Normally closed clamp

• US 4,957,500 A
• Filed: 10/27/1988
• Issued: 09/18/1990
• Est. Priority Date: 10/27/1988
• Status: Expired due to Fees

• Current Assignee: Montefiore Hospital Association Of Western Pennsylvania
• Original Assignee: Montefiore Hospital Association Of Western Pennsylvania
• Inventors: Narayanan, Krishna, Liang, Marc D., Ross, Eugene D.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US07/263,518
• Time in Patent Office: 691 Days
• Field of Search: 606/120, 606/151, 606/152, 606/157, 606/158, 606/205, 606/208, 606/150, 606/206, 606/210, 24/490, 24/498, 251/9
• US Class Current: 606/157
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1227 Spring clips

Abstract

A normally closed clamp is provided which is formed from two extruded elements which are connected together in their midregion by means of a non-circular cam on a base element and a corresponding non-circular cam surface on a clamping element. In the normally closed position, the cam and cam surface urge the device into a jaw-closed position with the handles being spaced-apart. When the handles are brought together, the jaw members separate and the relative position of the cam surface and the cam member is altered. The device may be used as a tissue separator. Two of the devices may be assembled together as a tendon approximator.

Claims

1. A device for use as a normally closed clamp or a separator, said device being formed from two connected elements including:

(a) a base element having a base jaw member, a base handle member and a central, non-circular arcuate cam member;

(b) a clamping element having a clamping jaw member, a clamping handle member and a central, non-circular arcuate cam engaging member;

(c) said base element being secured to said clamping element by engagement of at least a portion of said central, non-circular arcuate cam engaging member with at least a portion of said central non-circular cam member;

(d) the said base jaw member and the said clamping jaw member having confronting surfaces which are in proximity when the said cam engaging member conforms to the surface of said arcuate cam member;

(e) said base handle member and said clamping handle member being spaced apart when said cam engaging member conforms to the surface of said arcuate cam member;

(f) the arcuate shape of said arcuate cam member and said arcuate cam engaging surface being such that when the said base handle member and the said clamping handle member are drawn together, the said clamp jaw member separates from the said base jaw member and the said arcuate cam engaging member is flexed and the flexure establishes a positive force to return said cam engaging member and the said cam member to the normal position with the said jaw members in proximity.

2. The normally closed device of claim 1 wherein the said clamping member is formed from resilient thermoplastic.

3. The normally closed device of claim 2 wherein the said clamping member is formed from high density polyethlene, polypropylene, polyurethane, polyester, polyamide.

4. The normally closed device of claim 1 wherein both the base member and the clamping member are formed from the same material.

5. The normally closed device of claim 1 wherein the clamping member and the base member are transverse slices from an extruded plastic blank member.

6. The normally-closed clamp of claim 1 wherein the said confronting surfaces have surface irregularities to improve the gripping action of the jaw members.

7. The normally-closed clamp of claim 6 wherein the said irregularities comprise extruded beads or grooves in at least one of the said confronting surfaces.

8. The normally-closed clamp of claim 1 wherein one or both of the said confronting surfaces of the jaw members has an arcuate channel for receiving a clamped tubular member.

9. The normally-closed clamp of claim 1 wherein at least one of the said handle members is provided with surface irregularities in the non-confronting, opposed surfaces to facilitate manual operation of the clamp.

10. The device of claim 1 for use as a normally closed clamp wherein the said base jaw member has a tapered tip and a concave confronting surface;

the said clamping jaw member has a tapered tip and a concave confronting surface;

whereby in the normally closed condition of the said clamp, the tapered tips of the jaw members are urged into engagement with each other and the said concave confronting jaw surfaces define an opening between the jaw members.

11. The clamp of claim 10 wherein at least one tapered tip of a jaw member has a sharp beveled or pointed edge.

12. A device of claim 1 for use as a normally closed clamp wherein at least one of the said jaw members has a jaw liner element formed from a soft resilient substance.

13. The device of claim 12 wherein the said soft resilient substance is a pliable plastic.

14. The device of claim 13 wherein the said pliable plastic is a foamed polymeric composition.

15. The device of claim 12 wherein the said jaw liner element is a block which is secured to a jaw member.

16. The device of claim 12 wherein the said jaw liner element is extruded in the clamping element.

17. The device of claim 12 wherein a jaw liner element is provided in both jaw members, said jaw liner elements confronting one another and engaging one another in the normally closed position of said clamp.