Plastic surgical staple

• US 4,317,451 A
• Filed: 02/19/1980
• Issued: 03/02/1982
• Est. Priority Date: 02/19/1980
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Cerwin, Robert J., McVay, William P.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): SHEDD, CHARLES W
• Application Number:
  US06/122,557
• Time in Patent Office: 742 Days
• Field of Search: 128/325, 128/326, 128/330, 128/334 R, 128/335, 128/336, 128/337, 227/19, 227/119, 227/DIG. 1, 411/457, 411/471, 411/472, 411/473, 411/475, 29/243.56, 29/816
• US Class Current: 606/220
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61L 31/048 obtained by reactions only involving carbon-to-carbon unsaturated bonds A61L31/041 takes precedence
• CPC Class Codes: A61L 31/06 obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds A61L31/041 takes precedence
• CPC Class Codes: C08L 23/12 Polypropene
• CPC Class Codes: C08L 67/00 Compositions of polyesters obtained by reactions forming a carboxylic ester link in the main chain of polyester-amides C08L77/12; of polyester-imides C08L79/08; Compositions of derivatives of such polymers
• CPC Class Codes: C08L 67/04 Polyesters derived from hydroxycarboxylic acids, e.g. lactones C08L67/06 takes precedence
• CPC Class Codes: C08L 77/00 Compositions of polyamides obtained by reactions forming a carboxylic amide link in the main chain of polyhydrazides C08L79/06; of polyamideimides or polyamide acids C08L79/08; Compositions of derivatives of such polymers
• CPC Class Codes: C08L 77/02 Polyamides derived from omega-amino carboxylic acids or from lactams thereof C08L77/10 takes precedence
• CPC Class Codes: C08L 81/06 Polysulfones; Polyethersulfones
• CPC Class Codes: F16B 15/0015 Staples

Abstract

A one-piece, self-locking, molded plastic staple useful as a tissue fixation device in surgical procedures. The staple has opposed, pointed, L-shaped legs secured to a horizontal bridging member. Each leg has an extension which is engaged by a locking bar extending between the extensions when the staple is closed by forcing the legs through a 90° arc. The staples may be extruded or molded of absorbable or nonabsorbable polymeric materials.

Claims

1. A one-piece, self-locking, plastic surgical staple comprising, in a vertical plane,

a horizontal bridging member spanning the width of the staple and terminating at each end in an upward extending staple leg support member,

an L-shaped staple leg extending horizontally outward and downward from each leg support member and terminating in a tissue-piercing point,

a staple leg extension extending inwardly from each staple leg at the leg support member and terminating with a space between opposing ends of said extensions,

a center post extending vertically upward from said bridging member and through said space between the opposing ends of said extensions, and

a horizontal staple leg locking bar secured to said center post and extending horizontally in a closely spaced relationship adjacent said staple leg extensions and staple leg support members,

said staple leg support members and staple legs secured thereto being pivotable with respect to said horizontal bridging member to close said staple legs, whereupon said staple leg extensions deflect said locking bar and are thereafter engaged by said locking bar to maintain said staple legs in their closed position.

2. The staple of claim 1 wherein an integral hinge is provided at the juncture of each staple leg support member and said horizontal bridging member.

3. The staple of claim 1 wherein a relief groove is provided at each juncture of the locking bar and the center post.

4. A staple of claim 1 wherein the length of said locking bar is coextensive with the width of said horizontal bridging member and the length of said leg support members.

5. The staple of claim 1 wherein each staple leg extension is tapered away from the locking bar.

6. The staple of claim 1 having members of a generally rectangular cross section.

7. The staple of claim 1 wherein the staple leg members have a circular cross section.

8. The staple of claim 1 wherein said staple leg members are adapted to pivot 90°

with respect to said horizontal bridging member, and said staple leg extensions bypass said locking bar and are thereafter engaged by the ends of said locking bar to maintain said staple legs in their closed position.

9. The staple of claim 8 wherein said leg extensions and the ends of said locking bar are provided with interlocking means which are engaged when the staple is closed.

10. The staple of claim 9 wherein said interlocking means comprise V-shaped surfaces adapted to nest when said staple is closed.

11. The staple of claim 9 wherein said interlocking means comprise a tongue and groove adapted to engage when said staple is closed.

12. The staple of claim 1 wherein said staple leg locking bar includes a series of ratchet teeth on the lower surface thereof, and said staple leg extensions include angled tips adapted to engage said ratchet teeth as said clip is closed.

13. The staple of claim 1 comprising an absorbable polymeric composition.

14. The staple of claim 13 wherein said absorbable polymeric composition is a homopolymer or copolymer of lactide, glycolide, or p-dioxanone.

15. The staple of claim 1 comprising a nonabsorbable polymeric composition.

16. The staple of claim 15 wherein said nonabsorbable polymeric composition is selected from the group consisting of nylon, polyester, polypropylene, and polysulfone.

17. In combination with a stapling tool having a forming anvil and a cooperating forming die, a one-piece self-locking plastic surgical staple comprising, in a vertical plane and prior to closure,

a horizontal bridging member spanning the width of the staple and terminating at each end in an upward extending staple leg support member,

an L-shaped staple leg extending horizontally outward and downward from each leg support member and terminating in a tissue-piercing point,

a staple leg extension extending inwardly from each staple leg and leg support member and terminating with a space between opposing ends of said extensions,

a center post extending vertically upward from said bridging member and through said space between the opposing ends of said extensions, and

a horizontal staple leg locking bar secured to said center post and extending horizontally in a closely spaced relationship adjacent said staple leg extensions and staple leg support members,

said forming anvil having a width substantially equal to the width of said horizontal bridging member,

said forming die having two downward projecting extremities spaced to engage the staple legs when the staple is centered on the anvil, the distance between said extremities corresponding substantially to the width of the staple after closure,

said anvil and said forming die being operable to close said staple by pivoting said staple leg support members and staple legs with respect to said horizontal bridging member, whereupon said staple leg extensions deflect said locking bar and are thereafter engaged by said locking bar to maintain said staple legs in their closed position.

18. The combination of claim 17 wherein said staple leg support members are adapted to pivot 90°

with respect to said horizontal bridging members, to deflect and bypass the ends of said bridging member, said staple, when closed, having a dual box-like configuration formed by the staple legs on one side of the horizontal bridging member and the staple leg extensions and locking bar on the other side of the horizontal bridging member.

19. The combination of claim 18 wherein the staple leg extensions and locking bar include interlocking means which are engaged when said staple is closed to form said box-like configuration.

20. The combination of claim 17 wherein the tissue-piercing points of the staple legs extend beyond the plane of the anvil when the staple is centered on the anvil prior to closure.

21. A one-piece, self-locking, surgical staple comprising:

a bridging member spanning the width of the staple;

a staple leg joined to each end of said bridging member by hinge means and terminating in a tissue-piercing segment; and

locking means comprising a T-shaped locking bar having a stem extending from the center of the bridging member and a deflectable cross member, said locking means cooperatively engaging to prevent the reverse rotation of said legs when the staple legs are closed and locked in position upon rotation about said hinge means.

22. The staple of claim 21 wherein the staple legs are L-shaped and the tissue piercing segment is oriented at right angles to the primary axis of the bridging member.

23. The staple of claim 21 wherein the rigid staple leg extension extending from each staple leg lies between said bridging member and said cross member of said locking means when the staple is in the open position.

24. The staple of claim 23 wherein the cross member of the locking bar is deflected by said staple leg extensions as the staple legs are rotated about 90 degrees, and said staple leg extensions are thereafter engaged by the ends of said locking bar.

25. The staple of claim 23 wherein the surface of the cross member of said locking bar confronting said staple leg extension includes ratchet teeth and the ends of said staple leg extensions provide a cooperative pawl, whereby said staple leg extensions are engaged stepwise by said locking bar as said staple legs are rotated about said hinge means.

26. The staple of claim 23 wherein said T-shaped locking bar includes stress relief grooves at the juncture of the cross member and stem member.