|Publication number||US3857396 A|
|Publication date||Dec 31, 1974|
|Filing date||Aug 22, 1973|
|Priority date||Aug 22, 1973|
|Publication number||US 3857396 A, US 3857396A, US-A-3857396, US3857396 A, US3857396A|
|Original Assignee||C Hardwick|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (2), Non-Patent Citations (1), Referenced by (84), Classifications (11)|
|External Links: USPTO, USPTO Assignment, Espacenet|
[ Dec. 31, 1974  SUTURE CLAMP  Inventor: Charles W. l-lardwick, 600 W. 27th St., Sanford, Fla. 32771  Filed: Aug. 22, 1973  Appl. No.: 390,514
 References Cited UNITED STATES PATENTS 10/1890 Brennen 403/391 2/1939 I Dickie et al 24/115 A UX OTHER PUBLICATIONS A New Method of Sternal Approximation, The Annals of Thoracic Surgery, Vol. 15, No'. 5,-May 1973, pp.
Primary Examiner-Lucie l-l. Laudenslager Attorney, Agent, or Firm-Duckworth, Hobby & Allen [5 7] ABSTRACT A suture clamp includes a compressible member having a hole extending therethrough and means for locking the suture in the hole, the locking means including a ridge extending along'a first outer surface of the member substantially transverse to the hole. The ridge is pressed into the member by a scissor clamp having two pivot arms with clamping jaws at the extremities thereof, one of the jaws having a die extending substantially parallel with the corresponding arm such that the die presses the ridge into the member when the member is positioned between the jaws and the jaws are compressed together.
6 Claims, 6 nm'w'm Figures PATENTEUBEBB 1 I974 SHEET 10F 2 FIG. 3
'PATENTEBHEW 1 I914 3; 857. 39s
' SHEET 20F 2 'IIIIIII/ W FIG. 6
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to surgical tools, and in particular relates to apparatus useful for clamping sutures, and the like. i
2. Description of the Prior Art In medical practice, deep incisions or injuries are stitched with a suture, which may comprise strong synthetic monofilament, silk, or an inert surgical wire. Generally the incision is stitched in a manner to leave both ends of the suture proximal to each other. After each stitch, the physician ties the suture ends together.
There are certain problems associated with this tying technique. For example, slippage of suture knots can make the tying operation difficult. Further, the tying of surgical wires is difficult under the best conditions.
There have been suggestions in the prior art for employing clamps to replace the tying off process. McConnaughey, in US Pat. No. 462,270, teaches a compressible sleeve having a slot for fitting over the suture, and a scissor clamp for compressing the slot..In U.S. Pat. No. 3,664,345, Dabbs et al., disclose a surgical button useful for retaining a suture after a stitch is taken in a wound. Davidson, in U.S. Pat. No. 2,075,508, teaches a similar arrangemment. Other suture retention techniques are taught in the following U.S. Pat. Nos. 3,580,256 to Wilkinson et als, 3,650,274 to Edwards et al.; and- 3,31 l,l l to Singerman et a]. Examples of ligation clamps are disclosed in U.S. Pat. Nos. 3,503,398 to Fogarty et al; and 3,175,556. to Wood et al.
SUMMARY OF THE INVENTION The present invention contemplates suture clamping means comprising a compressible member having a hole extending therethrough and means for locking a suture in the hole,'the locking meanscomprising a ridge extending along a first outer surface of the member substantially transverse to the hole, and a corresponding groove on the opposite surface.
The present invention further includes a scissor clamp useful for holding the member firmly while it is slid down suture into proper position, then for crimping the ridge into the member and compressing the member to lock the suture in the hole.
THE DRAWING FIG. 1 is a perspective view of a clamp member in ac-' cordanc with the present invention.
FIG. 2 is a front view of an alternate embodiment of the clamp member of FIG. 1.
FIG. 3 is a perspective view of scissor clamping means according to the present invention.
FIG. 4 is a perspective view illustrating the manner in which the clamping means of FIG. 3 is employed with the clamp member of FIG. 3.
FIGS. 5 and 6 are cross sectional end views of the clamping means of FIG. 3 and the clamp member of FIGS. 1 and 2.
DETAILED DESCRIPTION The suture clamp of the present invention includes a compressible clamp member for receiving the suture and a scissor-like clamp for compressing the clamp member for locking the suture in place. This arrangement will now be described with reference to the drawing.
Noting FIG. 1, the suture clamp of the present invention includes a compressible clamp member 10 having two holes l2, 14 extending therethrough. The clamp member 10 suitably comprises any one of a malleable metal which is inert to human tissue; for example, stainless steel or tantallum may be employed.
The clamp member 10 further includes means for locking suture in the holes l2, 14. In accordance with the present invention, the locking means comprises a ridge 16 extending along an outer surface 18 of the I member 10 and substantially transverse to the holes 12, 14. Preferably, the ridge 16 is an integral part of the clamp member 10. The clamp member 10 further includes a groove 20 extending along another outer surface 22 opposing, and parallel to the ridge 16. In use, the suture is threaded through one of the holes, 12, 14, the wound is stitched and the suture threaded through the other hole and the clamp member 10 is clamped as described below with reference to FIGS. 3-6.
An alternate embodiment of the clamp member is shown in FIG. 2 and is referred to generally as 10'. The clamp member 10' is essentially identical to the clamp member 10 of FIG. 1 except that the'member 10' includes slots l3, l5 communicating with the respective holes 12, 14 and extending to the adjacent side walls between the two outer surfaces 18, 22. In use, the alter nate clamp member 10"is-em'ployed in a manner similar to that described above with respect to the clamp 10, except that both ends of the suture may be pushed into the holes 12, 14 via the communicating slots l3, 15 after the stitching operation is completed.
A scissor clamp specifically adapted for the embodiments of the clamp members like that shown in FIGS.
l and 2 will now be described with reference to FIG. 3.
Noting FIG. 3, the clamp, referred to generally as 30, includes two arms 32, 34 pivotably joined together in a scissor-like fashion by a pivot pin 36. Each arm 32 has a respective clamping jaw 38, 40 at one extremity thereof. One jaw 38 has a die 42 extending substantially parallel with the corresponding arm 32, the die having dimensions substantially corresponding to the ridge 16 in the clamping member 10 of FIG. 1. The jaw 38 further includes a flexible plate 44 having a slot 46 therein adapted to receive the ridge 16 when the clamp member 10 is positioned between the jaws 38,40. The other jaw has a flexible tongue 48 adjacent thereto having dimensions corresponding to the groove 20. A keyway 50 is formed in the other jaw 40, and is dimensioned so as to receive the tongue 48 when depressed.
Operation of the clamp 30 in cooperation with the clamp member -l0 will be described with reference to FIGS. 4-6.
As shown in FIG. 4, prior to the clamping operation a suture 52 is threaded through one hole 12 of the clamp member 10, the wound is stitched and the suture 52 is then threaded through the other hole 14. The clamp 30 is then brought into engagement with the clamp member 10. Now noting FIG. 5, the clamp member 10 is positioned'between the jaws 38, 40 of the clamp 30 such that the ridge 16 extends through the slot 46 and is opposing the die 42. Additionally, the tongue 48 fits loosely in the groove 20. When the jaws 38, 40 are compressed (note FIG. 6), the ridge 16 is deformed and pressed into the clamp member 10, restricting the cross sectional area of the holes 12, 14 and locking the suture 52 therein. During compression, the tongue 48 enters the keyway 50 allowing the clamp member to be further deformed so as to flatten the groove 20. I While a specific suture clamp arrangement is shown in the drawings and described above, it will be understood that various modifications can be made without departing from the spirit and scope of the present invention. For example, the clamp member 10 may comprise a single hole through which both lengths of suture are threaded.
I claim: 1. Suture clamping means comprising: a compressible member having a hole extending I therethrough; means for locking a suture in said hole, said locking means comprising a ridge extending along a first outer surface of said member substantially transverse to said hole and wherein compression of said ridge reduces the cross-sectional area of said hole to lock suture therein.
2. Clamping means as recited in claim 1 further comprising a groove extending along another surface of said member opposing said ridge.
3. Clamping means as recited in claim 2 further comprising another. hole through said member substantially parallel with said one hole.
4. Clamping means as recited in claim 2 wherein said member comprises a malleable material inert to human tissue.
5. Clamping means as recited in claim 1 furthercomprising said member having a slot extending from a surface thereof and communicating with said hole.
6. Clamping means comprising:
a compressible member having a hole extending therethrough;
a ridge extending along an outer surface of said member substantially transverse to said hole; and means for reducing the cross-sectional area of said hole, said means comprising said ridge.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US438400 *||Feb 5, 1890||Oct 14, 1890||By Direct And Mesne Assign||Connector for electric conductors|
|US2149209 *||Nov 14, 1935||Feb 28, 1939||Western Union Telegraph Co||Wire connecting sleeve|
|1||*||A New Method of Sternal Approximation, The Annals of Thoracic Surgery, Vol. 15, No. 5, May 1973, pp. 544 546.|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US4201215 *||Sep 6, 1977||May 6, 1980||Crossett E S||Apparatus and method for closing a severed sternum|
|US4286598 *||Nov 6, 1978||Sep 1, 1981||Kapitanov Nikolai N||Forceps for isolation of part of blood vessel during anastomosis|
|US4532926 *||Jun 20, 1983||Aug 6, 1985||Ethicon, Inc.||Two-piece tissue fastener with ratchet leg staple and sealable latching receiver|
|US4532927 *||Jun 20, 1983||Aug 6, 1985||Ethicon, Inc.||Two-piece tissue fastener with non-reentry bent leg staple and retaining receiver|
|US4534350 *||Jun 20, 1983||Aug 13, 1985||Ethicon, Inc.||Two-piece tissue fastener with compressible leg staple and retaining receiver|
|US4535764 *||Apr 15, 1983||Aug 20, 1985||Tayco Developments, Inc.||Surgical bone tie|
|US4548202 *||Jun 20, 1983||Oct 22, 1985||Ethicon, Inc.||Mesh tissue fasteners|
|US4573469 *||Jun 20, 1983||Mar 4, 1986||Ethicon, Inc.||Two-piece tissue fastener with coinable leg staple and retaining receiver and method and instrument for applying same|
|US4627437 *||Jun 5, 1985||Dec 9, 1986||Ethicon, Inc.||Method of applying a fastener to tissue with a pair of hollow needles|
|US4693248 *||Jul 29, 1985||Sep 15, 1987||Ethicon, Inc.||Two-piece tissue fastener with deformable retaining receiver|
|US4750492 *||Feb 27, 1985||Jun 14, 1988||Richards Medical Company||Absorbable suture apparatus, method and installer|
|US4823793 *||Oct 30, 1985||Apr 25, 1989||The United States Of America As Represented By The Administrator Of The National Aeronuautics & Space Administration||Cutting head for ultrasonic lithotripsy|
|US5282812 *||Jul 10, 1991||Feb 1, 1994||Suarez Jr Luis||Clamp for use in vascular surgery|
|US5282832 *||Oct 9, 1992||Feb 1, 1994||United States Surgical Corporation||Suture clip|
|US5304188 *||Jan 26, 1993||Apr 19, 1994||Marogil Joseph B||Surgical clamp and method|
|US5330442 *||Oct 9, 1992||Jul 19, 1994||United States Surgical Corporation||Suture retaining clip|
|US5376101 *||Dec 27, 1993||Dec 27, 1994||The United States Surgical Corporation||Suture retaining clip|
|US5514159 *||Sep 13, 1994||May 7, 1996||United States Surgical Corporation||Guillotine suture clip|
|US5531763 *||Oct 7, 1994||Jul 2, 1996||United States Surgical Corporation||Suture cinching apparatus|
|US5643295 *||Jan 25, 1995||Jul 1, 1997||Yoon; Inbae||Methods and apparatus for suturing tissue|
|US5665109 *||Dec 29, 1994||Sep 9, 1997||Yoon; Inbae||Methods and apparatus for suturing tissue|
|US5725582 *||Aug 18, 1993||Mar 10, 1998||Surgicraft Limited||Surgical implants|
|US5810853 *||Jan 16, 1996||Sep 22, 1998||Yoon; Inbae||Knotting element for use in suturing anatomical tissue and methods therefor|
|US5951590 *||Jun 9, 1998||Sep 14, 1999||Goldfarb; Michael A.||Soft tissue suture anchor|
|US5984933 *||Jul 29, 1997||Nov 16, 1999||Yoon; Inbae||Apparatus for suturing tissue|
|US6015427 *||Jul 7, 1997||Jan 18, 2000||Eclipse Surgical Technologies, Inc.||Heart stabilizer with controllable stay suture and cutting element|
|US6074409 *||Jun 21, 1999||Jun 13, 2000||Dynamic Surgical Inventions Llc||Soft tissue suture anchor|
|US6409743 *||Jul 8, 1999||Jun 25, 2002||Axya Medical, Inc.||Devices and methods for securing sutures and ligatures without knots|
|US6423088||Jun 30, 2000||Jul 23, 2002||Axya Medical, Inc.||Sharp edged device for closing wounds without knots|
|US6679896||Mar 28, 2002||Jan 20, 2004||Scimed Life Systems, Inc.||Transvaginal suture spacer devices and methods of use|
|US6916327||Mar 7, 2001||Jul 12, 2005||Metacardia, Inc.||Device for creating an anastomosis, including penetration structure and eversion structure|
|US6936052||Mar 7, 2002||Aug 30, 2005||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US6974462||Dec 19, 2001||Dec 13, 2005||Boston Scientific Scimed, Inc.||Surgical anchor implantation device|
|US6991597||Mar 7, 2002||Jan 31, 2006||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US7025772||Mar 7, 2002||Apr 11, 2006||Scimed Life Systems, Inc.||System for implanting an implant and method thereof|
|US7033379||Jun 10, 2002||Apr 25, 2006||Incisive Surgical, Inc.||Suture lock having non-through bore capture zone|
|US7235043||Mar 7, 2002||Jun 26, 2007||Boston Scientific Scimed Inc.||System for implanting an implant and method thereof|
|US7361138||Jul 31, 2003||Apr 22, 2008||Scimed Life Systems, Inc.||Bioabsorbable casing for surgical sling assembly|
|US7402133||Aug 14, 2003||Jul 22, 2008||Boston Scientific Scimed, Inc.||Spacer for sling delivery system|
|US7758614||Apr 5, 2002||Jul 20, 2010||Tornier, Inc.||Coupling member for knotless sutures and ligatures|
|US7824326||Feb 29, 2008||Nov 2, 2010||Boston Scientific Scimed, Inc.||Bioabsorbable casing for surgical sling assembly|
|US8033983||Aug 14, 2003||Oct 11, 2011||Boston Scientific Scimed, Inc.||Medical implant|
|US8162816||Mar 7, 2002||Apr 24, 2012||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US8496657||Aug 29, 2008||Jul 30, 2013||P Tech, Llc.||Methods for utilizing vibratory energy to weld, stake and/or remove implants|
|US8617048||Mar 7, 2002||Dec 31, 2013||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US8617185||Feb 13, 2008||Dec 31, 2013||P Tech, Llc.||Fixation device|
|US8632453||Jul 15, 2008||Jan 21, 2014||Boston Scientific Scimed, Inc.||Spacer for sling delivery system|
|US8747439||Jul 10, 2006||Jun 10, 2014||P Tech, Llc||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US8808329||Apr 3, 2012||Aug 19, 2014||Bonutti Skeletal Innovations Llc||Apparatus and method for securing a portion of a body|
|US8814902||Jul 31, 2006||Aug 26, 2014||Bonutti Skeletal Innovations Llc||Method of securing body tissue|
|US8845687||Sep 17, 2013||Sep 30, 2014||Bonutti Skeletal Innovations Llc||Anchor for securing a suture|
|US8845699||Mar 6, 2012||Sep 30, 2014||Bonutti Skeletal Innovations Llc||Method of securing tissue|
|US9060767||Mar 2, 2009||Jun 23, 2015||P Tech, Llc||Tissue fastener and methods for using same|
|US9067362 *||Oct 31, 2007||Jun 30, 2015||P Tech, Llc||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US9078645||Dec 18, 2012||Jul 14, 2015||Edwards Lifesciences Corporation||Knotless suture anchoring devices and tools for implants|
|US9078652||Jun 18, 2013||Jul 14, 2015||Edwards Lifesciences Corporation||Side-entry knotless suture anchoring clamps and deployment tools|
|US9089323||Feb 21, 2006||Jul 28, 2015||P Tech, Llc||Device and method for securing body tissue|
|US9138222||Feb 17, 2004||Sep 22, 2015||P Tech, Llc||Method and device for securing body tissue|
|US9149281||Jun 7, 2013||Oct 6, 2015||P Tech, Llc||Robotic system for engaging a fastener with body tissue|
|US9155544||Mar 20, 2002||Oct 13, 2015||P Tech, Llc||Robotic systems and methods|
|US9173647||Feb 21, 2006||Nov 3, 2015||P Tech, Llc||Tissue fixation system|
|US9173650||May 31, 2011||Nov 3, 2015||P Tech, Llc||Methods and devices for trauma welding|
|US9192395||May 7, 2013||Nov 24, 2015||P Tech, Llc||Robotic fastening system|
|US9226828||Sep 20, 2013||Jan 5, 2016||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9271741||Aug 8, 2013||Mar 1, 2016||P Tech, Llc||Robotic ultrasonic energy system|
|US9271766||Nov 11, 2013||Mar 1, 2016||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9271779||Aug 13, 2013||Mar 1, 2016||P Tech, Llc||Methods of using a robotic spine system|
|US9402668||Dec 4, 2013||Aug 2, 2016||P Tech, Llc||Tissue fixation system and method|
|US9421005||Feb 6, 2007||Aug 23, 2016||P Tech, Llc||Methods and devices for intracorporeal bonding of implants with thermal energy|
|US9439642||Feb 24, 2010||Sep 13, 2016||P Tech, Llc||Methods and devices for utilizing bondable materials|
|US9463012||Oct 5, 2005||Oct 11, 2016||P Tech, Llc||Apparatus for guiding and positioning an implant|
|US9486227||Jul 25, 2013||Nov 8, 2016||P Tech, Llc||Robotic retractor system|
|US9504571||Jun 5, 2013||Nov 29, 2016||Edwards Lifesciences Corporation||Systems for implanting annuloplasty rings with microanchors|
|US9545268||Mar 12, 2014||Jan 17, 2017||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9579129||Mar 11, 2014||Feb 28, 2017||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9585725||Jun 21, 2013||Mar 7, 2017||P Tech, Llc||Robotic arthroplasty system|
|US20020123529 *||Dec 20, 2001||Sep 5, 2002||Hoechst Aktiengesellschaft||Fluorophenyl-substituted alkenylcarboxylic acid guanidides, process for their preparation, their use as a medicament or diagnostic, and medicament containing them|
|US20030009196 *||Jun 10, 2002||Jan 9, 2003||James Peterson||Suture lock having non-through bore capture zone|
|US20030236541 *||Jun 21, 2002||Dec 25, 2003||Michael Callicrate||Method and system for removing antlers|
|US20060241695||Jul 10, 2006||Oct 26, 2006||Bonutti Peter M||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US20080039845 *||Feb 6, 2007||Feb 14, 2008||Bonutti Peter M||Methods and devices for intracorporeal bonding of implants with thermal energy|
|US20150201924 *||Aug 4, 2014||Jul 23, 2015||Leonard Gordon||Method and apparatus for repairing a tendon or ligament|
|EP0808130A1 *||Jan 25, 1996||Nov 26, 1997||YOON, InBae||Methods and apparatus for suturing tissue|
|EP0808130A4 *||Jan 25, 1996||Mar 25, 1998||Inbae Yoon||Methods and apparatus for suturing tissue|
|U.S. Classification||606/232, 606/142, 24/115.00A, 403/391|
|Cooperative Classification||A61B2017/0454, A61B17/04, A61B2017/0488, A61B2017/0464, A61B17/0487|