US2153889A - Suture - Google Patents

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Publication number
US2153889A
US2153889A US15453037A US2153889A US 2153889 A US2153889 A US 2153889A US 15453037 A US15453037 A US 15453037A US 2153889 A US2153889 A US 2153889A
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Prior art keywords
suture
units
treating
body
fig
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Expired - Lifetime
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Hames Frederick William
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J A Deknatel & Son Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • 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
    • A61B17/06166Sutures
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/392Radioactive markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • A61N2005/1012Templates or grids for guiding the introduction of sources
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T428/00Stock material or miscellaneous articles
    • Y10T428/29Coated or structually defined flake, particle, cell, strand, strand portion, rod, filament, macroscopic fiber or mass thereof
    • Y10T428/2913Rod, strand, filament or fiber
    • Y10T428/2915Rod, strand, filament or fiber including textile, cloth or fabric
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T428/00Stock material or miscellaneous articles
    • Y10T428/29Coated or structually defined flake, particle, cell, strand, strand portion, rod, filament, macroscopic fiber or mass thereof
    • Y10T428/2913Rod, strand, filament or fiber
    • Y10T428/2927Rod, strand, filament or fiber including structurally defined particulate matter

Description

F. W. HAMES April 11, i939.

SUTURE Filed July 20, 1937 Fraaer/c/c WIN/5m Ham es INVENTOR 26. ATTORNEY.

Patented Apr. 11, 1939 UNITED STATES PATENT oFFicE SUTURE Application July 20, 1987, Serial No. 154,530

3 Claims.

My invention relates to a novel support or carrier for substances implanted in or applied to the human body in the treatment of disease for which the substances most generally used at present are radium or emanations of radium sealed in gold tubes and sold under the name of Radon. It will be understood that my invention is not confined to the use of radium or Radon but is usable with any other substances having similar action.

The term treating unit as used hereinafter is intended to include a unit of radium, Radon or any other applicable substance.

In the present practice of applying or implanting treating units it is customary to either puncture the afiected part by means of a hollow needle or trocar and then insert the appropriate unit, or to implant hollow needles Containing the units. In following this practice several serious difficulties have been encountered. It is practically impossible to always correctly place or locate the treating units initially. Then it is difiicult to keep them in place after they have been implanted because of their tendency to be displaced by their high specific gravity and by the serums and body fluids. Furthermore if the Radon units are not removed from the tissues there is the possibility of excessive radiation or of radiation to an unaffected part; or the gold tube may act as a foreign body. At present it is difiicult to use Radon units in certain parts of the body due to the danger of the units changing position and entering the respiratory tract. Moreover it is necessary to plant each Radon unit singly and this necessitates multiple punctures in the tissues. Another serious objection is the secondary radiation from the gold tubing in which the Radon units are sealed.

The principal object of my invention is to overcome the defects of existing methods of applying the treating units in the treatment of the human body and to'provide a support or carrier by means of which the units may be located initially with absolute accuracy and, after being so located, will remain in position until intentionally removed.

My invention may be embodied in sundry concrete forms, the preferred form being in the nature of a tubular, Woven suture made of a material such as silk which is substantially insoluble by the normal body fluids. units are placed within the suture at predetermined distances from one another and are maintained in spaced relation Within the suture. It will be understood that the material of the suture need not necessarily be silk, but may be any other The treating suitable material such as cotton, linen or cellulose.

The invention is illustrated in the accompanying drawing, in which Fig. 1 is an elevational View of a fragment of the preferred form of suture with a plurality of treating units therein; Fig. 2 is a similar view of a fragment of a modified suture in the form of a simple twisted string supporting the treating units in spaced relation; Figs. 3 and 4 are cross-sectional views on the lines 3-3 and 44 respectively of Fig. 1, and Figs. 5 and 6 are cross-sectional views on the lines 5-5 and 6--6, respectively, of Fig. 2. In Fig. 1 of the drawing, I0 denotes the suture which is preferably a Woven structure made of a material, such as silk, remaining insoluble practically indefinitely in the body fluids. Within the suture and longitudinally co-axial therewith is a series of spacers II spaced end to end from one another. Each spacer consists of a number of threads, of silk or other appropriate material, twisted together and designed to maintain the treating units in predetermined spaced relationship.

The suture of Fig. 2 is a twisted string w in which no spacers, such as those denoted I I in Fig. 1 are required, but in which desired distances between units are marked ofi by indicia I2.

The sutures are manufactured in quantities and when supplied to surgeons or hospitals do not contain the treating units which are inserted at the appropriate time by the surgeon or his assistant. The treating units, whether radium, Radon or other similar substance, are denoted I3 in the drawing and are supplied separately from the sutures.

When the suture of Fig. 1 is to be used by the surgeon for its intended purpose he makes appropriate openings in the member Ill between the spacers I I, inserts the predetermined number of units I3 in these openings and closes the latter either merely by rejuxtaposing the strands of the fabric with a leasing needle or the like or by sealing the units in place with a plastic substance, such as collodion, or by using both expedients. In using the suture of Fig. 2, the surgeon untwists the string at the marked places I2, inserts the units I3, retwists the string and, if desired, seals or covers the retwisted parts with collodion or the like. When the suture has been thus provided with the radium units it is used on the patient in substantially the same manner as the ordinary suture is used for other purposes; i. e., the suture is sewed by means of a needle into the aiiected part and allowed to remain until radiation is completed, whereupon the suture is withdrawn.

A suture such as that described and illustrated has a number of virtues, absent from prior art devices and which may briefly be summarized as followsz-(a) the capability of accurately placing the units carried by the suture, in the predetermined position and their retention there until intentionally removed; (b) the elimination of danger to the patient from the escape of the units from the area under treatment to another part of the body; (0) the elimination or practical elimination of irritating, secondary radiation owing to the silk enclosure for the unit; (d) the placing of multiple unit implants through one opening; (e) simplicity of application makes its use more universal rather than its being confined to the larger medical centres as at present; (I) its benefits to the patientfirst because it lessens complications since it obviates the need for bed environment; second, the flexibility of the suture allows more freedom of movement of the tongue and lips when the mouth or adjacent parts are under treatment resulting in the ability to partake of larger amounts of fluids and foods as well as increasing the power of expectoration;

(9) owing to the fact that the time required to apply the units is materially less than by prior art methods the shock to the patient is minimized and the danger to the surgeon, the nurse and technicians from handling the radium or Radon is much reduced.

What I claim is:

1. As a new article of manufacture, a suture insoluble in the fluids of the human body and having means for receiving treating units in predetermined spaced relationship within the body of the suture.

2. As a new article of manufacture, a suture insoluble in the fluids of the human body and having means for receiving treating units in spaced relationship within the body of the suture, and means for maintaining the spaced relationship of said units.

3. As a new article of manufacture, a tubular suture of a material insoluble in the fluids of the human body and having at least one cavity therein for receiving a treating unit, and means within the suture for maintaining the treating unit in predetermined position, within the suture.

FREDERICK WILLIAM HAMES.

US2153889A 1937-07-20 1937-07-20 Suture Expired - Lifetime US2153889A (en)

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US2153889A US2153889A (en) 1937-07-20 1937-07-20 Suture

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US2153889A US2153889A (en) 1937-07-20 1937-07-20 Suture

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US2153889A true US2153889A (en) 1939-04-11

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Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3194239A (en) * 1963-01-16 1965-07-13 Cornelius J P Sullivan Suture provided with radiopaque free metal
US3811426A (en) * 1973-05-21 1974-05-21 Atomic Energy Commission Method and apparatus for the in-vessel radiation treatment of blood
US4509506A (en) * 1981-05-11 1985-04-09 Minnesota Mining & Manufacturing Co. Shielding device for radioactive seed
US4731054A (en) * 1985-07-02 1988-03-15 Sulzer Brothers Limited Medical repository probe
US4754745A (en) * 1984-11-21 1988-07-05 Horowitz Bruce S Conformable sheet material for use in brachytherapy
US4763642A (en) * 1986-04-07 1988-08-16 Horowitz Bruce S Intracavitational brachytherapy
US4815449A (en) * 1984-11-21 1989-03-28 Horowitz Bruce S Delivery system for interstitial radiation therapy including substantially non-deflecting elongated member
US5713828A (en) * 1995-11-27 1998-02-03 International Brachytherapy S.A Hollow-tube brachytherapy device
US5906573A (en) * 1997-07-18 1999-05-25 Radiomed Corporation Radioactive surgical fastening devices and methods of making same
US6086578A (en) * 1998-12-17 2000-07-11 Zakrytoye Aktsionernoye Obschesto "Ostmedkonsalt" Method for skin rejuvenation
US6132360A (en) * 1998-05-22 2000-10-17 Halpern; Alan A. Magnetic stretching of magnetized neurons for spinal cord or peripheral nerve repair and regeneration
US6969344B2 (en) 2003-02-10 2005-11-29 Bard Brachytherapy, Inc. End portion of first implantation seed spacer that receives and holds any one of implantation seed and second implantation seed spacer
US20060063962A1 (en) * 2004-08-24 2006-03-23 Drobnik Christopher D Brachytherapy system for dispensing medication
US20060063961A1 (en) * 2004-08-24 2006-03-23 Drobnik Christopher D Brachytherapy apparatus for dispensing medication
US20060069298A1 (en) * 2001-11-02 2006-03-30 World Wide Medical Technologies, Llc Delivery system and method for interstitial radiation therapy
US20060074270A1 (en) * 2003-05-13 2006-04-06 World Wide Medical Technologies, Llc Delivery system and method for interstitial radiation therapy using seed strands with custom end spacing
US7053013B1 (en) 1997-09-30 2006-05-30 Igor Stepanovitch Nosov X-ray absorbing material and variants
US20060235365A1 (en) * 2001-11-02 2006-10-19 World Wide Medical Technologies, Llc Delivery system and method for interstitial radiation therapy using strands constructed with extruded strand housings
US20070021642A1 (en) * 2005-07-22 2007-01-25 Worldwide Medical Technologies Llc Devices to resist migration and rotation of implants used in brachytherapy and other radiation therapy
US20070265488A1 (en) * 2006-05-09 2007-11-15 Worldwide Medical Technologies Llc After-loader for positioning implants for needle delivery in brachytherapy and other radiation therapy
US20090216063A1 (en) * 2008-01-29 2009-08-27 Biocompatibles Uk Limited Bio-absorbable brachytherapy strands
US20100261946A1 (en) * 2000-11-16 2010-10-14 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US7874976B1 (en) 2006-09-07 2011-01-25 Biocompatibles Uk Limited Echogenic strands and spacers therein
US7878964B1 (en) * 2006-09-07 2011-02-01 Biocompatibles Uk Limited Echogenic spacers and strands
US8187159B2 (en) 2005-07-22 2012-05-29 Biocompatibles, UK Therapeutic member including a rail used in brachytherapy and other radiation therapy
US20150157436A1 (en) * 2011-07-13 2015-06-11 Sofradim Production Umbilical hernia prosthesis

Cited By (57)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3194239A (en) * 1963-01-16 1965-07-13 Cornelius J P Sullivan Suture provided with radiopaque free metal
US3811426A (en) * 1973-05-21 1974-05-21 Atomic Energy Commission Method and apparatus for the in-vessel radiation treatment of blood
US4509506A (en) * 1981-05-11 1985-04-09 Minnesota Mining & Manufacturing Co. Shielding device for radioactive seed
US4815449A (en) * 1984-11-21 1989-03-28 Horowitz Bruce S Delivery system for interstitial radiation therapy including substantially non-deflecting elongated member
US4754745A (en) * 1984-11-21 1988-07-05 Horowitz Bruce S Conformable sheet material for use in brachytherapy
US4731054A (en) * 1985-07-02 1988-03-15 Sulzer Brothers Limited Medical repository probe
US4763642A (en) * 1986-04-07 1988-08-16 Horowitz Bruce S Intracavitational brachytherapy
US6163947A (en) * 1995-11-27 2000-12-26 International Brachytherapy S.A. Method of making a hollow-tube brachytherapy device
US5713828A (en) * 1995-11-27 1998-02-03 International Brachytherapy S.A Hollow-tube brachytherapy device
US6347443B2 (en) 1995-11-27 2002-02-19 International Brachytherapy S.A. Method of making a hollow-tube precursor brachytherapy device
US5906573A (en) * 1997-07-18 1999-05-25 Radiomed Corporation Radioactive surgical fastening devices and methods of making same
US7053013B1 (en) 1997-09-30 2006-05-30 Igor Stepanovitch Nosov X-ray absorbing material and variants
US6132360A (en) * 1998-05-22 2000-10-17 Halpern; Alan A. Magnetic stretching of magnetized neurons for spinal cord or peripheral nerve repair and regeneration
US6086578A (en) * 1998-12-17 2000-07-11 Zakrytoye Aktsionernoye Obschesto "Ostmedkonsalt" Method for skin rejuvenation
US8470294B2 (en) 2000-11-16 2013-06-25 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US20100261946A1 (en) * 2000-11-16 2010-10-14 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US8821835B2 (en) 2000-11-16 2014-09-02 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US9636402B2 (en) 2000-11-16 2017-05-02 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US9636401B2 (en) 2000-11-16 2017-05-02 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US20060235365A1 (en) * 2001-11-02 2006-10-19 World Wide Medical Technologies, Llc Delivery system and method for interstitial radiation therapy using strands constructed with extruded strand housings
US7874974B2 (en) 2001-11-02 2011-01-25 Biocompatibles Uk Limited Delivery system and method for interstitial radiation therapy
US8066627B2 (en) 2001-11-02 2011-11-29 Biocompatibles Uk Limited Delivery system and method for interstitial radiation therapy using strands constructed with extruded strand housings
US20060069298A1 (en) * 2001-11-02 2006-03-30 World Wide Medical Technologies, Llc Delivery system and method for interstitial radiation therapy
US20100121130A1 (en) * 2001-11-02 2010-05-13 Biocompatibles Uk Limited Delivery system and method for interstitial radiation therapy
US7942803B2 (en) 2001-11-02 2011-05-17 Biocompatibles Uk Limited Delivery system and method for interstitial radiation therapy
US6969344B2 (en) 2003-02-10 2005-11-29 Bard Brachytherapy, Inc. End portion of first implantation seed spacer that receives and holds any one of implantation seed and second implantation seed spacer
US20060089520A1 (en) * 2003-05-13 2006-04-27 Terwilliger Richard A Delivery system and method for interstitial radiation therapy using custom end spacing
US7736295B2 (en) 2003-05-13 2010-06-15 Biocompatibles Uk Limited Delivery system and method for interstitial radiation therapy using custom end spacing
US7736294B2 (en) 2003-05-13 2010-06-15 Biocompatibles Uk Limited Delivery system and method for interstitial radiation therapy using seed strands with custom end spacing
US20060074270A1 (en) * 2003-05-13 2006-04-06 World Wide Medical Technologies, Llc Delivery system and method for interstitial radiation therapy using seed strands with custom end spacing
US20060063961A1 (en) * 2004-08-24 2006-03-23 Drobnik Christopher D Brachytherapy apparatus for dispensing medication
US7588528B2 (en) 2004-08-24 2009-09-15 C. R. Bard, Inc. Brachytherapy apparatus for dispensing medication
US20060063962A1 (en) * 2004-08-24 2006-03-23 Drobnik Christopher D Brachytherapy system for dispensing medication
US7361135B2 (en) 2004-08-24 2008-04-22 C R Bard, Inc Brachytherapy system for dispensing medication
US7736293B2 (en) 2005-07-22 2010-06-15 Biocompatibles Uk Limited Implants for use in brachytherapy and other radiation therapy that resist migration and rotation
US20090149692A1 (en) * 2005-07-22 2009-06-11 Biocompatibles Uk Limited Implants for use in brachytherapy and other radiation therapy that resist migration and rotation
US8114007B2 (en) 2005-07-22 2012-02-14 Biocompatibles Uk Limited Implants for use in brachytherapy and other radiation therapy that resist migration and rotation
US20090312594A1 (en) * 2005-07-22 2009-12-17 Biocompatibles Uk Limited Devices to resist migration and rotation of implants used in brachytherapy and other radiation therapy
US20090124846A1 (en) * 2005-07-22 2009-05-14 Biocompatibles Uk Limited Anchor seed cartridge for use with brachytherapy applicator
US8795146B2 (en) 2005-07-22 2014-08-05 Eckert & Ziegler Bebig S.A. Implants including spacers for use in brachytherapy and other radiation therapy that resist migration and rotation
US20090124894A1 (en) * 2005-07-22 2009-05-14 Biocompatibles Uk Limited Markers for use in brachytherapy and other radiation therapy that resist migration and rotation
US20090099402A1 (en) * 2005-07-22 2009-04-16 Biocompatibles Uk Limited Implants for use in brachytherapy and other radiation therapy that resist migration and rotation
US8790235B2 (en) 2005-07-22 2014-07-29 Eckert & Ziegler Debig S.A. Devices to resist migration and rotation of implants used in brachytherapy and other radiation therapy
US8187159B2 (en) 2005-07-22 2012-05-29 Biocompatibles, UK Therapeutic member including a rail used in brachytherapy and other radiation therapy
US8021291B2 (en) 2005-07-22 2011-09-20 Biocompatibles Uk Limited Markers for use in brachytherapy and other radiation therapy that resist migration and rotation
US20070021643A1 (en) * 2005-07-22 2007-01-25 World Wide Medical Technologies, Llc Implants for use in brachytherapy and other radiation therapy that resist migration and rotation
US7972261B2 (en) 2005-07-22 2011-07-05 Biocompatibles Uk Limited Devices to resist migration and rotation of implants used in brachytherapy and other radiation therapy
US20070021642A1 (en) * 2005-07-22 2007-01-25 Worldwide Medical Technologies Llc Devices to resist migration and rotation of implants used in brachytherapy and other radiation therapy
US8192345B2 (en) 2005-07-22 2012-06-05 Biocompatibles, UK Cartridge for use with brachytherapy applicator
US7988611B2 (en) 2006-05-09 2011-08-02 Biocompatibles Uk Limited After-loader for positioning implants for needle delivery in brachytherapy and other radiation therapy
US7985172B2 (en) 2006-05-09 2011-07-26 Biocompatibles Uk Limited After-loader devices and kits
US20070265488A1 (en) * 2006-05-09 2007-11-15 Worldwide Medical Technologies Llc After-loader for positioning implants for needle delivery in brachytherapy and other radiation therapy
US7878964B1 (en) * 2006-09-07 2011-02-01 Biocompatibles Uk Limited Echogenic spacers and strands
US7874976B1 (en) 2006-09-07 2011-01-25 Biocompatibles Uk Limited Echogenic strands and spacers therein
US20090216063A1 (en) * 2008-01-29 2009-08-27 Biocompatibles Uk Limited Bio-absorbable brachytherapy strands
US20150157436A1 (en) * 2011-07-13 2015-06-11 Sofradim Production Umbilical hernia prosthesis
US9980802B2 (en) * 2011-07-13 2018-05-29 Sofradim Production Umbilical hernia prosthesis

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