U.S. patent number 3,819,039 [Application Number 05/120,902] was granted by the patent office on 1974-06-25 for suture holder.
Invention is credited to Oscar A. Erickson.
United States Patent |
3,819,039 |
Erickson |
June 25, 1974 |
SUTURE HOLDER
Abstract
A block of resilient material has a series of parallel slits
defining abutments which bear against surgical sutures positioned
in the slits to hold them securely and conveniently in place.
Inventors: |
Erickson; Oscar A. (Santa
Barbara, CA) |
Family
ID: |
22393182 |
Appl.
No.: |
05/120,902 |
Filed: |
March 4, 1971 |
Current U.S.
Class: |
206/388; D24/130;
D24/145; 206/227; 206/438; 248/205.3; 606/148; 206/63.3; 206/382;
206/486; 428/167; 211/89.01 |
Current CPC
Class: |
A61B
17/06061 (20130101); A61B 2017/06147 (20130101); Y10T
428/2457 (20150115) |
Current International
Class: |
A61B
17/06 (20060101); A61l 017/02 (); B65h 055/00 ();
B65d 085/00 () |
Field of
Search: |
;248/25A
;211/89,88,61,6R,13 ;206/16S,63.3,64,46FC,63.2 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Dixson, Jr.; William T.
Attorney, Agent or Firm: Pastoriza & Kelly
Claims
What is claimed is:
1. A suture holder comprising:
a. a generally rectangular block constructed from resilient and
suitable autoclavable material having a top wall, a flat bottom
wall, opposing side walls and opposing end walls, and,
b. plural abutments formed in the block by generally parallel and
lengthwise extending slits that pass entirely through the top wall
and more than halfway through the end walls, the abutments being
arranged so that opposing faces of side-by-side abutments generally
contact one another,
c. wherein when surgical sutures are placed within a slit and
disposed at a level fully beneath the block top wall, the sutures
are held steady in place by compression exerted by opposing faces
of corresponding abutments.
2. The structure according to claim 1, wherein;
intermediate abutments between the two outermost abutments are of
substantially equivalent size and are rectangular in cross
section.
3. The structure according to claim 1, wherein;
intermediate abutments between the two outermost abutments are of
substantially equivalent size and are rhomboidal in cross section,
and,
the slits intersect a plane passing through a flat bottom wall of
the block at an angle of between 35.degree. and 75.degree..
4. The structure according to claim 1, wherein;
the slits are of constant and equal depth.
5. The structure according to claim 1, including:
hold down means for securing the block to a support surface.
6. The structure according to claim 5, wherein;
the hold down means has at least two hold down points characterized
by a pair of pressure sensitive adhesive strips attached near
opposing ends to the block bottom wall.
7. The structure according to claim 6, wherein;
the hold down means includes an intermediate pressure sensitive
adhesive strip secured to the middle of the block bottom wall so
that if the block is severed into two equal sections each resulting
section will have two hold down points.
8. The structure according to claim 6 including:
an intermediate, pressure-sensitive adhesive strip attached to the
middle of the block bottom wall so that if the block is severed
into two equal sections, then each resulting block half-section
will have two hold down points.
Description
BACKGROUND OF THE INVENTION
This invention relates to surgical accessories and more
specifically to a holding device for retaining sutures.
During surgical operations a scrub technician or operating room
assistant is required to supply the surgeon with sutures as the
need arises. The customary manner of attempting to hold sutures in
place is to arrange bundles of sutures within the folds or pleats
of ordinary towels. An average sized towel has a limited capacity
for holding the sutures.
As the bundles become larger they become correspondingly
unmanageable and individual sutures become entangled and stuck
together. Also, the individual sutures are not held stably within
the folds so when the scrub technician tries to pull just one away
from a bundle it is not uncommon for two or more sutures to become
released which slows down the procedure. Doctors and others
sometimes mistake this towel for one of another kind.
In order to keep the towel stationary as it holds the sutures, it
is common practice to weight it down with medical instruments. If
the table upon which the towel rests is jolted then the folds may
become opened and the sutures permitted to tumble on to the
floor.
The cumbersome and annoying drawbacks of this foregoing
conventional technique are greatly minimized by this invention.
SUMMARY OF THE INVENTION
Briefly stated, this invention comprehends a lightweight,
inexpensive, handy suture holder for reliably holding numerous
individual surgical sutures in a manner so that a selected suture
may be quickly withdrawn from its storage place without displacing
or adversely affecting the other sutures.
In its broader aspects the suture holder includes a block
constructed from resilient material and a plurality of abutments
defined by slits formed in the block. The abutments are aligned
generally parallel and are arranged so that opposing faces of
side-by-side abutments contact one another with gentle pressure.
Surgical sutures are positioned within the slits and held steady in
desired positions by the opposing faces of abutments associated
with the slits.
The intermediate abutments between the outermost abutments are
preferably substantially equivalent in size. In accordance with one
embodiment the abutments are rectangular in cross section, and, in
accordance with another embodiment the abutments are of rhomboidal
shape in cross section.
The slits extend entirely through the block top wall and more than
halfway through the block end walls so that a relatively large
number of sutures may be stacked in slightly vertically spaced
relationship within the slits.
At least a pair of pressure sensitive adhesive strips are attached
to opposing ends of the block bottom wall in order to permit the
block to be held down against a support surface. A third or
intermediate pressure sensitive strip is attached to the center of
the block bottom wall so that a scrub technician may sever the
block into equal sections with the result that each resulting block
section will have two hold down points.
BRIEF DESCRIPTION OF THE DRAWINGS
The numerous benefits and unique aspects of the present invention
will be fully understood when the following detailed description is
studied in conjunction with the drawings in which:
FIG. 1 is a perspective view with a partially broken away section
showing a suture holder constructed in accordance with this
invention;
FIG. 2 is a side elevational view of the suture holder; and,
FIG. 3 is a rear elevational view of another embodiment of a suture
holder constructed in accordance with this invention.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring now to FIGS. 1 and 2 a suture holder 10 is fabricated
from a generally rectangular shaped block of resilient material
capable of withstanding maximum temperatures customary during
conventional auto clave procedures. By way of illustration the
material may be sponge rubber, polyurethane foam or polyethylene
foam. The block has a top wall 11, bottom wall 12, end wall 13, end
wall 14, side wall 15 and side wall 16.
A row of side-by-side abutments 17, 18, 19, 20 and 21 are formed in
the block by a series of parallel slits 22, 23, 24 and 25. Whereas
five abutments and four slits are shown in this embodiment the
particular number of abutments and slits may vary to accommodate
changing or different requirements. Groups or bundles of
conventional surgical sutures 26, 27, 28 and 29 are shown arranged
in slits 22, 23, 24 and 25 respectively. The sutures are aligned
generally straight and extend lengthwise through their
corresponding slits with opposing ends of the sutures projecting
beyond the slit ends for a reason that shall be described.
The opposing or adjacent faces of the side-by-side abutments
generally contact and exert gentle pressure upon one another. For
example, face 30 of abutment 17 and opposing face 31 of abutment 18
generally contact one another to exert a slight pinching pressure
upon sutures 26 in order to hold the sutures 26 steady and
accurately in alignment. This promotes ease in withdrawing
individual sutures one at a time without disturbing the others. As
indicated by the two separated bundles of sutures 28 in slit 24 the
sutures may be stacked either partially or entirely throughout the
depth of one or more slits. Opposing faces of the abutments do not
contact one another at points occupied by the sutures but do
generally contact one another over areas between the sutures. If,
however, the lower region of a slit becomes too packed then there
could be a slight crevice or gap along the slit.
The top opening 34 of slit 25 is parallel to the bottom limit 35
which are spaced from one another by a depth L which is greater
than one half the overall depth of the block. Face 32 of abutment
20 and opposite face 33 of abutment 21 squeeze against stures 29 to
hold the individual sutures in slightly vertically spaced
relationship. The spacing or lack of it depends primarily on the
manner in which the sutures are loaded into position.
For the convenience of the surgeon and his assistants the suture
holder 10 may be used to hold atraumatic needles N.
Referring primarily to FIG. 2 the manner in which a person may load
a retaining slit is by grasping the opposing ends of one or more
sutures 29a, pulling the sutures 29a relatively taut and then
slipping them downwardly as indicated by directional arrow D into
the slit to a desired level. The first suture would be arranged
near the bottom and successive sutures would be placed at higher
levels to eventually constitute a stack.
The bottom wall 12 carries hold down means in the form of three
pressure sensitive adhesive strips 36, 37 and 38. Strips 36 and 38
are attached to opposing ends of bottom wall 12. After protective
coverings are peeled away they may be secured, for stability
purposes, to an appropriate support surface 39 which may for
example be a Mayo stand or back table. Intermediate strip 37 is
attached approximately to the middle of bottom wall 12 so that if
the scrub nurse or other operating technician wishes to sever the
suture holder 10 in half crosswise along cut line C, then each
resulting half section will still have two adhesive strips for hold
down purposes at opposing ends.
Referring now to FIG. 3, another embodiment of a suture holder 40
is shown having a tilted or wedge shaped block 41 and a plurality
of abutments 42, 43, 44, 45, 46 and 47 which are generally of
rhomboidal shape in cross section. The angle A described by the
intersection of a plane passing generally through block 41 and the
slopes of the abutments is preferably between 35.degree. and
75.degree.. The purpose of this is to facilitate loading the
sutures into place and more importantly to greatly promote ease and
quickness of withdrawal of them. In addition, the bulk and overall
height of the block may be reduced while keeping the slits at the
same depth.
OPERATION
Keeping the above construction in mind it can be understood how
many of the previously described disadvantages of conventional
suture holding practices are overcome or substantially eliminated
by the present invention.
Initially the scrub technician loads one or more slits of the
suture holder 10 with one or more sutures. He may position a small
group of sutures within a slit or a stack of sutures extending
substantially throughout the entire depth of the slit. The opposing
ends of a suture are firmly grasped and tugged away from one
another until the suture is taut and then it is forced downwardly
into a slit to a predetermined level at which point the suture is
released and held.
When the suture is released the opposing faces, 32 and 33, for
example, of abutments 20 and 21, squeeze against the suture to hold
it steady at the desired position. When enough sutures are
satisfactorily loaded into the suture holder 10 then it is taken to
a Mayo stand, back table or the like represented by support surface
39 and positioned stably at the desired location.
Upon need for additional sutures by the surgeon the scrub
technician may quickly and confidently pull a single suture from
its slit without disturbing the relative positions of the other
sutures located beneath it or above it.
Preferably each suture would be grasped by an end and pulled
lengthwise in a horizontal direction out of the slit.
From the foregoing it will be evident that the present invention
has provided a suture holder in which all of the various advantages
are fully realized.
* * * * *