U.S. patent number 3,601,302 [Application Number 04/769,619] was granted by the patent office on 1971-08-24 for surgical instrument for stitching soft tissues by means of staples.
Invention is credited to Georgy Vasilievich Astafiev, Svetoslav Ivanovich Babkin, Ivan Alexandrovich Korolkov, Lidia Alexandrovna Potekhina.
United States Patent |
3,601,302 |
Potekhina , et al. |
August 24, 1971 |
SURGICAL INSTRUMENT FOR STITCHING SOFT TISSUES BY MEANS OF
STAPLES
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.
Inventors: |
Potekhina; Lidia Alexandrovna
(N/A), Astafiev; Georgy Vasilievich (N/A), Babkin;
Svetoslav Ivanovich (N/A), Korolkov; Ivan Alexandrovich
(N/A, SU) |
Family
ID: |
20441315 |
Appl.
No.: |
04/769,619 |
Filed: |
October 22, 1968 |
Foreign Application Priority Data
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Oct 23, 1967 [SU] |
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1192182 |
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Current U.S.
Class: |
227/120;
227/19 |
Current CPC
Class: |
A61B
17/0686 (20130101) |
Current International
Class: |
A61B
17/068 (20060101); B25C 005/02 () |
Field of
Search: |
;227/19,120 ;206/56DF
;128/325,334,337 ;29/212D |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Custer; Granville Y.
Claims
We claim:
1. A surgical instrument for stitching soft tissues by means of
staples, said instrument comprising a body, a lug projecting from
said body, clamp means slidably supported in said body and moveable
toward and away from said lug for clamping said soft tissues
therebetween, a staple magazine, a slider slidably supported in
said body, said staple magazine being rotatably supported on said
slider for rotation relative thereto, 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.
2. 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.
3. 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.
4. A surgical instrument as claimed in claim 1, including a
resilient member interposed between said staple pusher and said
slider.
5. A surgical instrument as claimed in claim 1, wherein 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 spring-loaded follower contacting
the projections on the disk.
6. A surgical instrument as claimed in claim 1, wherein the slots
for the staples are partly open from the face side of the disk.
7. A surgical instrument as claimed in claim 1, wherein the slots
for the staples include guide bevels on that side where the pusher
enters said slots.
Description
The present invention relates to surgical instruments for stitching
soft tissues by means of staples and preferably is intended
primarily for applying cosmetic sutures onto skin.
Known in the prior art is a surgical instrument for stitching
tissues by means of staples. In this instrument 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 invention's 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 of a tissue.
These and other objects of the invention are achieved by providing
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.
It is advisable to make the staple slots partly open at the face
side of the disk and provide bevels on that side where the pusher
enters the slots.
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.
The nature of the present invention will become more fully apparent
from a consideration of the following description of an exemplary
embodiment taken in conjunction with the accompanying drawings, in
which:
FIG. 1 is a side view of the surgical instrument, according to the
invention, for stitching tissues by means of staples shown in a
partial cross section;
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 III-III of FIG. 1;
FIG. 4 is a gearing diagram of the 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;
FIG. 7 is a sectional view taken on the line VII-VII of FIG. 6;
and
FIG. 8 is a view similar to FIG. 4 showing the rest or abutment for
maintaining a space for the tissues to be stitched.
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.
The slots 9 are T-shaped in the cross section and open from above
so that it is possible to see the backs on the staples charged into
the slots (FIG. 6).
The magazine 6 (FIGS. 1, 5) is mounted on the axle 11 secured to a
slider 12. A spring 13 with a follower 14 (FIG. 4) is mounted on
the body 1 (FIG. 5) and acts upon the pins 15 of the magazine 6
during the reciprocating movement of the magazine. A trigger 16
with an arm 17 is movably mounted on an axle 18 arranged in the
handle 2. A lever 19 is movably connected to the arm 17 through a
pin 20, while the end 21 of the lever 19 is placed into the slot of
the pusher 8. A retracting spring 22 connected with the lever 19 is
installed in the handle 2.
The pusher 8 consists of a base 23 and a removable portion 24
(FIGS. 1,2), the latter being put on the axle 11 and on the pin 25
(FIGS. 2,3) secured to a base 23 (FIGS. 1,2) which mounts a
cylindrical spring 26 and a bracket 27, the latter being in contact
with the face of the slider 12.
Furthermore, the 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.
The instrument operates as follows.
The pieces 30, 31 are depressed by a thumb with a simultaneous
withdrawal of the clamps 4 and 5 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 fixing one lip of the tissue 32. The other lip of the
tissue is fixed in a similar manner and the lips are butted. In
this case 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.
Then the trigger 16 is depressed with the forefinger. The trigger
revolves together with the arm 17 and turns the lever 19 with the
aid of the pin 20. In this case the end 21 of the lever 19 drives
the pusher 8 towards the lug 3, while the clip or bracket 27 bears
against the slider 12 which, together with the magazine 6, moves
towards the lug 3 up to the rest or abutment 60, providing for a
spacing between the lug 3 and the magazine 6 which spacing is
necessary for stitching the tissues. The slider 12 stops upon
engaging the abutment 60 and further pressure on the trigger 16
results in movement of the pusher 8 relative to magazine 6 and in
the compression of spring 26.
The pusher 8 (FIG. 6) guided by the chamfers 10 enters the slot 9
and forces out the staple 7. The staple 7 pierces the lips of the
tissue and is bent in the recess of the lug 3 so as to make one
staple suture. Then the trigger 16 (FIG. 1) is released, and the
retracting spring 22 restores the lever 19 with the pusher 8 and
the slider 12 with the magazine 6 to their initial position. During
the backward movement of the slider 12, the pin 15 of the magazine
6 bears against the follower 14 (FIGS. 4, 5) and rotates the
magazine by an angle, corresponding to the central angle between
the adjacent slots, up to the rest against the hook-shaped end of
the follower 14. When the slider 12 with the magazine 6 moves
towards the lug 3, the pin 15 presses the spring 13 with the
follower 14. The springs goes down and the pin 15 together with the
magazine 6 approaches the lug 3.
In order to remove the magazine 6 (FIGS. 1, 2) from the slider 12
the spring-loaded tail 33 of the removable unit 24 is lifted and
turned by 90.degree., 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.degree., is fixed to the base 23 through the pin 25.
The proposed instrument is advantageous in that the magazine
ensures dependable delivery of the staples, whereas the mechanism
for automatic turning of the magazine provides for fast and
convenient suturing of tissues with staples. Furthermore, the
staple slots are open from above so that the surgeon can check the
quantity of the staples remaining in the magazine. This facilitates
servicing of the instrument.
These advantages provide for rapid and convenient suturing the
tissues under operation and this assists in the effective healing
of the wound.
Through the present invention is described in connection with its
preferred embodiment, it is obvious that there may be some variants
and modifications thereof without departing from the idea and scope
of the invention, which will be readily understood by those skilled
in the art.
These variants and modifications are understood to fall within the
idea and scope of the invention, as defined by the appended
claims.
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