US3194239A - Suture provided with radiopaque free metal - Google Patents

Suture provided with radiopaque free metal Download PDF

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Publication number
US3194239A
US3194239A US25186363A US3194239A US 3194239 A US3194239 A US 3194239A US 25186363 A US25186363 A US 25186363A US 3194239 A US3194239 A US 3194239A
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Prior art keywords
suture
material
radiopaque
scar
absorbable
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Cornelius J P Sullivan
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Cornelius J P Sullivan
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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
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004(bio)absorbable, (bio)resorbable, resorptive
    • 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
    • A61B2017/06176Sutures with protrusions, e.g. barbs
    • 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
    • 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
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/10Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing inorganic materials
    • A61L2300/102Metals or metal compounds, e.g. salts such as bicarbonates, carbonates, oxides, zeolites, silicates
    • 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
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/10Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing inorganic materials
    • A61L2300/102Metals or metal compounds, e.g. salts such as bicarbonates, carbonates, oxides, zeolites, silicates
    • A61L2300/104Silver, e.g. silver sulfadiazine

Description

July 13, 1965 c, J. P. SULLIVAN 3,194,239

SUTURE PROVIDED WITH RADIOPAQUE FREE METAL Filed Jan. 1e, 196s Y FI (5 I FI G. 2

FI G 3 20 o o 00o 000000 000 0000000000000 noooooooaooo Il INVENTOR.

CORNELIUS J. P. SULLIVAN A TTOR NE YS' Cornelius J. P. Sullivan, 19

United States Patent This invention relatesvsto av suture material and more particularly to a suture material comprised of a suture component absorbable by the body andy a radiopaque material intimatelyl associated therewith and non-absorbable by the body whereby the condition of an internal scar previously sutured with said material may be ascertained by X-ray photography or the like.

Illustrative of the problem overcome by this invention arises in connection with Caesarean sections. Once a patient has been subjected to a Caesarean section, subsequent pregnanciesV create Vexing problems for the obstetrician and gynecologist. It is a common practice today to assume that once a Caesarean section has been performed that subsequent pregnancies by the patient should be similarly treated, this despite the fact that less than 3 percent of Caesarean section scar evidence incidents of rupture or dehiscence. Caesarean sections upon healing have intact a myometrial scar suicient to withstand labor and delivery through the natural passages. Presently, however, there is no method having a reasonable degree of certainty by which the condition of this internal scar can be determined prior to delivery. X-ray photography is not satisfactory because the scar and its surroundings are transparent to X-rays. However, this invention now makes it feasible to determine the nature of internal scars by employing ordinary X-r'ay photography techniques. Principally, this is done by incorporating into or with the suture component a radiopaque material, that is a material capable of absorbing X-rays, so that an X-ray picture may be obtained showing the condition of the scar.

While Caesarean scars are used as exemplary, other utility is intended, such as the examination of any internal scar that may be weakened. In vascular .repairs of aortic aneurysms, the suture material of this inventiony can be utilized for its ability as a marker to indicate the healing of the scar. In cystocoele repairs, that is in repair of fallen bladders, the suture material of this invention can be used as a research suture to study what happens in inadequate repairs.

It is therefore an object of this invention to provide a suture material that includes a body absorbable suture component and a body nonabsorbable radiopaque material associated therewith, whereby the condition of an internal scar may be quite easily determined by conventional techniques such as X-ray photography.

This and other objects will be apparent from a more detailed description of the following drawings.

In the drawings:

FIGURE 1 is a schematic representation of the use of the suture material of the present invention in closing an open wound;

FIGURE 2 4is a schematic representation of the wound closed by the suture material of this invention;

FIGURE 3 is a schematic representation of a wound which has healed, showing the continued presence of the radiopague material but the absence of the adsorbable suture component;

FIGURE 4 is a schematic representation of a dehisced scar showing the presence of the radiopague material alone, spread widely apart both cephale-caudad and laterally; and

FIGURE 5 is a schematic representation, partly in In the majority of cases,

3,194,239 Patented July 13, 1965 section, showing one means of attaching radiopaque clip vform of beads impregnated into or mounted on the suture material. Any conventional method may be used to coat the suture material with the radiopaque material. such as simply running the thread-like suture material through a coating bath containing the radiopaque material. If beads of radiopaque material are employed, these beads may be forced into or onto the suture material by any convenient method or may be incoporated therein during the original formation of the suture material. As is well known, some plastics are usable as absorbable sutures and consequently, it is apparent that during the formation of such plastic sutures the radiopaque material may be impregnated therein. These small metal beads may be spaced as closely as one-fourth of an inch apart in the suture.

The radiopaque material may be a free metal such as silver, tantalum, bismuth or stainless steel or salts of silver, tantalum and bismuth. Other equivalent innocuous non-absorbable materials may be employed.

Turning to the drawings, FIGURE 1 shows the application of the suture of the present invention to an open wound and shows the wound partly closed. FIGURE 2 shows the appearance of the wound after it has been closed by the suturing process. FIGURE 3 shows the wound healed with scar tissue and the radiopague material still present in a conguration substantially similar to the original suture coniguration. X-ray photography would show the radiopaque material in this conguration and would indicate that the wound has properly healed. FIGURE 4 shows a dehisced scar with the radiopaque material spread widely apart both cephalo-caudad and laterally. The X-ray photograph would show this displacement of the radiopaque material and would consequently indicate that the wound had spread apart. Normally, then, an X-ray photograph showing the radiopaque material outline of FIGURE 3 would indicate a properly closed and healed wound, whereas an X-ray photograph showing the dispersion of the radiopaque material as in FIGURE 4 would show that the wound had not properly closed. In FIGURE 5, a radiopaque clip member 10 may be mounted onto the suture 11 by any convenient means. The clip may extend between about 750 and yo inch axially of the suture 11 and adjacent clips may be spaced about 1A; inch apart.

What has been illustrated is one form of the present invention. Other forms obvious to those skilled in the art from the teachings herein are contemplated to be within the spirit and scope of the following claims.

What is claimed is:

1. A suture material useful in determining the condition of internal scars comprising an absorbable suture component and a non-absorbable radiopaque free metal selected `from the group consisting of silver, bismuth, tantalum, and stainless steel intimately associated therewith, whereby said radiopaque free metal will remain in the body after said absorbable suture component has been absorbed thereby permitting the condition of an internal scar to be determined by X-ray photography.

2. The suture material of claim 1 wherein said radiopaque free metal is in the form of a coating over the outer surface of said absorbable suture component.

paque free metal is in :the formV ofY beads carried by said absorbable suture `component atvntervals ,thereonV v 4. The `srliure materalof claim 1 wherein sjaidradiop'aque freemetaI-is,v in the form' of Clip membersmounted about said absorbable suture componentV a'tY 'interva1 s" thereon.'

` o V5.: A sutureYmaterialcomprisingeinYabsorbablesuturey component and metallic ,sili/erclil'ys;V mounted 'about said jabsoroble suture. componentat irrtervalsthereomvvheref:V

by ysaid silver clip's willfreman 1in ,theobodyg after said i Vvelbsornbable' suture component hasV beenrbsorbedfthereby permitting the` condition of an vinternal scar tofbe'de-@ termired by X-ray photography. 1 Y

' f 'ReferlxcesCiteld byfthe RICHARD? Pf

Claims (1)

1. A SUTURE MATERIAL USEFUL IN DETERMINING THE CONDITION OF INTERNAL SCARS COMPRISING AN ABSORBABLE SUTURE COMPONENT AND A NON-ABSORBABLE RADIOPAQUE FREE METAL SELECTED FROM THE GROUP CONSISTING OF SILVER, BISMUTH, TANTALUM, AND STAINLESS STEEL INTIMATELY ASSOCIATED THEREWITH, WHEREBY SAID RADIOPAQUE FREE METAL WIL L REMAIN IN THE BODY AFTER SAID ABSORBABLE SUTURE COMPONENT HAS BEEN ABSORBED THEREBY PERMITTING THE CONDIDTIONS OF AN INTERNAL SCAR TO BE DTERMINED BY X-RAY PHOTOGRAPHY.
US3194239A 1963-01-16 1963-01-16 Suture provided with radiopaque free metal Expired - Lifetime US3194239A (en)

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Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3557795A (en) * 1968-06-19 1971-01-26 Weck & Co Inc Edward Suture provided with wound healing coating
US4041931A (en) * 1976-05-17 1977-08-16 Elliott Donald P Radiopaque anastomosis marker
US4069825A (en) * 1976-01-28 1978-01-24 Taichiro Akiyama Surgical thread and cutting apparatus for the same
US4185626A (en) * 1976-12-20 1980-01-29 Johnson & Johnson Material detectably by X-rays
US4202349A (en) * 1978-04-24 1980-05-13 Jones James W Radiopaque vessel markers
EP0146699A1 (en) * 1983-12-22 1985-07-03 Gebrüder Sulzer Aktiengesellschaft Implanted marker
US5047050A (en) * 1987-02-17 1991-09-10 Alberto Arpesani Internal prosthesis with radiopaque annular portions
US20010034528A1 (en) * 1994-09-16 2001-10-25 Foerster Seth A. Methods and devices for defining and marking tissue
US20020058882A1 (en) * 1998-06-22 2002-05-16 Artemis Medical, Incorporated Biopsy localization method and device
EP1219246A3 (en) * 1997-12-05 2003-08-13 Micrus Corporation Vasoocclusive device for treatment of aneurysms
US20040210160A1 (en) * 1998-06-22 2004-10-21 Fulton Richard E. Biopsy localization method and device
WO2004093632A2 (en) * 2003-04-24 2004-11-04 Trevino Schwarz Jose Non-absorbable surgical threads labelled with a radiopaque material
US20050080338A1 (en) * 1998-12-24 2005-04-14 Sirimanne D. Laksen Biopsy cavity marking device and method
US7053013B1 (en) 1997-09-30 2006-05-30 Igor Stepanovitch Nosov X-ray absorbing material and variants
US20060136070A1 (en) * 2004-12-17 2006-06-22 Leonard Pinchuk Elastomeric polymer filament cosmetic implant
US20070225763A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Marked Suture
US20100102279A1 (en) * 2008-10-29 2010-04-29 Korea Atomic Energy Research Institute Radiation shielding members including nano-particles as a radiation shielding material and method for preparing the same
WO2013175310A3 (en) * 2012-05-22 2014-05-08 Smith & Nephew Plc Apparatuses and methods for wound therapy
WO2015179167A1 (en) * 2014-05-19 2015-11-26 S. Jackson, Inc. Radiopaque suture
US9226737B2 (en) 2011-02-04 2016-01-05 University Of Massachusetts Negative pressure wound closure device
US9320517B2 (en) 2012-01-12 2016-04-26 Surgical Radiation Products, Llc Targeting implant for external beam radiation
US9386981B2 (en) 2010-03-31 2016-07-12 Siesta Medical, Inc. Suture passer systems and methods for palate suspension and compression
US9421132B2 (en) 2011-02-04 2016-08-23 University Of Massachusetts Negative pressure wound closure device
US9463014B2 (en) 2012-09-07 2016-10-11 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US9492570B2 (en) 1998-12-24 2016-11-15 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US9526920B2 (en) 2010-10-12 2016-12-27 Smith & Nephew, Inc. Medical device
US9669113B1 (en) 1998-12-24 2017-06-06 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US9737649B2 (en) 2013-03-14 2017-08-22 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
US9801986B2 (en) 2008-03-13 2017-10-31 Smith & Nephew Plc Vacuum closure device
US9844472B2 (en) 2012-05-22 2017-12-19 Smith & Nephew Plc Wound closure device
US9943706B2 (en) 2012-01-12 2018-04-17 Surgical Radiation Products, Llc Targeting implant for external beam radiation
US9962295B2 (en) 2012-07-16 2018-05-08 Smith & Nephew, Inc. Negative pressure wound closure device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US861231A (en) * 1906-05-03 1907-07-23 Johnson & Johnson Surgical ligature.
GB354284A (en) * 1929-09-18 1931-08-04 Nicolai Cahn Improvements in or relating to surgical stitching material
US2146295A (en) * 1931-03-10 1939-02-07 Chemische Forschungs Gmbh Polymerized vinyl alcohol articles and process of making same
US2153889A (en) * 1937-07-20 1939-04-11 J A Deknatel & Son Inc Suture
US2190431A (en) * 1938-06-27 1940-02-13 Edward F Lewison X-ray opaque sponge

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US861231A (en) * 1906-05-03 1907-07-23 Johnson & Johnson Surgical ligature.
GB354284A (en) * 1929-09-18 1931-08-04 Nicolai Cahn Improvements in or relating to surgical stitching material
US2146295A (en) * 1931-03-10 1939-02-07 Chemische Forschungs Gmbh Polymerized vinyl alcohol articles and process of making same
US2153889A (en) * 1937-07-20 1939-04-11 J A Deknatel & Son Inc Suture
US2190431A (en) * 1938-06-27 1940-02-13 Edward F Lewison X-ray opaque sponge

Cited By (52)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3557795A (en) * 1968-06-19 1971-01-26 Weck & Co Inc Edward Suture provided with wound healing coating
US4069825A (en) * 1976-01-28 1978-01-24 Taichiro Akiyama Surgical thread and cutting apparatus for the same
US4041931A (en) * 1976-05-17 1977-08-16 Elliott Donald P Radiopaque anastomosis marker
US4185626A (en) * 1976-12-20 1980-01-29 Johnson & Johnson Material detectably by X-rays
US4202349A (en) * 1978-04-24 1980-05-13 Jones James W Radiopaque vessel markers
EP0146699A1 (en) * 1983-12-22 1985-07-03 Gebrüder Sulzer Aktiengesellschaft Implanted marker
US5047050A (en) * 1987-02-17 1991-09-10 Alberto Arpesani Internal prosthesis with radiopaque annular portions
US20010034528A1 (en) * 1994-09-16 2001-10-25 Foerster Seth A. Methods and devices for defining and marking tissue
US7625397B2 (en) 1994-09-16 2009-12-01 Ethicon Endo-Surgery, Inc. Methods for defining and marking tissue
US20020193815A1 (en) * 1994-09-16 2002-12-19 Foerster Seth A. Methods and devices for defining and marking tissue
US7229417B2 (en) 1994-09-16 2007-06-12 Ethicon Endo-Surgery, Inc. Methods for marking a biopsy site
EP1304085A3 (en) * 1994-09-16 2004-01-21 Ethicon Endo-Surgery, Inc. Biodegradable tissue marking device
US7044957B2 (en) 1994-09-16 2006-05-16 Ethicon Endo-Surgery, Inc. Devices for defining and marking tissue
US8277391B2 (en) 1994-09-16 2012-10-02 Devicor Medical Products, Inc. Methods and devices for defining and marking tissue
US7053013B1 (en) 1997-09-30 2006-05-30 Igor Stepanovitch Nosov X-ray absorbing material and variants
EP1219246A3 (en) * 1997-12-05 2003-08-13 Micrus Corporation Vasoocclusive device for treatment of aneurysms
JP4528826B2 (en) * 1997-12-05 2010-08-25 マイクルス コーポレイション Vascular occlusion device for the treatment of aneurysms
EP1669032A3 (en) * 1997-12-05 2006-06-21 Micrus Corporation Vasoocclusive device for treatment of aneurysms
JP2008119488A (en) * 1997-12-05 2008-05-29 Micrus Corp Vasooclusive device for treatment of aneurysms
US20040210160A1 (en) * 1998-06-22 2004-10-21 Fulton Richard E. Biopsy localization method and device
US20020058882A1 (en) * 1998-06-22 2002-05-16 Artemis Medical, Incorporated Biopsy localization method and device
US8292822B2 (en) 1998-06-22 2012-10-23 Devicor Medical Products, Inc. Biopsy localization method and device
US8600481B2 (en) 1998-12-24 2013-12-03 Devicor Medical Products, Inc. Subcutaneous cavity marking device
US8320993B2 (en) 1998-12-24 2012-11-27 Devicor Medical Products, Inc. Subcutaneous cavity marking device
US9380998B2 (en) 1998-12-24 2016-07-05 Devicor Medical Products, Inc. Subcutaneous cavity marking device and method
US7668582B2 (en) 1998-12-24 2010-02-23 Ethicon Endo-Surgery, Inc. Biopsy site marker
US9492570B2 (en) 1998-12-24 2016-11-15 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US9669113B1 (en) 1998-12-24 2017-06-06 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US8306602B2 (en) 1998-12-24 2012-11-06 Devicor Medical Products, Inc. Biopsy cavity marking device
US20050080338A1 (en) * 1998-12-24 2005-04-14 Sirimanne D. Laksen Biopsy cavity marking device and method
US8320994B2 (en) 1998-12-24 2012-11-27 Devicor Medical Products, Inc. Biopsy cavity marking device and method
WO2004093632A2 (en) * 2003-04-24 2004-11-04 Trevino Schwarz Jose Non-absorbable surgical threads labelled with a radiopaque material
WO2004093632A3 (en) * 2003-04-24 2004-12-23 Schwarz Jose Trevino Non-absorbable surgical threads labelled with a radiopaque material
US7559952B2 (en) * 2004-12-17 2009-07-14 Innovia, Llc Elastomeric polymer filament cosmetic implant
US20060136070A1 (en) * 2004-12-17 2006-06-22 Leonard Pinchuk Elastomeric polymer filament cosmetic implant
CN101040787B (en) 2006-03-23 2012-02-15 伊西康内外科公司 Labeled suture
US20070225763A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Marked Suture
US9801986B2 (en) 2008-03-13 2017-10-31 Smith & Nephew Plc Vacuum closure device
US20100102279A1 (en) * 2008-10-29 2010-04-29 Korea Atomic Energy Research Institute Radiation shielding members including nano-particles as a radiation shielding material and method for preparing the same
US8318045B2 (en) 2008-10-29 2012-11-27 Korea Atomic Energy Research Institute Radiation shielding members including nano-particles as a radiation shielding material and method for preparing the same
US9386981B2 (en) 2010-03-31 2016-07-12 Siesta Medical, Inc. Suture passer systems and methods for palate suspension and compression
US9526920B2 (en) 2010-10-12 2016-12-27 Smith & Nephew, Inc. Medical device
US9421132B2 (en) 2011-02-04 2016-08-23 University Of Massachusetts Negative pressure wound closure device
US9226737B2 (en) 2011-02-04 2016-01-05 University Of Massachusetts Negative pressure wound closure device
US9943706B2 (en) 2012-01-12 2018-04-17 Surgical Radiation Products, Llc Targeting implant for external beam radiation
US9320517B2 (en) 2012-01-12 2016-04-26 Surgical Radiation Products, Llc Targeting implant for external beam radiation
US9844472B2 (en) 2012-05-22 2017-12-19 Smith & Nephew Plc Wound closure device
WO2013175310A3 (en) * 2012-05-22 2014-05-08 Smith & Nephew Plc Apparatuses and methods for wound therapy
US9962295B2 (en) 2012-07-16 2018-05-08 Smith & Nephew, Inc. Negative pressure wound closure device
US9463014B2 (en) 2012-09-07 2016-10-11 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US9737649B2 (en) 2013-03-14 2017-08-22 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
WO2015179167A1 (en) * 2014-05-19 2015-11-26 S. Jackson, Inc. Radiopaque suture

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