Recherche Images Maps Play YouTube Actualités Gmail Drive Plus »
Connexion
Les utilisateurs de lecteurs d'écran peuvent cliquer sur ce lien pour activer le mode d'accessibilité. Celui-ci propose les mêmes fonctionnalités principales, mais il est optimisé pour votre lecteur d'écran.

Brevets

  1. Recherche avancée dans les brevets
Numéro de publicationUS2638901 A
Type de publicationOctroi
Date de publication19 mai 1953
Date de dépôt30 juil. 1951
Date de priorité30 juil. 1951
Numéro de publicationUS 2638901 A, US 2638901A, US-A-2638901, US2638901 A, US2638901A
InventeursSugarbaker Everett D
Cessionnaire d'origineSugarbaker Everett D
Exporter la citationBiBTeX, EndNote, RefMan
Liens externes: USPTO, Cession USPTO, Espacenet
Surgical clamp
US 2638901 A
Résumé  disponible en
Images(1)
Previous page
Next page
Revendications  disponible en
Description  (Le texte OCR peut contenir des erreurs.)

May 19, 1953 E'. D. SUGARBAKER SURGICAL CLAMP Filed July 30, 1951 INVENTOR EV-ERETT D. SUGARBAKER,

BY f... VLM ATTORNEYSl Patented May 19,ry 1953 OFFICE SURGICAL CLAMP Everett D; Sugarbaker,` Jetterson City, Mo.' Application July 30, 1951,.seria1No. $9,245

.12 claims. (01.128-334)` This invention relates to surgical clamps and particularly to an improved recto-colic anastomosis clamp. i

It is highly desirable to carry out bowel anl.. astomoses by clamping together inturned portions of the bowel ends and maintaining the ends -so clamped until agglutination occurs. at 4the periphery of the-junction. This method, however, involves several diiculties. It is necessary that the bowel ends remain clamped for periods on the order of 7-10. days, and such periods are so long that obstruction of the bowel by the clamping means would be .highly dangerous because of the accumulation of infective material inthe bowel above the clamp. Also, application of the clamp, and manipulation of the clamp after it is applied,.have heretofore been exceedingly diicult. y

The present inventionprovides a rectocolic anastomosis clamp whereby the foregoing dif` I culties are overcome. In Aaccordance with the invention, the clamp is so constructed as to allow ready escape of the mucoid contents of the bowel when the clamp is.v in place. .The

dangerous accumulation of infective material is thus prevented, and the bowel may be irrigated if necessary. 4 y y The anastomosis clamp of the invention is also characterized by a combination of structural A features which make application and adjustment of the clamp far less diicult than has ybeen the case heretofore. The clampis adapted to be assembled within the bowel, with the parts of the clamp being inserted through the..anus,

the structure being such that positioning of: the severed ends of the bowelon the faces ofthe clamp is readily `and positively accomplished. According to the invention, clamping pressure is establishedand adjusted by manipulation ci assembled and in place to accomplish an anas-= tomosis of the lowery colon, the clamp being `shown in longitudinal section;

Fig. 2 is a side elevation offtheclamp, with the clamping members separated, partly in longitudinal section; u. Fig. 3 is an end view of the lower clamping j The lower clamping shank 4 having at one end an enlarged, poraber .2. -ben2 adjacent the clamping faceIZ is a pin I5 and, .toreceivejthe pin l5, the tubular ele- .ment Illfof themember I is provided withone or more longitudinal slots Iopen at' the end member-showing the clamping face thereof; andV Fig. liv-is an'en'd- View of the upperclamping member.

Referring now to the drawings in detail, it

member 2, and Va central tube 3 adapted to coact with I and 2. v

member I includes a tion 5 with a transverse shoulder t` andatthe 'other end a vbody 'I withan annular clamping iace, Fig. 3.` The clamping. member I .is ,t u, bular, being provided With an axial bore` 9 extending entirely throug-h the member. Arranged coaxially with the bore 9 is a tubular extension I0 directed-.away fromthe clamping face 3.-y Thus, the lclamping. member I' comprises .a generally tubular memberwith thebody .lconstituting an intermediate outer enlargement.

The upper clamping member 2 comprises a.

Vbody II havingan annular lclamping face I2 -and'an vaxial bore I3. A portionpf. the bore I.3 is interiorly. threaded at I4, and the bore .adjacent theclamping face I2 has a diameter such that .the tubular element I0 ofthe lower clamping. member I -may slide into and .t snugly within thebore of the .clamping mem- Extending into the bore I3 of the inemf portion capable .of being inserted through the bores 9 and.v I3 andhaving at one end an enlarged por-tion Il presenting a transverse shoulder `...IILand .at the Aother end an exteriorly threaded portion i9.

. As seenin Fig.,.1, when the clamp is assembled.. the clamping member I is carried on the tube l3, `being secured against. axial movement in one direction lby contact Ybetween the'shoulv-ders .iiA and'I. The interior threads I4 ofthe clamping member 2 engage the exterior threads I9 of .the tube 3,.,so that relative rotary motionbetween -the tube 3 and the member 2 will cause the latter .to be adjusted either toward ing upon the direction of rotation. It will be noted that,- when the pin I5 is engaged in vone of the slotsdi the clamping members I-and 2 may not rotate relative to each other. When ably positioned'uponsaidrtube with said 'shoulder facing saidstopjmember;l `a second clanlping` member comprising ;a 'body; portion having an" annular clamping face and an interiorlythread'ed axial bore, said second clamping 4merriber' being positioned onl said tube with its vinterinr threads engaging theexterior threads of said tubeI andv with its4 clamping face directed toward' that oi said first clamping rmernb'eriwhereby relative rotation between said tube and said second clamping member in one direction forces said clamping faces together;v -andmeans-for securing a severed bowel ed over each of said clamping faces when said faces are spaced apart.

4. In a recto-colic anastomosis clamp, the combination of a pair of opposed clamping members each having an .annular clamping faceand an axial bore, one of ,said vclamping `members having an extended shank terminating' in a transverse shoulder opposite the clamping face thereof, the bore of the other of said clamping members being interiorly threaded, and a central tube'extending through the bore of said one clamping member and terminating at one end in an exteriorly threaded portion engaging the interior threads of the bore of said other clamping member, said tube being provided at its other end with an exteriorly positioned stop member facing the transverse shoulder of said one clamping member, and said shank being of such length as to extend through the rectum of a patient when saidclamp is in place within the colon.

5. In an anastomosis clamp, the combination of a central tube having at one end an exteriorly enlarged portion providing a transverse shoulder facing the opposite end of the tube, and a pair of opposed clamping members each having an annular clamping face and an axial bore, said tube being positioned within the bores of said clamping members, one of said clamping members .being provided with a transverse shoulder opposite its clamping face and facing the shoulder of said tube, and said tube and the other of said clamping members having interengaging screw threads.

6. In an anastomosis clamp, the combination of a tube having an exteriorly threaded end portion and an exterior shoulder spaced axially from said end portion; a clamping member having a shank, a body portion with an annular clamping face and an axial bore extending through said shank and body portion, said clamping member being slidably mounted on said tube with the shank thereof extending toward said shoulder and said clamping face exposed toward the threaded end of said tube; and a second clamping member having an annular clamping face and a threaded axial bore, said second clamping member being threaded upon said end portion of said tube with its clamping face opposed to that of said first mentioned clamping member.

7. An anastomosis clamp comprising a tubular clamping member with an intermediate exteriorly enlarged portion having an annular clamping face arranged transversely of said'tubular member and exposed toward one end thereof; a second clamping member having a transverse annular-clamping face and an axial bore, said bore adjacent said last mentioned clamping face embracing said one end of said tubular clamping member, said bore also including an interiorly threaded portion; and a central tube extending through said tubular clamping member, said tube having at one end an exterior stop facing said tubular clamping member and at the other end aV portion' exteriorly threaded in ,engagement with the; interior threads of said bore'. H

' '8.'In an anastomosis clamp, a pair o f opposed clampingI membersv "each having an annular clamping face and a central bore, the clamping face 'of one of said members lbeing'prc'nvided with a plurality of projecting annularly ,spacedfneedles and the clamping face of 'the other of rsaidfmembersI being providedwitl apluralityof 4annular-- ly spaced sockets to-rec'eive said needles, one of said clamping lmembers 'having a shoulder 'opposite the clamping `face thereof, theother of said clamping'membe'rs being interiorlyfthreaded', and a tube :extending through said bores, said tube havinguatzoneren'da shoulder facing the shoulder on Vsaid onefclampingmember and at the other. end 'jbeing provided" with exterior threads `engaging the' interiorf threads `of said other clamping member;

'9. In an anastomosis clamp, the combination of a pair of opposed clamping members each having an -annular clamping face and an axial bore, the clamping face of one of said members being provided With a. plurality of projecting annularly spaced needles and the other of said members being provided with a plurality of annularly spaced sockets to receive said needles, a central tube extending through the bores of said clamping members, stop means securing one of said clamping members against axial movement in one direction on said tube, and manually operated means including said tube for establishing axial adjustment of said other clamping member relative to said one clamping member so secured.

10. In an anastomosis clamp, the combination of a pair of opposed clamping members each having an annular clamping face and an axial bore, the clamping face of one of said members being provided with a plurality of projecting annularly spaced needles and the clamping face of the other of said members being provided with a plurality of annularly spaced sockets to receive said needles, a central tube extending through the bores of said clamping members with one of said members rotatable thereon, said clamping members being provided with interengageable means for aligning said needles with said sockets, stop means securing one of said clamping members against axial movement in one direction on said tube, and manually operated means including said tube for establishing axial adjustment of said other clamping member relative to said one clamping member so secured.

11. In combination in an anastomosis clamp of the type described, a pair of opposed clamping members each having an annular clamping face and a central bore, the clamping face of one of said members being provided with a plurality of projecting annularly spaced needles and the clamping face of the other of said members being provided with a plurality of annularly spaced sockets to receive said needles, one of said members having a tubular extension concentric with the bore thereof and adapted to iit snugly within the bore of the other of said members, said extension including a longitudinal slot, a pin carried by said other clamping member and extending into the bore thereof to engage in saidslot, the angular locations of said pin and slot being such as to cause alignment of said needles and sockets when said pin is engaged in said slot, a tube extending through the bores of said clamping members, stop means securing one of said clamping members against axial movement in one direction on said tube, and manually QD- erated means including said tube for establishing axial adjustment of said other clamping member relative to said one clamping-member .so secured. l

` i2. An anastomosis clamp comprising the combination of a tube having an exteriorly threaded end Vportion and an exterior stop member axially spaced from said end portion; a rst clamping member including an annular clamping face, a stop shoulder directed away from said face. and an axial boresaid rst clamping member being slidably positioned on said tube with its shoulder facing said stop member; and a second clamp member having an annular clamping face and an interiorlypthreaded axial bore, said second clamping member being threadably engaged over the exteriorly threaded end portion of said tube and having its face directed tow-ard' the face of said first clamping member; oneof seid clamping faces being provided with'a. plurality of projecting annularly spaced'` Aneedles and the other of said clamping. faces being provided with a plurality of annularlyspaced socketsl to receive said needles, and said clamping members being provided with interengageable means for aligning said needles and sockets.

EVERETT D. SUGARBAKER.

References cited in the me of this patent UNITED STATES PATENTS Name Date l Zack Nov. 2, 1948 OTHER REFERENCES Number

Citations de brevets
Brevet cité Date de dépôt Date de publication Déposant Titre
US2453056 *12 mars 19472 nov. 1948Edwin Zack WilliamSurgical anastomosis apparatus and method
Référencé par
Brevet citant Date de dépôt Date de publication Déposant Titre
US2940451 *26 févr. 195814 juin 1960Canadian Patents DevSuturing apparatus
US3039468 *7 janv. 195919 juin 1962Price Joseph LTrocar and method of treating bloat
US3048177 *23 juin 19597 août 1962Timothy TakaroBlood vessel coupling device
US3143742 *19 mars 196311 août 1964Surgitool IncProsthetic sutureless heart valve
US3254650 *19 mars 19627 juin 1966Michael B CollitoSurgical anastomosis methods and devices
US3258012 *20 juin 196228 juin 1966Risaburo AokiMethod for blood vessel connection
US3316914 *14 févr. 19632 mai 1967Collito Michael BSurgical methods and devices for anastomosis
US3472231 *20 juin 196614 oct. 1969Winner Forney DPerfect circle hemorrhoidal excisor,stapler and excisor hemostatic dilator
US3496939 *9 août 196724 févr. 1970Odiaga Carlos ESurgical anastomotic sleeve coupling
US3771526 *7 févr. 197213 nov. 1973Rudie PAnastomosis clamp
US3789847 *19 août 19715 févr. 1974Lehmann ATool for lower colon surgery
US3877435 *12 févr. 197315 avr. 1975Investors In Ventures IncImplanting method
US3974835 *26 déc. 197417 août 1976Hardy Jr Thomas GAnastomotic apparatus and method
US4154241 *29 juil. 197715 mai 1979Rudie Peter SAnastomosis clamp
US4294255 *19 févr. 198013 oct. 1981Andre GerocIntraluminal anastomosis
US4304236 *10 avr. 19808 déc. 1981United States Surgical CorporationStapling instrument having an anvil-carrying part of particular geometric shape
US4467804 *27 juil. 198128 août 1984American Cyanamid CompanyAnastomotic device
US4552148 *27 févr. 198412 nov. 1985American Cyanamid CompanyAnastomotic device
US4607637 *22 juil. 198326 août 1986Anders BerggrenSurgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements for performing anastomosis
US4624257 *21 févr. 198425 nov. 1986Anders BerggrenSurgical instrument for performing anastomosis
US4705039 *26 juil. 198510 nov. 1987Takasago Medical Industry, Co., Ltd.Subsidiary device for suturing an intestine
US4708141 *24 mars 198624 nov. 1987Takasago Medical Industry Co., Ltd.Soluble suturing device for an intestine
US4766898 *29 juin 198730 août 1988American Cyanamid CompanyAnastomotic device
US4917090 *19 janv. 198817 avr. 1990Unilink, Inc.Method for performing an anastomosis
US4930502 *26 janv. 19895 juin 1990Chen Fusen HAnastomosis device
US5123908 *25 juil. 199123 juin 1992Chen Fusen HAnastomotic device
US5222963 *17 janv. 199129 juin 1993Ethicon, Inc.Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
US5250058 *3 juin 19915 oct. 1993Ethicon, Inc.Absorbable anastomosic fastener means
US5282810 *8 avr. 19921 févr. 1994American Cyanamid CompanySurgical anastomosis device
US5336233 *26 mars 19939 août 1994Chen Fusen HAnastomotic device
US5456714 *3 juil. 199210 oct. 1995Owen; Earl R.Tubular surgical implant having a locking ring and flange
US5551622 *13 juil. 19943 sept. 1996Yoon; InbaeSurgical stapler
US5655698 *9 avr. 199612 août 1997Yoon; InbaeSurgical stapler with curved jaws
US5662259 *9 avr. 19962 sept. 1997Yoon; InbaeMethod of stapling anatomical tissue
US5662260 *9 avr. 19962 sept. 1997Yoon; InbaeSurgical staple cartridge
US5709335 *31 oct. 199520 janv. 1998Heartport, Inc.Surgical stapling instrument and method thereof
US5732872 *6 févr. 199631 mars 1998Heartport, Inc.Surgical stapling instrument
US5814005 *22 déc. 199229 sept. 1998Ela Medical S.A.Ventricular cannulation device
US5817113 *23 janv. 19976 oct. 1998Heartport, Inc.Devices and methods for performing a vascular anastomosis
US5833695 *19 janv. 199510 nov. 1998Yoon; InbaeSurgical stapling system and method of applying staples from multiple staple cartridges
US5843088 *6 juin 19951 déc. 1998Ela Medical SaTool and method for installation of a ventricular cannulation device
US5881943 *20 nov. 199716 mars 1999Heartport, Inc.Surgical anastomosis apparatus and method thereof
US5947363 *20 mars 19987 sept. 1999Heartport, Inc.Surgical stapling instrument and method thereof
US5957363 *19 juin 199728 sept. 1999Elf Atochem S.A.Method of performing vascular anastomosis
US5976159 *8 févr. 19962 nov. 1999Heartport, Inc.Surgical clips and methods for tissue approximation
US6010513 *26 nov. 19974 janv. 2000Bionx Implants OyDevice for installing a tissue fastener
US6050472 *11 avr. 199718 avr. 2000Olympus Optical Co., Ltd.Surgical anastomosis stapler
US6149667 *11 mai 199921 nov. 2000Surgical Connections, Inc.Devices and methods for treating E.G. urinary stress incontinence
US617132118 mai 19999 janv. 2001Heartport, Inc.Devices and methods for performing a vascular anastomosis
US617641320 janv. 200023 janv. 2001Heartport, Inc.Surgical anastomosis apparatus and method thereof
US62097737 sept. 19993 avr. 2001Heartport, Inc.Surgical stapling instrument and method thereof
US628046013 févr. 199828 août 2001Heartport, Inc.Devices and methods for performing vascular anastomosis
US63719658 janv. 200116 avr. 2002Gifford, Iii Hanson S.Devices and methods for performing a vascular anastomosis
US6443965 *8 janv. 20013 sept. 2002Heartport, Inc.Devices and methods for performing a vascular anastomosis
US64503908 janv. 200117 sept. 2002Hearport, Inc.Surgical anastomosis apparatus and method thereof
US645103428 sept. 200117 sept. 2002Gifford, Iii Hanson S.Devices and methods for performing a vascular anastomosis
US646136515 mai 20018 oct. 2002Heartport, Inc.Surgical clips and methods for tissue approximation
US649170426 juil. 200110 déc. 2002Heartport, Inc.Devices and methods for performing a vascular anastomosis
US651756614 juil. 200011 févr. 2003Surgical Connections, Inc.Devices and methods for treating e.g. urinary stress incontinence
US65886432 févr. 20018 juil. 2003Hearport, Inc.Surgical stapling instrument and method thereof
US663183728 août 200114 oct. 2003Heartport, Inc.Surgical stapling instrument and method thereof
US665932731 juil. 20029 déc. 2003Heartport, Inc.Surgical anastomosis apparatus and method thereof
US667667820 sept. 200113 janv. 2004Heartport, Inc.Devices and methods for performing a vascular anastomosis
US670944123 avr. 200123 mars 2004Heartport, Inc.Devices and methods for performing vascular anastomosis
US674009824 août 200125 mai 2004Surgical Connections, Inc.Surgical stabilizer devices and methods
US676399320 mai 200320 juil. 2004Bolduc Lee RSurgical stapling instrument and method thereof
US689971823 avr. 200431 mai 2005Heartport, Inc.Devices and methods for performing avascular anastomosis
US696259614 mars 20038 nov. 2005Bolduc Lee RSystem for performing vascular anastomoses
US698423823 avr. 200410 janv. 2006Gifford Iii Hanson SDevices and methods for performing avascular anastomosis
US71122119 janv. 200326 sept. 2006Heartport, Inc.Devices and methods for performing avascular anastomosis
US712204428 avr. 200417 oct. 2006Heartport, Inc.Surgical stapling instrument and method thereof
US765151012 janv. 200126 janv. 2010Heartport, Inc.System for performing vascular anastomoses
US776304129 juil. 200327 juil. 2010Heartport, Inc.Surgical clips and methods for tissue approximation
US7850706 *8 août 200714 déc. 2010Board Of Trustees Of The University Of ArkansasPancreatic-enteric fistulary catheterization system
US79351291 mars 20043 mai 2011Heartport, Inc.Device for engaging tissue having a preexisting opening
US8080018 *19 janv. 201020 déc. 2011Tyco Healthcare Group LpDisposable circumcision device
US83130136 avr. 200620 nov. 2012Synovis Life Technologies, Inc.Method and assembly for anastomosis
US85973046 déc. 20113 déc. 2013Covidien LpDisposable circumcision device
US861719028 mars 201131 déc. 2013Heartport, Inc.Device for engaging tissue having a preexisting opening
US20010001826 *12 janv. 200124 mai 2001Heartport, Inc.System for performing vascular anastomoses
US20030114867 *17 juil. 200219 juin 2003Bolduc Lee R.Surgical clips and methods for tissue approximation
US20030176878 *11 avr. 200318 sept. 2003Bolduc Lee R.Devices and methods for performing vascular anastomosis
US20040073240 *29 juil. 200315 avr. 2004Bolduc Lee R.Surgical clips and methods for tissue approximation
US20040167551 *1 mars 200426 août 2004Gifford Hanson S.Devices and methods for performing a vascular anastomosis
US20040181244 *31 mai 200216 sept. 2004Hoon-Bum LeeVascular anastomosis device
US20040186490 *31 mars 200423 sept. 2004Gifford Hanson S.Devices and methods for performing avascular anastomosis
US20040199188 *23 avr. 20047 oct. 2004Gifford Hanson S.Devices and methods for performing avascular anastomosis
US20040200876 *28 avr. 200414 oct. 2004Bolduc Lee R.Surgical stapling instrument and method thereof
US20040254590 *9 juin 200416 déc. 2004Hoffman Gary H.Method and instrument for the performance of stapled anastamoses
US20050021085 *25 mai 200427 janv. 2005Surgical Connections, Inc.Surgical stabilizer devices and methods
US20050096675 *29 nov. 20045 mai 2005Gifford Hanson S.IiiDevices and methods for performing avascular anastomosis
US20050096676 *29 nov. 20045 mai 2005Gifford Hanson S.IiiDevices and methods for performing a vascular anastomosis
US20050149077 *16 févr. 20057 juil. 2005Gifford Hanson S.IiiDevices and methods for performing a vascular anastomosis
US20050251164 *4 févr. 200510 nov. 2005Gifford Hanson S IiiDevices and methods for performing avascular anastomosis
US20070239180 *6 avr. 200611 oct. 2007Synovis Life Technologies, Inc.Method and assembly for anastomosis
US20090043319 *8 août 200712 févr. 2009Regner Justin LPancreatic-enteric fistulary catheterization system
US20110172686 *28 mars 201114 juil. 2011Gifford Iii Hanson SDevice For Engaging Tissue Having a Preexisting Opening
US20110178528 *19 janv. 201021 juil. 2011Tyco Healthcare Group LpDisposable circumcision device
US20130256379 *8 févr. 20133 oct. 2013Ethicon Endo-Surgery, Inc.Surgical stapling cartridge with layer retention features
EP0550330A1 *23 déc. 19927 juil. 1993ELA MEDICAL (Société anonyme)Ventricular cannulation device
WO1984000102A1 *17 juin 198319 janv. 1984Unilink AbSurgical instrument for carrying out anastomosis with annular fastening means and fastening means for anastomosis
WO1990008509A1 *25 janv. 19909 août 1990Chen Fusen HAnastomosis device
Classifications
Classification aux États-Unis606/153, 227/19
Classification internationaleA61B17/03, A61B17/11
Classification coopérativeA61B17/1114
Classification européenneA61B17/11D