KR101736054B1 - Fixing tool of suture - Google Patents

Fixing tool of suture Download PDF

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Publication number
KR101736054B1
KR101736054B1 KR1020150121796A KR20150121796A KR101736054B1 KR 101736054 B1 KR101736054 B1 KR 101736054B1 KR 1020150121796 A KR1020150121796 A KR 1020150121796A KR 20150121796 A KR20150121796 A KR 20150121796A KR 101736054 B1 KR101736054 B1 KR 101736054B1
Authority
KR
South Korea
Prior art keywords
suture
suture thread
anchor
fitting portion
head portion
Prior art date
Application number
KR1020150121796A
Other languages
Korean (ko)
Other versions
KR20170025401A (en
Inventor
전인호
홍한표
Original Assignee
재단법인 아산사회복지재단
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 재단법인 아산사회복지재단 filed Critical 재단법인 아산사회복지재단
Priority to KR1020150121796A priority Critical patent/KR101736054B1/en
Priority to PCT/KR2016/009603 priority patent/WO2017039265A1/en
Publication of KR20170025401A publication Critical patent/KR20170025401A/en
Application granted granted Critical
Publication of KR101736054B1 publication Critical patent/KR101736054B1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0401—
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448—Additional elements on or within the anchor
    • A61B2017/0453—Additional elements on or within the anchor threaded elements, e.g. set screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0456—Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a suture fastening device, and more particularly, to a suture fastening device which comprises a head portion and a leg portion for fixing a suture thread for attaching damaged human tissues, and a suture thread which is discharged through a center passing through the outer circumferential edge of the head portion, The suture thread is formed by a plurality of fastening slits for fastening and fixing the suture thread to the fastening slit. When the suture thread is directly fastened to the fastening slit, the suture thread is not tangled with each other. The tension can be maintained simply.

Description

Fixing tool of suture

The present invention relates to a suture fastening mechanism, and more particularly, to a suture fastening mechanism comprising a leg portion and a head portion mounted on an upper end of a work cannula into which an anchor is inserted, and a suture connected to the anchor is inserted, The present invention relates to a suture fastening mechanism in which a plurality of fastening slits are formed.

Minimal invasive surgery or robot surgery is widely applied in the field of orthopedic surgery for the rapid healing of patients. Arthroscopic procedures during minimally invasive surgery are used for orthopedic surgery, sports injuries, arthritis, Degenerative disease is treating ligament damage or muscle rupture.

In the arthroscopic procedure, a suture anchor is used to attach the damaged joints, cartilage, muscles, and ligaments. The procedure is mini-incision of the lesion site or arthroscopy. After confirming the lesion site, fix the muscle or ligament of the lesion with a suture (eg, fiberwire suture), expose the lesion site, and insert anchor to which the suture is connected. Suture ligaments attached to the anchors to allow ligated ligaments or muscles to be stitched to attach to the bone. At this time, an anchor should be put on the bone through a work cannula. That is, by using the work cannula in which the anchor is inserted, the ligament that has fallen or broken by the suture connected to the anchor is gripped and connected to the anchor embedded in the bone, and the knot is formed outside.

However, when proceeding while confirming the arthroscopic operation of attaching the damaged ligament of the lesion site with the suture, the suture is exposed to multiple strands and tangled or held together. In this case, the tide assistant for the practitioner directly holds the suture by holding the suture so that the tension of the sutures exposed through the upper end of the work cannula is not tangled with each other.

However, if the tide pulls the sutures of the multiple strands directly exposed to the outside, there is a problem that the number of procedures is further increased, and if the suture is loosened due to the mistake of the assistant pulling and holding the suture, There may be a problem.

Korean Patent Registration No. 10-0178358 Japanese Patent Application Laid-Open No. 1997-038094

SUMMARY OF THE INVENTION The present invention has been made in order to solve the above-mentioned problems, and it is an object of the present invention to provide an apparatus and a method for attaching an anchor to a work cannula, And a plurality of fastening slits are formed in the head portion so that the operator can directly fix the suture thread connected to the suture thread to maintain the tension.

In order to achieve the above-mentioned object, the suture fastening mechanism of the present invention comprises a head portion and a leg portion for fixing a suture thread connecting the damaged human tissues, And a plurality of fixed slits for fixing the suture thread to be discharged through the center are formed, respectively.

The fitting portion is formed so as to be smaller than the diameter of the suture thread. The fitting portion is narrowed so as to be smaller than the diameter of the suture thread on the horizontal plane in the fixed slit toward the central portion of the head portion, .

It is preferable that the front surface of the fitting portion is connected to the V-shaped groove to form an oblique inclined surface.

In addition, the fixing mechanism may be configured such that a leg is inserted into an upper end of a work cannula in which a plurality of anchors to which a suture thread is connected is inserted.

In addition, the suture connected to the anchor is inserted into the fixed slit using the anchor inserted in the work cannula, and the suture attached to the fixed slit is stuck between the injured human tissues in a state of tension, and the human tissue becomes a muscle, a shoulder rotator cuff or an elbow ligament .

According to the suture fixing mechanism of the present invention, when the operator directly fixes the suture thread to the fixed slit, the suture thread of the suture necessary for the treatment of the injured muscle or ligament using the suture can be easily It is possible to maintain the effect.

In addition, since the operator can maintain the tension by fixing the suture directly, there is an effect that the number of operation personnel can be reduced to a minimum by eliminating the need for a separate assistant to pull the suture.

1 is a perspective view of a suture fastening mechanism according to the present invention and an enlarged perspective view
2 is a perspective view of a work cannula equipped with a suture fastening mechanism according to the present invention;
Fig. 3 is a longitudinal sectional view of Fig. 2

Hereinafter, preferred embodiments of the suture fastening mechanism according to the present invention will be described in detail with reference to the accompanying drawings. It is to be understood that the present invention is not limited to the disclosed embodiments, but may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, It is provided to inform.

1 is a perspective view and an enlarged perspective view of a main part of a suture fixture according to the present invention.

The suture fastening mechanism according to the present invention has a shape similar to that of a nail having a flat head for fixing a suture used in the procedure of attaching a damaged human tissue such as a ligament. 1, the suture fastening mechanism of the present invention comprises a head portion 1 and a leg portion 2 connected to a center portion of a lower end of the head portion 1 in the shape of a nail, The central part of the leg 1 and the leg 2 penetrate to become the passage 3 through which the suture passes. A plurality of fixed slits 4 are formed at predetermined intervals along the outer peripheral edge of the head portion 1 and a plurality of fixed slits 4 are formed in the fixed slit 3, And the suture thread of the plurality of strands exposed to the outside through the suture 3 is inserted and fixed.

As shown in an enlarged perspective view of Fig. 1, a fitting portion 4a is provided inside the fixed slit 4 so that a suture thread can be fitted and fixed. The fitting portion 4a is formed on the horizontal surface in the form of a horizontal film having a V-shaped groove 4b cut in the longitudinal direction toward the central portion of the head portion 1 in the middle of the inside of the fixed slit 4, will be. Therefore, when the suture thread is fixed to the fixed slit 4, the suture thread is inserted into the V-shaped groove 4b of the fitting portion 4a inside the fixed slit 4, The suture thread is surely held and fixed by the V-shaped groove 4b which is smaller than the diameter. Both of the front surfaces of the fitting portion 4a connecting with the V-shaped grooves 4b form inclined surfaces 4c inclined obliquely toward the middle V-shaped grooves 4b. Therefore, when the suture thread is fixed to the fixed slit 4, the suture is naturally guided to the middle V-shaped groove 4b by the inclined surfaces 4c of both front portions of the fitting portion 4a.

FIG. 2 is a perspective view of a work cannula equipped with a suture fastening mechanism according to the present invention, and FIG. 3 is a longitudinal sectional view of FIG. 2.

2 and 3, in the suture fastening device according to the present invention, a leg portion 2 is inserted into an upper end of a work cannula 6 in which a plurality of anchors 5 to be fastened to a bone are inserted one after another, Respectively. Since the head portion 1 and the leg portion 2 of the suture fastening mechanism mounted on the work cannula 6 form the passageway 3 at the central portion in this manner, the plurality of strands connected to the back of each anchor 5 The suture thread 7 is naturally stretched while passing through the passage 3 and being discharged to the outside.

The suture thread 7 is held by the practitioner so that the suture thread 7 stretched outwardly is not tangled and fixed to the fitting portion 4a of the fixed slit 4 formed in the head portion 1, The suture thread 7 is used for the shoulder joint surgery. The suture 7 is inserted into the fitting portion 4a of the fixing slit 4 of the suture fastening mechanism of the present invention when the operation of attaching the damaged tissue between the injured body tissue such as the shoulder rotator cuff or muscle or elbow ligament is performed, ), And then the operation is performed in a state in which tension is applied.

As described above, the suture fixing mechanism according to the present invention has been described with reference to the drawings. However, the present invention is not limited to the embodiments and drawings disclosed in the present specification, It will be understood that various modifications may be made by those skilled in the art.

1: head part 2: leg part
3: passage 4: fixed slit
4a: fitting portion 4b: V-shaped groove
4c: inclined surface 5: anchor
6: work cannula 7: suture

Claims (7)

A plurality of fixed slits are formed for fixing the suture thread which is discharged through a center passing through the center of the outer circumference of the head portion at a predetermined interval, And a fitting portion that is smaller than the diameter of the suture thread is formed in the fixed slit,
Wherein the fitting portion includes a V-shaped groove formed in a horizontal film whose width becomes narrower toward a central portion of the head portion on a horizontal plane in the fixed slit. delete delete The method according to claim 1,
And the front surface of the fitting portion is connected to the V-shaped groove to form an oblique sloped surface. 5. The method according to any one of claims 1 to 4,
Wherein the fastening mechanism comprises a leg inserted into an upper end of a work cannula into which a plurality of anchors to which a suture thread is connected is inserted. 6. The method of claim 5,
Wherein the suture connected to the anchor is inserted into the fixed slit using the anchor inserted in the work cannula, and the damaged suture is attached between the injured body tissues in a tensioned state. 5. The method according to any one of claims 1 to 4,
Wherein the human tissue is a muscle, a shoulder rotator cuff, or an elbow ligament.
KR1020150121796A 2015-08-28 2015-08-28 Fixing tool of suture KR101736054B1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
KR1020150121796A KR101736054B1 (en) 2015-08-28 2015-08-28 Fixing tool of suture
PCT/KR2016/009603 WO2017039265A1 (en) 2015-08-28 2016-08-29 Suture fixing tool

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
KR1020150121796A KR101736054B1 (en) 2015-08-28 2015-08-28 Fixing tool of suture

Publications (2)

Publication Number Publication Date
KR20170025401A KR20170025401A (en) 2017-03-08
KR101736054B1 true KR101736054B1 (en) 2017-05-17

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Application Number Title Priority Date Filing Date
KR1020150121796A KR101736054B1 (en) 2015-08-28 2015-08-28 Fixing tool of suture

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KR (1) KR101736054B1 (en)
WO (1) WO2017039265A1 (en)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010521195A (en) * 2006-03-17 2010-06-24 スミス アンド ネフュー インコーポレーテッド Soft tissue fixation
KR101393496B1 (en) * 2014-02-25 2014-05-13 유원석 Suture thread insertion kit

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5269809A (en) 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
US5669935A (en) 1995-07-28 1997-09-23 Ethicon, Inc. One-way suture retaining device for braided sutures
US20100191261A1 (en) * 2007-05-22 2010-07-29 Sally Carter Suture management port
CA2747169A1 (en) * 2008-12-05 2010-06-10 Tyler E. Mclawhorn Fixture for maintaining the tension applied to a suture during intracorporeal procedures
US20100234688A1 (en) * 2009-03-10 2010-09-16 Tyco Healthcare Group Lp Access port including multi-layer seal and suture parks

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010521195A (en) * 2006-03-17 2010-06-24 スミス アンド ネフュー インコーポレーテッド Soft tissue fixation
KR101393496B1 (en) * 2014-02-25 2014-05-13 유원석 Suture thread insertion kit

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Publication number Publication date
KR20170025401A (en) 2017-03-08
WO2017039265A1 (en) 2017-03-09

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AMND Amendment
E601 Decision to refuse application
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