CA1113895A - Package for double-armed sutures - Google Patents

Package for double-armed sutures

Info

Publication number
CA1113895A
CA1113895A CA310,377A CA310377A CA1113895A CA 1113895 A CA1113895 A CA 1113895A CA 310377 A CA310377 A CA 310377A CA 1113895 A CA1113895 A CA 1113895A
Authority
CA
Canada
Prior art keywords
panel
package
needle mounting
suture
needle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA310,377A
Other languages
French (fr)
Inventor
Harvey B. Mandel
Eberhard H. Thyen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Inc
Original Assignee
Ethicon Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Inc filed Critical Ethicon Inc
Application granted granted Critical
Publication of CA1113895A publication Critical patent/CA1113895A/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114Packages or dispensers for needles or sutures
    • A61B17/06133Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels
    • A61B17/06138Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels including a retainer comprising three or more foldable panels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06057Double-armed sutures, i.e. sutures having a needle attached to each end
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114Packages or dispensers for needles or sutures
    • A61B2017/06142Packages or dispensers for needles or sutures having needle- or suture- retaining members, e.g. holding tabs or needle parks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114Packages or dispensers for needles or sutures
    • A61B2017/06142Packages or dispensers for needles or sutures having needle- or suture- retaining members, e.g. holding tabs or needle parks
    • A61B2017/06147Foam blocks, e.g. slitted

Abstract

ABSTRACT

A package for double-armed sutures, particularly ophthalmic sutures, comprising a one-piece folded packet having needle mounting means and suture loop retaining means which are readily accessible when the package is opened. The needle mounting means is preferably removable to allow the suture to be withdrawn from the package with the needles secured therein.
The suture loop retaining means is optionally incorporated with the needle mounting means and removable therewith. The package contains a single, double-armed suture with both needles secured in the needle mounting means and with a loop substantially equi-distant from each needle retained in the suture loop retaining means so that the suture may be cut at the loop to obtain two single-armed sutures of substantially equal length.

Description

~138~

BACXGROUND OF THE INVEN~ION

Field o~ the Invention This invention relates to surgical sutures, and more particularly to a folded paper package for double-armed ophthalmic 5utures.

De~cription of Prior Art Packages for surgical sutures are constructed according to the nature of the suture and its intended use. In general, t~e ideal package holds and protects the suture during handling 13 and storage, and yet allows the suture to be readily removed with a minimum of handling.
In the case of ophthalmic sutures, the difficulty in providing a package which is convenient for the surgeon is par-ticularly di~ficult due to the very ~ine diameter of the suture ~o and ~all ~ize o~ th- ne~dles. Once removed from the package, the sutures are easily lost among the towels and surgical imple-ments in the operating field.
U.S. Patent No. 3,951,261 describes a me~hod of packag-ing ophthalmic sutures wherein the needles are held`in a remov~
~5 able ~ount which aids in locating the sutures once removed from
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.
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the package. The package of the Present invention utilize~ the concept of a needle mount as disclosed in this reference and re- -presents an improvement over the package thereof. ~ ~
Ophthalmic sutures are generally packaged as double- ~ -armed sutures in lengths of S to 18 inches. Although a double-armed suture is required for many ophthalmic procedures, single~ -armed sutures are also frequently requiredj and it has been the practice of ophthalmic surgeons to cut double-armed sutures in half to obtain two single-armed sutures. This is a time consum-ing step since the surgeon or operating room nurse must first remove the suture from the package, locate the midpoint, and then cut the suture. The problem of lost ~utures is even greater in ~` the case of single-armed sutures since the suture half not used immediately is out of the package and must be set aside without lS protection until needed.
It is accordingly an object of the present invention to provide a suture package for double-armed ophthalmic sutures ~..
-~ which provides for improved storage and removal of ophthalmic su-~; tures. It is a further object of this invention to provide a package for ophthalmic sutures in which the midpoint of the su-ture is identified and readily accessible for cutting before the suture is removed from the package.
It is a further object of this invention to provide a package for double-armed ophthalmic sutures which allows the su-"i ~ .
ture to be cut in half either before or after removal from thepackage. These and other objects will be apparent from the en-quing description and claims.
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, .

SUMMARY
A folded suture package for single strand, double-armed sutures characterized in that each needle is secured in a removable needle mount, and a loop of the suture located equidistant from each needle is secured in a suture loop retainer. The needles and - suture are totally contained within the confines of the ~-folded pacXage. When the package is opened, the needles and suture loop become readily accessible while the major portion of the suture length remains within a suture compartment between folded panels. The suture may be readily removed from the package by removing the needle mount with the needles secured therein. If desired, the suture may be cut at the suture loop to obtain two single-armed sutures of approximately equal length before removing the suture from the package. In a preferred embodiment, the suture loop is retained by rn ~;
the needle mounting means so that the suture may be cut after it is removed from the package.
According to a broad aspect of the present invention, there is provided a folded package for a double-armed suture. The package comprises a center panel, a first and second cover panel foldably attached to the center panel along two sides thereof, and a needle mounting panel foldably attached to the center panel along a third side thereof. Needle mounting means is provided on the needle mounting panel. Suture loop retaining means is also provided on one of the panels.
A double-armed suture is contained in the package having both needles secured in the needle mounting means and a suture loop substantially equidistant from each needle is secured in the suture loop retaining means. The first ~;~

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cover panel of the package is folded over the center panel with a major portion of the suture enclosed therebetween. The needle mounting panel is folded over the first cover panel with the needles and needle mounting means enclosed therebetween. The second cover panel is folded over the needle mounting panel and first cover panel with the suture loop retaining means enclosed therebetween. When the second cover panel and the needle mounting panel are unfolded from the center panel, the needles and the suture loop are readily accessible and the suture may be cut at the loop to obtain two single-armed sutures of substantially equal length before removing the suture from between the folded panels.

DESCRIPTION OF DRAWINGS
FIGURE 1 is a plan view of a suture package ; of the present invention in a fully open position showing the individual panels of the package and the position of the suture thereon.
FIGURE 2 is a view in perspective of the package of Figure 1 in the partially open pos~ition for dispensing the suture.
FIGURE 3 is a partial view of the package of Figure 1 showing the removal of the needle mount therefrom.
FIGURE 4 is a plan view of the package of Figure 1 in a fully closed position.

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FIGURE S is a plan view of another suture package of the present invention in a fully open position. -FIGURE 6 is a view in perspective of the package of FIGURE 5 in the partially open position.
FIGURE 6A is a sectional view of the needle mounting panel through line A-A of EIGURE 6.
FIGURE 7 is a partial view of the package of FIGURE S
showing the removal of the needle mount therefrom.
FIGURE 8 is a plan view of a suture package of the pre-sent invention in a fully open position showing the individual panels of the package and the position of the suture thereon.
FIGURE 8A is a sectional view of the needle mounting panel through line A-A of FIGURE 8.
FIGURE 9 is a view in perspective of the package of EIG~RE 8 in a partially open position for dispensing the suture.
FIGURE 10 is a partial view in perspective of the pack-age of the present invention showing five needle mounting means having different structures.
FIGURE 11 i9 a partial view in perspective of the pac,kage of the present invention showing two suture loop retaining means having different structures.
FIGURE 12 is a partial view in perspective of the pack-age of the present invention showing five integral needle mounting , and suture loop retaining means having different structures.
.,, ~

DESCRIPTION OF PREFERRED EMBODI~ENTS
Suture packages of the present invention are character-ized by a one-piece, multipanel, foldable construction which in- ~-corporates needle mounting means and suture loop retaining means ~5~

- .

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within the confines o~ the folded package. The needle mounting means are preferably removable from the body of the package.
The suture loop retaining means may be integral with the needle mounting means and removable therewith, or may be separately and permanently attached to one of the package panels.
; In a preferred embodiment, the suture, needles and su-ture loop are all enclosed within the confines of the package when the package is in its completely folded position. When ready for use, the outer cover panels of the package are opened to expose the needles in the needle mounting means and to expose the suture loop in the suture loop retaining means while the major portion of the suture remains confined within a compartment of the package. The suture is removed from the package by re-ving the needle mount with the needles attached and withdrawing the length of suture from the suture compartment.
Where the surgeon requires a single-armed rather than a double-armed suture, the suture loop is cut with scissors or scalpel. Where the suture loop retaining means is integral with the needle mounting means, the suture loop may be cut either be-fore or after removing the suture from the package so long as thene-dles and suture loop remain ~ecure in the mounting means.
Where the suture loop retaining means is mounted in the package and separate from the needle mounting means, it will be appreci-ated that it is necessary to cut the suture loop before removing the suture from the package.
Referring now to FIGURES 1-4, there is shown one prefer-red package of the present invention having integral and removable needle mounting and suture loop retaining means. FIGURE 1 ~3~

illustrates the package in a fully open position. Package 10 is comprised of center ~anel 12, first cover panel 11, second cover panel 13, needle mounting panel 14, and needle mounting means 9 removably attached to panel 14. Needle mounting means 9 comprises a flat paperboard base 15 having a three-dimensional, pierceable body 20 secured thereon. Suture 23 having needles 24 and 25 in-~ serted into body 20 is looped or coiled on center panel 12 with ; suture loop 22 retained in slit 21 of body 20.
Referring now to FIGURE 2, there is illustrated the package of FIGURE 1 with cover panel 11 folded over center panel12 enclosing suture 23 therebetween. Tab 19 of panel 11 inter-locks with slot 16 of panel 13 to maintain the panel in the fold-ed position. Panel 14 is subsequently folded forward over panel 11 and cover panel 13 is folded over panels 14 and 11 to form the completely folded package illustrated in FIGURE 4. Slit 17 in panel 13 interlocks with tab 18 in panels 11 and 12 as illus- `~
trated in FIGURE 4 to maintain panel 13 in its folded position.
To remove the suture from the package, the completely ~ -folded package of FIGURE 4 is partially opened to the position of FIGURE 2 and needle mounting means 9 is grasped by base 15 and rem~ved from panel 14 as illustrated in FIGURE 3. As shown in FIGU~E 3, base 15 contains Vee-tab 27 which is inserted in slot 26 of panel 14 when base 15 is in position on panel 14. Once removed from the package, the suture is readily located by virtue of the easily recognized needle mount, and the needles may be grasped with a needle holder and removed from the needle mount.
As further illustrated in FIGURE 3, the suture loop re-mains secured in slit 21 of body 20 as base 15 is removed from panel 14.
_7_ 13~

If single-armed sutures are desired, suture loop 22 may be cut any time before needle 24 or 25 is removed from body 20. One suture may then be removed from body 20 while the other remains secured thereon for later use.
S Referring now to FIGURE S, there is illustrated a su-ture package wherein the suture loop retaining means is separate from the needle mounting means and is permanently attached to center panel 12. The suture loop retaining means comprises a three-dimensional, resilient body 29 having a suture receiving slit 29 therein with suture loop 22 extending therefrom. Needle unting means 9 comprises a flat base element lS having a three-dimensional, resilient pierceable body 30 mounted thereon.
Panel 11 of package 10 in FIGURE S has cutout 34 ex-tending over the area of suture loop 22 and suture loop retain-lS ing means 29 when panel 11 is folded over panel 12 as illustrated in FIGURE 6. In this particular embodiment of the package, the interlocking tab and slot of panels 11 and 13, respectively, which are evident in the package of FIGURE 1 have been omitted since they are not essential to the packages of the present in-vention. The package is completely folded and locked in position by folding panel 13 over panel 11 and interlocXing tab 18 with slit 17 as aforede~cribed with reference to the package of FIGURE 1.
Referring now to FIGURE 7, panel 14 has two slits 31 ex-tending from the top thereof to form tongue 33 and side tabs 32.
5uture mounting means 9 is removably secured to panel 14 by slip-ping base lS over tongue 33 and under tabs 32 as illustrated in FIGURE 6 and in the sectional view in FIGURE 6A.

. : -Since the suture loop retaining means of the package of FIGURE 6 is permanently attached to the body of the package, it will be appreciated that the suture loop 22 must be cut before re~oving needle mount 9 from panel 14 if single-armed sutures are S desired. When needle mount 9 is removed and suture 23 is with-drawn from between panels 11 and 12, suture loop 22 is pulled - free of body 29 and a doubLe-armed suture will result unless the suture loop has been previously severed.
Turning now to FIGURE 8, there is illustrated a modi-fied package wherein package 10 is provided with dual needleunting panels 14 and 14a at either end of panel 12, and in-dividual needle mounting means 9 and 9a are provided for each needle of the double-armed suture. As illustrated in FIGURE 9, ; ~-~
; panel 14 contains end slots 31 forming tongue 33 and ~ide tabs 32.
lS Needle mounting means 9 comprises a three-dimensional, resilient, pierceable rectangular body 27 mounted on flat, rectangular base 15. The width of body 27 is slightly smaller than the width of tongue 33 to allow means 9 to be mounted on panel 14 by inserting base 15 over tongue 33 and under side tabs 32 as illustxated in FIGURE 8 and the sectional view in FIGURE 8A. Needle mount 9a and panel 14a are substantial duplicates of needle mount 9 and panel 14.
The package of FIGURE 8 is closed and locked by folding panel 11 over panel 12 as shown in FIGURE 9, and thereafter fold-ing panels 14 and 14a inward over panel 11 and folding cover panel 13 over panels 14, 14a and 11 with tab 18 interlocking with slit 17 as herebefore described with reference to FIGURE 1.

.
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FIGURE 10 illustrates various needle mounting means whichmay be utilized in the packages of the present invention. FIG-URES lO(a), (b), and (c) illustrate various configurations of three-dimensional, resilient, pierceable bodies 35, while S FIGU~E lO(d) illustrates a tab 36 cut in base 15 with the needle inserted thereunder. FIGURE lO(e) illustrates a double aper-ture 37 in base 15 with the needle inserted therethrough.
FIGU.~E 11 illustrates various suture loop retaining means which may be utilized in the packages of the present inven-tion. FIGURE ll(a) illustrates a three-dimensional resilient body 29 having a suture receiving slit therein, while FIGURE ll(b) illustrates a tab 38 cut in a panel of the package with the su-ture loop inserted thereunder.
FIGURE 12 illustrates various configurations of integral needle mounting and suture loop retaining means which may be utilized in the present invention. FIGURES 12(a)-(d) illustrate three-dimensional, resilient, pierceable bodies 39 having a su-ture receiving slit therein. FIGURE 12(e) illustrates three tabs cut into base lS with the suture needles mounted under tabs 36 and the suture loop retained under tab 3a.
Preferred needle mounting and suture loop retaining means comprise three-dimensional, resilient, pierceable bodies as described above. Such bodies may be formed of silicone rubber, silicone foam, polyurethane, polystyrene, collagen sponge, poly-ethylene foam, and the like. The basic requirements of suchmaterials are that they be sufficiently soft to permit penetra-tion by delicate ophthalmic needles, and sufficiently resilient . . .
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to secure the needle once inserted. Bodies having a thickness of about 0.15 to 0.20 cm allow convenient insertion of the needle and, when slit one-half to two-thirds of the thickness, are ef-fective to retain a suture loop inserted in the slit.
Many needle mounting and suture loop retaining means -- other than those illustrated herein will be apparent to those ; skilled in the art, and the present invention is accordingly not limited to any particular illustrated configuration. It is also apparent that the configuration of the panels of package 10 may be modified without departing from the scope of the present in-vention, the essential element of which is to provide in combina-tion needle mounting means and suture loop retaining means where-by the midpoint of the suture is identified and accessible for cutting when the package is opened.
The packages of the present invention are preferably en-closed in an outer envelope and sterilized prior to use in ac- ~ -cordance with conventional suture packaging and sterilization procedures. The packages of the present invention are useful with all suture materials, absorbable and nona~sorbable, natural or man-made. The foregoing specification is accordingly by way of description and illustration, and the present invention is not to be limited to the specific form or arrangement of parts as described or shown herein.

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Claims (21)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:
1. A folded package for a double-armed suture comprising (a) a center panel, a first and second cover panel foldably attached to said center panel along two sides thereof, and a needle mounting panel foldably attached to said center panel along a third side thereof, (b) needle mounting means on said needle mounting panel, (c) suture loop retaining means on one of said panels, and (d) a double-armed suture contained in said package having both needles secured in said needle mounting means and a suture loop substantially equidistant from each needle secured in said suture loop retaining means, said first cover panel of said package being folded over said center panel with a major por-tion of said suture enclosed therebetween, said needle mounting panel being folded over said first cover panel with said needles and needle mounting means enclosed therebetween, and said second cover panel being folded over said needle mounting panel and first cover panel with said suture loop retaining means enclosed therebetween, whereby when the second cover panel and needle mounting panel are unfolded from said center panel, said needles and said suture loop are readily accessible and said suture may be cut at said loop to obtain two single-armed sutures of substantially equal length before removing said suture from between said folded panels.
2. Package of claim 1 wherein said suture loop retaining means is attached to said center panel and said first cover panel has a cutout over the position of said suture loop retaining means and the suture loop therein.
3. Package of claim 1 having a second needle mounting panel foldably attached to said center panel along a fourth side thereof with a second needle mounting means on said second needle mounting panel.
4. A package of claim 3 wherein one needle of said double-armed suture is secured in each of said needle mounting means.
5. packagenof claim 1 wherein said needle mounting means comprises a three-dimensional, self-sustaining, resilient, pierceable body.
6. Package of claim 5 wherein said suture loop retaining means comprises a three-dimensional, sulf-sustaining, resilient body having a suture loop accepting slit therein.
7. Package of claim 6 wherein said suture loop retaining means is integral with said needle mounting means.
8. Package of claim 5 wherein said needle mounting means is attached to a base comprising a flat card member having flat surface dimensions larger than those of the three-dimensional body.
9. Package of claim 8 wherein said needle mounting panel contains slot means cooperating with said base of said needle mounting means for removably securing said needle mounting means to said needle mounting panel.
10. Package of claim 1 wherein said suture loop retaining means comprises a suture receiving tab in said center panel.
11. Package of claim 1 wherein said needle mounting means comprises a needle receiving tab in said needle mounting panel.
12. A folded package for a double-armed suture comprising (a) an elongated center panel having a major and minor axis, a first and a second cover panel foldably attached to said center panel along the major sides thereof, and a needle mounting panel foldably attached to said center panel along one minor side thereof, (b) needle mounting means comprising a three-dimensional, self-sustaining, resilient, pierceable body mounted on said needle mounting panel, (c) suture loop retaining means comprising a three-dimensional, self-sustaining, resilient body having a suture loop accepting slit therein mounted on one of said panels, and (d) a double-armed suture contained in said package having both needles secured in said needle mount-ing means and a suture loop substantially equidistant from each needle secured in said suture loop retaining means, said first cover panel of said package being folded over said center panel with a major portion of said suture enclosed therebetween, said needle mounting panel being folded over said first cover panel with said needles and needle mounting means enclosed therebetween, and said second cover panel being folded over said needle mounting panel and first cover panel with said suture loop retaining means enclosed therebetween, whereby when the second cover panel and needle mounting panel are unfolded from said center panel, said needles and said suture loop are readily accessible and said suture may be cut at said loop to obtain two single-armed sutures of substantially equal length before removing said needles from said needle mount.
13. Package of claim 12 wherein said needle mount-ing means is attached to a base comprising a flat card member having flat surface dimensions larger than those of the three-dimensional body.
14. Package of claim 13 wherein said needle mount-ing panel contains slot means cooperating with said base of said needle mounting means for removably securing said needle mounting means to said needle mounting panel.
15. Package of claim 12 wherein said suture loop retaining means is integral with said needle mounting means.
16. Package of claim 12 wherein said suture loop retaining means is attached to said center panel and said first cover panel has a cutout over the position of said suture loop retaining means and the suture loop therein.
17. Package of claim 12 having a second needle mounting panel foldably attached to said center panel along the other minor side thereof with a second needle mounting means comprising a three-dimensional, self-sustaining, resilient, pierceable body mounted on said second needle mounting panel.
18. Package of claim 12 wherein said first and second cover panels have integral locking means to maintain said first panel in its folded position over said center panel.
19. Package of claim 18 wherein said integral locking means comprises a tab on the unattached major side of said first cover panel, and a corresponding tab receiving slit in the second cover panel along the line of attachment of said second cover panel to said center panel.
20. Package of claim 12 wherein said first cover and center panels have integral locking means to maintain said second cover panel in its folded position over said needle mounting panel and first cover panel.
21. Package of claim 20 wherein said integral lock-ing means comprises a tab along the folded edge of said first cover panel and said center panel and a correspond-ing tab receiving slit in the unattached major edge of said second cover panel.
CA310,377A 1977-09-02 1978-08-31 Package for double-armed sutures Expired CA1113895A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US05/830,372 US4120395A (en) 1977-09-02 1977-09-02 Package for double-armed sutures
US830,372 1977-09-02

Publications (1)

Publication Number Publication Date
CA1113895A true CA1113895A (en) 1981-12-08

Family

ID=25256854

Family Applications (1)

Application Number Title Priority Date Filing Date
CA310,377A Expired CA1113895A (en) 1977-09-02 1978-08-31 Package for double-armed sutures

Country Status (12)

Country Link
US (1) US4120395A (en)
JP (1) JPS5446679A (en)
AU (1) AU519789B2 (en)
BR (1) BR7805711A (en)
CA (1) CA1113895A (en)
DE (1) DE2838311A1 (en)
FR (1) FR2401663A1 (en)
GB (1) GB2003445B (en)
IN (1) IN149914B (en)
IT (1) IT1107686B (en)
SE (1) SE430300B (en)
ZA (1) ZA785004B (en)

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GB2003445B (en) 1982-05-26
AU3939278A (en) 1980-03-06
IT7850944A0 (en) 1978-09-01
BR7805711A (en) 1979-04-17
DE2838311C2 (en) 1988-09-01
SE7809184L (en) 1979-03-03
FR2401663A1 (en) 1979-03-30
IT1107686B (en) 1985-11-25
JPS631053B2 (en) 1988-01-11
GB2003445A (en) 1979-03-14
IN149914B (en) 1982-05-29
DE2838311A1 (en) 1979-03-15
ZA785004B (en) 1980-04-30
SE430300B (en) 1983-11-07
FR2401663B1 (en) 1983-11-18
JPS5446679A (en) 1979-04-12
US4120395A (en) 1978-10-17
AU519789B2 (en) 1981-12-24

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