2 (en) 2013-01-08 2016-12-06 Boston Scientific Scimed, Inc. Low profile medical device and related methods of use
WO2017154958A1 (en) * 2016-03-08 2017-09-14 信行 櫻澤 Needle holder for endoscopic surgery and suturing method employing same

Also Published As

Publication number Publication date
AU5703194A (en) 1994-07-19
FR2699394B1 (en) 1995-04-07
WO1994014381A1 (en) 1994-07-07

Similar Documents

Publication Publication Date Title
EP0989823B1 (en) Applicator for setting a surgical needle
FR2699394A1 (en) Surgical needle holder.
EP0207829A1 (en) Biopsy forceps with a retractable needle
EP0427634B1 (en) Strap fastener for bracelet or belt
FR2705556A1 (en) Surgical blade
US5375614A (en) Dental floss
JP3091124B2 (en) Band type rotation tool
FR2686518A1 (en) AUTOMATIC STRAP FOR HAND TOOLS SUCH AS PILOTS.
FR2815018A1 (en) Closure for glove comprises sleeve running around its cuff, through which cord is threaded whose ends emerge through slit and pass through clamping device, loop of cord emerging from second slit opposite first
JP2003061528A (en) Fishing line-knotting device
EP0045700A1 (en) Apparatus for tapping foetal blood
FR2477325A1 (en) Clamp for conductor with two clamping jaws - has two hooked arms preventing unwanted decoupling of operating rod
GB2167931A (en) Device for tying a line to a fishing hook
EP0222723B1 (en) Dental floss holder
FR2677572A1 (en) Grip (pliers) for tightening (gripping) metal strips
FR2637350A1 (en) Compound clamping and guiding device for rubber hoses
FR2499624A3 (en) CLAMP FOR ATTACHING AN EXHAUST DUCT TO AN EXHAUST PIPE OF A VEHICLE
BE415336A (en)
US5487210A (en) Buckle faceplate belt clamp
EP0893339B1 (en) Boat hook for passing the end of a rope around a mooring eye
BE391077A (en)
BE472349A (en)
FR2517821A1 (en) Perimeter measuring device for dentistry or other use - has flexible wire loop closed by support handle
CH271803A (en) Ligating device.
FR2520585A2 (en) Manually operated device for holding large fish - has supple loop of line inside rigid strap with ends of line pulled up into tubular handle

Legal Events

Date Code Title Description
ST Notification of lapse