U.S. patent number 3,857,484 [Application Number 05/326,634] was granted by the patent office on 1974-12-31 for suture package.
This patent grant is currently assigned to Ethicon, Inc.. Invention is credited to Eberhard Heinrich Thyen.
United States Patent |
3,857,484 |
Thyen |
December 31, 1974 |
SUTURE PACKAGE
Abstract
A surgical suture package, primarily for double armed
multi-strand sutures, retains each individual suture in a
predetermined sinusoidal configuration within adjacent but separate
compartments. Notches along one edge of the package secure the
armed ends of each suture which are held in place within the
package when the compartments are folded together. As the package
is unfolded, the armed ends are exposed sequentially, facilitating
removal by the surgeon of each suture from its compartment one at a
time without tangling and kinking.
Inventors: |
Thyen; Eberhard Heinrich
(Middlesex, NJ) |
Assignee: |
Ethicon, Inc. (Somerville,
NJ)
|
Family
ID: |
23273053 |
Appl.
No.: |
05/326,634 |
Filed: |
January 26, 1973 |
Current U.S.
Class: |
206/227; 206/363;
206/63.3; 229/87.5 |
Current CPC
Class: |
A61B
17/06138 (20130101); A61B 2017/06152 (20130101); A61B
2017/06057 (20130101) |
Current International
Class: |
A61B
17/06 (20060101); A61l 017/02 (); B65d
075/04 () |
Field of
Search: |
;229/72,87.5 ;150/34
;206/63.3,64,DIG.20 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Summer; Leonard
Attorney, Agent or Firm: Kell; Robert W.
Claims
What is claimed is:
1. A multi-strand suture package comprising a card of relatively
stiff material rectangular in shape having first and second flaps
extending from one end thereof and folded along its center line to
form overlying panels having a bottom edge along said fold, a top
edge with said flaps extending therefrom, and two side edges; said
panels being folded inwardly along fold lines parallel to said side
edges to form first and second adjacent compartments and third and
fourth adjacent compartments that are open at the top edge; each
compartment containing a double-armed suture wound in the form of a
coil comprising a multiplicity of figure-eight convolutions each of
which comprise a centrally located suture crossing and opposed
loops on each side of said crossing and integral with the suture
portions forming the crossing, the suture crossing of successive
figure-eight convolutions being superimposed one upon the other to
dispose the convolutions in successive layers; a needle affixed to
each end of each suture and extending from the open end of each
compartment toward the bottom edge; said first flap being folded
over the first and second compartments, and said second flap being
folded over the third and fourth compartments, thereby closing the
open end and retaining the needles in position between adjacent
compartments; said first and second compartments being folded
inwardly toward the third and fourth compartments to bring the
first and second flaps together; and means for retaining the first
and second flaps and adjacent compartments together in the folded
position to form a suture package; whereby as the package is
unfolded, said needles are exposed sequentially facilitating
removal by the surgeon of each suture from its compartment one at a
time without tangling or kinking.
2. A suture package according to claim 1 characterized by a
"keyhole" notch positioned near the open end of each compartment
that functions to retain said needles in a fixed position when
adjacent compartments are folded together.
3. A sterile suture package according to claim 1 enclosed in a
hermetically sealed envelope.
4. The suture package of claim 1 wherein the means for retaining
the adjacent compartments together in the folded position are
interlocking tabs.
Description
The present invention relates to packages for surgical sutures in
coiled form, and more particularly to sterile, double armed,
braided silk sutures and the like packaged in this manner.
When the term suture or sutures is used in this application, it
shall mean elongated strands suitable for suturing, ligating, or
surgical procedures and shall include those strands commonly called
sutures and ligatures.
When the term double armed sutures is used in this application, it
shall mean a suture that has affixed to each end thereof a surgical
needle.
When the term multi-strand package is used in this application, it
shall mean a package containing a plurality of suture strands,
i.e., four to six or more.
Heretofore, double armed sutures have been packaged in various ways
intending to minimize the formation of kinks or sharp bends in the
suture strand due to packaging. For instance, the suture has been
wound upon circular reels and various other attempts have been made
to coil the suture smoothly and in such a way that no kinks will be
formed. Necessarily, when the suture has been coiled in this
manner, it has been retained in the package in coiled form for an
extended period of time prior to use. As a result, the suture
strands adopt a set configuration based upon the form in which it
was coiled, even when they are removed from the package. Thus, when
a suture which has been coiled in circular form on a reel is
removed from the reel, it will tend to return or snap back into a
circular configuration. When the suture is attached to a needle, as
it normally is for suturing purposes, the surgeon must prevent the
suture strand from coiling up against the needle and interfering
with the surgical procedure. This is a difficult problem because it
is almost impossible to prevent sutures from assuming a set during
packaging.
The problem referred to above is accentuated when the suture has a
needle attached to both ends as the suture has a tendency to coil
up against the needles at either end thereof making it difficult
for the surgeon to handle. The present package permits the surgeon
to grasp one needle in a needle holder and remove the suture from
the package without entangling the suture with the needle that is
attached to the other end.
Because a large number of double armed sutures are frequently used
in a single surgical procedure, it is desirable to package a number
of identical sutures, i.e., four to six or more in a single
package. In such multi-strand packages, it is important to
immobilize the needles attached to each suture so that they remain
separated from and do not become entangled with other double armed
sutures within the package.
In accordance with the present invention, a folded package for
multi-strand double armed sutures is provided which will hold two
to six or more sutures in a predetermined sinusoidal configuration
within adjacent but separate compartments. Notches along one edge
of the package secure the armed ends of each suture so that the
attached needles are locked in position as the compartments are
folded together. The package of the present invention permits the
surgeon or his assistant to remove each suture one at a time and as
needed without entanglement.
In accordance with the present invention, the suture is wound in
the form of a coil similar to that described in U.S. Pat. No.
3,444,994. The suture coil has a multiplicity of figure-eight
convolutions which are superimposed one upon the other in
successive layers with the convolutions disposed in sequence from
one end of the suture to the other. Each of the figure-eight
convolutions comprise a centrally located suture crossing, and
opposed loops on each side of the crossing with the loops also
integral with the suture portions forming the crossings. As a
result, the coils within each compartment are maintained in
sequence and in layers in the suture crossings since these
crossings prevent adjacent convolutions from telescoping or
entangling with one another. When the suture is coiled in this
manner and removed from the package by drawing up one of its ends,
it assumes a non-entangling sinusoidal configuration of successive
positive and negative lobes. When the suture is held by the needle
at one end thereof, it remains extended in this form and has no
tendency to coil up again adjacent the needle at either end.
In the preferred form of our invention and most particularly, when
the suture is a stiff monofilament, the suturing needle that is
attached to the ends of the suture is curved and each needle is
retained in the package in such a way that when the suture is
removed therefrom as described above, the point of the needle is
directed away from the next adjacent suture lobe thereby assuring
that the suture will trail behind the needle point during surgery.
To accomplish this, both curved needles and the suture end attached
thereto are retained in the package in such a way that the curve of
the needle and the suture end attached thereto generally follows
the curved configuration of the suture coil. The suture ends are
arranged so that they generally continue to follow the shape of the
figure-eight and the needles attached thereto are positioned in
such a way that they appear to be a continuation of the coil
configuration.
In the package of this invention, each individual suture is held in
the desired coil form within adjacent compartments foldably
connected with one another and adapted to be folded together and
superimposed so that the figure-eight suture coils in each
compartment are in registry and the armed ends of the suture and
attached needles extend from adjacent ends of each compartment.
Preferably, there is a notch in the open end of each compartment
along one edge of the package to hold the armed ends of the suture
in position until the compartments are folded together.
The double armed suture may be wound as it is being positioned
within each compartment of the package by employing a jig which
cooperates with or penetrates a portion of the package as described
in U.S. application Ser. No. 225,814 filed Feb. 14, 1972. The
package is adapted to be closed easily by folding and may be held
together with a retaining sleeve or by interlocking tabs which
secures the coil convolutions and needles in the desired
relationship within the package. The package with the sutures in
position therein is then hermetically-sealed in an outer container
and sterilized with gamma radiation.
Other and further advantages of this invention will appear to one
skilled in the art from the following description and claims taken
together with the drawings wherein:
FIG. 1 is a plan view of a rectangular card that forms the suture
package of the present invention.
FIG. 2 is a perspective view of the card of FIG. 1 with 4 double
armed sutures in place.
FIG. 3 is a perspective view of the suture package with adjacent
compartments folded together.
FIG. 4 is a perspective view of the suture package in its closed
position.
FIG. 5 is a perspective view of the suture package of FIG. 4
enclosed in a hermetically-sealed envelope.
FIG. 6 is an enlarged perspective view of interlocking tabs located
on opposed edges of the suture package, said package being in an
open position.
FIG. 7 is an enlarged perspective view of the interlocking tabs of
FIG. 6, the suture package being in a closed position.
FIG. 8 is an enlarged end view of the interlocking tabs illustrated
in FIG. 7.
FIG. 9 is a perspective view of the suture package in a partially
opened position illustrating the removal of a double armed suture
from its compartment.
FIG. 10 is an enlarged fragmentary sectional view on the line
10--10 of FIG. 9.
Referring to the drawings, FIG. 1 shows a rectangular card 20,
preferably 27 lb. per ream bleached Kraft paper. The lower edge 21
of the card is cut with keyhole notches 22 which serve to retain in
alignment the armed ends of the suture. As best shown in FIG. 2,
after the double armed sutures 23 are in place, the card 20 is
folded along its center line 24 to provide overlying panels 25 and
26 which together form the side edges 29 and 30. The ends of the
double armed sutures 23 are retained by the keyhole notches 22 with
the needles 35 extending downwardly.
To complete the formation of the suture package, the overlying
panels are folded inwardly along fold lines 27 and 28 parallel to
the side edges 29 and 30 to form adjacent compartments 31 and 32,
separated by the fold line 27 and adjacent compartments 33 and 34
separated by the fold line 28.
As best shown in FIG. 3, a flap 36 that extends above the panel 25
is folded down over the top of compartments 33 and 34 thereby
effectively closing both compartments and retaining them in their
adjacent position with the needles 35 immobilized. In a similar
manner the flap 37 is folded in the direction of the arrow over the
top of compartments 31 and 32 to close and retain those
compartments in their folded position with the needles immobilized.
The package is then closed by folding compartments 31 and 34
together along the fold line 39 to bring all compartments of the
suture package into juxtaposition with the double armed sutures in
registry.
If desired, a paper retaining sleeve (not shown) may be slipped
over the suture package to prevent opening thereof. Alternatively,
oblique cuts 41 and 42 may be placed in the card 20 to provide
interlocking tabs 43 and 44 that serve to hold the package together
in its closed position.
The folded double armed multi-strand suture package is then
overwrapped by placing it within an outer envelope of coated foil
50 that is heat sealed to provide a hermetically sealed over-wrap
envelope that is illustrated in FIG. 5. The over-wrap envelope has
a tear line 52 at one end for opening the envelope when it is
desired to obtain access to the suture. This package may be
sterilized by gamma rays and is then ready for shipping and
storage.
In use, the surgeon or his assistant may remove the outer wrapper
by grasping it on either side of the notch 52 and tearing to eject
the sterile primary package. The retaining sleeve if present is
removed from the primary package or the interlocking tabs are
pulled apart by the surgeon to open the package. The double armed
sutures may then be removed sequentially one at a time without
kinking or entanglement as best illustrated in FIG. 10.
It shall be noted that the curved needle 35 is disposed in such a
way that it appears to continue the sinusoidal shape of the suture.
The suture now tends to retain this sinusoidal shape and has no
tendency to snap back into its original coiled form. As a result of
this and the fact that the point of the needle is directed away
from the next adjacent suture lobe, it is assured that the suture
will trail behind the needle point during surgery and will not
interfere with the surgical procedure in any way.
* * * * *