Sternal closure technique and kit for performing same

Surgery – Instruments – Sutureless closure

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606151, 606216, A61B 1708

Patent

active

060304103

ABSTRACT:
An improved method of reducing and stabilizing the sternum after a sternotomy includes fixing a staple at the anterior surface of the sternum adjacent to each outlet for trans-sternal wire sutures. The staples are applied to the sternal halves to reinforce the bone adjacent to the suture outlets so as to prevent the suture from cutting into the bone. As each suture loop is tightened to adapt the sternum, the suture loop abuts the staples adjacent the suture outlets. The staples are deformed under force applied by the suture loop to indicate that the loop has been tightened to an optimum degree. A sterile surgical staple gun is employed to install the staples in the sternal halves. A kit for performing the improved sternal reduction procedure includes a pre-sterilized staple gun loaded with surgical staples, as well as suture
eedle assemblies.

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Harry S. Soroff, MD, et al., "Improved Sternal Closure Using Steel Bands: Early Experience with Three-Year Follow-up", Annals of Thoracic Surgery, vol. 61, pp. 1172-1176, 1996.
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