Sternal closure technique and kit performing same

A - Human Necessities – 61 – B

Patent

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Details

A61B 17/03 (2006.01) A61B 17/064 (2006.01) A61B 17/068 (2006.01) A61B 17/82 (2006.01) A61B 17/04 (2006.01)

Patent

CA 2271340

An improved method of reducing and stabilizing the sternum after a sternotomy includes fixing a staple (42) at the anterior surface (26) of the sternum adjacent to each outlet (30) for trans-sternal wire sutures (24). The staples (42) are applied to the sternal halves (20, 22) to reinforce the bone adjacent to the suture outlets (30) so as to prevent the suture from cutting into the bone. As each suture loop (24) is tightened to adapt the sternum, the suture loop (24) abuts the staples (42) adjacent the suture outlets (30). The staples (42) are deformed under force applied by the suture loop (24) to indicate that the loop has been tightened to an optimum degree. A sterile surgical staple gun (40, 40') is employed to install the staples (42) in the sternal halves (20, 22). A kit (80) for performing the improved sternal reduction procedure includes a pre-sterilized staple gun (40, 40') loaded with surgical staples (42), as well as suture/needle assemblies (82). The staple gun (40') can be provided with a recess (90) or notch at the lower edge of the front wall (88) of the staple gun (40') in order to be able to position the staples closer to the suture (24) or suture outlets (30).

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