US3206018A - Wire suturing device - Google Patents

Wire suturing device Download PDF

Info

Publication number
US3206018A
US3206018A US293960A US29396063A US3206018A US 3206018 A US3206018 A US 3206018A US 293960 A US293960 A US 293960A US 29396063 A US29396063 A US 29396063A US 3206018 A US3206018 A US 3206018A
Authority
US
United States
Prior art keywords
button
holding
panel
suture
wire
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
US293960A
Inventor
Norman F Lewis
Jr Paul E Regan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Inc
Original Assignee
Ethicon Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Inc filed Critical Ethicon Inc
Priority to US293960A priority Critical patent/US3206018A/en
Application granted granted Critical
Publication of US3206018A publication Critical patent/US3206018A/en
Anticipated expiration legal-status Critical
Application status is Expired - Lifetime legal-status Critical

Links

Images

Classifications

    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61B17/06114Packages or dispensers for needles or sutures
    • A61B17/06133Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels
    • A61B17/06138Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels including a retainer comprising three or more foldable panels
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0416Packages or dispensers for suture anchors or for anchor applicators
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • 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
    • A61B17/06114Packages or dispensers for needles or sutures
    • A61B2017/06142Packages or dispensers for needles or sutures having needle- or suture- retaining members, e.g. holding tabs or needle parks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0065Peelable cover
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/3015Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments transparent
    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0095Packages or dispensers for prostheses or other implants
    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • A61F2002/0864Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0876Position of anchor in respect to the bone
    • A61F2002/0882Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Description

p 1965 N. F. LEWIS ETAL 3,206,018

WIRE SUTURING DEVICE Filed July 10, 1965 2 Sheets-Sheet l J INVENTORSI A/dAMA/Vf/EW/S ATN EY P 14, 1965 N. F. LEWIS ETAL 3,206,018

WIRE SUTURING DEVICE Filed July 10, 1963 2 Sheets-Sheet 2 INVENTORSI A/O/FMA/V r. [5M5 P4 4 5. fz' mv J/a United States Patent 3,206,018 WIRE SUTURING DEVICE Norman F. Lewis and Paul E. Regan, Jr., Somerville, N .J., assignors to Ethicon, Inc, a corporation of New Jersey Filed July 10, 1963, Ser. No. 293,960 8 Claims. (Cl. 206-635) The present invention relates to wire suturing devices, more particularly to wire suturing devices suitable for tendon surgery.

Tendon repair preferably is accomplished utilizing stainless steel wire sutures in either a buried suture or a pull-out suture technique. In the buried suture technique the sutures are left in the body after the damaged tendon heals, whereas in the pull-out suture technique the suture, or sutures, are removed after healing occurs. This invention is concerned with pull-out suturing with stainless steel wire.

According to this invention, a wire pullout suturing kit is provided for tendon repair wherein all of the sutures and devices needed for this surgical procedure are supported on a foldable card, The card is adapted to be folded to substantially enclose the sutures and unfolded to present the sutures and other devices in such a way that they are readily accessible.

The wire pull-out suturing kit of this invention comprises a wire repair suture secured to at least one, preferably two, straight suturing needles, .a wire pull-out suture secured to. a curved cutting needle, a holding 'button having a plurality of openings therein for suture threading, and a foldable card of relatively stilt material which comprises a first panel holding the repair suture and straight needle or needles, a second panel holding the pull-out suture and the curved needle, a third panel holding the button, and means detachably holding the panels together when they are superimposed and folded over one another in such a way as to substantially enclose the sutures and the button.

In the pull-out suture technique, the repair suture attached to the straight needle or needles is used to repair the tendon. During repair the first suture is attached to or threaded through the pull-out suture which preferably is in the form of .a loop. Atter repair the straight suture needles are run through the skin, threaded through the holes in the holding button, and then removed so that the repair suture ends can be secured to the button. The cutting needle is run through the skin on the opposite side of the repair to draw the pull-out suture into its final position. The button is positioned in such a way that the sutures extend between the repaired tendon and the button and apply tension to the repair to assure that the tendons do not separate before they are healed. After healing occurs, the sutures are removed by cutting oil the button and applying tension to the pull-out suture.

The holding button is mounted in a detachable portion of the third panel, referred to above and the detachable portion, or section, is adapted to be removed from the card with the button. Thus, the button can be positioned and handled by holding the detachable section. Preferably, the detachable section defines a frame portion surrounding a hole and the button, itself, includes mounting means adapted to snap into the frame. Preferably, a breaking line such as a line of spaced perforations is included in the section between the button and an edge of the section so that the button may be removed easily therefrom by tearing the removable section along the breaking line to free the button from the frame.

Means .are provided on the same side of the card when all of the panels are unfolded for holding the repair suture and the pull-out suture, or loop, in smooth curves 3,206,918 Patented Sept. 14, 1965 thereon. This is important since a suture may be unuseable for this type of surgery if it contains a sharp bend or kink.

Other and further advantages of this invention will be apparent from the following description and claims taken together with the drawings wherein:

FIG, 1 is a view in perspective of a Wire pull out suturing kit according to this invention inside a sterile strippa-ble package therefor;

FIG. 2 is an enlarged view partly in section and partly in elevation taken along the line 2-2 of FIG. 1;

FIG. 3 is a view in perspective of the opposite side of the wire suture and button k-it shown in FIG. 1 with the panels thereof folded over one another and held in position by a latch;

FIG. 4 is a view in perspective of the kit of FIG. 3 after the latch holding the panels together has been opened;

FIG. 5 is a view in perspective of the kit of the preceding figures with all panels unfolded except for the one holding the button;

FIG. 6 is an enlarged view of .the latching means for holding the panels in their folded position;

FIG. 7 is a more greatly enlarged sectional view taken along the line 77 of FIG. 6;

FIG. 8 is a plan view of the wire pull-out suturing kit of the preceding figures with all of the panels unfolded and the sutures and button in position;

FIG. 9 is an inverted plan view of the detachable portion of the third panel of the kit of the preceding figures;

FIG. 10 is an enlarged sectional view taken along the line .1010 of FIG. 8;

FIG. 11 is a schematic view showing the repair of a damaged tendon and illustrating the manner in which the wire pull-out loop is attached to the repair suture;

FIG. 12 is a schematic view of the sutures and tendon of FIG, 11 after the repair sutures have been attached to the holding button which, in turn, is positioned on the end of a finger, and the pull-out loop has been run through the underside of the finger.

Referring to FIGS. 1 and 2 of the drawings, there is shown a closed wire pull-out suturing kit 21 according to this invention inside a sealed strippa-ble envelope 22. The kit is held in its closed position .by a latch 23 which will be described more fully hereinafter. The strippable envelope 22 comprises a transparent top sheet 24 and a bottom sheet 25 sealed together along their edges to provide a hermetically sealed sterilizable enclosure for the kit. The line sealing the sheets is in the form of a shallow peak 26 at one end of the package and the peak is spaced somewhat from the adjacent ends of the sheets to provide stripping flaps 27 and 28 for opening the package. The flaps 27 and 28 are stripped apart to separate the sheets and break the seal when it is desired to remove the kit 21 from the package. Printing 29 normally is applied to one side of the kit 21 to identify its contents and the kit is inserted in the envelope 22, with the printing positioned so that it may be read through the transparent side of the envelope to identify the product.

Referring to FIGS. 3- 10 of the drawings, in particular, there is shown a wire pull-out suturing kit 21 according to this invention which comprises a Wire repair suture 31 having a straight suturing needle 32 secured to each of its ends; a wire pull-out suture loop 33 secured to a curved needle 34; a holding button 35 having a plurality of openings, or holes, 36 therein; and a foldable card 37 of relatively stiff material which card comprises a first panel 38 holding the repair suture 31 and straight needles 32, a second panel 39 holding the loop 33 and curved needle 34, a third panel 41 holding the button 35 and a fourth panel 42 presenting a latching flap 43 for holding the panels in their folded over positions. The second panel 39 is foldably connected to the first panel 38 along'a comm-on longitudinal edge 44, the third panel 4 1 is foldably connected to the second panel 39 along a common transverse edge 4-5, and the fourth panel 4 2 is foldably connected to the second panel 39 along a common longitudinal edge 46; and the first, third and fourth panels are adapted to be folded over one another and over the second panel in such a way that the panels substantially enclose the repair suture 31, the loop 33, and the button 35. As shown in FIG. 5, the third panel 41 holding the button is folded over the second panel to substantially cover the pull-out loop 33 and cutting needle 34 and then the first panel 38 holding the repair suture 31 and straight needles i 32 is folded down over the third panel 4 1, as shown in FIG. 4. Next the fourth panel 42 is folded over the first, third and second panels and the latching flap 43 is folded over the back of the second panel, as shown in FIG. 3. latching flap 43 presents a detent 47 which is adapted to be folded inwardly in such a way that it can be inserted in a correspond-ing cut-out, or slot, 48 in the back. of the second panel as to form a latch 23 for detachably holding the panels in their folded-over positions. 6 and 7, the latch is shown in its closed position.

The card 37 is cut, or stamped, and folded from a single sheet of relatively stiff material such as virgin paperboard approximately 0.01" thick, and preferably is coated or treated so that it is water and blood-stain resistant. The first and second panels 38'and 3-9 of the card each include a series of tabs 49 partially cut in the panels in such a way that the repair suture 31 and the loop 33 may be positioned'over or threaded between the tabs 49 and the adjacent panel surface in smooth curves on one side of their respective panels and on the same side of the card when the panels are unfolded, as shown in FIG. 8. Tabs 50 also are provided for holding the needles securely in position on the panels.

The portion of the third panel 41 supporting the button 35 is in the form of a section 51 which is detachable from the card by tearing along a line of perforations 52 at one edge of the section. This detachable section 51 is cut to form a hollow frame portion 53 defining a hole in which the holding button 35 is adapted to fit. The button 35, in turn, is in the form of a hollow domehaving a flange 54 around its base and a set of six ridges 55 extending radially from the dome and spaced from the flange 54 to accommodate the thickness of the card at the frame. The flange 54 and the ridges 5-5 cooperate to act as mounting means for securingthe button 35 in the frame 53. The button 35 is. pressed into the hole in the frame 53 from the underside of the frame until the ridges 55 snap through the hole andthe button is mounted-on the detachable section 51 with the frame positioned between the flange 54 and the ridges 55, as shown most clearly in FIGS. 8, 9 and 10. A perforated breaking line 56 is included between the button 35 and the bottom edge of the detachable section for facilitating removal of the button therefrom. When it is desired to separated the button from the section, the card is torn along the breaking line so that the button no longer is held by the frame.

FIG. 11 illustrates repair of a damaged finger tendon 57 using the kit of this invention. The repair suture 31 has been criss-crossed through the right and left tendon ends to make the repair and passed through the pull-out loop 33 at the right end of the repair. Thus, after the repair has been completed, the two ends of the repair suture 31 attached to the straight needles 32 are positioned at one end of the repair and the pull-out loop 33 attached to the curved cutting needle 34 is positioned at the other end of the repair, as shown in FIG, 11. Then, the button 35 is positioned in the proper place on the end of the finger to apply tension to the parts being repairedand the repair suture ends are threaded through a As shown particularly in FIGS. 6 and 7, the T In FIGS. (i

pair of holes in the button. The straight needles G2 are removed therefrom and the suture ends are tied or otherwise secured to the button to apply the desired tension to the repair. The cutting needle 34 is run .through the finger on the other side of the repair and removed from the loop to leave portions 58 of the pull-out suture available for later removal of the sutures from the finger.

Having now described the invent-ion in specific detail and exemplified the manner in which it may be carried into practice, it will be readily apparent to those skilled in the art that innumerable variations, applications, modifications, and extensions of the basic principles involved may be made without departing from its spirit or scope.

The invention claimed is:

1. A suturing package which comprises a suture holding button having a plurality of openings therein, and a foldable card of relatively stiff material, which card comprises a first panel, a second panel, and a detachable section holding said button, said first and second panels and said detachable section being foldably connected to one another and adapted to be folded over and superimposed, one upon the other, in such a way that the panels substantially enclose said detachable section, said detachable section defining a hollow frame portion and said button comprising mounting means adapted to snap into said frame portion for securingsaid button in position in said detachable section.

2. A suturing package according to claim 1, wherein "I said mounting means defines a peripheral shelf adapted to fit within said frame.

3. A suturing package according to claim 1, which furthercomprises a third panel foldably connected to one of said first and second panels, said third panel including means for cooperating with corresponding means presented by one of said other panels and forming a latch for detachably holding said panels in their folded over positions.

4. A Wire pull-out suturing kit according to claim 1,

1 wherein a breaking line is included in said detachable needle, a second panel holding said pull-out suture and said cutting needle, a third panel holding said button, said first, second and third panels being foldably connected to one another and adapted to be folded over and superimposed one upon the other, and means detachably holding said panels in their folded over positions, the

portion of said third panel holding said button being detachable from said card and said button comprising mounting means for positively positioning the button on the detachable portion of said third panel.

6. A wire pull-out suturing kit according to claim 5, wherein said detachable portion of said third panel defines an open frame and said button mounting means is adapted to snap into said frame for securing said button in position in said detachable portion.

A 7. A wire pull-out suturing kit according to claim 6, wherein said mounting means defines a peripheral shelf adapted to fit within said frame.

8. A wire pull-out suturing kit according to claim 6, wherein a breaking line is included in the detachable portion of said third panel between an edge of said third panel and said button and the panel is adapted to be broken along said line to facilitate removal of the button therefrom.

References Cited by the Examiner UNITED STATES PATENTS 6 FOREIGN PATENTS 739,347 10/55 Great Britain. 340,948 10/59 Switzerland.

Fisher 20679 Eggfig 128*335 5 THERON E. CONDON, Primary Examiner. Thorpe 206 79 GEORGE O. RALSTON, Examiner.

Claims (1)

  1. 5. A WIRE PULL-OUT SUTURING KIT WHICH COMPRISES A WIRE REPAIR SUTURE SECURED TO AT LEAST ONE SURURING NEEDLE; A WIRE PULL-OUT SUTURE SECURED TO A CURRING NEEDLE; A HOLDING BUTTON HAVING A PLURALITY OF OPENINGS THEREIN; AND A FOLDABLE CARD OF RELATIVELY STIFF MATERIAL WHICH CARD COMPRISES A FIRST PANEL HOLDING SAID REPAIR SUTURE AND SAID STRAIGHT NEEDLE, A SECOND PANEL HOLDING SAID PULL-OUT SUTURE AND SAID CUTTING NEEDLE, A THIRD PANEL HOLDING SAID BUTTON, SAID FIRST, SECOND AND THIRD PANELS BEING FOLDABLY CONNECTED TO ONE ANOTHER AND ADAPTED TO BE FOLDED OVER AND SUPERIMPOSED ONE UPON THE OTHRE, AND MEANS DETACHABLY HOLDING SAID PANELS IN THEIR FOLDED OVER POSITIONS, THE PROTION OF SAID THIRD PANEL HOLDING SAID BUTTON BEING DETACHABLE FROM SAID CARD AND SAID BUTTON COMPRISING MOUNTING MEANS FOR POSITIVELY POSITIONING THE BUTTON ON THE DETCHABLE PORTION OF SAI THIRD PANNEL.
US293960A 1963-07-10 1963-07-10 Wire suturing device Expired - Lifetime US3206018A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US293960A US3206018A (en) 1963-07-10 1963-07-10 Wire suturing device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US293960A US3206018A (en) 1963-07-10 1963-07-10 Wire suturing device

Publications (1)

Publication Number Publication Date
US3206018A true US3206018A (en) 1965-09-14

Family

ID=23131294

Family Applications (1)

Application Number Title Priority Date Filing Date
US293960A Expired - Lifetime US3206018A (en) 1963-07-10 1963-07-10 Wire suturing device

Country Status (1)

Country Link
US (1) US3206018A (en)

Cited By (62)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3376973A (en) * 1966-07-15 1968-04-09 American Cyanamid Co Package for surgical sutures
US3443771A (en) * 1967-09-18 1969-05-13 Smithkline Corp Suture winding card
US3759376A (en) * 1972-02-14 1973-09-18 Ethicon Inc Suture package
US3876068A (en) * 1973-08-08 1975-04-08 American Cyanamid Co Suture reel-label package
US3985227A (en) * 1975-11-05 1976-10-12 Ethicon, Inc. Package for armed sutures
US4014434A (en) * 1975-09-03 1977-03-29 Ethicon, Inc. Folders and integral lock therefor
US4034850A (en) * 1976-03-10 1977-07-12 Ethicon, Inc. Package for double-armed sutures with self-centering pledgets
US4063638A (en) * 1977-03-16 1977-12-20 American Cyanamid Company Direct dispensing packaging of surgical sutures
US4089409A (en) * 1977-02-04 1978-05-16 Ethicon, Inc. Package for multistrand surgical sutures
US4126221A (en) * 1977-04-13 1978-11-21 Ethicon, Inc. Package for multiple surgical sutures
US4406363A (en) * 1982-09-24 1983-09-27 Ethicon, Inc. Folder retainer for multistrand surgical sutures
US4828108A (en) * 1987-08-25 1989-05-09 Alza Corporation Package having fiber-containing sheath and apparatus and method for packaging
US5048678A (en) * 1989-04-19 1991-09-17 American Cyanamid Company Self-contained surgical suture package
EP0460784A1 (en) * 1990-06-05 1991-12-11 United States Surgical Corporation Suture retainer
US5123528A (en) * 1991-01-07 1992-06-23 United States Surgical Corporation Package for needle sutures or the like
EP0505612A2 (en) * 1990-12-17 1992-09-30 United States Surgical Corporation Package for multiple sutures
US5197597A (en) * 1990-06-05 1993-03-30 United States Surgical Corporation Suture retainer
US5226535A (en) * 1992-02-14 1993-07-13 Ethicon, Inc. Package for endoscopic suture loop and cannula
US5249672A (en) * 1992-02-11 1993-10-05 United States Surgical Corporation Multiple suture retainer
US5271494A (en) * 1991-06-11 1993-12-21 B. Braun-Ssc Ag Foldable pack for holding suture material
US5372251A (en) * 1990-11-16 1994-12-13 American Cyanamid Co. Surgical suture package having an embossed pattern
US5435438A (en) * 1993-08-02 1995-07-25 United States Surgical Corporation Retainer package for multiple suture
US5460263A (en) * 1991-10-07 1995-10-24 United States Surgical Corporation Retainer for a suture reel dispenser
EP0746239A4 (en) * 1993-03-26 1996-06-04 Abbott Lab Packaging for t-shaped tension devices
US5533611A (en) * 1993-05-05 1996-07-09 Ethicon, Inc. Folding package for surgical products
US5560477A (en) * 1993-09-13 1996-10-01 United States Surgical Corporation Multiple suture retainer
WO1997039700A1 (en) * 1996-04-23 1997-10-30 Aesculap Ag Implant to secure a sinew replacement
US6080184A (en) * 1998-06-25 2000-06-27 Linvatec Corporation Package for retaining a suture and a suture anchor
US20040084331A1 (en) * 2002-07-17 2004-05-06 Mark Roby Suture pledget package
US20050035019A1 (en) * 2003-08-12 2005-02-17 Philip Luo Apparatus for packing and containing object
US20050175133A1 (en) * 2004-02-10 2005-08-11 Atmel Germany Gmbh Method and circuit arrangement for synchronizing a function unit with a predetermined clock frequency
WO2009036060A2 (en) * 2007-09-10 2009-03-19 Angiotech Pharmaceuticals, Inc. Suture packaging and methods related thereto
US20100153335A1 (en) * 2008-12-12 2010-06-17 Microsoft Corporation Synchronizing multiple classes with disparate schemas in the same collection
US20100230300A1 (en) * 2007-05-29 2010-09-16 Angiotech Pharmaceuticals, Inc. Suture packaging
US20100298871A1 (en) * 2004-05-14 2010-11-25 Quill Medical, Inc. Self-retaining wound closure device including an anchoring loop
US7996967B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
US8118834B1 (en) 2007-12-20 2012-02-21 Angiotech Pharmaceuticals, Inc. Composite self-retaining sutures and method
US8216273B1 (en) 2008-02-25 2012-07-10 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8246652B2 (en) 1993-05-03 2012-08-21 Ethicon, Inc. Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US20140131249A1 (en) * 2012-11-09 2014-05-15 Rickey Hart Suture Cartridge For Meniscal Repair
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8747437B2 (en) 2001-06-29 2014-06-10 Ethicon, Inc. Continuous stitch wound closure utilizing one-way suture
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US10130377B2 (en) 2016-02-08 2018-11-20 Crossroads Extremity Systems, Llc Plantar plate repair
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US526523A (en) * 1894-09-25 Card for eyeglass-chains
US2075508A (en) * 1934-07-18 1937-03-30 Edward W Davidson Suture retainer
US2191571A (en) * 1937-10-30 1940-02-27 Vergie Lirette Container for merchandise
GB739347A (en) * 1954-01-22 1955-10-26 Ethicon Inc Package of sutures
US2868371A (en) * 1957-07-12 1959-01-13 Lawrence R Thorpe Display package
CH340948A (en) * 1957-07-05 1959-09-15 Junod Jean Michel Dr wire holder for surgical sutures

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US526523A (en) * 1894-09-25 Card for eyeglass-chains
US2075508A (en) * 1934-07-18 1937-03-30 Edward W Davidson Suture retainer
US2191571A (en) * 1937-10-30 1940-02-27 Vergie Lirette Container for merchandise
GB739347A (en) * 1954-01-22 1955-10-26 Ethicon Inc Package of sutures
CH340948A (en) * 1957-07-05 1959-09-15 Junod Jean Michel Dr wire holder for surgical sutures
US2868371A (en) * 1957-07-12 1959-01-13 Lawrence R Thorpe Display package

Cited By (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3376973A (en) * 1966-07-15 1968-04-09 American Cyanamid Co Package for surgical sutures
US3443771A (en) * 1967-09-18 1969-05-13 Smithkline Corp Suture winding card
US3759376A (en) * 1972-02-14 1973-09-18 Ethicon Inc Suture package
US3876068A (en) * 1973-08-08 1975-04-08 American Cyanamid Co Suture reel-label package
US4014434A (en) * 1975-09-03 1977-03-29 Ethicon, Inc. Folders and integral lock therefor
US3985227A (en) * 1975-11-05 1976-10-12 Ethicon, Inc. Package for armed sutures
US4034850A (en) * 1976-03-10 1977-07-12 Ethicon, Inc. Package for double-armed sutures with self-centering pledgets
US4089409A (en) * 1977-02-04 1978-05-16 Ethicon, Inc. Package for multistrand surgical sutures
US4063638A (en) * 1977-03-16 1977-12-20 American Cyanamid Company Direct dispensing packaging of surgical sutures
FR2383650A1 (en) * 1977-03-16 1978-10-13 American Cyanamid Co Packaging for needles and suture son enabling direct provision
US4126221A (en) * 1977-04-13 1978-11-21 Ethicon, Inc. Package for multiple surgical sutures
US4406363A (en) * 1982-09-24 1983-09-27 Ethicon, Inc. Folder retainer for multistrand surgical sutures
DE3334503A1 (en) * 1982-09-24 1984-03-29 Ethicon Inc Folding pack for several surgical seam materials
US4828108A (en) * 1987-08-25 1989-05-09 Alza Corporation Package having fiber-containing sheath and apparatus and method for packaging
US5048678A (en) * 1989-04-19 1991-09-17 American Cyanamid Company Self-contained surgical suture package
US5197597A (en) * 1990-06-05 1993-03-30 United States Surgical Corporation Suture retainer
US5092455A (en) * 1990-06-05 1992-03-03 United States Surgical Corporation Suture retainer
AU637445B2 (en) * 1990-06-05 1993-05-27 United States Surgical Corporation Suture retainer
EP0460784A1 (en) * 1990-06-05 1991-12-11 United States Surgical Corporation Suture retainer
US5372251A (en) * 1990-11-16 1994-12-13 American Cyanamid Co. Surgical suture package having an embossed pattern
EP0505612A3 (en) * 1990-12-17 1992-10-28 United States Surgical Corporation Package for multiple sutures
EP0505612A2 (en) * 1990-12-17 1992-09-30 United States Surgical Corporation Package for multiple sutures
US5277299A (en) * 1990-12-17 1994-01-11 United States Surgical Corporation Package for multiple sutures
US5386912A (en) * 1990-12-17 1995-02-07 United States Surgical Corporation Package for multiple sutures
US5123528A (en) * 1991-01-07 1992-06-23 United States Surgical Corporation Package for needle sutures or the like
US5271494A (en) * 1991-06-11 1993-12-21 B. Braun-Ssc Ag Foldable pack for holding suture material
US5341622A (en) * 1991-06-11 1994-08-30 B. Braun Ssc Ag Method of folding of pack for holding suture material
US5460263A (en) * 1991-10-07 1995-10-24 United States Surgical Corporation Retainer for a suture reel dispenser
US5249672A (en) * 1992-02-11 1993-10-05 United States Surgical Corporation Multiple suture retainer
US5358624A (en) * 1992-02-14 1994-10-25 Ethicon, Inc. Package for endoscopic suture loop and cannula
US5226535A (en) * 1992-02-14 1993-07-13 Ethicon, Inc. Package for endoscopic suture loop and cannula
EP0746239A4 (en) * 1993-03-26 1996-06-04 Abbott Lab Packaging for t-shaped tension devices
EP0746239A1 (en) * 1993-03-26 1996-12-11 Abbott Laboratories Packaging for t-shaped tension devices
US8246652B2 (en) 1993-05-03 2012-08-21 Ethicon, Inc. Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
US5533611A (en) * 1993-05-05 1996-07-09 Ethicon, Inc. Folding package for surgical products
US5435438A (en) * 1993-08-02 1995-07-25 United States Surgical Corporation Retainer package for multiple suture
US5819918A (en) * 1993-09-13 1998-10-13 United States Surgical Corporation Retainer package for resilient filaments
US5560477A (en) * 1993-09-13 1996-10-01 United States Surgical Corporation Multiple suture retainer
WO1997039700A1 (en) * 1996-04-23 1997-10-30 Aesculap Ag Implant to secure a sinew replacement
US6110207A (en) * 1996-04-23 2000-08-29 Aesculap Ag & Co. Kg Implant for securing a tendon replacement member
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US6080184A (en) * 1998-06-25 2000-06-27 Linvatec Corporation Package for retaining a suture and a suture anchor
US8747437B2 (en) 2001-06-29 2014-06-10 Ethicon, Inc. Continuous stitch wound closure utilizing one-way suture
US8764796B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Suture method
US8777989B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Subcutaneous sinusoidal wound closure utilizing one-way suture
US8777988B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Methods for using self-retaining sutures in endoscopic procedures
US8764776B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Anastomosis method using self-retaining sutures
US7996967B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US8028388B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for cutting a suture to create tissue retainers of a desired shape and size
US8011072B2 (en) 2001-08-31 2011-09-06 Quill Medical, Inc. Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US8926659B2 (en) 2001-08-31 2015-01-06 Ethicon, Inc. Barbed suture created having barbs defined by variable-angle cut
US8020263B2 (en) 2001-08-31 2011-09-20 Quill Medical, Inc. Automated system for cutting tissue retainers on a suture
US8028387B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for supporting and cutting suture thread to create tissue retainers thereon
US7996968B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. Automated method for cutting tissue retainers on a suture
US8015678B2 (en) 2001-08-31 2011-09-13 Quill Medical, Inc. Method for cutting a suture to create tissue retainers of a desired shape and size
US20090230002A1 (en) * 2002-07-17 2009-09-17 Tyco Healthcare Group Lp Suture pledget package
US7137507B2 (en) 2002-07-17 2006-11-21 Tyco Healthcare Group Lp Suture and pledget package
US20040084331A1 (en) * 2002-07-17 2004-05-06 Mark Roby Suture pledget package
US7520383B2 (en) 2002-07-17 2009-04-21 Tyco Healthcare Group Lp Suture pledget package having tracks
US7967134B2 (en) 2002-07-17 2011-06-28 Tyco Healthcare Group Lp Suture pledget package
US8652170B2 (en) 2002-08-09 2014-02-18 Ethicon, Inc. Double ended barbed suture with an intermediate body
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
US8690914B2 (en) 2002-08-09 2014-04-08 Ethicon, Inc. Suture with an intermediate barbed body
US8679158B2 (en) 2002-08-09 2014-03-25 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8734486B2 (en) 2002-08-09 2014-05-27 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8821540B2 (en) 2002-09-30 2014-09-02 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8852232B2 (en) 2002-09-30 2014-10-07 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8795332B2 (en) 2002-09-30 2014-08-05 Ethicon, Inc. Barbed sutures
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US20050035019A1 (en) * 2003-08-12 2005-02-17 Philip Luo Apparatus for packing and containing object
US20050175133A1 (en) * 2004-02-10 2005-08-11 Atmel Germany Gmbh Method and circuit arrangement for synchronizing a function unit with a predetermined clock frequency
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US20100298871A1 (en) * 2004-05-14 2010-11-25 Quill Medical, Inc. Self-retaining wound closure device including an anchoring loop
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US20100230300A1 (en) * 2007-05-29 2010-09-16 Angiotech Pharmaceuticals, Inc. Suture packaging
US8459446B2 (en) 2007-09-10 2013-06-11 Ethicon, Inc. Suture packaging and methods related thereto
WO2009036060A3 (en) * 2007-09-10 2009-07-30 Angiotech Pharm Inc Suture packaging and methods related thereto
US20110056859A1 (en) * 2007-09-10 2011-03-10 Angiotech Pharmaceuticals, Inc. Suture packaging and methods related thereto
WO2009036060A2 (en) * 2007-09-10 2009-03-19 Angiotech Pharmaceuticals, Inc. Suture packaging and methods related thereto
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US9498893B2 (en) 2007-09-27 2016-11-22 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US8118834B1 (en) 2007-12-20 2012-02-21 Angiotech Pharmaceuticals, Inc. Composite self-retaining sutures and method
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US8460338B2 (en) 2008-02-25 2013-06-11 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8216273B1 (en) 2008-02-25 2012-07-10 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US20100153335A1 (en) * 2008-12-12 2010-06-17 Microsoft Corporation Synchronizing multiple classes with disparate schemas in the same collection
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures
US9427228B2 (en) * 2012-11-09 2016-08-30 Karl Storz Gmbh & Co. Kg Suture cartridge for meniscal repair
US20140131249A1 (en) * 2012-11-09 2014-05-15 Rickey Hart Suture Cartridge For Meniscal Repair
US10130377B2 (en) 2016-02-08 2018-11-20 Crossroads Extremity Systems, Llc Plantar plate repair

Similar Documents

Publication Publication Date Title
US3235165A (en) Sealing means
US3338401A (en) Molded suture package
US2990948A (en) Sterile package
EP0087987B1 (en) A label
CA1203205A (en) Needle and suture holder and package
US3770119A (en) Medical procedure tray
US3301393A (en) Suture package
JP3828157B2 (en) Wrap-around carrier having a top divider tab
US3933303A (en) Carton and blank for making same
US4408692A (en) Sterile cover for instrument
US4595102A (en) Kit for performing a medical procedure
CA1094990A (en) Package for armed sutures
US6135385A (en) Suture material dispenser
US5226535A (en) Package for endoscopic suture loop and cannula
SU1367836A3 (en) Folded bag for seam material
US3972418A (en) Molded suture package
US4531521A (en) Skin closure means
US3899077A (en) Strip package
US4114624A (en) Skin closure means
US6135272A (en) Package for sutures
EP1075436B1 (en) A tissue box
EP0691283A2 (en) Container for paper sheets
US1852098A (en) Suture supporting and attaching plate
CA1137848A (en) Dual fenestrated surgical drape with a flap capable of covering and isolating either fenestration
US3876131A (en) Wedge shaped carton