|Publication number||US2316297 A|
|Publication date||Apr 13, 1943|
|Filing date||Jan 15, 1943|
|Priority date||Jan 15, 1943|
|Publication number||US 2316297 A, US 2316297A, US-A-2316297, US2316297 A, US2316297A|
|Inventors||Southerland Beverly A, Taylor Frank V|
|Original Assignee||Southerland Beverly A, Taylor Frank V|
|Export Citation||BiBTeX, EndNote, RefMan|
|Referenced by (115), Classifications (6) |
|External Links: USPTO, USPTO Assignment, Espacenet|
US 2316297 A
April 13, 1943- B. A. souTl-IELAND l-:TAL
SURGICAL INSTRUMENT .2 Sheets-Sheet l Original Filed April A2, 1941 7i VT Tayiar .nillllllllllllilllflllill/ hill l l\---..-.-.---.------.i-}.%. unnnhhvnlnnuu nnluhvhhvllnnn HUH muuu unvuuuuuunu nu HoulnlnVJPNUVWMVVVMMYVVM `N n. w
April 13, l943- B. A. SUTHERLAND 4E-rm. 2,316,297
SURGICAL INSTRUMENT Original Filed April- 2, 1941 2 Sheets-Sheet 2 Siwa/MM5 E. /1 .Souffle/Zand 71M Taylor Mmmm;
Patented Apr. 13, 1943 SURGICAL INSTRUMENT Beverly A. Southerland, Charlotte, and Frank V. Taylor, Murphy, N. C.
Reiled for abandoned application Serial No. 386,520, April 2, 1941. This application January 15, 1943, Serial No. 472,521
(Cl. 12S-326) l Claim.
This invention relates to a surgical instrument, the general object of the invention being to provide means for facilitating the tying of blood vessels and arteries, particularly in throat operations, the invention eliminating the use of several other instruments and enabling the operation to be performed by one person without assistance.
The invention also consists in certain other features of construction, combination and arrangement of the several parts, to be hereinafter fully described, illustrated in the accompanying drawings and specifically pointed out in the appended claim.
In describing the invention in detail reference will be had to the accompanying drawings wherein like characters denote like or corresponding parts throughout the several views, and in which:
Fig. 1 is a longitudinally sectional View through the improved instrument.
Fig. 2 is an elevation thereof.
Fig. 3 is a top plan view thereof.
Fig. 4 is a longitudinal sectional View through the front end of the instrument, with the jaws holding a blood vessel and the tubular parts in their forward positions.
Fig. 5 is a front end view of the instrument.
Fig. 6 is a detail View, partly in section, showing how the movable jaw is connected with the operating rod.
Fig. 7 is an elevation of the front end of the instrument, with the sliding members in their forward positions.
Fig. 8 is a section on line 8--8 of Fig. 2.
Fig. 9 is a perspective view of the cutter member.
Fig. l0 is a View of the knot showing the end of the instrument in dot and dash lines.
In these drawings, the numeral I indicates a barrel, which has a lower stationary jaw 2 fastened to its front end and an upper movable jaw 3 is pivoted at II to said front end. A rod 5 is pivoted to a depending ear Ii on the movable jaw and said rod passes through the barrel and has a plunger forming part l on its rear end which slidingly engages the rear part of the lbarrel and projects therefrom. The projecting part has a groove 8 therein which receives the forked upper end of a movable handle 9, which is pivoted at Ill to the stationary handle II which depends from the rear part of the barrel. A spring I2 tends to force the handle 9 away from the handle II and to cause said handle 9 to hold the rod in position with the movable jaw 3 in raised position, as shown in Fig. 1. Latch means shown generally at I3, holds the handle 9 adjacent the handle II with the movable jaw in closed position as shown in Fig. 4. These parts may be of the usual or any desired construction.
A tubular member or barrel I4 ts over the barrel I and is slidably arranged thereon and has an enlarged front end part, which has the upwardly curved hook forming slots I5 in the sides of its front end. The upper portion of the rear part of this member I4 is extended beyond the rear end oct the barrel I and has its rear end turned upwardly to form the thumb piece I6. An eye member I'I is connected with the top part of an intermediate portion of the member I4 and a spring holding clip I8 is fastened to the top of the member I4, in rear of the eye member I'I. A short tubular member I9 is slidably arranged on the enlarged front end of the member I4 and has notches 20 in the sides of its front end, the walls of which are bevelled to form cutting edges, as shown. A rod 2I is connected to the member I9 and extends rearwardly along the bottom of the member I4 to which it is slidably connected by a thumb screw 22 passing through a slot 23 n the rear portion of the rod and entering a threaded hole in the member I4. A depending finger piece 24 is formed on the rear end of the rod and a substantially U shaped clip 25 embraces the lower part of the member I4 and is connected to the nger piece 24 by a screw 26.
In using the instrument, the end of the artery or blood vessel is gripped by the jaws 2 and 3, after the suture indicated in Fig. 10 by the letter A is tied in a loose surgeons knot B around the base of the jaws with the ends passed through the slots I5 and then passed through the eye member II and secured in the clip I8. Then, with the end of the artery held by the jaws, the tubular member I4 is pushed forwardly on the barrel I by pressure against the thumb piece I6, until it latches and when this is done the front end of the member I4 will be located around the jaws, as shown in Fig. 4. The ends of the suture are then removed from the clip I8 and a steady pull exerted upon said ends to cause the knot to tighten around the artery. After this has been done pressure has been applied to the piece 24 to push the tube I9 forwardly so that the knife forming parts 20 will cut the ends of the suture at each side of the knot. Opposite pressure on the piece 24 will return both members I4 and I9 to their original positions and then the jaws can be moved to releasing position.
As before stated, this invention will eliminate the use of several additional instruments now used with the forceps and one person can perform the operation without assistance.
It is thought from the foregoing description that the advantages and novel features of the invention will be readily apparent.
It is to be understood that changes may be made in the construction, combination and arrangement of the several parts, provided such changes fall within the scope of the appended claim.
What we claim and desire to protect by Letters Patent is:
An instrument of the class described comprising an elongated barrel having an enlarged cylindrical forward end provided with rearwardly and upwardly curved slots opening on opposite sides of its forward edge, a stationary handle formed on and depending from the rear portion of said barrel, a thumb piece formed on the rear end of said barrel, a barrel slidably disposed in the first mentioned barrel, a stationary jaw formed on the forward end of said second mentioned barrel, a pivoted jaw secured to the forward end of the second mentioned barrel in opposed relation to the stationary jaw,
a depending ear formed on the pivoted jaw, a plunger slidably disposed in the rear portion of the second mentioned barrel with its rear end projecting therefrom and provided with an annular groove, a rod formed on the plunger and having its forward end pivotally connected to the ear of the pivoted jaw, a handle pivoted on said stationary handle and having a [forked upper end engaging the annular groove in the plunger, ratchet locking means between the handles, an expansion spring between the handles, a tubular member slidably disposed on the enlarged end of the rst mentioned barrel and having forwardly disposed cutting areas in its edge and in alignment with the notches in said barrel, a rearwardly extending rod connected to said tubular member and having a slot formed therein adjacent its rear end, a thumb-screw passing through the slot in said rod and screwed into the second mentioned barrel, a finger piece formed on the rear end of said rod, a clip secured to said rod and partially surrounding the second mentioned barrel, an eye member secured to the second mentioned barrel, and a suture securing clip carried by the second mentioned barrel to the rear of said eye member.
BEVERLY A. SOUTHERLAND. FRANK VQ TAYLOR.
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US2427169 *||Mar 31, 1944||Sep 9, 1947||Bronislaw Wandel||Instrument for applying ligatures to blood vessels|
|US3040747 *||Mar 10, 1959||Jun 26, 1962||Adolph M Brown||Ligature-tier|
|US4943291 *||Dec 19, 1988||Jul 24, 1990||Zimmer S.A.||Drilling feeler, in particular for positioning and securing a medullary nail|
|US5171250 *||Apr 2, 1990||Dec 15, 1992||Inbae Yoon||Surgical clips and surgical clip applicator and cutting and transection device|
|US5242459 *||Jul 10, 1992||Sep 7, 1993||Laparomed Corporation||Suture applying device|
|US5257637 *||Sep 28, 1992||Nov 2, 1993||El Gazayerli Mohamed M||Method for suture knot placement and tying|
|US5258007 *||May 14, 1992||Nov 2, 1993||Robert F. Spetzler||Powered surgical instrument|
|US5271385 *||Feb 28, 1992||Dec 21, 1993||United States Surgical Corporation||Abdominal cavity organ retractor|
|US5304190 *||May 8, 1992||Apr 19, 1994||Ethicon, Inc.||Endoscopic cutting apparatus|
|US5336230 *||Nov 4, 1992||Aug 9, 1994||Charles S. Taylor||Endoscopic suture tying method|
|US5350399 *||Oct 7, 1992||Sep 27, 1994||Jay Erlebacher||Percutaneous arterial puncture seal device and insertion tool therefore|
|US5368600 *||Jul 23, 1993||Nov 29, 1994||Ethicon, Inc.||Steerable bulldog clamp applier|
|US5373840 *||Oct 2, 1992||Dec 20, 1994||Knighton; David R.||Endoscope and method for vein removal|
|US5447513 *||Aug 27, 1993||Sep 5, 1995||Ethicon, Inc.||Endoscopic ligation and division instrument|
|US5591203 *||Mar 24, 1995||Jan 7, 1997||Organ, Inc.||Anastomosis cuff manipulator tool|
|US5665100 *||Jan 20, 1995||Sep 9, 1997||Yoon; Inbae||Multifunctional instrument with interchangeable operating units for performing endoscopic procedures|
|US5707389 *||Jun 7, 1995||Jan 13, 1998||Baxter International Inc.||Side branch occlusion catheter device having integrated endoscope for performing endoscopically visualized occlusion of the side branches of an anatomical passageway|
|US5772576 *||Dec 11, 1995||Jun 30, 1998||Embro Vascular L.L.C.||For removing cylindrical tissue structures from human or animal bodies|
|US5797939 *||Dec 27, 1996||Aug 25, 1998||Yoon; Inbae||Endoscopic scissors with longitudinal operating channel|
|US5797958 *||Dec 4, 1996||Aug 25, 1998||Yoon; Inbae||Endoscopic grasping instrument with scissors|
|US5860992 *||Jan 31, 1996||Jan 19, 1999||Heartport, Inc.||Endoscopic suturing devices and methods|
|US5876410 *||Jul 22, 1996||Mar 2, 1999||Phillip J. Petillo||Hydraulic powered surgical device|
|US5984939 *||May 1, 1997||Nov 16, 1999||Yoon; Inbae||Multifunctional grasping instrument with cutting member and operating channel for use in endoscopic and non-endoscopic procedures|
|US6071232 *||Jun 29, 1998||Jun 6, 2000||Embro Vascular L.L.C.||Apparatus for vein removal|
|US6221084||Jan 15, 1999||Apr 24, 2001||Pare Surgical, Inc.||Knot tying apparatus having a notched thread cover and method for using same|
|US6428468||Jun 5, 2000||Aug 6, 2002||Cardiothoracic Systems, Inc.||Apparatus and method for vein removal|
|US6506200||Mar 14, 2000||Jan 14, 2003||Origin Medsystems, Inc.||Tissue separation cannula and method|
|US6511494||Nov 17, 2000||Jan 28, 2003||Embro Corporation||Vein harvesting system and method|
|US6558313||Nov 17, 2000||May 6, 2003||Embro Corporation||Vein harvesting system and method|
|US6705986||Mar 18, 2003||Mar 16, 2004||Embro Corporation||Vein harvesting system and method|
|US6716224||Aug 22, 2001||Apr 6, 2004||Linvatec Corporation||Intracorporeal knot tier|
|US6984237||May 22, 2002||Jan 10, 2006||Orthopaedic Biosystems Ltd., Inc.||Suture passing surgical instrument|
|US7001404||Jan 9, 2003||Feb 21, 2006||Origin Medsystems, Inc.||Tissue separation cannula and method|
|US7066875||Jun 7, 2002||Jun 27, 2006||Cardio Thoracic Systems, Inc.||Apparatus and method for vein removal|
|US7211040||Feb 17, 2004||May 1, 2007||Embro Corporation||Vein harvesting system and method|
|US7214180||Jan 6, 2003||May 8, 2007||Origin Medsystems, Inc.||Method for cardiac restraint|
|US7264587||Jan 17, 2003||Sep 4, 2007||Origin Medsystems, Inc.||Endoscopic subxiphoid surgical procedures|
|US7288096||Feb 18, 2003||Oct 30, 2007||Origin Medsystems, Inc.||Apparatus for placement of cardiac defibrillator and pacer|
|US7361178||Jul 24, 2001||Apr 22, 2008||Synthes (U.S.A.)||Cranial flap clamp and instrument for use therewith|
|US7384423||Oct 8, 2002||Jun 10, 2008||Origin Medsystems, Inc.||Tissue dissection method|
|US7398781||Aug 9, 2000||Jul 15, 2008||Maquet Cardiovascular, Llc||Method for subxiphoid endoscopic access|
|US7526342||Oct 29, 2003||Apr 28, 2009||Maquet Cardiovascular Llc||Apparatus for endoscopic cardiac mapping and lead placement|
|US7597698||Jul 10, 2003||Oct 6, 2009||Maquet Cardiovascular Llc||Apparatus and method for endoscopic encirclement of pulmonary veins for epicardial ablation|
|US7806904||Feb 24, 2004||Oct 5, 2010||Integrated Vascular Systems, Inc.||Closure device|
|US7806910||Jul 31, 2006||Oct 5, 2010||Abbott Laboratories||Multi-element biased suture clip|
|US7819895||Apr 18, 2006||Oct 26, 2010||Integrated Vascular Systems, Inc.||Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use|
|US7828817||Aug 4, 2005||Nov 9, 2010||Integrated Vascular Systems, Inc.||Apparatus and methods for delivering a closure device|
|US7841502||Dec 18, 2007||Nov 30, 2010||Abbott Laboratories||Modular clip applier|
|US7842068||Nov 30, 2001||Nov 30, 2010||Integrated Vascular Systems, Inc.||Apparatus and methods for providing tactile feedback while delivering a closure device|
|US7850709||Jun 4, 2003||Dec 14, 2010||Abbott Vascular Inc.||Blood vessel closure clip and delivery device|
|US7850797||Mar 12, 2009||Dec 14, 2010||Integrated Vascular Systems, Inc.||Methods for manufacturing a clip and clip|
|US7854810||Dec 17, 2003||Dec 21, 2010||Integrated Vascular Systems, Inc.||Methods for manufacturing a clip and clip|
|US7857828||Feb 1, 2005||Dec 28, 2010||Integrated Vascular Systems, Inc.||Clip applier and methods of use|
|US7867163||Dec 12, 2008||Jan 11, 2011||Maquet Cardiovascular Llc||Instrument and method for remotely manipulating a tissue structure|
|US7867249||Aug 8, 2003||Jan 11, 2011||Integrated Vascular Systems, Inc.||Clip applier and methods of use|
|US7879071||May 9, 2003||Feb 1, 2011||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US7887555||Jul 9, 2003||Feb 15, 2011||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US7887563||Jun 14, 2005||Feb 15, 2011||Abbott Vascular Inc.||Surgical staple|
|US7901428||Oct 3, 2002||Mar 8, 2011||Integrated Vascular Systems, Inc.||Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use|
|US7905900||Jan 30, 2003||Mar 15, 2011||Integrated Vascular Systems, Inc.||Clip applier and methods of use|
|US7918873||Sep 18, 2006||Apr 5, 2011||Abbott Vascular Inc.||Surgical staple|
|US7931669||May 17, 2002||Apr 26, 2011||Integrated Vascular Systems, Inc.||Integrated vascular device with puncture site closure component and sealant and methods of use|
|US7938842||Oct 5, 1999||May 10, 2011||Maquet Cardiovascular Llc||Tissue dissector apparatus|
|US7959553||Sep 30, 2008||Jun 14, 2011||Embro Corporation||Vein harvesting system and method|
|US7972265||Jul 21, 2004||Jul 5, 2011||Maquet Cardiovascular, Llc||Device and method for remote vessel ligation|
|US7981133||Dec 21, 2007||Jul 19, 2011||Maquet Cardiovascular, Llc||Tissue dissection method|
|US7993349||Dec 16, 2004||Aug 9, 2011||Synthes Usa, Llc||Cranial flap clamp instrument|
|US8007512||Oct 8, 2003||Aug 30, 2011||Integrated Vascular Systems, Inc.||Plunger apparatus and methods for delivering a closure device|
|US8048108||Feb 4, 2009||Nov 1, 2011||Abbott Vascular Inc.||Vascular closure methods and apparatuses|
|US8128644||Sep 19, 2003||Mar 6, 2012||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US8182497||Oct 4, 2010||May 22, 2012||Integrated Vascular Systems, Inc.||Closure device|
|US8192459||Dec 13, 2010||Jun 5, 2012||Abbott Vascular Inc.||Blood vessel closure clip and delivery device|
|US8202283||Nov 12, 2010||Jun 19, 2012||Integrated Vascular Systems, Inc.||Methods for manufacturing a clip and clip|
|US8202293||Jun 20, 2008||Jun 19, 2012||Integrated Vascular Systems, Inc.||Clip applier and methods of use|
|US8202294||Dec 20, 2010||Jun 19, 2012||Integrated Vascular Systems, Inc.||Clip applier and methods of use|
|US8226681||Jun 25, 2007||Jul 24, 2012||Abbott Laboratories||Methods, devices, and apparatus for managing access through tissue|
|US8236026||Mar 27, 2006||Aug 7, 2012||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US8241210||Jan 4, 2008||Aug 14, 2012||Maquet Cardiovascular Llc||Vessel retractor|
|US8257390||Feb 15, 2007||Sep 4, 2012||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US8303624||Mar 15, 2010||Nov 6, 2012||Abbott Cardiovascular Systems, Inc.||Bioabsorbable plug|
|US8313497||Jun 28, 2006||Nov 20, 2012||Abbott Laboratories||Clip applier and methods of use|
|US8323312||Jun 9, 2009||Dec 4, 2012||Abbott Laboratories||Closure device|
|US8398656||Mar 2, 2011||Mar 19, 2013||Integrated Vascular Systems, Inc.||Clip applier and methods of use|
|US8398676||Oct 29, 2009||Mar 19, 2013||Abbott Vascular Inc.||Closure device|
|US8460331||Apr 22, 2011||Jun 11, 2013||Maquet Cardiovascular, Llc||Tissue dissector apparatus and method|
|US8469995||Jun 4, 2012||Jun 25, 2013||Abbott Vascular Inc.||Blood vessel closure clip and delivery device|
|US8480696||Jun 16, 2005||Jul 9, 2013||Medtronic, Inc.||Minimally invasive coring vein harvester|
|US8486092||Mar 11, 2009||Jul 16, 2013||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US8486108||Feb 1, 2006||Jul 16, 2013||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US8518057||Sep 13, 2012||Aug 27, 2013||Abbott Laboratories||Clip applier and methods of use|
|US8529587||Jun 6, 2012||Sep 10, 2013||Integrated Vascular Systems, Inc.||Methods of use of a clip applier|
|US8556930||Jun 28, 2006||Oct 15, 2013||Abbott Laboratories||Vessel closure device|
|US8579932||Feb 24, 2004||Nov 12, 2013||Integrated Vascular Systems, Inc.||Sheath apparatus and methods for delivering a closure device|
|US8585836||Jun 18, 2012||Nov 19, 2013||Integrated Vascular Systems, Inc.||Methods for manufacturing a clip and clip|
|US8590760||May 24, 2005||Nov 26, 2013||Abbott Vascular Inc.||Surgical stapler|
|US8597325||Nov 29, 2010||Dec 3, 2013||Integrated Vascular Systems, Inc.||Apparatus and methods for providing tactile feedback while delivering a closure device|
|US8603116||Aug 4, 2010||Dec 10, 2013||Abbott Cardiovascular Systems, Inc.||Closure device with long tines|
|US8603136||May 3, 2007||Dec 10, 2013||Integrated Vascular Systems, Inc.||Apparatus and methods for providing tactile feedback while delivering a closure device|
|US8617184||Feb 15, 2011||Dec 31, 2013||Abbott Cardiovascular Systems, Inc.||Vessel closure system|
|US8657852||Mar 8, 2013||Feb 25, 2014||Abbott Vascular Inc.||Closure device|
|US8668718||Jun 4, 2010||Mar 11, 2014||Rotation Medical, Inc.||Methods and apparatus for fixing sheet-like materials to a target tissue|
|US8672953||Jun 6, 2011||Mar 18, 2014||Abbott Laboratories||Tissue closure system and methods of use|
|US8690898||Jun 24, 2005||Apr 8, 2014||Smith & Nephew, Inc.||Suture passing surgical instrument|
|US8690910||Mar 31, 2006||Apr 8, 2014||Integrated Vascular Systems, Inc.||Closure device and methods for making and using them|
|US8728119||Feb 18, 2011||May 20, 2014||Abbott Vascular Inc.||Surgical staple|
|US8758396||Apr 27, 2006||Jun 24, 2014||Integrated Vascular Systems, Inc.||Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use|
|US8758398||Sep 7, 2007||Jun 24, 2014||Integrated Vascular Systems, Inc.||Apparatus and method for delivering a closure element|
|US8758399||Aug 2, 2010||Jun 24, 2014||Abbott Cardiovascular Systems, Inc.||Expandable bioabsorbable plug apparatus and method|
|US8758400||Nov 8, 2010||Jun 24, 2014||Integrated Vascular Systems, Inc.||Closure system and methods of use|
|US8763878||Jun 4, 2010||Jul 1, 2014||Rotation Medical, Inc.||Methods and apparatus having bowstring-like staple delivery to a target tissue|
|US8777835||Jan 11, 2012||Jul 15, 2014||Embro Corporation||Vein harvesting system and method|
|US8784447||Apr 25, 2005||Jul 22, 2014||Abbott Vascular Inc.||Surgical stapler|
|USRE36043 *||Jan 11, 1996||Jan 12, 1999||Embro Vascular, L.L.C.||Endoscope and method for vein removal|
|WO1994001045A1 *||Jul 7, 1993||Jan 20, 1994||Laparomed Corp||Device and method for applying a ligating loop|
|WO1996029938A1 *||Mar 22, 1996||Oct 3, 1996||Life Resuscitation Tech||Anastomosis cuff manipulator tool|