U.S. patent number 3,857,396 [Application Number 05/390,514] was granted by the patent office on 1974-12-31 for suture clamp.
Invention is credited to Charles W. Hardwick.
United States Patent |
3,857,396 |
Hardwick |
December 31, 1974 |
SUTURE CLAMP
Abstract
A suture clamp includes a compressible member having a hole
extending therethrough and means for locking the suture in the
hole, the locking means including a ridge extending along a first
outer surface of the member substantially transverse to the hole.
The ridge is pressed into the member by a scissor clamp having two
pivot arms with clamping jaws at the extremities thereof, one of
the jaws having a die extending substantially parallel with the
corresponding arm such that the die presses the ridge into the
member when the member is positioned between the jaws and the jaws
are compressed together.
Inventors: |
Hardwick; Charles W. (Sanford,
FL) |
Family
ID: |
23542770 |
Appl.
No.: |
05/390,514 |
Filed: |
August 22, 1973 |
Current U.S.
Class: |
606/232; 403/391;
24/115A; 606/142 |
Current CPC
Class: |
A61B
17/04 (20130101); Y10T 24/398 (20150115); A61B
2017/0488 (20130101); Y10T 403/7141 (20150115); A61B
17/0487 (20130101); A61B 2017/0464 (20130101); A61B
2017/0454 (20130101) |
Current International
Class: |
A61B
17/04 (20060101); A61b 017/04 () |
Field of
Search: |
;128/335,334R,335.5
;24/18,115A,2W,117R,129W ;403/391 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
A New Method of Sternal Approximation, The Annals of Thoracic
Surgery, Vol. 15, No. 5, May 1973, pp. 544-546..
|
Primary Examiner: Laudenslager; Lucie H.
Attorney, Agent or Firm: Duckworth, Hobby & Allen
Claims
I claim:
1. Suture clamping means comprising:
a compressible member having a hole extending therethrough;
means for locking a suture in said hole, said locking means
comprising a ridge extending along a first outer surface of said
member substantially transverse to said hole and wherein
compression of said ridge reduces the cross-sectional area of said
hole to lock suture therein.
2. Clamping means as recited in claim 1 further comprising a groove
extending along another surface of said member opposing said
ridge.
3. Clamping means as recited in claim 2 further comprising another
hole through said member substantially parallel with said one
hole.
4. Clamping means as recited in claim 2 wherein said member
comprises a malleable material inert to human tissue.
5. Clamping means as recited in claim 1 further comprising said
member having a slot extending from a surface thereof and
communicating with said hole.
6. Clamping means comprising:
a compressible member having a hole extending therethrough;
a ridge extending along an outer surface of said member
substantially transverse to said hole; and
means for reducing the cross-sectional area of said hole, said
means comprising said ridge.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to surgical tools, and in particular
relates to apparatus useful for clamping sutures, and the like.
2. Description of the Prior Art
In medical practice, deep incisions or injuries are stitched with a
suture, which may comprise strong synthetic monofilament, silk, or
an inert surgical wire. Generally the incision is stitched in a
manner to leave both ends of the suture proximal to each other.
After each stitch, the physician ties the suture ends together.
There are certain problems associated with this tying technique.
For example, slippage of suture knots can make the tying operation
difficult. Further, the tying of surgical wires is difficult under
the best conditions.
There have been suggestions in the prior art for employing clamps
to replace the tying off process. McConnaughey, in U.S Pat. No.
462,270, teaches a compressible sleeve having a slot for fitting
over the suture, and a scissor clamp for compressing the slot. In
U.S. Pat. No. 3,664,345, Dabbs et al., disclose a surgical button
useful for retaining a suture after a stitch is taken in a wound.
Davidson, in U.S. Pat. No. 2,075,508, teaches a similar
arrangemment. Other suture retention techniques are taught in the
following U.S. Pat. Nos. 3,580,256 to Wilkinson et al.; 3,650,274
to Edwards et al.; and 3,311,110 to Singerman et al. Examples of
ligation clamps are disclosed in U.S. Pat. Nos. 3,503,398 to
Fogarty et al; and 3,175,556 to Wood et al.
SUMMARY OF THE INVENTION
The present invention contemplates suture clamping means comprising
a compressible member having a hole extending therethrough and
means for locking a suture in the hole, the locking means
comprising a ridge extending along a first outer surface of the
member substantially transverse to the hole, and a corresponding
groove on the opposite surface.
The present invention further includes a scissor clamp useful for
holding the member firmly while it is slid down suture into proper
position, then for crimping the ridge into the member and
compressing the member to lock the suture in the hole.
THE DRAWING
FIG. 1 is a perspective view of a clamp member in accordanc with
the present invention.
FIG. 2 is a front view of an alternate embodiment of the clamp
member of FIG. 1.
FIG. 3 is a perspective view of scissor clamping means according to
the present invention.
FIG. 4 is a perspective view illustrating the manner in which the
clamping means of FIG. 3 is employed with the clamp member of FIG.
3.
FIGS. 5 and 6 are cross sectional end views of the clamping means
of FIG. 3 and the clamp member of FIGS. 1 and 2.
DETAILED DESCRIPTION
The suture clamp of the present invention includes a compressible
clamp member for receiving the suture and a scissor-like clamp for
compressing the clamp member for locking the suture in place. This
arrangement will now be described with reference to the
drawing.
Noting FIG. 1, the suture clamp of the present invention includes a
compressible clamp member 10 having two holes 12, 14 extending
therethrough. The clamp member 10 suitably comprises any one of a
malleable metal which is inert to human tissue; for example,
stainless steel or tantallum may be employed.
The clamp member 10 further includes means for locking suture in
the holes 12, 14. In accordance with the present invention, the
locking means comprises a ridge 16 extending along an outer surface
18 of the member 10 and substantially transverse to the holes 12,
14. Preferably, the ridge 16 is an integral part of the clamp
member 10. The clamp member 10 further includes a groove 20
extending along another outer surface 22 opposing, and parallel to
the ridge 16. In use, the suture is threaded through one of the
holes 12, 14, the wound is stitched and the suture threaded through
the other hole and the clamp member 10 is clamped as described
below with reference to FIGS. 3-6.
An alternate embodiment of the clamp member is shown in FIG. 2 and
is referred to generally as 10'. The clamp member 10' is
essentially identical to the clamp member 10 of FIG. 1 except that
the member 10' includes slots 13, 15 communicating with the
respective holes 12, 14 and extending to the adjacent side walls
between the two outer surfaces 18, 22. In use, the alternate clamp
member 10' is employed in a manner similar to that described above
with respect to the clamp 10, except that both ends of the suture
may be pushed into the holes 12, 14 via the communicating slots 13,
15 after the stitching operation is completed.
A scissor clamp specifically adapted for the embodiments of the
clamp members like that shown in FIGS. 1 and 2 will now be
described with reference to FIG. 3.
Noting FIG. 3, the clamp, referred to generally as 30, includes two
arms 32, 34 pivotably joined together in a scissor-like fashion by
a pivot pin 36. Each arm 32 has a respective clamping jaw 38, 40 at
one extremity thereof. One jaw 38 has a die 42 extending
substantially parallel with the corresponding arm 32, the die
having dimensions substantially corresponding to the ridge 16 in
the clamping member 10 of FIG. 1. The jaw 38 further includes a
flexible plate 44 having a slot 46 therein adapted to receive the
ridge 16 when the clamp member 10 is positioned between the jaws
38, 40. The other jaw has a flexible tongue 48 adjacent thereto
having dimensions corresponding to the groove 20. A keyway 50 is
formed in the other jaw 40, and is dimensioned so as to receive the
tongue 48 when depressed.
Operation of the clamp 30 in cooperation with the clamp member 10
will be described with reference to FIGS. 4-6.
As shown in FIG. 4, prior to the clamping operation a suture 52 is
threaded through one hole 12 of the clamp member 10, the wound is
stitched and the suture 52 is then threaded through the other hole
14. The clamp 30 is then brought into engagement with the clamp
member 10. Now noting FIG. 5, the clamp member 10 is positioned
between the jaws 38, 40 of the clamp 30 such that the ridge 16
extends through the slot 46 and is opposing the die 42.
Additionally, the tongue 48 fits loosely in the groove 20. When the
jaws 38, 40 are compressed (note FIG. 6), the ridge 16 is deformed
and pressed into the clamp member 10, restricting the cross
sectional area of the holes 12, 14 and locking the suture 52
therein. During compression, the tongue 48 enters the keyway 50
allowing the clamp member 10 to be further deformed so as to
flatten the groove 20.
While a specific suture clamp arrangement is shown in the drawings
and described above, it will be understood that various
modifications can be made without departing from the spirit and
scope of the present invention. For example, the clamp member 10
may comprise a single hole through which both lengths of suture are
threaded.
* * * * *