U.S. patent number 3,913,586 [Application Number 05/437,064] was granted by the patent office on 1975-10-21 for hemostat.
This patent grant is currently assigned to Gomco Surgical Manufacturing Corporation. Invention is credited to Carl B. Baumgarten.
United States Patent |
3,913,586 |
Baumgarten |
October 21, 1975 |
Hemostat
Abstract
An inexpensive, easily manufactured surgical hemostat comprising
a pair of intersecting arms pivotally mounted on a common axis each
arm having a plastic coating over its entire length, whereby the
functional elements of the hemostat, i.e., the jaws, finger loops
and latching means are formed from the plastic and the core
provides the requisite strength and resiliency for the arms of the
surgical hemostat.
Inventors: |
Baumgarten; Carl B. (Houston,
TX) |
Assignee: |
Gomco Surgical Manufacturing
Corporation (Buffalo, NY)
|
Family
ID: |
23734917 |
Appl.
No.: |
05/437,064 |
Filed: |
January 28, 1974 |
Current U.S.
Class: |
606/205; 30/341;
30/254 |
Current CPC
Class: |
A61B
17/2812 (20130101) |
Current International
Class: |
A61B
17/28 (20060101); A61B 017/28 () |
Field of
Search: |
;30/254,341,343
;128/321,325,346 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Pace; Channing L.
Attorney, Agent or Firm: Johnson; Kenneth H.
Claims
The invention claimed is:
1. A surgical hemostat comprising a pair of intersecting arms and a
pivot means interconnecting said arms for rotating motion about a
common axis, said arms each comprising a tempered stamped wire
metal core having a handle portion, a jaw portion and a box portion
intermediate said handle and jaw portions, said arms each being
individually permanently embedded in a plastic shell comprising a
finger loop juxtaposed to said handle portion, a gripping surface
juxtaposed to said jaw portion, and a latching means on said handle
portion on the opposite side of said handle from said finger loop
and in substantially the same plane therewith, said gripping
surfaces on each jaw being operably opposed and said latching means
being operable engagable when said handle portions are rotated
toward each other for holding said handle portions in a fixed
position, and operably engaging said gripping surfaces.
2. The surgical hemostat according to claim 1 wherein said metal
core comprises a substantially straight stainless steel wire.
3. The surgical hemostat according to claim 2 wherein said box has
a hole therein.
4. The surgical hemostat according to claim 3 wherein said cores
lie in substantially the same plane except for said box
portion.
5. The surgical hemostat according to claim 3 wherein said plastic
is a themoplastic.
Description
BACKGROUND OF THE INVENTION
This invention relates to method of manufacturing surgical
hemostats and the hemostats produced thereby.
Surgical hemostats are very critical instruments which must have
strength and reliability. Mainly these requirements have to be
achieved by manufacture of the hemostats from polished stainless
steel. These are superior instruments usually requiring a great
deal of hand finishing, with the consequent high cost, however,
because such instruments are used and reused for years, this high
initial cost was not considered a detriment. Now a new factor has
entered this picture, which has made the use of these expensive
devises unattractive. This is the extremely high labor cost now
encountered in medical facilities. Hence the added expense of
cleaning and sterilizing surgical hemostats is now a significant
factor to consider, and even worse in labor short facilities, the
availability factor of the cleaned and sterilized materials may be
unreliable.
In many procedures, such as male circumcisions, a circumcision
clamp suture, clamps and hemostats are maintained together as unit,
so that the physician can open one package and have immediately at
hand every item needed for the procedure. When prior art hemostats
are employed in these packages, not only has there been the cost of
labor, but the expensive device is tied up in a storage
situation.
It is an object of the present invention to provide an alternative
to the prior art hemostats which can be manufactured easily from
less expensive material and with less costly labor. It is another
object of the present invention to provide hemostats high strength
and reliability. It is a further object to provide hemostats that
can be combined in an economical preprepared surgical package.
SUMMARY OF THE INVENTION
Briefly stated the method of the present invention for making one
arm of an intersecting pair of arms comprises forming a metal core
having a handle portion, a jaw portion and a box portion
intermediate said handle portion and said jaw portion, tempering
said metal core, mounting said tempered metal core in an injection
mold, injecting a polymeric material into said mold, coating said
metal core with polymeric material and forming gripping surfaces on
said jaw portion and a finger loop and latching means on said
handle portion. The arm so formed is attached at the box with
another similarly formed arm to form a pair of intersecting arms by
pivot means interconnecting said arms for swinging motion about a
common axis.
The surgical hemostat comprises a pair of intersecting arms and
pivot means interconnecting said arms for rotating motion about a
common axis said arms each comprising a tempered metal core having
a handle portion, a jaw portion, and a box portion intermediate
said handle and jaw portions, entirely embedded in a plastic shell
comprising a finger loop juxtaposed to said handle portion, a
gripping surface juxtaposed to said jaw portion, a latching means
interior of said handle portion, said gripping surfaces being
operably opposed and said latching means being operably engageable
when said handle portions are rotated toward each other for holding
said handle portions in a fixed position and operably engaging said
gripping surfaces.
DRAWINGS
FIG. 1 is side elevation of a surgical hemostat.
FIG. 2 is a partial cross sectional view along line 2--2 of FIG.
1.
FIG. 3 is a cross section of the hemostat along line 3--3 of FIG.
2.
FIG. 4 is a cross section of the hemostat along line 4--4 of FIG.
2.
FIG. 5 is a cross section of the hemostat along line 5--5 of FIG.
2.
FIG. 6 is a view of the latch means 8a and 8b as shown in FIG. 2
rotated 90.degree..
DETAIL DESCRIPTION OF THE INVENTION
The manner of producing the surgical hemostate is very critical to
achieving the product having the necessary attributes to qualify
for use as such. Hence the process will now be described in more
detail. The process used herein is generally described as insert
molding and distinguishable from a process where a coating of a
plastic is applied over a blank. In a coating process the only
configuration is that of the blank, whereas in insert molding the
configuration of the molded article is that imparted by the mold.
Hence insert molding is a variant of injection molding wherein the
polymer is forced into the mold under pressure. Some attempts have
been made to produce hermostats by injection molding, however, the
products usually do not have the requiste degree of stiffness
necessary when the hemostat is clamped, and these devices have had
very limited acceptance by the medical profession.
The deficiencies of prior injection molded hemostats are overcome
by inserting a particular type of member into the mold and
injecting the polymer around the inserted member. The insert is a
single piece of material having the general configuration of one
side or portion of the hemostat along the long axis. That is, the
insert is a substatially straight member which is formed out of
tempered steel. For example, 410-412 guage stainless steel wire is
stamped in the general configuration of a handle, box and jaw. It
may be necessary to stamp only the box in some of the hemostates. A
hole may be stamped in the box at this time. The stainless steel
wire is then heat tempered at 1,800.degree. - 2,000.degree.F and
air cooled.
The insert is then mounted in the mold, being positioned therein by
one or two pins. Precautions are taken to prevent extrudate from
filing the hole in the box, said hole if present is a convenient
point of mounting the insert. The mold contains the configuration
for jaws as well as finger loop and latch element. Thus various jaw
configurations may be applied to a standard insert blank. The
finger loop and latch element are not reinforced and there is no
insert portion corresponding thereto. The reinforcement is along
the length of the handle, through the box and in the jaw.
The polymer used to mold the hemostate can be any present
extrudable polymers, such as, polypropylene, polybutene,
polyamides, polyamines, polymethacrylates and
polymethylmethacrylates or any of the other polymeric materials
which are extrucdable. Included are material such as epoxy polymers
which are cross linked after setting. A desirable feature or
property for any polymeric material employed is high temperature
resistance to deformation. This conveniently allow the instruments
to be heat sterilized.
The hemostat produced in the process described above is shown in
FIGS. 1-6. In FIG. 1 the assembled hemostate is shown from the side
with the metal core or insert 1 in dotted lines. The jaw portion 7
and handle portion 5 are shown to be in substantially the same
plane with the box portion 6 being stamped or bent out of line so
that the two polymer covered halves or arms of the hemostat will
aline and put the handle and jaw portions of each arm in about the
same plane. The two arms are in substantially the same plane to
avoid the tendency of the instrument to rotate about its long axis.
The tendency to rotate is a result of the unequal pressure that is
applied by hand and the torque created thereby.
Referring now to FIG. 2 one arm of the hemostat is shown in cross
section along line 2--2 of FIG. 1. Each arm is composed of metal
core 1 which, although it is preferably one piece, consist of three
decernable elements the handle portion 5, the box portion 6 and the
jaw portion 7.
Over the entire core is a cover or shell 10 of a polymeric
material, except at the point 4 wherein a pin or other pivot is
placed through the two arms joining them at the box. The hole 3 is
a mold mount used to hold the core in place in the mold. The shell
10 also is formed into finger loops 2, latching means 8a and 8b and
gripping serrations 9 in the jaw portion 7.
The latching means 8a and 8b are shown in the closed or latched
together, hence causing the jaws 7 to grip tightly together.
Referring to FIG. 6 the means of operation of the latching means
can be readily seen. The latching means is comprised of two members
8a and 8b, one each attached on the interior surface of one arm of
the hemostat. The members 8a and 8b are somewhat flexible, hence
although they are depicted in FIG. 6 as being directly opposed when
the two arms of the hemostat are pulled together, the beveled
surfaces 11a and 11b cause the two arms to deform and allows then
to upon each other thereby engaging the teeth 12 and locking the
hemostat in a desired position. The teeth 12 are released by using
the fingers to distort the arms temporarily thereby disengaging the
teeth and allowing the hemostat to be opened.
FIG. 3 shows a cross section of the hemostat in the jaw portion 7.
The two opposed core jaws 7 are shown to have a broadened surface
backing up the molded serrations 9. The enlarged portion of the jaw
core 7 can be obtained by stamping or twisting the blank from which
the core is made. In FIGS. 3 and 4 the polymer covering 10 can be
seen to be very thin in some areas. This is not particularly
detrimental since the covering is not the element providing the
strength and need be only of sufficient thickness to provide a
complete sterilizable covering on the surface of the hemostat.
FIGS. 4 and 5 show cross sectional views of the box and arm
portions of the hemostat respectively.
The configuration of the hemostat can be varied from that shown to
resemble the conventional configurations employed in the act
now.
* * * * *