US789401A - Umbilical forceps and metal sealing-band. - Google Patents

Umbilical forceps and metal sealing-band. Download PDF

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Publication number
US789401A
US789401A US1904216656A US789401A US 789401 A US789401 A US 789401A US 1904216656 A US1904216656 A US 1904216656A US 789401 A US789401 A US 789401A
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jaws
fig
sealing
umbilical
bands
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Ernest V Acheson
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Ernest V Acheson
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery

Description

PATENTED MAY 9, 1905.

E. V. ACHESN. UMBILICAL PORCBPS AND METAL SEALING BAND.

APPLICATION IILBI) JULY 15A 1904.

2 SHEETS-SHEET l.

No. 789,401. PATENTED MAY 9, 1905. E. V. ACHESON.

UMBILIGAL FORGEPS AND METAL SEALING BAND.

APPLIOATION FILED JULY l5. 1904.

2 SHEETS-SHEET 2.

tro. 789,401.

Patented May 9, 1905.

T tribu.

UllJlBlLl/L FWCEPS ND WIETL. SEALHNIGIMHND.

SPECIFICATION forming part of Letters Patent No. 789,401, dated .1l/[ay 9, 1905.

Application filed July l5, 1904. Serial No. 216,656.

To all whom, it may concern:

Be it known that 1, ERNEST V. Acnnson, a citizen of the United States of America, and aresident of Salt Lake City, SaltLake county, Utah, have invented certain new and useful Tmprovelnents in Umbilical Forceps and Metal Sealing-Bands, of which the following is a specification.

My invention contemplates an improved pair of umbilical forceps of that particular character in which the cutting of the umbilical cord and sealing the same by metallic process by the application of metal sealingbands to the ends of the cord are accomplished in one manipulation of the instrument.

In the accompanying drawings, Figure 1 is an enlarged side elevation of my improved instrument with the jaws closed and showing the handles broken away for convenience of illustration; Fig. 2, a vertical section on line 2 2 in Fig. 1; Fig. 3, a plan of the instrument shown in Fig. 1; Fig. 4L, a vertical section on line A 4 in Fie'. 1; Fig. 5, adetail section on line 5 5 in Fig. 3; Fig. 6, a front or end view of one side of the instrument shown in Fig. 1; Fig. 7, a view similar to Eig. 1, but showing the jaws separated and the metal sealing-bands in position to be applied to the cord; Fig. 8, a view similar to Fig. 7, but showing the position of the jaws and parts after the severingl of the cord and the application of the clamping-bands; Fig. 9, a fullsize view of one of the upper clamping-jaws; Fig. 10, a fullsize view of one of the campin and needle carrying' plates; Fig. 11, a fullsize view of one of the lower clamping-jaws; Fig. 12, a section on line 12 12 in Fig. 10, and Fig. 13 a full-size perspective of one of the metal sealing-bands- As thus illustrated, my improved pair of umbilical forceps comprises a pair of handles A and B, pivotally connected by a pivot-pin C and provided with cutting-blades o and The said blades are provided with openings a and b', and in these openings the cylindrical cross-heads D and E are inserted, said crossheads being formed with reduced end portions of CZ and c e. As shown, the pivot-pin is formed with reduced end portions c and c and also with an annular groove In this way the handles are pivotally connected by the middle portion of the pin C, and the crossheads D and E are carried, respectively, by the blades and c. The sealing-clamps E and (r arel mounted at opposite sides of the cutting-blades and are operated by the latter when the handles are opened and closed, the jaws of said clamps being' carried on the re duced end portions of the cross-heads and pivotally connected by the reduced end portions of the pivot-pin. For example, the clamp F comprises the upper and lower jaws f and f, having openings f2 and f for the pivot-pin and having also cam-slotsfi and fr. It will also be seen that the jaw f has a notched openingfIG and a pair of prongs f7, while the jaw f/ is provided with a notched openingj-as and three prongs f". Also, as illustrated, the jaw f is formed with slightly-separated disk-like portions fw, and the jaw f is formed with similar disk-like portionsfu, the portionsfu fitting' and working between the portions fw. Each jaw can be made in one piece; but it is constructed from iive superimposed plates which are fastened together by rivets, as shown. The plate f 1provided with the necdle fm and the cam-pin f and having the slot fl, fits and works between the portions/ Keys Z2 and c2, provided with notches, are secured in the end portions d and c and adapted to engage the notches of the openings f and f8. Split or notched lockingrings (Z3 and c encircle the portions d' and e and engage the notches in the keys Z2 and @2. 1VV ith this provision it is obvious that the jaws cannot be removed from the cross-heads until the rings d and c are rotated suliiciently to bring their notches into register with the said keys. The said rings are mounted between the plates of which the jaws are composed and are provided with roughened edges to facilitate their rotation. A spring-key H, having a hook-shaped portion t, adapted to engage the groove c in the pivot-pin, and provided with an opening in its other end adapted to engage the small pin or projection it on the handle B, serves as the means for holding the blades together.

With this arrangement the handle A is secured to the pivot-pin C, while the handle B is loosely mounted thereon. By disengag'ing the flexible key from the pin /L its hook-shaped end can be withdrawn from the groove c2, so as to leave the handles free to separate. It will be understood that the clamp G is in all respects the same as the clamp F. When the instrument is closed, as shown in Fig. 1, the prongs of t ie upper jaws interlock with the prongs of the lower jaws, as shown in Fig. 6. At such times the pivot-pin is at the inner end of the slots in the plate f 12 and the corresponding plate of the clamp G. Also when the jaws are closed the needles on these plates project between the jaws and the campins are at the `inner ends of the cam-slots in the interlocking pivotally-connected portions of the jaws.

In use the metal sealing-bands I, each in the nature of a split ring or band having a small hole e' adapted to receive one of the needles, are first placed in position, as shown in Fig. 7. The handles are then brought together, so as to cause the edges of the cutting-blades to pass each other and so as to compress the sealing'- bands near the ends of the severed oord. This closing' of the instrument causes the cam-slots in the disks to act on the cam-pins in such manner as to keep the needles inserted th rough the openings in the bands. Upon opening' the instrument, however, the extreme separation of the handles causes the said cam-slots to act on the cam-pins in such manner as to shift the two plates bearing the needles to the position shown in Fig. 8, thereby withdrawing the needles from the bands. Thus the needles when the cord is cut are allowed to remain in position to keep the ends of the cord from slipping' away until after the sealing-bands are properly applied. These sealing-bands are preferably flat in character and of any suitable metal-for example, aluminium.

With the provision of the cross-head having keys and locking-rings it is obvious that the jaws can be easily and quickly removed, thus facilitating' cleaning and sterilizing' and the taking apart and assembling of the various portions of the instrument; but notwithstanding the readiness with which the instrument can be taken apart and put together it will be seen that the instrument is strong and rigid and that the construction is of such character as to prevent any yielding or slight displacement of the parts during the delicate operation of severing and sealing the cord. Furthermore, the sealing-bands can be clamped down fiat upon the cord, thus effectively sealing the ends of the latter.

What l claim as my invention is- 1. An umbilical forceps comprising blades having cross-heads, a pivot-pin connecting the blades, and a pair of sealing-clamps removably mounted on said cross -heads and pivot-pin at opposite sides of the blades.

9.. An umbilical forceps comprising blades having cylindric cross-heads, clamping-jaws mounted on said cross-heads, and notched locking-rings rotatably mounted on said crossheads to lock the jaws in place.

3. An umbilical forceps comprising clamping-jaws, cutting means, and needles operated by the opening and closing movements of the jaws and adapted to hold a couple of metal sealing-bands in position between the jaws.

4. An umbilical forceps comprising clamping-jaws, cutting means, and a pair of needles alternately withdrawn from and presented between the jaws by the opening and closing movements of the latter.

5. An umbilical forceps comprising cutting means, and clamping-jaws, said jaws having flat opposing faces, whereby a pair of metal sealing-bands may be clamped down fiat upon the cord and near the ends of the severed cord.

6. An umbilical forceps comprising cutting means, clampingjaws having' fiat opposing faces adapted to clamp a pair of metal sealingbands down flat upon the cord and near the ends of the severed cord, and needles adapted to extend through the bands and engag'e the cord during the cutting' operation, said needles being alternately withdrawn from and presented between the jaws by the opening and closing movements of the jaws.

7. An umbilical forceps comprising pivotally-connected clam p-jaws having fiat opposing' faces adapted to clamp a pair of metal sealing-bands down flat upon the cord, said forceps being provided with cutting means, and also with means for holding said bands in place between the jaws.

8. An umbilical forceps comprising a pair of cutting-blades, a pivot-pin connecting said blades, said pin having an annular groove, and a key-spring having one end engaging said groove and the other end engaging a portion rigid with one of said blades.

9. An umbilical forceps comprising clamping-jaws and cutting' means, said jaws being' pivotally connected at one end and provided with interlocking prongs at the other end and having also fiat clamping-faces between their ends.

lO. An umbilical forceps comprising clamping-jaws having' cam-grooves, and needleplates provided with cam-pins adapted to engage said grooves, whereby the needles are alternately withdrawn from and presented between the jaws by the opening and closing movements of the instrument.

l1. Means for effecting a sealing by metallic process of the ends of the severed umbilical cord, comprising a pair of split bands, and a pair of forceps provided with cutting' means and fiat-faced clamping-jaws adapted to clamp the bands down fiat upon the cord near the ends.

12. Means for effecting a sealing of the severed umbilical cord, comprising a pair of split IOO IIO

metal bands each provided with an opening i Signed by me at Salt Lake City, Salt Lake opposite its gap. county, Utah, this 29th day of March, 1904.

13. An umbilical forceps comprisingolampw 1 ing-jaws connected by cross-heads having ERNESl V AQHMJON' notched keys and rotatable notched looking'- Witnesses:

rings for removably holding the jaws in place A. W. SMITH,

on the cross-heads. DAVID W. SMITH.

US789401A 1904-07-15 1904-07-15 Umbilical forceps and metal sealing-band. Expired - Lifetime US789401A (en)

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Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3016056A (en) * 1952-11-07 1962-01-09 Jacobs John Bay Method of identifying newly born infants
US5342376A (en) * 1993-05-03 1994-08-30 Dermagraphics, Inc. Inserting device for a barbed tissue connector
US5462555A (en) * 1993-12-30 1995-10-31 United States Surgical Corporation Umbilical cord clip and applicator
US6241747B1 (en) 1993-05-03 2001-06-05 Quill Medical, Inc. Barbed Bodily tissue connector
US6599310B2 (en) 2001-06-29 2003-07-29 Quill Medical, Inc. Suture method
US20040030354A1 (en) * 2002-08-09 2004-02-12 Leung Jeffrey C. Suture anchor and method
US20040088003A1 (en) * 2002-09-30 2004-05-06 Leung Jeffrey C. Barbed suture in combination with surgical needle
US20040226427A1 (en) * 2003-05-13 2004-11-18 Michael Trull Apparatus for forming barbs on a suture
US20040237736A1 (en) * 2001-08-31 2004-12-02 Genova Perry A. Method of forming barbs on a suture and apparatus for performing same
US20060111742A1 (en) * 2001-06-29 2006-05-25 Andrew Kaplan Suture method
US20080255611A1 (en) * 2007-04-13 2008-10-16 Angiotech Pharmaceuticals, Inc. Self-retaining systems for surgical procedures
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
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
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
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
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures

Cited By (57)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3016056A (en) * 1952-11-07 1962-01-09 Jacobs John Bay Method of identifying newly born infants
US7226468B2 (en) 1993-05-03 2007-06-05 Quill Medical, Inc. Barbed bodily tissue connector
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
US6241747B1 (en) 1993-05-03 2001-06-05 Quill Medical, Inc. Barbed Bodily tissue connector
US20100298867A1 (en) * 1993-05-03 2010-11-25 Quill Medical, Inc. Tissue connector with tissue grasping protrusions equally spaced about the periphery of the connector at successive axial locations
US7806908B2 (en) 1993-05-03 2010-10-05 Quill Medical, Inc. Barbed tissue connector
US20080221617A1 (en) * 1993-05-03 2008-09-11 Quill Medical, Inc. Barbed tissue connector
US5342376A (en) * 1993-05-03 1994-08-30 Dermagraphics, Inc. Inserting device for a barbed tissue connector
US20070208355A1 (en) * 1993-05-03 2007-09-06 Ruff Gregory L Barbed tissue connector
US20040093028A1 (en) * 1993-05-03 2004-05-13 Ruff Gregory L. Barbed bodily tissue connector
US5462555A (en) * 1993-12-30 1995-10-31 United States Surgical Corporation Umbilical cord clip and applicator
US8764796B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Suture method
US7056331B2 (en) 2001-06-29 2006-06-06 Quill Medical, Inc. Suture method
US7857829B2 (en) 2001-06-29 2010-12-28 Quill Medical, Inc. Suture method
US6599310B2 (en) 2001-06-29 2003-07-29 Quill Medical, Inc. Suture method
US20060111742A1 (en) * 2001-06-29 2006-05-25 Andrew Kaplan Suture method
US20070208377A1 (en) * 2001-06-29 2007-09-06 Andrew Kaplan Suture Method
US8020263B2 (en) 2001-08-31 2011-09-20 Quill Medical, Inc. Automated system for cutting tissue retainers on a suture
US8926659B2 (en) 2001-08-31 2015-01-06 Ethicon, Inc. Barbed suture created having barbs defined by variable-angle cut
US20070187861A1 (en) * 2001-08-31 2007-08-16 Quill Medical, Inc. Method of Forming Barbs on a Suture and Apparatus for Performing Same
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
US20040237736A1 (en) * 2001-08-31 2004-12-02 Genova Perry A. Method of forming barbs on a suture and apparatus for performing same
US7225512B2 (en) 2001-08-31 2007-06-05 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US7913365B2 (en) 2001-08-31 2011-03-29 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
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
US7996968B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. Automated method for cutting tissue retainers on a suture
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
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
US8028387B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for supporting and cutting suture thread to create tissue retainers thereon
US8679158B2 (en) 2002-08-09 2014-03-25 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8652170B2 (en) 2002-08-09 2014-02-18 Ethicon, Inc. Double ended barbed suture with an intermediate body
US8690914B2 (en) 2002-08-09 2014-04-08 Ethicon, Inc. Suture with an intermediate barbed body
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
US20040030354A1 (en) * 2002-08-09 2004-02-12 Leung Jeffrey C. Suture anchor and method
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US8795332B2 (en) 2002-09-30 2014-08-05 Ethicon, Inc. Barbed sutures
US20040088003A1 (en) * 2002-09-30 2004-05-06 Leung Jeffrey C. Barbed suture in combination with surgical needle
US8852232B2 (en) 2002-09-30 2014-10-07 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8821540B2 (en) 2002-09-30 2014-09-02 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US7624487B2 (en) 2003-05-13 2009-12-01 Quill Medical, Inc. Apparatus and method for forming barbs on a suture
US20040226427A1 (en) * 2003-05-13 2004-11-18 Michael Trull Apparatus for forming barbs on a suture
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US20080255611A1 (en) * 2007-04-13 2008-10-16 Angiotech Pharmaceuticals, Inc. Self-retaining systems for surgical procedures
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US9498893B2 (en) 2007-09-27 2016-11-22 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8777987B2 (en) 2007-09-27 2014-07-15 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
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
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

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