U.S. patent number 3,736,935 [Application Number 05/116,187] was granted by the patent office on 1973-06-05 for surgical sponge.
This patent grant is currently assigned to Codman & Shurtleff, Inc.. Invention is credited to Harry G. Reimels.
United States Patent |
3,736,935 |
Reimels |
June 5, 1973 |
SURGICAL SPONGE
Abstract
A surgical sponge useful for delicate surgical procedures is
made by providing a strip of nonwoven fibers which are securely
bonded against delamination, and bonding a plastic retrieval thread
to the surface of the strip by heat-softening a portion of the
thread to cause it to flow partially into the surface of the strip.
The resulting sponge may also have a band of radiopaque material
bonded to its surface by heat-softening the plastic material of the
band.
Inventors: |
Reimels; Harry G. (Braintree,
MA) |
Assignee: |
Codman & Shurtleff, Inc.
(Rudolph, MA)
|
Family
ID: |
22365792 |
Appl.
No.: |
05/116,187 |
Filed: |
February 17, 1971 |
Current U.S.
Class: |
604/362; 604/372;
604/366; 604/370; 604/375 |
Current CPC
Class: |
A61F
13/2082 (20130101); B29C 66/7392 (20130101); B29C
66/81427 (20130101); B29C 66/8322 (20130101); A61F
13/44 (20130101); A61F 13/36 (20130101); B29C
66/7294 (20130101); B29C 66/69 (20130101); B29C
66/1122 (20130101); B29C 66/47 (20130101); B29C
65/08 (20130101); B29C 66/712 (20130101); B29C
66/71 (20130101); B29K 2313/00 (20130101); A61B
90/39 (20160201); B29C 66/71 (20130101); B29K
2067/00 (20130101); B29C 66/71 (20130101); B29K
2027/06 (20130101) |
Current International
Class: |
A61F
13/44 (20060101); A61F 13/20 (20060101); B29C
65/08 (20060101); A61B 19/00 (20060101); A61f
013/00 () |
Field of
Search: |
;128/285,296 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Rosenbaum; Charles F.
Claims
What is claimed is:
1. A surgical sponge useful for delicate procedures comprising: a
substantially flat strip of securely bonded nonwoven fibers; a
plastic retrieval thread bonded to only one surface of said strip,
said bond being achieved solely by a flattened portion of said
thread that is interlocked with the surface fibers of said strip;
and a band of radiopaque material bonded to the surface of said
strip at a location different from said thread.
2. The sponge of claim 1 wherein the bond between said radiopaque
material and said strip is achieved solely by the interlocking
contact between said material and the surface fibers of said
strip.
3. The sponge of claim 2 wherein said nonwoven fibers are rayon,
said plastic retrieval thread is a continuous multi-filament
polyester and said radiopaque material is vinyl containing barium
sulfate.
4. A surgical sponge useful for delicate procedures comprising: a
substantially flat strip of securely bonded nonwoven rayon fibers;
and a continuous multifilament polyester retrieval thread bonded to
only one surface of said strip, said bond being achieved solely by
a flattened portion of said thread that is interlocked with the
surface fibers of said strip.
Description
BACKGROUND OF THE INVENTION
This invention relates to surgical sponges and, more particularly,
to surgical sponges suitable for use in laminectomies,
craniotomies, nerve surgery or other delicate surgical
procedures.
It has been the practice in the above types of surgery to utilize a
relatively small, thin strip of bonded nonwoven fibers as a sponge.
This type of miniature sponge is necessary because of the small
operating field and the delicate nature of the procedure. However,
because of its size, it is necessary to attach some means, such as,
a retrieval thread, to the sponges in order to insure that the
sponges will not be left in the wound and to provide a "handle" for
applying and withdrawing the sponges from the wound site.
Prior surgical sponges of this type utilized retrieval threads that
were stitched directly to one or both surfaces of the sponge and
often, when desired, a strip of radiopaque material was combined
with the thread and simultaneously stitched to the sponge. When
fabricated in this manner, the sponges were rough on both sides, in
that the stitching extended entirely through the sponge. Also, the
combination of retrieval thread and radiopaque material was unsafe
because the accidental release of one element would result in the
release of the other element, thus, rendering the sponge free of
detection means and capable of being inadvertently left in the
wound.
In addition, the stitching operation utilized to fabricate the
sponges was necessarily a hand operation resulting in an
excessively large manufacturing cost.
SUMMARY OF THE INVENTION
The disadvantages of the prior surgical sponges are eliminated by
the present invention which provides a unique sponge construction
comprising a strip of nonwoven bonded fibers having a plastic
retrieval thread secured to one surface thereof solely by a
flattened portion of the thread that has been heat-softened to flow
partially into and between the fibers of the strip.
One or more bands of radiopaque material may also be bonded to the
surface of the sponge in the same manner and at the same time, but
at a different location, as the plastic retrieval thread.
The various elements of the sponge may be simultaneously fabricated
by properly positioning the strip, plastic retrieval thread and
radiopaque bands under the horn of an ultrasonic welding device and
then bringing the horn into contact with the thread and bands.
Thus, in a single manipulative step, an improved surgical sponge
may be fabricated which possesses numerous advantages over all
known prior sponges.
For a better understanding of the invention, as well as other
objects and further features thereof, reference is made to the
following detailed description to be read in conjunction with the
accompanying drawings, wherein:
FIG. 1 is a plan view of the surgical sponge of the present
invention with portions broken away for clarity;
FIG. 2 is a cross sectional view taken along line 2--2 in FIG.
1;
FIG. 3 is a side elevational view schematically illustrating the
process for manufacturing the surgical sponge shown in FIG. 1;
FIG. 4 is a cross sectional view taken along line 4--4 in FIG. 3;
and
FIG. 5 is a plan view of another embodiment of the surgical sponge
with parts broken away for clarity.
Referring to FIGS. 1 and 2, the preferred embodiment of the
surgical sponge of this invention is shown generally at 10 and is
constructed from a relatively thin strip of nonwoven fibers 11
which have been securely bonded together to prevent delamination or
"linting" of the fibers. Strip 11 is preferably constructed from
rayon fibers which have been carded in a well known manner and then
needle loomed into sheets, which sheets are then cut into strips of
the desired length and width. The rayon fibers are preferably a
dull, virgin, 3 denier rayon with a nominal staple length of
approximately 1-1/8 inches. This type of material has been
manufactured and used for surgical sponges in the past and it has
been found that, when bonded with a mixture of starch and polyvinyl
alcohol, the strips will retain their integrity and the material
has been tested and found to absorb in excess of 25 times its
weight in water.
A retrieval thread 12 is bonded to one surface of strip 11 and
comprises a flattened portion 13 which has been heat-softened to
provide a secure bond between thread 12 and the surface of strip
11. As stated, above, surgical sponge 10 is primarily intended for
use in very delicate surgical procedures and the operating field is
considerably smaller in this type of operation than is normally
found in more massive surgery. For this reason, the relatively
small, thin sponges are used and a means must be provided in
association with these sponges for retrieving them after they have
been applied to a wound site and have absorbed a considerable
amount of body fluid. Retrieval thread 12 has been provided for
this purpose and the bond between the thread and the surface of
strip 11 is, therefore, very important. The length of thread 12 is
not critical so long as it can be placed at a sufficient distance
outside the wound to be recognizable and easily handled by the
surgeon and his assistants.
Retrieval thread 12 is preferably made from a continuous
multifilament polyester fiber. However, it has been found that
other plastic materials, such as, nylon and polypropylene will also
provide a secure bond. However, the polyester material results in
the best combination of end product properties, such as, strength
of bond and softness of the thread.
In addition to retrieval thread 12, a pair of bands 14 and 15
composed of radiopaque material is also securely bonded to the
surface of strip 11. Although two bands of radiopaque material are
illustrated in the preferred embodiment of this invention, it will
be appreciated that only one band may be desirable for
exceptionally small surgical sponges and two or more may be
utilized in larger sponges. Although numerous radiopaque materials
may be usable with this invention it has been found that vinyl with
barium sulfate dispersed therein is very effective and forms a very
secure bond with the surface of strip 11.
The preferred method for manufacturing the surgical sponge of the
present invention is an important part of the invention and will
now be described in detail. Referring to FIG. 3, the procedure for
heat-softening the retrieval thread 12 and the radiopaque bands 14
and 15 is schematically illustrated. In order to avoid the
necessity of utilizing additional materials, such as, adhesives,
and in order to eliminate the deleterious effects of the
application of heat to obtain the necessary bond between the
retrieval thread 12, bands 14 and 15 and the surface of strip 11,
an ultrasonic welding device has been adopted. This device is
specifically described in U.S. Pat. No. 3,440,117 and comprises a
radio frequency generator 20, a conductor 21 for transmitting
alternating current energy at about 20 kilocycles per second from
the generator 20 to a sonic converter unit 22. Sonic converter 22
is fitted with a horn 23 for transferring sonic energy to the
thread 12 and bands 14 and 15. The sonic converter 22, generally,
is a device which converts electrical energy to mechanical
vibration and, to this end, includes one or more piezoelectric
discs which vibrate under the influence of alternating current in
electrical energy. The vibrations are amplified and appear as
longitudinal vibration at the tip of horn 23.
In order to accomplish the simultaneous assembly of all of the
elements of the surgical sponge 10, strip 11 is placed upon a
support member 24 which is located directly below ultrasonic
welding horn 23. Retrieval thread 12 and bands 14 and 15 are then
placed upon strip 11 substantially as shown in FIG. 1. Referring to
FIG. 4, the lower portion of horn 23 has been specially constructed
so that a plurality of ribs 25 extend downwardly therefrom. Ribs 25
are constructed to contact only so much of the material of
retrieval thread 12 and bands 14 and 15 as is necessary to
sufficiently heat-soften the materials so that they will flow into
the upper surface of strip 11 and form a secure bond between the
material and the fibers that comprise the surface. As can be seen
in FIG. 2, the action of horn 23 on the upper surfaces of thread 12
and bands 14 and 15 substantially flattens these materials and
forces them into the upper surface of strip 11 and firmly bonds
them to said surface.
In some instances, e.g. where a more flexible surgical sponge is
desired, it has been found to be desirable to reduce the area of
the bonding interface between strip 11 and retrieval thread 12. The
preferred sponge construction for accomplishing this is illustrated
in FIG. 5 wherein the sponge 10a comprises a strip 11a having a
retrieval thread 12a bonded to the surface thereof. However, unlike
the sponge in FIG. 1, the bond occurs only at spaced intervals B
along the length of partially flattened portion 13a on thread 12a.
The unbonded areas act as "hinges" and, thus, provide regions of
increased flexibility.
In order to provide this type of bond, ribs 25 on the lower portion
of horn 23 (see FIG. 4) may be longitudinally notched so that
contact is made between horn 23 and retrieval thread 12a only at
the predetermined spaced intervals, thus, creating a bond at only
such intervals.
It will thus be apparent that the present invention provides a
unique surgical sponge construction that has many advantages over
the prior known sponges. By eliminating the need for stitching or
utilizing adhesives, a surgical sponge can now be constructed that
is completely smooth on one side for application to the wound site.
In addition, the radiopaque bands may now be applied at a location
different from that of the retrieval thread and thereby provide
additional safety in the event that the retrieval thread is
accidentally pulled away from the surface of the strip. It will
also be apparent from the foregoing specification that the method
of manufacturing the surgical sponge of this invention is extremely
economical in that all of the parts may be assembled in one
operation and no additional materials, such as, adhesives are
required in the assembly of the parts.
* * * * *