WO2012088575A1 - Suture staple - Google Patents

Suture staple Download PDF

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Publication number
WO2012088575A1
WO2012088575A1 PCT/BR2011/000503 BR2011000503W WO2012088575A1 WO 2012088575 A1 WO2012088575 A1 WO 2012088575A1 BR 2011000503 W BR2011000503 W BR 2011000503W WO 2012088575 A1 WO2012088575 A1 WO 2012088575A1
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WO
WIPO (PCT)
Prior art keywords
suture
skin
present
suture staple
ant
Prior art date
Application number
PCT/BR2011/000503
Other languages
French (fr)
Portuguese (pt)
Inventor
Thays Obando BRITO
Jorge Luiz PEREIRA DE SOUZA
Magnólia Granjeiro QUIRINO
Carlos RUY
Original Assignee
Instituto Nacional De Pesquisas Da Amazônia - Inpa
Fundação Universidade Do Amazonas, Mantenedora Da Universidade Federal Do Amazonas - Ufam
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 Instituto Nacional De Pesquisas Da Amazônia - Inpa, Fundação Universidade Do Amazonas, Mantenedora Da Universidade Federal Do Amazonas - Ufam filed Critical Instituto Nacional De Pesquisas Da Amazônia - Inpa
Publication of WO2012088575A1 publication Critical patent/WO2012088575A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0644Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • 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
    • A61B17/0493Protective devices for suturing, i.e. for protecting the patient's organs or the operator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0645Surgical staples, i.e. penetrating the tissue being elastically deformed for insertion

Definitions

  • the present invention relates to a suture clamp, particularly based on the welded ant jaw of the Atta genus.
  • This device was developed through the bionic technique, which studies living systems to discover processes, techniques or principles that can help in the creation of projects.
  • WO 90/04356 considered as the closest state of the art of the invention, describes a suture device comprising a pair of interconnected movable arms 12 and 14, each with at least one member inserts 18 and 20 having a free end to penetrate the skin in the vicinity of the region to be sutured.
  • the device is movable from an open position where the ends Free of the insertion members are spaced apart to place the device over the region to be sutured to a closed position where the insertion members penetrate the skin adjacent the region to be sutured to join the two edges of the region to facilitate healing thereof, and said device includes means for guiding the arms to the closed position.
  • WO 90/04356 is a spiked metal clamp including a pair of interlocking movable arms, such device has a totally different shape or arrangement than the present invention, probably not achieving the functional improvement of the present invention as reported by the inventor.
  • EP 0 432 743 describes a suture clamp, especially a microclip for surgical intervention, having two flanges disposed opposite each other and made of sheet metal. At one end the flanges have ends 4 and 5 directed at the other 6 and 7 at the other end thereof; clamping areas 1 and 2 that can be pressed together against tensile force.
  • Such a clamp was designed as a single piece and has a connecting flange 3 extending between the clamping areas 1 and 2 and being resiliently elastic.
  • EP 0 432 743 is also a spiked but one-piece metal clamp utilizing tensile strength, the device of EP 0 432 743 also does not confuse the present invention and therefore probably does not achieve improvement. of the present invention as reported by the inventor.
  • US 3,525,340 discloses a surgical dressing in which one side of a relatively thin, elastic and flexible substrate is provided with surgical clips for simplified insertion thereof through the substrate into the skin for coaptation of the laceration edges, which can be made by simple manual pressure on the clamps.
  • US 3,525,340 does not teach how to produce or even the advantages of the present invention.
  • US 2008/0027484 refers to a wound closure care and maintenance apparatus that can gradually tighten the skin around the wound until it reaches wound closure and maintain wound closure during the most critical postoperative period. operative. US 2008/0027484 at no time anticipates the present invention.
  • a surgical instrument for fixing and applying tension and joining the separated skin edges as needed for suturing a wound is disclosed in US 5,843,125. Said object is a surgical instrument used only during surgery which in no way anticipates the present invention.
  • an ant-jaw-based suture clamp has been developed that can make it easier for both (medical) professionals, with a system that has a lower cost safety mechanism because it does not need its own instrument. in its fixation on the skin and also in the withdrawal, as for the target audience (children), with the comfort and decreased fear of suturing the skin, ie the psychological side.
  • Figure 1 - A handle structure; B: metal fixing structure.
  • the development of the present ant-jaw-based clamp employs analogy in both mechanism and shape, providing mechanics that are able to join the edges for more effective healing. Since it resembles an ant, and like ant bites, they are usually not very painful, so the system will not, adding to the improved use of the product. Additionally, the cost is lower because it does not require another specific instrument to fix it or to be removed from the skin.
  • the object of the present invention is a suture clip comprising:
  • a) handle structure comprising at least one lever
  • attachment structure comprising curved-shaped approaching edges with a sharp point
  • the suture clip is comprised of: a) handle structure preferably comprising chrome-plated steel with two levers, as shown in Figure 1, responsible for supporting the instrument to be used, thereby enabling movement to secure or remove the skin clip;
  • metal fixation structure preferably chrome steel, preferably cylindrical, according to figure 1, where the skin approximation structure is responsible for approaching the edges of a wound, penetrating through the epidermis and dermis, its shape should be curved and with sharp cylindrical tip;

Abstract

The present invention relates to a suture staple, particularly based on the shape of the mandible of the leaf-cutting soldier ant of the genus Atta. This device has been developed using bionic technology, which studies living systems in order to discover processes, techniques or principles that may be of assistance in the creation of designs. The suture staple is composed of a catch structure comprising at least one lever, a fastening structure provided with curved ends for holding the skin together, and with a cutting point, and a cover.

Description

Relatório Descritivo de Modelo de Utilidade  Utility Model Descriptive Report
Grampo de Sutura  Suture Clamp
Campo do Invento Invention Field
O presente invento refere-se a um grampo de sutura, particularmente baseado na mandíbula da formiga saúva soldado do género Atta. Tal dispositivo foi desenvolvido através da técnica biônica, que estuda os sistemas vivos para descobrir processos, técnicas ou princípios que possam ajudar na criação de projetos.  The present invention relates to a suture clamp, particularly based on the welded ant jaw of the Atta genus. This device was developed through the bionic technique, which studies living systems to discover processes, techniques or principles that can help in the creation of projects.
Antecedentes do Invento Background of the Invention
Os métodos de sutura existentes apesar de apresentarem bastante evolução ainda apresentam problemáticas. Na sutura por fios, ainda não existe um fio ideal, pois este seria aquele totalmente inerte a infecção. Além disso, a técnica é traumática e ainda ocorre um trauma maior, principalmente em crianças, por ser bastante demorada e dolorosa.  Existing suture methods, despite their considerable evolution, still present problems. In thread suture, there is not yet an ideal thread, as this would be the one totally inert to the infection. In addition, the technique is traumatic and there is still a major trauma, especially in children, because it is very long and painful.
Na sutura por adesivo biológico ocorre o abafamento da ferida, proliferação de bactérias e polimerizante tóxico, evitando a cicatrização com rapidez. Na sutura por grampo metálico, apesar de apresentar vantagens como a execução fácil e rápida causando o mínimo de dano aos tecidos, cicatrização sem dificuldades e não favorecimento de infecção na pele, também apresenta desvantagens, pois a dor dos grampos na sua colocação e retirada é bem maior que aquela resultante dos pontos tradicionais (por fios). Além disso, a sutura por grampo possui um custo mais elevado, sendo o principal motivo a necessidade de um grampeador para assim fixá-lo na pele humana.  In biological adhesive suture, there is wound suppression, proliferation of bacteria and toxic polymerizer, preventing rapid healing. In metallic staple suture, despite having advantages such as fast and easy execution causing minimal damage to tissues, healing without difficulties and not favoring skin infection, it also has disadvantages, because the pain of staples in its placement and removal is much larger than that resulting from traditional stitches (by wire). In addition, staple suturing has a higher cost, the main reason being the need for a stapler to fix it on human skin.
Quanto ao estado da técnica de patentes, o documento WO 90/04356, considerado como o estado da técnica mais próximo do invento, descreve um dispositivo para sutura que inclui um par de braços móveis interligados 12 e 14, cada um com pelo menos um membro de inserção na pele 18 e 20 possuindo uma extremidade livre para penetrar a pele na proximidade da região a ser suturada. O dispositivo é móvel de uma posição aberta, onde as extremidades livres dos membros de inserção estão espaçados uni do outro para a colocação do dispositivo sobre a região a ser suturada, até uma posição fechada, onde os membros de inserção penetram a pele adjacente a região a ser suturada para unir as duas bordas da região para facilitar a cicatrização da mesma, e o dispositivo citado inclui meios para conduzir os braços para a posição fechada. With regard to the state of the art patent WO 90/04356, considered as the closest state of the art of the invention, describes a suture device comprising a pair of interconnected movable arms 12 and 14, each with at least one member inserts 18 and 20 having a free end to penetrate the skin in the vicinity of the region to be sutured. The device is movable from an open position where the ends Free of the insertion members are spaced apart to place the device over the region to be sutured to a closed position where the insertion members penetrate the skin adjacent the region to be sutured to join the two edges of the region to facilitate healing thereof, and said device includes means for guiding the arms to the closed position.
Mesmo sendo WO 90/04356 um grampo metálico, dotado de pontas, incluindo um par de braços móveis interligados, tal dispositivo apresenta forma ou disposição totalmente diferente do presente invento, provavelmente não alcançando a melhoria funcional do presente invento conforme relato do inventor.  Even though WO 90/04356 is a spiked metal clamp including a pair of interlocking movable arms, such device has a totally different shape or arrangement than the present invention, probably not achieving the functional improvement of the present invention as reported by the inventor.
O documento EP 0 432 743 descreve um grampo de sutura, especialmente um microclipe para intervenção cirúrgica, tendo duas flanges dispostas uma em frente a outra, e feito de chapa metálica. Em uma extremidade os flanges possuem pontas 4 e 5 dirigidas para as outras 6 e 7, na outra extremidade respectiva; áreas de aperto 1 e 2 que podem ser pressionadas juntas contra uma força elástica. Tal grampo foi desenhado como peça única e possui uma flange de conexão 3, que se estende entre as áreas de aperto 1 e 2, sendo resilientemente elástica.  EP 0 432 743 describes a suture clamp, especially a microclip for surgical intervention, having two flanges disposed opposite each other and made of sheet metal. At one end the flanges have ends 4 and 5 directed at the other 6 and 7 at the other end thereof; clamping areas 1 and 2 that can be pressed together against tensile force. Such a clamp was designed as a single piece and has a connecting flange 3 extending between the clamping areas 1 and 2 and being resiliently elastic.
EP 0 432 743 também é um grampo metálico dotado de pontas, porém em peça única e que se utiliza de força elástica, o dispositivo do documento EP 0 432 743 também não se confunde com o presente invento e, portanto, provavelmente não alcança a melhoria funcional do presente invento conforme relato do inventor.  EP 0 432 743 is also a spiked but one-piece metal clamp utilizing tensile strength, the device of EP 0 432 743 also does not confuse the present invention and therefore probably does not achieve improvement. of the present invention as reported by the inventor.
O documento US 3,525,340 apresenta um curativo cirúrgico em que um lado de um substrato relativamente fino, elástico e flexível é fornecido com grampos cirúrgicos para a inserção simplificada do mesmo através do substrato na pele, para coaptação das bordas de lacerações, que pode ser feito pela simples pressão manual sobre os grampos.  US 3,525,340 discloses a surgical dressing in which one side of a relatively thin, elastic and flexible substrate is provided with surgical clips for simplified insertion thereof through the substrate into the skin for coaptation of the laceration edges, which can be made by simple manual pressure on the clamps.
US 3,525,340 não ensina como produzir ou mesmo as vantagens do presente invento. O documento US 2008/0027484 refere-se a um apararelho para assistência e manutenção do fechamento de feridas que pode esticar a pele ao redor da ferida gradualmente até atingir o fechamento da ferida e manter o fechamento da ferida durante o período mais crítico no pós-operatório. US 2008/0027484 em nenhum momento antecipa o presente invento. US 3,525,340 does not teach how to produce or even the advantages of the present invention. US 2008/0027484 refers to a wound closure care and maintenance apparatus that can gradually tighten the skin around the wound until it reaches wound closure and maintain wound closure during the most critical postoperative period. operative. US 2008/0027484 at no time anticipates the present invention.
Um instrumento cirúrgico para a fixação e aplicação de tensão e união das bordas de pele separadas conforme necessário para a sutura de uma ferida é apresentado no documento US 5,843,125. O referido objeto é um instrumento cirúrgico utilizado apenas durante a cirurgia que em nada antecipa o presente invento.  A surgical instrument for fixing and applying tension and joining the separated skin edges as needed for suturing a wound is disclosed in US 5,843,125. Said object is a surgical instrument used only during surgery which in no way anticipates the present invention.
Pode-se ver que WO 90/04356 e EP 0 432 743 já descrevem um grampo metálico dotado de pontas, sendo EP 0 432 743 em peça única e se utiliza de força elástica para a realização de suturas. No entanto, em virtude de sua nova forma ou disposição e melhorias técnicas relatadas pelo inventor, o presente grampo de sutura baseado na mandíbula da formiga saúva é inventivo frente aos ensinamentos do estado da técnica.  It can be seen that WO 90/04356 and EP 0 432 743 already describe a pronged metal clamp being EP 0 432 743 in one piece and using elastic force for suturing. However, by virtue of its new form or arrangement and technical improvements reported by the inventor, the present ant-jaw-based suture clip is inventive in light of prior art teachings.
Sumário do Invento Summary of the Invention
A fim de solucionar esses problemas, foi desenvolvido um grampo de sutura baseado na mandíbula da formiga que possa vir a facilitar tanto para os profissionais (médicos), com sistema que apresente mecanismo de segurança e de custo mais baixo por não necessitar de um instrumento próprio na sua fixação na pele e também na retirada, quanto para o público alvo (as crianças), com o conforto e diminuição do medo da sutura na pele, ou seja, o lado psicológico.  In order to solve these problems, an ant-jaw-based suture clamp has been developed that can make it easier for both (medical) professionals, with a system that has a lower cost safety mechanism because it does not need its own instrument. in its fixation on the skin and also in the withdrawal, as for the target audience (children), with the comfort and decreased fear of suturing the skin, ie the psychological side.
Breve Descrição das Figuras Brief Description of the Figures
Figura 1 - A: estrutura de pega; B: estrutura de fixação metálica.  Figure 1 - A: handle structure; B: metal fixing structure.
Figura 2 - tampa do grampo, porque facilita a mobilidade do corpo humano sem engatar nos objetos. Descrição Detalhada do Invento Figure 2 - clamp cover, because it facilitates the mobility of the human body without engaging objects. Detailed Description of the Invention
Os exemplos aqui descritos têm o intuito apenas de ilustrar os inúmeros meios de se realizar o invento, não devendo ser entendido de forma restritiva, mas sim ilustrativa.  The examples described herein are intended solely to illustrate the numerous means of carrying out the invention and should not be construed as restrictive but illustrative.
Em especial, o desenvolvido do presente grampo baseado na mandíbula da formiga, emprega analogia tanto no mecanismo como na forma, proporcionando uma mecânica que é capaz de unir as bordas possibilitando a cicatrização mais eficaz. Como se assemelha a uma formiga, e como as picadas de formigas, normalmente não são muito doloridas, então o sistema também não será, agregando uma melhora no uso do produto. Adicionalmente, o custo é mais baixo por não necessitar de outro instrumento específico para sua fixação ou para ser removido da pele.  In particular, the development of the present ant-jaw-based clamp employs analogy in both mechanism and shape, providing mechanics that are able to join the edges for more effective healing. Since it resembles an ant, and like ant bites, they are usually not very painful, so the system will not, adding to the improved use of the product. Additionally, the cost is lower because it does not require another specific instrument to fix it or to be removed from the skin.
O objeto do presente invento é um grampo de sutura composto por:  The object of the present invention is a suture clip comprising:
a) estrutura de pega compreendendo pelo menos uma alavanca;  a) handle structure comprising at least one lever;
b) estrutura de fixação compreendendo extremidades de aproximação da pele, com formato curvo e com ponta cortante; e  b) attachment structure comprising curved-shaped approaching edges with a sharp point; and
c) tampa do grampo.  c) clip cover.
Em uma realização preferencial, o grampo de sutura é composto por: a) estrutura de pega compreendendo preferencialmente em aço-cromo com duas alavancas, conforme figura 1 , responsável por apoiar o instrumento a ser utilizado, e assim possibilitar o movimento para fixar ou retirar o grampo da pele;  In a preferred embodiment, the suture clip is comprised of: a) handle structure preferably comprising chrome-plated steel with two levers, as shown in Figure 1, responsible for supporting the instrument to be used, thereby enabling movement to secure or remove the skin clip;
b) estrutura de fixação metálica, preferencialmente em aço-cromo, preferencialmente cilíndrica, conforme figura 1 , onde a estrutura de aproximação da pele é responsável por aproximar as bordas de um ferimento, penetrando através da epiderme e derme, sua forma deve ser curva e com ponta cilíndrica cortante; e  b) metal fixation structure, preferably chrome steel, preferably cylindrical, according to figure 1, where the skin approximation structure is responsible for approaching the edges of a wound, penetrating through the epidermis and dermis, its shape should be curved and with sharp cylindrical tip; and
c) tampa do grampo, preferencialmente feita em polímero, preferencialmente silicone, com aplicação de cores através de pigmentos, conforme figura 2. Em meios as desvantagem e aos traumas causados pelas atuais técnicas de sutura, é que este novo sistema baseado na mandíbula da formiga apresenta uma grande potencialidade, tanto na área industrial, através do processo de fundição de precisão, com a possibilidade de produção em massa, utilização de ligas metálicas, bom acabamento na qual se necessita pouco ou quase nenhuma usinagem posterior e controle preciso da propriedade mecânica, como também potencialidade na área comercial com o produto inovador, haja vista que foi projetado a partir do sistema natural vivo (mandíbula da formiga) que foi e ainda é utilizado por determinadas tribos indígenas. Além disso, funciona com eficiência e praticidade. Daí a importância de fazer a analogia tanto com a forma como com o mecanismo e oferecendo para o mercado um produto com diferencial e acima de tudo com funcionalidade. c) clamp cover, preferably made of polymer, preferably silicone, with color application through pigments, as shown in figure 2. The disadvantage and trauma caused by current suturing techniques is that this new ant-jaw-based system has great potential both in the industrial area through the precision casting process, with the possibility of mass production, use of metal alloys, good finish requiring little or no further machining and precise control of mechanical property, as well as potential in the commercial area with the innovative product, since it was designed from the living natural system (ant jaw ) which was and is still used by certain indigenous tribes. In addition, it works efficiently and conveniently. Hence the importance of making the analogy with both the form and the mechanism and offering the market a product with differential and above all with functionality.

Claims

Reivindicações Claims
1. Grampo de sutura caracterizado por compreender: 1. Suture clip comprising:
a) estrutura de pega compreendendo pelo menos 1 alavanca;  a) handle structure comprising at least 1 lever;
b) estrutura de fixação compreendendo extremidades de aproximação da pele, com formato curvo e com ponta cortante; e  b) attachment structure comprising curved-shaped approaching edges with a sharp point; and
c) tampa do grampo.  c) clip cover.
2. Grampo de sutura, de acordo com a reivindicação 1 , caracterizado pela estrutura de fixação ser cilíndrica.  Suture clip according to Claim 1, characterized in that the fixing structure is cylindrical.
3. Grampo de sutura, de acordo com a reivindicação 1 , caracterizado pela estrutura de pega compreender 2 alavancas.  Suture clip according to claim 1, characterized in that the handle structure comprises 2 levers.
PCT/BR2011/000503 2010-12-29 2011-12-29 Suture staple WO2012088575A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
BRMU9002473-7U BRMU9002473Y1 (en) 2010-12-29 2010-12-29 SUTURE CLIP
BRMU9002473-7 2010-12-29

Publications (1)

Publication Number Publication Date
WO2012088575A1 true WO2012088575A1 (en) 2012-07-05

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD870284S1 (en) 2017-07-31 2019-12-17 Crossroads Extremity Systems, Llc Osteosynthesis clip
USD1003436S1 (en) 2021-08-19 2023-10-31 Medline Industries, Lp Surgical staple
USD1004088S1 (en) 2021-08-19 2023-11-07 Medline Industries, Lp Surgical staple

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4217902A (en) * 1977-05-02 1980-08-19 March Alfred L Hemostatic clip
US4430998A (en) * 1982-06-01 1984-02-14 Thoratec Laboratories Corporation Wound closing device
US4676245A (en) * 1983-02-09 1987-06-30 Mamoru Fukuda Interlocking surgical staple assembly
WO1990004356A1 (en) * 1988-10-26 1990-05-03 Inbae Yoon Wound-closing device
EP0432743A1 (en) * 1989-12-12 1991-06-19 Hilmar Hubbes Wound clip, particularly surgical microclip

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4217902A (en) * 1977-05-02 1980-08-19 March Alfred L Hemostatic clip
US4430998A (en) * 1982-06-01 1984-02-14 Thoratec Laboratories Corporation Wound closing device
US4676245A (en) * 1983-02-09 1987-06-30 Mamoru Fukuda Interlocking surgical staple assembly
WO1990004356A1 (en) * 1988-10-26 1990-05-03 Inbae Yoon Wound-closing device
EP0432743A1 (en) * 1989-12-12 1991-06-19 Hilmar Hubbes Wound clip, particularly surgical microclip

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD870284S1 (en) 2017-07-31 2019-12-17 Crossroads Extremity Systems, Llc Osteosynthesis clip
USD892331S1 (en) 2017-07-31 2020-08-04 Crossroads Extremity Systems, Llc Osteosynthesis clip features
USD960371S1 (en) 2017-07-31 2022-08-09 Crossroads Extremity Systems, Llc Osteosynthesis clip features
USD1003436S1 (en) 2021-08-19 2023-10-31 Medline Industries, Lp Surgical staple
USD1004088S1 (en) 2021-08-19 2023-11-07 Medline Industries, Lp Surgical staple

Also Published As

Publication number Publication date
BRMU9002473Y1 (en) 2018-06-19
BRMU9002473U2 (en) 2013-04-16

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