US2438131A - Manufacture of sutures - Google Patents

Manufacture of sutures Download PDF

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US2438131A
US2438131A US612464A US61246445A US2438131A US 2438131 A US2438131 A US 2438131A US 612464 A US612464 A US 612464A US 61246445 A US61246445 A US 61246445A US 2438131 A US2438131 A US 2438131A
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Prior art keywords
casings
casing
ribbon
water
gut
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US612464A
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Theodore R Selby
Lyman L Campbell
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Wilson and Co Inc
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Wilson and Co Inc
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Priority to US612464A priority Critical patent/US2438131A/en
Priority to US670189A priority patent/US2441601A/en
Priority to US70411046 priority patent/US2468034A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06At least partially resorbable materials
    • A61L17/08At least partially resorbable materials of animal origin, e.g. catgut, collagen

Definitions

  • This invention relates to the manufacture of sutures and particularly to the formation of continuous sutures in a small number of individual strands of split casings.
  • the casings are split longitudinally, the smooth side splits of the casings are selected which curl inwardly at the edges, the casings are provided with an evenly distributed amount of water, the casings are subjected to pressure such that the water therein is squeezed laterally outward to force the easing into a flat surface, the amount of residual water being such as to leave the casing in its natural adhesive state, make-up strands are very slightly overlapped at the termination of each strand, the flattened casings are rolled into a spiral, the spiral is flattened, the flattened spiral is again curled and is then passed through a sizing die and twisted to final condition, all of this occurring while the casings retain plasticity.
  • Fig. l is a side elevation of a preferred form of apparatus
  • Fig. 2 is a plan view thereof
  • Fig. 3a is a side elevation partly in section of the central portion of the structure shown in Fig. 1
  • Fig. 3b is a side elevation of the spinner
  • Fig. 4 is a plan view, partly broken away, of the structure shown in Fig. 3a
  • Fig. 5 is a plan view of the spinner
  • Fig. 6 is a sectional view taken along the line 6-6 in Fig. 3b
  • Fig. 7 is a sectional view taken along the line 'l-'
  • (and Figs. 8 to 16 inclusive are diagrammatic views in the nature of a flow sheet illustrating the progress of I the formation of the.
  • FIG. 8 is a plan view illustrating from left to right the arrangement of the original casings, the flattening of'the casings, and the spiraling thereof;
  • Fig. 9 is a continuation of Fig. 8 showing from left to right the spiral casing, the flattened spiral,
  • Fig. 10 continues from Fig. 9 and shows the final cord first in an untwisted and then in a twisted form;
  • Fig. 11 is a sectional view on the line ll-ll in Fig. -8;
  • Fig. 12 is a similar view along the line l2--l2 in Fig. 8;
  • Fig. 13 is a similarv view along the line Iii-l3 in Fig. 8;
  • Fig. 14 is a similar view along the line I4I4 in Fig. 9;
  • Fig. 15 is a similar view along the line l5l5 in Fig. 9; and
  • Fig. 16 is a similar view along the line I6--l6 in Fig. 10, but in this case the forming rolls have also been added in the illustration.
  • the invention is perhaps best described by briefly referring to Figs. 8 to 16 before describing the apparatus.
  • the individual casings 20,- 20a and 20b which have been split and are uniformly supplied with moisture, have the form shown in Fig. 11 with the edges curled inwardly.
  • These strands are arranged side by side in parallel relationship. When one strand ends, a new strand overlaps it, as shown where 20b overlaps strand 200.
  • These strands need not be supplied immediately on top of the previous strand but may be supplied side by side.
  • strand 20b could be placed above strand 20. It will be secured to the other strands when it is rolled and pressed, as shown in the succeed- Generally, however, one strand will be placed over the end of another, as shown in Fig. 8.
  • the amount of overlap is very small. normally about inch.
  • the strands are then pressed, during which pressing the water is forced outwardly and strains the strands into the form shown in Fig. 12.
  • strands are placed so that the edges overlap longitudinally as indicated, for example, at 2
  • the composite sheet 22 thus formed is rolled into the spiral 23 shown in Fig. 13, and this spiral is then pressed into a ribbon 24 shown in Fig. 14, and in Fig. 9.
  • This ribbon is then again curled, as shown in Figs. 9 and 15, into a coil 25 and this coil is then passed through a sizing dieto form a cylindrical string or cord 26, as shown in Figs. 9, 10
  • the apparatus for carrying out these steps is preferably of the form shown in Figs. 1 to '7,
  • the split casings are brought to the equalizing bath along the conveyor belt 30 which is suitably of canvas.
  • the casings are drawn onto this belt from a soakin bath in which they have been immersed so as to have substantially maximum moisture content. and at a suitable pH for maximum adhesiveness.
  • the withdrawal of casings from such a bath in the normal manner may provide an unequal amount of moisture in some parts of the casing and it is, therefore, preferred to pass the casings to the equalizing bath.
  • Such a bath is shown at 3
  • belts 30 and 32 are relatively close together so that the individual casing will, except for a short interval at the beginning and at the end thereof, be carried by both belts 30 and 32 while a loop thereof is submerged in the bath 3
  • the casings are arranged on the belt 32 substantially as shown at the left side of Fig. 8. As before stated, when a casing reaches the end,
  • the operator places a new casing in parallel relationship to the others (and to the first if desired), and slightly overlapping the end of the first casing.
  • the casings are then passed to the rolls 35 and 33.
  • One of the rolls 35 is cloth coated, the cloth being thick enough to absorb a substantial quan-. tity of water.
  • the bottom roll Preferably this is the bottom roll.
  • the other roll is a metal roll, preferably steel. The rolls are pressed together in any suitable fashion. Under the pressure, the water content in the casing is squeezed laterally and forces the edges of the casing outwardly into overlapping position, as indicated in Fig. 8.
  • the ribbon 22 so formed is then passed between the'vertical axis rollers 33 and 39 which roll it into a spiral 23 shown in Fig. 8. This spiral then passes to the horizontal rolls I0 and ll which flatten it into the ribbon or tape 24, shown in Fig. 14. This multi-ply tape is then passed between vertical rollers 42 and 43 and rolled into the coil 25.
  • This coil then passes through the rollers 44 and 45 which are grooved to form a circular central opening 46, as indicated in Fig. 16, which acts as a sizing die to form the circular cylindrical cord 26.
  • the casing still retains plasticity by reason of its moisture content.
  • the cord 26 is then twisted while still plastic to equalize the tension and avoid separation of the strands under subsequent operations. While spun, it is stretched progressively about 5% to 7%, after which it is spooled.
  • the spinning device is illustrated somewhat diagrammatically in Figs. 3b, 5, 6 and 7.
  • the cord enters the device through the hollow shaft 50, and is drawn therefrom over the pulley 5
  • These drums are slightly tapered outwardly from left to right to provide the stretch hereinbefore described.
  • the direction of movement of the shaft is indicated in Fig. 6, being clockwise as viewed therein. Both of the drums rotate counterclockwise but the spider 51 upon which the drums are mounted rotates clockwise. From the drums the twisted cord is fed over the pulley 55 to the spool 33.
  • the drums 52 and 53 are carried on spiders 51 and 53. These are driven by the gears 59 and 60 which in turn are driven by the sleeve gear 6
  • the length of the drums 52 and 53 is such as to permit a suture to dry from a plastic to a nonplastic state in passage thereover, and, as already pointed out, during this period the cord is stretched from 5% to 7%.
  • the shaft 50, the drums 52 and 53, the spiders 51 and 58, and the spool 56 may all be driven by the motor 62 which has a driving connection with the gear 63 and which in turn drives gear El mounted directly on the shaft. It is also in driving connection with gear 65 which drives gear 66 through an idler. Gear 66 is mounted on a sleeve 81 carrying the gear 6
  • the method of forming a continuous gut string which comprises moistening a split casing, pressing the casing to extrude water laterally therefrom and thereby spread the normally curling edges of the casing, overlapping make-up gut a small distance at the end of the first mentioned casing while both are in a fiat ribbon form. curling the composite ribbon into a longitudinal spiral, pressing the spiral into a narrower tape than the original ribbon, curling the tape, forming it into a substantially cylindrical body, and twisting the cylindrical body while still plastic from moisture.
  • the method of treating gut which comprises splitting agut longitudinally while moist whereby the edges of the gut curl inwardly, supplying moisture thereto substantially equally throughout the casing, then expressing water therefrom laterally to produce a flat gut ribbon, and during such expressing step bringing a plurality of split casings into overlapping position whereby the casings are secured together by the natural adhesiveness thereof.
  • the method of treating gut which comprises splitting a gut longitudinally while moist whereby the edges of the gut curl inwardly, supplying moisture thereto substantially equally throughout the casing, then expressing water therefrom laterally to produce a flat gut ribbon, and during such expressing step laying a plurality of gut casings in parallel side by side relationship, said pluralityvof casings being so spaced that at the conclusion of the moisture expressing step the adjacent edges of the split casings will overlapto form a ribbon.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Materials Engineering (AREA)
  • Zoology (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ropes Or Cables (AREA)

Description

Mamh 1948. 1', R. SELBY ET AL MANUFACTURE OF SUTURES Filed Aug. 24, 1945 5 Sheets-Sheet 1 T. R. SELBY ET AL.
MANUFACTURE SUTURES March 23, 1948.
Filed Aug. 24, 1945 5 Sheets-Sheet 2 Z5 if? TQR. SELBY ET AL 2,438,131
MANUFACTURE OF SUTURES Filed Aug. 24, 1945 SSheets-Sheet 3 T. R. SELBY ET AL MNUFACTURE 0F SUTURES Filed Aug. 24, 1945 5 Sheets-Sheet 4 Mwdb 23., 8. T. R. SELBY ET A].
WUFACTURE OF SUTURES Filed Aug. 24, 1945 5 Sheets-Sheet. 5
, JeZ
27/6009)?- Jz maxi Cazgv e Z W/Wi W J,
Patented Mar. 23, 1948 MANUFACTURE or surpass Theodore B. Selby and Lyman 1.. Campbell, Chlcago, 111., assignors to Wilson & Company, Inc., a corporation of Delaware Application August 24. 1945, Serial No. 612,464
7 Claims. (Cl. 57-164) This invention relates to the manufacture of sutures and particularly to the formation of continuous sutures in a small number of individual strands of split casings.
The present practice in the manufacture of sutures having a small number of individual strands is to make up individual lengths of material, which lengths of course are limited by the length of the casings employed. In the manufacture of a continuous suture of this type, for example by the process described in Selby application Serial No. 536,055, filed May 17, 1944, now Patent No. 2,391,483, dated December 25,- 1945, the dimculty encountered is that the feeding of a makeup strand to the string materially increases the diameter at the point of overlap and this increase is sufficient to eliminate the string for the finest type of suture work. Likewise loose ends of material are likely to project from the string when following the Selby method, which ends are of no importance for most work but are undesirable for certain types of operations.
The present product, method, and apparatus eliminate these difficulties. This is particularly true with strings or sutures in which normally only three strands of casing are employed.
In accordance with this invention the casings are split longitudinally, the smooth side splits of the casings are selected which curl inwardly at the edges, the casings are provided with an evenly distributed amount of water, the casings are subjected to pressure such that the water therein is squeezed laterally outward to force the easing into a flat surface, the amount of residual water being such as to leave the casing in its natural adhesive state, make-up strands are very slightly overlapped at the termination of each strand, the flattened casings are rolled into a spiral, the spiral is flattened, the flattened spiral is again curled and is then passed through a sizing die and twisted to final condition, all of this occurring while the casings retain plasticity.
The invention is illustrated in the drawings, in which Fig. l is a side elevation of a preferred form of apparatus; Fig. 2 is a plan view thereof; Fig. 3a is a side elevation partly in section of the central portion of the structure shown in Fig. 1; Fig. 3b is a side elevation of the spinner; Fig. 4 is a plan view, partly broken away, of the structure shown in Fig. 3a; Fig. 5 is a plan view of the spinner; Fig. 6 is a sectional view taken along the line 6-6 in Fig. 3b; Fig. 7 is a sectional view taken along the line 'l-'| in Fig. 3b; (and Figs. 8 to 16 inclusive are diagrammatic views in the nature of a flow sheet illustrating the progress of I the formation of the.
' ing operations.
finished suture); Fig. 8 is a plan view illustrating from left to right the arrangement of the original casings, the flattening of'the casings, and the spiraling thereof; Fig. 9 is a continuation of Fig. 8 showing from left to right the spiral casing, the flattened spiral,
a curled spiral, and the final cord or string; Fig. 10 continues from Fig. 9 and shows the final cord first in an untwisted and then in a twisted form; Fig. 11 is a sectional view on the line ll-ll in Fig. -8; Fig. 12 is a similar view along the line l2--l2 in Fig. 8; Fig. 13 is a similarv view along the line Iii-l3 in Fig. 8; Fig. 14 is a similar view along the line I4I4 in Fig. 9; Fig. 15 is a similar view along the line l5l5 in Fig. 9; and Fig. 16 is a similar view along the line I6--l6 in Fig. 10, but in this case the forming rolls have also been added in the illustration.
The invention is perhaps best described by briefly referring to Figs. 8 to 16 before describing the apparatus. As there shown, the individual casings 20,- 20a and 20b which have been split and are uniformly supplied with moisture, have the form shown in Fig. 11 with the edges curled inwardly. These strands are arranged side by side in parallel relationship. When one strand ends, a new strand overlaps it, as shown where 20b overlaps strand 200. These strands need not be supplied immediately on top of the previous strand but may be supplied side by side. For example, strand 20b could be placed above strand 20. It will be secured to the other strands when it is rolled and pressed, as shown in the succeed- Generally, however, one strand will be placed over the end of another, as shown in Fig. 8. The amount of overlap is very small. normally about inch.
. The strands are then pressed, during which pressing the water is forced outwardly and strains the strands into the form shown in Fig. 12. The
strands are placed so that the edges overlap longitudinally as indicated, for example, at 2|. The composite sheet 22 thus formed is rolled into the spiral 23 shown in Fig. 13, and this spiral is then pressed into a ribbon 24 shown in Fig. 14, and in Fig. 9. This ribbon is then again curled, as shown in Figs. 9 and 15, into a coil 25 and this coil is then passed through a sizing dieto form a cylindrical string or cord 26, as shown in Figs. 9, 10
and 16; and this cord is then twisted as shown 'in Fig. 10 to form the final suture 21.
The apparatus for carrying out these steps is preferably of the form shown in Figs. 1 to '7,
inclusive. This includes a primary conveyor belt 30 which brings the individually split casings to the equalizing water bath 3| from which the casings are drawn onto the secondary conveyor belt 32. It will be noted that the lip of the equalizing bath 3| immediately abuts the conveyor belt 32. This is designed so that the water level at which the casings are placed will not be materially below the pickup edge of the belt. This reduces almost to zero the strain on the casing which otherwise would be different at different stages of withdrawal from the bath. The water content of the casing, is, therefore, substantially equalized throughout its length. Referring further to Figs. 1 and 2, the casings are then passed to the forming section 33 and then to the spinning section 34 and the spooling section 35.
Referring to Figs. 3a and 4, the split casings are brought to the equalizing bath along the conveyor belt 30 which is suitably of canvas. The casings are drawn onto this belt from a soakin bath in which they have been immersed so as to have substantially maximum moisture content. and at a suitable pH for maximum adhesiveness. The withdrawal of casings from such a bath in the normal manner may provide an unequal amount of moisture in some parts of the casing and it is, therefore, preferred to pass the casings to the equalizing bath. Such a bath is shown at 3|. the casings passing into that bath from the conveyor 30. In this bath any portions of the casing which are deficient in water recover the deficiency and are then passed to the secondary conveyor belt 32 which is so positioned as to put substantially no stress or strain on the casings.
It will be observed that belts 30 and 32 are relatively close together so that the individual casing will, except for a short interval at the beginning and at the end thereof, be carried by both belts 30 and 32 while a loop thereof is submerged in the bath 3|.
The casings are arranged on the belt 32 substantially as shown at the left side of Fig. 8. As before stated, when a casing reaches the end,
the operator places a new casing in parallel relationship to the others (and to the first if desired), and slightly overlapping the end of the first casing.
The casings are then passed to the rolls 35 and 33. One of the rolls 35 is cloth coated, the cloth being thick enough to absorb a substantial quan-. tity of water. Preferably this is the bottom roll. The other roll is a metal roll, preferably steel. The rolls are pressed together in any suitable fashion. Under the pressure, the water content in the casing is squeezed laterally and forces the edges of the casing outwardly into overlapping position, as indicated in Fig. 8.
In this position the overlapping casings stick together to form a ribbon. Water dripping from the rolls may be caught in the pan 31. It is probably not necessary to explain that the water does not pass through the casing but is forced out at the edges thereof. The cloth absorbs water and the upcoming side thereof actually supplies moisture to the casings, thus having a slight tendency to overcome any inequality in moisture distribution. This tendency is more pronounced if the cloth is above rather than below the casings. in
, which case the moisture supplying edge is the,
downcoming edge.
The ribbon 22 so formed is then passed between the'vertical axis rollers 33 and 39 which roll it into a spiral 23 shown in Fig. 8. This spiral then passes to the horizontal rolls I0 and ll which flatten it into the ribbon or tape 24, shown in Fig. 14. This multi-ply tape is then passed between vertical rollers 42 and 43 and rolled into the coil 25.
This coil then passes through the rollers 44 and 45 which are grooved to form a circular central opening 46, as indicated in Fig. 16, which acts as a sizing die to form the circular cylindrical cord 26. At this stage the casing still retains plasticity by reason of its moisture content.
The cord 26 is then twisted while still plastic to equalize the tension and avoid separation of the strands under subsequent operations. While spun, it is stretched progressively about 5% to 7%, after which it is spooled.
The spinning device is illustrated somewhat diagrammatically in Figs. 3b, 5, 6 and 7. The cord enters the device through the hollow shaft 50, and is drawn therefrom over the pulley 5| onto the drums 52. These drums are slightly tapered outwardly from left to right to provide the stretch hereinbefore described. The direction of movement of the shaft is indicated in Fig. 6, being clockwise as viewed therein. Both of the drums rotate counterclockwise but the spider 51 upon which the drums are mounted rotates clockwise. From the drums the twisted cord is fed over the pulley 55 to the spool 33.
The drums 52 and 53 are carried on spiders 51 and 53. These are driven by the gears 59 and 60 which in turn are driven by the sleeve gear 6|. By changing the gear ratios of 59, 60 and Si the amount of forward feed of the suture relative to the number of twists may be adjusted. Normally from two to eight twists per inch are provided.
The length of the drums 52 and 53 is such as to permit a suture to dry from a plastic to a nonplastic state in passage thereover, and, as already pointed out, during this period the cord is stretched from 5% to 7%.
The shaft 50, the drums 52 and 53, the spiders 51 and 58, and the spool 56 may all be driven by the motor 62 which has a driving connection with the gear 63 and which in turn drives gear El mounted directly on the shaft. It is also in driving connection with gear 65 which drives gear 66 through an idler. Gear 66 is mounted on a sleeve 81 carrying the gear 6|.
The foregoing detailed description has been given for clearness of understanding only, and no unnecessary limitations should be understood therefrom.
What we claim as new and desire to secure by Letters Patent is:
1. The method of forming a continuous gut string which comprises moistening a split casing, pressing the casing to extrude water laterally therefrom and thereby spread the normally curling edges of the casing, overlapping make-up gut a small distance at the end of the first mentioned casing while both are in a fiat ribbon form. curling the composite ribbon into a longitudinal spiral, pressing the spiral into a narrower tape than the original ribbon, curling the tape, forming it into a substantially cylindrical body, and twisting the cylindrical body while still plastic from moisture.
2. The method of forming a. continuous gut string which comprises moistening a split casing, pressing the casing to extrude water laterally therefrom and thereby spread the normally curling edges of the casing, overlapping make-up gut a small distance at the end of the first mentioned casing while both are in flat ribbon form, curling the composite ribbon into a longitudinal spiral, pressing the spiral into a narunder tension.
rower tape than the original ribbon, curling the tape, forming it into a substantially cylindrical body, twisting the cylindrical body while still plastic from moisture, and drying the twisted gut 3. The method as set forth in claim 1, in which a pluralitywf casings is positioned side by side in parallel relation prior to the water expressing step, the edges of the casings being in position to overlap after the water expressing step.
4. The method of treating gut which comprises splitting agut longitudinally while moist whereby the edges of the gut curl inwardly, supplying moisture thereto substantially equally throughout the casing, then expressing water therefrom laterally to produce a flat gut ribbon, and during such expressing step bringing a plurality of split casings into overlapping position whereby the casings are secured together by the natural adhesiveness thereof.
5. The method of treating gut which comprises splitting a gut longitudinally while moist whereby the edges of the gut curl inwardly, supplying moisture thereto substantially equally throughout the casing, then expressing water therefrom laterally to produce a flat gut ribbon, and during such expressing step laying a plurality of gut casings in parallel side by side relationship, said pluralityvof casings being so spaced that at the conclusion of the moisture expressing step the adjacent edges of the split casings will overlapto form a ribbon.
6. The method as set forth in claim 5 in which the ribbon is then folded and pressed into a narrower and thicker tape and the tape is rounded into a cylinder, all while the gut retains sufficient moisture to render it plastic.
7. The method as set forth in claim 5 in which the ribbon is then folded and pressed into a narrower and thicker tape, the tape is rounded into a cylinder, all while the gut retains sufficient moisture to render it plastic, and the cylindrical body so formed is twisted under tension and dried under such tension to a non-plastic state.
THEODORE R. SELBY. LYMAN L. CAMPBELL.
REFERENCES CITED The following references are of record in the file of this patent:
US612464A 1945-08-24 1945-08-24 Manufacture of sutures Expired - Lifetime US2438131A (en)

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Application Number Priority Date Filing Date Title
US612464A US2438131A (en) 1945-08-24 1945-08-24 Manufacture of sutures
US670189A US2441601A (en) 1945-08-24 1946-05-16 Suture making apparatus
US70411046 US2468034A (en) 1945-08-24 1946-10-18 Suture

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US612464A US2438131A (en) 1945-08-24 1945-08-24 Manufacture of sutures

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3247660A (en) * 1963-05-21 1966-04-26 Ethicon Inc Process and apparatus for making strings of animal gut

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE272218C (en) *
DE316004C (en) *
US1777568A (en) * 1928-05-14 1930-10-07 Suer Fred V La Wringer guard
US2039263A (en) * 1933-02-11 1936-04-28 Koninklijke Pharma Fab Nv Process for the manufacture of bands, threads, and the like
US2391483A (en) * 1944-05-17 1945-12-25 Wilson & Co Inc Method of forming continuous strands of animal intestines

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE272218C (en) *
DE316004C (en) *
US1777568A (en) * 1928-05-14 1930-10-07 Suer Fred V La Wringer guard
US2039263A (en) * 1933-02-11 1936-04-28 Koninklijke Pharma Fab Nv Process for the manufacture of bands, threads, and the like
US2391483A (en) * 1944-05-17 1945-12-25 Wilson & Co Inc Method of forming continuous strands of animal intestines

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3247660A (en) * 1963-05-21 1966-04-26 Ethicon Inc Process and apparatus for making strings of animal gut

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