Suture needle abstract
A suture needle protector for holding needles during surgical operations
includes a cover attached to a base by a hinge to allow selective
opening and closing of the cover with respect to the base. The suture
needle is held within the protector temporarily, such as during
tying off of a suture knot. A flexible elastic strap may be attached
to the base to allow the protector to be mounted on the finger of
the surgeon where the protector is conveniently available at a known
location. A magnetic plate may be mounted within the base to help
draw a surgical needle to the base and hold it in place when the
cover is open. The cover is releasably held to the base by mating
hook and lip structures on the cover and base to provide a snap
connection. When the surgeon wishes to open the cover, pulling the
cover from the base disengages the snap connectors. Because the
protector can be mounted on the finger of the surgeon, when the
needle is held within the closed protector with the suture extending
from the protector the surgeon can use the protector during tying
off to pull on the suture.
Suture needle claims
What is claimed is:
1. A suture needle protector for holding a suture needle during
a surgical operation, comprising:
(a) a base having an inner base surface on which a suture needle
can be placed;
(b) a cover sized to close over the base to hold a suture needle
on the inner base surface surrounded by the base and the cover;
(c) a hinge hingedly attaching the cover to the base so that the
cover can be moved from a closed position in which the cover and
base enclose a suture needle to an opened position in which a suture
needle can be placed in or removed from the area of the inner base
surface;
(d) mounting means for mounting the base to a finger of a user;
and
(e) means for releasably holdinq the cover closed onto the base,
wherein the base includes a base wall extending from and at least
partially around the inner base surface, and wherein the means for
releasably holding the cover onto the base comprises at least one
lip formed on the base wall and at least one hook extending from
the cover which is positioned to snap over and engage the lip on
the base wall when the cover is moved to its closed position, and
wherein one of said at least one lip is formed on the forwardmost
portion of the base wall and a corresponding one of said at least
one hook is formed on a corresponding forwardmost portion of the
cover to engage the forwardmost lip on the base wall, and further
including lips extending from the base wall at positions near the
hinge and hooks extending from the cover at positions near the hinge
to engage the lips on the base wall near the hinge as the cover
is moved to its closed position.
2. A suture needle protector for holding a suture needle during
a surgical operation, comprising:
(a) a base having an inner base surface on which a suture needle
can be placed;
(b) a cover sized to close over the base to hold a suture needle
on the inner base surface surrounded by the base and the cover;.
(c) a hinge hingedly attaching the cover to the base so that the
cover can be moved from a closed position in which the cover and
base enclose a suture needle to an opened position in which a suture
needle can be placed in or removed from the area of the inner base
surface; and
(d) mounting means for mounting the base to a finger of a user,
wherein the mounting means comprises a strap of flexible material,
wherein the base includes strap slots extending through the base
in spaced relation about a central outer base surface, mounting
pins extending adjacent the strap slots, and holes formed in the
mounting strap at positions near two edges of the strap such that
the mounting pins extend through the holes in the strap to hold
the strap to the base.
3. A suture needle protector for holding a suture needle during
a surgical operation, comprising:
(a) base having an inner base surface on which a suture needle
can be placed;
(b) a cover sized to close over the base to hold a suture needle
on the inner base surface surrounded by the base and the cover;
(c) a hinge hingedly attaching the cover to the base so that the
cover can be moved from a closed position in which the cover and
base enclose a suture needle to an opened position in which a suture
needle can be placed in or removed from the area of the inner base
surface and
(d) mounting means for mounting the base to a finger of a user,
wherein the mounting means comprises a flexible and resilient strap
attached to the base at two ends of the strap to define a region,
through which a finger of the user may be inserted, between a bottom
surface of the base and the strap to hold the protector on the finger
of the user, and further including parallel finger flanges extending
downwardly from the bottom surface of the base with the strap extending
around the finger flanges so that the finger flanges help prevent
the base from sliding off the finger of a user.
4. The protector of claim 3 further including a pattern of protrusions
extending from the bottom base surface at a position to be engaged
by the finger of the user to help prevent the protector from slipping
off the finger of the user.
5. A suture needle protector for holding a suture needle during
a surgical operation, comprising:
(a) a base having an inner base surface on which a suture needle
can be placed and a base wall extending from and at least partially
surrounding the inner base surface;
(b) a cover sized to close over the base to hold a suture needle
on the inner base surface surrounded by the base and the cover,
the cover having an inner cover rib which extends from an inner
cover surface and which is positioned such that it extends substantially
parallel to and spaced from the base wall when the cover is closed
onto the base such that a suture needle resting on the inner base
surface is substantially surrounded by the inner cover rib, and
an outer cover rib extending from the inner cover surface substantially
parallel to and spaced away from the inner cover rib by a distance
such that the base wall is situated between and spaced away from
the inner cover rib and the outer cover rib when the cover is closed
onto the base; and
(c) a hinge hingedly attaching the cover to the base so that the
cover can be moved from a closed position in which the cover and
base enclose a suture needle to an opened position in which a suture
needle can be placed in or removed from the area of the inner base
surface.
6. The protector of claim 5 including a strap of flexible material
having ends attached to the base so that a user can insert a finger
between the base and the strap to hold the protector on the finger
of the user.
7. The protector of claim 6 wherein the strap is formed of a thin
strip of resilient rubber.
8. The protector of claim 5 including means for releasably holding
the cover closed onto the base.
9. The protector of claim 8 wherein the means for releasably holding
the cover onto the base comprises at least one lip formed on the
base wall and at least one hook extending from the cover which is
positioned to snap over and engage the lip on the base wall when
the cover is moved to its closed position.
10. A suture needle protector for holding a suture needle during
a surgical operation, comprising:
(a) a base having an inner base surface on which a suture needle
can be placed and a base wall extending from and at least partially
surrounding the inner base surface;
(b) a cover sized to close over the base to hold a suture needle
on the inner base surface surrounded by the base and the cover,
the cover having an inner cover rib which extends from an inner
cover surface and which is positioned such that it extends substantially
parallel to and spaced from the base wall when the cover is closed
onto the base such that a suture needle resting on the inner base
surface is substantially surrounded by the inner cover rib, and
an outer cover rib extending from the inner cover surface substantially
parallel to and spaced away from the inner cover rib by a distance
such that the base wall is situated between the inner cover rib
and the outer cover rib when the cover is closed onto the base;
(c) a hinge hingedly attaching the cover to the base so that the
cover can be moved from a closed position in which the cover and
base enclose a suture needle to an opened position in which a suture
needle can be placed in or removed from the area of the inner base
surface; and
(d) means for releasably holding the cover closed onto the base,
comprising at least one lid formed on the base wall and at least
one hook extending from the cover which is positioned to snap over
and engage the lip on the base wall when the cover is moved to its
closed position, wherein there are a plurality of lips and hooks
and wherein one lip is formed on the forwardmost portion of the
base wall and a corresponding hook is formed on a corresponding
forwardmost portion of the cover to engage the forwardmost lip on
the base wall, and further including lips extending from the base
wall at positions near the hinge and hooks extending from the cover
at positions near the hinge to engage the lips on the base wall
near the hinge as the cover is moved to its closed position.
11. The protector of claim 5 wherein the base, hinge, and cover
are integrally formed of plastic and the hinge is made of thin plastic
to form a flexible hinge.
12. The protector of claim 6 wherein the base, hinge and cover
are integrally formed of plastic and the hinge is made of thin plastic
to form a flexible hinge, and wherein the cover includes a top wall
and a back wall which extends downwardly from the top wall to the
hinge whereby the back wall can engage the finger of the user to
help prevent overflexing of the integral hinge.
13. A suture needle protector for holding a suture needle during
a surgical operation, comprising:
(a) a base having an inner base surface on which a suture needle
can be placed, a plate of permanent magnetic material forming at
least part of the inner base surface whereby a surgical needle will
be drawn to the magnetic plate and held thereon, and wherein the
plate of magnetic material has spaced ribs formed therein such that
a suture needle resting on top of the ribs may be readily removed
from the protector by engaging the suture needle in the space between
the ribs under the suture needle;
(b) a cover sized to close over the base to hold a suture needle
on the inner base surface surrounded by the base and the cover;
(c) a hinge hingedly attaching the cover to the base so that the
cover can be moved from a closed position in which the cover and
base enclose a suture needle to an opened position in which a suture
needle can be placed in or removed from the area of the inner base
surface;
(d) a strap of flexible material having ends attached to the base
so that a user can insert a finger between the base and the strap
to hold the protector on the finger of the user; and
(e) means for releasably holding the cover closed onto the base
comprising at least one lip formed on the base wall and at least
one hook extending from the cover which is positioned to snap over
and engage the lip on the base wall when the cover is moved to its
closed position, and wherein one of said at least one lip is formed
on the forwardmost portion of the base wall and a corresponding
one of said at least one hook is formed on a corresponding forwardmost
portion of the cover to engage said forwardmost lip on the base
wall, and further including lips extending from the base wall at
positions near the hinge and hooks extending from the cover at positions
near the hinge to engage the lips on the base wall near the hinge
as the cover is moved to its closed position.
Suture needle description
FIELD OF THE INVENTION
The present invention pertains generally to the field of surgical
devices and particularly to apparatus for protecting a surgeon or
other medical personnel from accidental suture needle puncture wounds
during the course of an operation or other medical procedure.
BACKGROUND OF THE INVENTION
Many common medical procedures involve closing tissue by the use
of sutures. A suture is a strand or fiber which holds previously
opened tissue shut after the suture is driven through the tissue
by the use of a suture needle. The suture needle is a needle-like
instrument with an extremely sharp point at one end and with the
suture being attached to its other end. Suture needles vary in size
and shape, and the choice of a particular size or shape of suture
needle is dictated by the type of medical procedure to be performed.
One common form of suture needle has an arcuate configuration. Using
the suture needle in combination with a suture, medical personnel
close tissue by sewing it together in much the same manner that
two pieces of cloth are sewn together.
However, the use of a suture needle on living tissue obviously
requires precautions which need not be followed when sewing non-living
material. While working on living tissue, the suture and suture
needle must at all times remain sterile to minimize the risk of
infection to the patient. Since many common medical procedures require
the surgeon to use a number of different tools, thereby requiring
the surgeon to repeatedly put down one tool and pick up another,
the surgeon must be careful to keep the suture needle in a sterile
area as it is exchanged for another tool. Further, the suture needle,
as well as other tools, must be readily at hand for the surgeon's
instant use during the operation. This is not simply a matter of
convenience, because the patient's safety may depend on a specific
tool being quickly available if it should be needed. Therefore,
the suture needle (and other instruments) must be placed on a convenient
sterile surface during an operation so that they may be readily
accessed by the surgeon, while maintaining the sterility of the
operating area.
In addition, the surgeon must take care that he or she does not
accidentally injure himself or herself with a suture needle that
has been used to suture tissue. Since any patient could potentially
carry a disease such as the human immunodeficiency virus (HIV),
even the smallest puncture wound can be life-threatening. The surgeon,
who works with gloved hands to decrease the possibility of contamination,
may have difficulty picking up the needle from a flat surface due
to interference from the gloves and a corresponding partial loss
of tactile sensation in the fingers. If the surgeon must expend
effort by pushing the needle to align it into a position where it
may be easily picked up, the opportunity for accidental puncture
is increased. The chance of puncture is also increased if the surgeon
must put down and pick up a suture needle (with a suture attached)
several times during the course of an operation. A surgeon must
therefore pay close attention to the handling of suture needles
as well as to the patient undergoing the operation.
In the environment in which many medical operations take place,
these requirements are inconvenient. During an operation, the surgeon
must devote the bulk of his or her attention to the patient. The
surgeon cannot afford to spend a great amount of time during the
course of an operation repositioning the suture needle so that it
may be easily found and so that it is certain to remain in a sterile
environment. Further, the need for the surgeon's full attention
to be focused on the patient fosters an environment in which the
surgeon can become inattentive as to the handling of tools, thus
increasing the risk of self-injury. Suture needles present an especially
high risk of injury due to their small size and extreme sharpness.
In view of these requirements, it would be helpful if a surgeon
had a readily accessible surface or receptacle in which a suture
needle could be placed which would shield the surgeon from accidental
puncture while at the same time facilitating the surgeon's access
to the needle. Examples of surgical needle containers are shown
in U.S. Pat. Nos. 4193496 4373629 4596329 4969893 and
5024323. Such devices generally have not been convenient to use,
or are not intended for temporary placement of a suture needle during
an operation, and typically do not allow convenient reloading of
the suture needle for the next stich. Devices intended to be used
repeatedly during an operation often are inconvenient to use because
they must be set to the side of the surgical area and may slip off
the surgical drapes or be difficult to locate quickly when they
are needed.
SUMMARY OF THE INVENTION
The surgical needle protector of the present invention has a base
and a cover which are attached by a hinge. When the cover is closed
on the base, a suture needle resting within the protector is enclosed
between the base and cover so that it will not injure the user,
and when the cover is opened from the base and rotated about the
hinge, the user can reach between the base and cover to deposit
or access the suture needle. The base includes an inner base surface
from which a base wall preferably rises, and the cover includes
an inner cover surface from which at least one cover rib preferably
rises. The inner base surface is substantially surrounded by the
base wall, and the portion of the inner base surface that is so
surrounded has a size such that a suture needle may fit upon it.
When the holder is closed, the inner base surface and the inner
cover surface lie spaced from and facing each other, and a suture
needle resting on the inner base surface will be surrounded by the
inner base surface, the base wall, and the inner cover surface,
with the inner cover surface separated from the inner base surface
by the height of the base wall. The cover rib is oriented along
the inner cover surface so that when the base and cover rest in
the closed state, the cover rib lays closely adjacent but is spaced
from the base wall. If one cover rib is used, it may either surround
the base wall and form the outermost exterior wall of the holder
when the protector is closed, or it may be surrounded by the base
wall. If two cover ribs are used, the two ribs will be positioned
on opposite sides of the base wall when the holder is closed. The
close spaced relation of the cover rib(s) and the base wall prevents
a suture needle from slipping between the cover rib(s) and base
wall and accidentally falling out of the protector. An inflexible
suture needle cannot fit between the base wall, the inner cover
surface, and the cover rib(s). When the cover is opened from the
base, the inner base surface is exposed so that a suture needle
may be deposited upon or removed from the inner base surface.
The protector may include mounting structure, preferably a strap
of elastic attached to the base, for mounting the protector to an
appendage of the user, such as to a finger or wrist. The user may
therefore mount the protector on a finger or wrist so that the location
of the protector is always known and the protector is always readily
accessible. The base may also include a plate made of a magnetic
material or a soft, puncturable material, on the inner base surface
so that the suture needle may be stuck onto or into the plate to
minimize the possibility of the suture needle accidentally falling
out of the protector when it is open.
The suture needle protector of the present invention conveniently
holds and protects the surgical needle during the course of an operation
while avoiding several of the problems found in prior surgical needle
containers. When closed, the protector completely encloses the suture
needle and thereby protects personnel from accidental puncture.
The protector may be reopened and reclosed repeatedly so that the
suture needle may be deposited within or removed as many time as
desired. The protector is preferably equipped with an adjustable
mounting strap on its base so that it may be mounted on a surgeon's
finger so that the suture needle will at all times be in a known
position of ready accessibility. For example, a right-handed surgeon
could mount the protector on the ring finger of the left hand so
that it faces the thumb of the same hand. The thumb may then be
used to disengage the cover of the protector, and the right hand
may be used to pick up the suture needle for use. Because the protector
is never further away than the surgeon's hand and the surgeon knows
at all times where it is, the suture needle is always at a position
where the surgeon may readily access it. Such placement of the protector
also facilitates its use in tying off sutures, the action of which
may be obtained by withdrawing the hand upon which it is mounted
away from the wound. The interior surface of the protector is preferably
contoured so that a surgeon may easily pick up the suture needle
from the surface without needing to push the needle into a position
where it is more easily grasped. The inner base surface of the protector
may include a magnetic plate containing spaced ribs that allow the
suture needle to be gripped, as by a needle holder, regardless of
the orientation of the suture needle on the plate. The base and
cover of the protector may be snapped together after the suture
needle is placed within, and afterwards the protector can only be
opened when an external force is applied by the user. Even when
the protector is opened, the magnetic plate may be utilzed to hold
the suture needle and restrain it from falling out.
Further objects, features, and advantages of the invention will
be apparent from the following detailed description when taken in
conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
In the drawings:
FIG. 1 is a perspective view of the suture needle protector of
the invention mounted on a finger of a user in its open state.
FIG. 2 shows a perspective view of the protector mounted on the
finger of a user in its closed state.
FIG. 3 shows an exploded perspective view of the protector.
FIG. 4 shows a plan view of the protector in its closed state.
FIG. 5 shows a cross-sectional view of the protector taken along
the line 5--5 of FIG. 4.
FIG. 6 shows a cross-sectional view of the protector taken along
the line 6--6 in FIG. 4.
FIG. 7 shows a perspective view of the protector in its open state
with a suture needle resting within.
FIG. 8 shows a plan view of the protector fully opened.
DETAILED DESCRIPTION OF THE INVENTION
With reference to the drawings, the suture needle protector of
the invention is shown generally at 10 mounted in its open position
on the ring finger 12 of a surgeon's hand. The protector is intended
to be mounted on the user's non-dominant hand, i.e. the left-hand
for a right-handed user, so that the dominant hand is free. The
protector 10 includes a base 13 and a cover 14 which may be moved
about a hinge 15. The base 13 includes a base wall 17 which extends
about the periphery of the base 13 a permanent magnetic plate 18
upon which the suture needle can be placed, and a mounting strap
20 for mounting the base 13 to the user. The cover 14 includes an
inner cover rib 21 and an outer cover rib 23 which both extend
from the inner surface 24 of the cover top wall 25 spaced from one
another and may be generally (although not necessarily) parallel.
One or more snapping hooks 26 extend from the cover, each of which
can engage a lip 28 on the base 13 to hold the protector in its
closed position. As best shown in FIG. 6 a backwall 27 of the cover
extends downwardly from the top wall 25 to the hinge 15. The protector
is shown in FIG. 1 in its open state, with the cover 14 being held
open by the user's thumb 30 so that a needle holder or the fingers
on the user's other hand may reach within the protector to pick
up or deposit a suture needle on the magnetic plate 18. The cover
14 may also be moved about the hinge 15 into the closed state, as
shown in FIG. 2 wherein the cover 14 engages the base wall 17.
Because a suture needle 31 within the closed protector is completely
enclosed by the base 13 the base wall 17 and the cover 14 the
user is shielded from accidental puncture wounds. In the closed
state, a flexible suture 32 can extend out of the protector, as
illustrated in FIG. 2.
FIG. 3 shows an exploded view of the protector 10. An inner base
surface 33 includes a central section 34 and two side shoulders
35 on opposite sides of the central section 34. The base wall extends
from and at least partially surrounds the inner base. Two slots
37 extend on opposite sides of the central section 34 between the
central section and the side shoulders 35. The magnetic plate 18
may be inserted within the protector so that it rests on the central
base surface section 34 with its opposite edges 38 in close proximity
to the side shoulders 35. When so placed, the surface of the magnetic
plate 18 forms part of the inner base surface 33. The purpose of
the magnetic plate 18 is to restrain the suture needle 31 which
is generally ferromagnetic, from easily falling out of the protector
when the protector is in its open position and to restrain the needle
from moving around during regrasping for its next use. An adhesive
may be used to affix the magnetic plate 18 to the central base surface
34 or, alternatively, the magnetic plate 18 may be sized to fit
tightly between the two side shoulders 35. Of course, the magnetic
plate may be eliminated, if desired. In such a case, the surface
of the base would preferably, although not necessarily, have ribs
formed therein as discussed below.
As illustrated in FIGS. 1 and 3 the magnetic plate 18 preferably
includes a number of ribs 40 which align with shoulder ribs 41 on
the side shoulders 35 to form a series of continuous ribs on the
inner base surface when the magnetic plate 18 is placed within the
base 13. The ribs 40 are preferably provided so that the user can
reach under the suture needle 31 as with a needle holder, to more
easily pick up the needle.
FIG. 3 illustrates the mounting strap 70 in greater detail and
spaced away from the base. The mounting strap 20 is used to mount
the protector to the user, as to a finger or thumb, or if the strap
is made long enough, to the user's hand or wrist. A preferred means
of attaching the strap 20 to the base 13 is illustrated with respect
to FIG. 3. As shown in FIG. 3 associated with each of the slots
37 are several mounting prongs 44 which extend and taper upwardly
within each slot 37. The mounting strap 20 includes several spaced
holes 46 in lines adjacent to opposite edges 47 of the mounting
strap 20. To attach the strap 20 to the base 13 each edge 47 of
the strap is extended through openings 48 (shown in FIG. 5) in the
base, and each mounting prong 44 is then inserted into one of the
holes 46 so that the mounting strap is retained by the prongs 44.
After the mounting strap 20 is attached to the base in this manner,
the magnetic plate 18 can be installed on the central base surface
34 where it covers the slots 37 and forms a continuous ribbed surface
in combination with the side shoulders 35.
The mounting strap 20 may be made of any flexible material, the
preferred material being rubber because of its elasticity and its
slippage-preventing frictional properties. Inflexible bands or straps,
which may be permanently affixed to the base 13 or another part
of the holder, are alternate means of mounting the holder to the
user, but are not preferred because they do not offer the versatility
of a removable and flexible strap. The straps 20 may be made in
an assortment of sizes and shapes to allow the protector 10 to be
mounted on different appendages of the user and different sites
on these appendages. While FIGS. 1 and 2 show the protector mounted
on the user's ring finger facing the interior of the user's hand,
the protector may be mounted on the user's hand (e.g., situated
in the palm) or on the wrist. The mounting location shown in FIGS.
1 and 2 is generally the most convenient because it allows the user
to open and close the protector by working the cover 14 with the
thumb. Although the protector of the present invention is inexpensive
and readily disposable after use, if desired, the mounting strap
20 may be disposed of after an operation and replaced with a new
mounting strap after the rest of the protector is sterilized, or
the entire protector including mounting strap may be re-sterilized
if made of the proper material.
FIG. 4 illustrates the position of the suture needle 31 (in phantom)
within the closed protector. As illustrated in the cross-sectional
views of FIGS. 5 and 6 when the protector 10 is closed, the suture
needle 31 is completely surrounded by the base 13 and the cover
14. The cover 14 rests on the base wall 17 with the inner cover
surface engaging the base wall top edge 50 and the cover 14 is
firmly held atop the base 13 by attachment features discussed further
below. The base wall 17 is situated between the inner cover rib
21 and the outer cover rib 23. The suture needle 31 sits atop the
support ribs 40 on the magnetic plate 18 with the suture 32 extending
from its end, as illustrated in FIG. 6. The suture 32 extends from
the suture needle 30 under the inner cover rib 21 over the base
wall top edge 50 and then under the outer cover rib 23 to the exterior
of the protector (and to the patient). While a flexible suture can
follow this path and can be pulled out, an inflexible suture needle
cannot, and therefore the suture needle cannot easily be pulled
out of the protector 10 if a pulling force is exerted on the suture.
The only way the needle 31 can be pulled out of the closed protector
is if enough force is applied on the suture and the needle to pull
the cover open. Because the cover is firmly attached to the base,
this is unlikely.
Further, when the cover 14 is held against the base 13 by the user
(e.g., by applying pressure with the thumb) the cover will not open
and the protector can be used to exert draw on the suture 32 during
tying off.
The preferred structure for releasably holding the cover closed
onto the base is best illustrated in FIGS. 5-8. Such attachment
of the cover 14 to the base 13 is necessary so that a tug on the
suture of an enclosed suture needle will not cause the cover 14
to open. A first hook 26a on the forwardmost portion of the outer
cover rib 23 engages a first lip 28a on the forwardmost portion
of the base wall outer face when the protector is in the closed
state and prevents the cover 14 from popping open when the suture
is pulled. Two rear hook and lip combinations 26b and 28b are shown
in FIGS. 5 and 6 in the engaged position when the protector is in
the closed state, and in FIGS. 1 7 and 8 when the protector is
open. The rear hooks 26b are located at the back ends of the inner
cover rib 21 where they engage rear lips 28b on the base wall 17
inner face when the cover 14 is pushed into the closed position.
The hook 26b and lip 28b combinations have dimensions such that
they will engage before the forward hook 26a and lip 28a as the
cover is closed, and will disengage after the hook 26a and lip 28a
as the cover is opened. The multiple connections between the cover
and the base provided by the engaged hooks and lips helps ensure
that the cover will remain tightly closed to the base so that the
suture needle cannot be inadvertently pulled out.
If desired, other attachment structures may be used in place of
the hook and lip combinations. Any of the commonly used mechanisms
for locking shut the opposable halves of a container may be used.
For example, a rodlike protrusion may extend from the base wall
17 with an aperture provided on the inner cover surface into which
the rod may extend when the protector is closed. As a further example,
a "U"-shaped leaf spring (not shown) could be slid over
the base 13 and cover 14 with the hinge 15 at the vertex of the
spring. The spring would tend to force the protector into the closed
position, and the protector could be opened by lifting the cover
14 to access a suture needle within the protector, with the spring
automatically closing the cover after the needle has been removed
(or, conversely, inserted).
With reference to FIG. 8 it is seen that the needle ribs 40 should
preferably be spaced far enough apart so that the needle may easily
be picked up from the magnetic plate, but are closely spaced enough
so that the needle will not fall between the needle ribs. A needle
rib width of about 0.09 inch, a rib height of about 0.06 inch, and
a rib spacing of about 0.18 inch are typical for use with typical
curved suture needles. However, the ribs may be wider, e.g., equal
in width to the rib spacing, to increase the magnetic pull of the
plate on the suture. To accomodate smaller needles, the ribs closest
to the front of the protector may be narrower and more closely spaced.
The magnetic plate 18 holds the suture needle to the plate to prevent
the suture needle from accidentally falling out of the protector.
This plate may be formed of commercially available rubber or plastic
material having permanent magnetic material therein. An exemplary
material is ferrite in a plastic binder, and suitable magnetic material
is available from Mag Tech (e.g., 0.7 MGoe). Other means of holding
the needle onto the inner base surface may also be used. For instance,
a soft plate made of foam rubber or felt could be affixed to the
central base surface 34 so that the suture needle can be inserted
within the plate, thereby fixing the suture needle until the user
pulls it out.
The outer lower surface of the base 13 preferably includes two
finger flanges 52 on either side of a central surface 53 which includes
a pattern of protrusions 54 which help prevent slippage when the
protector is mounted on a user's finger. When the protector is mounted
on the user's finger, the finger is inserted between the finger
flanges 52 and is held to the non-slip surface 53 by the mounting
strap 20. The protrusions 54 on the surface 53 helps to prevent
the protector from slipping across the user's finger as the user's
non-dominant hand is used. The finger flanges 52 prevent lateral
slippage of the holder on the user's finger. The finger flanges
52 could be eliminated or repositioned if the protector is intended
to be affixed to an appendage of the user rather than a finger.
As best illustrated in FIG. 1 the cover back wall 27 which extends
downwardly from the cover top wall 25 (e.g., about 3/16 inch) is
positioned to engage the finger 12 or other appendage of the user
on which the protector is mounted, as the cover is drawn open. This
engagement tends to restrain the cover from being opened farther
than about 90.degree. with respect to the base-the position illustrated
in FIG. 1. This is sufficient to allow full access to the inside
surface of the base but helps to prevent overflexing of the integral
hinge 15 which might occur if the cover were repeatedly opened and
drawn to a flat position generally parallel to the base. Excessive
flexing of an integral plastic hinge can lead to fatigue failure
of the hinge.
The protector is preferably made of a sterilizable material such
as polypropylene, styrene, or other types of plastics. A material
that has been found suitable is clear styrene-butadiene copolymer
KRO-3 K-resin available from Phillips Plastics division of Phillips
Petroleum Co. The base 13 cover 14 and hinge 15 may preferably
be a unitary structure formed by an injection molding process. As
best shown in FIG. 6 the hinge 15 may be a "living hinge",
formed of plastic integrally with the base and cover, which is sufficiently
thin to be flexible. When using the foregoing styrene-butadiene
copolymer, a satisfactory hinge 15 may be formed of a thinner section
about 0.05 inch wide and about 0.016 inch thick, and thicker or
thinner sections may be used depending on the desired stiffness
of the hinge. The cover and base may also be formed separately and
then assembled to one another using any available hinge structure.
The mounting strap 20 may be made of various resilient materials,
for example, surgical rubber. The relatively low material and production
costs of the protector allows it to be disposed of after a single
use.
The protector could, if desired, be altered in shape, size, and
mounting location to accommodate other surgical implements as well
as (or instead of) suture needles. The protector may also be used
without the mounting strap 20 for example, by simply resting the
protector on the surgical drapes adjacent to the patient. Further,
if desired, the protector can be equipped to be held to the surgical
drapes, or to the surgeon's finger or hand, as by Velcro.TM. type
fasteners, clips, snaps, pins, etc.
It is understood that the invention is not confined to the particular
embodiments described herein as illustrative, but embraces all such
modified forms thereof as come within the scope of the following
claims. |