CA2064082A1 - Needle stop surgical instrument - Google Patents

Needle stop surgical instrument

Info

Publication number
CA2064082A1
CA2064082A1 CA002064082A CA2064082A CA2064082A1 CA 2064082 A1 CA2064082 A1 CA 2064082A1 CA 002064082 A CA002064082 A CA 002064082A CA 2064082 A CA2064082 A CA 2064082A CA 2064082 A1 CA2064082 A1 CA 2064082A1
Authority
CA
Canada
Prior art keywords
finger
needle
housing
receiving
finger housing
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.)
Abandoned
Application number
CA002064082A
Other languages
French (fr)
Inventor
Mark S. Lyell
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
Publication of CA2064082A1 publication Critical patent/CA2064082A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0493Protective devices for suturing, i.e. for protecting the patient's organs or the operator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062Needle manipulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00438Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00805Treatment of female stress urinary incontinence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B42/00Surgical gloves; Finger-stalls specially adapted for surgery; Devices for handling or treatment thereof

Abstract

A needle stop surgical instrument comprising a finger housing (1), a needle receiving space (3), and a handle (2). The finger housing (1) is adapted for receiving a finger. At one end of the finger housing (1) is an endwall (5) for protecting the finger from injury and the needle receiving space (3) for receiving and guiding a needle. The space (3) is preferably in the shape of a cone.
At the opposite end of the finger housing (1) is connected the handle (2) which is designed such that when a finger is received in the housing (1), the remaining fingers of the hand can grip the handle (2). The instrument is used in a Stamey procedure or similar procedures to protect a surgeon's finger from needle injury, by being capable of receiving and guiding a needle through a surgical incision. Using the needle stop, a surgeon can avoid the risk of contracting serious infectious diseases, such as AIDS and Hepatitis B.

Description

W0 91/18553 ~,r~ 9;~ ,~ PCr/~lS91/03939 N~ED, ~ STOP SURGICA~ T~ST~U'.`~EN~

This lnver.~ion relates to a surg ca' ins.rumer.t for receiving and guiding a needle during a surgical procedure.
More particularly, the invention is a needle stop device for receiving and guiding a sursical needle during a Sta~ey procedure and similar procedures. I`he' instrument is designed -, to protect the surgeon from needle injury during the procedure, and consequently to protect the surgeon from the ,-risk of infection from Acquired Immune Deficiency Syndrome (AIDS), Hepatitis, and other diseases.
BACRGROUND OF THE INVENTION
Field of the Invention -~
The Stamey procedure is a surgical procedure for the treatment of stress urinary incontinence in women. Another similar procedure is the Pereyra procedure. The Stamey procedure involves placing sutures in the periurethral '' ' ;
t}ssue at the bladder neck. These sutures are passed up to the re~tus fascia with the Stamey needle. The sutures are -'~
used to elevate the bladder neck to help restore continence.
A vaginal incision is made which permits the surgeon to rest a finger against the r.eck of the bladder. The Stamey needle is passed through the rectis fascia posterior to the symphysis pubis~and advanced along the posterior surface of the symphysis. ;,, It is the presen~ p:ractice for the surgeon to locate ,:
the position of the needle in the pelvis by inserting the index finger of the surgeon's nondominant hand into the ~`, vaginal lncision at the ipsilateral bladder neck and by ~ !';''' ;moving the~polnt~of the needle~onto the tip of the surgeon's 'index finger with the surgeon's o~her hand. The surgeon's index finger~is~;kept on the needle point as the needle is guided through the pelvis and out through the vaginal ' W O 9l/185~3 PCT/~S91/03939 f~ ~ C~
'.',`.
incision. For a complete aescription or the Stamey procedure, the reader is referre~ to Campoe'``s Vrologv, Fif~h Editio.., pages ~702-271G.
One of the hazards of tr.is procedure is laceration or ~' puncture of the surgeon's index finger by the needle. Before the prevalence of Hepatitis B and AIDS, the risk of infec~ion was minimal. However, due to the serious nature of these and similar diseases, it is now mandatory fo- the surgeon to protect himself or herself and the patient by preventing the occurrence of needie lacerations or punctures du~ing tHese procedures. Using ~he needle stop of my invention, this hazar~ is e}iminated.
Description of the Prior Art Various instruments have been known heretofore for protecting one's finger from needle injury. U.S. Patent No.
3,228,033 to ~nes et al. relates to a finger gùard for protecting the fingers of a person from injury from a baby diaper pin. U.S. Patent No. 3,511,242 to Agnone relates to -~
a surgical finger cot for protecting the fingers of a surgeon from injury from a suturing needIe, while finger cot .
is flexible enough to feel and support a patient's damaged tissue during surgery. U.S. Patent No. 1,380,960 to ~menia relates to a thimble for protecting the finger from injury from a crocheting needle.
. .. . .
Other surgical instruments have been known which include a~finger housing or glove. U.S. Patent No. -2,781,760 to Baer re}ates to a i~strument for mitral valve : -surgery con~a1ning a crescentic b}ade, which instrument is adapted ~for~fitting onto a surgeon's index finger. U.S.
Patent No. -2,847,012 to Eastman relates to a surgical g}ove for rupturing ~amniotic membranes. U.S. Patent No. 2,~11,969 to Schubert relates to another obste~rical instrument for rupturlng t~he~amniotic sac.

W O 91/185~3 PCT/~IS91/03939 Z, ~ ~

However, the instruments of these tvpes are limited fn in the degree of control they of_er fo- receiving and guiding a needle through an incision, or in the degree o-protection they afford a surgeon from needle injury.
SUMMARY OF THE INVENTION
I have now devised a surgical instrument which is designed to assist a surgeon in the performance of a Stamey procedure and similar procedures by receiving and guiding the needle during the surgical procedure, while a, the same `
time protecting the surgeon from needle ir.jury. ;
The needle stop of my invention is a hand-held `
instrument composed of three main parts: a finger housing, a needle receiving space, and a handle. The finger housing is adapted for receiving a finger. At one end of the finger housing is cornected the needle receiving space for receiving and guiding a needle. At the opposite end of the ~inger housing is connected the handle which is designed such that when a finger is received in the housing, the remaining fingers of the hand can grip the handle. - ~:
The instrument is used in the portion of the Stamey procedure in which the Stamey needle is passed posterior to the~symphysis publs. The surgeon inserts a finger, ; preferably the index ~inger of the surgeon's nondominant hand, into the finger housing of the needle stop and grasps ~ `
~ " ... ..
the handIe with the other fingers. The needle stop is then nserted into the vaginal incision and advanced posterior to the symphysis. The Stamey needle is then advanced with the surgeon's~other hand into the needle receiving space of the needle stop. With~the needle in the needle stop, the needle can~then be direc~ed through the pelvis and out through the vaginal~lnclsion without~risk: of injury to the surgeon.
These~and other novel features of the needle stop~of my ~ ~
invention will be more readily understood by reference tO ~ -W O 91/18553 PCT/~'S~1/03939 the accompan~ing drawings, o- which ~he followin~ is a brief descrip~ion.
BRIEF DESC~ ION OF THE DRAWINGS
Figure l is a perspective view showing the needle stop surgical instrument of my invention and how it is held by a hand for use;
Figure 2 is a top plan view thereof;
Figure 3 is a bottom plan view thereof;
Figure 4 is a cross-sectional view thereof taken along line 4-4 of ~igure 3; and Figure ~ is a top plan view of another embodiment of my invention, wherein the finger housing has a top portion to completely enclose a finger inserted in the finger housing.
DESCRIPTION OF THE PREFERRED EM~ODIMENTS ;
As shown in Fig. l, the needle stop surgical instrument of my invention comprises a finger housing l for receiving a finger. A handle 2 is connected to one end of the finger housing, the handle being designed such that when one finger of a hand is received in the housing, the remaining fingers of the hand can grip the handle. Connected to the finger housing is a needle receiving space 3 having an opening 4 for receiving a needle therethrough.
The finger housing has, at the end opposite the handle, an endwall 5 for protecting the finger, which is received in the finger housing, from needle injury. Extending from the endwall to the handle of the finger housing is a base portion 6 for receiving the finger thereagainst, as wel~ as ~: :
i sidewalls 7 extending along the base portion from end to end. The base portion, endwall and sidewalls of the finger housing together define a finger receiving space having an interior surface.
. .
The needle receiving space is connected to the finger . .

W O 91/18~3 PCT/~'S91/03939 housing at cne enà of the ~inge~ housing pro~imate to the endwall of the housing. The needle receiving space comprises a portion of the exterior surface of the finger housing and a space-defining wall member connected thereto. The needle receiving space is substantially in the shape of a cone, with the open base of -the cone forming the opening for receiving a needle. The :
needle receiving space is also tapered at the open base end ~ -to avoid tissue laceration.
The handle ex~ends from the finger housing along the ;~
longitudina: axis of the finger housing and along a first ;.section which is grippable between the index finger received Ln the finger housing and the thumb of the hand of the index finger. The handle then extends at an angle from the first section along a second section which is grippable between ! `
the remaining fingers of the hand and the palm of the hand.
Fig. 5 shows another embodiment of the needle stop of ::
my invention, wherein the finger housing has a top portion - attached to the upper edge surfaces of the sidewalls and ~;
endwall of the finger housing to form a hollow finger ., -~
; receiving space, so as to completely enclose a finger ~ ~ -.
~ inserted into the finger housing. The top portion helps to , .:
support and retain a finger in the finger housing.
The needle stop of my invention can be made in a .
va~iety of sizes, and in right-handed as well as left-handed models. With respect to the dimensions of the instrument shown in the figures, the finger housing has a total length of 5 cm and an;outslde diameter of 1.5 cm. The handle is approximately li cm in total length, of which the first ~;
section is 4 cm~ :nd the second section is 9 cm, and it is ~ -0.5 cm in outside diamete- The needle receiving space has a circular opening of l~.5~cm in diameter and a depth o. 3 cm.
The n::dl:~s.op of~my invention can De m:de from :ny .

W O 91/18553 PCT/~IS91/03939 suitable ma~e ial wr.ich is suffi_ientl3 rigid and wh _h hil not be punc ured bv a needle, e.~., piastic, metal, etc.
Preferabl~, ~he needle stop is composed of stainless steel.
Alternativel~, the needle stop can be formed or^ materials such that it can be used as a disposable instrument, e.g., the needle receiving space can be made of stainless steel and the finger housing made of a plastic or other synthetic mate_ial. T;~e handle can be formed of any rigid material, however, preferably, it is a maleable rnaterial which the ~-use- can bend to a comfortable position, e.g., a plas-ic ~ -coated wire or sof~ metal. The top por~ion o_ the finge~ ;
housing, as shown in the embodiment of Fig. ~, is composed of a transparent resllient material. Howeve-, the tOp ,' portion is not restricted to this material, but it can be cornposed of other types o~ flexible or resilient materials, or even a rigid material such as the same material composing the finger housing, such that the finger housing can be formed in one piece. The top portion is seen to help support and retain a finger, and fingers of different si~es, which are inserted in the housing.
It is also conceived that the needle receiving space can include a means for retaining and holding a needle inserted therein.
Using the needle stop o~ my invention, a surgeon can protect his or her finger from needle laceration or puncture during a Stamey or sirnilar procedure, thus eliminating the risk of contracting a serious infec~ious , disease~like Hepatitis B or AIDS.
While speclfic details of the needle~stop and particular materials have been referred to in describing the embodiments illustrated above, it will be understood that : .
` other deta ls of construction and other materials may be resorted to within the spi-it o' the inventicn.

Claims (9)

I claim.
1. A needle stop for receiving and guiding a needle during surgical procedures, comprising:
a finger housing for receiving a finger therein;
a handle connected to one end of said finger housing, said handle designed such that when one finger of a hand is received in said housing, the remaining fingers of the hand can grip said handle; and means connected to said finger housing defining a needle receiving space for receiving and guiding a needle, said space having an opening for receiving a needle therethrough.
2. The needle stop as set forth in claim 1, wherein:
said finger housing has a second end opposite said one end, and an endwall at said second end for protecting a finger received in said finger housing.
3. The needle stop as set forth in claim 2, wherein:
said finger housing has a base portion for receiving a finger thereagainst extending from said endwall at said second end to said one end and sidewalls extending along said base portion from said endwall to said one end.
4. The needle stop as set forth in claim 3, wherein:
said base portion, said endwall and said sidewalls of said finger housing together define a finger receiving space having an interior surface; and said means defining a needle receiving space is connected to said finger housing on an exterior surface thereof.
5. The needle stop as set forth in claim 3, wherein:
said finger housing has a top portion extending along said sidewalls from said endwall at said second end to said one end, and said base portion, said endwall, said sidewalls and said top portion of said finger housing together define a finger receiving space having an interior surface.
6. The needle stop as set forth in claim 1, wherein:
said means defining a needle receiving space comprises a portion of the exterior surface of said finger housing and a space-defining wall member connected thereto.
7. The needle stop as set forth in claim 6, wherein:
said needle receiving space is substantially in the shape of a cone, the base of said cone forming said opening for receiving a needle.
8. The needle stop as set forth in claim 7, wherein:
said portion of said exterior surface of said finger housing is partially conical; and said space defining wall member is partially conical.
9. The needle stop as set forth in claim 1, wherein:
said handle connected to said one end of said finger housing extends from said finger housing along substantially the longitudinal axis of said finger housing along a first section thereof so as to be grippable between an index finger received in said finger housing and the thumb of the hand of the index finger, and then extends at an angle from said first section along a second section thereof so as to be grippable between the remaining fingers of the hand and the palm of the hand.
CA002064082A 1990-06-05 1991-06-04 Needle stop surgical instrument Abandoned CA2064082A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/533,529 US4985038A (en) 1990-06-05 1990-06-05 Needle stop surgical instrument
US533,529 1990-06-05

Publications (1)

Publication Number Publication Date
CA2064082A1 true CA2064082A1 (en) 1991-12-06

Family

ID=24126359

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002064082A Abandoned CA2064082A1 (en) 1990-06-05 1991-06-04 Needle stop surgical instrument

Country Status (5)

Country Link
US (1) US4985038A (en)
EP (1) EP0485581A4 (en)
JP (1) JPH05500766A (en)
CA (1) CA2064082A1 (en)
WO (1) WO1991018553A1 (en)

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Also Published As

Publication number Publication date
US4985038A (en) 1991-01-15
EP0485581A1 (en) 1992-05-20
EP0485581A4 (en) 1993-04-07
WO1991018553A1 (en) 1991-12-12
JPH05500766A (en) 1993-02-18

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Legal Events

Date Code Title Description
FZDE Discontinued