US3820544A - Device for effecting temporary sterilisation - Google Patents
Device for effecting temporary sterilisation Download PDFInfo
- Publication number
- US3820544A US3820544A US00374894A US37489473A US3820544A US 3820544 A US3820544 A US 3820544A US 00374894 A US00374894 A US 00374894A US 37489473 A US37489473 A US 37489473A US 3820544 A US3820544 A US 3820544A
- Authority
- US
- United States
- Prior art keywords
- barrel
- gripping arms
- passage
- implement
- arms
- 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
Links
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F6/00—Contraceptive devices; Pessaries; Applicators therefor
- A61F6/20—Vas deferens occluders; Fallopian occluders
- A61F6/208—Implements for ligaturing
Definitions
- the implement referred to consists of a pair of grips which have arms openable and closable and curved so as to be able to surround a Fallopian tube: a passage is provided through the barrel to receive a binding element such as a thread or other filament, or a strip, and this binding element passes through the gripping arms when they are in their normally closed state.
- a binding element such as a thread or other filament, or a strip
- the passage referred to begins and ends in the proximal section of the instrument.
- the invention consists in a device of the kind described, wherein said implement consists of a pair of grips the arms of which are curved so as to be able to surround a Fallopian tube, and wherein a passage is provided to receive a binding element which passes through the normally closed arms of the grips.
- the passage preferably begins and ends in the proximal section of the device.
- the binding element may take any desired form, for example it may be a thread or a strip.
- the passage for the binding element may be formed in the interior of two similar or, substantially similar tubes passing through the barrel of the device, the distal ends of which are curved to form the arms of the grips.
- the arms exert an outwardly directed tension and are displaceable in relation to an annular part which partly encloses them and which bears against them externally.
- FIG. 1 shows a partial longitudinal section through a complete device according to the invention.
- FIG. 2 shows a second embodiment, to an enlarged scale, of implement provided at the distal end of the device.
- the device shown consists of an elongated barrel 1 the outer diameter of which is such'that it can be inserted into the abdomen through a trocar cannula, in pelviscopy for example.
- an implement referred to generally at 2 which is in the form of a pair of grips which are shown in the drawings as normally closed grips and having two arms 3a and 4a which are curved such that any Fallopian tube encountered in practice can be completely surrounded by the arms.
- the two closed arms form approximately a semi-circle at the outer end and pass from this pronounced curvatureinto a parallel configuration in the barrel 1 so that, seen as a whole, the implement when closed has somewhat the shape of a noose.
- the ligature on the tube is to be constituted by a binding element such as a thread, or strip, which poses the problem of bringing such element to the point at which the operation is performed, without excessive complication if possible.
- the device is provided with a passage 5 into which and through which the binding element may be drawn.
- the passage 5 is indicated in FIG. 1 by a broken line. It extends through the device from the proximal end thereof, then through the normally closed gripping arms 3a and 4a and finally terminates back at the proximal end of the device.
- the passage 5 is formed in the interior of two similar or substantially similar tubes 3, 4 which extend through the barrel of the device 1 and whose distal ends are curved to produce the gripping arms 3a, 4a.
- the closed gripping arms may rest flat against one another or, for better mutual guidance and alignment, they may also partly inter-engage. Whatever else happens, it should be ensured that the cavities in the gripping arms which form part of the passage 5 are aligned with one another at the point of division 6.
- the gripping arms must be capable of being spread apart or opened after the introduction of the binding element into the passage 5.
- gripping arms may be made to exert an outwardly-directed tension, and, in relation to the drawing in FIG. 1 upwards and downwards, which may be achieved in a preliminary operation by appropriate deformation of tubes 3 and 5. It is then necessary for there to be a circular member which encloses at least part of the gripping arms externally and which can be displaced relative to implement 2 so as to close the implement when displaced in one direction and to open the implement with the assistance of the spring-loading when displaced in the other direction.
- the distal end of the barrel 1 forms the annular part which bears against sloping faces on the gripping arms 3a, 4a, while the movement of the barrel 1 relative to the implement 2, which is required for the implement to operate, is achieved by fixing both tubes 3, 4 in a mounting 7, which may be cylindrical for example, and which is movable telescopically inside the barrel 1. It may readily be seen from the view shown in FIG. 1 that when the mounting 7 is moved to the left the implement 2 is opened and that when the mounting is moved in the opposite direction the implement closes.
- the displacement mentioned may take place in opposition to a spring 8, one end of which is fastened to the barrel 1 and the other end of which is fastened to the mounting 7 and which is pre-tensioned such that in its normal position it attemps to withdraw the tube-mounting 7 from the barrel 1. It is thus automatically ensured that the implement 2 is in the closed position in this normal state, since the gripping arms which bear internally against the distal end of the barrel are pressed towards one another.
- the spring 18 is made of spring material in strip form and is formed into a gentle curve with parallel or approximately parallel sides, as a result of which it can, at the same time, be used as a handle for opening the gripping arms.
- the opening of the implement is achieved simply by pressing the two sides of the spring together. When the spring is released it automatically returns the implement to the normal, closed position.
- the procedure for making a ligature on the Fallopian tubes with the device described is as follows.
- the device is inserted into the abdomen through a trocar canula and its distal end is brought up to the Fallopian tube to be provided with the ligature.
- the implement 2 is opened by compressing the spring or handle 8.
- the Fallopian tube is then completely surrounded by the gripping arms when the handle is subsequently released.
- This process may be continuously monitored through an endoscope which is introduced into the abdomen through a second incision.
- a non-absorbable, surgical binding thread is then drawn through the passage 5, the beginning and end of which are situated outside the body, by means of a suitable path-finding probe.
- the thread runs, for example, through tube 3, through gripping arm 3a into gripping arm 4a and thence finally back through tube 4 to the proximal end of the device.
- the thread thus also runs around the Fallopian tube enclosed by the gripping arms. If the device is now withdrawn from the trocar cannula after the implement 2 has been opened, the binding thread is held back by the part of the thread which is now looped directly around the Fallopian tube and which causes the thread to be extracted from tubes 3 and 4.
- the two ends of the binding thread hanging from the trocar cannula may be used as a guide for a pinching member, such as a deformable ring for example, which is to be conveyed to the point of operation and by which the thread surrounding the Fallopian tube is so secured after it has been drawn tight that the Fallopian tube is securely tied off and sealed. To conclude the operation the superfluous ends of thread are cut off and removed.
- a pinching member such as a deformable ring for example
- the device according to the invention provides a considerably higher degree of reliability as regard effective tube ligature in comparison with the clip method mentioned initially. This degree of reliability is comparable with that achieved in a conventional operation where the abdomen is opened. Furthermore, the temporary sterlization can be stopped at any time as desired by removing the loop of thread closing off the Fallopian tube.
- tubular gripping arms shown in FIG. 1 they could alternatively be so designed as to be dished in cross-section as in FIG. 2 and to have their openings, which are shown as longitudinal grooves 18, opposite one another.
- the binding thread could be drawn against the Fallopian tube around which it was to be bound without the appliance being opened beforehand.
- Thread material in the form of a strip or the like as the binding element.
- the loop surrounding the Fallopian tube is generally secured with a special pinching member.
- Thread materials may, of course, also be considered with which the binding loop is secured simply by knotting.
- the previously mentioned path-finder probe for threading through the binding element may for example consist of a nylon thread to which a woven binding thread is secured.
- probes may also be considered in the form of metal coils or flat steel strips.
- the passage 5 need not begin and end directly at the extreme proximal end of the device since the beginning and end of the passage may also be located in, amongst others, the side of the mounting 7. In this case the thread would be introduced into the passage from the side, either directly or via an auxiliary device.
- the gripping arms may also be of any other desired shape besides the enclosed configuration in FIG. 1 and the half-open configuration in FIG. 2, in which case an open configuration, that is to say one with an outward facing concavity, has the advantage that it is easy to withdraw the gripping arms over the Fallopian tube and the two runs of thread.
- the opening could also be used for severing veins.
- the gripping arms may remain in the closed state while the inserted member, Le. a thread or possibly a thin steel strip, is drawn out from the proximal end in order to perform the separation.
- a surgical device for effecting temporary sterilisation of females by binding the Fallopian tubes, which device comprises a barrel and an implement slidingly enclosed and received in said barrel comprising two re-' silient passage-defining means having a rearwardly extending operating portion and forwardly extending curned gripping arm portions with ends opposing each other when in an extended position, and in contact with each other when in a retracted state, said passage means being coextensive with the means in said arms to receive a binding element which passes through said gripping arms in their normally closed state.
- a device wherein, when said implement is closed, said gripping arms exert outwardly directed tension and are displaceable in relation to an annular part which partly encloses them and bears against them externally.
- passage means are outwardly biased end include two tubes fixed in a mounting which is axially movable within said barrel in opposition to a spring mounted on said rearwardly extending portion, and the distal end of said barrel, which forms said annular part, bears against inclined faces on the said gripping arms.
- a device wherein said spring is formed from strip material into a gentle curve with at least approximately parallel sides, and forms a handle for opening said gripping arms.
Landscapes
- Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Apparatus For Disinfection Or Sterilisation (AREA)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE2300840A DE2300840C3 (de) | 1973-01-09 | 1973-01-09 | Gerät zur Vorbereitung von Ligaturen der Eileiter |
Publications (1)
Publication Number | Publication Date |
---|---|
US3820544A true US3820544A (en) | 1974-06-28 |
Family
ID=5868566
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US00374894A Expired - Lifetime US3820544A (en) | 1973-01-09 | 1973-06-29 | Device for effecting temporary sterilisation |
Country Status (5)
Country | Link |
---|---|
US (1) | US3820544A (de) |
DE (1) | DE2300840C3 (de) |
FR (1) | FR2213047B3 (de) |
GB (1) | GB1430316A (de) |
IT (1) | IT998575B (de) |
Cited By (43)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3967625A (en) * | 1973-07-30 | 1976-07-06 | In Bae Yoon | Device for sterilizing the human female or male by ligation |
US3989049A (en) * | 1973-07-30 | 1976-11-02 | In Bae Yoon | Method of applying an elastic ring to an anatomical tubular structure |
US4393872A (en) * | 1980-05-27 | 1983-07-19 | Eder Instrument Co., Inc. | Aspirating surgical forceps |
US5147378A (en) * | 1991-03-05 | 1992-09-15 | Harold Markham | Grapsing forceps |
US5486185A (en) * | 1989-01-30 | 1996-01-23 | Dexide, Inc. | Surgical apparatus |
US5527322A (en) * | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US5860991A (en) * | 1992-12-10 | 1999-01-19 | Perclose, Inc. | Method for the percutaneous suturing of a vascular puncture site |
US6036699A (en) * | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US6190396B1 (en) | 1999-09-14 | 2001-02-20 | Perclose, Inc. | Device and method for deploying and organizing sutures for anastomotic and other attachments |
US6355050B1 (en) | 1992-12-10 | 2002-03-12 | Abbott Laboratories | Device and method for suturing tissue |
US6358258B1 (en) | 1999-09-14 | 2002-03-19 | Abbott Laboratories | Device and method for performing end-to-side anastomosis |
US6558399B1 (en) | 2000-06-30 | 2003-05-06 | Abbott Laboratories | Devices and method for handling a plurality of suture elements during a suturing procedure |
US20030093093A1 (en) * | 1999-03-04 | 2003-05-15 | Modesitt D. Bruce | Articulating suturing device and method |
US6610072B1 (en) | 1996-09-23 | 2003-08-26 | Esd Medical, L.L.C. | Surgical loop delivery device |
US20030216752A1 (en) * | 2000-11-14 | 2003-11-20 | Esd Medical L.L.C. | Device for laparoscopic tubal ligation |
US6730102B1 (en) | 2000-11-06 | 2004-05-04 | Abbott Laboratories | Systems, devices and methods for deploying needles |
US20040097978A1 (en) * | 1999-03-04 | 2004-05-20 | Modesitt D. Bruce | Articulating suturing device and method |
US7001400B1 (en) | 1999-03-04 | 2006-02-21 | Abbott Laboratories | Articulating suturing device and method |
US7029481B1 (en) | 2000-11-06 | 2006-04-18 | Abbott Laboratories | Systems, devices and methods for suturing patient tissue |
US7390328B2 (en) | 2003-12-19 | 2008-06-24 | Abbott Laboratories | Device and method for suturing of internal puncture sites |
US7445626B2 (en) | 1992-12-10 | 2008-11-04 | Abbott Laboratories | Device and method for suturing tissue |
US20080294175A1 (en) * | 2007-05-21 | 2008-11-27 | Epitek, Inc. | Left atrial appendage closure |
US7462188B2 (en) | 2003-09-26 | 2008-12-09 | Abbott Laboratories | Device and method for suturing intracardiac defects |
US20080312664A1 (en) * | 2007-05-21 | 2008-12-18 | Epitek, Inc. | Left atrial appendage closure |
US7842049B2 (en) | 2002-12-31 | 2010-11-30 | Abbott Laboratories | Systems for anchoring a medical device in a body lumen |
US7842047B2 (en) | 1999-03-04 | 2010-11-30 | Abbott Laboratories | Articulating suturing device and method |
US7842048B2 (en) | 2006-08-18 | 2010-11-30 | Abbott Laboratories | Articulating suture device and method |
US7883517B2 (en) | 2005-08-08 | 2011-02-08 | Abbott Laboratories | Vascular suturing device |
US8048108B2 (en) | 2005-08-24 | 2011-11-01 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US8083754B2 (en) | 2005-08-08 | 2011-12-27 | Abbott Laboratories | Vascular suturing device with needle capture |
US8137364B2 (en) | 2003-09-11 | 2012-03-20 | Abbott Laboratories | Articulating suturing device and method |
US8267947B2 (en) | 2005-08-08 | 2012-09-18 | Abbott Laboratories | Vascular suturing device |
US8419753B2 (en) | 2003-12-23 | 2013-04-16 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
US8574244B2 (en) | 2007-06-25 | 2013-11-05 | Abbott Laboratories | System for closing a puncture in a vessel wall |
US8663252B2 (en) | 2010-09-01 | 2014-03-04 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US8721663B2 (en) | 1999-05-20 | 2014-05-13 | Sentreheart, Inc. | Methods and apparatus for transpericardial left atrial appendage closure |
US8858573B2 (en) | 2012-04-10 | 2014-10-14 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US8864778B2 (en) | 2012-04-10 | 2014-10-21 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US8920442B2 (en) | 2005-08-24 | 2014-12-30 | Abbott Vascular Inc. | Vascular opening edge eversion methods and apparatuses |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9370353B2 (en) | 2010-09-01 | 2016-06-21 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19540731C2 (de) * | 1995-11-02 | 2001-03-01 | Wolf Gmbh Richard | Endoskopisches Instrument |
CN114126509A (zh) * | 2019-07-16 | 2022-03-01 | 波士顿科学国际有限公司 | 用于治疗痔疮的装置和系统 |
-
1973
- 1973-01-09 DE DE2300840A patent/DE2300840C3/de not_active Expired
- 1973-06-14 GB GB2844273A patent/GB1430316A/en not_active Expired
- 1973-06-29 US US00374894A patent/US3820544A/en not_active Expired - Lifetime
- 1973-07-17 FR FR7326116A patent/FR2213047B3/fr not_active Expired
- 1973-09-07 IT IT28683/73A patent/IT998575B/it active
Cited By (86)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3967625A (en) * | 1973-07-30 | 1976-07-06 | In Bae Yoon | Device for sterilizing the human female or male by ligation |
US3989049A (en) * | 1973-07-30 | 1976-11-02 | In Bae Yoon | Method of applying an elastic ring to an anatomical tubular structure |
US4393872A (en) * | 1980-05-27 | 1983-07-19 | Eder Instrument Co., Inc. | Aspirating surgical forceps |
US5486185A (en) * | 1989-01-30 | 1996-01-23 | Dexide, Inc. | Surgical apparatus |
US5147378A (en) * | 1991-03-05 | 1992-09-15 | Harold Markham | Grapsing forceps |
WO1994005222A1 (en) * | 1991-03-05 | 1994-03-17 | Harold Markham | Grasping forceps |
US6036699A (en) * | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US5860991A (en) * | 1992-12-10 | 1999-01-19 | Perclose, Inc. | Method for the percutaneous suturing of a vascular puncture site |
US6355050B1 (en) | 1992-12-10 | 2002-03-12 | Abbott Laboratories | Device and method for suturing tissue |
US7445626B2 (en) | 1992-12-10 | 2008-11-04 | Abbott Laboratories | Device and method for suturing tissue |
US5792152A (en) * | 1993-11-08 | 1998-08-11 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US5527322A (en) * | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US6517553B2 (en) | 1993-11-08 | 2003-02-11 | Abbott Laboratories | Device and method for suturing of internal puncture sites |
US6610072B1 (en) | 1996-09-23 | 2003-08-26 | Esd Medical, L.L.C. | Surgical loop delivery device |
US9282960B2 (en) | 1999-03-04 | 2016-03-15 | Abbott Laboratories | Articulating suturing device and method |
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US8038688B2 (en) | 1999-03-04 | 2011-10-18 | Abbott Laboratories | Articulating suturing device and method |
US20040097978A1 (en) * | 1999-03-04 | 2004-05-20 | Modesitt D. Bruce | Articulating suturing device and method |
US6964668B2 (en) | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
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US8974473B2 (en) | 1999-05-20 | 2015-03-10 | Sentreheart, Inc. | Methods and apparatus for transpericardial left atrial appendage closure |
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US8663252B2 (en) | 2010-09-01 | 2014-03-04 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9370353B2 (en) | 2010-09-01 | 2016-06-21 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US10463353B2 (en) | 2010-09-01 | 2019-11-05 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US11647997B2 (en) | 2010-09-01 | 2023-05-16 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US8864778B2 (en) | 2012-04-10 | 2014-10-21 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US8858573B2 (en) | 2012-04-10 | 2014-10-14 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US11154293B2 (en) | 2012-04-10 | 2021-10-26 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US10111653B2 (en) | 2012-05-31 | 2018-10-30 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US10980531B2 (en) | 2012-05-31 | 2021-04-20 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US11839351B2 (en) | 2012-05-31 | 2023-12-12 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
Also Published As
Publication number | Publication date |
---|---|
FR2213047A1 (de) | 1974-08-02 |
FR2213047B3 (de) | 1976-07-02 |
IT998575B (it) | 1976-02-20 |
DE2300840B2 (de) | 1975-01-09 |
DE2300840C3 (de) | 1975-08-28 |
GB1430316A (en) | 1976-03-31 |
DE2300840A1 (de) | 1974-07-18 |
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