FR2938421A1 - Suture needle for surgical repair of rupture tendon i.e. Achilles tendon, of patient, has pointed end located in continuity of generatrix of cylindrical central portion presenting largest radius of curvature - Google Patents

Suture needle for surgical repair of rupture tendon i.e. Achilles tendon, of patient, has pointed end located in continuity of generatrix of cylindrical central portion presenting largest radius of curvature Download PDF

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Publication number
FR2938421A1
FR2938421A1 FR0806471A FR0806471A FR2938421A1 FR 2938421 A1 FR2938421 A1 FR 2938421A1 FR 0806471 A FR0806471 A FR 0806471A FR 0806471 A FR0806471 A FR 0806471A FR 2938421 A1 FR2938421 A1 FR 2938421A1
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FR
France
Prior art keywords
needle
characterized
tendon
curvature
central portion
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
FR0806471A
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French (fr)
Other versions
FR2938421B1 (en
Inventor
Alain Aaron
Jean Louis Rouvillain
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.)
CHRISTOPHE CERMOLACCE, FR
CHRISTOPHE DELAVIGNE DE SAINTE SUZANNE, FR
FOURNITURES HOSPITALIERES INDUSTRIE, FR
JEAN LOUIS ROUVILLAIN, FR
OLIVIER LAFFENETRE, FR
PATRICE DETERME, FR
Original Assignee
FOURNITURES HOSPITALIERES INDUSTRIE
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.)
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Publication date
Application filed by FOURNITURES HOSPITALIERES INDUSTRIE filed Critical FOURNITURES HOSPITALIERES INDUSTRIE
Priority to FR0806471A priority Critical patent/FR2938421B1/en
Publication of FR2938421A1 publication Critical patent/FR2938421A1/en
Application granted granted Critical
Publication of FR2938421B1 publication Critical patent/FR2938421B1/en
Application status is Active legal-status Critical
Anticipated expiration legal-status Critical

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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
    • A61B17/06066Needles, e.g. needle tip configurations
    • 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
    • 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
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06019Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
    • 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
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0608J-shaped
    • 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
    • A61B2090/0814Preventing re-use

Abstract

The needle has a pointed distal portion (3) and a proximal portion (4) connected to each other by a cylindrical central portion (6), where the proximal portion has an oblong opening (5) for passage of a suture wire. A pointed end is located in a continuity of a generatrix of the cylindrical central portion presenting a largest radius of a curvature that ranges between 90 and 110 mm. The distal portion presents a pyramid shape with a triangular base, where the needle is made of a Z40C13 stainless steel material.

Description

The present invention relates to a suture needle for the surgical repair of a broken tendon, for example the Achilles tendon. Achilles tendon rupture can be treated orthopedically by immobilizing the foot in a cast during the time necessary for tendon consolidation. This technique requires a long rest period leading to a loss of muscle mass and a long rehabilitation. Surgical repair of a broken tendon may also involve operating the patient by incising the hind foot to access and suture the tendon. This so-called open-focus solution allows for earlier rehabilitation but nevertheless presents a risk of infection. Another solution to repair a broken tendon is to suture the tendon percutaneously but without opening the hindfoot. A first percutaneous solution uses a suture having, at one of its ends, a harpoon intended to anchor in an upper fragment of the tendon, above the rupture zone of the tendon to allow a support of the harpoon in a healthy zone. Advantageously, the harpoon is fixed on the suture by crimping, which avoids the addition of other products, such as glues. At the other end of the suture is crimped a needle which allows the percutaneous passage of the suture and harpoon. The needle is inserted through a small incision above the tendon rupture zone and along the tendon axis from top to bottom. The progression and position of the needle are controlled by palpation. When the tip of the needle is beyond the area of rupture of the tendon, the surgeon inclines the needle so that it can emerge below the tendon rupture zone. Then, the surgeon removes the needle so that the suture engages in the broken tendon and the harpoon comes to anchor in the upper fragment of the tendon. Then, a support washer is engaged around the needle and positioned against the foot of the patient and a stop member is engaged around the needle and positioned against the washer. The suture is then tensioned to ensure telescoping of the fibers of the two tendon fragments. To maintain this tensioning, the stop member is deformed on the suture. Finally, the suture is sheared flush with the stopper.

Usually, two parallel sutures are performed to ensure correct compression of the fracture site, necessary for tendon consolidation. This percutaneous solution allows for earlier rehabilitation than the so-called open-hearth solution, but also presents a risk of local infection due to the two suture wires exiting downstream of the tendon rupture zone. In addition, this percutaneous solution makes it difficult to wear for the patient in view of the present support washers and stop members. A second percutaneous solution overcomes these disadvantages. This second percutaneous solution simply uses a needle at the end of which is fixed a suture. According to this percutaneous solution, the method of repairing the broken tendon comprises the following steps: - introducing the needle into the patient through a slight incision made above the tendon rupture zone, and along the axis of the tendon from top to bottom, - moving the needle so that it penetrates the tendon and runs along the lower surface of the tendon, ie the surface of the tendon turned towards the bone, - when the tip of the needle is beyond the tendon rupture zone, tilt the needle so that it can emerge below the tendon rupture zone, - reintroduce the needle into the patient to through its previous zone of emergence, and in a direction substantially perpendicular to the axis of the tendon, - move the needle so that it does not penetrate the tendon and runs along the upper surface of the tendon, that is, to say the surface of the tendon 30 turned towards the pe at - inclining the needle so that it can emerge near its previous insertion zone, - reintroducing the needle into the patient through its previous emerge zone, and following the tendon axis, - move the needle so that it penetrates the tendon and runs along the lower surface of the tendon, - when the tip of the needle is beyond the tendon rupture zone, tilt the needle so it can emerge above the tendon rupture zone, - reintroduce the needle into the patient through its previous zone 5 of emmergence, and in a direction substantially perpendicular to the axis of the tendon, - move the needle so that it does not penetrate the tendon and runs along the upper surface of the latter, - tilt the needle so that it can emerge at its initial zone of introduction, - tie the two portions of the son and close the first incense so that the node is inside the patient and no wires protrude from the foot. This second percutaneous solution has the same advantages as the first percutaneous solution, and furthermore limits the risk of local infection because no suture projects from the patient. In addition, this second percutaneous solution makes it possible on the one hand to facilitate the donning of the patient since no metal support or stop elements, and secondly to use resorbable suture son. However, the implementation of this percutaneous solution is complex for the surgeon, in particular because of the structure of the needles that are generally used. Indeed, when the needle is moved along the axis of the tendon so that it can penetrate the latter, the tip of the latter is likely to become anchored in the bone cortical, which requires a withdrawal of the needle and reengagement of the latter according to different introduction angle. In addition, it may be difficult for a surgeon to ensure emergence of the needle in a given area when this emergence zone 30 must be close to the needle insertion zone, which is the case when the needle is moved perpendicularly to the axis of the tendon. In order to facilitate this operation, it is known to use a deformable needle so as to be able to bend it and adjust its radius of curvature so that it can emerge in a given zone. However, such a needle is likely to twist involuntarily when it is inclined to emerge from the patient, which necessitates withdrawal of the needle and deformation of the needle so as to restore its desired shape. The present invention aims to remedy these disadvantages. The technical problem underlying the invention is therefore to provide a suture needle that is simple and economical structure, while facilitating surgical repair of a broken tendon. To this end, the invention relates to a suture needle for the surgical repair of a broken tendon, for example the Achilles tendon, comprising a pointed distal portion and a proximal portion having a passage opening of a suture thread. , the distal and proximal portions being connected to each other by a central portion, characterized in that the needle has a substantially continuous curvature, said curvature being substantially continuous over at least 80% of the length of the needle , and in that the pointed end of the needle is located in the continuity of the generatrix of the central portion having the largest radius of curvature. The fact that the distal end of the needle is situated in the continuity of the external generatrix of the central portion makes it possible to prevent the tip of the needle from becoming anchored in the cortical bone when the needle is moved according to the following the axis of the tendon to penetrate the latter. Indeed, this structure of the distal end of the needle ensures a sliding of the needle on the bone and thus prevents an anchoring thereof in the latter. Preferably, the distal portion has a pyramid-shaped triangular base. According to one embodiment of the needle, said curvature is substantially continuous over the entire length of the needle. Advantageously, the needle has a radius of curvature of between 90 and 110 mm, and preferably about 100 mm. Preferably, the needle is made of a stainless material having a resistance of the order of 100 kg / mm 2, such as stainless steel Z40C13. According to one embodiment of the needle, the central portion comprises two flats, preferably diametrically opposed, arranged to allow the setting of the needle by a needle holder. According to another embodiment of the needle, the passage opening 35 is substantially oblong.

Advantageously, the proximal portion has two diametrically opposite flats extending perpendicularly to the axis of the passage opening and on either side of the latter, so that the proximal portion has a thickness less than that of the central portion.

The present invention also relates to an assembly comprising a suture needle as previously described wrapped in a sterile package. Preferably, the sterile package is a double bag with peelable opening.

Advantageously, the needle comprises, at each of its ends, a protective cap arranged to prevent perforation of the sterile package by the needle. Preferably, each protective cap is made of a material arranged to allow a change of appearance of the protective cap when it is subjected to a temperature greater than about 100 ° C. According to one embodiment of the assembly, each protective cap is made of a material arranged to not emit particles or decomposition products as long as the protective cap is subjected to a temperature of less than or equal to about 170 ° C.

Preferably, each protective cap is made of polyurethane or polystyrene. In any case the invention will be better understood with the aid of the description which follows with reference to the appended schematic drawing showing, by way of non-limiting example, an embodiment of this suture needle.

Figure 1 is a perspective view of a needle according to the invention. Figure 2 is a top view of the needle of Figure 1. Figure 3 is a partial view, on an enlarged scale, of the distal portion of the needle of Figure 1. Figures 1 to 3 show a suture needle 2 for surgical repair of a broken tendon, such as the Achilles tendon. The suture needle 2 comprises a pointed distal portion 3 and a proximal portion 4 having a passage opening 5 of a suture, the distal and proximal portions being connected to each other by a cylindrical central portion 6 .

The needle 2 has a continuous curvature, said curvature being continuous over at least 80% of the length of the needle, and preferably over the entire length of the latter. The needle advantageously has a radius of curvature of about 100 mm. The needle 2 advantageously has a length of about 170 mm and is made of a stainless material having a resistance of the order of 100 kg / mm 2, such as stainless steel Z40C13. The distal portion 3 has a pyramid-shaped triangular base. The pointed end 7 of the needle is located in the continuity of the external generatrix of the central portion 6, that is to say the generatrix of the central portion 6 having the largest radius of curvature.

The central portion 6 comprises two diametrically opposed flats 8 arranged to allow the needle to be gripped by a needle holder. The two flats 8 preferably have a length of about 20 mm. The central portion 6 advantageously has a diameter of between 2.5 and 3 mm.

The passage opening 5 in the proximal portion 4 is substantially oblong and is preferably located about 15 mm from the proximal end of the needle 2. The width of the passage opening 5 is between 1, 1 and 1.3 mm, while the length of the latter is about 7 mm. The proximal portion 4 has two diametrically opposed flats 9 extending perpendicular to the axis of the passage opening 5 and on either side of the latter, so that the proximal portion 4 has a thickness less than that of the central portion 6. The suture needle 2 is advantageously disposable. In this case, the suture needle 2 is delivered wrapped in a sterile package of the double peelable opening bag type to maintain the sterile state of the needle obtained by gamma or beta irradiation at a dose of at least 25. kgray or at most 50 kgray. In order to avoid perforation of the sterile package by the needle, the needle has, when wrapped in the sterile package, a protective cap at each of its ends. Each protective cap advantageously has a minimum length of 20 mm in order to be easily grippable. Each protective cap is made of a material arranged to allow a change of appearance of the protective cap, e.g. a change in color or shape, when subjected to a temperature above about 100 ° C. Thus, when the suture needle 2 is still sterilized for reuse, the protective cap deforms or changes color irreversibly to indicate to the surgeon that the needle has already been used. Preferably, each protective cap is made of a material further arranged not to emit particles or decomposition products as long as the protective cap is subjected to a temperature of less than or equal to about 170 ° C. These provisions make it possible to avoid making other ancillaries unusable if accidentally, or voluntarily, despite the instructions in the instructions for use, the needle was sterilized in a steam autoclave with these other ancillaries. Advantageously, each protective cap is made of a colored material to allow easy identification thereof. The material constituting each porting cap must also withstand sterilization irradiation without degrading, changing color or size, or emitting decomposition products. Preferably, each protective cap is made of polyurethane or polystyrene. As is obvious, the invention is not limited to the sole embodiment of this suture needle, described above as an example, it encompasses all the variants.

Claims (13)

  1. REVENDICATIONS1. Suture needle (2) for the surgical repair of a broken tendon, for example the Achilles tendon, comprising a pointed distal portion (3) and a proximal portion (4) having a passage opening (5) of a suture, the distal and proximal portions being connected to one another by a central portion (6), characterized in that the needle has a substantially continuous curvature, said curvature being substantially continuous over at least 80% of the length of the needle, and in that the pointed end (7) of the needle is located in the continuity of the generatrix of the central portion (6) having the largest radius of curvature.
  2. 2. Needle according to claim 1, characterized in that the distal portion (3) has a pyramidal shape with a triangular base.
  3. 3. Needle according to claim 1 or 2, characterized in that said curvature is substantially continuous over the entire length of the needle.
  4. 4. Needle according to one of claims 1 to 3, characterized in that it has a radius of curvature of between 90 and 110 mm, and preferably about 100 mm. 25
  5. 5. Needle according to one of claims 1 to 4, characterized in that the needle is made of a stainless material having a resistance of the order of 100 kg / mm2, such as stainless steel Z40C13.
  6. 6. Needle according to one of claims 1 to 5, characterized in that the central portion (6) comprises two flats (8), preferably diametrically opposed, arranged to allow the setting of the needle by a needle holder .
  7. 7. Needle according to one of claims 1 to 6, characterized in that the passage opening (5) is substantially oblong. 20
  8. 8. Needle according to one of claims 1 to 7, characterized in that the proximal portion (4) has two flats (9) diametrically opposed extending perpendicularly to the axis of the passage opening and on both sides. other of the latter, so that the proximal portion has a thickness less than that of the central portion.
  9. 9. A set comprising a needle according to one of claims 1 to 8 wrapped in a sterile package.
  10. 10. The assembly of claim 9, characterized in that the sterile package is a double bag peelable opening.
  11. 11. The assembly of claim 9 or 10, characterized in that the needle comprises at each of its ends, a protective cap 15 arranged to prevent perforation of the sterile package by the needle.
  12. 12. An assembly according to claim 11, characterized in that each protective cap is made of a material arranged to allow a change of appearance of the protective cap when it is subjected to a temperature above about 100 ° C.
  13. 13. The assembly of claim 11 or 12, characterized in that each protective cap is made of a material arranged to not emit particles or decomposition products as the protective cap is subjected to a temperature less than or equal to about 170 ° C.
FR0806471A 2008-11-19 2008-11-19 Suture needle for surgical repair of a tendon rompu Active FR2938421B1 (en)

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Application Number Priority Date Filing Date Title
FR0806471A FR2938421B1 (en) 2008-11-19 2008-11-19 Suture needle for surgical repair of a tendon rompu

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FR2938421B1 FR2938421B1 (en) 2011-08-05

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105748122A (en) * 2016-04-30 2016-07-13 祝春梅 Surgical suture needle storing and counting device

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1449068A (en) * 1918-07-02 1923-03-20 Snyder William Jay Surgical needle
US5041127A (en) * 1989-02-27 1991-08-20 Troutman Richard C Offset point surgical needle
EP0550066A1 (en) * 1992-01-02 1993-07-07 United States Surgical Corporation Retainer for a combined surgical needle-suture device possessing a needle shield with needle tip stop feature
US5330441A (en) * 1993-04-30 1994-07-19 American Cyanamid Company Surgical suturing needle and method for making same
EP0650699A1 (en) * 1993-11-03 1995-05-03 Ethicon, Inc. Surgical needle tip/cutting edge protection
EP0852930A2 (en) * 1996-12-11 1998-07-15 United States Surgical Corporation Surgical needle
US5897572A (en) * 1996-10-11 1999-04-27 Cornell Research Foundation, Inc. Microsurgical suture needle
US20020058959A1 (en) * 2000-11-15 2002-05-16 Gellman Barry N. Treating urinary incontinence
EP1920720A1 (en) * 2006-10-13 2008-05-14 Stryker Trauma SA Prevention of re-use of a medical device

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1449068A (en) * 1918-07-02 1923-03-20 Snyder William Jay Surgical needle
US5041127A (en) * 1989-02-27 1991-08-20 Troutman Richard C Offset point surgical needle
EP0550066A1 (en) * 1992-01-02 1993-07-07 United States Surgical Corporation Retainer for a combined surgical needle-suture device possessing a needle shield with needle tip stop feature
US5330441A (en) * 1993-04-30 1994-07-19 American Cyanamid Company Surgical suturing needle and method for making same
EP0650699A1 (en) * 1993-11-03 1995-05-03 Ethicon, Inc. Surgical needle tip/cutting edge protection
US5897572A (en) * 1996-10-11 1999-04-27 Cornell Research Foundation, Inc. Microsurgical suture needle
EP0852930A2 (en) * 1996-12-11 1998-07-15 United States Surgical Corporation Surgical needle
US20020058959A1 (en) * 2000-11-15 2002-05-16 Gellman Barry N. Treating urinary incontinence
EP1920720A1 (en) * 2006-10-13 2008-05-14 Stryker Trauma SA Prevention of re-use of a medical device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105748122A (en) * 2016-04-30 2016-07-13 祝春梅 Surgical suture needle storing and counting device

Also Published As

Publication number Publication date
FR2938421B1 (en) 2011-08-05

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