US3825009A - Method of surgically repairing damaged ear drums - Google Patents

Method of surgically repairing damaged ear drums Download PDF

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Publication number
US3825009A
US3825009A US00325245A US32524573A US3825009A US 3825009 A US3825009 A US 3825009A US 00325245 A US00325245 A US 00325245A US 32524573 A US32524573 A US 32524573A US 3825009 A US3825009 A US 3825009A
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annulus
graft
repairing damaged
clips
tympanoplastic
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US00325245A
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J Williams
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00—Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
    • A61F11/20—Ear surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/18—Internal ear or nose parts, e.g. ear-drums
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/18—Internal ear or nose parts, e.g. ear-drums
    • A61F2002/183—Ear parts

Definitions

  • FIGURE l 2 LEGEND MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFT McGEE STAPES WIRE CLOSURE FORCEPS (RICHARDS MFG. CO.)
  • the invention to be described relates primarily to a method by which tympanoplastic grafting material can be securely fashioned within the ear surgery.
  • the most popular method of grafting ear drums has been to place the grafting material on the lateral surface of the ear drum and pack it tightly into position.
  • the latter method has gained great popularity in the last 5 years,
  • the one deficiency with medial grafting has been a lack of methods available to secure the position of a graft at surgery.
  • Methods in the past have primarily utilized the support of the graft interiorly with pledgettes of reconstituted protein called Glefoam.
  • the small clips A utilized in the inventive concept are fashioned from No. 34 stainless steel wire which was wrapped about an 18 gauge suction needle, the resultant spring was cut longitudinally.
  • the resultant clips better described as Microclips, see A, FIG. 1, were then flattened out and trimmed to a two-thirds full circle.
  • the clip was then loaded in a Stapes prosthesis crimper D as in FIG. 2.
  • the pars tensa and/or annular remnant, illustrated as B in FIG. 2 is suitably exposed.
  • the tympanoplastic graft C is then positioned through a posterior tympanotomy incision so that it is medial to the annulus and malleus.
  • a conventional 20 gauge sucker or vacuum means is then used to bring the leading edge of the graft to the edge of the perforation or annular remnant area of the tympanic fibrous annulus B.
  • the clip A is then applied around the annulus and graft in locations corresponding to the 1, 3 and 6 oclock positions.
  • the method of repairing damaged ear drums by tympanoplastic grafting comprising the steps of, exposing the area of the pars tensa and annular remnant by a posterior tympanotomy incision, positioning the graft on the tympanic fiburous annulus so that it is medial to the annulus and malleus tissue, attaching said graft to said annulus by inserting through the tissues of the junction of the graft and the annulus, at least three metal surgical micro-clips of substantially C-shape and of a diameter of approximately 1.5 mm. at positions near the l, 3 and 6 oclock locations, mechanically closing said clips to join and hold the enclosed tissues,

Abstract

A method of fabrication and application of a small metallic clip which is utilized to attach tympanoplastic material securely into position during ear surgery is described.

Description

United States Patent Williams 1451 July 23, 1974 METHOD OF SURGICALLY REPAIRING 1,045,917 12/1912 Valiquet 3/1 ux DAMAGED EAR DRUMS 3,273,562 9/1966 Brown.. 128/337 3,446,212 5/1969 Leroy... 128/325 [76] Inventor: John David Willlams, 372W Star 3 71 ,053 2 1973 Tanner [28/337 Route A, Anchorage, Ala. 99507 El d: M 19 73 [22] 1c M 19 Primary Examiner-Aldrich F. Medbery [21] Appl. No.: 325,245
[52] US. Cl 128/334 R, 3/1, 128/325, 0
2 /337 [57] ABSTRACT [51] Int. Cl A61b 17/04 v [58] Field of Search 128/334 R, 335, 325, 337; A method of fabrication and application of a small 3/1 metallic clip which is utilized to attach tympanoplastic I material securely into position during ear surgery is [56] vReferences Cited described. 1
UNITED STATES PATENTS '1 816,026 3/1906 Meier 128/337 1 Claim, 2 Drawing Figures FIGURE v2 LEGEND RICHARDS MFG. CO.)
MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFTE McGEE STAPES WIRE CLOSURE FORCEPS PATENIEDJULZBIBH 7 3.825.009
FIGURE l FIGURE 2 LEGEND MICROCLIP 34 STAINLESS STEEL WIRE) TYMPANIC FIBROUS ANULUS TYMPANOPLASTIC GRAFT McGEE STAPES WIRE CLOSURE FORCEPS (RICHARDS MFG. CO.)
BACKGROUND OF THE INVENTION The invention to be described relates primarily to a method by which tympanoplastic grafting material can be securely fashioned within the ear surgery. For many years, the most popular method of grafting ear drums has been to place the grafting material on the lateral surface of the ear drum and pack it tightly into position. Because of difficulty with lateral grafting and, in general, better results obtained with medial grafting, the latter method has gained great popularity in the last 5 years, The one deficiency with medial grafting has been a lack of methods available to secure the position of a graft at surgery. Methods in the past have primarily utilized the support of the graft interiorly with pledgettes of reconstituted protein called Glefoam.
SUMMARY OF THE INVENTION The small clips A utilized in the inventive concept are fashioned from No. 34 stainless steel wire which was wrapped about an 18 gauge suction needle, the resultant spring was cut longitudinally. The resultant clips, better described as Microclips, see A, FIG. 1, were then flattened out and trimmed to a two-thirds full circle. The clip was then loaded in a Stapes prosthesis crimper D as in FIG. 2. As further denoted in FIG. 2, the pars tensa and/or annular remnant, illustrated as B in FIG. 2, is suitably exposed. The tympanoplastic graft C is then positioned through a posterior tympanotomy incision so that it is medial to the annulus and malleus. A conventional 20 gauge sucker or vacuum means is then used to bring the leading edge of the graft to the edge of the perforation or annular remnant area of the tympanic fibrous annulus B. The clip A is then applied around the annulus and graft in locations corresponding to the 1, 3 and 6 oclock positions.
I claim:
l. The method of repairing damaged ear drums by tympanoplastic grafting comprising the steps of, exposing the area of the pars tensa and annular remnant by a posterior tympanotomy incision, positioning the graft on the tympanic fiburous annulus so that it is medial to the annulus and malleus tissue, attaching said graft to said annulus by inserting through the tissues of the junction of the graft and the annulus, at least three metal surgical micro-clips of substantially C-shape and of a diameter of approximately 1.5 mm. at positions near the l, 3 and 6 oclock locations, mechanically closing said clips to join and hold the enclosed tissues,
and permitting the junction to heal to an attachment.

Claims (1)

1. The method of repairing damaged ear drums by tympanoplastic grafting comprising the steps of, exposing the area of the pars tensa and annular remnant by a posterior tympanotomy incision, positioning the graft on the tympanic fiburous annulus so that it is medial to the annulus and malleus tissue, attaching said graft to said annulus by inserting through the tissues of the junction of the graft and the annulus, at least three metal surgical micro-clips of substantially C-shape and of a diameter of approximately 1.5 m.m. at positions near the 1, 3 and 6 o''clock locations, mechanically closing said clips to join and hold the enclosed tissues, and permitting the junction to heal to an attachment.
US00325245A 1973-03-19 1973-03-19 Method of surgically repairing damaged ear drums Expired - Lifetime US3825009A (en)

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Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4505273A (en) * 1982-02-10 1985-03-19 Intermedicat Gmbh Surgical staple
DE3443367A1 (en) * 1983-12-01 1985-06-13 Robert B. Cedar Crest N.Mex. Cushman SURGICAL MICROCLIP
US6309419B1 (en) * 1999-03-26 2001-10-30 Johns Hopkins University Tympanic membrane prosthesis with mechanical fixation
WO2002030298A1 (en) * 2000-10-10 2002-04-18 Coalescent Surgical, Inc. Minimally invasive annuloplasty procedure and apparatus
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with Tines, System and Method of Using Same
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7976556B2 (en) 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US8029519B2 (en) 2003-08-22 2011-10-04 Medtronic, Inc. Eversion apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4505273A (en) * 1982-02-10 1985-03-19 Intermedicat Gmbh Surgical staple
DE3443367A1 (en) * 1983-12-01 1985-06-13 Robert B. Cedar Crest N.Mex. Cushman SURGICAL MICROCLIP
US4586503A (en) * 1983-12-01 1986-05-06 University Of New Mexico Surgical microclip
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US8353921B2 (en) 1999-03-01 2013-01-15 Medtronic, Inc Tissue connector apparatus and methods
US7892255B2 (en) 1999-03-01 2011-02-22 Medtronic, Inc. Tissue connector apparatus and methods
US6309419B1 (en) * 1999-03-26 2001-10-30 Johns Hopkins University Tympanic membrane prosthesis with mechanical fixation
US8211131B2 (en) 1999-04-05 2012-07-03 Medtronic, Inc. Apparatus and methods for anastomosis
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US8353092B2 (en) 2000-03-31 2013-01-15 Medtronic, Inc. Multiple bias surgical fastener
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
WO2002030298A1 (en) * 2000-10-10 2002-04-18 Coalescent Surgical, Inc. Minimally invasive annuloplasty procedure and apparatus
US7914544B2 (en) 2000-10-10 2011-03-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6918917B1 (en) 2000-10-10 2005-07-19 Medtronic, Inc. Minimally invasive annuloplasty procedure and apparatus
US7976556B2 (en) 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US8066724B2 (en) 2002-09-12 2011-11-29 Medtronic, Inc. Anastomosis apparatus and methods
US8298251B2 (en) 2002-10-04 2012-10-30 Medtronic, Inc. Anastomosis apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US8029519B2 (en) 2003-08-22 2011-10-04 Medtronic, Inc. Eversion apparatus and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US8518060B2 (en) 2009-04-09 2013-08-27 Medtronic, Inc. Medical clip with radial tines, system and method of using same
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with Tines, System and Method of Using Same
US8668704B2 (en) 2009-04-24 2014-03-11 Medtronic, Inc. Medical clip with tines, system and method of using same

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