US3094123A - Surgical cutting needle - Google Patents

Surgical cutting needle Download PDF

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Publication number
US3094123A
US3094123A US775214A US77521458A US3094123A US 3094123 A US3094123 A US 3094123A US 775214 A US775214 A US 775214A US 77521458 A US77521458 A US 77521458A US 3094123 A US3094123 A US 3094123A
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Prior art keywords
needle
angle
point
slope
surgical
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US775214A
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Leonard D Kurtz
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    • 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
    • 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
    • A61B17/06004Means for attaching suture to needle
    • 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
    • A61B17/06066Needles, e.g. needle tip configurations
    • 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
    • A61B17/06166Sutures
    • 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
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/06085Needles, e.g. needle tip configurations having a blunt tip

Definitions

  • the present invention provides a means where-by the angle of slope can be decreased to a substantial extent below 20 and yet the point of the needle is maintained with suflicient strength to prevent the formation of burrs. It would normally be expected that the actual point of the needle would play a major role in determining the overall sharpness of the needle. That is to say, one would expect that the more pointed the needle, the sharper the needle and that consequently less force would be required for penetration. However, surprisingly enough, it has been found that by decreasing the angle of slope and by removingthe tip of the needle which lacks suflicient structural strength so that, in effect, the needle is blunted, a sharper needle is provided which requires less force for penetration.
  • a needle may have a slope angle which requires a penetration force of 3.5 oz. whereas the needle point may require only 1.0 oz.
  • the slope angle may be decreased to decrease the force of penetration required and the needle point may be removed so as to increase its overall penetration efliciency and, therefore, provided a more efficient overall needle.
  • An object of the present invention is to provide a surgical cutting instrument which has a considerably reduced penetration force characteristic.
  • Another object of the present invention is to provide a surgical needle or the like with an angle of slope less than previous needle designs so that a considerably sharper needle is provided without any sacrifice in strength characteristics.
  • Still another object of the present invention is to provide a surgical needle with an angle of slope less than that used heretofore and in which the point of the needle is removed so as to prevent the formation of burrs and the like.
  • FIG. 1 is a perspective view of a surgical needle made in accordance with the present invention
  • FIG. 2 is an enlarged view of the point of the needle shown in FIG. 1;
  • FIG. 3 is a sectional view along the line 3-3 of FIG. 2.
  • a surgical needle to which surgical thread 2 is attached at 3 by any suitable means such as by swaging.
  • the thread may also be retained by drilling the end of the needle and inserting the thread and squeezing the needle and thread together.
  • the point of the needle is provided with two fiat faces as shown at 4 and 5 so that there is provided a single cutting edge 6 which extends laterally when the needle is in use. It is, of course,
  • the angle which is identified as the angle B in FIG. 2 is termed the angle of slope. This angle determines the rate at which the tissues are cut to the diameter of the needle.
  • the angle shown as angle C in FIG. 3 is termed the sharpness angle. This angle actually determines the sharpness of the lateral cutting edge. It can be readily appreciated that the smaller the angles B and C are, the sharper the needle point is but that as these angles are decreased the amount of metal at the point of the needle is reduced and eventually there is insufiicient metal at the point to give the required strength characteristics and angle of sharpness. As pointed out hereinbefore, however, practically speaking the angle of slope could not be decreased below 20 for the reason that needles having a lower slope angle do not possess sufiicient strength.
  • the angle ofslope may be decreased to a substantial extent below the 20 lower limit or prior art needles and yet provide a needle having sufficient strength characteristics. This has been achieved by grinding off the tip of the needle as shown at 7 in FIG. 2. By removing the end portion of the needle there is no possibility of burr formation and yet the advantages of a low slope angle are retained. This point can be removed so that an are like surface is provided as the entering portion of the piercing instrument as opposed to the point of prior art instruments.
  • the inclusion angle or angle formed between tangents drawn to the outer portions of the are like surface should be limited to 45, but may be as high as Experiments have been conducted in which the puncture force of needles was computed for various angles of slope when the point has been ground to an are like configuration. The following is the results of these experiments:
  • X represents the puncture force in ounces
  • B the angle wards an end portion, the angle of convergence comprisof slope in degrees
  • Y the blunted tip in thousandths ing an angle of slope and being less than 25, the end porof an inch.
  • tion being are shaped and having a width within the range It can be seen that the puncture force can be reduced to of .0001 to .010 inch.
  • a surgical needle according to claim 2 wherein the from .0001 to .010 inch. angle of inclusion between tangents to the are shaped needle end is greater than
  • a surgical needle made according to the present invention provides substantially improved results without any sacrifice in strength characteristics.

Description

June 18, 1963 L. D. KURTZ SURGICAL CUTTING NEEDLE Filed NOV. 20, 1958 INVENTOR LEM/7P0 0. Kuflz;
BY g W ATToRNEYs,
United States Patent 3,094,123 SURGICAL CUTTING NEEDLE Leonard D. Kurtz, Woodmere, NY. (9620 222nd St, Queens Village 29, N.Y.) Filed Nov. 20, 1958, Ser. No. 775,214 3 Claims. (Cl. 128-439) This invention relates to a surgical instrument and more particularly to a suturing needle which has improved piercing qualities.
In my co-pending application Serial No. 557,326 filed January 4, 1956, for Surgical Needle, now Patent No. 2,869,550 issued January 20, 1959, it is clearly set forth that the angle of slope and the sharpness angle of the point of the needle are critical factors and must lie within a predetermined range. As demonstrated in the previous application, decreasing the angle of slope increases the sharpness of the needle. Greatly improved results could be obtained provided the angle was not decreased to such an extent that there was insuflicient metal at the point to give structural support.
In previous needle designs it was found that the slope angle could not be decreased below when the sharpness angle was approximately This was due to the fact that at slope angles of less than 20 the metal at the point became so thin that it tended to bend and thus form a burr. Since the decrease in the angle of slope reduces the force required to penetrate tissue to a considerable extent, it would be highly desirable to decrease this angle if means could be found to avoid the burr formation referred to hereinbefore.
The present invention provides a means where-by the angle of slope can be decreased to a substantial extent below 20 and yet the point of the needle is maintained with suflicient strength to prevent the formation of burrs. It would normally be expected that the actual point of the needle would play a major role in determining the overall sharpness of the needle. That is to say, one would expect that the more pointed the needle, the sharper the needle and that consequently less force would be required for penetration. However, surprisingly enough, it has been found that by decreasing the angle of slope and by removingthe tip of the needle which lacks suflicient structural strength so that, in effect, the needle is blunted, a sharper needle is provided which requires less force for penetration. It has been established that the actual point of the needle has a piercing quality independent of other factors and that this can be reduced to a certain extent without adversely affecting the overall piercing qualities of the needle. That is to say, a needle may have a slope angle which requires a penetration force of 3.5 oz. whereas the needle point may require only 1.0 oz. Thus, the slope angle may be decreased to decrease the force of penetration required and the needle point may be removed so as to increase its overall penetration efliciency and, therefore, provided a more efficient overall needle.
An object of the present invention is to provide a surgical cutting instrument which has a considerably reduced penetration force characteristic.
Another object of the present invention is to provide a surgical needle or the like with an angle of slope less than previous needle designs so that a considerably sharper needle is provided without any sacrifice in strength characteristics.
Still another object of the present invention is to provide a surgical needle with an angle of slope less than that used heretofore and in which the point of the needle is removed so as to prevent the formation of burrs and the like.
Other objects and many of the attendant advantages of 3,094,123 Patented June 18, 1963 the present invention will become apparent upon consideration of the following detailed specification when taken in connection with the accompanying drawing wherein:
FIG. 1 is a perspective view of a surgical needle made in accordance with the present invention;
FIG. 2 is an enlarged view of the point of the needle shown in FIG. 1; and
FIG. 3 is a sectional view along the line 3-3 of FIG. 2. Referring now to the drawing wherein like numerals indicate like parts throughout the several views, there is shown at 1 in FIG. 1 a surgical needle to which surgical thread 2 is attached at 3 by any suitable means such as by swaging. The thread may also be retained by drilling the end of the needle and inserting the thread and squeezing the needle and thread together. The point of the needle is provided with two fiat faces as shown at 4 and 5 so that there is provided a single cutting edge 6 which extends laterally when the needle is in use. It is, of course,
possible to orient the cutting edge in any desired planeor to provide the point of the needle with three flat faces and a plurality of cutting edges.
However, by having the cutting edge of the needlelaterally disposed with the flat faces on the upper and lower surfaces of the needle, the possibility of tearing tissue is minimized. Furthermore, by forming the point and the two flat surfaces by a grinding operation it is assured'that no larger diameter than the diameter of the round portion of the needle will be present in the point.
The angle which is identified as the angle B in FIG. 2 is termed the angle of slope. This angle determines the rate at which the tissues are cut to the diameter of the needle. The angle shown as angle C in FIG. 3 is termed the sharpness angle. This angle actually determines the sharpness of the lateral cutting edge. It can be readily appreciated that the smaller the angles B and C are, the sharper the needle point is but that as these angles are decreased the amount of metal at the point of the needle is reduced and eventually there is insufiicient metal at the point to give the required strength characteristics and angle of sharpness. As pointed out hereinbefore, however, practically speaking the angle of slope could not be decreased below 20 for the reason that needles having a lower slope angle do not possess sufiicient strength.
It has been found that the angle ofslope may be decreased to a substantial extent below the 20 lower limit or prior art needles and yet provide a needle having sufficient strength characteristics. This has been achieved by grinding off the tip of the needle as shown at 7 in FIG. 2. By removing the end portion of the needle there is no possibility of burr formation and yet the advantages of a low slope angle are retained. This point can be removed so that an are like surface is provided as the entering portion of the piercing instrument as opposed to the point of prior art instruments. The inclusion angle or angle formed between tangents drawn to the outer portions of the are like surface should be limited to 45, but may be as high as Experiments have been conducted in which the puncture force of needles was computed for various angles of slope when the point has been ground to an are like configuration. The following is the results of these experiments:
4. 060626024006844 9260 25353859389233.3600 7 7 amcmmoaoamloaoalfimomomcaumll 0 O 1 00 0 0000505500005055 55m 0K v5050757205102572 50 I 4.40 I 5.50 I 7.04
b 00 002 02 22 00 94575795150570M797 5nv5m55w plrll 0050 50 00 55500 0020002 2002205052222200 III 02 002 0284 20000 59 3557593507753507%Wfl53300 A10 24 At 0500200 00200000500000 5 00550005050 7mww55555225557575mwm%%wwwmwm Needie
X represents the puncture force in ounces, B the angle wards an end portion, the angle of convergence comprisof slope in degrees and Y the blunted tip in thousandths ing an angle of slope and being less than 25, the end porof an inch. tion being are shaped and having a width within the range It can be seen that the puncture force can be reduced to of .0001 to .010 inch.
a figure as low as 2.50 oz. (In additional work, it has 2. A surgical needle having a curved end portion, a been possible to reduce this figure to as low as 1.50 oz.) cutting edge formed by a pair of intersecting planar sur- This presents a 30% improvement over prior art needles faces, the cutting edge being laterally disposed with resuch as disclosed in my co-pending application Serial No. spect to the inner and outer curved surfaces, the planar surfaces converging towards the needle end, the angle 557,326, now Patent No. 2,869,550 and represents a It can also be seen that of convergence being less than 25, the needle end being when the point is removed to too great an extent the significant advance in the art.
arc shaped and having a width within the range of .0001 to .010 inch.
puncture force increases appreciably. The eflective operating limits of the Width of the needle point extends 3. A surgical needle according to claim 2 wherein the from .0001 to .010 inch. angle of inclusion between tangents to the are shaped needle end is greater than Thus it can be seen that there has been provided a surgical instrument such as a needle in which the penetration force required has been considerably reduced by References Cited 111 the file 0f thls Patent decreasing the angle of slope and removing the point so 45 UNITED STATES PATENTS as to form an are like entering portion on the instrument.
A surgical needle made according to the present invention provides substantially improved results without any sacrifice in strength characteristics.
404,074 Champlin May 28, 1889 1,248,825 Dederer Dec. 4, 1917 FOREIGN PATENTS 3 3 55 9 9 11 5 1 m e m I J S C I E n R F E i Y R mmE nmH a r T r o F G 39 2 9 4 7 08 L Obviously many modifications and variations of the 50 present invention are possible in light of the above teachings. What is claimed as new and desired to be secured by Letters Patent is:
1. A surgical instrument comprising a member having Singer Surgical Stitching Instrument, Catalogue. at least one cutting edge, said cutting edge formed by in- (Pages 10 and =13 required.) Copy in 128439. Retersecting planar surfaces, said surfaces converging toceived in Patent Ofiice April 29, 1944.

Claims (1)

1. A SURGICAL INSTRUMENT COMPRISING A MEMBER HAVING AT LEAST ONE CUTTING EDGE, SAID CUTTING EDGE FORMED BY INTERSECTING PLANAR SURFACES, SAID SURFACES CONVERGING TOWARDS AN END PORTION, THE ANGLE OF CONVERGENCE COMPRISING AN ANGLE OF SLOPE AND BEING LESS THAN 25*, THE END PORTION BEING ARC SHAPED AND HAVING A WIDTH WITHIN THE RANGE OF .0001 TO.010 INCH.
US775214A 1958-11-20 1958-11-20 Surgical cutting needle Expired - Lifetime US3094123A (en)

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Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3492992A (en) * 1969-03-26 1970-02-03 Deknatel Inc Hypodermic needle
US3914801A (en) * 1971-09-14 1975-10-28 Hair Again Ltd Method of applying hair
DE2738452A1 (en) * 1977-04-15 1978-10-26 Deknatel Inc SURGICAL STERNOTOMY NEEDLE
US4237892A (en) * 1979-02-16 1980-12-09 American Cyanamid Company Multi-beveled, v-shaped needle point
US4513747A (en) * 1982-10-25 1985-04-30 Ethicon, Inc. Hard tissue surgical needle
US4602636A (en) * 1983-03-08 1986-07-29 Joint Medical Products Corporation Suture wire with integral needle-like tip
US4607638A (en) * 1984-04-20 1986-08-26 Design Standards Corporation Surgical staples
US4712553A (en) * 1985-05-30 1987-12-15 Cordis Corporation Sutures having a porous surface
US4799483A (en) * 1988-02-11 1989-01-24 Kraff Manus C Suturing needle with tail mounted cutting blade and method for using same
US4880002A (en) * 1985-05-30 1989-11-14 Corvita Corporation Stretchable porous sutures
US5002564A (en) * 1989-06-19 1991-03-26 Ethicon, Inc. Surgical needle configuration with spatula geometry
US5123910A (en) * 1990-11-07 1992-06-23 Mcintosh Charles L Blunt tip surgical needle
US5263974A (en) * 1991-01-09 1993-11-23 Matsutani Seisakusho Co., Ltd. Suture needle and method of and apparatus for grinding material for suture needle
US5464422A (en) * 1993-07-01 1995-11-07 W. L. Gore & Associates, Inc. Suture needle
US5478327A (en) * 1993-10-18 1995-12-26 Ethicon, Inc. Surgical needle with decreased penetration
US20050044922A1 (en) * 2003-08-14 2005-03-03 Bogart Michael W. Grindless surgical needle manufacture
EP1549228A1 (en) * 2002-07-17 2005-07-06 Tyco Healthcare Group Lp Surgical se suture needle
WO2009028557A1 (en) * 2007-08-27 2009-03-05 Mani, Inc. Medical suturing needle
US20090216203A1 (en) * 2004-06-08 2009-08-27 Kang Ahn Intimacy medical needle designed for nerve stimulation through soft tissue and microadhesiolysis of adhered soft tissue and medical instrument using the same
US20130283624A1 (en) * 2012-04-26 2013-10-31 Thomas Scimone Ceramic cutting blades
US20180221019A1 (en) * 2017-02-06 2018-08-09 Teresa R. Underdown Perfect Closure Surgical Needle
EP3622895A4 (en) * 2017-05-12 2020-12-23 Cheol Ho Chang Needle instrument for orbital fat repositioning surgery
USD912251S1 (en) * 2019-08-13 2021-03-02 Ethicon, Inc. Suture needle having a wave shape
USD912819S1 (en) * 2019-08-13 2021-03-09 Ethicon, Inc. Suture needle having a rotatable joint
USD938031S1 (en) * 2019-07-14 2021-12-07 Telma Micro Needles Pvt. Ltd. Undrilled needle
US11234691B2 (en) 2019-08-13 2022-02-01 Ethicon, Inc. Composite suture needles having rotatable sections

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US404074A (en) * 1889-05-28 Veterinary instrument
US1248825A (en) * 1915-04-08 1917-12-04 Carleton Dederer Surgical needle.
DE879590C (en) * 1948-10-20 1953-06-15 Wilhelm Blendinger Triangular curved surgical sewing needle
FR1042235A (en) * 1951-09-17 1953-10-29 Faceted knitting needle

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US404074A (en) * 1889-05-28 Veterinary instrument
US1248825A (en) * 1915-04-08 1917-12-04 Carleton Dederer Surgical needle.
DE879590C (en) * 1948-10-20 1953-06-15 Wilhelm Blendinger Triangular curved surgical sewing needle
FR1042235A (en) * 1951-09-17 1953-10-29 Faceted knitting needle

Cited By (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3492992A (en) * 1969-03-26 1970-02-03 Deknatel Inc Hypodermic needle
US3914801A (en) * 1971-09-14 1975-10-28 Hair Again Ltd Method of applying hair
DE2738452A1 (en) * 1977-04-15 1978-10-26 Deknatel Inc SURGICAL STERNOTOMY NEEDLE
US4237892A (en) * 1979-02-16 1980-12-09 American Cyanamid Company Multi-beveled, v-shaped needle point
US4513747A (en) * 1982-10-25 1985-04-30 Ethicon, Inc. Hard tissue surgical needle
US4602636A (en) * 1983-03-08 1986-07-29 Joint Medical Products Corporation Suture wire with integral needle-like tip
US4607638A (en) * 1984-04-20 1986-08-26 Design Standards Corporation Surgical staples
US4712553A (en) * 1985-05-30 1987-12-15 Cordis Corporation Sutures having a porous surface
US4880002A (en) * 1985-05-30 1989-11-14 Corvita Corporation Stretchable porous sutures
US4799483A (en) * 1988-02-11 1989-01-24 Kraff Manus C Suturing needle with tail mounted cutting blade and method for using same
US5002564A (en) * 1989-06-19 1991-03-26 Ethicon, Inc. Surgical needle configuration with spatula geometry
US5693072A (en) * 1990-11-07 1997-12-02 Mcintosh; Charles L. Blunt tip surgical needle
US5123910A (en) * 1990-11-07 1992-06-23 Mcintosh Charles L Blunt tip surgical needle
EP0745351A3 (en) * 1990-11-07 1997-01-22 McIntosh, Charles L. Blunt tip surgical needle
EP0745351A2 (en) * 1990-11-07 1996-12-04 McIntosh, Charles L. Blunt tip surgical needle
US5263974A (en) * 1991-01-09 1993-11-23 Matsutani Seisakusho Co., Ltd. Suture needle and method of and apparatus for grinding material for suture needle
US5464422A (en) * 1993-07-01 1995-11-07 W. L. Gore & Associates, Inc. Suture needle
US5478327A (en) * 1993-10-18 1995-12-26 Ethicon, Inc. Surgical needle with decreased penetration
EP0787464A1 (en) * 1993-10-18 1997-08-06 Ethicon, Inc. Surgical needle with decreased penetration
EP1549228A4 (en) * 2002-07-17 2010-04-07 Tyco Healthcare Surgical se suture needle
EP1549228A1 (en) * 2002-07-17 2005-07-06 Tyco Healthcare Group Lp Surgical se suture needle
US7981138B2 (en) 2002-07-17 2011-07-19 Tyco Healthcare Group Lp Surgical suture needle
US20100094336A1 (en) * 2002-07-17 2010-04-15 Tyco Healthcare Group Lp Surgical se suture needle
US20050044922A1 (en) * 2003-08-14 2005-03-03 Bogart Michael W. Grindless surgical needle manufacture
US7185524B2 (en) 2003-08-14 2007-03-06 Tyco Healthcare Group Lp Grindless surgical needle manufacture
US20090216203A1 (en) * 2004-06-08 2009-08-27 Kang Ahn Intimacy medical needle designed for nerve stimulation through soft tissue and microadhesiolysis of adhered soft tissue and medical instrument using the same
US8257392B2 (en) * 2004-06-08 2012-09-04 Kang Ahn Intimacy medical needle designed for nerve stimulation through soft tissue and microadhesiolysis of adhered soft tissue and medical instrument using the same
JP2009050415A (en) * 2007-08-27 2009-03-12 Manii Kk Medical suture needle
WO2009028557A1 (en) * 2007-08-27 2009-03-05 Mani, Inc. Medical suturing needle
RU2467713C2 (en) * 2007-08-27 2012-11-27 Мани, Инк. Medical suture needle
US20130283624A1 (en) * 2012-04-26 2013-10-31 Thomas Scimone Ceramic cutting blades
US9662796B2 (en) * 2012-04-26 2017-05-30 Thomas Scimone Ceramic cutting blades
US20180221019A1 (en) * 2017-02-06 2018-08-09 Teresa R. Underdown Perfect Closure Surgical Needle
US10743863B2 (en) * 2017-02-06 2020-08-18 Teresa R Underdown Perfect closure surgical needle
EP3622895A4 (en) * 2017-05-12 2020-12-23 Cheol Ho Chang Needle instrument for orbital fat repositioning surgery
USD938031S1 (en) * 2019-07-14 2021-12-07 Telma Micro Needles Pvt. Ltd. Undrilled needle
USD912251S1 (en) * 2019-08-13 2021-03-02 Ethicon, Inc. Suture needle having a wave shape
USD912819S1 (en) * 2019-08-13 2021-03-09 Ethicon, Inc. Suture needle having a rotatable joint
US11234691B2 (en) 2019-08-13 2022-02-01 Ethicon, Inc. Composite suture needles having rotatable sections

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