U.S. patent number 3,901,244 [Application Number 05/479,587] was granted by the patent office on 1975-08-26 for suture cartridge.
Invention is credited to Edward E. Schweizer.
United States Patent |
3,901,244 |
Schweizer |
August 26, 1975 |
Suture cartridge
Abstract
A cartridge for a suturing clamp in which the flesh is clamped
by a pair of jaws and further movement of the clamp actuator handle
drives a needle, carrying a length of suture with it, through the
flesh. A cartridge, which rotatably carries a bobbin with suture,
is releasably gripped on one of the jaws, and a narrow slot at the
forward end grips a length of suture to hold it across the path of
the needle. When the cartridge is in place on the clamp, a
roughened undersurface forms one of the flesh gripping surfaces,
and a cover on the cartridge is held against a surface of the clamp
jaw so that it cannot fall from the cartridge.
Inventors: |
Schweizer; Edward E. (Katonah,
NY) |
Family
ID: |
26999921 |
Appl.
No.: |
05/479,587 |
Filed: |
June 14, 1974 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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358082 |
May 7, 1973 |
3842840 |
Oct 22, 1974 |
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Current U.S.
Class: |
606/145;
206/63.3; 242/137.1; 242/171; 606/146 |
Current CPC
Class: |
A61B
17/04 (20130101) |
Current International
Class: |
A61B
17/04 (20060101); A61B 017/04 () |
Field of
Search: |
;128/326,334R,339,340
;206/63.3,389,409 ;242/137.1,171 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Attorney, Agent or Firm: Stidham, Esq.; Melvin R.
Parent Case Text
RELATED APPLICATION
This application is a continuation-in-part of my co-pending
application Ser. No. 358,082 filed May 7, 1973, for "Suture
Applicator," now U.S. Pat. No. 3,842,840 granted Oct. 22, 1974.
Claims
What is claimed as invention is:
1. A suture cartridge for use in a surgical suture applicator which
includes:
a pair of lever members pivoted together and having jaw elements
thereon;
a needle slidably carried on one of said jaw elements for movement
between a retracted position within said one jaw element and an
extended position protruding therefrom;
means on the end of said needle for grasping a length of suture
extended across the path of said movement; and
means on one of said lever members for driving said needle from
said retracted position to said extended position in response to
closing movement of said lever member;
said suture supply cartridge comprising:
a casing;
a bobbin adapted to carry a length of suture wound thereon;
mounting means in said casing rotatably receiving said bobbin;
a forward extension on said casing forming a passageway for a
length of suture unwound from said bobbin;
a forward extension on said casing forming a passageway for a
length of suture unwound from said bobbin;
a transverse opening through said forward extension adapted for
registry with said path of needle movement;
suture gripping means on said forward extension outboard of said
transverse opening;
means on said casing for releasable securing said casing to said
one jaw element of the suture applicator; and
a flesh-gripping surface on said forward extension around said
transverse opening.
2. The suture supply cartridge defined by claim 1 wherein:
said suture gripping means comprising a narrow slot in the outer
end of said forward extension.
3. The suture supply cartridge defined by claim 1 including:
a cover for said casing removably snap-fitted thereon to form a
complete enclosure;
said cover, when said casing is in place on said one jaw element,
being in face to face engagement with a surface thereof.
4. The suture supply cartridge defined by claim 1 wherein:
said flesh-gripping surface is roughened.
5. The suture supply cartridge defined by claim 1 including:
a plurality of short stubs protruding from said flesh-gripping
surface.
6. A suture supply cartridge for use in a surgical suture
applicator which includes
a pair of lever members pivoted together and having jaw elements
thereon;
a needle slidably carried on one of said jaw elements for movement
from a retracted position within said one jaw element and an
extended position into the other of said jaw elements carrying a
length of suture therewith; and
means on one of said lever members for driving said needle from
said retracted position to said extended position in response to
closing movement of said lever member;
said suture supply cartridge comprising:
a casing;
a bobbin adapted to carry a length of suture wound thereon;
mounting means in said casing rotatably receiving said bobbin;
a forward extension on said casing forming a passageway for suture
unwound from said bobbin;
a transverse opening through said forward extension adapted for
registry with said path of needle movement;
a cover for said casing removably snap-fitted thereon to form a
complete enclosure; and
means on said casing for releasably securing said casing to said
one jaw element of the suture applicator.
7. The suture supply cartridge defined by claim 6 including:
a flesh-gripping surface on said forward extension around said
transverse opening.
8. The suture supply cartridge defined by claim 7 including:
a plurality of short stubs protruding from said flesh-gripping
surface.
Description
BACKGROUND OF THE INVENTION
Applicant has previously developed suturing clamps which are
designed to clamp flesh between two jaws and to then drive one or
more needles carrying sutures with them through the flesh. In a
preferred embodiment, the suture is carried on a bobbin rotatably
supported on the jaw with a length thereof disposed across the path
of a needle with a bifurcated tip. Then, when the needle is driven,
it carries the suture with it through the flesh, which is gripped
between the jaws, to form the stitch. It is highly desirable to
have the suture bobbin carried in a cartridge which can be snapped
into place on the suturing jaw and form an integral part of the jaw
whereby a plurality of stitches may be made without removing the
cartridge therefrom. It is, of course, also desirable that no
component part of such cartridge be so situated on the jaw that it
might fall off unnoticed into an open wound.
OBJECTS OF THE INVENTION
It is an object of this invention to provide a surgical suture
cartridge which may be releasably gripped on the jaw of a surgical
clamp.
It is a further object of this invention to provide a surgical
suture cartridge from which a plurality of stitches may be made
without replacement.
It is a further object of this invention to provide a surgical
suture cartridge which includes a passageway for a needle and means
for gripping a length of suture across such passageway.
It is a further object of this invention to provide a surgical
suture cartridge which includes a passageway for a needle and a
roughened flesh gripping surface surrounding such passageway.
Other objects and advantages of this invention will become apparent
from the description to follow when read in conjunction with the
accompanying drawings.
BRIEF SUMMARY OF THE INVENTION
The suturing cartridge of this invention is particularly adapted
for use with a suturing clamp having a one piece jaw and handle to
which are pivoted separable jaw and handle elements. The separable
jaw and handle are latched together so that they move as a unit
until a pre-set limited clamping position is reached. At that
point, the separable jaw is unlatched from its handle and latched
to the one piece jaw handle. Further movement of the separable
handle will produce no further squeezing of the jaws but instead,
will drive a needle across the space between the jaws. The
cartridge of this invention is adapted to be releasably gripped on
the jaw in which the needle is movably carried. Rotatably mounted
in the cartridge is a bobbin carrying a length of suture thread. A
forward extension forming a suture passageway extends from the
bobbin to the end of the jaw wherein the needle is carried. There,
a transverse passageway is formed through the cartridge and
surrounding it on the undersurface is a roughened flesh gripping
surface, forming one of the clamping elements. At the extremity of
the elongated passageway is a narrow slot which grips the end of a
suture which has been pulled from the bobbin. Hence, in operation,
a length of suture is pulled from the bobbin and releasably gripped
in the narrow slot. Then, the clamps are engaged, with the
cartridge surface itself forming one of the flesh gripping
elements. When the flesh is fully clamped, further movement of a
handle drives the needle through the passageway, where it picks up
the length of suture and drives it through the flesh. Then, a
length of suture is cut and tied and a further length is pulled
from the bobbin and engaged in the narrow gripping slot so that the
stitching procedure may be repeated.
BRIEF DESCRIPTION OF THE DRAWING
In the drawings:
FIG. 1 is an isometric view of a suturing clamp embodying features
of this invention;
FIG. 2 is a section view of the suturing clamp prior to operation
thereof;
FIG. 3 is a section view of the suturing clamp in relatively closed
position but prior to the suturing operation thereof;
FIG. 4 is an enlarged partial section view of the jaw portions of
the clamp during a suturing operation;
FIG. 5 is a side view partially broken away of the clamping jaws
with suture cartridge in place;
FIG. 6 is a view, partially broken away, taken along line 6--6 of
FIG. 5;
FIG. 7 is a vertical section view of the suture cartridge;
FIG. 8 is an end view of the suture cartridge;
FIG. 9 is a partial bottom view of the end portion of the suture
cartridge; and
FIG. 10 is a section view taken along line 10--10 of FIG. 7.
DESCRIPTION OF A PREFERRED EMBODIMENT
Referring now to FIGS. 1 to 4 with greater particularity, the
suturing clamp 10 includes a first lever 12 having a lower jaw
element 14 integral therewith and a thumb engaging loop 16 for
manual operation thereof. An arcuate ratchet member 18 extends
laterally from the one-piece lever to engage with a complementary
arcuate ratchet member 20 on an actuator lever 22 also carrying a
finger operation loop 23. The arcuate ratchet members 18 and 20
operate to hold the clamps 10 in relatively closed position against
separation, as in conventional forceps design.
The actuator lever member 22 is pivoted to the first lever member
12 on a pivot pin 24 on which is also pivotably mounted the upper
jaw element 26. As shown in FIGS. 2 and 3, the upper jaw element 26
is normally secured to the actuator lever member 22 by engagement
of a pawl or latch 28 thereon on a complementary surface 30 on the
actuator lever member, the latch being urged into engaging position
by means of a spring 32 carried on the upper jaw element. When the
jaw elements 14 and 26 move to a pre-set relatively clamped
position, as shown in FIG. 3, a detent 34 carried on the separable
upper jaw element 26 engages in a recess 36 on the one-piece first
lever member 12 effectively to interlock the jaw elements 14 and 26
together under the force of a compression spring 38, which biases
the detent 34. At the same instant, the latch 28 engages a camming
surface 40 on the lower jaw element which forces the latch out of
engagement with the surface 30 to free the actuator lever 22 from
driving engagement with the upper jaw 26, allowing it to pivot
relative thereto.
With the separable upper jaw 26 secured to the lower jaw by means
of the detent 34, and further clamping movement also precluded by
engagement of stop surfaces 42 and 44 on the upper and lower jaws
26 and 14, further pivotal movement of the lever 22 will swing the
arm 46 carried thereon to push the rod 48 lengthwise of the upper
jaw element 26. The rod 48 may be secured to the arm 46 as by
engagement of an enlargement 50 thereon in a complementary recess
on the arm 46.
Carried on the end of the pusher rod 48 in the separable upper jaw
26 is a clevis 52 to which, at 54, is pivotably carried an arcuate
needle 56. The end of the needle is bifurcated with a V-notch 58 in
the end thereof to grasp a length of suture as the needle emerges
from the upper jaw. A passageway 60 in the end of the lower jaw is
adapted to receive the end of the needle 56, and a slidable clamp
62 having a serrated forward face 64 is spring biased into
engagement with the wall of the passageway 60 to grip a length of
suture 68 therein under the force of the spring 66, as shown in
FIG. 4, whereby the suture cannot be withdrawn with retraction of
the needle 56.
The suture 68 is wound on a bobbin 70 rotatably carried in a
cartridge 72 which in turn is releasably clipped onto the movable
upper jaw 26. Referring to FIGS. 5 and 6, the upper jaw 26 has a
pair of parallel lips or rails 74 which snugly embrace the sides 76
of the cartridge 72. The depending end edges 78 and 80 of the rails
74 are tightly received between shoulders 82 and 84 formed in the
sides of the cartridge to assist in retaining the cartridge on the
upper jaw 26.
The bobbin 70 has a coaxial drum 86 with a cross hole 88
therethrough to grip the end of the suture in order to start the
winding. Protruding from the drum 86 are stub shafts 90 which are
slidably received in tracks 92 in the cartridge so as to be
rotatably carried therein (FIG. 10).
The suture may be pulled from the bobbin 72 through a suture track
94 formed in the bottom of the forward cartridge extension 72a,
across a transverse slot or passageway 96 which is traversed by the
needle during suturing operation, and gripped in a tapered slot 98
at the end of the cartridge extension 72a. The bottom surface 100
around the transverse slot 96 forms the flesh gripping surface for
the upper jaw 26 and is preferably provided with small taper studs
102 to enhance the gripping action.
As shown best in FIGS. 8 and 10, the cartridge 72 is closed by a
cover or lid 104 which is snap-fit in place and which fits all
around the top opening 106 in the cartridge, in order to prevent
suture snag. A liquid pack drainage hole 108 is provided in the
area of the bobbin 70 (FIG. 7).
In preparation for use, the suture 68 is wound onto the bobbin 70
and, with the bobbin in place in the bearing tracks 92, a length of
suture 68 is pulled from the bobbin 70 and secured into the V-slot
98 at the end of the cartridge extension 72a. Then, the snap-in
cover is firmly placed and the cartridge is ready for use.
In operation, the cartridge is simply taken from a storage place
and snapped into place between the parallel rails 74 on the upper
jaw 26 of the suturing clamp 10. It will be particularly noted
that, with the cartridge held in place, the only removable
component, i.e. the cover 104, is held firmly against the
undersurface 106 of the upper jaw 26. Hence, if for any reason the
cover 104 is not firmly snapped into place, it still cannot fall
from the cartridge 72 and, perhaps, into an open wound being
sutured. This is extremely important, because in actual size, the
cover 104 is an extremely small, almost transparent, plastic
element which can very easily be overlooked if misplaced.
While this invention has been described in conjunction with a
preferred embodiment thereof, it is obvious that modifications and
changes therein may be made by those skilled in the art without
departing from the spirit and scope of this invention.
* * * * *