Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUS1982207 A
Publication typeGrant
Publication dateNov 27, 1934
Filing dateDec 29, 1933
Priority dateDec 29, 1933
Publication numberUS 1982207 A, US 1982207A, US-A-1982207, US1982207 A, US1982207A
InventorsFurniss Henry D
Original AssigneeFurniss Henry D
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Clamping instrument and process of using the same
US 1982207 A
Abstract  available in
Images(2)
Previous page
Next page
Claims  available in
Description  (OCR text may contain errors)

NOV. 27, 1934. H, D' FURN|5$ y .1,982,207

CLAMPING INSTRUMENT AND PROCESS OF USING THE SAME Filed Dec. 29, 1933 2 Sheets-Sheet l v INVENTOR ATTORNEY NOV. 27, 1934. Y H D FURNISS 1,982,207

CLAMPING INSTRUMENT AND -PROQESS OF USING THE SAME Filed Dec.. 29, 1953 2 sheets-sheet 2 INVENTOR um Cbww Patented Nov. 27,- 1934 GLAMPING INSTRUMENT AND PROCESS OF USING THE SAME Henry D. Furnss, New York, N. Y. j j

Application December 29, 1933, Serial No. 704,455

13 Claims.

My invention relates to an instrument adapted to facilitate the making of closures or jointures, especially in operations upon lthe intestine, and the process of using the same.

The object of my invention is to provide an apparatus and process of using the same, whereby jointures or closures generally may be readily made and whereby especially operations upon the intestine may be carried out more expeditiously and with greater certainty and uniformity in results. A further object is to more effectively prevent the escape of any contents, as, for instance, intestinal contents and at the same time prevent bleeding during the operation. Further objects of my invention will appearrfrom the detailed description of the same hereinafter'.`

While my invention is capable of being carried out in many different ways, for the purpose of illustration I have shown only one embodiment of the apparatus involved therein, in the accompanying drawings, in which- Fig. 1 is a side elevation of an apparatus;

Fig. 2 is a perspective view of the same;

Fig. 3 is a plan view of a portion of the gripping jaws, enlarged;

Fig. 4 is a perspective View of one set of gripping teeth;

Fig. 5 is a longitudinal section of a protector used on the end of the pin;

Fig. 6 is a diagrammatic section showing the way used for closing the end of the intestine;

Fig. 7 is a diagrammatic elevation showing the initial step of clamping two ends of intestines together where two ends are to be joined;

Fig. 8 is a similar View showing the way of Sewing the two ends together;

Fig. 9 is a diagrammatic View showing the end of an intestine about to be joined to the side of an intestine;

Fig. l0 is an elevation showing the step of clamping the end to the yside of the intestine; and

Fig. 11 shows them as finally joined together.

In the accompanying drawings, I have shown an operating instrument comprising a clamp-like apparatus which comprises two jaws 1 and 2, pivoted together by means of a pivot pin 3 and having handles 4 and 5, respectively, one of Said handles 4, having a screw-threaded arm 6 secured in a slot 7 so as to be inserted and withdrawn from a slot 8 in the handle 5. A thumb-screw 9 on the arm 6 enables the clamping jaws to be tightly held together. The jaw 1 is provided withl a sinuous jaw surface 10 to intert with a similar surface 11 on the jaw 2, of such a shape that when the intestine is inserted betweenthe .jaws there will be formed a channel 12 of approximately the width of the intestine clamped together throughout the length of the channel 12. In this way it will be noted that rounded teeth'13 and 14 60 are formed on the jaws 1 and 2, respectively, and that in said teeth 13 and 14 there are provided notches 15 which, inthe clamping position of the instrument with the intestine l'clamped in place, that is to say, when the channel 12 is approxi- 65 mately of equal width throughout, there will be just sufficient room in the notches 15, between the teeth 13 and 14, tofprovide v,room for receiving a pin 16 having a knurled handle 17, on the end of whiehthere is adapted to be placed a guard 18 to prevent theoperator from being injured or becoming infected from the point of the pin 16; 'I'he guard 18 is comprised of a pear-shaped housing 19 having a tapered forward end 20 with an opening 21 to receive the end of the pin and a 75 rearward opening 22 to receive a tubular plunger 23 which has longitudinal slits 24 at the forward end to provide clamping fingers 25 which become wedged around the pin near the opening 21 due to the tapered end of the housing 19. The plunger, furthermore, has a shoulder 26 to receive a coil spring 27 which normally forces the plunger 23 towards the opening 21. The rear of the plunger has a knob 28 permitting the same to be withdrawn to release the pin and a closure 29 to pre- 35 vent the point of the pin from projecting through the end of the plunger 23. It will be noted that the clamping jaws 1 and 2 are outwardly curved so as yto permit the guard 18 to be placed over the end of the pin 16. v

In carrying out my invention, it will be understood that theapparatus described may be used in joiningportions of the'intestine or other tissues,`in many dii'erentw'ays. However, for example, it may be used particularly for closing the end of an intestine or joining two ends thereof together, or joining an end to .a side of the intestine.

In the case where the end of the intestine is to be closed, the end of the intestine is inserted between the clamping jaws 1 and 2 and the jaws clamped together with the thumb-screw 9, after which the pin 16 is then inserted vand the guard 18 is placed over the end of the same. The clamping device is then removed and the end of the intestine is then sewed together by cross-stitches 30 of catgut, so that the free ends of the intestine are then directed inwardly, as shown in Fig. 6. After the stitching is completed the pin 16 can be removed. If desired, an additional sewing 110 the latter.

Where two ends 31 and 32 of the intestine arel to be attached together, these are first clamped between the clamping jaws 1 and 2 as shown in Fig. 7, the pin 16 is then inserted and the guard 18 applied thereto, whereupon the excess ends of the intestine are cut off, the clamp is removed and the intestine stitched all around the outside of the intestine, as shown in Fig. 8. Thereafter the pin 16 is removed. Y

In the case where an end 33 of, the intestine is to be attached to the side of an intestine 34, the procedure is similar tothat where the two ends of the intestine are to be joined together, in that the side 34 of the intestine is clampedbetween the. jaws 1 and 2 together1 `with the end 33 of the intestine. At this time a slice can be taken from the clamped fold of the sideof the intestine. The Yclamp is then removed and the stitching with catgut is applied all around the ladjacent surfaces of the intestine 33 and the intestine 34, so that the joined end to side appear as in Fig. 11 'after thepin 16 has been removed.

While I have described my invention above in A, detail I wish it to be understood that many changes may be made without departing from the spirit of the same., 1

Iclaim:k Y 1 h' 1. A clamp having jaws with interprojecting l,teeth respectively and a longitudinal pin recess formed in saidteeth by grooves inthe ends of the teeth facing'towards the opposite jaws. ,v i j y 2. A clamp having jaws with interprojecting teeth respectively and a longitudinal pin recess formed in said teeth,jsaid"jaws being provided .with offset handlesvat one yend and an offset pivot for the jaws at the other end so as to permit the ends of the pin to project from the jaws at both ends of the pin."y j l 3. The method which comprises clamping a thin material in a circutous path, inserting a pin into the circutous path of the materialthrough folds thereof, then removing the clamp and stitching the material while the r,pin remains in 4. The method which comprises clamping a thin material vin acircuitous path, inserting a pin intothe circutous path'of the material Within the clamp` through folds thereon then removing ,y the clamp and stitching rthe material while 'the pin remainszin t-he material. l, i

' 5. yThe method which-comprises clamping disconnected intestine portionsin a circutous path, inserting a pin into the circutous path of the material through folds thereof, then removing the clamp andstitching the material While the pin remains in the latter. f

6. The method which comprises clamping disconnected intestine portions in a `circutous path, inserting a pin into the circutous .path of the material within theclamp through folds thereof, thenremoving the 'clamp and stitching the material while the "pin' remains in the material.

v'7. The method which comprises clamping disconnected intestine portions in the form of two disconnected ends in a circutous path, inserting a pin into the circutous path of the material through folds thereof, then removing the clamp and stitching the material while the pin remains in the latter.

8. The method which comprises clamping disconnected intestine portions in the form of two disconnected ends in a circutous path, inserting a pin into the circutous path of the material within the clamp through folds thereof, then removingv the clamp and stitching the material while the pin 'remains in the material.

9. The method which comprises clamping disconnected intestine portions in the form of an end and a side portion, making a slice in the side portion, in a circutous path,l inserting a pin into the circutous path of the material through folds thereof, thenv removing the clamp and stitching the material while vthe pin remains in the latter.

10. The method which comprises clamping disconnected intestine portions in the form of an end `and a side portion, making a slice in the side portion, in a circuitous path, inserting apin into the circuitous .path of the material within the clamp through folds thereof, then removing the clamp and stitching the material While the pin remains in the material.

11. The method which comprises clamping a thin material in a circutous path, inserting a needle in a given direction into the circutous path of the material through folds thereof from one side of the clamped material, drawing a stitching material after the needle in the same direction into the material within theV clamp g through to the other side ofthe clamped material and then removing the clamp.

12. A clamp havingv interprojecting teeth rel spectively on jaws pivoted together at one end of the set of teeth, handles on the, respective jaws at the Vother end thereof, anda longitudinal pin recess formed in said teeth.

13. A clamp having interprojecting teeth respectively on jaws pivoted together at one end of the set of teeth, a handle thereon, and a longitudinal pin recess for-med in said teeth.

HENRY D. FURNISS.

iso

Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US2686520 *Jun 21, 1951Aug 17, 1954Gershen Irvin JFunis clamp
US3019789 *Jun 30, 1958Feb 6, 1962Gagnier Charles EAnastomosis clamp
US3101715 *Jul 12, 1961Aug 27, 1963Mueller & Company VNon-crushing clamp
US3315679 *Jan 13, 1964Apr 25, 1967Sarracino John BUmbilical cord clamp
US3515139 *Aug 29, 1966Jun 2, 1970Codman & ShurtleffAtraumatic clamp
US3683925 *Sep 4, 1970Aug 15, 1972Frankel Leon AMethod and apparatus for anastomosing and incising
US4345600 *Aug 4, 1980Aug 24, 1982Senco Products, Inc.Purse-stringer
US4558699 *Jan 3, 1983Dec 17, 1985Bashour Samuel BMethod of and apparatus for restricting the passage of food through the stomach
US4711240 *May 15, 1986Dec 8, 1987Duke University Patents FoundationFor crushing friable organ tissue
US5425737 *Jul 9, 1993Jun 20, 1995American Cyanamid Co.Surgical purse string suturing instrument and method
US5496341 *Aug 26, 1994Mar 5, 1996Lasersurge, Inc.Surgical device to prepare body tissue for anastomosis
US5649938 *May 1, 1995Jul 22, 1997American Cyanamid Co.Surgical purse string suturing instrument and method
US5843098 *Dec 10, 1996Dec 1, 1998American Cyanamid Co.Surgical purse string suturing instrument and method
US6607227 *Jun 28, 2000Aug 19, 2003Siemens Automotive CorporationSawtooth terminal blade gripper and method of gripping
US7297104 *Mar 1, 2004Nov 20, 2007John Vanden HoekSeam closure device and methods
US7322623Aug 15, 2003Jan 29, 2008Morton Gregory RSawtooth terminal blade gripper and method of gripping
US7641608Sep 26, 2006Jan 5, 2010Acorn Cardiovascular, Inc.Sectional cardiac support device and method of delivery
US7651462Jul 17, 2006Jan 26, 2010Acorn Cardiovascular, Inc.Cardiac support device delivery tool with release mechanism
US7938768Jan 30, 2007May 10, 2011Mardil, Inc.Cardiac disease treatment and device
US8100821Dec 11, 2008Jan 24, 2012Mardil, Inc.Low friction delivery tool for a cardiac support device
US8128642 *Apr 22, 2009Mar 6, 2012Tyco Healthcare Group LpFluid delivery system for surgical instruments
US8246539Mar 2, 2010Aug 21, 2012Mardil, Inc.Pericardium management method for intra-pericardial surgical procedures
US8459524Jun 11, 2010Jun 11, 2013Covidien LpTissue fastening system for a medical device
US8617051Jun 15, 2012Dec 31, 2013Mardil, Inc.Cardiac support device delivery tool with release mechanism
US20090275902 *Apr 22, 2009Nov 5, 2009Andrew HeepsFluid delivery system for surgical instruments
DE1167483B *Jan 18, 1960Apr 9, 1964Boris S BobrowGeraet zum Anlegen einer doppelseitigen Magenstumpfnaht
DE10121305A1 *May 2, 2001Dec 12, 2002Ethicon Endo Surgery EuropeChirurgisches Instrument
EP0119967A1 *Mar 8, 1984Sep 26, 1984Carlo RebuffatNew purse-string instrument
WO1993025149A1 *May 25, 1993Dec 23, 1993Jacques Rene VaillantBilio-digestive anastomosis device requiring no circular suture of the bile duct
WO2006001040A1 *Jun 14, 2005Jan 5, 2006Elenor S R LSurgical forceps for forming purse string sutures
WO2011010011A1Jul 16, 2010Jan 27, 2011Jean-Claude SgroDevice for suturing anatomical tissue, in particular the walls of the blood vessels and of the digestive tract
Classifications
U.S. Classification606/148
International ClassificationA61B17/03, A61B17/04, A61B17/11
Cooperative ClassificationA61B17/04, A61B17/1114, A61B2017/1142
European ClassificationA61B17/11D, A61B17/04