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Publication numberUS3825009 A
Publication typeGrant
Publication dateJul 23, 1974
Filing dateMar 19, 1973
Priority dateMar 19, 1973
Publication numberUS 3825009 A, US 3825009A, US-A-3825009, US3825009 A, US3825009A
InventorsJ Williams
Original AssigneeJ Williams
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Method of surgically repairing damaged ear drums
US 3825009 A
Abstract  available in
Images(1)
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Claims  available in
Description  (OCR text may contain errors)

United States Patent Williams 1451 July 23, 1974 METHOD OF SURGICALLY REPAIRING 1,045,917 12/1912 Valiquet 3/1 ux DAMAGED EAR DRUMS 3,273,562 9/1966 Brown.. 128/337 3,446,212 5/1969 Leroy... 128/325 [76] Inventor: John David Willlams, 372W Star 3 71 ,053 2 1973 Tanner [28/337 Route A, Anchorage, Ala. 99507 El d: M 19 73 [22] 1c M 19 Primary Examiner-Aldrich F. Medbery [21] Appl. No.: 325,245

[52] US. Cl 128/334 R, 3/1, 128/325, 0

2 /337 [57] ABSTRACT [51] Int. Cl A61b 17/04 v [58] Field of Search 128/334 R, 335, 325, 337; A method of fabrication and application of a small 3/1 metallic clip which is utilized to attach tympanoplastic I material securely into position during ear surgery is [56] vReferences Cited described. 1

UNITED STATES PATENTS '1 816,026 3/1906 Meier 128/337 1 Claim, 2 Drawing Figures FIGURE v2 LEGEND RICHARDS MFG. CO.)

MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFTE McGEE STAPES WIRE CLOSURE FORCEPS PATENIEDJULZBIBH 7 3.825.009

FIGURE l FIGURE 2 LEGEND MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFT McGEE STAPES WIRE CLOSURE FORCEPS (RICHARDS MFG. CO.)

BACKGROUND OF THE INVENTION The invention to be described relates primarily to a method by which tympanoplastic grafting material can be securely fashioned within the ear surgery. For many years, the most popular method of grafting ear drums has been to place the grafting material on the lateral surface of the ear drum and pack it tightly into position. Because of difficulty with lateral grafting and, in general, better results obtained with medial grafting, the latter method has gained great popularity in the last 5 years, The one deficiency with medial grafting has been a lack of methods available to secure the position of a graft at surgery. Methods in the past have primarily utilized the support of the graft interiorly with pledgettes of reconstituted protein called Glefoam.

SUMMARY OF THE INVENTION The small clips A utilized in the inventive concept are fashioned from No. 34 stainless steel wire which was wrapped about an 18 gauge suction needle, the resultant spring was cut longitudinally. The resultant clips, better described as Microclips, see A, FIG. 1, were then flattened out and trimmed to a two-thirds full circle. The clip was then loaded in a Stapes prosthesis crimper D as in FIG. 2. As further denoted in FIG. 2, the pars tensa and/or annular remnant, illustrated as B in FIG. 2, is suitably exposed. The tympanoplastic graft C is then positioned through a posterior tympanotomy incision so that it is medial to the annulus and malleus. A conventional 20 gauge sucker or vacuum means is then used to bring the leading edge of the graft to the edge of the perforation or annular remnant area of the tympanic fibrous annulus B. The clip A is then applied around the annulus and graft in locations corresponding to the 1, 3 and 6 oclock positions.

I claim:

l. The method of repairing damaged ear drums by tympanoplastic grafting comprising the steps of, exposing the area of the pars tensa and annular remnant by a posterior tympanotomy incision, positioning the graft on the tympanic fiburous annulus so that it is medial to the annulus and malleus tissue, attaching said graft to said annulus by inserting through the tissues of the junction of the graft and the annulus, at least three metal surgical micro-clips of substantially C-shape and of a diameter of approximately 1.5 mm. at positions near the l, 3 and 6 oclock locations, mechanically closing said clips to join and hold the enclosed tissues,

and permitting the junction to heal to an attachment.

Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US4505273 *Feb 9, 1983Mar 19, 1985Intermedicat GmbhSurgical staple
US4586503 *Dec 1, 1983May 6, 1986University Of New MexicoSurgical microclip
US6309419 *Mar 26, 1999Oct 30, 2001Johns Hopkins UniversityTympanic membrane prosthesis with mechanical fixation
US6918917Oct 10, 2000Jul 19, 2005Medtronic, Inc.Minimally invasive annuloplasty procedure and apparatus
US7547313May 16, 2003Jun 16, 2009Medtronic, Inc.Tissue connector apparatus and methods
US7722643Jul 29, 2002May 25, 2010Medtronic, Inc.Tissue connector apparatus and methods
US7744611Nov 19, 2003Jun 29, 2010Medtronic, Inc.Minimally invasive valve repair procedure and apparatus
US7763040Feb 10, 2003Jul 27, 2010Medtronic, Inc.Tissue connector apparatus and methods
US7879047Dec 10, 2003Feb 1, 2011Medtronic, Inc.Surgical connection apparatus and methods
US7892255Aug 28, 2003Feb 22, 2011Medtronic, Inc.Tissue connector apparatus and methods
US7896892Apr 3, 2003Mar 1, 2011Medtronic, Inc.Multiple bias surgical fastener
US7914544Dec 7, 2004Mar 29, 2011Medtronic, Inc.Minimally invasive valve repair procedure and apparatus
US7938840Nov 18, 2003May 10, 2011Medtronic, Inc.Apparatus and methods for anastomosis
US7963973Sep 2, 2005Jun 21, 2011Medtronic, Inc.Multiple loop tissue connector apparatus and methods
US7976556Dec 21, 2006Jul 12, 2011Medtronic, Inc.Anastomosis apparatus and methods
US8029519Sep 14, 2006Oct 4, 2011Medtronic, Inc.Eversion apparatus and methods
US8066724Jan 10, 2003Nov 29, 2011Medtronic, Inc.Anastomosis apparatus and methods
US8105345Jan 10, 2003Jan 31, 2012Medtronic, Inc.Anastomosis apparatus and methods
US8118822Apr 5, 2001Feb 21, 2012Medtronic, Inc.Bridge clip tissue connector apparatus and methods
US8177836Mar 10, 2009May 15, 2012Medtronic, Inc.Apparatus and methods for minimally invasive valve repair
US8211124Feb 5, 2007Jul 3, 2012Medtronic, Inc.Sealing clip, delivery systems, and methods
US8211131Apr 5, 2011Jul 3, 2012Medtronic, Inc.Apparatus and methods for anastomosis
US8298251Feb 27, 2008Oct 30, 2012Medtronic, Inc.Anastomosis apparatus and methods
US8353092Feb 7, 2011Jan 15, 2013Medtronic, Inc.Multiple bias surgical fastener
US8353921Aug 4, 2010Jan 15, 2013Medtronic, IncTissue connector apparatus and methods
US8394114Sep 26, 2003Mar 12, 2013Medtronic, Inc.Surgical connection apparatus and methods
US8518060Apr 9, 2009Aug 27, 2013Medtronic, Inc.Medical clip with radial tines, system and method of using same
US8529583Mar 31, 2000Sep 10, 2013Medtronic, Inc.Surgical clip removal apparatus
US8668704Apr 24, 2009Mar 11, 2014Medtronic, Inc.Medical clip with tines, system and method of using same
DE3443367A1 *Nov 28, 1984Jun 13, 1985Kirsch Wolff MayerChirurgischer mikroklip
WO2002030298A1 *Oct 10, 2001Apr 18, 2002Coalscent Surgical IncMinimally invasive annuloplasty procedure and apparatus
Classifications
U.S. Classification606/142, 606/221, 623/10
International ClassificationA61F11/00, A61B17/064, A61F2/18
Cooperative ClassificationA61F11/004, A61F2/18, A61F2002/183, A61B17/0644
European ClassificationA61F2/18, A61F11/00C, A61B17/064D