U.S. patent number 3,840,015 [Application Number 05/374,806] was granted by the patent office on 1974-10-08 for photoluminescent surgical device.
Invention is credited to Dean L. Gain.
United States Patent |
3,840,015 |
Gain |
October 8, 1974 |
PHOTOLUMINESCENT SURGICAL DEVICE
Abstract
Surgical devices are provided which carry a substantially
non-toxic photoluminescent substance. When the devices are used in
a surgical operation procedure, an excitation energy is
simultaneously applied to the locus of the operation, causing the
devices to be luminous and thereby improving the visibility of the
procedure to the surgeon and his assistants.
Inventors: |
Gain; Dean L. (Phoenix,
AZ) |
Family
ID: |
23478266 |
Appl.
No.: |
05/374,806 |
Filed: |
June 28, 1973 |
Current U.S.
Class: |
606/1; 606/167;
606/222 |
Current CPC
Class: |
A61B
17/00 (20130101); A61B 17/06166 (20130101); A61B
17/06066 (20130101); A61B 17/3211 (20130101); A61B
2090/395 (20160201); A61B 2090/3941 (20160201); A61B
17/06004 (20130101) |
Current International
Class: |
A61B
17/32 (20060101); A61B 17/00 (20060101); A61B
17/06 (20060101); A61B 19/00 (20060101); A61b
017/00 () |
Field of
Search: |
;128/303,2A,2R,335.5
239/ ;128/DIG.9,DIG.16,10,11 ;119/106 ;240/2.25 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Attorney, Agent or Firm: Drummond; William H.
Claims
Having described my invention in such terms as to enable those
skilled in the art to understand and practice it, I claim:
1. A new article of manufacture comprising a surgical device of the
type conventionally employed in the manipulative steps of a
surgical procedure, said device carrying thereon a substantially
non-toxic photoluminescent substance, whereby said photoluminescent
substance emits light when excited to improve the visibility of
said procedure to surgical personnel using said device in the
performance of said procedure.
2. Article of claim 1, in which said photoluminescent substance is
impregnated in said device.
3. Article of claim 1, in which said photoluminescent substance is
included in a coating carried on at least a portion of said
article.
Description
This invention relates to novel articles of manufacture especially
useful in surgical procedures and to improved surgical
techniques.
In one particular respect, the invention relates to improved
surgical devices especially adapted to improve the visibility of
the procedure to the surgeon and his assistants.
In yet another respect, the invention relates to an improved
surgical technique which enables the surgeon and his assistants to
more accurately carry out the manipulative steps of the procedure
by increasing the visibility of the surgical devices employed.
In still another and further aspect, the invention relates to
improved suturing devices and methods in which the visibility of
the devices during use is markedly increased, thereby enabling the
surgeon and his assistants to more accurately close a wound or
incision and with less eyestrain.
One of the prime problems encountered in many surgical procedures
is the difficulty which the surgeon and is assistants have in
clearly seeing the surgical devices being employed. This problem is
especially acute in microsurgical procedures such as are employed
in operations on the eye, the inner ear, etc. The visibility
problem is also especially acute during the suturing phases of such
procedures.
It would therefore be highly desirable to provide apparatus and
methods to improve the visibility of the various devices used in
surgical techniques.
Accordingly, it is the principal object of the present invention to
provide apparatus and methods especially adapted to improve the
visibility of the various devices used in surgical techniques.
Yet another object of the invention is to provide apparatus which
becomes luminous under the conditions of the surgical operation to
thereby distinguish and more clearly delineate the position and
movement of the devices during the operation.
Still another and further object of the invention is to provide
improved surgical procedures in which the surgeon and his
assistants are able to more clearly and accurately perceive the
exact position, relationship and movement of devices used in the
manipulative procedures of the operation.
Further objects and advantages of the invention will become
apparent to those skilled in the art from the following detailed
description thereof taken in conjunction with the drawings, in
which:
FIG. 1 illustrates a surgical scalpel provided with a luminescent
coating on the blade portion thereof;
FIG. 2 is a cross-sectional view of the scalpel of FIG. 1 taken
along section line 2--2 thereof;
FIG. 3 is a suturing needle having a luminous coating on the tip
thereof;
FIG. 4 is a cross-sectional view of the suturing needle of FIG. 3
taken along section line 4--4 thereof;
FIG. 5 represents a length of luminescent suturing thread; and
FIG. 6 is a cross-sectional view of the thread of FIG. 5 taken
along section line 6--6 thereof.
Briefly, in accordance with my invention I provide a new article of
manufacture comprising a surgical device carrying a substantially
non-toxic photoluminescent substance. My invention also comprehends
an improved surgical operation procedure in which a surgical device
carrying a substantially non-toxic photoluminescent substance is
utilized in the performance of the manipulative steps of the
procedure while simultaneously an excitation energy is applied to
the locus of the operation to cause the surgical device to emit
light.
As used herein, the term "surgical device" means any of the
conventional types of apparatus used in the performance of the
manipulative steps of surgical procedures such as, without limiting
the generality of the foregoing, forceps, probes, retractors,
scalpels, clamps, suturing needles, suturing threads, tweezers,
sponges, pads, and the like.
The particular photoluminescent substance to be employed is not
highly critical, the principal criteria for selection thereof being
that it is substantially non-toxic, i.e., does not cause trauma or
harmful side effects when it contacts body tissues during the
course of the surgical operation. The term "photoluminescent
substance" as used herein means a substance or compound which
becomes luminescent when stimulated or excited by suitable
radiation or by emissions such as cathode rays. This term includes
both so-called "fluorescent" substances, which emit light only so
long as they are exposed to the exciting radiation or emission, as
well as so-called "phosphorescent" substances, which may continue
to emit light for a period of time after the excitation is
discontinued.
The photoluminescent substance can be either coated upon the
surgical device (as in the case of a metallic instrument) or may be
actually impregnated on and within a porous surgical device such as
a suturing thread or sponge. In this connection, it is only
necessary that the photoluminescent substance be carried by the
surgical device in such manner as to cause it to appear luminous to
the surgeon and his assistants during the course of the operation.
According to a presently preferred embodiment of the invention, the
photoluminescent substance is physically mixed with
polytetrafluoroethylene which is then applied as a very thin
coating to the surgical device in the manner known to those skilled
in the art as the "Ethicon" method.
As will be apparent, it is not necessary to coat the entire
surgical device with the photoluminescent material. For example, as
indicated in the drawings, which illustrate various presently
preferred embodiments of the invention, the blade 10 of the
surgical scalpel of FIGS. 1-2 bears a coating 11 of
photoluminescent material (the thickness of which is greatly
exaggerated for clarity of illustration), the coating being
deposited only at the outer end of the blade 10 in such manner as
to cover all except the cutting edge 12. The suturing needle 15 of
FIGS. 3-4 carries the photoluminescent coating 16 only at the tip
or point of the needle. The surgical suture 21 of FIGS. 5-6 can
either carry a substantially continuous coating 22 over its entire
length or, for example, could bear spaced or spiral bands of the
luminescent material 22.
The relative toxicity of the photoluminescent materials which are
candidates for use in accordance with the invention can be readily
determined without undue experimentation by those skilled in the
art using recognized techniques. Specific examples of
photoluminescent materials which may be effectively employed in the
practice of the invention include the so-called organic phosphor
dyes such as Eosine, Fluorescein, Magdela red, Methylene blue,
Primuline, Rhodamine B, and Rhodamine 6g. In addition, other
aromatic organic phosphors such as Acridine and Phenanthrene may be
employed. In addition to organic compounds, inorganic phosphors of
the sulfide type, such as ZnS:Ag, ZnS:Mn, ZnO:[Zn], may be
employed, as well as inorganic oxide-type phosphors such as
CaSiO.sub.3 :Mn and Al.sub.2 O.sub.3 :Cr.
The specific source of excitation energy will vary with the
particular photoluminescent compound employed and may include
visible light (usually blue or blue-green), ultraviolet, cathode
rays, etc.
In accordance with the method of the present invention, the
surgical instruments and devices are manipulated by the surgeon and
his assistants in exactly the same manner as in standard surgical
operating techniques to perform the manipulative steps of the
procedure, while excitation energy is simultaneously applied to the
locus of the operation by art-recognized techniques, such as by
lamps furnishing ultraviolet or visible radiation. According to one
presently preferred embodiment of the invention, the intensity of
the visible light commonly employed in operating theaters can be
drastically reduced with corresponding reduction in the eyestrain
suffered by the surgeon and his assistants without sacrificing the
visibility of the surgical devices as they are employed in the
locus of the operation.
Another significant advantage of the invention resides in the fact
that instruments, pads and sponges embodying the present invention
which are temporarily placed within a body cavity, wound or
incision during surgical procedures can be more readily discerned
by the surgical team, thereby lessening the chance that they will
be misplaced or inadvertently left inside the body at the
termination of the procedure.
* * * * *