United States Patent m
Hirsch et al.
IIIIIIIIIIIIIIII
US005368599A
[ii] Patent Number: 5,368,599 [45] Date of Patent: Nov. 29,1994
[73]
[21] [22]
[51] [52]
[58]
SUGICAL FASTENING APPARATUS WITH SUTURE ARRAY
Inventors: Leon C. Hirsch; David T. Green, both of Westport; Henry Bolanos, East Norwalk, all of Conn.; Wayne P. Young, Brewster, N.Y.; Dorainick L. Mastri, Bridgeport, Conn.; Lisa W. Heaton, Norwalk, Conn.; Mark E. Alari, Derby, Conn.
Assignee: United States Surgical Corporation, Norwalk, Conn.
Appl. No.: 958,392
Filed: Oct. 8,1992
Int. C1.5 A61B 17/00
U.S. CI 606/139; 606/144;
227/175; 227/176; 227/180; 227/181
Field of Search : 606/69-71,
606/75, 139, 142, 143, 144, 148, 150, 151, 213, 215, 216, 220, 221; 227/175-178, 180, 181, 901,
19; 128/898
References Cited U.S. PATENT DOCUMENTS 1,577,054 3/1926 Berkmann .
2,387,131 10/1945 Fernandez 606/216
4,016,884 4/1977 Kwan-Gett 606/151
4,232,810 11/1980 Russell . 4,310,115 1/1982 Inoue . 4,354,628 10/1982 Green . 4,414,908 11/1983 Eguchi et al. . 4,417,532 11/1983 Yasukata . 4,440,171 4/1984 Nomato et al. . 4,465,070 8/1984 Eguchi . 4,506,671 3/1985 Green . 4,512,346 4/1985 Lemale .
4,519,392 5/1985 Lingua 606/157
4,553,544 11/1985 Nomoto et al. . 4,593,843 10/1986 Saravis . 4,665,916 5/1987 Green .
4,702,250 10/1987 Ovil et al 606/148
4,703,887 11/1987 Clanton et al. . 4,747,358 5/1988 Moll et al. .
4,749,114 6/1988 Green 227/19
4,753,237 6/1988 Puchy .
4,754,758 7/1988 Li 606/213
4,773,420 9/1988 Green .
4,777,949 10/1988 Perlin 24/546
4,817,847 4/1989 Redtenbacher et al. .
4,819,853 4/1989 Green .
4,821,939 4/1989 Green 227/19
4,881,545 11/1989 Issacs et al. .
4,889,110 12/1989 Galline et al 606/69
4,890,612 1/1990 Kensey .
4,930,674 6/1990 Barak 227/180
4,961,741 10/1990 Hayhurst .
5,005,749 4/1991 Aranyi .
5,005,754 4/1991 Van Overloop .
5,037,021 8/1991 Mills et al. .
5,047,047 9/1991 Yoon .
5,059,201 10/1991 Asnis .
5,100,042 3/1992 Gravener .
5,108,421 4/1992 Fowler .
5,116,349 5/1992 Aranyi .
5,129,912 7/1992 Noda et al. .
5,137,198 8/1992 Nobis et al 227/19
5,179,964 1/1993 Cook .
5,188,636 2/1993 Fedotov 606/139
5,242,457 9/1993 Akapov et al. .
5,263,629 11/1993 Trumbull et al 606/151
OTHER PUBLICATIONS
"United States Surgical Corporation Information Booklet for Auto Suture @ Purse String Instrument", Copyright 1977, 1978, United States Surgical Corporation. Article reprinted from Contemporary OB/GYN, Aug. 1991, describing the use of surgical staplers for Cesarean sections.
Brochure regarding Surgical Stapling Techniques in performing Cesarean sections.
Primary Examiner—Stephen C. Pellegrino Assistant Examiner—Jeffrey A. Schmidt
[57] ABSTRACT
An apparatus for simultaneously applying to body tissue at least one surgical suture in conjunction with a plurality of surgical fasteners arranged end to end in rows. The apparatus preferably includes a knife for making an incision in the body tissue sealed in each side by at least one row of fasteners. The fasteners are two-part fasteners fabricated from bioabsorbable material. The incision is closed by pulling the ends of the suture(s).
63 Claims, 16 Drawing Sheets
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