US1635066A - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
US1635066A
US1635066A US166716A US16671627A US1635066A US 1635066 A US1635066 A US 1635066A US 166716 A US166716 A US 166716A US 16671627 A US16671627 A US 16671627A US 1635066 A US1635066 A US 1635066A
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Prior art keywords
slot
thread
needle
transverse
suture
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Expired - Lifetime
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US166716A
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Walter A Wells
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Walter A Wells
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    • 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

Description

July 5 1927.

w A. WELLS SURGICAL INSTRUMENT Filed Fleb. 8, 1927 Patented July 5, 1927.

UNITED fi E N 1 O CE.

. WALTER A. atts. .011 wesnnve'rou. DISTRICT; or COLUMBIA.

7 suiieiqet N B Application fiiedrebe ar s, 1927. Serial no. 166,716.

.My invention relates -to surgical instrunen-ts and particularly to a suture placer.

A surgeon frequently {finds it necessary to place sutures in various par-ts, ca vi'tie sand recesses of thebody, in order tose wgup wounds. tie bleeding blood vessels and so forth. In deep cavities this has been a very diflicult operation. Generally a surgical needle and needle-holder has been used, but these curved needles sometimes break while held in the holder and forced through the tissues. Such accidents may have serious consequences because facility and speed are of'the utmost importance in surgical operations, and especially in the case of a hemorrhage.

My invention meets this need, providing a means for placing sutures in the tonsil fossa in connection with tonsillectomy. With my devices a hole is made in the tissues and as the instrument is withdrawn a cloubled'thread is pulled through this hole and when it projects far enough is easily released from the instrument. It is then in position for readily tying over the bleeding vessels to stop the hemorrhage.

In the accompanying drawings illustrating a preferred form of my invention:

Figure 1 is a side view of my instrument ready for use.

Figure 2 is a similar view showing the ends of the thread frictionally held by the instrument.

Figure 3 is an enlarged detail showing a thread drawn upwardly in a long loop.

Figure 4 is a detail showing the initial contact of the thread and needle, partly in section.

Figure 5is an enlarged sectional view showing the tapered slot in one handle.

Figure 6 is another enlarged sectional view of this handle.

In these drawings 11, 12, represent plvotally connected members of a pair of forceps provided with a needle-like member 13 extending from the face of the member 12 in the direction of its companion 11. The needle 13 is provided with an outwardly open eye 14;.

The member 11 is provided with a slot 15 to permit the passage of the needle 13, and with a transverse slot 16 of less depth than slot 15 for holding a surgical thread and guiding it into the eye 14 of the needle. This is clearly shown in Fig. 4.

The handle portion of the member is extended outwardlyat 17 and provided with a tapered .slot'18 and atransverse slotalt) extending entirely throng-lithe handle.

1 Two ways of using the instrument .are .s1 0wn.-n1 both of. which 5 the surgical thread; 20is placed in the slot ilfiwan'd is yieldingly held either as in Fig. 1 by the surgeon looping the ends of the thread around a finger to control the tension, or as in Fig. 2 in which these ends have been passed through the slot 19 and wedged into the slot 18. A nurse may thread the instrument ready for use as shown in Fig. 2, in which case the surgeon may regulate the tension by loosening the thread in the slot 18 and pressing the thread against the inside of the thumb piece. By forcing the needle through the tissues at the point at which a suture is needed, a hole is made through which a loop of thread is drawn, see Fig. 3, by opening the forceps, and when sufficiently exposed for grasping, the thread is released from the forceps through the eye 14 and slot 16. The surgeon quickly completes the suture by tying the ends of the doubled thread.

Modifications of the form illustrated, within the scope of the claims may obviously be made, whereby special needs or preferences may be met.

\Vhat I claim is:

1. In a surgical instrument, the combina tion with a pair of jaws, of a needle extending from the face of one aw in the direction of the companion jaw and provided with a transverse suture receiving notch, the com panion jaw being provided with a needle receiving recess and an outwardly open transverse slot adapted to form a suture holder duringthe operation of the instrument.

2. In a suture placer, the combination with a needle member provided with a transverse suture receiving notch and a coacting abutment member provided with a needle receiving slot and a transverse suture holding slot which holds a suture during the operation of the suture placer.

3. In a device of the class described, the combination with a forceps member provided with a needle receiving slot, a transverse thread guiding slot and means for yieldingly holding a thread, and a needle provided with a transverse thread receiving notch mounted to pass into said needle receiving slot.

iii

4. In a device of the class described, the combination with a forceps member provided with a needle receiving slot, a transverse thread guiding holding slot and a tapered thread holding groove at another point, and a companion forceps member integrally united with a needle member having a transverse thread receiving notch.

5. In a device of the class described, the combination with a forceps member provided with a distally open needle receiving slot, a distally open transverse thread holding slot of less depth than said needle slot, a handle of said forceps member provided with a tapered thread. holding slot and at another point with. a transverse slot passing entirely through a loop of said handle, and a companion forceps member provided with a needle having an inclined face and a transverse thread receiving notch.

6. In a suture placer, the comliwination with a needle member provided with a distally slotted eye, of a co-aeting abutment member provided with a needle receiving slot and a transverse thread holding slot.

In testimony whereof I hereunto affix my signature.

\VALTER A. WELLS.

US166716A 1927-02-08 1927-02-08 Surgical instrument Expired - Lifetime US1635066A (en)

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Cited By (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2895478A (en) * 1954-03-18 1959-07-21 Post Charles Russell Suture-tying instrument
US2959172A (en) * 1957-08-27 1960-11-08 American Cystoscope Makers Inc Self-threading suturing instrument
US3503398A (en) * 1965-09-10 1970-03-31 American Hospital Supply Corp Atraumatic clamp for vascular surgery
US3892241A (en) * 1973-04-09 1975-07-01 Harry H Leveen Disposable plastic blood vessel clamp
US4373530A (en) * 1980-04-04 1983-02-15 Lisa Ann Kilejian Surgical stitching instrument
US4596249A (en) * 1983-07-26 1986-06-24 Freda Vincent J Implement for setting sutures
US4823794A (en) * 1982-07-12 1989-04-25 Pierce William S Surgical pledget
US4890615A (en) * 1987-11-05 1990-01-02 Concept, Inc. Arthroscopic suturing instrument
US5059201A (en) * 1989-11-03 1991-10-22 Asnis Stanley E Suture threading, stitching and wrapping device for use in open and closed surgical procedures
US5176691A (en) * 1990-09-11 1993-01-05 Pierce Instruments, Inc. Knot pusher
US5279311A (en) * 1992-05-29 1994-01-18 Linvatec Corporation Suture shuttle device
US5522820A (en) * 1993-01-15 1996-06-04 Arthrotech Method and apparatus for suturing tissue
US5728112A (en) * 1995-09-22 1998-03-17 Yoon; Inbae Combined tissue clamping and suturing instrument
US5730747A (en) * 1995-06-07 1998-03-24 Smith & Nephew, Inc. Suture passing forceps
US5797927A (en) * 1995-09-22 1998-08-25 Yoon; Inbae Combined tissue clamping and suturing instrument
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US5947982A (en) * 1997-04-02 1999-09-07 Smith & Nephew, Inc. Suture-passing forceps
US6051006A (en) * 1999-04-12 2000-04-18 Smith & Nephew, Inc. Suture-passing forceps
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US6443963B1 (en) 2000-07-26 2002-09-03 Orthopaedic Biosystems, Ltd. Apparatus and method for repairing or reattaching soft tissue
US6723107B1 (en) 1999-04-19 2004-04-20 Orthopaedic Biosystems Ltd. Method and apparatus for suturing
US20040153103A1 (en) * 1998-12-30 2004-08-05 Schwartz Herbert E. Soft tissue locking device
US20040236353A1 (en) * 2002-06-26 2004-11-25 Opus Medical, Inc. Suture capture device
US6984237B2 (en) 2002-05-22 2006-01-10 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US7153312B1 (en) 1999-12-02 2006-12-26 Smith & Nephew Inc. Closure device and method for tissue repair
US20080097482A1 (en) * 2006-10-24 2008-04-24 Gregory Bain Suture device having selective needle actuation and related method
US20090204127A1 (en) * 2008-01-31 2009-08-13 Medicinelodge, Inc. System and method for tying surgical knots
US7601165B2 (en) 2006-09-29 2009-10-13 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable suture loop
US7608098B1 (en) 2004-11-09 2009-10-27 Biomet Sports Medicine, Llc Bone fixation device
US7608092B1 (en) 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
US7651509B2 (en) 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US20100241144A1 (en) * 2009-03-23 2010-09-23 George Delli-Santi Surgical instrument for manipulating surgical suture and methods of use
US20100274278A1 (en) * 2009-04-22 2010-10-28 Pare Surgical, Inc. Endoscopic tissue grasping apparatus and method
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
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US20110066165A1 (en) * 2009-07-15 2011-03-17 David Skinlo Method and apparatus for treating a hip joint, including the provision and use of a novel suture passer
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US20110118760A1 (en) * 2009-11-16 2011-05-19 David Gregoire Suture passer
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8177796B2 (en) 2009-03-23 2012-05-15 Linvatec Corporation Suture passing apparatus and method
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
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US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8623051B2 (en) 2005-06-24 2014-01-07 Smith & Nephew, Inc. Tissue repair device
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
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US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
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US8882834B2 (en) 2011-07-08 2014-11-11 Smith & Nephew, Inc. Soft tissue repair
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US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8951263B2 (en) 2011-07-08 2015-02-10 Smith & Nephew, Inc. Orthopedic suture passer and method
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
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Cited By (179)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2895478A (en) * 1954-03-18 1959-07-21 Post Charles Russell Suture-tying instrument
US2959172A (en) * 1957-08-27 1960-11-08 American Cystoscope Makers Inc Self-threading suturing instrument
US3503398A (en) * 1965-09-10 1970-03-31 American Hospital Supply Corp Atraumatic clamp for vascular surgery
US3892241A (en) * 1973-04-09 1975-07-01 Harry H Leveen Disposable plastic blood vessel clamp
US4373530A (en) * 1980-04-04 1983-02-15 Lisa Ann Kilejian Surgical stitching instrument
US4823794A (en) * 1982-07-12 1989-04-25 Pierce William S Surgical pledget
US4596249A (en) * 1983-07-26 1986-06-24 Freda Vincent J Implement for setting sutures
US4890615A (en) * 1987-11-05 1990-01-02 Concept, Inc. Arthroscopic suturing instrument
US5059201A (en) * 1989-11-03 1991-10-22 Asnis Stanley E Suture threading, stitching and wrapping device for use in open and closed surgical procedures
US5176691A (en) * 1990-09-11 1993-01-05 Pierce Instruments, Inc. Knot pusher
US5279311A (en) * 1992-05-29 1994-01-18 Linvatec Corporation Suture shuttle device
US5522820A (en) * 1993-01-15 1996-06-04 Arthrotech Method and apparatus for suturing tissue
US5730747A (en) * 1995-06-07 1998-03-24 Smith & Nephew, Inc. Suture passing forceps
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US5728112A (en) * 1995-09-22 1998-03-17 Yoon; Inbae Combined tissue clamping and suturing instrument
US5797927A (en) * 1995-09-22 1998-08-25 Yoon; Inbae Combined tissue clamping and suturing instrument
US5947982A (en) * 1997-04-02 1999-09-07 Smith & Nephew, Inc. Suture-passing forceps
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US20080091237A1 (en) * 1998-12-30 2008-04-17 Schwartz Herbert E Suture locking device
US8323315B2 (en) 1998-12-30 2012-12-04 Depuy Mitek, Inc. Suture locking device
US20040153103A1 (en) * 1998-12-30 2004-08-05 Schwartz Herbert E. Soft tissue locking device
US8512374B2 (en) 1998-12-30 2013-08-20 Depuy Mitek, Llc Soft tissue locking device
US6051006A (en) * 1999-04-12 2000-04-18 Smith & Nephew, Inc. Suture-passing forceps
US6723107B1 (en) 1999-04-19 2004-04-20 Orthopaedic Biosystems Ltd. Method and apparatus for suturing
US9833231B2 (en) 1999-12-02 2017-12-05 Smith & Nephew, Inc. Apparatus for tissue repair
US7153312B1 (en) 1999-12-02 2006-12-26 Smith & Nephew Inc. Closure device and method for tissue repair
US9295461B2 (en) 1999-12-02 2016-03-29 Smith & Nephew, Inc. Methods for tissue repair
US8366744B2 (en) 1999-12-02 2013-02-05 Smith & Nephew, Inc. Apparatus for tissue repair
US8512375B2 (en) 1999-12-02 2013-08-20 Smith & Nephew, Inc. Closure device and method for tissue repair
US9545251B2 (en) 1999-12-02 2017-01-17 Smith & Nephew, Inc. Apparatus for tissue repair
US7887551B2 (en) 1999-12-02 2011-02-15 Smith & Nephew, Inc. Soft tissue attachment and repair
US7651509B2 (en) 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair
US9220494B2 (en) 1999-12-02 2015-12-29 Smith & Nephew, Inc. Methods for tissue repair
US9492160B2 (en) 1999-12-02 2016-11-15 Smith & Nephew, Inc. Closure device and method for tissue repair
US6443963B1 (en) 2000-07-26 2002-09-03 Orthopaedic Biosystems, Ltd. Apparatus and method for repairing or reattaching soft tissue
US10052098B2 (en) 2002-05-22 2018-08-21 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US6984237B2 (en) 2002-05-22 2006-01-10 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US8690898B2 (en) 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US20040236353A1 (en) * 2002-06-26 2004-11-25 Opus Medical, Inc. Suture capture device
US7879048B2 (en) * 2002-06-26 2011-02-01 Arthrocare Corporation Suture capture device
US9314235B2 (en) 2003-02-05 2016-04-19 Smith & Nephew, Inc. Tissue anchor and insertion tool
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US7608092B1 (en) 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
US9861355B2 (en) 2004-06-16 2018-01-09 Smith & Nephew, Inc. Suture passing
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
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US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US7608098B1 (en) 2004-11-09 2009-10-27 Biomet Sports Medicine, Llc Bone fixation device
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US8623051B2 (en) 2005-06-24 2014-01-07 Smith & Nephew, Inc. Tissue repair device
US9173653B2 (en) 2005-06-24 2015-11-03 Smith & Nephew, Inc. Tissue repair device
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
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US8273106B2 (en) 2006-02-03 2012-09-25 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
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US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
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