US 2457379 A
Description (OCR text may contain errors)
Dec; 28, 194s. L KALLENBACH v 2,457,379
INCISION NEEDLE Filed Sept. 28, 1945 fre/7e /fa//e/v aC INVENTOR.
, l A TTORNEK f Patented Dec. 28, 1948 INCISION NEEDLE Irene Kallenbach, Dayton, Ohio, assigner to Vern J. Kallenbach, Erie, rPa.
Application September 28, 1945, Serial No. 619,035
(Cl. 12S-340) 3 Claims.
This invention relates to an instrument such as used by the medical profession and more particularly to an incision needle for use in applying a suture to an incision or wound.
The principal object of the invention is the provision of an incision needle for drawing a suture across an incision to be closed.
A further object of the invention is the provision of an incision needle incorporating means for conveniently dispensing a section of material to be employed as a suture.
A still further object of the invention is the provision of an incision needle, the various component parts of which are disengageably assembled to form a suitable 4surgical instrument.
A still further object of the invention is the provision of an incision needle for afiixing a suture in an incision and provided with a barbed latch to expedite the handling of the suture employed.
The incision needle shown and described herein. has been devised to form a surgical instrument particularly adapted for simply and eiciently applying suture as used in the medical profession in closing incisions and wounds in human anatomy. The instrument consists of a two part structure, one portion of which comprises a barbed latched needle particularly adapted for being positioned through the opposing edges of an incision for example, and adapted to engage and temporarily retain a suture to be drawn through the said opposing edges 'ofv the incision. The
'needle `also includes a suture dispensing device inment of parts and in the details of construction hereinafter described and claimed, it being understood that changes in the precise embodiment of the invention herein disclosed can be made within the scope of what is claimed without departing from the spirit of the invention.
The invention is illustrated in the accompanying drawing, wherein:
Figure 1 is a side elevation of the incision needle with parts broken away and parts in cross section.
Figure 2 is a top plan view of the incision needle with parts broken away and parts in cross section.
By referring to the drawings and Figures 1 and 2 in particular it will be seen that the instrument consists of an incision needle incorporating a handle portion I0 having a secondary handle Il positioned at right angles with respect thereto, and that the handle lll is provided with a mounting l2 for a reel I3 upon which a continuous length of suture material I4 is conveniently carried. The reel i3 is removably positioned on the mounting l2 by means of a readily disengageable screw l5. The uppermost end of the handle l0 is provided with a chuck assembly |16 which serves to position a suture guide member Il which in turn is provided with an `offset projection I8 which carries a chuck E9 which in turn mounts an incision needle 20. The suture guide member I1 is curved throughout its length and the edges thereof are out-turned to form a channel 2| for the reception of the suture I4. A plurality of cross members 22 serve to retain the suture member in the outwardly facing channel 2l of the suture guide member l1. The uppermost or tip end of the suture guide member I'l is dished out in a modified spoon shape, as indicated in the drawings by the numeral 23, and is provided with an orice 24 through which the suture is passed so as to bring it into the area of the adjacently positioned incision needle 20 of the instrument.
By referring now to the incision needle 20 itwill be observed that it is formed in an outward curve and that its uppermost or outermost end is provided with `a barbed tip 25, a barb 26 and a latch 21, the latch 21 being pivoted to the needle proper by means of a pivot 28 and is located in a slot formed in the end section of the incision needle 2l) so as to be movable therein, as indi- -cated by the dotted lines in Figure 1. It will be observed that the latch 21 is capable of approximately degrees rotation about the pivot 28 to enable it to be used in latched position as shown in solid lines in Figure 1, as in pulling a section of suture through the opposing edges of an incision and also is capable of being moved into complete retracted position within the slot in the end of the needle as indicated by the dotted lines in opposite relation to the full line elevation. The incision needle portion 2li of the instrument is removably afxed to the remainder of the instrument by means of the chuck i9 which permits ready interchange of the actual flesh engaging portions of the instrument, and the suture guide portion H is lalso disengageably affixed to the handle portion l0 of the instrument `by means of the chuck assembly I6. The incision needle as employed by a -surgeon as, for example, in closing an incision, forms a convenient -means for supplying the suture and maintaining it in proper workable lposition and at the same time providing a convenient and simply employed mechanism for moving the suture through the opposing edges of the incision to be joined.
It will be obvious to those skilled in the art that several alternate methods of applying the suture with the incision needle may be practiced, and one such example follows. A section of suture I4 of length suilicient to close the incision is moved outwardly through the orice 24 of the suture guide member H and the incision needle portion 20 of the instrument is passed through the opposing edges of the incisionwith the latch 2? in retracted position. When the tip of the needle emerges from the opposite side of the incision from whence it is inserted, the suture is grasped between the tip 25 ofthe needle 20 and the latch 2l and is then drawn back through thereby forming a stitch through the adjacent edges of the incision, This operation is repeated until suicient stitches have been placed to suitably hold the incision in `desired yrelation for subsequent healing, it being observed that the formation and construction of the -suture guide il of the instrument and the incision needle 20 thereof greatly facilitate the application of the suture to the incision area as well as the passing of the suture through the edges of the incision in forming the completed suture.
The instrument is provided with the handle I and the secondary handle il positioned at right angles thereto and which secondary handle Il is also curved so that it may be conveniently held by the surgeon for use. It will vbe obvious -to those skilled in the art that the use lof the through, means on said handle for supplying a section of suture to the said guide and a chuck on said oiset projection of said suture guide vmember for removably mounting an incision needle, the said incision needle ,including la `barbed latch to enable it to be employed in pulling a section of suture through the .opposing edges. of .an incision tol be joined.
2. A combination surgical instrument for .supplying and applying a suture and consisting of a suture supplying `and guide member, the
said suture supplying and guide member comprising an outwardly bowed, transversely curved member terminating in a flattened spoon shaped section having an orifice centrally disposed therein, a chuck ailixed to the said suture supplying and guide member near its innermost end and an incision needle positioned in spaced xed relation with respect to the said suture supplying Vand guide memberthereby, the outermost ends of the said suture supplying and guide member and the said incision needle being adjacently disposed, means on the said instrument 2forsupplying a section of suture through the said guide member to the area of the said needle land for delivering the same through the said relation with respect to the said suture supplying and guide member thereby, the outermost ends of the said suture supplying and guide member and the lsaid incision needle being adjacently disposed, a reel on the instrument for continuously supplying a section of suture through the said guide member to the area of the said needle and for delivering the saine through the said orice, and means on the vsaid needle forholding said suture vto permit it to be drawn through an incision as in closing the same.
REFERENCES CITED The following references are of record in the file of this patent:
UNITED STATES PATENTS Number Name Date ,373,372 King Nov. 15, 1887 1,583,271 Biro May 4, 1926 FOREIGN PATENTS Number Country Date 189,378 France Mar. 15, 1888 458,319 France Oct. 8, 1913 OTHER REFERENCES V. lMueller & Co. Catalogue, '7th edition, Page 227.