BACKGROUND
1. Technical Field
The present invention relates to a surgical suturing needle
for suturing cutaneous and subcutaneous tissue, and in particular, relates to a
process for manufacture of a surgical needle having enhanced penetration characteristics
and retention of needle sharpness over prolonged use.
2. Background of Related Art
Suturing needles for applying sutures, or stitches, by
hand in cutaneous and subcutaneous tissue are well known in the art. The suturing
needles are typically used to close wounds or adjoin adjacent tissue, often at the
conclusion of a surgical procedure. Suturing needles are usually made from a cut
blank of material such as stainless steel. The cut blank is metal-worked using well
known machining techniques to form the suturing needle. The needle generally includes
a shaft, a rear end portion with an aperture or channel to secure a suture thread
and a needle head at a front end portion for puncturing skin and for passing through
tissue. The needle head typically incorporates a sharpened needle tip at its distal
end and cutting edges. Alternatively, the needle tip may be of a tapered configuration.
Straight and curved needles including multiple curved configurations are also known
the art.
Conventional methods for needle manufacture include subjecting
a needle blank to a series of grinding operations to form the desired needle edges
and needle point. However, the grinding operations are often operator dependent
thereby increasing the potential for needle defects. In addition, sharpened needle
edges formed via conventional operations fail to retain their sharpness over extended
use.
In
U.S. Patent 5,776,268
, the wire fed from gripper/feeder is cut into lengths which are conventionally
referred to as needle blanks within blank cutter/carriage strip former machine.
If desired, although not preferred, the needle blank may be moved to an optional
trim station prior to the open radius coin die station wherein the distal end of
the needle blank is cut or sheared along at least one plane such that the plane
is angulated with respect to the longitudinal axis of the needle blank.
The closed die coin station utilizes a conventional bayonet-shaped
closed die to form sides and a point into the needle blank. The closed die is split
die having halves, cavity and top surface. After the needle blank has been coined
in closed die coin station, it substantially has the cross-sectional configuration
of a cutting edge needle with the exception of residual wing members extending from
either side of the tip of the needle blank.
SUMMARY
Accordingly, the present disclosure is directed to a process
for manufacturing a surgical needle. The invention is defined by the independent
claim. The dependent claims are directed towards preferred embodiments. The preferred
process incorporates at least one pressing operation which, preferably, in conjunction
with a trimming and/or etching process, ultimately forms the sharpened needle end.
The grinding operation in the preferred process does not produce the primary sharpened
edges of the needle, but, rather is incorporated, in one instance, to reduce excess
needle material prior to the pressing operation. Consequently, the amount of flash
material generated during pressing is substantially reduced. This feature desirably
enhances the subsequent trimming and etching operations, and produces a needle which
is extremely sharp, durable and exhibits an improved retention of sharpness over
periods of prolonged use.
The process for manufacturing a surgical needle includes
the steps of providing a surgical needle blank of biocompatible material, removing
needle material (e.g., through a grinding process) from a peripheral portion of
one end of the needle blank to define a needle end having a reduced cross-sectional
dimension, pressing the needle end to form at least three intersecting surfaces
on the needle end and forming cutting edges adjacent areas of intersection of the
at least three surfaces to define a plurality of cutting edges on the needle end.
The process further includes the step of coining the needle blank prior to grinding
to define a needle end having a triangular shaped cross section with first, second
and third sides. The second and third sides are also subjected to a grinding process
to remove material adjacent the respective sides.
In a preferred embodiment, the step of pressing includes
form pressing the first, second and third sides to produce the at least three surfaces
of the needle end. A die mechanism having a die arrangement with a die concavity
therein may be provided. The die concavity defines a tapered characteristic whereby
the cross-sectioned area occupied by the concavity decreases from one end of the
concavity to the other end of the concavity. The needle end is positioned within
the die concavity to impart a tapered configuration to the needle end. Preferably,
the die cavity of the die mechanism defines a general triangular configuration having
first and second pressing surfaces. The needle blank is positioned within the concavity
of the die mechanism to impart a generally triangular-shaped cross-section to the
needle end. The die mechanism may include a die punch positioned in opposition of
the die concavity. The die punch engages the first surface of the needle end upon
relative movement of the die punch and the die mechanism. The die punch may have
a radiused surface to impart an arcurate surface on the first surface of the needle
end.
Excess needle flash material may be created adjacent areas
of intersection of the first and second surfaces, and the first and third surfaces
of the needle end during the pressing step. This excess flash material may be removed
through a trimming operation. The trimming step or trimming operation preferably
includes forming a crease line along the areas of intersection of the first and
second sides, and the first and third sides of the needle end. The needle blank
may then be subjected to an etching process to remove excess flash material and/or
sharpen the cutting edges. Heat treating the needle blank is also preferable.
BREIF DESCRIPTION OF THE DRAWINGS
The accompanying drawings, which are incorporated in and
constitute a part of this specification, illustrate embodiments of the disclosure
and, together with a general description of the disclosure given above, and the
detailed description of the embodiment(s) given below, serve to explain the principles
of the disclosure, wherein:
- FIG. 1 is a block diagram of a preferred embodiment of a process of manufacturing
a surgical needle in accordance with the principles of the present disclosure;
- FIG. 2A is a plan view of the coining dies utilized in the coining operation
of the process of FIG. 1;
- FIG. 2B is an axial view of the needle end subsequent to the coining operation;
- FIG. 3A is a top schematic view of the relief grind mechanism used in the relief
grind operation of the process of FIG. 1;
- FIG. 3B is a side schematic view illustrating the arrangement of the collet
and collet holder relative to the grind wheel of the relief grind mechanism;
- FIG. 3C is an axial schematic view illustrating the arrangement of the needle
blank relative to the grind wheel of the relief grind mechanism;
- FIG. 3D is an axial end view of the needle blank subsequent to the relief grind
operation;
- FIG. 4A is a plan view of the bayonet die configuration used in the press operation
of the process of FIG. 1;
- FIG. 4B is a cross sectional view of the needle end engaged by the upper press
during the press operation;
- FIG. 5A is a perspective view of the lower dies used in the trim operation of
the process of FIG. 1;
- FIG. 5B is an end axial view of the needle end subsequent to the trim operation;
- FIG. 6 is a side plan view of the needle end subsequent to the quick grind operation
of the process of FIG. 1;
- FIG. 7A is a side view of a pair of dies utilized in the flat press operation
of the process of FIG. 1;
- FIG. 7B is a top plan view of the needle end subsequent to the flat press operation;
and
- FIG. 7C is a cross-sectional view taken along lines 7C-7C of FIG. 7B illustrating
the configuration of the main body of the needle.
DESCRIPTION OF PREFERRED EMBODIMENTS
Preferred embodiments(s) of the process for manufacturing
a surgical needle of the present disclosure will now be described in detail with
reference to the drawings wherein like reference numerals identify similar or like
elements throughout the several views.
Referring now to the block diagram of FIG. 1, there is
illustrated a preferred process for needle manufacture in accordance with the principles
of the present disclosure. A needle blank in the form of a cylindrical rod having
a desired or predetermined length is provided. The needle blank is to be formed
into a surgical needle. The needle blank is cut from suitable biocompatible needle
stock, including stainless steel, titanium or titanium alloys. The needle blank
also preferably has a drilled recess (e.g., through laser drilling) in one end for
receiving a surgical suture to attach the suture to the needle. It is also contemplated
that the needle blank may have an open channel, an eye, etc. for receiving and attaching
the suture as is known in the art.
With reference to FIGS. 1 and 2A, the first step in the
preferred process is a coining operation 100. The coining operation imparts a desired
cross-sectional configuration to needle blank 10. The needle blank 10 is preferably
placed within a collet (not shown in FIG. 2A). Any conventional collet adapted to
secure a needle blank in fixed relation may be utilized. The collet may be indexed
to determine and/or control orientation of the needle blank 10 relative to a collet
holder employed in the remaining operative steps. The collet and needle blank 10
are mounted in relation to a die mechanism 102 of the coining operation. In one
embodiment, the collet may be mounted within a collet holder (not shown) of the
die mechanism.
The preferred die mechanism 102 includes two lower dies
104 and a planar upper die 106. Lower dies 104 incorporate inclined swaging or coining
surfaces 108 which extend at respective angles &thgr;,-&thgr; relative to transverse
axis "r" of the dies 104. Coining surfaces 108 define a concavity or recess 110
within lower dies 104. Angles &thgr;,-&thgr; may be any oblique angle. Preferably,
angles &thgr;,-&thgr; have an absolute value ranging from 40° to 70°
relative to axis "r". In one preferred embodiment, the absolute value of angles
&thgr;,-&thgr; is about 58°. Other angular orientations are also envisioned.
Dies 104, 106 are preferably formed of a carbide material although other materials
are envisioned as well.
Needle blank 10 is positioned within concavity 110. The
die mechanism is actuated to advance upper die 106 toward lower dies 104 to swage
or coin at least the needle end 12. This coining operation 100 imparts a generally
triangular shaped cross-section to the needle end 10. FIG. 2B illustrates in axial
view the configuration of the needle end 12 of the needle blank 10 subsequent to
the coining operation. As appreciated, the end surface 14 of needle end 12 is substantially
planar or flat. The three sides of needle end 12, namely sides 1, 2 and 3, generally
define an equilateral triangle. For reference purposes, side 1 of needle end 12
is the surface directly engaged by upper die 106 and sides 2, 3 are the surfaces
contacted by coining surfaces 108 of lower dies 104.
With reference again to FIG. 1, the next step in the process
is a relief grind operation 200. The relief grind operation removes excess material
from needle end 12 and, optionally, may provide a preliminary pointed configuration
to the needle end 12. The removal of needle material from needle end 12 greatly
facilitates the subsequent pressing (e.g., bayonet forming), trimming and/or acid
etching operations of the process. As best depicted in the top schematic view of
FIG. 3A, the relief grind mechanism 202 of the relief grind operation 200 includes
grind wheel 204. Grind wheel 204 is adapted to rotate about rotational axis "w".
Collet holder 206 secures collet 20 at a predetermined rotational or angular orientation
relative to the axis of the collet holder 206 to selectively present any of the
sides 1, 2, 3 to grind wheel 202. The rotational or angular orientation may be determined
by the indexing on the external surface of collet 20. In addition, collet holder
206 may be arranged at a predetermined positive angle "c" or pitch (FIG. 3B) relative
to the rotational axis "w" of grind wheel 204 to impart a tapered surface to any
of the sides 1,2,3 of the needle end 12. In a preferred arrangement, angle "c" ranges
from 50° to 70°, and, preferably, is about 60° relative to horizontal
or transverse plane "t" which intersects the rotational axis "w" of grind wheel
204. FIG. 3B illustrates schematically this pitched arrangement of collet holder
206, collet 20 and needle blank 10 relative to grind wheel 204. Collet holder 206
is further displaceable in the "x" direction toward grind wheel 204 of the relief
grind mechanism.
Referring now to FIG. 3C, collet 20 is initially arranged
within collet holder 206 to present side 2 of needle end 12 to grind wheel 204.
In FIG. 3C, the collet 20 and collet 206 are not shown for clarity purposes. As
discussed above, indexing on collet 20 will facilitate obtaining the desired angular
or rotational orientation within collet holder 206. In a first preferred position,
collet 20 is placed at an angle "&agr;" to position side 2 in parallel relation
(e.g., horizontal) with the rotational axis "w" of grind wheel 204. For reference
purposes, the zero (0) position of collet 20 corresponds to a horizontal or parallel
arrangement of side 1 relative to the axis "w" of the grind wheel 204. The mechanism
200 is actuated and collet holder 206 is advanced along direction "x" such that
grind wheel 204 contacts side 2 of needle end 12. The grind operation removes a
desired amount of needle material from side 2. Thereafter, collet 20 is arranged
at a predetermined angular orientation "-&agr;'' (e.g., -60°) within collet
holder 206 to present side 3 of needle end 102 to grind wheel 204. Side 3 is also
preferably arranged to be in parallel relation to the rotational axis "w" of grind
wheel 202. The mechanism 200 is actuated to remove a predetermined amount of material
from side 3. FIG. 3D depicts an axial view of the configuration of needle end 12
subsequent to the relief grind process. As shown, sides 2, 3 generally taper outwardly
from end surface 14 towards the rear or main body of needle 10 to define a general
pointed or tapered characteristic to needle end 12. It is appreciated that more
or less material may be removed from needle end 12 and that end surface 14 of the
needle end 10 may be more or less pointed in configuration. This tapered configuration
of needle end 12 is achieved by virtue of the inclined orientation or pitch "c"
of collet holder 206 relative to the transverse plane "p" of grind wheel 202.
With reference again to FIG. 1, the following step in the
process is a press operation which involves forming a bayonet point on the needle
end 12 (STEP 300). This operation incorporates a press having two lower dies formed
to define a cavity for the press operation. With reference to FIG. 4A, the lower
dies, i.e., left and right dies, 302, 304 of the press or bayonet form mechanism,
each include an angle cut 306 in their upper surfaces which when joined together
define a tapered, preferably, triangular-shaped recess 308 in cross-section. Recess
308 gradually decreases in cross-section from front surfaces 302a, 304a of dies
302, 304 to the middle die area where it terminates in point 308p. The press further
includes upper punch 310 which moves to engage needle 10. Upper punch 310 includes
radiused surface 312 having a slight radius of curvature "m". In one preferred embodiment,
the radius of curvature "m" ranges from 6.35 mm (0.250 inches) to 12.7 mm (0.500
inches). Preferably, the radius of curvature "m" is about 9.525 mm (0.375 inches).
In operation, needle end 12 of needle blank 10 is placed
within triangular-shaped recess 308 of left and right dies 302, 304 with side 1
of the needle end 12 directly opposing radiused surface 312. With reference to FIG.
4B, the press is actuated such that upper punch 310 advances to engage needle end
12 thereby swaging the needle end 12 to a general bayonet or triangular shape shown.
Surface 1 assumes a slightly curved appearance through its swaging contact with
radiused surface 312 of upper punch 310. Preferably, radiused surface 312 of upper
punch 310 contacts the center of the needle end 12 to cause the needle material
to more readily splay within recess 308 of the left and right dies 302, 304, i.e.,
by virtue of the contour of the radiused surface 312, the radiused surface 312 enters
more deeply within the center of recess 308 and into the needle end 12, which causes
the needle material to flow within the recess 308 in a uniform manner. The process,
however, also creates an overflow flash "f" on each side of needle end 12 to thereby
define the winged appearance shown in in FIG. 4B. The flash "f'' extends radially
outwardly from the edges of the needle end 12 generally following the contour of
radiused surface 312 of upper punch 310. The flash material "f' has a thickness
"t" adjacent to intersecting edges of sides 1, 2, 3 of about 0.051 mm (.002 inches).
However, by virtue of the previous relief grind operation, the amount of flash "f"
generated is substantially reduced as would normally be generated. As indicated
hereinabove, this greatly facilitates the remaining operations of the preferred
process by removing excess needle material which would otherwise require removal
by the forming, trimming and etching operations.
Referring now to FIGS. 5A-5B, the next step in the process
is a trim operation (STEP 400). The trim operation 400 incorporates two lower dies
402 which are identical to the bayonet forming dies 302, 304 of FIG. 4A. However,
dies 402 also incorporate sharp raised protrusions 404 which extend along the perimeter
of the recessed areas of each die arid the flat remaining surfaces of the dies.
The raised protrusion(s) 404 is preferably formed by an electrode depositing machining
(EDM) process. The EDM process is coordinated to form a crease line or protrusion
404 adjacent the outer perimeter of the recess. Upon actuation of the press, the
raised protrusion 404 forms a corresponding crease and/or perforation in the flash
material adjacent location "p" (FIG. 5B) to trim the flash along the protrusions
404. The crease lines eventually become peripheral edges which serve as cutting
edges in needle end 12. The thickness "t" adjacent each crease line is substantially
reduced relative to corresponding thickness after the press operation 300, and may
only be about 0.013 mm (.0005 inches) thick. As appreciated, excess flash material
"f" generated during the press operation 300 may still be present.
Referring again to FIG 1, the next step in the process
is a second grind operation (step 500). The second grind involves lightly grinding
the area (e.g., line) of intersection of sides 2, 3 of the needle end 12 to reduce
some excess flash material which may be adjacent this area and to also form a second
point on needle end 12. The second grind operation may be performed with relief
grind mechanism 202 of the relief grind operation 200 discussed hereinabove. In
particular, needle blank 10 is arranged within collet holder 206 to present the
area or edge connecting sides 2, 3 of needle end 14 to grind wheel 204. The grind
mechanism 202 is actuated to grind a minimal amount of needle material from the
edge.
FIG. 6 depicts in side plan view the configuration of needle
end 12 subsequent to the second grind operation 500. This light grind step also
forms a second needle point 18 on the needle end 12. The second needle point 18
is displaced from the first or distalmost needle point 16 which is created during
the press operation 300. Second needle point 18 eventually defines secondary cutting
edges extending from the second needle point 18 to main body 22 of needle blank
10. The grind surface 24 (i.e., the surface interconnecting the two points 16, 18)
is at a minimal angle "j" preferably about 3° relative to the axis "z" of needle
10. Preferably, the removed material is only about 0.008 mm (a few tenths of a thousand
of an inch).
Referring again to FIG 1, the next step in the process
is a flat process operation 600. The flat press operation 600 includes a gear-activated
flat press. The press includes a box die set 602 which is best depicted in FIG.
7A. The box die is a two component die. One of the die components (e.g., the upper)
604 is movable while the second die component (e.g. the lower) 606 is stationary.
The upper die 604 has a flat pressing surface 604a. The lower die 606 includes a
rectangular recess 606a having lower pressing surface 608. Lower pressing surface
608 is arranged at a slight taper or angle to define an angulated punch. The angulated
surface tapers upwardly from the front surface of the die set 602 to the rear surface.
A preferred angle of taper ranges from 1° to 3°, and is preferably about
2°. This arrangement causes a greater or heavier swaging effect adjacent needle
end 12 and a lighter swaging effect toward the back end of the needle 10. Accordingly,
the needle material adjacent the needle end 12 splays outwardly to cause a portion
of the needle end 12 to be wider than the remaining body 22 of needle blank 10.
In this manner, the cutting edges 4, 5 at the intersections of sides 1, 2 and sides
1, 3 respectively are wider than main body 22 of needle blank 10 and taper back
toward the body 22 to define a general spatula-head configuration.
In operation, needle blank 10 is placed within rectangular
recess 606a with side 1 contacting lower surface 608 of lower die 606. The press
is activated. The opposing surfaces of the needle 10 are then pressed whereby the
needle material flows to be captured within rectangular recess 606a. Rectangular
recess 606a thereby provides a uniform collective pool for the needle 100. Due to
the inclined orientation of lower pressing surface 608, needle end 12 toward needle
point 16 is pressed to a greater extent than the remaining portion or main body
22 of needle 10. The result of this feature is the formation of a spatula head on
the needle end as depicted in FIG. 7B. The spatula head is characterized by having
outer cutting edges 4, 5 defined along the respective lines of intersections of
surfaces 1, 2, and surfaces 1, 3, which extend beyond the normal periphery of the
needle 10 or beyond the edges of the needle body 22. The main body 22 of needle
10 assumes the rectangular configuration of rectangular recess 606a. FIG. 7C illustrates
the cross section of the rectangular configuration of main body 22 of needle 10
after the flat press operation 600. Preferably, the cross-sectional dimension or
needle width "w1" across one surface of the needle is less than the width "w2" across
the other surface of the needle. Other configurations are also envisioned.
Thus, the aforementioned operations of the preferred process
produce a needle having a spatula head configuration as depicted in the views of
FIGS. 5B (with the flash "f'' material removed), FIG.6, FIG. 7B and FIG. 7C.
It is envisioned that the aforementioned operations may
be adapted to form other needle configurations besides the bayonet or spatula configuration
disclosed. These alternate designs may be achieved by appropriate alternate design
to the bayonet point form press and/or the trimming/crease forming dies.
The next operation is to curve the needle. This step 700
may be formed by any conventional means. In one embodiment, a curving mechanism
is utilized to curve the needle body preferably along side 1 of the needle end 12.
One suitable curving mechanism is disclosed in commonly assigned
U.S. Patent No. 5,626,043
to Bogart, to which the reader is referred for further reference. The
curving step 700 is optional.
It is envisioned that each of the above processing steps
may be performed at one work station, i.e., that each work station or needle manufacturing
apparatus may be adapted to perform each of the steps (including coining, grinding
and pressing) required to manufacture a single needle in accordance with the preferred
process. The parameters of manufacture may be programmed into the work station to
control each operation based on needle type, size, etc. Computer programming, software
etc., in conjunction with associated computer means, may be incorporated to coordinate
the operation of the work station.
With reference again to FIG. 1, it is also contemplated
that a heat treatment operation may be employed to treat the surgical needle to
enhance the strength of the needle and its surgical cutting characteristics. The
heat treatment operation 800 incorporates a conventional heat treatment oven. The
needles are heated in the oven at a sufficient temperature for a sufficient period
of time to effectively treat the needle blank(s). The temperature ranges and heating
period are in conformance with the material of fabrication of the needle blank,
and may be readily determined by one skilled in the art.
The next step in the process is a needle etching process
900. The needle etching process incorporates the step of submerging the surgical
needle in an acid bath. The first stage of the etching or acid bath process is a
high energy step 1000 where a relatively high amperage current is introduced into
the bath of approximately 5-6 amps for about 20-40 seconds, preferably, 30 seconds
at 12V-DC. The high energy phase aggressively moves excess flash material from the
needle. The second phase in this process is a low energy step 1100 and includes
directing relatively low amperage current of approximately 1 amp into the acid bath
for about five minutes. This phase produces a matte-like finish on the needle. The
needle may then be coated with a suitable coating, e.g. a silicon coating, PTFE
coating or Teflon®.
It will be understood that various modifications may be
made to the embodiments disclosed herein. Therefore, the above description should
not be constructed as limiting, but merely as exemplifications of preferred embodiments.
Those skilled in the art will envision other modification within the scope of the
claims appended hereto.