US3426757A - Ligating hemostat for applying a noose with a locking disc - Google Patents

Ligating hemostat for applying a noose with a locking disc Download PDF

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Publication number
US3426757A
US3426757A US506692A US3426757DA US3426757A US 3426757 A US3426757 A US 3426757A US 506692 A US506692 A US 506692A US 3426757D A US3426757D A US 3426757DA US 3426757 A US3426757 A US 3426757A
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United States
Prior art keywords
hemostat
ligature
ligating
disc
noose
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Expired - Lifetime
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US506692A
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English (en)
Inventor
Suel Grant Shannon
Norwood Claude Graeff
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TE Connectivity Corp
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AMP Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot

Definitions

  • a ligating device for tying oif blood vessels during a surgical procedure and comprises a length of surgical ligature for encircling a vessel, an apertured disc carried by the ligature, the ligature being threaded through the disc in a manner to produce a one, way knot, and means for applying the ligature and disc to the severed vessel and for tightening the ligature about the vessel.
  • This invention relates to the art of surgery and more particularly to a new and novel means for ligating blood vessels during a surgical operation.
  • the incision made by a surgeon severs a great many blood vessels, which vessels must be ligated prior to the actual surgical process.
  • the surgeon first clamping the vessels within a hemostat, one hemostat being used for each severed vessel, and subsequently tying the vessels closed by means of a suture material which is manipulated by hand to form a knot with the excess suture material being cut off.
  • a suture material which is manipulated by hand to form a knot with the excess suture material being cut off.
  • the hemostats are then unclamped and removed.
  • the suture material used may vary and may be cotton, silk, or catgut and the material is left on the vessels after the operation is completed, the material being absorbed in whole or in part by the body.
  • a further object of this invention is to provide a hemostat having ligating means mounted directly thereon.
  • a still further object of this invention is to provide a combination hemostat-ligating means which may be disposable after each use thereof.
  • Another object of this invention is to provide a device whereby the severed blood vessels may be clamped and tied in a single operation prior to the clamping of a subsequent blood vessel.
  • a further object is to provide a combination hemostatligating means which will enable a single person to effect the clamping and tying operation, due to the fact that only two hands are necessary for performing these functions.
  • FIGURE 1 is a perspective view of a combination hemostat-ligating means representing a preferred embodiment of the present invention
  • FIGURE 2 is a side elevational view, partly broken away, of the device of FIGURE 1 clamped about a severed blood vessel.
  • FIGURE 3 is a view similar to FIGURE 2 showing the ligating means in a partially applied condition
  • FIGURE 4 is a view similar to FIGURES 2 and 3 and showing the ligating means in its applied condition;
  • FIGURE 5 is a view showing a blood vessel that has been ligated in accordance with the teachings of the present invention.
  • FIGURE 6 is a view partly in section of an alternative embodiment of the invention.
  • FIGURE 1 there is shown a preferred embodiment of the present invention which comprises a hemostat 10 having a pair of arms 12 and 14, said arms terminating at one end in a pair of jaws 16 and 18 respectively having gripping surfaces 20 and 22 respectively thereon.
  • the opposite end of arms 12 and 14 carry finger receiving portions 24 and 26 respectively and projecting inwardly from arms 12 and 14 are a pair of locking extensions 28 and 30, the extensions serving to retain the hemostat in a closed condition.
  • the parts thus far described are preferably formed from an inexpensive plastic, such as poly-propylene, in order that the hemostat may be discarded after a single use. It is to be understood, however, that if desired, the hemostat may be repeatedly sterilized and reused and also that the hemostat may be made of stainless steel as is conventional.
  • the arms 12 and 14 are connected by means of a hollow pivot member 32, the pivot member being in the form of an eyelet and being coined at its ends to prevent its withdrawal from the arms 12 and 14.
  • a removable pin 34 is slidably disposed within pivot member 32 and is frictionally held therein.
  • the pin 34 has an abutment surface 36 thereon and terminates at one end in an enlarged section 38 for facilitating manual grasping of the pin.
  • a slot 40 is formed in the narrow portion of pin 34, the slot serving the twofold purpose of providing resiliency in the pin for maintaining it in position within the arms 12 and 14 and also for providing a passage for a ligature to be described.
  • the slot may optionally extend through one or both of the walls of the pin 34.
  • the enlarged portion 38 of pin 34 has a knife slot 42 formed therein, the purpose of which will become apparent as this description proceeds.
  • an elongated passageway 44 is formed in the end of one of the arms of the hemostat, in this instance the jaw 18 of arm 14. Located within passageway 44 is a hollow metallic insert 46, said insert terminating at one end in a cutting edge 48 for a purpose to be described.
  • a ligature 50 is preloaded around the hemostat 10, the ligature being threaded through a disc like member 52 in a manner to form a one way knot.
  • the ligature and disc are loaded onto the hemostat in such a way that the jaws of the hemostat are free to open and close without interference.
  • the pin 34 serves to hold the noose portion of the ligature in position and thus prevents the ligature from interfering in any way with the operation of the hemostat.
  • the free end of the ligature is threaded through passageway 44 and is subsequently threaded through slot 40 in pin 34 and subsequently is locked to pin 34 by passage of the ligature through the knife slot 42.
  • a knot 51 is formed at the free end of ligature 50 to further insure that the ligature is held firmly within theknife slot 42.
  • FIGURE 2 shows the hemostat of the present invention in position for the ligating operation.
  • a blood vessel 54 has been grasped between the gripping surfaces 20 and 22 and has been pulled outwardly so as to present a pyramid of flesh.
  • the next sequence of operation is shown in FIGURE 3 wherein the pin 34 has been removed from its position in pivot member 32 to thus free the noose portion from its rest position.
  • the movement of pin 34 causes the end of ligature 50 to be carried therewith thus contracting the noose portion of the ligature.
  • the disc 52 is pulled into a position along the side of the blood vessel and is held there by reason of the fact that the disc is too large to pass through the passageway 44.
  • the hemostat of the present invention will allow the surgeon to ligate the blood vessel immediately upon grasping of the blood vessel by the hemostat. This results in a great saving of time because the hemostat does not have to be laid aside until such time as a future tying operation would be performed. Therefore, it is not necessary to use the locking members 28 and 30 in most instances, these members only serving the purpose of giving the surgeon the option of either tying immediately or using the hemostat in the present conventional manner and laying the hemostat aside for subsequent tying. It can also be seen that the entire operation requires the use of but two hands, one to hold the hemostat in the finger receiving portions and the other to pull on the pin 34.
  • the hemostat is preferably made from an inexpensive plastic whereby the hemostat may be discarded after each use.
  • the hemostat could be reused and that a hospital staff member or other appropriate person could reload the hemostat with a second ligature and disc arrangement.
  • the hemostat would preferably be made from stainless steel and could be easily resterilized.
  • FIGURE 6 there is shown an alternative embodiment of the present invention.
  • the ligature 50 and disc 52 are applied to the blood vessel 54 by means of an elongated hollow tube 56 through which the ligature passes and a cap member 58 to which the ligature is firmly secured.
  • a standard hemostat may be used and the jaws 60 thereof would grasp the blood vessel at which time the cap member 58 would be moved relatively to tube 56 thus drawing the noose of the ligature tight around the blood vessel and effect the ligation.
  • the tube 56 and cap 58 perform the functions of the passageway 44 and pin 34 respectively of the embodiment shown in FIG- URE 1 of the present invention.
  • FIGURE 6 would preferably be made of an inexpensive plastic and would in most cases be a throw away item. It is further to be noted that the tube 56 could be readily secured to one jaw of a standard hemostat to thus allow the device to be used with only two hands, namely one to hold the hemostat and one to pull on cap member 58.
  • a ligating device comprising a pair of arms pivotally connected intermediate the ends thereof, each said arm having a gripping surface at one end and a finger receiving portion at the opposite end, a hollow pivot member connecting said arms together, a removable pin slidably disposed within said pivot member and frictionally held therein, an elongated passageway disposed in one of said arms adjacent the gripping surface thereof, and a threadlike member passing through said elongated passageway and secured at one end to said removable pin, said threadlike member terminating at its opposite end in a loop, said loop being temporarily held in position by said pin, whereby removal of said pin will draw said loop into a position adjacent the tip of said arms.
  • a ligating device as set forth in claim 1 further comprising a disc carried by said thread-like member, said disc serving to permit the closing of said loop and to prevent the subsequent opening of said loop.
  • a ligating device as set forth in claim 1 further comprising an elongated slot in said removable pin, said thread-like member passing through said elongated slot.
  • a ligating device comprising a pair of arms pivotally connected intermediate the ends thereof, each said arm having a gripping surface at one end thereof and a finger receiving portion at the opposite end, an elongated passageway disposed in one of said arms, said passageway having an end located at the tip of said one end of the arm, a thread-like member passing through said elongated passageway and terminating at one end in a noose, a disc carried by said thread-like member, said disc serving to permit construction of said noose and to prevent subsequent expansion of said noose, means for holding said noose in position on said arms to permit free movement of said arms, and means for engaging a second end of said thread-like member for drawing said member through said passageway to constrict said noose.
  • a ligating device as set forth in claim 4 further comprising a metallic insert located within said passageway, said insert having a cutting edge positioned to sever said thread-like member.
  • a ligating device for tying off blood vessels during a surgical procedure comprising in combination a length of surgical ligature for encircling a severed blood vessel, said ligature having a first end and a second end, an apertured disc carried by said ligature and fixed relative to said ligature first end, said ligature being threaded through said disc in a manner whereby said disc is readily slipable in a direction to permit constriction of said ligature about a severed vessel and whereby said disc is substantially immovable in a direction which would permit enlargement of said ligature about a severed vessel, and means for applying said ligature and disc to a severed vessel, said applying means comprising a placement portion and a tightening portion, a passageway in said placement portion through which said ligature extends, said passageway being sufiiciently small to prevent passage of 10 said disc therethrough, and said ligature second end being secured to said tightening portion of said applying means, whereby said tightening portion is operative

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Purses, Travelling Bags, Baskets, Or Suitcases (AREA)
US506692A 1965-11-08 1965-11-08 Ligating hemostat for applying a noose with a locking disc Expired - Lifetime US3426757A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US50669265A 1965-11-08 1965-11-08

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US3426757A true US3426757A (en) 1969-02-11

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US (1) US3426757A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
AT (1) AT269341B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
BE (1) BE689103A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
BR (1) BR6683530D0 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
CH (1) CH455136A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
DE (1) DE1541105A1 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
DK (1) DK120035B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
ES (1) ES333092A1 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
FI (1) FI50581C (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
GB (1) GB1130656A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
IL (1) IL26618A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
NL (1) NL148230B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
NO (1) NO117603B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
SE (1) SE308571B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD265683S (en) 1980-02-04 1982-08-03 Zimmer, Inc. Windowed hook holder
US4648401A (en) * 1984-10-29 1987-03-10 Mattson Philip D Surgical instrument for severing an umbilical cord
US5364409A (en) * 1992-05-08 1994-11-15 Ethicon, Inc. Endoscopic needle holder
US5476479A (en) * 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US5489292A (en) * 1990-10-05 1996-02-06 United States Surgical Corporation Endoscopic surgical instrument with grip enhancing means
US5509922A (en) * 1990-10-05 1996-04-23 United States Surgical Corporation Endoscopic surgical instrument
US5626609A (en) * 1990-10-05 1997-05-06 United States Surgical Corporation Endoscopic surgical instrument
US6843949B2 (en) 1996-07-31 2005-01-18 Tredegar Film Products Corporation Process for adjusting WVTR and other properties of a polyolefin film
US20080215070A1 (en) * 2004-12-01 2008-09-04 Philip L Gildenberg System and Method for Tensioning a Suture
CN113303856A (zh) * 2021-05-28 2021-08-27 中国计量大学 结扎绳安装板装置

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111000610B (zh) * 2019-12-23 2022-08-30 郭云霞 一种妇产科临床脐带打结器

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US122135A (en) * 1871-12-26 Improvement in fasteners for bags
GB191325656A (en) * 1913-11-10 1914-04-09 Emile Stanjer Apparatus or Means for the Prevention of Sea Sickness.
US1816952A (en) * 1930-01-16 1931-08-04 Gertrude E Bergman Ligature holding and tying instrument
US1855546A (en) * 1931-04-28 1932-04-26 Norman W File Surgical appliance
US2104029A (en) * 1936-05-13 1938-01-04 Louis A Eshman Hemostat
US3130727A (en) * 1962-03-19 1964-04-28 Rene G Le Vaux Pretied ligature splint

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US122135A (en) * 1871-12-26 Improvement in fasteners for bags
GB191325656A (en) * 1913-11-10 1914-04-09 Emile Stanjer Apparatus or Means for the Prevention of Sea Sickness.
US1816952A (en) * 1930-01-16 1931-08-04 Gertrude E Bergman Ligature holding and tying instrument
US1855546A (en) * 1931-04-28 1932-04-26 Norman W File Surgical appliance
US2104029A (en) * 1936-05-13 1938-01-04 Louis A Eshman Hemostat
US3130727A (en) * 1962-03-19 1964-04-28 Rene G Le Vaux Pretied ligature splint

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD265683S (en) 1980-02-04 1982-08-03 Zimmer, Inc. Windowed hook holder
US4648401A (en) * 1984-10-29 1987-03-10 Mattson Philip D Surgical instrument for severing an umbilical cord
US5489292A (en) * 1990-10-05 1996-02-06 United States Surgical Corporation Endoscopic surgical instrument with grip enhancing means
US5509922A (en) * 1990-10-05 1996-04-23 United States Surgical Corporation Endoscopic surgical instrument
US5626609A (en) * 1990-10-05 1997-05-06 United States Surgical Corporation Endoscopic surgical instrument
US5476479A (en) * 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US5364409A (en) * 1992-05-08 1994-11-15 Ethicon, Inc. Endoscopic needle holder
US6843949B2 (en) 1996-07-31 2005-01-18 Tredegar Film Products Corporation Process for adjusting WVTR and other properties of a polyolefin film
US20080215070A1 (en) * 2004-12-01 2008-09-04 Philip L Gildenberg System and Method for Tensioning a Suture
CN113303856A (zh) * 2021-05-28 2021-08-27 中国计量大学 结扎绳安装板装置

Also Published As

Publication number Publication date
DK120035B (da) 1971-03-29
BR6683530D0 (pt) 1973-12-27
CH455136A (fr) 1968-04-30
ES333092A1 (es) 1967-12-01
AT269341B (de) 1969-03-10
BE689103A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1967-03-31
FI50581C (fi) 1976-05-10
NL6615251A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1967-05-09
NO117603B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1969-09-01
NL148230B (nl) 1976-01-15
GB1130656A (en) 1968-10-16
IL26618A (en) 1970-08-19
SE308571B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1969-02-17
DE1541105A1 (de) 1969-10-16
FI50581B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1976-02-02

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