US3601302A - Surgical instrument for stitching soft tissues by means of staples - Google Patents

Surgical instrument for stitching soft tissues by means of staples Download PDF

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Publication number
US3601302A
US3601302A US769619A US3601302DA US3601302A US 3601302 A US3601302 A US 3601302A US 769619 A US769619 A US 769619A US 3601302D A US3601302D A US 3601302DA US 3601302 A US3601302 A US 3601302A
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US
United States
Prior art keywords
magazine
staple
staples
surgical instrument
slots
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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
US769619A
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English (en)
Inventor
Lidia Alexandrovna Potekhina
Georgy Vasilievich Astafiev
Svetoslav Ivanovich Babkin
Ivan Alexandrovich Korolkov
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Individual
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Individual
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Filing date
Publication date
Priority claimed from SU1192182A external-priority patent/SU270180A1/ru
Application filed by Individual filed Critical Individual
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Publication of US3601302A publication Critical patent/US3601302A/en
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Expired - Lifetime legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0686—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling

Definitions

  • ABSTRACT A surgical instrument for stitching soft tissues by means of staples in which the magazine for the staples is made in the form of a turning disk provided with circumferentially arranged slots for storing the staples and equipped with a mechanism for automatic rotation of the disk, thus providing for dependable delivery of the staples to the section of the tissue being stitched.
  • PATENTED AUB24I97I 3,601 302 sum 1 or 3 PATENTEU A0524 nan SHEET 3 UF 3 SURGICAL INSTRUMENT FOR STITCHING SOFT TISSUES BY MEANS OF STAPLES tissues by means of staples.
  • the lips of the tissues to be stitched are brought together and secured to the shoulders of a T-shaped lug with the aid of clamps movably connected to a body carrying a removable multicharge magazine having a staple-shaped slot containing a stick of staples which are packed close to each other.
  • the staples are forced out of the slot by a pusher driven by a lever mechanism owing to which the staples pierce the lips of the tissues to be stitched and are bent in the recesses of the T-shaped lug.
  • a basic disadvantage of this instrument is that of an unreliable feed of the staples from the magazine to the tissues being stitched due to the wedging of the staples in the magazine slot, the guide grooves of the body or the guide grooves of the movable clamp being located indifferent planes and, therefore, requiring a high accuracy in the manufacture thereof. Furthermore any cocking of the staple legs on account of carelessness during charging of the staples as well as inaccuracy in the manufacture thereof also lead to their wedging in the magazine.
  • An object of the present invention is to eliminate the above mentioned disadvantages.
  • the principal object of the inventions is to provide a surgical instrument with a magazine ensuring dependable delivery of the staples and their easy charging.
  • An advantageous feature of such an instrument consists in fast, reliable, and convenient stitching of butted lips ofa tissue.
  • a surgical instrument for stitching soft tissues by means of staples comprising a body with a handle, a T-shaped lug for bending the staples, clamps for fixing the tissue lips to the shoulders of said lug, a magazine with staples and a staple pusher mounted thereon in which, according to the invention, the magazine is made in the form of a turning disk provided with circumferentially arranged slots for the staples, the magazine being capable of moving to and pressing against the tissue to be stitched.
  • the disk may be equipped with a mechanism for periodic turning through an angle equal to that between the staple slots made as a spring-loaded follower contacting the projections on the disk.
  • the pusher is preferably provided with a longitudinal slot receiving the end of the disk axle employed as a guide for the pusher.
  • the disk may be secured to a slider coupled to the pusher through a resilient member, for example, a spring.
  • FIG. 2 is a top view of the instrument, according to the invention.
  • FIG. 3 is a sectional view of the instrument, according to the invention, taken along the line IIIIII of FIG. ll;
  • FIG. 4 is a gearing diagram ofthe mechanism for turning the magazine, according to the invention.
  • FIG. 5 is an enlarged sectional view taken along the line V-V of FIG. 2;
  • FIG. 6 is an enlarged top view of the stitcher unit of the instrument, according to the invention, shown at the moment of stitching the tissue with a staple;
  • the surgical instrument for stitching soft tissues by means of staples consists of a body 1 (FIG. 1) with a handle 2; a T- shaped lug 3 (FIG. 1,2) rigidly connected to said body 1; clamps 4 and 5 for fixing the lips of the tissue being stitched to the shoulders of the lug 3; a magazine 6 with staples 7 (FIGS. 2, 6) and a pusher 8 for forcing out the staples 7 from the magazine 6.
  • the magazine 6 (FIG. 2) is made in the form of a turning disk with peripherally arranged slots 9 (FIG. 6, 7) accommodating staples 7.
  • bracket 27 is slidable on the base 23 and maintained in position by the spring 26.
  • the clamps 4 and 5 are provided with springs 28, 29 and thumb pieces 30, 31. 1
  • the pieces 30, 31 are depressed by a thumb with a simultaneous withdrawal of the clamps 4 and S from the lug 3.
  • the shoulder of the T-shaped lug 3 is then placed under the lip of the tissue 32 (FIG. 6) to be stitched.
  • the corresponding clamping pieces is the released thus fixingone lip of the tissue 32.
  • the other lip of the tissue is fixed in a similar manner and the lips are butted.
  • the springs 28 and 29 (FIG. 1) bear upon the faces of the clamps 4 and 5 and prevent slipping of the clamps from the tissue.
  • the trigger 16 is depressed withthe forefinger.
  • the trigger revolves together with the arm 17 and turns the lever 19 with the aid of the pin 20.
  • the spring-loaded tail 33 of the removable unit 24 is lifted and turned by 90, then the removable unit is withdrawn from the T-shaped head of the axle 11 by moving it upwards. Thereafter, the magazine 6 is easily removed from this axle.
  • the magazine is installed in the reverse order: the magazine 6 is put on the axle 11, the removable unit 24 is installed thereabove and, when turned through 90, is fixed to the base 23 through the pin 25.
  • said magazine being substantially circular and having a plurality of slots circumferentially spaced therein through each of which slots is dischargeable a staple, said slider and thereby said staple magazine being movable toward said lug such that said magazine is engageable with said tissues, a staple pusher slidable in said body for discharging a staple from said magazine through said tissues into engagement with said lug, and drive means for driving said staple pusher.
  • a surgical instrument as claimed in claim 1 including an abutment fixed on said body and engageable by said slider for maintaining a minimum spacing between said magazine and said lug.
  • a surgical instrument as claimed in claim 1 including an axle fixed to said slider and upon which is rotatably supported said staple magazine, said staple pusher having a longitudinal slot embracing said axle to be guided thereby and for movement relative thereto.
  • the staple magazine includes means for periodically turning said disk through an angle equal to that between the slots for the staples, said last means being made in the form of a springloaded follower contacting the projections on the disk.
  • slots for the staples include guide bevels on that side where the pusher enters said slots.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
US769619A 1967-10-23 1968-10-22 Surgical instrument for stitching soft tissues by means of staples Expired - Lifetime US3601302A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU1192182A SU270180A1 (ru) 1967-10-23 Аппарат для сшивания мягких тканей

Publications (1)

Publication Number Publication Date
US3601302A true US3601302A (en) 1971-08-24

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ID=20441315

Family Applications (1)

Application Number Title Priority Date Filing Date
US769619A Expired - Lifetime US3601302A (en) 1967-10-23 1968-10-22 Surgical instrument for stitching soft tissues by means of staples

Country Status (5)

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US (1) US3601302A (ja)
BE (1) BE722617A (ja)
DE (1) DE1804459A1 (ja)
FR (1) FR1588730A (ja)
GB (1) GB1249870A (ja)

Cited By (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3665924A (en) * 1970-10-13 1972-05-30 United States Surgical Corp Suturing and dividing organic tubular structures
US3822818A (en) * 1973-02-20 1974-07-09 A Strekopytov Surgical instrument for joining osseous tissues by staples
US3858783A (en) * 1972-11-20 1975-01-07 Nikolai Nikolaevich Kapitanov Surgical instrument for stitching up tissues with lengths of suture wire
US3973709A (en) * 1975-03-03 1976-08-10 Ernest Mikhailovich Akopov Surgical instrument for stitching organs with the aid of metal staples
US4316468A (en) * 1977-08-05 1982-02-23 Charles H. Klieman Surgical stapler
US4325376A (en) * 1977-08-05 1982-04-20 Charles H. Klieman Hemostatic clip applicator
US4448193A (en) * 1982-02-26 1984-05-15 Ethicon, Inc. Surgical clip applier with circular clip magazine
US4452376A (en) * 1977-08-05 1984-06-05 Charles H. Klieman Hemostatic clip applicator
US4456161A (en) * 1979-08-31 1984-06-26 Dennison Manufacturing Company Method and apparatus for dispensing fasteners
US4583670A (en) * 1983-12-23 1986-04-22 Alfredo Alvarado Surgical stapling
US4592498A (en) * 1982-02-10 1986-06-03 Intermedicat Gmbh Surgical stapler
US4612933A (en) * 1984-03-30 1986-09-23 Senmed, Inc. Multiple-load cartridge assembly for a linear surgical stapling instrument
US5089009A (en) * 1989-06-27 1992-02-18 United States Surgical Corporation Inwardly biased skin fastener
US5477924A (en) * 1994-12-20 1995-12-26 Imodco, Inc. Offshore well gas disposal
US5630539A (en) * 1994-05-02 1997-05-20 United States Surgical Corporation Laparoscopic stapler with overload sensor and interlock
US6685712B2 (en) * 2000-09-08 2004-02-03 Christy Cummins Surgical micro-stapling instrument
WO2006121490A1 (en) * 2005-05-05 2006-11-16 Applied Medical Resources Corporation Single fire vascular ligation clip dispenser
US8100939B2 (en) 2005-07-15 2012-01-24 Incisive Surgical, Inc. Mechanical method and apparatus for sequential tissue fastening
US8900253B2 (en) * 2003-03-11 2014-12-02 Covidien Lp Clip applying apparatus with angled jaw
US9713472B2 (en) 2002-06-25 2017-07-25 Incisive Surgical, Inc. Mechanical method and apparatus for bilateral tissue fastening
US10085747B2 (en) 2015-09-11 2018-10-02 Incisive Surgical, Inc. Surgical fastening instrument
CN110840501A (zh) * 2019-12-03 2020-02-28 江苏风和医疗器材股份有限公司 用于外科器械的触发装置及外科器械
US11045195B2 (en) 2014-04-25 2021-06-29 Incisive Surgical, Inc. Method and apparatus for wound closure with sequential tissue positioning and retention
CN113995457A (zh) * 2021-12-10 2022-02-01 苏州法兰克曼医疗器械有限公司 一种具有高稳定性的电动皮肤吻合器

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1358466A (en) * 1972-11-22 1974-07-03 Vnii Ispytatel Med Tech Surgical instrument for stitching tissue with suture wire
NZ223074A (en) * 1987-12-23 1990-08-28 Magri Holland Ear tag applicator, rotary magazine

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US65360A (en) * 1867-06-04 Nails
US3075199A (en) * 1960-11-02 1963-01-29 Avco Corp Surgical instrument
US3225996A (en) * 1963-07-02 1965-12-28 Codman & Shurtleff Individual stapler
US3244342A (en) * 1963-05-21 1966-04-05 Niiex Khirurgicheskoi Apparatu Device for tissue suturing
US3307389A (en) * 1964-05-28 1967-03-07 Tracor Surgical instrument
US3353736A (en) * 1965-07-30 1967-11-21 Bauer Hugo Fastener cartridge and assembly

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US65360A (en) * 1867-06-04 Nails
US3075199A (en) * 1960-11-02 1963-01-29 Avco Corp Surgical instrument
US3244342A (en) * 1963-05-21 1966-04-05 Niiex Khirurgicheskoi Apparatu Device for tissue suturing
US3225996A (en) * 1963-07-02 1965-12-28 Codman & Shurtleff Individual stapler
US3307389A (en) * 1964-05-28 1967-03-07 Tracor Surgical instrument
US3353736A (en) * 1965-07-30 1967-11-21 Bauer Hugo Fastener cartridge and assembly

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3665924A (en) * 1970-10-13 1972-05-30 United States Surgical Corp Suturing and dividing organic tubular structures
US3858783A (en) * 1972-11-20 1975-01-07 Nikolai Nikolaevich Kapitanov Surgical instrument for stitching up tissues with lengths of suture wire
US3822818A (en) * 1973-02-20 1974-07-09 A Strekopytov Surgical instrument for joining osseous tissues by staples
US3973709A (en) * 1975-03-03 1976-08-10 Ernest Mikhailovich Akopov Surgical instrument for stitching organs with the aid of metal staples
US4316468A (en) * 1977-08-05 1982-02-23 Charles H. Klieman Surgical stapler
US4325376A (en) * 1977-08-05 1982-04-20 Charles H. Klieman Hemostatic clip applicator
US4452376A (en) * 1977-08-05 1984-06-05 Charles H. Klieman Hemostatic clip applicator
US4456161A (en) * 1979-08-31 1984-06-26 Dennison Manufacturing Company Method and apparatus for dispensing fasteners
US4592498A (en) * 1982-02-10 1986-06-03 Intermedicat Gmbh Surgical stapler
US4448193A (en) * 1982-02-26 1984-05-15 Ethicon, Inc. Surgical clip applier with circular clip magazine
US4583670A (en) * 1983-12-23 1986-04-22 Alfredo Alvarado Surgical stapling
US4612933A (en) * 1984-03-30 1986-09-23 Senmed, Inc. Multiple-load cartridge assembly for a linear surgical stapling instrument
US5089009A (en) * 1989-06-27 1992-02-18 United States Surgical Corporation Inwardly biased skin fastener
US5630539A (en) * 1994-05-02 1997-05-20 United States Surgical Corporation Laparoscopic stapler with overload sensor and interlock
US5477924A (en) * 1994-12-20 1995-12-26 Imodco, Inc. Offshore well gas disposal
US6685712B2 (en) * 2000-09-08 2004-02-03 Christy Cummins Surgical micro-stapling instrument
US9713472B2 (en) 2002-06-25 2017-07-25 Incisive Surgical, Inc. Mechanical method and apparatus for bilateral tissue fastening
US11419607B2 (en) 2002-06-25 2022-08-23 Incisive Surgical, Inc. Mechanical method and apparatus for bilateral tissue fastening
US10492782B2 (en) 2002-06-25 2019-12-03 Incisive Surgical, Inc. Mechanical method and apparatus for bilateral tissue fastening
US8900253B2 (en) * 2003-03-11 2014-12-02 Covidien Lp Clip applying apparatus with angled jaw
US9968361B2 (en) 2003-03-11 2018-05-15 Covidien Lp Clip applying apparatus with angled jaw
WO2006121490A1 (en) * 2005-05-05 2006-11-16 Applied Medical Resources Corporation Single fire vascular ligation clip dispenser
US7341145B2 (en) 2005-05-05 2008-03-11 Applied Medical Resources Corporation Single fire vascular ligation clip dispenser
US9592049B2 (en) 2005-07-15 2017-03-14 Incisive Surgical, Inc. Mechanical method and apparatus for sequential tissue fastening
US8940016B2 (en) 2005-07-15 2015-01-27 Incisive Surgical, Inc. Mechanical method and apparatus for sequential tissue fastening
US8100939B2 (en) 2005-07-15 2012-01-24 Incisive Surgical, Inc. Mechanical method and apparatus for sequential tissue fastening
US11045195B2 (en) 2014-04-25 2021-06-29 Incisive Surgical, Inc. Method and apparatus for wound closure with sequential tissue positioning and retention
US12042149B2 (en) 2014-04-25 2024-07-23 Incisive Surgical, Inc. Method and apparatus for wound closure with sequential tissue positioning and retention
US10085747B2 (en) 2015-09-11 2018-10-02 Incisive Surgical, Inc. Surgical fastening instrument
CN110840501A (zh) * 2019-12-03 2020-02-28 江苏风和医疗器材股份有限公司 用于外科器械的触发装置及外科器械
CN110840501B (zh) * 2019-12-03 2022-04-08 江苏风和医疗器材股份有限公司 用于外科器械的触发装置及外科器械
CN113995457A (zh) * 2021-12-10 2022-02-01 苏州法兰克曼医疗器械有限公司 一种具有高稳定性的电动皮肤吻合器
CN113995457B (zh) * 2021-12-10 2024-01-16 苏州法兰克曼医疗器械有限公司 一种具有高稳定性的电动皮肤吻合器

Also Published As

Publication number Publication date
DE1804459A1 (de) 1969-07-10
FR1588730A (ja) 1970-04-17
GB1249870A (en) 1971-10-13
BE722617A (ja) 1969-04-21

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