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WO1999021488A1 - Aiguille de suture - Google Patents

Aiguille de suture Download PDF

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Publication number
WO1999021488A1
WO1999021488A1 PCT/KR1997/000205 KR9700205W WO9921488A1 WO 1999021488 A1 WO1999021488 A1 WO 1999021488A1 KR 9700205 W KR9700205 W KR 9700205W WO 9921488 A1 WO9921488 A1 WO 9921488A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
gambee
entire
suturing
posterior
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR1997/000205
Other languages
English (en)
Inventor
Nahm-Gun Oh
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to PCT/KR1997/000205 priority Critical patent/WO1999021488A1/fr
Priority to AU47941/97A priority patent/AU4794197A/en
Publication of WO1999021488A1 publication Critical patent/WO1999021488A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0608—J-shaped

Definitions

  • the first problem of the commonly used half-circle needle occurs during an entire Gambee stitch on the posterior bowel wall from one fixed grasp of the needle holder.
  • the submucosal tissue ipsilateral from the needle ' s eye can be easily torn, since the distance between both ends of a half-circle needle is usually longer than the longitudinal length of the submucosal tissue to be sutured.
  • the second problem of a commonh used half-circle needle occurs during an entire Gambee suture on the anterior bowel wall from one fixed grasp of a needle holder.
  • the submucosa contralateral from the needle holder usually slips off the needle, because the direction of the suturing needle tip changes with each step and is critically reversed from the third step stitch to the fourth step of an entire Gambee suture. This situation can result in an incomplete and inappropriate Gambee suture of the anterior bowel wall.
  • the half-track needle(U#ZWV) resembles the aforementioned half-ellipse needle on the two convex side quarters, but its two terminal quarters are straightened parallel to its longest diameterfY- ⁇ xis).
  • the distance between the ends(ST in half-ellipse, or UV in half-track) becomes shorter than the longitudinal submucosal length(A- GH) of the posterior bowel wall to be sutured ipsilateral from the needle holder.
  • submucosal tearing can be prevented, even in the case of an entire Gambee suture from one fixed grasp of the needle holder.
  • Figure 1 indicates my design for the half-ellipse suturing needle
  • Figure 2 indicates the modified design of the half-track suturing needle
  • Figure 3 indicates the additional barb feature for all suturing needle tips
  • Figure 4 shows the practical application of the Gambee suture.
  • SZT Half-ellipse shape
  • U#ZWV Half-running-track shape
  • Fishing hook-style barb feature for all suturing needle tips
  • ⁇ BCDEFGH Sequence of Gambee suture on posterior bow el wall.
  • IJKLMNOP Sequence of Gambee suture on anterior bowel wall.
  • A- -GH Vulnerable to the submucosal tearing.
  • N— » Vulnerable to slip-off of the submucosa.
  • My half-ellipse suturing needle and half-track suturing needle can be used in ⁇ ⁇ ⁇ Gambee suture for a posterior bowel wall anastomosis(ABCDEFGH). Using these needles, operators can perform all the handling needed for a posterior bow el wall Gambee suture from one fixed grasp of the needle holder w ithout tearing ol the submucosa(A -»GH).
  • a special barb feature on the tip of the half-circle, half-ellipse, or hall-track needle allows for an entire Gambee stitch of the anterior bowel wall(UKLMNOP) from one fixed grasp of the needle holder, since this barb can prevent slip-off of the submucosa(N— »M) contralateral from the needle ' s eye.
  • Industrial Applicability ]
  • my suturing needles need onh" one fixed grasp of the needle holder when performing an entire Gambee suture for bowel anastomosis.
  • the half-ellipse needle and half-track needle can prevent submucosal tearing of the posterior bowel wall, owing to the short distance between the ends.
  • My barb feature on the suturing needle tips prevents slip-off of the submucosa contralateral from the needle holder during an entire Gambee stitch on the anterior bow el wall. Consequently, my suturing needles allow for an entire Gambee suture from one fixed grasp, while the common half-circle suturing needle requires at least 2 or 3 different grasping positions of the needle holder.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Cette invention se rapporte à une aiguille à suturer en demi-élipse ou à une aiguille à suturer en U, servant pour les sutures de la paroi postérieure des intestins, ainsi qu'à un crochet spécial situé sur la pointe de l'aiguille à suturer et servant à la suture de la paroi antérieure des intestins. Dans ces deux aiguilles, la distance entre les extrémités est plus courte que dans les aiguilles en demi-cercle communes. La sous-muqueuse, en position ipsilatérale par rapport au porte-aiguille, peut ainsi être suturée en toute sécurité sans risquer d'être déchirée pendant toute l'opération de suture de Gambee de la paroi postérieure des intestins, avec une seule préhension fixe du porte-aiguille. Le crochet en forme de hameçon sur les pointes de cette aiguille à suturer empêche la sous-muqueuse, en position contralatérale par rapport au porte-aiguille faisant l'objet d'une préhension fixe, de glisser et de s'échapper de l'aiguille pendant toute l'opération de suture de Gambee exécutée sur la paroi antérieure des intestins. Cette conception permet ainsi d'exécuter toutes les manipulations nécessaires lors d'une opération de suture de Gambee de la paroi postérieure ou antérieure des intestins, avec une seule préhension fixe du porte-aiguille.
PCT/KR1997/000205 1997-10-29 1997-10-29 Aiguille de suture Ceased WO1999021488A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/KR1997/000205 WO1999021488A1 (fr) 1997-10-29 1997-10-29 Aiguille de suture
AU47941/97A AU4794197A (en) 1997-10-29 1997-10-29 Suture needle

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/KR1997/000205 WO1999021488A1 (fr) 1997-10-29 1997-10-29 Aiguille de suture

Publications (1)

Publication Number Publication Date
WO1999021488A1 true WO1999021488A1 (fr) 1999-05-06

Family

ID=19494211

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR1997/000205 Ceased WO1999021488A1 (fr) 1997-10-29 1997-10-29 Aiguille de suture

Country Status (2)

Country Link
AU (1) AU4794197A (fr)
WO (1) WO1999021488A1 (fr)

Cited By (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7056331B2 (en) 2001-06-29 2006-06-06 Quill Medical, Inc. Suture method
US7225512B2 (en) 2001-08-31 2007-06-05 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US7226468B2 (en) 1993-05-03 2007-06-05 Quill Medical, Inc. Barbed bodily tissue connector
US7371253B2 (en) 2002-08-09 2008-05-13 Quill Medical, Inc. Suture anchor and method
US7624487B2 (en) 2003-05-13 2009-12-01 Quill Medical, Inc. Apparatus and method for forming barbs on a suture
US8100940B2 (en) 2002-09-30 2012-01-24 Quill Medical, Inc. Barb configurations for barbed sutures
US8852232B2 (en) 2002-09-30 2014-10-07 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US9498893B2 (en) 2007-09-27 2016-11-22 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures
US10420546B2 (en) 2010-05-04 2019-09-24 Ethicon, Inc. Self-retaining systems having laser-cut retainers
US10492780B2 (en) 2011-03-23 2019-12-03 Ethicon, Inc. Self-retaining variable loop sutures
US10548592B2 (en) 2004-05-14 2020-02-04 Ethicon, Inc. Suture methods and devices
US11007296B2 (en) 2010-11-03 2021-05-18 Ethicon, Inc. Drug-eluting self-retaining sutures and methods relating thereto

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1986003396A1 (fr) * 1984-12-10 1986-06-19 Franca Fernando E Aiguille chirurgicale
EP0216538A1 (fr) * 1985-09-06 1987-04-01 MICRA Ltd. Aiguille chirurgicale
US5059207A (en) * 1990-08-27 1991-10-22 Shah Mrugesh K Shaped needles for specialized surgical procedures

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1986003396A1 (fr) * 1984-12-10 1986-06-19 Franca Fernando E Aiguille chirurgicale
EP0216538A1 (fr) * 1985-09-06 1987-04-01 MICRA Ltd. Aiguille chirurgicale
US5059207A (en) * 1990-08-27 1991-10-22 Shah Mrugesh K Shaped needles for specialized surgical procedures

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7226468B2 (en) 1993-05-03 2007-06-05 Quill Medical, Inc. Barbed bodily tissue connector
US7056331B2 (en) 2001-06-29 2006-06-06 Quill Medical, Inc. Suture method
US8926659B2 (en) 2001-08-31 2015-01-06 Ethicon, Inc. Barbed suture created having barbs defined by variable-angle cut
US7225512B2 (en) 2001-08-31 2007-06-05 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US7371253B2 (en) 2002-08-09 2008-05-13 Quill Medical, Inc. Suture anchor and method
US8690914B2 (en) 2002-08-09 2014-04-08 Ethicon, Inc. Suture with an intermediate barbed body
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US8100940B2 (en) 2002-09-30 2012-01-24 Quill Medical, Inc. Barb configurations for barbed sutures
US8852232B2 (en) 2002-09-30 2014-10-07 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US7624487B2 (en) 2003-05-13 2009-12-01 Quill Medical, Inc. Apparatus and method for forming barbs on a suture
US11723654B2 (en) 2004-05-14 2023-08-15 Ethicon, Inc. Suture methods and devices
US10779815B2 (en) 2004-05-14 2020-09-22 Ethicon, Inc. Suture methods and devices
US10548592B2 (en) 2004-05-14 2020-02-04 Ethicon, Inc. Suture methods and devices
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US9498893B2 (en) 2007-09-27 2016-11-22 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US11234689B2 (en) 2008-11-03 2022-02-01 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US10441270B2 (en) 2008-11-03 2019-10-15 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US10420546B2 (en) 2010-05-04 2019-09-24 Ethicon, Inc. Self-retaining systems having laser-cut retainers
US10952721B2 (en) 2010-05-04 2021-03-23 Ethicon, Inc. Laser cutting system and methods for creating self-retaining sutures
US11234692B2 (en) 2010-05-04 2022-02-01 Cilag Gmbh International Self-retaining system having laser-cut retainers
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US11007296B2 (en) 2010-11-03 2021-05-18 Ethicon, Inc. Drug-eluting self-retaining sutures and methods relating thereto
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US10492780B2 (en) 2011-03-23 2019-12-03 Ethicon, Inc. Self-retaining variable loop sutures
US11690614B2 (en) 2011-03-23 2023-07-04 Ethicon, Inc. Self-retaining variable loop sutures
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures

Also Published As

Publication number Publication date
AU4794197A (en) 1999-05-17

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