US3095877A - Surgical packing - Google Patents

Surgical packing Download PDF

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Publication number
US3095877A
US3095877A US10672261A US3095877A US 3095877 A US3095877 A US 3095877A US 10672261 A US10672261 A US 10672261A US 3095877 A US3095877 A US 3095877A
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Prior art keywords
packing
thread
surgical
invention
prostatic
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Robert L Rowan
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Robert L Rowan
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/36Surgical swabs, e.g. for absorbency or packing body cavities during surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00463Plasters use haemostatic

Description

July 2, 1963 R. L. ROWAN SURGICAL PACKING Filed May 1, 1961 INVENTOR F 55;??- L. 7P0 wnlv UM 0 m ATTORNEY 3,095,877 SURGKCAL PACKENG Robert L. Rowan, 141 E. 33rd St, New York 16, NY. Filed May 1, 1961, Ser. No. 106,722 7 (Ilairns. (61. 128-260) This invention relates generally to a hemostatic packing for deep wounds and is more particularly concerned with a packing of the pro-static fossa after the removal of the prostate in an operation called prostatectomy.

The packing forming part of this invention can be advantageously used in a prostatectomy. In this type of an operation, the surgeon removes the portion of the prostate which constitutes the growth of a tumor. The removed part varies in size from that of a small marble to that of a large orange. The precise medical terminology for this operation is removal of benign prostatic hypertrophy.

A prostatectomy results in heavy bleeding and the danger of a serious hemorrhage is generally present during this type of operation.

Many types of packing to control bleeding have been used heretofore after the removal of the prostate gland to facilitate hemostasis none of which have really proven satisfactory. For instance, it was customary to use packing of guaZe-like bandages or rubber sheets. This type of packing often disintegrated in the wound, leaving residues in the prostatic bed after the packing was removed. Some of these residues had later to be removed surgically.

More recently, :a cone of body liquid-digestible starch has been used for packing the prostatic fossa. This type of packing has the disadvantage that the length of stay of the cone in the wound and therefore its effective use as a packing, cannot be controlled. Furthermore, the size of the starch cone cannot be varied to fit the prostatic fossa.

It is a general object of this invention to provide a hemostatic packing that overcomes the aforementioned disadvantages.

It is another object of this invention to provide a hemosta-tic packing of variable size and made of resilient material, so that it may be easily handled when being placed into a wound and can be used in conjunction with difierent types of wounds.

The novel features which are considered as characteristic for the invention are set forth in particular in the appended claims. The invention itself, however, both as to its construction and its method of operation, together with additional objects and advantages thereof, will be best understood from the following description when read in connection with the accompanying drawings, in which:

FIG. 1 is a sectional view of a male human body, on which a prostatectomy has been performed and the prostatic fossa has been packed with the packing forming part of this invention;

FIG. 2. is a plan view of a string of the packing showing one of the absorbent balls in section.

Referring now to the drawings in FIG. 1, the abdominal wall is cut transversely about four inches above the pubic bone 2. The incision is deepened until the muscles 1 of the abdomen are reached. The muscles 1 are separated so as to expose the underlying urinary bladder 3. The surgeon cuts the bladder 3 open (as illustrated in FIG. 1) and then insert his right hand into the bladder cavity 4a and with the index finger forcibly shells out the prostatic tumor. The area from which the prostate is removed is called the prostatic fossa 4. This area begins to bleed heavily after the prostate has been removed. The hemostatic packing forming part of this invention can then be conveniently inserted into the fossa, thereby first reducing and then stopping the bleeding.

This hemostatic packing comprises a thread 6, prefer- 3,995,877 Patented july 2., 1963 ice ably made of nylon which is a body-liquid-non-digestible material or the like. The thread 6 may be either solid or hollow. A plurality of equally spaced balls 5 are centrally secured to the thread 6. The balls 5 are made of absorbent material and are approximately half an inch in diameter. The following is a list of some of the materials suitable for the manufacture of the new prostatic packing:

Urethane foam Latex Polyester Polyether Vinyl Sponge rubber Tex foams Foam rubber Natural sponge The balls 5 are preferably covered with topical thronibin, a sterile hemostatic powder obtained from bovine plasma. This substance clots the blood by acting directly on fibr-inogen thereby speeding up the stoppage of the bleeding.

The packing may be left in the wound as long as it is necessary for the blood clot to form. The internal wound, as for instance the prostatic fossa in 1a prostatect-omy, may be fed medicinal solutions through the hollow nylon thread 6 while the packing remains in the wound. A portion of the nylon thread 6- is always left outside the Wounds so that the packing may be easily removed without causing a restarting of the bleeding by manually pulling the packing out.

Although the present invention has been described in conjunction with a prostatectomy, it is to be understood that this type of packing may be used with all kinds of wounds and with all kinds of surgical operations, without departing from the spirit and scope of this invention, as those skilled in the art will readily understand. Such modifications and variations are considered to be within the purview and scope of the invention and appended claims.

What is claimed is:

1. A surgical packing comprising a hollow nylon thread, a plurality of absorbent balls centrally secured to said thread in spaced relationship to each other.

2. A surgical packing as set forth in claim 1, wherein said absonbant balls consist of sponge rubber.

3. A surgical packing as set forth in claim 1, wherein said absorbent balls consist of foam rubber.

4. A surgical packing as set forth in claim 1, wherein said absorbent balls consist of natural sponge.

5. A surgical packing comprising a hollow thread of body-liquidmon-digestible material, a plurality of absorbent members secured to said thread in spaced relationship to each other.

6. A surgical packing comprising a hollow thread of plastic body-liquid-non-digestible material, a plurality of absorbent members secured to said thread in spaced relationship to each other, said absorbent members being treated with a sterile hemostatic powder.

7. A surgical packing comprising a hollow thread of plastic material and a plurality of absorbent members secured to said thread in spaced relationship to each other.

References Cited in the file of this patent UNITED STATES PATENTS

Claims (1)

1. A SURGICAL PACKING COMPRISING A HOLLOW NYLON THREAD, A PLURALITY OF ABSORBENT BALLS CENTRALLY SECURED TO SAID THREAD IN SPACED RELATIONSHIP TO EACH OTHER.
US3095877A 1961-05-01 1961-05-01 Surgical packing Expired - Lifetime US3095877A (en)

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Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3630202A (en) * 1969-10-03 1971-12-28 Sidney Robert Small System for handling surgical sponges
US3638655A (en) * 1970-05-18 1972-02-01 George O Doherty Intubation tubes
US3736935A (en) * 1971-02-17 1973-06-05 Codman & Shurtleff Surgical sponge
US3777755A (en) * 1972-03-27 1973-12-11 H Groves Suppository
US3941132A (en) * 1974-11-27 1976-03-02 Arlene Lenaghan Interconnected surgical sponges
US3991760A (en) * 1975-12-02 1976-11-16 The Procter & Gamble Company Vaginal medicament dispensing means
US3995633A (en) * 1975-12-02 1976-12-07 The Procter & Gamble Company Vaginal Medicament dispensing device
US4120299A (en) * 1976-04-23 1978-10-17 Russo Joseph J Snore-prevention article and process for manufacturing the same
US4168708A (en) * 1977-04-20 1979-09-25 Medical Engineering Corp. Blood vessel occlusion means suitable for use in anastomosis
US4364377A (en) * 1979-02-02 1982-12-21 Walker Scientific, Inc. Magnetic field hemostasis
EP0540682A1 (en) * 1990-07-24 1993-05-12 YOON, InBae Multifunctional devices for endoscopic surgical procedures
EP0575090A1 (en) * 1992-06-10 1993-12-22 JOHNSON & JOHNSON MEDICAL, INC. Product suitable for absorbing wound exudate
US5451204A (en) * 1988-07-22 1995-09-19 Yoon; Inbae Multifunctional devices for endoscopic surgical procedures
FR2735354A1 (en) * 1995-06-13 1996-12-20 Perouse Implant Lab Breast prosthesis
US5716337A (en) * 1992-06-10 1998-02-10 Johnson & Johnson Medical, Inc. Absorbent product
US5827215A (en) * 1990-07-24 1998-10-27 Yoon; Inbae Packing device for endoscopic procedures
GB2376632A (en) * 2001-06-21 2002-12-24 Johnson & Johnson Medical Ltd Removable cavity wound dressings
EP1286622A2 (en) * 2000-06-06 2003-03-05 Sarcos LC Embolic device composed of a linear sequence of miniature beads
US6692510B2 (en) 2001-06-14 2004-02-17 Cordis Neurovascular, Inc. Aneurysm embolization device and deployment system
US20070185468A1 (en) * 2005-10-19 2007-08-09 Prywes Arnold S Method for fluid control in medical applications
US20080188819A1 (en) * 2006-07-07 2008-08-07 Kloke Tim M Beaded Wound Spacer Device
WO2008135551A2 (en) * 2007-05-03 2008-11-13 Coloplast A/S A filler with controlled absorption swell for wound bed cavity
US20090112249A1 (en) * 2007-10-19 2009-04-30 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20090202609A1 (en) * 2008-01-06 2009-08-13 Keough Steven J Medical device with coating composition
US20100228285A1 (en) * 2009-01-08 2010-09-09 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20100324587A1 (en) * 2009-06-17 2010-12-23 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20110034906A1 (en) * 2009-08-05 2011-02-10 Tyco Healthcare Group Lp Surgical Wound Dressing Incorporating Connected Hydrogel Beads Having an Embedded Electrode Therein
US20140180229A1 (en) * 2012-10-16 2014-06-26 Surmodics, Inc. Wound packing device and methods
US9351716B2 (en) 2009-06-17 2016-05-31 Coherex Medical, Inc. Medical device and delivery system for modification of left atrial appendage and methods thereof
US9649115B2 (en) 2009-06-17 2017-05-16 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9693781B2 (en) 2009-06-17 2017-07-04 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US10064628B2 (en) 2009-06-17 2018-09-04 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US515367A (en) * 1894-02-27 Surgical tourniquet
US1561020A (en) * 1922-07-25 1925-11-10 Arthur H Smith Frectal tampon
US1997467A (en) * 1931-12-29 1935-04-09 Johnson & Johnson Method and product for selective conversion articles
FR949237A (en) * 1947-06-18 1949-08-24 conditioning mode liquid nail polish
US2898913A (en) * 1954-08-24 1959-08-11 Panray Corp Surgical device
US2981264A (en) * 1959-06-22 1961-04-25 Felice Aurelius F De Dental cleaner massager

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US515367A (en) * 1894-02-27 Surgical tourniquet
US1561020A (en) * 1922-07-25 1925-11-10 Arthur H Smith Frectal tampon
US1997467A (en) * 1931-12-29 1935-04-09 Johnson & Johnson Method and product for selective conversion articles
FR949237A (en) * 1947-06-18 1949-08-24 conditioning mode liquid nail polish
US2898913A (en) * 1954-08-24 1959-08-11 Panray Corp Surgical device
US2981264A (en) * 1959-06-22 1961-04-25 Felice Aurelius F De Dental cleaner massager

Cited By (80)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3630202A (en) * 1969-10-03 1971-12-28 Sidney Robert Small System for handling surgical sponges
US3638655A (en) * 1970-05-18 1972-02-01 George O Doherty Intubation tubes
US3736935A (en) * 1971-02-17 1973-06-05 Codman & Shurtleff Surgical sponge
US3777755A (en) * 1972-03-27 1973-12-11 H Groves Suppository
US3941132A (en) * 1974-11-27 1976-03-02 Arlene Lenaghan Interconnected surgical sponges
US3995633A (en) * 1975-12-02 1976-12-07 The Procter & Gamble Company Vaginal Medicament dispensing device
US3991760A (en) * 1975-12-02 1976-11-16 The Procter & Gamble Company Vaginal medicament dispensing means
US4120299A (en) * 1976-04-23 1978-10-17 Russo Joseph J Snore-prevention article and process for manufacturing the same
US4168708A (en) * 1977-04-20 1979-09-25 Medical Engineering Corp. Blood vessel occlusion means suitable for use in anastomosis
US4364377A (en) * 1979-02-02 1982-12-21 Walker Scientific, Inc. Magnetic field hemostasis
US5451204A (en) * 1988-07-22 1995-09-19 Yoon; Inbae Multifunctional devices for endoscopic surgical procedures
US5649902A (en) * 1988-07-22 1997-07-22 Yoon; Inbae Multifunctional devices for endoscopic surgical procedures
US5733252A (en) * 1990-07-24 1998-03-31 Yoon; Inbae Multifunctional devices for the use in endoscopic surgical procedures and methods therefor
US5392787A (en) * 1990-07-24 1995-02-28 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and methods therefor
US5407423A (en) * 1990-07-24 1995-04-18 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and method therefor
US5439457A (en) * 1990-07-24 1995-08-08 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and methods therefor
US6602218B2 (en) 1990-07-24 2003-08-05 Inbae Yoon Apparatus for ablation of the endometrium of the uterus
US5484426A (en) * 1990-07-24 1996-01-16 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and methods therefor
US5514085A (en) * 1990-07-24 1996-05-07 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and methods therefor
US6277089B1 (en) 1990-07-24 2001-08-21 Inbae Yoon Method for ablating portions of the uterus
US6248088B1 (en) 1990-07-24 2001-06-19 Inbae Yoon Methods for performing endoscopic procedures
EP0540682A4 (en) * 1990-07-24 1993-09-29 Inbae Yoon Multifunctional devices for endoscopic surgical procedures
EP0540682A1 (en) * 1990-07-24 1993-05-12 YOON, InBae Multifunctional devices for endoscopic surgical procedures
US5700239A (en) * 1990-07-24 1997-12-23 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and method therefor
US5827215A (en) * 1990-07-24 1998-10-27 Yoon; Inbae Packing device for endoscopic procedures
US5599292A (en) * 1990-07-24 1997-02-04 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and methods therefor
EP0575090A1 (en) * 1992-06-10 1993-12-22 JOHNSON & JOHNSON MEDICAL, INC. Product suitable for absorbing wound exudate
US5833642A (en) * 1992-06-10 1998-11-10 Johnson & Johnson Medical, Inc. Absorbent product
US5716337A (en) * 1992-06-10 1998-02-10 Johnson & Johnson Medical, Inc. Absorbent product
WO1996041593A1 (en) * 1995-06-13 1996-12-27 Laboratoire Perouse Implant Breast implant
FR2735354A1 (en) * 1995-06-13 1996-12-20 Perouse Implant Lab Breast prosthesis
US5843189A (en) * 1995-06-13 1998-12-01 Laboratoire Perouse Implant Breast prosthesis
US9795387B2 (en) 1997-05-19 2017-10-24 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
EP1286622A4 (en) * 2000-06-06 2007-04-25 Sarcos Lc Embolic device composed of a linear sequence of miniature beads
EP1286622A2 (en) * 2000-06-06 2003-03-05 Sarcos LC Embolic device composed of a linear sequence of miniature beads
US7070609B2 (en) 2001-06-14 2006-07-04 Cordis Neurovascular, Inc. Aneurysm embolization device and deployment system
US6692510B2 (en) 2001-06-14 2004-02-17 Cordis Neurovascular, Inc. Aneurysm embolization device and deployment system
US20040138697A1 (en) * 2001-06-14 2004-07-15 Stephen West Aneurysm embolization device and deployment system
GB2376632B (en) * 2001-06-21 2004-10-27 Johnson & Johnson Medical Ltd Removable cavity wound dressing
WO2003000302A1 (en) * 2001-06-21 2003-01-03 Johnson & Johnson Medical Limited Removable cavity wound dressings
GB2376632A (en) * 2001-06-21 2002-12-24 Johnson & Johnson Medical Ltd Removable cavity wound dressings
US7655831B2 (en) * 2005-10-19 2010-02-02 Prywes Arnold S Method for fluid control in medical applications
US20070185468A1 (en) * 2005-10-19 2007-08-09 Prywes Arnold S Method for fluid control in medical applications
US20080188819A1 (en) * 2006-07-07 2008-08-07 Kloke Tim M Beaded Wound Spacer Device
US8697106B2 (en) 2006-07-07 2014-04-15 Surmodics, Inc. Coating composition
US8685421B2 (en) 2006-07-07 2014-04-01 Surmodics, Inc. Beaded wound spacer device
WO2008135551A2 (en) * 2007-05-03 2008-11-13 Coloplast A/S A filler with controlled absorption swell for wound bed cavity
WO2008135551A3 (en) * 2007-05-03 2009-04-09 Coloplast As A filler with controlled absorption swell for wound bed cavity
US8845711B2 (en) 2007-10-19 2014-09-30 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20090112249A1 (en) * 2007-10-19 2009-04-30 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20090202609A1 (en) * 2008-01-06 2009-08-13 Keough Steven J Medical device with coating composition
US9750505B2 (en) 2009-01-08 2017-09-05 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9572584B2 (en) 2009-01-08 2017-02-21 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20110022079A1 (en) * 2009-01-08 2011-01-27 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US8840641B2 (en) * 2009-01-08 2014-09-23 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20100228279A1 (en) * 2009-01-08 2010-09-09 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20100228285A1 (en) * 2009-01-08 2010-09-09 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US8690911B2 (en) 2009-01-08 2014-04-08 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US8795328B2 (en) 2009-01-08 2014-08-05 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9693781B2 (en) 2009-06-17 2017-07-04 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US10076337B2 (en) 2009-06-17 2018-09-18 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US8636764B2 (en) 2009-06-17 2014-01-28 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US10064628B2 (en) 2009-06-17 2018-09-04 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20100324586A1 (en) * 2009-06-17 2010-12-23 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9883864B2 (en) 2009-06-17 2018-02-06 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20100324587A1 (en) * 2009-06-17 2010-12-23 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US20100324585A1 (en) * 2009-06-17 2010-12-23 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9693780B2 (en) 2009-06-17 2017-07-04 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9351716B2 (en) 2009-06-17 2016-05-31 Coherex Medical, Inc. Medical device and delivery system for modification of left atrial appendage and methods thereof
US20100324588A1 (en) * 2009-06-17 2010-12-23 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9649115B2 (en) 2009-06-17 2017-05-16 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US8715318B2 (en) 2009-06-17 2014-05-06 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9174043B2 (en) 2009-08-05 2015-11-03 Covidien Lp Methods for surgical wound dressing incorporating connected hydrogel beads having an embedded electrode therein
US8900217B2 (en) * 2009-08-05 2014-12-02 Covidien Lp Surgical wound dressing incorporating connected hydrogel beads having an embedded electrode therein
US20110034906A1 (en) * 2009-08-05 2011-02-10 Tyco Healthcare Group Lp Surgical Wound Dressing Incorporating Connected Hydrogel Beads Having an Embedded Electrode Therein
JP2015532174A (en) * 2012-10-16 2015-11-09 サーモディクス,インコーポレイテッド Wound packing device and method
US9155671B2 (en) * 2012-10-16 2015-10-13 Surmodics, Inc. Wound packing device and methods
EP2908870B1 (en) * 2012-10-16 2018-05-23 SurModics, Inc. Wound packing device and methods
US20140180229A1 (en) * 2012-10-16 2014-06-26 Surmodics, Inc. Wound packing device and methods
US10080688B2 (en) 2012-10-16 2018-09-25 Surmodics, Inc. Wound packing device and method

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