US3273562A - Skin and surgical clips - Google Patents

Skin and surgical clips Download PDF

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Publication number
US3273562A
US3273562A US273791A US27379163A US3273562A US 3273562 A US3273562 A US 3273562A US 273791 A US273791 A US 273791A US 27379163 A US27379163 A US 27379163A US 3273562 A US3273562 A US 3273562A
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skin
clip
wound
surgical clips
bail
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US273791A
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Marthe E Brown
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Priority claimed from US10595A external-priority patent/US3098232A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/083Clips, e.g. resilient
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00Buckles, buttons, clasps, etc.
    • Y10T24/49Fastener destructively secured by reshaping distortion force [e.g., ductile fastener]

Definitions

  • This invention relates to a method and means for bringing together separated sections of skin heretofore achieved by taking stitches into the skin, and it relates further to elements for use in the practice of same.
  • Such stitching operation constitutes a rather painful procedure which lasts a considerable period of time.
  • it requires the services of both hands of one or more physicians to hold the separated sections of the skin together, to thread the needle, to pass the needle through adjacent edge portions of the severed skin layer, to tie the thread with the desired tension to close the stitch, and then to sever the loose ends of the threads when the stitch has been completed. All of this leads to the utilization of considerable time in the surgical operation, coupled with interferences of a bleeding wound. Time is a factor in a bleeding Wound, and freedom of the hands of the physician is a factor in the best care of the wound.
  • a further object is to produce skin clips for use in clipping the skin together to close a wound.
  • FIG. 1 is a plan view of a clip adapted to be used with the clip applicator
  • FIG. 2 is a plan View of a clip as shaped when applied to a wound
  • FIG. 3 is a front view of a clip employed in the practice of this invention.
  • the important feature of this invention resides in the clips 30 used with a clip applicator. As seen in FIGS. 1,
  • the clip is formed from sheet material, preferably metal, and in this particular embodiment the body is planar and generally U-shaped, with a rear web or bail portion 68 and forwardly extending leg portions 70.
  • This arrangement is desirable because it is simple and inexpensive.
  • the bail portion 68 is of lesser width at its central portion than at the end portions to define a central area of weakness for bending when the arms are displaced in the direction towards each other.
  • a pair of points or spicules 72 are inclined downward and toward each other from the front edge 71 of each clip.
  • a skin clip comprising a flat, sheet metal member which is deformable and which remains in the shape to which it is deformed consisting of a crosswise extending bail por tion, an elongate arm extending forwardly perpendicularly from each of the outer ends of said bail portion, said bail portion and arms having fiat top and bottom surfaces of substantial width by comparison With the depths between said top and bottom surfaces and with each arm having a forward end portion and inner and outer lateral edges throughout the lengths thereof, spicules integral with the inner edges of each arm in the forward end portion thereof and extending inwardly in the direction towards each other and angularly downwardly beyond the plane formed by the bottom walls of the arms, the forward edge of said crosswise extending bail being tapered rearwardly from the outer ends inwardly towards the center to provide a bail of decreasing width from the outer ends towards the center of the bail.

Description

Sept. 20, 1966 A. M. BROWN SKIN AND SURGICAL CLIPS Original Filed Feb. 24. 1960 N VE N TOR Adolph/14. Brown United States Patent 3,273,562 SIGN AND SURGICAL CUPS Adolph M. Brown, deceased, late of Beverly Hills, Calif., by Marthe E. Brown, administratrix, Beverly Hills, Calif., assignor of twenty percent to Rene G. Le Vaux and twenty percent to Ernest C. Wood Original application Feb. 24, 1960, Ser. No. 10,595, now Patent No. 3,098,232, dated July 23, 1963. Divided and this application Apr. 17, 1963, Ser. No. 273,791
ll (Ilairn. ((li. l28337) This application is a division of copending application Ser. No. 10,595, filed Feb. 24, 1960, entitled Means and Method for Suturing Wounds and Elements for Use in Same, now Patent No. 3,098,232.
This invention relates to a method and means for bringing together separated sections of skin heretofore achieved by taking stitches into the skin, and it relates further to elements for use in the practice of same.
To the present, when laceration or incision of a skin layer occurs in wounds or the like, it has been the practice to stitch the separated sections of the skin together for the purpose of reducing scar formation and to accelerate healing of the wound. Such stitching operation constitutes a surgical operation wherein the separated sections of the skin are brought together and then stitched, as by a needle and thread, to hold the separated sections together until the wound has healed. When sufiicient time has elapsed, such as from -7 days, the stitches are removed by pulling the stitches from the wound after the threads have been severed.
Such stitching operation constitutes a rather painful procedure which lasts a considerable period of time. In addition, it requires the services of both hands of one or more physicians to hold the separated sections of the skin together, to thread the needle, to pass the needle through adjacent edge portions of the severed skin layer, to tie the thread with the desired tension to close the stitch, and then to sever the loose ends of the threads when the stitch has been completed. All of this leads to the utilization of considerable time in the surgical operation, coupled with interferences of a bleeding wound. Time is a factor in a bleeding Wound, and freedom of the hands of the physician is a factor in the best care of the wound.
It is an object of this invention to provide a method and means for quickly and efiiciently bringing the adjacent edge portions of severed sections of the skin together for closing Wounds and for holding the sections together until healed.
A further object is to produce skin clips for use in clipping the skin together to close a wound.
These and other objects and advantages of this invention will hereinafter appear and for purposes of illustration, but not of limitation, embodiments of the invention are shown in the accompanying drawings, in which:
FIG. 1 is a plan view of a clip adapted to be used with the clip applicator;
FIG. 2 is a plan View of a clip as shaped when applied to a wound;
FIG. 3 is a front view of a clip employed in the practice of this invention.
The important feature of this invention resides in the clips 30 used with a clip applicator. As seen in FIGS. 1,
ice
2 and 3, the clip is formed from sheet material, preferably metal, and in this particular embodiment the body is planar and generally U-shaped, with a rear web or bail portion 68 and forwardly extending leg portions 70. This arrangement is desirable because it is simple and inexpensive. The bail portion 68 is of lesser width at its central portion than at the end portions to define a central area of weakness for bending when the arms are displaced in the direction towards each other.
A pair of points or spicules 72 are inclined downward and toward each other from the front edge 71 of each clip.
With these arrangements, pressure on the sides of the clip sulficient to bend the leg portions 70, see FIG. 2, would cause points 72 on the legs to move toward each other. When the clip is pressed onto a wound, pressure on the sides of the clip causes tthe points to penetrate the skin to bring the margins together. While in position of use, the body of the clip is free of the skin. This is important because it permits a suitable clip remover to be inserted between the leg portions for separation of the legs and removal of the clips from the skin without exerting any pressure on the wound.
The invention may be embodied in other forms Without departing from the spirit or essential characteristics thereof as set forth in the claim, and the present embodiment is therefore to be considered as illustrative and not restrictive and it is intended to include all changes which come Within the scope and range of the claim.
What is claimed is:
A skin clip comprising a flat, sheet metal member which is deformable and which remains in the shape to which it is deformed consisting of a crosswise extending bail por tion, an elongate arm extending forwardly perpendicularly from each of the outer ends of said bail portion, said bail portion and arms having fiat top and bottom surfaces of substantial width by comparison With the depths between said top and bottom surfaces and with each arm having a forward end portion and inner and outer lateral edges throughout the lengths thereof, spicules integral with the inner edges of each arm in the forward end portion thereof and extending inwardly in the direction towards each other and angularly downwardly beyond the plane formed by the bottom walls of the arms, the forward edge of said crosswise extending bail being tapered rearwardly from the outer ends inwardly towards the center to provide a bail of decreasing width from the outer ends towards the center of the bail.
References Cited by the Examiner UNITED STATES PATENTS 733,723 7/1903 Lukens 128-337 816,026 3/1906 Meier 128-337 2,329,440 9/1943 La Place 1-56 X 2,817,339 12/1957 Sullivan 128-337 X 3,006,344 10/1961 Vogelfanger 128334 X RICHARD A. GAUDET, Primary Examiner. D. L. TRULUCK, Assistant Examiner.
US273791A 1960-02-24 1963-04-17 Skin and surgical clips Expired - Lifetime US3273562A (en)

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US273791A US3273562A (en) 1960-02-24 1963-04-17 Skin and surgical clips

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10595A US3098232A (en) 1960-02-24 1960-02-24 Surgical clip applicator
US273791A US3273562A (en) 1960-02-24 1963-04-17 Skin and surgical clips

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Cited By (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3583397A (en) * 1968-09-25 1971-06-08 George A Baddour Finger traction device
US3586002A (en) * 1968-01-08 1971-06-22 Ernest C Wood Surgical skin clip
FR2456505A1 (en) * 1979-05-14 1980-12-12 Senco Products SURGICAL STAPLE WITH FLATS ON ITS SURROUNDING
DE3443367A1 (en) * 1983-12-01 1985-06-13 Robert B. Cedar Crest N.Mex. Cushman SURGICAL MICROCLIP
US4610250A (en) * 1985-10-08 1986-09-09 United States Surgical Corporation Two-part surgical fastener for fascia wound approximation
DE3523015A1 (en) * 1985-06-27 1987-01-02 Patrik Dr Med Gruendler Device for the fixation of a corneal transplant in the human eye
EP0389102A1 (en) * 1989-02-22 1990-09-26 United States Surgical Corporation Skin fastener
US4994073A (en) * 1989-02-22 1991-02-19 United States Surgical Corp. Skin fastener
US5089009A (en) * 1989-06-27 1992-02-18 United States Surgical Corporation Inwardly biased skin fastener
US5342376A (en) * 1993-05-03 1994-08-30 Dermagraphics, Inc. Inserting device for a barbed tissue connector
US5593423A (en) * 1990-10-22 1997-01-14 United States Surgical Corporation Skin fastener
US5658312A (en) * 1990-10-22 1997-08-19 United States Surgical Corporation Skin fastener
US5941890A (en) * 1998-06-26 1999-08-24 Ethicon Endo-Surgery, Inc. Implantable surgical marker
US6241747B1 (en) 1993-05-03 2001-06-05 Quill Medical, Inc. Barbed Bodily tissue connector
US20010037120A1 (en) * 2000-03-07 2001-11-01 Metacardia, Inc. Everting staple devices and methods
US6425903B1 (en) 2000-05-09 2002-07-30 James W. Voegele Implantable surgical marker
US20020111641A1 (en) * 2001-01-08 2002-08-15 Incisive Surgical, Inc. Bioabsorbable surgical clip with engageable expansion structure
US6599310B2 (en) 2001-06-29 2003-07-29 Quill Medical, Inc. Suture method
US20040030354A1 (en) * 2002-08-09 2004-02-12 Leung Jeffrey C. Suture anchor and method
US20040237736A1 (en) * 2001-08-31 2004-12-02 Genova Perry A. Method of forming barbs on a suture and apparatus for performing same
US20060111734A1 (en) * 2001-06-29 2006-05-25 Andrew Kaplan Suture method
US20070162030A1 (en) * 2006-01-06 2007-07-12 Ernest Aranyi Multi-pronged compressive absorbable tack
US20070278277A1 (en) * 2006-05-19 2007-12-06 Applied Medical Resources Corporation Surgical stapler
US20080277445A1 (en) * 2007-05-07 2008-11-13 Zergiebel Earl M Single fire tacker instrument
US20080281353A1 (en) * 2007-05-10 2008-11-13 Ernest Aranyi Powered tacker instrument
US20090032568A1 (en) * 2005-06-03 2009-02-05 Tyco Healthcare Group Lp Battery powered surgical instrument
US7624487B2 (en) 2003-05-13 2009-12-01 Quill Medical, Inc. Apparatus and method for forming barbs on a suture
US7648055B2 (en) 2007-03-15 2010-01-19 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
US20100153335A1 (en) * 2008-12-12 2010-06-17 Microsoft Corporation Synchronizing multiple classes with disparate schemas in the same collection
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US20100298871A1 (en) * 2004-05-14 2010-11-25 Quill Medical, Inc. Self-retaining wound closure device including an anchoring loop
US7870989B2 (en) 2005-06-03 2011-01-18 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US8118834B1 (en) 2007-12-20 2012-02-21 Angiotech Pharmaceuticals, Inc. Composite self-retaining sutures and method
US20120150240A1 (en) * 2009-07-31 2012-06-14 Medoff Robert J Locking pin plate assembly adapted for fracture fixation
US8216273B1 (en) 2008-02-25 2012-07-10 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
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US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
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
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
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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
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Cited By (226)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3586002A (en) * 1968-01-08 1971-06-22 Ernest C Wood Surgical skin clip
US3583397A (en) * 1968-09-25 1971-06-08 George A Baddour Finger traction device
FR2456505A1 (en) * 1979-05-14 1980-12-12 Senco Products SURGICAL STAPLE WITH FLATS ON ITS SURROUNDING
US4261244A (en) * 1979-05-14 1981-04-14 Senco Products, Inc. Surgical staple
DE3443367A1 (en) * 1983-12-01 1985-06-13 Robert B. Cedar Crest N.Mex. Cushman SURGICAL MICROCLIP
FR2557448A1 (en) * 1983-12-01 1985-07-05 Kirsch Wolf SURGICAL MICROPHONE AND METHOD FOR RECIPROCAL APPLICATION OF TISSUES USING SUCH A CLAMP
DE3523015A1 (en) * 1985-06-27 1987-01-02 Patrik Dr Med Gruendler Device for the fixation of a corneal transplant in the human eye
US4610250A (en) * 1985-10-08 1986-09-09 United States Surgical Corporation Two-part surgical fastener for fascia wound approximation
EP0389102A1 (en) * 1989-02-22 1990-09-26 United States Surgical Corporation Skin fastener
US4994073A (en) * 1989-02-22 1991-02-19 United States Surgical Corp. Skin fastener
US5089009A (en) * 1989-06-27 1992-02-18 United States Surgical Corporation Inwardly biased skin fastener
US5658312A (en) * 1990-10-22 1997-08-19 United States Surgical Corporation Skin fastener
US5593423A (en) * 1990-10-22 1997-01-14 United States Surgical Corporation Skin fastener
US7226468B2 (en) 1993-05-03 2007-06-05 Quill Medical, Inc. Barbed bodily tissue connector
US20070208355A1 (en) * 1993-05-03 2007-09-06 Ruff Gregory L Barbed tissue connector
US6241747B1 (en) 1993-05-03 2001-06-05 Quill Medical, Inc. Barbed Bodily tissue connector
US7806908B2 (en) 1993-05-03 2010-10-05 Quill Medical, Inc. Barbed tissue connector
US5342376A (en) * 1993-05-03 1994-08-30 Dermagraphics, Inc. Inserting device for a barbed tissue connector
US8246652B2 (en) 1993-05-03 2012-08-21 Ethicon, Inc. Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
US20040093028A1 (en) * 1993-05-03 2004-05-13 Ruff Gregory L. Barbed bodily tissue connector
US20080221617A1 (en) * 1993-05-03 2008-09-11 Quill Medical, Inc. Barbed tissue connector
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US5941890A (en) * 1998-06-26 1999-08-24 Ethicon Endo-Surgery, Inc. Implantable surgical marker
US6916327B2 (en) * 2000-03-07 2005-07-12 Metacardia, Inc. Device for creating an anastomosis, including penetration structure and eversion structure
US20010037120A1 (en) * 2000-03-07 2001-11-01 Metacardia, Inc. Everting staple devices and methods
US6425903B1 (en) 2000-05-09 2002-07-30 James W. Voegele Implantable surgical marker
US20020111641A1 (en) * 2001-01-08 2002-08-15 Incisive Surgical, Inc. Bioabsorbable surgical clip with engageable expansion structure
US20060111734A1 (en) * 2001-06-29 2006-05-25 Andrew Kaplan Suture method
US8747437B2 (en) 2001-06-29 2014-06-10 Ethicon, Inc. Continuous stitch wound closure utilizing one-way suture
US8764776B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Anastomosis method using self-retaining sutures
US20070208377A1 (en) * 2001-06-29 2007-09-06 Andrew Kaplan Suture Method
US8777989B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Subcutaneous sinusoidal wound closure utilizing one-way suture
US7056331B2 (en) 2001-06-29 2006-06-06 Quill Medical, Inc. Suture method
US7857829B2 (en) 2001-06-29 2010-12-28 Quill Medical, Inc. Suture method
US8764796B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Suture method
US6599310B2 (en) 2001-06-29 2003-07-29 Quill Medical, Inc. Suture method
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