U.S. patent number 3,833,002 [Application Number 05/395,906] was granted by the patent office on 1974-09-03 for apparatus for aiding severed nerves to join.
Invention is credited to James R. Palma.
United States Patent |
3,833,002 |
Palma |
September 3, 1974 |
APPARATUS FOR AIDING SEVERED NERVES TO JOIN
Abstract
A surgical tube for aiding severed nerves to join, composed
primarily of a slow-dissolving material and having small, discrete
areas which dissolve faster. These discrete areas may be provided
by particles of a different, faster-dissolving material that are
embedded in the tube wall, or by a greatly reduced thickness of the
tube wall itself at these areas.
Inventors: |
Palma; James R. (Schenectady,
NY) |
Family
ID: |
23565029 |
Appl.
No.: |
05/395,906 |
Filed: |
September 10, 1973 |
Current U.S.
Class: |
606/152;
606/154 |
Current CPC
Class: |
A61B
17/1128 (20130101); A61F 2250/003 (20130101); A61F
2002/30235 (20130101); A61F 2002/30032 (20130101); A61B
2017/00004 (20130101); A61F 2230/0069 (20130101); A61B
2017/306 (20130101) |
Current International
Class: |
A61B
17/11 (20060101); A61B 17/03 (20060101); A61B
17/30 (20060101); A61F 2/00 (20060101); A61B
17/00 (20060101); A61b 017/04 () |
Field of
Search: |
;128/334C,334R,346,349R,DIG.8 ;3/1 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Attorney, Agent or Firm: Oltman and Flynn
Claims
I claim:
1. Apparatus for aiding severed nerves to join comprising a tube
having open opposite ends into which the nerve ends can be
inserted, said tube being composed principally of a material that
dissolves slowly in the body and having small discrete areas
therein which dissolve in the body substantially faster than the
remainder of the tube to provide small openings for the passage of
body fluids into contact with the nerve ends inside the tube, said
small, discrete areas being provided by embedded bodies of a
different material than the principal material of the tube which
dissolves in the body faster than the principal material of the
tube.
2. Apparatus according to claim 1, wherein said tube has a
transverse stem leading into its interior between its ends, said
stem having small, discrete areas therein which dissolve in the
body substantially faster than the remainder of the tube.
3. Apparatus according to claim 2, wherein said small, discrete
areas in said stem are provided by embedded bodies of a different
material which dissolves in the body faster than the principal
material of the tube.
4. Apparatus according to claim 2, wherein said tube and stem
together are substantially T-shaped.
5. Apparatus according to claim 2, wherein said tube and stem
together are substantially Y-shaped.
6. Apparatus according to claim 1, wherein said tube has a
transverse inlet stem and a transverse outlet stem spaced from said
inlet stem along the length of the tube and both communicating with
the interior of the tube, said stems both having small discrete
areas therein which dissolve in the body substantially faster than
the remainder of the tube.
7. In a surgical tube for aiding severed nerves to join together,
said tube being dimensioned to receive the nerve ends in its
opposite ends and throughout most of its extent having a wall
thickness and a composition effective to prevent the tube from
completely dissolving in the body for several days, the improvement
which comprises:
means providing small, discrete areas in the tube wall which
dissolve in the body substantially faster than the remainder of the
tube to leave small openings permitting body fluids to pass into
contact with the nerve ends inside the tube,
said last mentioned means comprising small, discrete web portions
of the tube wall which are substantially thinner radially than the
remainder of the tube wall.
Description
BACKGROUND OF THE INVENTION
Severed nerves in the human body sometimes grow and heal after the
nerve ends are brought into alignment and close proximity, or
direct contact, with each other.
In U.S. Pat. No. 2,127,903 to Bowen, it has been proposed to heal a
severed nerve by suturing the nerve ends and anchoring a sheath of
absorbable animal membrane around them.
SUMMARY OF THE INVENTION
The present invention is directed to aiding severed nerve ends to
join by holding them end-to-end inside a slow-dissolving tube that,
however, has small, discrete areas that dissolve relatively soon to
leave small openings which permit body fluids to contact the nerve
ends inside the tube and promote the growth and healing
process.
Accordingly, it is a principal object of this invention to provide
a novel and improved apparatus for aiding severed nerve ends to
join.
Another object of this invention is to provide such an apparatus
which comprises a slow-dissolving tube for receiving the severed
nerve ends which has small, discrete areas that dissolve much
sooner than the rest of the tube so as to provide openings that
enable body fluids to contact the nerve ends inside the tube.
Further objects and advantages of this invention will be apparent
from the following detailed description of several
presently-preferred embodiments, shown in the accompanying drawings
in which:
FIG. 1 is a perspective view of a surgical tube in accordance with
a first embodiment of the present invention;
FIG. 2 is a perspective view showing the FIG. 1 tube between two
severed nerve ends that are to be joined;
FIG. 3 is a perspective view, partly broken away for clarity,
showing the severed nerve ends inserted into the tube;
FIG. 4 is a longitudinal section taken along the line 4--4 in FIG.
3;
FIG. 5 is a view similar to FIG. 3 and showing the tube after its
small, discrete, fast-dissolving areas have dissolved in the body,
but before the slow-dissolving principal part of the tube has
dissolved;
FIG. 6 is a perspective view of a second, T-shaped embodiment of
the present surgical tube having a transverse stem for applying
vacuum to the interior of the tube where the severed nerve ends are
received;
FIG. 7 is a longitudinal section taken along the line 7--7 in FIG.
6;
FIG. 8 is a perspective view of a Y-shaped surgical tube receiving
the severed nerve ends, with a transverse stem as one leg of the Y,
in accordance with a third embodiment of this invention;
FIG. 9 is a longitudinal section through the FIG. 8 surgical
tube;
FIG. 10 is a perspective view of a different form of generally
Y-shaped surgical tube in accordance with a fourth embodiment of
this invention;
FIG. 11 is a longitudinal section through the FIG. 10 tube;
FIG. 12 is a perspective view of a fifth embodiment of the present
surgical tube, having aligned, transverse inlet and outlet stems;
and
FIG. 13 is an enlarged longitudinal section through a wall of a
surgical tube which has small, discrete areas which dissolve
relatively rapidly because they are thin, in accordance with
another embodiment of this invention.
Before explaining in detail the disclosed embodiments of the
present invention, it is to be understood that the invention is not
limited in its application to the details of the particular
arrangements shown since the invention is capable of other
embodiments. Also, the terminology used herein is for the purpose
of description and not of limitation.
DETAILED DESCRIPTION
Referring first to FIGS. 1-4, the surgical tube shown there is a
cylindrical tube 20 having open opposite ends 21 and 22 into which
the severed nerve ends 23 and 24 can be inserted slidably. The
inside diameter of the tube is slightly greater than the diameter
of the nerve ends to permit such slidable insertion to be performed
quickly and easily. After the nerve ends are inserted into the
tube, the opposite ends of the tube preferably are sealed with
medical sealing material, as shown at 25 and 26 in FIG. 3 and
4.
For most of its extent the tube 20 has a wall thickness and a
composition, such as animal tissue, such that it is dissolved,
absorbed or digested in the human body relatively slowly. For
example, it may take six months for the complete wall thickness of
the tube to be completely dissolved.
In accordance with the present invention, the tube 20 is provided
with small, localized, discrete areas that are dissolved, absorbed
or digested by the body much more rapidly than the principal part
of the tube. For example, these localized areas may dissolve
completely in about 24 hours.
In the embodiment of FIGS. 1-5, these small, discrete areas are
provided by discrete particles 27 of a relatively fast-dissolving
material, such as sugar which are embedded in the tube wall and
occupy the full thickness of the tube wall at these small areas.
After a relatively short time in the body, these particles dissolve
completely, leaving small discrete openings 27a in the surgical
tube, as shown in FIG. 5. These small, discrete openings permit the
passage of body fluids into contact with the nerve ends inside the
tube to enhance the healing action as the severed nerve ends
gradually join together. After this healing process is fully
completed, or substantially so, the principal material of the
surgical tube 20 also dissolves completely in the body.
As shown in FIG. 13, the fast-dissolving, small, discrete areas of
the surgical tube may be provided by thin-walled web portions of
the tube. For example, the tube wall 30 may have indentations or
recesses 31 and 32 in its outside and inside faces, leaving only a
thin web 33 between them that will dissolve much more rapidly than
the full-thickness remainder of the tube. Alternatively or
additionally, a recess or identation 34 may be formed in only one
face of the tube, leaving only a fast-dissolving thin web 35 behind
it. It is to be understood that these thin web, fast-dissolving
portions of the tube are made of the same material as the
slow-dissolving much thicker remainder of the tube; they dissolve
faster simply because they are thinner.
As shown in FIGS. 6 and 7, the present surgical tube 20 may be
T-shaped, with a transverse, serrated stem 40 midway between its
opposite ends. This stem has a central passage 41 communicating
with the interior of the tube where the nerve ends are received.
The stem may be attached to a hose, indicated in phantom at 42 in
FIG. 7, to enable vacuum to be applied to the interior of the tube
while the nerve ends 23 and 24 are being inserted, so as to draw
them into direct contact or close proximity with each other. After
this has been done, the nerve-receiving opposite ends 21 and 22 of
the tube are sealed by medical sealing material 25 and 26, and
after removal of the vacuum hose 42 at the end of the stem 40 may
be closed by such sealing material, also.
The stem 40 is of the same construction as the tube proper, being
composed primarily of a slow-dissolving material and having small,
discrete particles 27 of the fast-dissolving material.
FIGS. 8 and 9 show another embodiment of this surgical tube in
which the severed nerve ends are received in straight legs 20a and
20b of the tube which are inclined at an obtuse angle to each
other. The transverse, serrated stem 40 is joined to these legs 20a
and 20b at the intersection between them so as to provide with them
a Y-shaped surgical tube. Both legs 20a and 20b and the stem 40
have small, discrete particles 27 of the fast-dissolving material
embedded in them.
FIGS. 10 and 11 show another embodiment which is generally similar
to that of FIGS. 8 and 9, except that it has opposite, nerve
end-receiving legs 20c and 20d which curve toward each other and
merge together smoothly where the stem 40 is connected to them.
Both legs 20c and 20d and the stem 40 have small, discrete
particles 27 of the fast-dissolving material embedded in them.
FIG. 12 shows yet another embodiment whose configuration is as
disclosed and claimed in my copending U.S. pat. application, Ser.
No. 258,737, filed June 1, 1972, now U.S. Pat. No. 3,786,817. In
this embodiment straight tube 20 is provided with two
longitudinally spaced, transverse stems 50 and 51 having central
passages 52 and 53, respectively, which communicate with the nerve
ends that are inserted into the opposite ends 21 and 22 of the
tube. One of these stems serves as an inlet and the other as an
outlet for filling the interior of the tube with a suitable healing
ambience or substance that enhances the healing and joining
together of the nerve ends during the period immediately following
the insertion of the nerve ends into the tube. Both stems 50 and 51
and the remainder of the tube 20 contain small discrete particles
of the fast-dissolving material. The tube ends 21 and 22 are sealed
with medical sealing material after the severed nerve ends have
been inserted and before the healing ambience is added. After the
healing ambience has been added, the open ends of the stems 50 and
51 may be squeezed closed or closed by medical sealing
material.
It is to be understood that in each of the embodiments of FIGS.
6-12, as well as in the embodiment of FIGS. 1-5, all or part of the
surgical tube may have the small, discrete faster-dissolving areas
provided by thin web portions of the tube wall or stem wall, in
place of the particles 27 of a faster-dissolving material different
from the material of which the tube is primarily composed. The
slow-dissolving main body of the tube may consist of layers which
dissolve successively.
* * * * *