US3825009A - Method of surgically repairing damaged ear drums - Google Patents
Method of surgically repairing damaged ear drums Download PDFInfo
- Publication number
- US3825009A US3825009A US00325245A US32524573A US3825009A US 3825009 A US3825009 A US 3825009A US 00325245 A US00325245 A US 00325245A US 32524573 A US32524573 A US 32524573A US 3825009 A US3825009 A US 3825009A
- Authority
- US
- United States
- Prior art keywords
- annulus
- graft
- repairing damaged
- clips
- tympanoplastic
- 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
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- 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
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F11/00—Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
- A61F11/20—Ear surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/18—Internal ear or nose parts, e.g. ear-drums
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/18—Internal ear or nose parts, e.g. ear-drums
- A61F2002/183—Ear parts
Definitions
- FIGURE l 2 LEGEND MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFT McGEE STAPES WIRE CLOSURE FORCEPS (RICHARDS MFG. CO.)
- the invention to be described relates primarily to a method by which tympanoplastic grafting material can be securely fashioned within the ear surgery.
- the most popular method of grafting ear drums has been to place the grafting material on the lateral surface of the ear drum and pack it tightly into position.
- the latter method has gained great popularity in the last 5 years,
- the one deficiency with medial grafting has been a lack of methods available to secure the position of a graft at surgery.
- Methods in the past have primarily utilized the support of the graft interiorly with pledgettes of reconstituted protein called Glefoam.
- the small clips A utilized in the inventive concept are fashioned from No. 34 stainless steel wire which was wrapped about an 18 gauge suction needle, the resultant spring was cut longitudinally.
- the resultant clips better described as Microclips, see A, FIG. 1, were then flattened out and trimmed to a two-thirds full circle.
- the clip was then loaded in a Stapes prosthesis crimper D as in FIG. 2.
- the pars tensa and/or annular remnant, illustrated as B in FIG. 2 is suitably exposed.
- the tympanoplastic graft C is then positioned through a posterior tympanotomy incision so that it is medial to the annulus and malleus.
- a conventional 20 gauge sucker or vacuum means is then used to bring the leading edge of the graft to the edge of the perforation or annular remnant area of the tympanic fibrous annulus B.
- the clip A is then applied around the annulus and graft in locations corresponding to the 1, 3 and 6 oclock positions.
- the method of repairing damaged ear drums by tympanoplastic grafting comprising the steps of, exposing the area of the pars tensa and annular remnant by a posterior tympanotomy incision, positioning the graft on the tympanic fiburous annulus so that it is medial to the annulus and malleus tissue, attaching said graft to said annulus by inserting through the tissues of the junction of the graft and the annulus, at least three metal surgical micro-clips of substantially C-shape and of a diameter of approximately 1.5 mm. at positions near the l, 3 and 6 oclock locations, mechanically closing said clips to join and hold the enclosed tissues,
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Vascular Medicine (AREA)
- Otolaryngology (AREA)
- Psychology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biophysics (AREA)
- Acoustics & Sound (AREA)
- Physics & Mathematics (AREA)
- Pulmonology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Prostheses (AREA)
Abstract
A method of fabrication and application of a small metallic clip which is utilized to attach tympanoplastic material securely into position during ear surgery is described.
Description
United States Patent Williams 1451 July 23, 1974 METHOD OF SURGICALLY REPAIRING 1,045,917 12/1912 Valiquet 3/1 ux DAMAGED EAR DRUMS 3,273,562 9/1966 Brown.. 128/337 3,446,212 5/1969 Leroy... 128/325 [76] Inventor: John David Willlams, 372W Star 3 71 ,053 2 1973 Tanner [28/337 Route A, Anchorage, Ala. 99507 El d: M 19 73 [22] 1c M 19 Primary Examiner-Aldrich F. Medbery [21] Appl. No.: 325,245
[52] US. Cl 128/334 R, 3/1, 128/325, 0
2 /337 [57] ABSTRACT [51] Int. Cl A61b 17/04 v [58] Field of Search 128/334 R, 335, 325, 337; A method of fabrication and application of a small 3/1 metallic clip which is utilized to attach tympanoplastic I material securely into position during ear surgery is [56] vReferences Cited described. 1
UNITED STATES PATENTS '1 816,026 3/1906 Meier 128/337 1 Claim, 2 Drawing Figures FIGURE v2 LEGEND RICHARDS MFG. CO.)
MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFTE McGEE STAPES WIRE CLOSURE FORCEPS PATENIEDJULZBIBH 7 3.825.009
FIGURE l FIGURE 2 LEGEND MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFT McGEE STAPES WIRE CLOSURE FORCEPS (RICHARDS MFG. CO.)
BACKGROUND OF THE INVENTION The invention to be described relates primarily to a method by which tympanoplastic grafting material can be securely fashioned within the ear surgery. For many years, the most popular method of grafting ear drums has been to place the grafting material on the lateral surface of the ear drum and pack it tightly into position. Because of difficulty with lateral grafting and, in general, better results obtained with medial grafting, the latter method has gained great popularity in the last 5 years, The one deficiency with medial grafting has been a lack of methods available to secure the position of a graft at surgery. Methods in the past have primarily utilized the support of the graft interiorly with pledgettes of reconstituted protein called Glefoam.
SUMMARY OF THE INVENTION The small clips A utilized in the inventive concept are fashioned from No. 34 stainless steel wire which was wrapped about an 18 gauge suction needle, the resultant spring was cut longitudinally. The resultant clips, better described as Microclips, see A, FIG. 1, were then flattened out and trimmed to a two-thirds full circle. The clip was then loaded in a Stapes prosthesis crimper D as in FIG. 2. As further denoted in FIG. 2, the pars tensa and/or annular remnant, illustrated as B in FIG. 2, is suitably exposed. The tympanoplastic graft C is then positioned through a posterior tympanotomy incision so that it is medial to the annulus and malleus. A conventional 20 gauge sucker or vacuum means is then used to bring the leading edge of the graft to the edge of the perforation or annular remnant area of the tympanic fibrous annulus B. The clip A is then applied around the annulus and graft in locations corresponding to the 1, 3 and 6 oclock positions.
I claim:
l. The method of repairing damaged ear drums by tympanoplastic grafting comprising the steps of, exposing the area of the pars tensa and annular remnant by a posterior tympanotomy incision, positioning the graft on the tympanic fiburous annulus so that it is medial to the annulus and malleus tissue, attaching said graft to said annulus by inserting through the tissues of the junction of the graft and the annulus, at least three metal surgical micro-clips of substantially C-shape and of a diameter of approximately 1.5 mm. at positions near the l, 3 and 6 oclock locations, mechanically closing said clips to join and hold the enclosed tissues,
and permitting the junction to heal to an attachment.
Claims (1)
1. The method of repairing damaged ear drums by tympanoplastic grafting comprising the steps of, exposing the area of the pars tensa and annular remnant by a posterior tympanotomy incision, positioning the graft on the tympanic fiburous annulus so that it is medial to the annulus and malleus tissue, attaching said graft to said annulus by inserting through the tissues of the junction of the graft and the annulus, at least three metal surgical micro-clips of substantially C-shape and of a diameter of approximately 1.5 m.m. at positions near the 1, 3 and 6 o''clock locations, mechanically closing said clips to join and hold the enclosed tissues, and permitting the junction to heal to an attachment.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US00325245A US3825009A (en) | 1973-03-19 | 1973-03-19 | Method of surgically repairing damaged ear drums |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US00325245A US3825009A (en) | 1973-03-19 | 1973-03-19 | Method of surgically repairing damaged ear drums |
Publications (1)
Publication Number | Publication Date |
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US3825009A true US3825009A (en) | 1974-07-23 |
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Family Applications (1)
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US00325245A Expired - Lifetime US3825009A (en) | 1973-03-19 | 1973-03-19 | Method of surgically repairing damaged ear drums |
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US (1) | US3825009A (en) |
Cited By (22)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4505273A (en) * | 1982-02-10 | 1985-03-19 | Intermedicat Gmbh | Surgical staple |
DE3443367A1 (en) * | 1983-12-01 | 1985-06-13 | Robert B. Cedar Crest N.Mex. Cushman | SURGICAL MICROCLIP |
US6309419B1 (en) * | 1999-03-26 | 2001-10-30 | Johns Hopkins University | Tympanic membrane prosthesis with mechanical fixation |
WO2002030298A1 (en) * | 2000-10-10 | 2002-04-18 | Coalescent Surgical, Inc. | Minimally invasive annuloplasty procedure and apparatus |
US7547313B2 (en) | 1998-06-03 | 2009-06-16 | Medtronic, Inc. | Tissue connector apparatus and methods |
US7722643B2 (en) | 1999-03-01 | 2010-05-25 | Medtronic, Inc. | Tissue connector apparatus and methods |
US7744611B2 (en) | 2000-10-10 | 2010-06-29 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
US7763040B2 (en) | 1998-06-03 | 2010-07-27 | Medtronic, Inc. | Tissue connector apparatus and methods |
US20100262167A1 (en) * | 2009-04-09 | 2010-10-14 | Medtronic, Inc. | Medical Clip with Radial Tines, System and Method of Using Same |
US20100274267A1 (en) * | 2009-04-24 | 2010-10-28 | Medtronics, Inc. | Medical Clip with Tines, System and Method of Using Same |
US7879047B2 (en) | 2003-12-10 | 2011-02-01 | Medtronic, Inc. | Surgical connection apparatus and methods |
US7896892B2 (en) | 2000-03-31 | 2011-03-01 | Medtronic, Inc. | Multiple bias surgical fastener |
US7938840B2 (en) | 1999-04-05 | 2011-05-10 | Medtronic, Inc. | Apparatus and methods for anastomosis |
US7963973B2 (en) | 1998-06-03 | 2011-06-21 | Medtronic, Inc. | Multiple loop tissue connector apparatus and methods |
US7976556B2 (en) | 2002-09-12 | 2011-07-12 | Medtronic, Inc. | Anastomosis apparatus and methods |
US8029519B2 (en) | 2003-08-22 | 2011-10-04 | Medtronic, Inc. | Eversion apparatus and methods |
US8105345B2 (en) | 2002-10-04 | 2012-01-31 | Medtronic, Inc. | Anastomosis apparatus and methods |
US8118822B2 (en) | 1999-03-01 | 2012-02-21 | Medtronic, Inc. | Bridge clip tissue connector apparatus and methods |
US8177836B2 (en) | 2008-03-10 | 2012-05-15 | Medtronic, Inc. | Apparatus and methods for minimally invasive valve repair |
US8211124B2 (en) | 2003-07-25 | 2012-07-03 | Medtronic, Inc. | Sealing clip, delivery systems, and methods |
US8394114B2 (en) | 2003-09-26 | 2013-03-12 | Medtronic, Inc. | Surgical connection apparatus and methods |
US8529583B1 (en) | 1999-09-03 | 2013-09-10 | Medtronic, Inc. | Surgical clip removal apparatus |
-
1973
- 1973-03-19 US US00325245A patent/US3825009A/en not_active Expired - Lifetime
Cited By (33)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4505273A (en) * | 1982-02-10 | 1985-03-19 | Intermedicat Gmbh | Surgical staple |
DE3443367A1 (en) * | 1983-12-01 | 1985-06-13 | Robert B. Cedar Crest N.Mex. Cushman | SURGICAL MICROCLIP |
US4586503A (en) * | 1983-12-01 | 1986-05-06 | University Of New Mexico | Surgical microclip |
US7547313B2 (en) | 1998-06-03 | 2009-06-16 | Medtronic, Inc. | Tissue connector apparatus and methods |
US7963973B2 (en) | 1998-06-03 | 2011-06-21 | Medtronic, Inc. | Multiple loop tissue connector apparatus and methods |
US7763040B2 (en) | 1998-06-03 | 2010-07-27 | Medtronic, Inc. | Tissue connector apparatus and methods |
US8118822B2 (en) | 1999-03-01 | 2012-02-21 | Medtronic, Inc. | Bridge clip tissue connector apparatus and methods |
US7722643B2 (en) | 1999-03-01 | 2010-05-25 | Medtronic, Inc. | Tissue connector apparatus and methods |
US8353921B2 (en) | 1999-03-01 | 2013-01-15 | Medtronic, Inc | Tissue connector apparatus and methods |
US7892255B2 (en) | 1999-03-01 | 2011-02-22 | Medtronic, Inc. | Tissue connector apparatus and methods |
US6309419B1 (en) * | 1999-03-26 | 2001-10-30 | Johns Hopkins University | Tympanic membrane prosthesis with mechanical fixation |
US8211131B2 (en) | 1999-04-05 | 2012-07-03 | Medtronic, Inc. | Apparatus and methods for anastomosis |
US7938840B2 (en) | 1999-04-05 | 2011-05-10 | Medtronic, Inc. | Apparatus and methods for anastomosis |
US8529583B1 (en) | 1999-09-03 | 2013-09-10 | Medtronic, Inc. | Surgical clip removal apparatus |
US8353092B2 (en) | 2000-03-31 | 2013-01-15 | Medtronic, Inc. | Multiple bias surgical fastener |
US7896892B2 (en) | 2000-03-31 | 2011-03-01 | Medtronic, Inc. | Multiple bias surgical fastener |
US7744611B2 (en) | 2000-10-10 | 2010-06-29 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
WO2002030298A1 (en) * | 2000-10-10 | 2002-04-18 | Coalescent Surgical, Inc. | Minimally invasive annuloplasty procedure and apparatus |
US7914544B2 (en) | 2000-10-10 | 2011-03-29 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
US6918917B1 (en) | 2000-10-10 | 2005-07-19 | Medtronic, Inc. | Minimally invasive annuloplasty procedure and apparatus |
US7976556B2 (en) | 2002-09-12 | 2011-07-12 | Medtronic, Inc. | Anastomosis apparatus and methods |
US8066724B2 (en) | 2002-09-12 | 2011-11-29 | Medtronic, Inc. | Anastomosis apparatus and methods |
US8298251B2 (en) | 2002-10-04 | 2012-10-30 | Medtronic, Inc. | Anastomosis apparatus and methods |
US8105345B2 (en) | 2002-10-04 | 2012-01-31 | Medtronic, Inc. | Anastomosis apparatus and methods |
US8211124B2 (en) | 2003-07-25 | 2012-07-03 | Medtronic, Inc. | Sealing clip, delivery systems, and methods |
US8029519B2 (en) | 2003-08-22 | 2011-10-04 | Medtronic, Inc. | Eversion apparatus and methods |
US8394114B2 (en) | 2003-09-26 | 2013-03-12 | Medtronic, Inc. | Surgical connection apparatus and methods |
US7879047B2 (en) | 2003-12-10 | 2011-02-01 | Medtronic, Inc. | Surgical connection apparatus and methods |
US8177836B2 (en) | 2008-03-10 | 2012-05-15 | Medtronic, Inc. | Apparatus and methods for minimally invasive valve repair |
US20100262167A1 (en) * | 2009-04-09 | 2010-10-14 | Medtronic, Inc. | Medical Clip with Radial Tines, System and Method of Using Same |
US8518060B2 (en) | 2009-04-09 | 2013-08-27 | Medtronic, Inc. | Medical clip with radial tines, system and method of using same |
US20100274267A1 (en) * | 2009-04-24 | 2010-10-28 | Medtronics, Inc. | Medical Clip with Tines, System and Method of Using Same |
US8668704B2 (en) | 2009-04-24 | 2014-03-11 | Medtronic, Inc. | Medical clip with tines, system and method of using same |
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