WO1999021488A1 - Suture needle - Google Patents
Suture needle Download PDFInfo
- 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
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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.
Abstract
A half-ellipse-shaped suturing needle or a U-shaped suturing needle for posterior bowel wall sutures, as well as a special barb feature on the suturing needle tip for anterior wall sutures. With both needles, the distance between the ends is shorter than those of the common half circle needle. This allows the submucosa ipsilateral from the needle holder to be safely stitched without any submucosal tearing during an entire Gambee suture of the posterior bowel wall from one fixed grasp of the needle holder. The fishing hook-shaped barb for the suturing needle tips keep the submucosa contralateral from the fixed grasp needle holder from slipping-off of the needle during an entire Gambee suture on the anterior bowel wall. As a result, this design allows for all the handling necessary in an entire Gambee suture on posterior or anterior bowel wall from one-fixed grasp of the needle holder.
Description
[ DESCRIPTION ] [ Title of Utilitλ ] SUTURE NEEDLE
[ Technical Field ] Suturing needles for bowel anastomosis
[ Background Art ] It is commonly accepted that the Gambee suture is a precise and reliable suturing method in the anastomosis of the intestine, especially in the aspect of the exact apposition of the submucosal layer, vs hich has the greatest tensile force among the multiple layers of the bowel v all. Generalh . a half-circle shaped needle has been utilized in Gambee suturing.
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. Here, 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.
Furthermore, 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. Here, 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.
Consequently, an entire Gambee suture of the posterior or anterior bowel wall needs at least two or three different fixed grasps of the half-circle needle with the needle holder. Thus, the half-circle needle requires of operators much time and effort, as well as complicated actions and skills. For this reason, the Gambee suture is avoided by many surgeons.
[ Disclosure of Utility ]
1 have devised a half-ellipse-shaped suturing needle and a half-running- track-shaped suturing needle which allow an operator to perform an entire Gambee stitch of the posterior bowel wall from one fixed grasp of the needle holder. The half-ellipse needle(SZT) resembles one half of an ellipse, which is expressed as X /S2 + N2 =1 (0.5< S <0.75). 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- πxis). With both needles, 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. Thus, submucosal tearing can be prevented, even in the case of an entire Gambee suture from one fixed grasp of the needle holder.
I have also devised a special fishing hook-style barb feature(τV) for all suturing needle tips, which allows an operator to perform an entire Gambee stitch of the anterior bowel wall from one fixed grasp of the needle holder. Here, the barb keeps the submucosal tissue of the anterior bowel wall contralateral to the needle holder from slipping off the needle(Ν— »M). The barb does not interfere with the intended directional movement, but prevents the undesirable slipping-off of the submucosal tissue. As a result, the submucosal tissue contralateral from the needle holder can be stitched firmly.
f Brief Description of Drawings ]
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. Each detailed portion is illustrated as. SZT : Half-ellipse shape. U#ZWV : Half-running-track shape. : Fishing hook-style barb feature for all suturing needle tips. ΛBCDEFGH : 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.
[ Modes for Carrying Out the Utility ]
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 ]
With my half-ellipse needle and half-track needle as well as my barb-tip needle feature, operators can save a lot of time and effort formerly required by other common needles in a Gambee suture. 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.
Claims
[ Claims ] [ Claim 1 ] 1 . The half-ellipse suturing needle(SZT curve) resembles one half of an ellipse which is expressed as X2/S2 + N2 =1 (0.5< S <0.75). This needle has a shorter distance between its ends(S-T) than a common half-circle needle(Q-R). and thus can prevent tearing of the submucosa ipsilateral from the needle holder(A-GI I ) during an entire Gambee stitch on the posterior bowel wall.
[ Claim 2 ] 2. The half-track needle(U#ZWV curve) resembles the abo╬╗ e hal f-ellipse needle(Claim 1 ) on the two convex quarters(#ZW curve), but its tw o terminal quarters(U# and VW) are straightened parallel to its longest diameter(Y-axis ). This needle also has a shorter distance between its ends, so that one fixed grasp of the needle holder allows for an entire Gambee stitch on the posterior bow el wall.
[ Claim 3 ]
3. The special fishing hook-style barb feature(W) is located near the mid- portion of the tapering distal half of both suturing needles(An additional feature lo claim 1 and 2). This barb, which is applicable to all suturing needles includim- a commonly used half-circle needle, does not interfere with the intended directional movement, but prevents the undesirable slip-off of the anterior w l l submucosa(Ν— M) contralateral from the needle holder during an entire Gambee stitch.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU47941/97A AU4794197A (en) | 1997-10-29 | 1997-10-29 | Suture needle |
PCT/KR1997/000205 WO1999021488A1 (en) | 1997-10-29 | 1997-10-29 | Suture needle |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/KR1997/000205 WO1999021488A1 (en) | 1997-10-29 | 1997-10-29 | Suture needle |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1999021488A1 true WO1999021488A1 (en) | 1999-05-06 |
Family
ID=19494211
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/KR1997/000205 WO1999021488A1 (en) | 1997-10-29 | 1997-10-29 | Suture needle |
Country Status (2)
Country | Link |
---|---|
AU (1) | AU4794197A (en) |
WO (1) | WO1999021488A1 (en) |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7371253B2 (en) | 2002-08-09 | 2008-05-13 | Quill Medical, Inc. | Suture anchor and method |
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 |
US8876865B2 (en) | 2008-04-15 | 2014-11-04 | Ethicon, Inc. | Self-retaining sutures with bi-directional retainers or uni-directional retainers |
US8875607B2 (en) | 2008-01-30 | 2014-11-04 | Ethicon, Inc. | Apparatus and method for forming self-retaining sutures |
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 |
US8926659B2 (en) | 2001-08-31 | 2015-01-06 | Ethicon, Inc. | Barbed suture created having barbs defined by variable-angle cut |
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)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1986003396A1 (en) * | 1984-12-10 | 1986-06-19 | Franca Fernando E | Surgical needle |
EP0216538A1 (en) * | 1985-09-06 | 1987-04-01 | MICRA Ltd. | Surgical needle |
US5059207A (en) * | 1990-08-27 | 1991-10-22 | Shah Mrugesh K | Shaped needles for specialized surgical procedures |
-
1997
- 1997-10-29 WO PCT/KR1997/000205 patent/WO1999021488A1/en active Application Filing
- 1997-10-29 AU AU47941/97A patent/AU4794197A/en not_active Abandoned
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1986003396A1 (en) * | 1984-12-10 | 1986-06-19 | Franca Fernando E | Surgical needle |
EP0216538A1 (en) * | 1985-09-06 | 1987-04-01 | MICRA Ltd. | Surgical needle |
US5059207A (en) * | 1990-08-27 | 1991-10-22 | Shah Mrugesh K | Shaped needles for specialized surgical procedures |
Cited By (29)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8926659B2 (en) | 2001-08-31 | 2015-01-06 | Ethicon, Inc. | Barbed suture created having barbs defined by variable-angle cut |
US8690914B2 (en) | 2002-08-09 | 2014-04-08 | Ethicon, Inc. | Suture with an intermediate barbed body |
US7371253B2 (en) | 2002-08-09 | 2008-05-13 | Quill Medical, Inc. | Suture anchor and method |
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 |
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 |
US10441270B2 (en) | 2008-11-03 | 2019-10-15 | 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 |
US11234689B2 (en) | 2008-11-03 | 2022-02-01 | Ethicon, Inc. | Length of self-retaining suture and method and device for using the same |
US11234692B2 (en) | 2010-05-04 | 2022-02-01 | Cilag Gmbh International | Self-retaining system having laser-cut retainers |
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 |
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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