US2264679A - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
US2264679A
US2264679A US363359A US36335940A US2264679A US 2264679 A US2264679 A US 2264679A US 363359 A US363359 A US 363359A US 36335940 A US36335940 A US 36335940A US 2264679 A US2264679 A US 2264679A
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wound
instrument
needle
eye
needles
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Expired - Lifetime
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US363359A
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Ravel Vincent Marvin
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Ravel Vincent Marvin
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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

Dec. 2, 1941. v. M. RAVEL 2,264,679

SURGICAL INSTRUMENT Filed Oct. 29, 1940 [52202121 M Fave] WMM ,Z W

Patented Dec. 2, 1941 UNITED smres smear ()FFICE Application Oc-tcbcr 29, 1940, Serial No. 363,359

' (or. 12s 340) 5 Claims.

This invention pertains to surgical implements and is particularlydirected to a device for forming suture stitches to close surgical wounds.

One object of the invention is to provide an instrument for producing a plurality of Wound stitches in one stitching operation, to enable closing the entire wound in a single stitching op' eration. Pursuant to this object the instrument comprises a plurality of needles, each capable of forming one stitch. The several needles are arranged in a row, spaced apart equidistant, to produce a wound closure with uniformly arranged stitches.

Another object of the invention is to provide a single instrument for closing difierent wounds, of different lengths, requiring different numbers of stitches, and forming the stitches of a given wound in a single stitching operation. Pursuant to this object the instrument of the invention is adjustable to accommodate more or .less needles in accordance with the number of stitches required in a given wound.

It follows that the instrument of the present invention, capable of producing a plurality of stitches to close a wound in a single stitching operation, simplifies the wound closing operation, and enables the formation of an improved wound closure, in less time and with less discomfort to the patient. The instrument of the present invention is adjustable to be accommodated to difierent length wounds, and can be readily disassembled. The instrument, and its several elements are free from crevices, and is accordingly able to be readily cleaned and sterilized.

The instrument of the invention is adapted to produce a novel wound closure, comprising a plurality of stitches, the several stitches being produced by a single suture strand. The result is a wound closure which looks the discomfort of prior art wound closures, the stitches of which are removed more easily, and with less discomfort to the patient.

The various object and advantages of the invention will be more readily understood from the embodiment of the invention shown in the accompanying drawing, of which Figure l is a perspective View of the instrument of the invention;

Figure 2 is an elevation partly in section with :7 parts broken away for purposes of clearness of illustration;

Figure 3 shows a modified form of the needle of the invention;

Figure 4 shows the instrument of the invention in position ready for use;

Figure 5 is a View of the instrument of the invention in position at one stage in the operation of producing a wound closure;

Figure Gis .a view similar to Figure 5, showing the needle in position at a later stage in the formation of a closure;

Figure '7 shows the wound closure completed; and

Figure 8 is aperspective view showing the formation of the stitchin detail.

In the drawing the needle base is indicated generally at H and comprises a plurality of needle supporting members l2 which are detachably joined together'end to end by any suitable attaching means, such as the studs I3. The needle base H may be of any suitable shapeand in the practice of the invention shown, it is cylindrical in form so that, when the several members l2 are joined together, it comprises an elongated cylindrical base.

Each member I2 is adapted to support one or more needles I4 which are fixed to the base by any suitable attaching means, such as the screw threads IS. The needles project laterally from the side of the needl base, arranged in a row, and spaced apart along the back, preferably spaced apart equidistant, as shown in the drawing. The needles M are attached to the several members so positioned that throughout the length of the needle base I I, no matter how many members are joined together to comprise the base, the needles are spaced apart equidistant from each other.

This structure, it will be noted, enables the single instrument to produce a plurality of wound stitches in .a single operation of the instrument because all needles operate simultaneously with the single stitching operation of the instrument. Accordingly, under the preferred practice, the needles are made of equal length and are uniform in construction.

The needle base, as described and shown, is attached to the handle I6 by means of an intermediate attachment rod which spaces the needle base laterally away from the handle. The needle base is preferably joined to the attachment H by means of the stud 13 of the endmost member I? and the attachment I1 is accordingly equipped with a threaded hole to receive the stud l3.

The shank l8 of each needle may be straight, as illustrated in Figure 1, or the needles may be provided with curved shanks l8, as illustrated in Figure 3.

Each needle is provided with an eye l9 to receive a suture, the eye being located at the end- 29 c the shank, and in accordance with the preferred practice of the invention, the eye I9 is provided with a slot 20, which enables the suture to be removed from the eye without being drawn therethrough and without the necessity of cutting the suture. In the preferred practice of the invention, the eye comprises a pair of tines 2| spring pressed toward each other, which engage each other in face to face relationship at their ends along the line 22. The tines 2| meet to provide the needle point 30, adapted to be pricked through the skin of the patient to form the stitch.

Now referring to Figure 4 of the drawing, the instrument is employed in the following manner:

The base member I l is made the desired length by joining as many members l2 together as is required. Needles I4 are attached to the base member I l in the manner illustrated in Figure 4, and the suture 23 is threaded through the eyes of the several needles. The instrument is now ready to form the wound closing stitch. Assuming that the wound 24 is to be stitched, the instrument is positioned alongside the wound in the position illustrated in Figure 4. The instrument is then in position for its needles M to be projected through the wound carrying with it the suture 23. As illustrated in Figure 5, each needle it carries with it a bight 25 of the suture, and the bights project out of the wound together with the points 30 of the needles. ends 26 and 2! are now ready to be joined, but before they are tied one end 26 is threaded through each of the bights 25 in succession of the respective stitches formed by the respective needles. See Figure 6. The ends 26 and 21 are now knotted at 28 to complete the wound stitching. The instrument is thereupon retracted from the wound and the several bights 25 are slid out from between th tines 2| of the eyes l9, through the slots 20.

The accompanying disclosure constitutes one preferred embodiment of the invention. A number of modifications will occur to those skilled in The suture the art which will not depart from the spirit of the invention, the scope of the invention being determined by the scope of the accompanying claims.

I claim:

1. A wound stitching device comprising, a handle, a needle base carried by the handle, and a needle attached to one end to the base and having at its opposite end an eye, a piercing point in axial alinement with and located at the outer extremity of the eye and an opening leading outward from the eye through the piercing point.

2. A wound stitching device comprising, a handle, a needle base attached to the handle, and a plurality of needles attached to the needle base disposed longitudinally thereof and spaced apart equidistant, each needle having at one end an eye, a piercing point in axial alinement with and located at the outer extremity of the eye and an opening leading outward from the eye through the piercing point.

3. A wound stitching device comprising, a handle, a needle base attached to the handle, a plurality of needles attached to the needle base disposed longitudinally thereof and spaced apart equidistant, each needle having an eye at its outer end, a piercing point at the outer extremity of the eye and an opening extending outward from the eye and through the piercing point to permit escape of the suture therethrough.

4. A wound stitching device comprising, a needle including a shank and a point, the point comprising a pair of tines side by side and bowed to provide an eye, the said tines meeting at their ends to provide a piercing point.

5. A surgical needle comprising a shank having an end portion tapered to a point and provided with an eye lying adjacent to but in rear of the extremity of the point, and a cleft extending from the outer end of the eye through the extremity of the point in the line of the longitudinal axis of the needle.

VINCENT MARVIN RAVEL.

US363359A 1940-10-29 1940-10-29 Surgical instrument Expired - Lifetime US2264679A (en)

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Cited By (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3452755A (en) * 1966-03-15 1969-07-01 Sidney Mishkin Needle holder suturing instrument
US4644953A (en) * 1983-09-13 1987-02-24 Fritz Gegauf AG Bernina Nahmaschinen Fabrik Surgical instrument, more particularly hysterectomium
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5474543A (en) * 1993-05-17 1995-12-12 Mckay; Hunter A. Single needle apparatus and method for performing retropublic urethropexy
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
US6607541B1 (en) 1998-06-03 2003-08-19 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
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
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
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
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
US8702730B2 (en) * 2012-01-11 2014-04-22 Edgar Louis Shriver Intravascular suturing device for simultaneously placing 3-7 sutures with ideal spacing to close large openings in vessels including calfified
US8936611B2 (en) 2010-05-27 2015-01-20 Raptor Surgical, LLC Apparatus and methods for achilles tendon repair
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9017347B2 (en) 2011-12-22 2015-04-28 Edwards Lifesciences Corporation Suture clip deployment devices
US9173654B2 (en) 2012-12-11 2015-11-03 Raptor Surgical, LLC System for tissue repair
US9289205B2 (en) 2012-12-11 2016-03-22 Raptor Surgical, LLC Systems for soft tissue repair
US9498202B2 (en) 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
US9592047B2 (en) 2012-12-21 2017-03-14 Edwards Lifesciences Corporation System for securing sutures
US9592048B2 (en) 2013-07-11 2017-03-14 Edwards Lifesciences Corporation Knotless suture fastener installation system
US10016193B2 (en) 2013-11-18 2018-07-10 Edwards Lifesciences Ag Multiple-firing crimp device and methods for using and manufacturing same
US10188383B2 (en) 2013-07-09 2019-01-29 Edwards Lifesciences Corporation Suture clip deployment devices

Cited By (57)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3452755A (en) * 1966-03-15 1969-07-01 Sidney Mishkin Needle holder suturing instrument
US4644953A (en) * 1983-09-13 1987-02-24 Fritz Gegauf AG Bernina Nahmaschinen Fabrik Surgical instrument, more particularly hysterectomium
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5474565A (en) * 1992-07-16 1995-12-12 Linvatec Corporation Endoscopic suturing needle
US5474543A (en) * 1993-05-17 1995-12-12 Mckay; Hunter A. Single needle apparatus and method for performing retropublic urethropexy
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US6607541B1 (en) 1998-06-03 2003-08-19 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US7892255B2 (en) 1999-03-01 2011-02-22 Medtronic, Inc. Tissue connector apparatus and methods
US8353921B2 (en) 1999-03-01 2013-01-15 Medtronic, Inc Tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US6960221B2 (en) 1999-03-01 2005-11-01 Medtronic, Inc. Tissue connector apparatus with cable release
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
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US7914544B2 (en) 2000-10-10 2011-03-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair 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
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8298251B2 (en) 2002-10-04 2012-10-30 Medtronic, Inc. Anastomosis apparatus and methods
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US7182769B2 (en) 2003-07-25 2007-02-27 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
US9999422B2 (en) 2010-05-27 2018-06-19 Howmedica Osteonics Corp. Apparatus and methods for achilles tendon repair
US8936611B2 (en) 2010-05-27 2015-01-20 Raptor Surgical, LLC Apparatus and methods for achilles tendon repair
US10245037B2 (en) 2011-12-07 2019-04-02 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9668739B2 (en) 2011-12-07 2017-06-06 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9017347B2 (en) 2011-12-22 2015-04-28 Edwards Lifesciences Corporation Suture clip deployment devices
US9414837B2 (en) 2011-12-22 2016-08-16 Edwards Lifesciences Corporation Suture clip deployment devices
US9549730B2 (en) 2011-12-22 2017-01-24 Edwards Lifesciences Corporation Suture clip deployment devices
US8702730B2 (en) * 2012-01-11 2014-04-22 Edgar Louis Shriver Intravascular suturing device for simultaneously placing 3-7 sutures with ideal spacing to close large openings in vessels including calfified
US9498202B2 (en) 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
USRE47209E1 (en) 2012-07-10 2019-01-22 Edwards Lifesciences Corporation Suture securement devices
US9173654B2 (en) 2012-12-11 2015-11-03 Raptor Surgical, LLC System for tissue repair
US9289205B2 (en) 2012-12-11 2016-03-22 Raptor Surgical, LLC Systems for soft tissue repair
US9592047B2 (en) 2012-12-21 2017-03-14 Edwards Lifesciences Corporation System for securing sutures
US10188383B2 (en) 2013-07-09 2019-01-29 Edwards Lifesciences Corporation Suture clip deployment devices
US9592048B2 (en) 2013-07-11 2017-03-14 Edwards Lifesciences Corporation Knotless suture fastener installation system
US10016193B2 (en) 2013-11-18 2018-07-10 Edwards Lifesciences Ag Multiple-firing crimp device and methods for using and manufacturing same

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