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Publication numberUS2199025 A
Publication typeGrant
Publication dateApr 30, 1940
Filing dateJun 8, 1936
Priority dateJun 8, 1936
Publication numberUS 2199025 A, US 2199025A, US-A-2199025, US2199025 A, US2199025A
InventorsConn Carl E
Original AssigneeConn Carl E
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Means and method of closing surgical incisions
US 2199025 A
Abstract  available in
Images(1)
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Claims  available in
Description  (OCR text may contain errors)

c. E. CONN MEANS AND METHOD OF CLOSING SURGICAL INCISIONS April 30, 1940.

Filed June 8, 1936 ATTORNEY.

Patented Apr. 30, 1940 ,VUNITED STATES PATENTOFFICEYV MEANS AND METHOD OF CLOSING SURGICAL INCISIO-NS Carl E. Conn, Los Angeles, Calif. 'Application June s, 1936, Serial No. 84,120" 3 Claims (Grim- 335) This invention relates to suturation devices and methods of their use by which the sides of incisions may be supported in closed relation for prompt and effective cicatrization and effective healing thereof upon completion of a surgical operation.

At the conclusion of an abdominal operation, for instance, the walls of the incision are usually supported adjacent one another to permit the wound to heal by sutures of various well known types. Sutures of the prior art which do not allow for subsequent swelling of the tissues tend to cut and irritate the wound. The necessary time for healing is thus prolonged, during which the discomfort of the patient is increased and the resultant scar is often excessively large or deep, and occasionally completely opened, permitting extrusion of abdominal contents following excessive straining from vomiting or coughing.

It is also important that access to the incision be unrestricted to aid inspection and bathing of the wound; and that replacement of the dressing be facilitated, without disturbance of the sutures or of the healing process.

It is an important object of the present invention to provide a suturation device for resiliently supporting in closed position all or any portion of an incision and thereby prevent cutting of, or undue strain or constriction upon the tissues through which the suture passes.

Another object is to provide a wound closing suture assembly adapted to be suspended from skin surfaces adjacent the incision to resiliently 'maintain the walls thereof together, which en ables free accessto the wound for subsequent treatment and cleansing, and further presents a flat surface of small bulk to minimize the risk of displacement or strain by bedding or cloth- Another object is to provide a cushion to support suspension means for a suture, composed of resilient material which may be impregnated with antiseptics and adapted to absorb secretions which tend to flow from the depths of the wound along the suture to the skin surface.

Another object is the provision of a suture cradle to hold opposite walls of an incision together, which may be adapted to completely encircle the wound without construction of the deeper tissues by the addition of removable rubber bands or suture material tied across connecting the top of the cradle, said bands being useful in maintaining position of a surgical dressing on the surface of the wound. 1

Another object is the provision of a. method for the most effective and efiicient utilization of a device embodying the characteristics of the above-noted objects, which results in greater comfort to the patient, smaller scars, and speed in healing.

Other objects and advantages will be apparent to those of skill in this art upon an examination of the following descriptionread in the light of the accompanying drawing, in which Fig. l is a perspective view of a suture button of my invention;

Fig. 2 is a perspective view of the cushion hereof;

Fig. 3 is a somewhat diagrammatic view illustrative of the incised abdominal wall and overlyinglayers of muscular tissue and fat with my invention operatively applied thereto;

Fig; 4 is a plan view of the invention as shown in Fig. 3;

Referring to the drawing in detail, the numerals of which indicate similar parts throughout the several views; 5 and 6 designate, respectively,

- the outer layer of fat and an under layer of muscular tissue of a patient, separated and bound together by fascia 'l, which covers the abdominal wall 8.

A suture button 10 is provided comprising a flat disk having diametrically-disposed slots II at opposite sides of its center. A, central bar l2 separates the inner ends of said slots l l. Upon completion of the surgical operation, a silk suture l3,doubled in a curved needle (not shown), is hookedover the bar I 2 of the disk and. is

. threaded through the center of a circular sponge rubber cushion I 4. The needle is then passed through. the skin of the patient at one side of the incision, carrying the suture I3 downwardly through the outer layers 5 and 6, curving toward the incision at any depth desired, and then r is returned to the-surface at the opposite side re: I

of the wound. The sides .of the incision are then'drawn together, the tissue being sutured as indicated at I6.

The free end of the silk suture I3 is passed through another sponge rubbe'rcushion I1, and

is preferably at right angles to the incision to maintain alignment of opposite sides thereof,

An incision of, a surgical operation through the layers 5 and 6 and wall 8 is indicated at 9.

and to cooperate with the sutures H in supporting adjacent tissue while the wound is healing.

It will be obvious to those of skill in the art that the degree and direction of support of sutures l3 may be varied by altering the spaced relation with the incision of opposite reaches of the thread. A series of such cradles may be em ployed in the same manner, the number being influenced by the nature, location, length, or depth of the incision.

A surgical dressing 2!] covering the Wound between the disks may be firmly yet resiliently maintained in position by rubber or inelastic bands 2|, each of which is hooked at opposite sides to the silken suture at a point between the cushion l4 and disk It] and cushion I1 and disk l9. The bands 2| may be removed at will without disturbing the cradle, thus enabling cleans-v ing or treatment of the incision and replacement of the dressing.

As above noted, the cushion I! on which the discs 19 are supported is composed of sponge rubber of a size and a sufficiently absorbent quality to absorb secretions whichtend to flow from the depth of the wound through the passages formed by the needle, through which the sutures extend, to the skin surface. The cushions may be impregnated with any suitable medicaments or antiseptics which, upon compression of the cushions by the buttons incident to the swelling of the wound after the operation, will expel the medicament into the passages through which the sutures extend to treat the depths of the incision.

it will thus be seen that I have provided a suture adaptable to support in a U-shaped cradle incisions of any length or depth, carrying cushioning means to permit expansion of the tissues by swelling or flexing of the wound during move ment of the patient, thereby preventing excessive tension of the silk thread which might result in cutting of the flesh by either the thread or disk. The disks further provide a fiat surface, free of projections with which clothing of the patient or bedding may become entangled to tear or break the wound or displace the sutures or dressing.

It will be obvious that numerous changes may be made in the embodiment shown, particularly in the form of disk; that any well known suture material may be substituted for the silk thread described; that the number or particular spaced arrangement of the composite cradles may be varied to meet specific requirements, and that while the invention is described as applied to an abdominal incision, it will be apparent that the device is applicable to wounds of any similar nature at any part of the body-all without departing from the spirit of my invention.

What I claim and desire to secure by Letters Patent is:

1. The method of closing surgical incisions comprising attaching one end of a suture to a supporting button, passing the opposite end of the suture through a resilient cushion, passing the suture downwardly through the skin of the patient, at one side of the wound, thence through the incision and through the skin at the opposite side of the incision, passing the suture through a cushion and securing its end to a supporting button.

2. The method of supporting the ends of a U- shaped suture having its ends emerging from the skin of a patient at opposite sides of an incision consisting in passing the ends of the suture through cushions and securing the ends of the suture to buttons.

3. Ina wound closing device, a suture adapted to extend through an incision and protrude from the skin of a patient at opposite sides of the incision, buttons for attachment at each end of the suture, and a cushion for the support of each button.

CARL E. CONN.

Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3409014 *Oct 8, 1965Nov 5, 1968Amp IncSurgical ligating disk having a noose forming ligature threaded therethrough
US3496940 *Sep 19, 1966Feb 24, 1970Steinman CharlesSurgical suture and sling device
US3513848 *Dec 11, 1967May 26, 1970Ultrasonic SystemsUltrasonic suturing
US3541591 *Apr 26, 1968Nov 17, 1970Henry J HoegermanMethod and apparatus for closing wounds
US3570497 *Jan 16, 1969Mar 16, 1971Lemole Gerald MSuture apparatus and methods
US3648705 *Jul 16, 1970Mar 14, 1972Lary Banning GRetention bar means for surgical incision closure
US3664345 *Jul 6, 1970May 23, 1972Clyde Harwell DabbsSurgical buttons
US3753438 *Apr 25, 1972Aug 21, 1973P SamuelsSuture clip
US3934592 *Mar 14, 1974Jan 27, 1976Technibiotics, Inc.Suture bridge
US4034850 *Mar 10, 1976Jul 12, 1977Ethicon, Inc.Package for double-armed sutures with self-centering pledgets
US4210148 *Nov 3, 1978Jul 1, 1980Stivala Oscar GRetention suture system
US4832026 *Feb 1, 1988May 23, 1989Prd CorporationMethod of suturing
US5219359 *Sep 17, 1991Jun 15, 1993Femcare LimitedSuture apparatus
US5236438 *Sep 10, 1992Aug 17, 1993Wilk Peter JMethod and assembly for repairing liver laceration
US5269783 *May 13, 1991Dec 14, 1993United States Surgical CorporationDevice and method for repairing torn tissue
US5374268 *Jan 21, 1993Dec 20, 1994United States Surgical CorporationDevice and method for repairing torn tissue
US5464426 *Mar 7, 1994Nov 7, 1995Bonutti; Peter M.Method of closing discontinuity in tissue
US5496348 *May 19, 1995Mar 5, 1996Bonutti; Peter M.Suture anchor
US5522846 *Mar 10, 1995Jun 4, 1996Bonutti; Peter M.Suture anchor
US5527341 *Aug 30, 1994Jun 18, 1996Synthes (U.S.A)Resorbable tendon and bone augmentation device
US5527343 *Nov 23, 1994Jun 18, 1996Bonutti; Peter M.Suture anchor
US5534012 *May 26, 1995Jul 9, 1996Bonutti; Peter M.Method and apparatus for anchoring a suture
US5549630 *Aug 17, 1994Aug 27, 1996Bonutti; Peter M.Method and apparatus for anchoring a suture
US5549631 *May 22, 1995Aug 27, 1996Bonutti; Peter M.Method of closing discontinuity in tissue
US5569305 *May 26, 1995Oct 29, 1996Bonutti; Peter M.Apparatus for anchoring a suture
US5584862 *May 26, 1995Dec 17, 1996Bonutti; Peter M.Method and apparatus for anchoring a suture
US5643295 *Jan 25, 1995Jul 1, 1997Yoon; InbaeMethods and apparatus for suturing tissue
US5643319 *Nov 28, 1994Jul 1, 1997United States Surgical CorporationDevice for applying a meniscal staple
US5649940 *May 3, 1996Jul 22, 1997Innovasive Devices, Inc.Suture tensioning device
US5665109 *Dec 29, 1994Sep 9, 1997Yoon; InbaeMethods and apparatus for suturing tissue
US5690655 *Jan 9, 1997Nov 25, 1997Innovasive Devices, Inc.Suture tensioning device
US5984933 *Jul 29, 1997Nov 16, 1999Yoon; InbaeApparatus for suturing tissue
US6190401Jul 2, 1997Feb 20, 2001United States Surgical CorporationDevice for applying a meniscal staple
US6500195Jun 1, 2001Dec 31, 2002Peter M. BonuttiMethod and apparatus for anchoring a suture
US6666872Apr 10, 2001Dec 23, 2003United States SurgicalSingle shot meniscal repair device
US6679896Mar 28, 2002Jan 20, 2004Scimed Life Systems, Inc.Transvaginal suture spacer devices and methods of use
US6936052Mar 7, 2002Aug 30, 2005Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US6991597Mar 7, 2002Jan 31, 2006Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US7025772Mar 7, 2002Apr 11, 2006Scimed Life Systems, Inc.System for implanting an implant and method thereof
US7235043Mar 7, 2002Jun 26, 2007Boston Scientific Scimed Inc.System for implanting an implant and method thereof
US7343920Dec 20, 2002Mar 18, 2008Toby E BruceConnective tissue repair system
US7361138Jul 31, 2003Apr 22, 2008Scimed Life Systems, Inc.Bioabsorbable casing for surgical sling assembly
US7402133Aug 14, 2003Jul 22, 2008Boston Scientific Scimed, Inc.Spacer for sling delivery system
US7588594Jan 30, 2006Sep 15, 2009Sander Thomas WTissue repair device and apparatus and method for fabricating same
US7713277Apr 21, 2004May 11, 2010Ethicon Endo-Surgery, Inc.Tissue reconfiguration
US7722633Apr 8, 2004May 25, 2010Ethicon Endo-Surgery, Inc.Tissue reconfiguration
US7722642 *Feb 25, 2004May 25, 2010Medtronic, Inc.Extremely long wire fasteners for use in minimally invasive surgery and means and methods for handling those fasteners
US7736373Apr 8, 2004Jun 15, 2010Ndo Surical, Inc.Methods and devices for tissue reconfiguration
US7776057Nov 19, 2004Aug 17, 2010Ethicon Endo-Surgery, Inc.Methods and devices for tissue reconfiguration
US7824326Feb 29, 2008Nov 2, 2010Boston Scientific Scimed, Inc.Bioabsorbable casing for surgical sling assembly
US7846180Oct 2, 2003Dec 7, 2010Ethicon Endo-Surgery, Inc.Tissue fixation devices and methods of fixing tissue
US7857823Apr 8, 2004Dec 28, 2010Ethicon Endo-Surgery, Inc.Tissue reconfiguration
US7875063 *Jan 6, 1995Jan 25, 2011Tyco Healthcare Group LpTissue repair device and apparatus and method for fabricating same
US7896893Apr 8, 2004Mar 1, 2011Ethicon Endo-Surgery, Inc.Methods and devices for tissue reconfiguration
US8033983Aug 14, 2003Oct 11, 2011Boston Scientific Scimed, Inc.Medical implant
US8057494Mar 18, 2009Nov 15, 2011Ethicon Endo-Surgery, Inc.Methods and devices for tissue reconfiguration
US8162816Mar 7, 2002Apr 24, 2012Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US8192461Sep 10, 2009Jun 5, 2012Cook Medical Technologies LlcMethods for facilitating closure of a bodily opening using one or more tacking devices
US8277468Nov 24, 2010Oct 2, 2012Ethicon Endo-Surgery, Inc.Tissue reconfiguration
US8287554May 15, 2003Oct 16, 2012Ethicon Endo-Surgery, Inc.Method and devices for tissue reconfiguration
US8377095Dec 3, 2009Feb 19, 2013Cook Medical Technologies, LLCTissue anchors for purse-string closure of perforations
US8382776Apr 2, 2010Feb 26, 2013Cook Medical Technologies LlcMedical devices, systems and methods for rapid deployment and fixation of tissue anchors
US8491610Dec 15, 2009Jul 23, 2013Cook Medical Technologies LlcClip devices and methods of delivery and deployment
US8496657Aug 29, 2008Jul 30, 2013P Tech, Llc.Methods for utilizing vibratory energy to weld, stake and/or remove implants
US8500760Dec 7, 2009Aug 6, 2013Cook Medical Technologies LlcRetractable tacking device
US8551139Nov 28, 2007Oct 8, 2013Cook Medical Technologies LlcVisceral anchors for purse-string closure of perforations
US8617048Mar 7, 2002Dec 31, 2013Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US8617185Feb 13, 2008Dec 31, 2013P Tech, Llc.Fixation device
US8632453Jul 15, 2008Jan 21, 2014Boston Scientific Scimed, Inc.Spacer for sling delivery system
US8647368Apr 2, 2010Feb 11, 2014Cook Medical Technologies LlcTissue anchors and medical devices for rapid deployment of tissue anchors
US8668718Jun 4, 2010Mar 11, 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US8740937May 22, 2008Jun 3, 2014Cook Medical Technologies LlcSuture lock
US8747439Jul 10, 2006Jun 10, 2014P Tech, LlcMethod of using ultrasonic vibration to secure body tissue with fastening element
US8763878Jun 4, 2010Jul 1, 2014Rotation Medical, Inc.Methods and apparatus having bowstring-like staple delivery to a target tissue
US8808329Apr 3, 2012Aug 19, 2014Bonutti Skeletal Innovations LlcApparatus and method for securing a portion of a body
US8814902Jul 31, 2006Aug 26, 2014Bonutti Skeletal Innovations LlcMethod of securing body tissue
US8821536Jun 4, 2010Sep 2, 2014Rotation Medical, Inc.Methods and apparatus for delivering staples to a target tissue
US8821537May 8, 2013Sep 2, 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US8840642Feb 4, 2014Sep 23, 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US8845687Sep 17, 2013Sep 30, 2014Bonutti Skeletal Innovations LlcAnchor for securing a suture
US8845699Mar 6, 2012Sep 30, 2014Bonutti Skeletal Innovations LlcMethod of securing tissue
US8852216Mar 23, 2007Oct 7, 2014Ethicon Endo-Surgery, Inc.Tissue approximation methods
US8864780Feb 15, 2012Oct 21, 2014Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials
US8900250Aug 18, 2009Dec 2, 2014Cook Medical Technologies, LLCApparatus and methods for removing lymph nodes or anchoring into tissue during a translumenal procedure
US8920464Feb 18, 2014Dec 30, 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US9005224Oct 3, 2014Apr 14, 2015Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials
US20060241695Jul 10, 2006Oct 26, 2006Bonutti Peter MMethod of using ultrasonic vibration to secure body tissue with fastening element
US20100100125 *Dec 22, 2009Apr 22, 2010Chalam MahadevanSuture needle and suture assembly
US20120071903 *Jun 15, 2011Mar 22, 2012Knoell Keith ALattice stitch and surgical tension limiting device
USRE36974 *Mar 2, 1998Nov 28, 2000Bonutti; Peter M.Suture anchor
EP0012360A1 *Dec 5, 1979Jun 25, 1980Intermedicat GmbHButton for surgical purposes
EP0087018A2 *Feb 2, 1983Aug 31, 1983Intermedicat GmbhSurgical suturing relief set
EP0147224A2 *Dec 21, 1984Jul 3, 1985David Andrew Ross BurdSurgical dressing aid
EP2462876A2 *Dec 6, 2011Jun 13, 2012Arthrex, Inc.Suture button construct with dog bone shaped button for acromioclavicular joint fixation
WO1996022735A1Jan 25, 1996Aug 1, 1996Inbae YoonMethods and apparatus for suturing tissue
WO2002053011A2 *Dec 18, 2001Jul 11, 2002Friedman ShalomSuturing system
Classifications
U.S. Classification606/232, 606/233, 24/114.3
International ClassificationA61B17/03, A61B17/04
Cooperative ClassificationA61B17/0401, A61B2017/0404
European ClassificationA61B17/04A