US3726057A - Suture packaging - Google Patents

Suture packaging Download PDF

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Publication number
US3726057A
US3726057A US00130485A US3726057DA US3726057A US 3726057 A US3726057 A US 3726057A US 00130485 A US00130485 A US 00130485A US 3726057D A US3726057D A US 3726057DA US 3726057 A US3726057 A US 3726057A
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packet
blister
sealed
sterilizing gas
chamber
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US00130485A
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M Kemble
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Cenco Medican Industries Inc
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Cenco Medican Industries Inc
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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
    • 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

Definitions

  • ABSTRACT Primary Examiner-Travis S. McGehee Att0rney- Robert E. Wagner & Robert E. Browne [5 7 ABSTRACT A package for objects such as sutures which are to be contained under conditions of complete sterilization is disclosed along with a method for in-line sterilization packaging of the objects on mass production basis.
  • the package includes an inner packet in which is received a sterile surgical object such as a coil of suture material, the inner packet being substantially hermetically sealed and at least initially having a sterilizing gas confined therein.
  • the sealed inner packet in turn is received in an outer packet of the same general construction as the inner packet and which also is substantially hermetically sealed and initially has a sterilizing gas confined therein.
  • Both the inner and outer packets can be opened readily by peelably removing the respective packet closure lids from associated packet blisters which form the bottoms of the packets.
  • the package is made by filling the inner packet blister with a sterile surgical object, then tacking a lid onto the blister and confining the inner packet in a vacuum chamber to remove air from the inner packet.
  • a positive pressure of a sterilizing gas is then admitted to the chamber so as to initiate killing any bacteria on the surgical object and render it and the interior of the inner packet sterile.
  • the lid is then completely sealed to its associated blister while still in the chamber so that a quantity of the sterilizing gas is captured within the sealed inner packet.
  • the sealed inner packet is then removed from the vacuum chamber and placed in the outer packet blister and a closure lid is tacked in place on the blister.
  • the outer ,packet and its contents is then placed in a chamber and subjected to a vacuum to remove air from the outer packet after which, a positive pressure of sterilizing gas is admitted to chamber to render the interior of the outer packet and exterior of the inner packet sterile.
  • the lid of the outer packet is then complete] sealed to its associated blister while still in the cham er and under pressure of the sterilizing gas thereby to capture within the sealed outer packet a quantity of such gas.
  • sterile surgical objects as for example, suture material in sterilized packages which include an outer sealed package component enclosing a sterile, fully sealed inner package component, the latter in turn containing the surgical object. It is also know to confine in the inner component of a pluralcomponent package along with a surgical object, a sterilizing medium or agent such as a tubing solution to effect complete sterilization of the surgical object within the package over a period of time, the tubing solution in some instances remaining in the sealed inner package component until the package is opened preliminary to using the surgical object.
  • a sterilizing medium or agent such as a tubing solution
  • Such packages however generally embody features of package construction which make it difficult to confine a sterilizing gas within both the inner and outer package components so that such gas can provide for at least some initial post packaging period, a total package steriliza tion during post-packaging storage nor do such packages or manufacturing techniques as are known allow for modern in-
  • the present invention overcomes the above-mentioned shortcomings of prior art surgical object packaging and is characterized by its suitability for high speed, reliable in-line sterilization packaging.
  • the present invention provides an improved package for sterilized surgical objects.
  • an improved package for sterile surgical objects which includes a completely sealed inner packet in which the surgical object is received and an outer packet in which the sealed inner packet is received.
  • the surgical object can be any of a variety of such objects which are required to be rendered and maintained sterile until the time of use by the surgeon, one such object, for example, being suture material.
  • the inner packet providing enclosure structure for the surgical object includes a box-like bottom or blister having depth, width and length dimensions sufficient to accommodate the surgical object and also having a continuous encircling flange extending outwardly of the blister body to serve as a surface to which a peelably removable lid can be heat sealed to provide a substantially hermetic seal of the inner packet.
  • the inner packet lid preferably comprises a flexible sheet of metallic foil coated on one broad face with a layer of a plastic material adapted to provide means for effecting heat sealing of the lid to the blister.
  • the inner packet lid can be of somewhat greater length than its associated blister to allow for folding of such excess length over and under a projecting end flange portion of the blister, preferably along one transverse edge of the blister and being provided as a tab means for the purpose of readily grasping the inner packet to remove it from the outer packet and also to readily initiate peeling away of the lid to expose the surgical object.
  • the outer packet preferably is of substantially identical construction with the inner packet but is of sufficiently larger dimensions to house or receive the inner packet.
  • the outer packet comprises a box-like bottom or blister provided with a continuous encircling flange and adapted to receive therein in inverted position, a sealed inner packet.
  • the outer packet also is provided with a lid secured in substantially hermetically heat-sealed condition to the flanges of the outer packet blister.
  • Both the inner and outer packets at least initially have a sterilizing gas confined therein which functions during at least some of the period of post packaging storage and handling of the package to insure the sterile condition of the surgical object.
  • the outer packet lid is peeled off its associated blister to expose the sterile inner packet.
  • the inner packet then can be grasped by the tab means of its lid and removed from outer packet blister whereupon the inner packet lid can be peeled off its associated blister to expose the surgical object for use by the surgeon.
  • in-line mass production packaging of surgical objects can be carried out.
  • a continuous stock of upright laid inner packet blisters are advanced to a station at which they are each filled with a surgical object, after which lids are positioned on the flanges of the blisters and are tack-sealed to such flanges at a number of points only so that fluid access to the inner packet is possible.
  • the filled inner packets are then advanced in succession into a vacuum chamber and subjected to a condition of vacuum so as to withdraw air from the interior of the chamber and inner packet.
  • the vacuum is then broken by admitting sterilizing gas under positive pressure only slightly above atmospheric pressure, the sterilizing gas serving to initiate killing any bacterial agency in or on the surgical object or the interior of the inner packet.
  • the inner packet lid is then completely heat sealed to its associated blister flanges while still in the chamber and while subjected to the presence of the sterilizing gas and with the consequence that a quantity of the sterilizing gas becomes captured within the inner packet.
  • the completely sealed inner packets are then removed from the chamber and advanced to another station whereat they are inserted in inverted position in outer packet blisters.
  • the outer packet lids are then tack-sealed to the associated blisters after which the packages are advanced in succession into a vacuum chamber and exposed to a condition of vacuum. Sterilizing gas is then admitted to the chamber to initiate killing bacterial agency on the exterior of the inner packet and interior of the outer packet following which the outer packet lids are completely sealed to their blisters in the same manner attending sealing of the inner packets.
  • the invention accordingly comprises the several steps and the relation of one or more of such steps with respect to the others as will be exemplified in the process to be described as well as the features of construction, combination of elements and arrangement of parts exemplified in the construction hereinafter set forth and the scope of the invention will be indicated in the claims.
  • FIG. 1 is a perspective view of a sterilized suture package constructed in accordance with the principles of the present invention, the peelably removable lid of the outer packet being shown partly removed.
  • FIG. 2 is a plan view of the suture package shown in FIG. 1, showing the peelably removable lid almost completely stripped off from the outer packet blister.
  • FIG. 3 is a longitudinal sectional view of the sterilized suture package shown in FIGS. 1 and 2 as taken along the line IIl-III in FIG. 2, the removable lid of the outer packet being shown in its fully sealed position of closure on its associated blister.
  • FIG. 4 is a perspective view of the inner packet in which coiled suture material is contained, the inner packet being shown in its sealed condition with the pull tab of the lid with which initiation of peeling of the packet lid is effected being shown folded under a projecting flange portion of its associated blister.
  • FIG. 5 is a block diagram of the several steps involved in the continuous or bulk packaging operations with which suture packages of the present invention can be made.
  • the present invention provides an improved package for sterile surgical objects as well as a method of in-line sterilization of such packages on mass production basis.
  • sterile surgical objects will be exemplified herein by way of example as being suture material and the packaging of the same, it will be understood that the present invention has broader application being useful for packaging objects of wide description wherein the basic consideration is establishment and maintenance of a totally sterilized package. In the following description, the construction of the improved package for'sterile surgical objects will be discussed first.
  • the package it will be noted is comprised of two major components, a substantially hermetically sealed inner packet 12 in which is received the surgical object 14, and a substantially hermetically sealed outer packet 16 in which the inner packet 12 is received.
  • the surgical object 14 is shown by way of example as being a coil of suture material wound on a card support and including the usual suturing needle.
  • the inner packet 12 and outer packet 16 preferably are substantially identical in construction differing essentially only as to size.
  • the outer packet 16 includes a box-like bottom section or blister 18 which is a shaped, relatively rigidized structure and preferably made from a transparent plastic material and which is provided with outstanding, encircling flanges 20, the latter being of comparatively greater dimension along one transverse edge as at 22 for a purpose which shall appear.
  • a box-like bottom section or blister 18 which is a shaped, relatively rigidized structure and preferably made from a transparent plastic material and which is provided with outstanding, encircling flanges 20, the latter being of comparatively greater dimension along one transverse edge as at 22 for a purpose which shall appear.
  • the outer packet 16 also includes a closure member or lid 24 which is generally coextensive with the plan expanse of its associated blister and which is comprised of a layer of metallic foil 26 coated at its underface with a layer of a thermoplastic material 28, of latter being provided to enable effecting a heat seal of the lid 24 to the flanges of the blister 18, the heat seal being along a continuous encircling course, the pattern of which may be best seen as denoted by the seal line 30 in FIGS. 1 and 2 and the seal connections 30 in FIG. 3.
  • the quality of the heat seal is such as to provide a substantially hermetic seal closure of the outer packet.
  • a substantially hermetic seal is intended to mean a condition of seal which substantially retards for a period of time, e.g., one week to ten days, the rote of dissipation of sterilizing gas under pressure from the sealed packets.
  • a period of time e.g., one week to ten days
  • end portion of the lid 24 is not sealed to the blister flange along edge area 22 so that convenient digital access is available for peelably removing the lid from the blister when opening the package.
  • the outer packet 16 receives and contains the surgical object 14.
  • the inner packet 12 as can be noted from FIGS. 3 and 4 and like outer packet 16, includes a box-like bottom or blister 32 and a flexible closure lid 34, the blister 32 being provided with flanges in the same manner as blister 18 to serve as surfaces to which the closure lid 34 can be heat sealed.
  • closure lid 34 has a somewhat greater length than blister 32 so that such excess length can be folded around and under one transverse flange of blister 32 to thereby provide tab means 36 for grasping the inner packet 12 when removing it from the outer packet and also for initiating peeling off of the lid 34 from blister 32.
  • the inner packet 12 preferably is received in inverted position in the outer packet 16 so that the lid thereof which can be marked with identifying indicia can be viewed readily.
  • the package 10 when sealed is completely sterilized and during post packaging storage and handling remains so with respect to the interior of the outer packet and both the exterior and interior of the inner packet. That this condition of sterilization obtains is due, inter alia, to the hermetic seal of each packet and to the presence of sterilizing gas within each packet. While the sterilizing gas is initially confined within each packet at some positive pressure above atmospheric and preferably not greater than 1 PSIG, it will dissipate from the packages at a very slow rate due to the character of the heat seal. Moreover, the character of the heat seal is such as to function as a filter to prevent the incursion of bacterial agency media and hence the package retains its sterile quality although the sterilizing gas may have long been dissipated therefrom.
  • the sterilizing gas can be any known gaseous medium suited for the intended purpose.
  • a mixture of ethylene oxide and an inert gas such as carbon dioxide or freon gas in percentages of about 12 percent ethylene oxide and 88 percent inert gas is a particularly effective sterilizing gas.
  • the user first peels off lid 24 from outer packet 16 in the manner shown in FIGS. 1 and 2.
  • the inner packet 12 is then removed from blister 18 by grasping the inner packet 12 at tab means 36.
  • the inner packet is then opened in the same manner to expose the surgical object 14 which can be removed directly by the surgeon without having been touched by any other person or object which could be a cause of contamination.
  • FIG. 5 Description now will be given of the improved method by which sterile surgical objects can be packaged in an in-line or bulk sterilization process, for which purpose continuing reference is made to FIG. 5.
  • the present invention as has been stated earlier provides that suture packages can be made most readily on mass production basis.
  • the apparatus with which such packages can be made can be of known construction provided it is capable of performing the functions now to be described.
  • a continuous supply of individual surgical objects are, at an appropriate loading station, laid in inner packet blisters.
  • the inner packet blisters if the operation is to be a bulk sterilization can be formed as a plurality of such blisters, tag, in a sheet.
  • the filled upright arranged inner packet blisters then have their associated closure lids positioned thereon as they advance along the production line and the lids are tacksealed to the blisters.
  • the inner packets are then advanced in successive order or bulk quantity into a suitable conditioning chamber and a vacuum is drawn in the chamber to subject the inner packets to a condition of vacuum as so to withdraw air from both the chamber and the interior of the inner packets.
  • the degree of vacuum can vary from about 1 to about 29 in. Hg., a particularly preferred operating range being 5-29 in. Hg.
  • the sterilizing gas can be any one of a number of such sterilizing agents as are known, a particularly suitable gas for this purpose being a mixture of ethylene oxide and an inert gas such as carbon dioxide or freon in proportions of about 12 percent of the former and 88 percent of the letter with the gas pressure being varied depending upon the requirements of the packaging. However, for the package shown in FIGS. 1-4, a pressure of about I PSlG. is particularly suitable. As soon as the sterilizing gas invests the inner packets it immediately initiates killing of any bacterial agency in or on the inner packets and the surgical objects.
  • the inner packets are then completely sealed by heat-sealing the closure lids to the flanges of the associated blisters, such heat sealing being effected within the chamber with the gas pressure being maintained until sealing is completed.
  • the sealed inner packets are then removed in succession from the chamber and advanced to a station at which they are placed in inverted position in outer packet blisters and whereupon lids are tack-sealed to the outer packet blisters, the respective sealed inner packets of course will at this point if they are made in bulk be separated from the base sheet. Similarly if the operation is a bulk one, the individual sealed inner packets may be received in the outer packet blisters while the latter are still joined in bulk from a single formed-sheet. The filled but yet unsealed outer packets are then advanced into a chamber and subjected to the vacuum treating gas exposure and lid sealing in the same manner as applicable to the inner packets.
  • both the inner and outer packets are filled with sterilizing gas which is retained for an initial period in the respective packets during post packaging periods and dissipated only slowly therefrom due to the heat seal connection of the closure lids to the blisters which is effective to substantially retard the rote of gas inflow or outflow from the packets.
  • a method for in-line sterile packaging of surgical objects in inner and outer component packages which comprises receiving successive ones of said surgical objects in a box-like blister and tack-sealing closures on each blister to thereby provide the inner component of each package,
  • said sterilizing gas is a mixture of ethylene oxide and :an inert gas.

Abstract

A package for objects such as sutures which are to be contained under conditions of complete sterilization is disclosed along with a method for in-line sterilization packaging of the objects on mass production basis. The package includes an inner packet in which is received a sterile surgical object such as a coil of suture material, the inner packet being substantially hermetically sealed and at least initially having a sterilizing gas confined therein. The sealed inner packet in turn is received in an outer packet of the same general construction as the inner packet and which also is substantially hermetically sealed and initially has a sterilizing gas confined therein. Both the inner and outer packets can be opened readily by peelably removing the respective packet closure lids from associated packet blisters which form the bottoms of the packets. The package is made by filling the inner packet blister with a sterile surgical object, then tacking a lid onto the blister and confining the inner packet in a vacuum chamber to remove air from the inner packet. A positive pressure of a sterilizing gas is then admitted to the chamber so as to initiate killing any bacteria on the surgical object and render it and the interior of the inner packet sterile. The lid is then completely sealed to its associated blister while still in the chamber so that a quantity of the sterilizing gas is captured within the sealed inner packet. The sealed inner packet is then removed from the vacuum chamber and placed in the outer packet blister and a closure lid is tacked in place on the blister. The outer packet and its contents is then placed in a chamber and subjected to a vacuum to remove air from the outer packet after which, a positive pressure of sterilizing gas is admitted to chamber to render the interior of the outer packet and exterior of the inner packet sterile. The lid of the outer packet is then completely sealed to its associated blister while still in the chamber and under pressure of the sterilizing gas thereby to capture within the sealed outer packet a quantity of such gas.

Description

United States Patent 91 Kemble 111 3,726,057 [4 Apr. 10, 1973 1 SUTURE PACKAGING Mern Kemble, [)cerficld, Ohio [73] Assignee: Cenco Medican Industries, Inc.,
Chicago, Ill.
[22'] Filed: Apr. 1, 1972 [21] Appl. No.: 130,485
[75] Inventor:
Related US. Application Data [62] Division of Ser. No. 851,166, Aug. 19, 1969, Pat. No.
Primary Examiner-Travis S. McGehee Att0rney- Robert E. Wagner & Robert E. Browne [5 7 ABSTRACT A package for objects such as sutures which are to be contained under conditions of complete sterilization is disclosed along with a method for in-line sterilization packaging of the objects on mass production basis.
Riall ..206/63 .3
The package includes an inner packet in which is received a sterile surgical object such as a coil of suture material, the inner packet being substantially hermetically sealed and at least initially having a sterilizing gas confined therein. The sealed inner packet in turn is received in an outer packet of the same general construction as the inner packet and which also is substantially hermetically sealed and initially has a sterilizing gas confined therein. Both the inner and outer packets can be opened readily by peelably removing the respective packet closure lids from associated packet blisters which form the bottoms of the packets. The package is made by filling the inner packet blister with a sterile surgical object, then tacking a lid onto the blister and confining the inner packet in a vacuum chamber to remove air from the inner packet. A positive pressure of a sterilizing gas is then admitted to the chamber so as to initiate killing any bacteria on the surgical object and render it and the interior of the inner packet sterile. The lid is then completely sealed to its associated blister while still in the chamber so that a quantity of the sterilizing gas is captured within the sealed inner packet. The sealed inner packet is then removed from the vacuum chamber and placed in the outer packet blister and a closure lid is tacked in place on the blister. The outer ,packet and its contents is then placed in a chamber and subjected to a vacuum to remove air from the outer packet after which, a positive pressure of sterilizing gas is admitted to chamber to render the interior of the outer packet and exterior of the inner packet sterile. The lid of the outer packet is then complete] sealed to its associated blister while still in the cham er and under pressure of the sterilizing gas thereby to capture within the sealed outer packet a quantity of such gas.
5 Claims, 5 Drawing Figures PAIENIED APR 1 OiSiS Fill inner packet blistersv Position and tack seal Has an inner pocket. blisters Introduce inner packets into vacuum chamber and subject to vacuum of l-29" Hg.
Subject inner packets to positive pressure of sterilizing gas of up to IPSIG. and then completely seal lids to blisters while maintaining sterilizing gas pressure.
sum 2 or 2 sterilizing gas pressure.
introduce filled outer packets into vacuum chamber and subject to vacuum of l-29"Hg.
Position and tack seal lids an outer packet blisters.
FIG. 5
Fill outer packet blisters with sealed inner packets.
SUTURE PACKAGING This is a division of application Ser. No. 851,166 filed Aug. 19,1969 now US. Pat. No. 3,613,879.
BACKGROUND OF THE INVENTION It is known to package sterile surgical objects, as for example, suture material in sterilized packages which include an outer sealed package component enclosing a sterile, fully sealed inner package component, the latter in turn containing the surgical object. It is also know to confine in the inner component of a pluralcomponent package along with a surgical object, a sterilizing medium or agent such as a tubing solution to effect complete sterilization of the surgical object within the package over a period of time, the tubing solution in some instances remaining in the sealed inner package component until the package is opened preliminary to using the surgical object. Such packages however generally embody features of package construction which make it difficult to confine a sterilizing gas within both the inner and outer package components so that such gas can provide for at least some initial post packaging period, a total package steriliza tion during post-packaging storage nor do such packages or manufacturing techniques as are known allow for modern in-|ine sterilization packaging of surgical objects in bulk or continuous mass production basis.
The present invention on the other hand overcomes the above-mentioned shortcomings of prior art surgical object packaging and is characterized by its suitability for high speed, reliable in-line sterilization packaging.
In addition to providing a new and improved method of packaging surgical objects, the present invention provides an improved package for sterilized surgical objects.
SUMMARY OF THE INVENTION In accordance with the present invention an improved package for sterile surgical objects is provided which includes a completely sealed inner packet in which the surgical object is received and an outer packet in which the sealed inner packet is received. The surgical object can be any of a variety of such objects which are required to be rendered and maintained sterile until the time of use by the surgeon, one such object, for example, being suture material. The inner packet providing enclosure structure for the surgical object includes a box-like bottom or blister having depth, width and length dimensions sufficient to accommodate the surgical object and also having a continuous encircling flange extending outwardly of the blister body to serve as a surface to which a peelably removable lid can be heat sealed to provide a substantially hermetic seal of the inner packet. The inner packet lid preferably comprises a flexible sheet of metallic foil coated on one broad face with a layer of a plastic material adapted to provide means for effecting heat sealing of the lid to the blister. The inner packet lid can be of somewhat greater length than its associated blister to allow for folding of such excess length over and under a projecting end flange portion of the blister, preferably along one transverse edge of the blister and being provided as a tab means for the purpose of readily grasping the inner packet to remove it from the outer packet and also to readily initiate peeling away of the lid to expose the surgical object. The outer packet preferably is of substantially identical construction with the inner packet but is of sufficiently larger dimensions to house or receive the inner packet. The outer packet comprises a box-like bottom or blister provided with a continuous encircling flange and adapted to receive therein in inverted position, a sealed inner packet. The outer packet also is provided with a lid secured in substantially hermetically heat-sealed condition to the flanges of the outer packet blister. Both the inner and outer packets at least initially have a sterilizing gas confined therein which functions during at least some of the period of post packaging storage and handling of the package to insure the sterile condition of the surgical object. To open the package, the outer packet lid is peeled off its associated blister to expose the sterile inner packet. The inner packet then can be grasped by the tab means of its lid and removed from outer packet blister whereupon the inner packet lid can be peeled off its associated blister to expose the surgical object for use by the surgeon.
According to the present invention, in-line mass production packaging of surgical objects can be carried out. For this purpose a continuous stock of upright laid inner packet blisters are advanced to a station at which they are each filled with a surgical object, after which lids are positioned on the flanges of the blisters and are tack-sealed to such flanges at a number of points only so that fluid access to the inner packet is possible. The filled inner packets are then advanced in succession into a vacuum chamber and subjected to a condition of vacuum so as to withdraw air from the interior of the chamber and inner packet. The vacuum is then broken by admitting sterilizing gas under positive pressure only slightly above atmospheric pressure, the sterilizing gas serving to initiate killing any bacterial agency in or on the surgical object or the interior of the inner packet. The inner packet lid is then completely heat sealed to its associated blister flanges while still in the chamber and while subjected to the presence of the sterilizing gas and with the consequence that a quantity of the sterilizing gas becomes captured within the inner packet. The completely sealed inner packets are then removed from the chamber and advanced to another station whereat they are inserted in inverted position in outer packet blisters. The outer packet lids are then tack-sealed to the associated blisters after which the packages are advanced in succession into a vacuum chamber and exposed to a condition of vacuum. Sterilizing gas is then admitted to the chamber to initiate killing bacterial agency on the exterior of the inner packet and interior of the outer packet following which the outer packet lids are completely sealed to their blisters in the same manner attending sealing of the inner packets.
The invention accordingly comprises the several steps and the relation of one or more of such steps with respect to the others as will be exemplified in the process to be described as well as the features of construction, combination of elements and arrangement of parts exemplified in the construction hereinafter set forth and the scope of the invention will be indicated in the claims.
BRIEF DESCRIPTION OF THE DRAWINGS A fuller understanding of the nature and objects of the invention will be had from the following detailed description taken in conjunction with the accompanying drawings in which:
FIG. 1 is a perspective view of a sterilized suture package constructed in accordance with the principles of the present invention, the peelably removable lid of the outer packet being shown partly removed.
FIG. 2 is a plan view of the suture package shown in FIG. 1, showing the peelably removable lid almost completely stripped off from the outer packet blister.
FIG. 3 is a longitudinal sectional view of the sterilized suture package shown in FIGS. 1 and 2 as taken along the line IIl-III in FIG. 2, the removable lid of the outer packet being shown in its fully sealed position of closure on its associated blister.
FIG. 4 is a perspective view of the inner packet in which coiled suture material is contained, the inner packet being shown in its sealed condition with the pull tab of the lid with which initiation of peeling of the packet lid is effected being shown folded under a projecting flange portion of its associated blister.
FIG. 5 is a block diagram of the several steps involved in the continuous or bulk packaging operations with which suture packages of the present invention can be made.
Throughout the description, like reference numerals are used to denote like parts in the drawing.
DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention provides an improved package for sterile surgical objects as well as a method of in-line sterilization of such packages on mass production basis. Although sterile surgical objects will be exemplified herein by way of example as being suture material and the packaging of the same, it will be understood that the present invention has broader application being useful for packaging objects of wide description wherein the basic consideration is establishment and maintenance of a totally sterilized package. In the following description, the construction of the improved package for'sterile surgical objects will be discussed first.
As can be noted from the accompanying drawings and with particular reference to FIGS. 1 and 3, the package it will be noted is comprised of two major components, a substantially hermetically sealed inner packet 12 in which is received the surgical object 14, and a substantially hermetically sealed outer packet 16 in which the inner packet 12 is received. The surgical object 14 is shown by way of example as being a coil of suture material wound on a card support and including the usual suturing needle. The inner packet 12 and outer packet 16 preferably are substantially identical in construction differing essentially only as to size. The outer packet 16 includes a box-like bottom section or blister 18 which is a shaped, relatively rigidized structure and preferably made from a transparent plastic material and which is provided with outstanding, encircling flanges 20, the latter being of comparatively greater dimension along one transverse edge as at 22 for a purpose which shall appear. The outer packet 16 also includes a closure member or lid 24 which is generally coextensive with the plan expanse of its associated blister and which is comprised of a layer of metallic foil 26 coated at its underface with a layer of a thermoplastic material 28, of latter being provided to enable effecting a heat seal of the lid 24 to the flanges of the blister 18, the heat seal being along a continuous encircling course, the pattern of which may be best seen as denoted by the seal line 30 in FIGS. 1 and 2 and the seal connections 30 in FIG. 3. The quality of the heat seal is such as to provide a substantially hermetic seal closure of the outer packet. As used herein, a substantially hermetic seal is intended to mean a condition of seal which substantially retards for a period of time, e.g., one week to ten days, the rote of dissipation of sterilizing gas under pressure from the sealed packets. As can be noted from FIGS. l-3 and end portion of the lid 24 is not sealed to the blister flange along edge area 22 so that convenient digital access is available for peelably removing the lid from the blister when opening the package.
As was indicated earlier, the outer packet 16 receives and contains the surgical object 14. The inner packet 12 as can be noted from FIGS. 3 and 4 and like outer packet 16, includes a box-like bottom or blister 32 and a flexible closure lid 34, the blister 32 being provided with flanges in the same manner as blister 18 to serve as surfaces to which the closure lid 34 can be heat sealed. However, closure lid 34 has a somewhat greater length than blister 32 so that such excess length can be folded around and under one transverse flange of blister 32 to thereby provide tab means 36 for grasping the inner packet 12 when removing it from the outer packet and also for initiating peeling off of the lid 34 from blister 32. As can be seen in FIG. 3, the inner packet 12 preferably is received in inverted position in the outer packet 16 so that the lid thereof which can be marked with identifying indicia can be viewed readily.
The package 10 when sealed is completely sterilized and during post packaging storage and handling remains so with respect to the interior of the outer packet and both the exterior and interior of the inner packet. That this condition of sterilization obtains is due, inter alia, to the hermetic seal of each packet and to the presence of sterilizing gas within each packet. While the sterilizing gas is initially confined within each packet at some positive pressure above atmospheric and preferably not greater than 1 PSIG, it will dissipate from the packages at a very slow rate due to the character of the heat seal. Moreover, the character of the heat seal is such as to function as a filter to prevent the incursion of bacterial agency media and hence the package retains its sterile quality although the sterilizing gas may have long been dissipated therefrom. The sterilizing gas can be any known gaseous medium suited for the intended purpose. A mixture of ethylene oxide and an inert gas such as carbon dioxide or freon gas in percentages of about 12 percent ethylene oxide and 88 percent inert gas is a particularly effective sterilizing gas.
To open package 10, the user first peels off lid 24 from outer packet 16 in the manner shown in FIGS. 1 and 2. The inner packet 12 is then removed from blister 18 by grasping the inner packet 12 at tab means 36. The inner packet is then opened in the same manner to expose the surgical object 14 which can be removed directly by the surgeon without having been touched by any other person or object which could be a cause of contamination.
Description now will be given of the improved method by which sterile surgical objects can be packaged in an in-line or bulk sterilization process, for which purpose continuing reference is made to FIG. 5. The present invention as has been stated earlier provides that suture packages can be made most readily on mass production basis. The apparatus with which such packages can be made can be of known construction provided it is capable of performing the functions now to be described. A continuous supply of individual surgical objects are, at an appropriate loading station, laid in inner packet blisters. The inner packet blisters if the operation is to be a bulk sterilization can be formed as a plurality of such blisters, tag, in a sheet. The filled upright arranged inner packet blisters then have their associated closure lids positioned thereon as they advance along the production line and the lids are tacksealed to the blisters. The inner packetsare then advanced in successive order or bulk quantity into a suitable conditioning chamber and a vacuum is drawn in the chamber to subject the inner packets to a condition of vacuum as so to withdraw air from both the chamber and the interior of the inner packets. The degree of vacuum can vary from about 1 to about 29 in. Hg., a particularly preferred operating range being 5-29 in. Hg. As soon as the vacuum in the chamber has pulled down to the desired level, it is broken by admitting a flow of sterilizing gas under positive pressure into the chamber. The sterilizing gas can be any one of a number of such sterilizing agents as are known, a particularly suitable gas for this purpose being a mixture of ethylene oxide and an inert gas such as carbon dioxide or freon in proportions of about 12 percent of the former and 88 percent of the letter with the gas pressure being varied depending upon the requirements of the packaging. However, for the package shown in FIGS. 1-4, a pressure of about I PSlG. is particularly suitable. As soon as the sterilizing gas invests the inner packets it immediately initiates killing of any bacterial agency in or on the inner packets and the surgical objects. As soon as the requisite pressure of sterilizing gas is reached within the chamber, the inner packets are then completely sealed by heat-sealing the closure lids to the flanges of the associated blisters, such heat sealing being effected within the chamber with the gas pressure being maintained until sealing is completed.
The sealed inner packets are then removed in succession from the chamber and advanced to a station at which they are placed in inverted position in outer packet blisters and whereupon lids are tack-sealed to the outer packet blisters, the respective sealed inner packets of course will at this point if they are made in bulk be separated from the base sheet. Similarly if the operation is a bulk one, the individual sealed inner packets may be received in the outer packet blisters while the latter are still joined in bulk from a single formed-sheet. The filled but yet unsealed outer packets are then advanced into a chamber and subjected to the vacuum treating gas exposure and lid sealing in the same manner as applicable to the inner packets. The thus finished package is completely sterilized on the inside of the outer packet and both the inside and outside of the inner packet. Moreover, both the inner and outer packets are filled with sterilizing gas which is retained for an initial period in the respective packets during post packaging periods and dissipated only slowly therefrom due to the heat seal connection of the closure lids to the blisters which is effective to substantially retard the rote of gas inflow or outflow from the packets.
It will be thus seen that the objects set forth above, among those made apparent from the preceding description, are efficiently attained, and since certain changes can be made in the above construction and different embodiments of the invention could be made without departing from the scope thereof, it is intended that all mater contained in the above description or shown in the accompanying drawing shall be interpreted as illustrative and not in a limiting sense.
What is claimed is:
1. A method for in-line sterile packaging of surgical objects in inner and outer component packages which comprises receiving successive ones of said surgical objects in a box-like blister and tack-sealing closures on each blister to thereby provide the inner component of each package,
introducing said inner components into a conditioning zone and subjecting them to a condition of vacuum, thereafter introducing a sterilizing gas into said conditioning zone at a positive pressure to initiate destruction of any bacterial agency present in the surgical objects and said inner components,
thereafter hermetically heat-sealing the inner component closures to their respective blisters while in said conditioning zone,
removing said sealed inner components from said conditioning zone and receiving them each in separate box-like blisters and tack-sealing closures on the last-mentioned blisters to thereby provide package outer components,
then introducing said outer components into a conditioning zone and subjecting them to a condition of vacuum,
thereafter introducing a sterilizing gas into said conditioning zone at a positive pressure to initiate destruction of any bacterial agency present in said outer components and on the exterior of said inner components, and
thereafter hermetically heat-sealing the outer component closures to their respective blisters while in said conditioning zone.
2. The method of claim 1 wherein said sterilizing gas is a mixture of ethylene oxide and :an inert gas.
3. The method of claim 2 wherein said ethylene oxide and inert gas are present in said mixture in percentages of substantially 12 percent and 88 percent respectively.
4. The method of claim 1 wherein the condition of vacuum to which said inner and outer components are subjected is in the range between about 1 in. Hg. and 29 in. Hg.
5. The method of claim 1 wherein the positive pressure at which said sterilizing gas is introduced into said conditioning chamber is up to about 1 PSlG.

Claims (5)

1. A method for in-line sterile packaging of surgical objects in inner and outer component packages which comprises receiving successive ones of said surgical objects in a box-like blister and tack-sealing closures on each blister to thereby provide the inner component of each package, introducing said inner components into a conditioning zone and subjecting them to a condition of vacuum, thereafter introducing a sterilizing gas into said conditioning zone at a positive pressure to initiate destruction of any bacterial agency present in the surgical objects and said inner components, thereafter hermetically heat-sealing the inner component closures to their respective blisters while in said conditioning zone, removing said sealed inner components from said conditioning zone and receiving them each in separate box-like blisters and tack-sealing closures on the last-mentioned blisters to thereby provide package outer components, then introducing said outer components into a conditioning zone and subjecting them to a condition of vacuum, thereafter introducing a sterilizing gas into said conditioning zone at a positive pressure to initiate destruction of any bacterial agency present in said outer components and on the exterior of said inner components, and thereafter hermetically heat-sealing the outer component closures to their respective blisters while in said conditioning zone.
2. The method of claim 1 wherein said sterilizing gas is a mixture of ethylene oxide and an inert gas.
3. The method of claim 2 wherein said ethylene oxide and inert gas are present in said mixture in percentages of substantially 12 percent and 88 percent respectively.
4. The method of claim 1 wherein the condition of vacuum to which said inner and outer components are subjected is in the range between about 1 in. Hg. and 29 in. Hg.
5. The method of claim 1 wherein the positive pressure at which said sterilizing gas is introduced into said conditioning chamber is up to about 1 PSIG.
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NL7810198A (en) * 1977-10-12 1979-04-18 Howmedica Manag Tech PACKAGING FOR A PRODUCT AND THE METHOD OF MANUFACTURING SUCH PACKAGING.
US4603538A (en) * 1984-11-15 1986-08-05 Pfizer Hospital Products Group, Inc. Method of preparing a double sterile package
US4709819A (en) * 1986-07-23 1987-12-01 Environmental Diagnostics, Inc. Method for preserving plated media and product
US4754595A (en) * 1983-04-08 1988-07-05 Sanderson Roger S Method of sterilizing and storing articles
US4813210A (en) * 1985-09-27 1989-03-21 Nissho Corporation Radiation-sterilized, packaged medical device
EP0418059A2 (en) * 1989-09-12 1991-03-20 Ethicon, Inc. One piece channel suture package
WO1991017713A2 (en) * 1990-05-14 1991-11-28 W.L. Gore & Associates, Inc. A suture package and a method for packaging sutures
US5165217A (en) * 1989-09-12 1992-11-24 Ethicon, Inc. One piece channel suture packages
US5220769A (en) * 1991-01-04 1993-06-22 United States Surgical Corporation Method for packaging surgical elements
US5236083A (en) * 1989-09-12 1993-08-17 Ethicon, Inc. One piece channel suture packages
US5241803A (en) * 1992-03-11 1993-09-07 David Griffin Ozone sterilization method and product
US5461844A (en) * 1990-12-31 1995-10-31 United States Surgical Corporation Method of using a needle shield device for surgical packages
EP0696436A1 (en) * 1994-08-08 1996-02-14 Ethicon, Inc. Sterile package having double-sided tape for mounting
US5623810A (en) * 1996-03-29 1997-04-29 Ethicon, Inc. Method for making sterile suture packages
US5868244A (en) * 1997-12-01 1999-02-09 Ethicon, Inc. Microbial barrier vented package for sterile medical devices and method of packaging
US20050067312A1 (en) * 2003-09-30 2005-03-31 Rainuka Gupta Method for improving stability and effectivity of a drug-device combination product
US20060091034A1 (en) * 2002-10-04 2006-05-04 Howard Scalzo Method of preparing an antimicrobial packaged medical device
US20060182909A1 (en) * 2005-02-14 2006-08-17 Hosokawa Yoko Co., Ltd. Package
US20080116106A1 (en) * 2006-11-21 2008-05-22 Fred Lampropoulos Packing and sterilizing a pen in a kit
US20080190073A1 (en) * 2007-02-13 2008-08-14 Sheila Fetzer Laminated Display and Method
US20090301033A1 (en) * 2002-10-04 2009-12-10 Ethicon, Inc. Method of preparing a packaged antimicrobial medical device
US20090320408A1 (en) * 2008-06-30 2009-12-31 Clifford Dey Method and device for forming pre-made pouches
US20100038280A1 (en) * 2008-08-15 2010-02-18 Franklin Amie B Hermetically Sealed Package for A Therapeutic Diffusion Device
US20100078336A1 (en) * 2002-10-04 2010-04-01 Ethicon, Inc. Packaged antimicrobial medical device and method of preparing same
US20100163435A1 (en) * 2002-10-04 2010-07-01 Ethicon, Inc. Packaged antimicrobial medical device having improved shelf life and method of preparing same
US20100268187A1 (en) * 2009-04-17 2010-10-21 Ranbaxy Laboratories Limited Packaging for sirolimus and composition thereof
US20140346072A1 (en) * 2013-05-24 2014-11-27 Daniel R. Jacobson Protective Box for Surgery
US9474524B2 (en) 2002-10-04 2016-10-25 Ethicon, Inc. Packaged antimicrobial medical device having improved shelf life and method of preparing same
US20170065394A1 (en) * 2014-03-05 2017-03-09 Medizinische Hochschule Hannover Medical implant, medical device and method for making a medical implant
US10245025B2 (en) 2012-04-06 2019-04-02 Ethicon, Inc. Packaged antimicrobial medical device having improved shelf life and method of preparing same
US20190240445A1 (en) * 2016-04-15 2019-08-08 Cure Medical, Llc Packaged precision-lubricated ready-to-use intermittent urinary catheter
US10865028B2 (en) 2005-02-14 2020-12-15 Mentcon Singapore Pte Ltd. Heat sealable, retortable laminated foil

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Cited By (57)

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Publication number Priority date Publication date Assignee Title
DE2843220A1 (en) * 1977-10-12 1979-04-19 Howmedica Manag Tech METHOD FOR PRODUCING A PACKAGING
US4321781A (en) * 1977-10-12 1982-03-30 Howmedica Management & Technical Services, Limited Process for producing a package
NL7810198A (en) * 1977-10-12 1979-04-18 Howmedica Manag Tech PACKAGING FOR A PRODUCT AND THE METHOD OF MANUFACTURING SUCH PACKAGING.
US4754595A (en) * 1983-04-08 1988-07-05 Sanderson Roger S Method of sterilizing and storing articles
US4603538A (en) * 1984-11-15 1986-08-05 Pfizer Hospital Products Group, Inc. Method of preparing a double sterile package
US4813210A (en) * 1985-09-27 1989-03-21 Nissho Corporation Radiation-sterilized, packaged medical device
US4709819A (en) * 1986-07-23 1987-12-01 Environmental Diagnostics, Inc. Method for preserving plated media and product
US5165217A (en) * 1989-09-12 1992-11-24 Ethicon, Inc. One piece channel suture packages
EP0418059A2 (en) * 1989-09-12 1991-03-20 Ethicon, Inc. One piece channel suture package
EP0418059A3 (en) * 1989-09-12 1991-06-05 Ethicon Inc. One piece channel suture package
US5236083A (en) * 1989-09-12 1993-08-17 Ethicon, Inc. One piece channel suture packages
WO1991017713A3 (en) * 1990-05-14 1991-12-26 Gore & Ass A suture package and a method for packaging sutures
WO1991017713A2 (en) * 1990-05-14 1991-11-28 W.L. Gore & Associates, Inc. A suture package and a method for packaging sutures
US5461844A (en) * 1990-12-31 1995-10-31 United States Surgical Corporation Method of using a needle shield device for surgical packages
US5220769A (en) * 1991-01-04 1993-06-22 United States Surgical Corporation Method for packaging surgical elements
US5241803A (en) * 1992-03-11 1993-09-07 David Griffin Ozone sterilization method and product
WO1993017915A1 (en) * 1992-03-11 1993-09-16 David Griffin Ozone sterilization method and product
EP0696436A1 (en) * 1994-08-08 1996-02-14 Ethicon, Inc. Sterile package having double-sided tape for mounting
US5623810A (en) * 1996-03-29 1997-04-29 Ethicon, Inc. Method for making sterile suture packages
US5868244A (en) * 1997-12-01 1999-02-09 Ethicon, Inc. Microbial barrier vented package for sterile medical devices and method of packaging
US9597072B2 (en) 2002-10-04 2017-03-21 Ethicon, Inc. Method of preparing a packaged antimicrobial medical device
US8112973B2 (en) * 2002-10-04 2012-02-14 Ethicon, Inc. Method of making a packaged antimicrobial suture
US8668867B2 (en) 2002-10-04 2014-03-11 Ethicon, Inc. Method of preparing an antimicrobial packaged medical device
US20060091034A1 (en) * 2002-10-04 2006-05-04 Howard Scalzo Method of preparing an antimicrobial packaged medical device
US8156718B2 (en) 2002-10-04 2012-04-17 Ethicon, Inc. Method of preparing a packaged antimicrobial medical device
US8133437B2 (en) 2002-10-04 2012-03-13 Ethicon, Inc. Method of preparing an antimicrobial packaged medical device
US9149273B2 (en) 2002-10-04 2015-10-06 Ethicon, Inc. Packaged antimicrobial medical device
US9474524B2 (en) 2002-10-04 2016-10-25 Ethicon, Inc. Packaged antimicrobial medical device having improved shelf life and method of preparing same
US20090301033A1 (en) * 2002-10-04 2009-12-10 Ethicon, Inc. Method of preparing a packaged antimicrobial medical device
US9597067B2 (en) * 2002-10-04 2017-03-21 Ethicon, Inc. Packaged antimicrobial medical device and method of preparing same
US8960422B2 (en) 2002-10-04 2015-02-24 Ethicon, Inc. Packaged antimicrobial medical device and method of preparing same
US20100078336A1 (en) * 2002-10-04 2010-04-01 Ethicon, Inc. Packaged antimicrobial medical device and method of preparing same
US20100163435A1 (en) * 2002-10-04 2010-07-01 Ethicon, Inc. Packaged antimicrobial medical device having improved shelf life and method of preparing same
US20050067312A1 (en) * 2003-09-30 2005-03-31 Rainuka Gupta Method for improving stability and effectivity of a drug-device combination product
US20050241981A1 (en) * 2003-09-30 2005-11-03 Rainuka Gupta Method and apparatus for packaging a drug-device combination product
US7040485B2 (en) 2003-09-30 2006-05-09 Codman & Shurtleff, Inc. Method and apparatus for packaging a drug-device combination product
US6996952B2 (en) 2003-09-30 2006-02-14 Codman & Shurtleff, Inc. Method for improving stability and effectivity of a drug-device combination product
US10865028B2 (en) 2005-02-14 2020-12-15 Mentcon Singapore Pte Ltd. Heat sealable, retortable laminated foil
US8061897B2 (en) * 2005-02-14 2011-11-22 Menicon Singapore Pte Ltd. Package
US20060182909A1 (en) * 2005-02-14 2006-08-17 Hosokawa Yoko Co., Ltd. Package
US20080116106A1 (en) * 2006-11-21 2008-05-22 Fred Lampropoulos Packing and sterilizing a pen in a kit
US20080190073A1 (en) * 2007-02-13 2008-08-14 Sheila Fetzer Laminated Display and Method
US8758669B2 (en) 2008-06-30 2014-06-24 Ethicon, Inc. Method and device for forming pre-made pouches
US8128859B2 (en) 2008-06-30 2012-03-06 Ethicon, Inc. Method for forming pre-made pouches
US20090320408A1 (en) * 2008-06-30 2009-12-31 Clifford Dey Method and device for forming pre-made pouches
US20100314805A1 (en) * 2008-06-30 2010-12-16 Clifford Dey Method and device for forming pre-made pouches
US20100038280A1 (en) * 2008-08-15 2010-02-18 Franklin Amie B Hermetically Sealed Package for A Therapeutic Diffusion Device
US20100268187A1 (en) * 2009-04-17 2010-10-21 Ranbaxy Laboratories Limited Packaging for sirolimus and composition thereof
US10245025B2 (en) 2012-04-06 2019-04-02 Ethicon, Inc. Packaged antimicrobial medical device having improved shelf life and method of preparing same
US11707272B2 (en) 2012-04-06 2023-07-25 Cilag Gmbh International Packaged antimicrobial medical device having improved shelf life and method of preparing same
US20140346072A1 (en) * 2013-05-24 2014-11-27 Daniel R. Jacobson Protective Box for Surgery
US9414893B2 (en) * 2013-05-24 2016-08-16 Daniel R. Jacobson Protective box for surgery
US20170065394A1 (en) * 2014-03-05 2017-03-09 Medizinische Hochschule Hannover Medical implant, medical device and method for making a medical implant
US20190076230A1 (en) * 2014-03-05 2019-03-14 Medizinische Hochschule Hannover Medical implant, medical device and method for making a medical implant
US11116619B2 (en) * 2014-03-05 2021-09-14 Medizinische Hochschule Hannover Medical implant, medical device and method for making a medical implant
US20190240445A1 (en) * 2016-04-15 2019-08-08 Cure Medical, Llc Packaged precision-lubricated ready-to-use intermittent urinary catheter
US10589061B2 (en) * 2016-04-15 2020-03-17 Cure Medical, Llc Packaged precision-lubricated ready-to-use intermittent urinary catheter

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