CN107296634B - Suture joint method - Google Patents

Suture joint method Download PDF

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CN107296634B
CN107296634B CN201710536993.8A CN201710536993A CN107296634B CN 107296634 B CN107296634 B CN 107296634B CN 201710536993 A CN201710536993 A CN 201710536993A CN 107296634 B CN107296634 B CN 107296634B
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suture
free
free section
section
nested
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CN107296634A (en
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蒋冠森
李凌晨
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Hangzhou Rejoin Mastin Medical Device Co ltd
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Hangzhou Rejoin Mastin Medical Device Co ltd
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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
    • A61B17/06166Sutures

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  • Life Sciences & Earth Sciences (AREA)
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  • Heart & Thoracic Surgery (AREA)
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Abstract

The application relates to a suture joint method, wherein the suture is a multi-strand suture, two separated free suture sections are connected into a whole, and the two separated free suture sections are mutually nested and interpenetrating; the method comprises the following steps: the two separated suture free sections are a free section A and a free section B respectively, the free section A relatively penetrates from the weaving structure of the free section B to form a nested structure, and the free section B relatively penetrates from the weaving structure of the free section A to form a nested structure; the relative penetration means that the threading direction of the free section A or the free section B deviates from the tail end direction of the other side; and merging joints to complete the joint, wherein the joints refer to parts between two nested structures. The joint is firm in fixation, attractive in appearance and easy to use, and a plurality of sutures are connected to form one suture, and the sutures can have different colors and patterns and are used for identification, indication and marking.

Description

Suture joint method
Technical Field
The application belongs to the technical field of medical sutures, and relates to a suture joint method.
Background
The single suture is limited by the production technology, so that only one texture or pattern is needed, and the characteristics of different colors, patterns and the like are difficult to be identified on the suture. The existing single suture joint technology is usually simple knotting, the mechanical property of the suture is greatly reduced due to the knotting, and the appearance defects of swelling, uneven fineness and the like of the knotted part are caused, so that the existing single continuous suture joint technology is rarely used in practice, and the single continuous suture used at present is only single in texture or pattern.
The joint with the head and the tail of a suture can form an annular structure for use, the existing suture loop is formed by 2 free end joints of a suture, and the suture loop is fixed by using an adhesive, fusion bonding or knotting, so that the defects of unstable fixation, expansion of a fixed part, uneven fineness of the suture loop, reduced mechanical property, attractive appearance influence and the like are easily caused.
Patent CN101466315 provides a fused wire loop, i.e. the wire material is locally heated by ultrasonic energy to weld or fuse it together. Although it is firmly fixed and beautiful, its heating energy is difficult to control and has strict limitation on the suture material, and the applicable field is limited.
Therefore, the research on a reliable, attractive and easy-to-use suture joint method has great practical significance.
Disclosure of Invention
The application aims to overcome the defects of the prior art that the fixation is not firm, the beauty is influenced and the mechanical property of a suture is influenced, and provides a reliable, attractive and easy-to-use suture joint method.
In order to achieve the above purpose, the application adopts the following technical scheme:
a suture joint method, the suture is multi-strand suture, connect two separated free sections of suture into an organic whole, it is to nest two separated free sections of suture each other and interpenetrating to form; the method comprises the following steps:
the two separated suture free sections are a free section A and a free section B respectively, the free section A relatively penetrates from the weaving structure of the free section B to form a nested structure, and the free section B relatively penetrates from the weaving structure of the free section A to form a nested structure;
the relative penetration means that the threading direction of the free section A or the free section B deviates from the tail end direction of the other side;
the joint is completed by merging the joints, which refers to the portion between two nested structures.
As a preferable technical scheme:
a method of joining a suture as described above, wherein the suture has a diameter of 0.1 to 2mm, and wherein the nesting structure formed upon relative penetration is a continuous nesting structure or a discontinuous nesting structure formed by repeated penetration and egress of one free segment from the woven structure of another free segment.
A method of suture joining as described above, wherein the two separate free sections of suture refer to either two free sections of one suture or one free section of each of the two sutures.
In the above-mentioned suture jointing method, each of the one suture and the two sutures is a continuous suture obtained by knitting or a discontinuous suture with a nested structure obtained by jointing, namely, a nested suture obtained by jointing two sutures without a nested structure by adopting the suture jointing method of the application can be used as a new suture to continue jointing, then the jointed suture is continued to be jointed, and so on, a plurality of nested sutures or suture loops can be obtained.
In the suture jointing method, when the two separated free suture sections refer to the free suture sections at the two ends of one suture, the free suture sections are jointed to form a suture loop.
The suture joint method comprises the step of sleeving the button steel plate with the suture loop.
According to the suture joint method, the tail ends of the free sections A and B do not penetrate out of the woven structure, the joints are combined through adhesive bonding, fusion bonding, knotting or sewing, and compared with the prior art that the two ends of a suture are directly combined through adhesive bonding, fusion bonding, knotting or sewing, the joint firmness is improved by relatively penetrating the free sections B from the woven structure of the free sections A to form a nested structure.
According to the suture joint method, the tail end of the free section A penetrates out of the weaving structure of the free section B, the tail end of the free section B penetrates out of the weaving structure of the free section A, the joint is combined by tightening the two tail ends, and the length of the joint is close to 0 after tightening, so that the defects of unstable fixation, expansion of the fixation part, uneven fineness of a suture loop, reduced mechanical property, attractive appearance and the like caused by overlong joint are overcome.
The method for jointing the suture line, which is characterized in that the joint is subjected to adhesive bonding, fusion bonding, knotting or sewing, so that the joint is firmer, and the mechanical property of the suture line after jointing is better.
According to the suture joint method, after the tail ends are tightened and combined, the tail ends are cut off, or the tail ends of the free sections A are penetrated into the weaving structure of the free sections B, and the tail ends of the free sections B are penetrated into the weaving structure of the free sections A, so that the mechanical property of a suture is further enhanced.
The beneficial effects are that:
(1) In the suture joint method, a plurality of sutures are connected to form one suture, and the sutures can have different colors and patterns and are used for identification, indication and marking;
(2) The suture joint method has firm joint fixation, attractive appearance and easy use.
Drawings
FIGS. 1-4 are schematic views of steps for joining two free sections of suture;
FIG. 5 is a schematic illustration of multiple joints formed from multiple free segments of several sutures;
FIGS. 6A-6C are schematic views of steps for forming a suture loop using a suture end-to-end;
FIG. 7 is a schematic illustration of a suture loop formed by a joint and attached to a button steel plate;
FIG. 8 is a perspective view of the two ends of a suture threaded into each other and not threaded to form a loop of suture;
FIG. 9 is a perspective view of two sutures threaded into each other at their trailing ends and not threaded to form a suture loop;
FIG. 10 is a perspective view of a suture passing multiple times through a resulting suture loop;
wherein 10-free segment A, 20-free segment B,10 i-nested structure 1, 20 i-nested structure 2, 111-free segment C, 112-free segment D,111 i-nested structure 3, 112 i-nested structure 4, 30-one stitch, 40-another stitch, 301-free segment E of stitch 30, 302-free segment F of stitch 30, 301 i-nested structure 3, 302 i-nested structure 4, 401-free segment G of stitch 40, 402-free segment H of stitch 40, 401 i-nested structure 5, 402 i-nested structure 6.
Detailed Description
The application is further described below in conjunction with the detailed description. It is to be understood that these examples are illustrative of the present application and are not intended to limit the scope of the present application. Furthermore, it should be understood that various changes and modifications can be made by one skilled in the art after reading the teachings of the present application, and such equivalents are intended to fall within the scope of the application as defined in the appended claims.
Example 1
A suture jointing method is characterized in that the suture is thirty-two strands of suture, the diameter of the suture is 0.1mm, and as shown in figure 1, each free section of the suture without a nested structure is a free section A10 and a free section B20. Firstly, as shown in fig. 2, the free section B20 is relatively penetrated from the knitting structure of the free section a 10 to form a nested structure 20i, then, as shown in fig. 3, the free end a 10 is relatively penetrated from the knitting structure of the free section B20 to form a nested structure 10i, then, the tail end of the free section a 10 is penetrated from the knitting structure of the free section B20, the tail end of the free section B20 is penetrated from the knitting structure of the free section a 10, the joint, namely, the part between the nested structure 10i and the nested structure 20i is combined by tightening the tail ends, finally, the tail end of the free section a 10 is penetrated into the knitting structure of the free section B20 from the original penetrating point, and the tail end of the free section B20 is penetrated into the knitting structure of the free section a 10 from the original penetrating point to form a suture with a two nested structure as shown in fig. 4.
Example 2
A suture joining method is provided, wherein the suture is sixteen strands of suture, the diameter of the suture is 2mm, and as shown in figure 1, the suture has a free section A10 of the suture with a two-nested structure and a free section B20 of the suture without the nested structure. Firstly, as shown in fig. 2, the free section B20 is relatively penetrated from the knitting structure of the free section a 10 to form a nested structure 20i, then, as shown in fig. 3, the free end a 10 is relatively penetrated from the knitting structure of the free section B20 to form a nested structure 10i, the tail end of the free section a 10 is penetrated from the knitting structure of the free section B20, the tail end of the free section B20 is penetrated from the knitting structure of the free section a 10, the joint, namely the part between the nested structure 10i and the nested structure 20i is combined by tightening the tail ends, and finally, the tail ends are cut off to form a suture with a four-nested structure.
Example 3
A suture jointing method is characterized in that the suture is twelve strands of suture, the diameter of the suture is 0.9mm, and as shown in figure 1, the suture has a free section A10 of the suture with two nested structures and a free section B20 of the suture with two nested structures. Firstly, as shown in fig. 2, the free section B20 is relatively penetrated from the knitting structure of the free section a 10 to form a nested structure 20i, then, as shown in fig. 3, the free end a 10 is relatively penetrated from the knitting structure of the free section B20 to form a nested structure 10i, then, the tail end of the free section a 10 is penetrated from the knitting structure of the free section B20, the tail end of the free section B20 is penetrated from the knitting structure of the free section a 10, the joint of the tail end combination, namely, the part between the nested structure 10i and the nested structure 20i is tightened, the joint is fixed by using a sewing mode, and finally, the tail end is cut off to form a sewing line with a six-nested structure as shown in fig. 5.
Example 4
A suture joint method is characterized in that the suture is an eight-strand suture, the diameter of the suture is 0.6mm, and as shown in figure 1, each free section of the suture without a nested structure is a free section A10 and a free section B20. Firstly, as shown in fig. 2, a free section B20 is relatively penetrated into a nested structure 20i from the knitting structure of a free section a 10, then, as shown in fig. 3, a free end a 10 is relatively penetrated into a nested structure 10i from the knitting structure of the free section B20, then, the tail end of the free section a 10 is penetrated out from the knitting structure of the free section B20, the tail end of the free section B20 is penetrated out from the knitting structure of the free section a 10, the joint part of the tail end merging joint, namely the part between the nested structure 10i and the nested structure 20i is tightened, the joint part is fixed by using a knotting mode, finally, one tail end is cut off, the other tail end penetrates into the knitting structure of the free section, the penetration point and the penetration point are different, and a suture with a three nested structure is formed.
Example 5
A suture jointing method is characterized in that the suture is twelve strands of suture, the diameter of the suture is 0.2mm, and as shown in figure 1, the suture has a free section A10 of the suture with a three-nested structure and a free section B20 of the suture with a two-nested structure. Firstly, as shown in fig. 2, the free section B20 is relatively penetrated from the knitting structure of the free section a 10 to form a nested structure 20i, then, as shown in fig. 3, the free end a 10 is relatively penetrated from the knitting structure of the free section B20 to form a nested structure 10i, then, the tail end of the free section a 10 is penetrated from the knitting structure of the free section B20, the tail end of the free section B20 is penetrated from the knitting structure of the free section a 10, the joint of the tail end combination, namely, the part between the nested structure 10i and the nested structure 20i is tightened, the joint is fixed by using a knotting mode, and finally, the tail end is cut off to form a suture with a seven nested structure.
Example 6
A suture jointing method is characterized in that the suture is an eight-strand suture, the diameter of the suture is 1mm, and as shown in figure 1, the suture has a free section A10 of the suture with a two-nested structure and a free section B20 of the suture with the two-nested structure. Firstly, as shown in fig. 2, the free section B20 is relatively penetrated into the knitting structure of the free section a 10 to form a nested structure 20i, then, as shown in fig. 3, the free end a 10 is relatively penetrated into the knitting structure of the free section B20 to form a nested structure 10i, then, the tail end of the free section a 10 is penetrated out of the knitting structure of the free section B20, the tail end of the free section B20 is penetrated out of the knitting structure of the free section a 10, the joint part of the tail end merging joint, namely, the part between the nested structure 10i and the nested structure 20i is tightened, the joint part is fixed by using a knotting mode, finally, the tail end of the free section a 10 is penetrated into the knitting structure of the free section B20, the tail end of the free section B20 is penetrated into the knitting structure of the free section a 10 again, the penetration points are different from the penetration points, and a suture with an eight-nested structure is formed.
Example 7
A suture joint method is characterized in that the suture is sixteen strands of suture, the diameter of the suture is 0.8mm, and the suture has two free sections, namely a free section A10 and a free section B20, at two ends of the suture with a four-nested structure. Firstly, the free section B20 is relatively penetrated into the weaving structure of the free section A10 to form a nested structure 20i, then the free end A10 is relatively penetrated into the weaving structure of the free section B20 to form a nested structure 10i, then the tail end of the free section A10 is penetrated out of the weaving structure of the free section B20, the tail end of the free section B20 is penetrated out of the weaving structure of the free section A10, the joint part between the nested structure 10i and the nested structure 20i is tightened at the joint part, the joint part is fixed in a sewing mode, finally the tail end of the free section A10 is penetrated into the weaving structure of the free section B20 from the original penetrating point, and the tail end of the free section B20 is penetrated into the weaving structure of the free section A10 from the original penetrating point to form a suture loop with a six-nested structure.
Example 8
A suture jointing method is characterized in that the suture is a thirty-two strand suture, the diameter of the suture is 1mm, and as shown in figure 6A, the suture has two free sections, namely a free section C111 and a free section D112, at two ends of the suture without a nested structure. Firstly, two ends of a suture pass through an opening in the middle of a button steel plate, then as shown in fig. 6B, a free section C111 relatively penetrates from a woven structure of a free section D112 to form a nested structure 111i, then as shown in fig. 6C, a free end D112 relatively penetrates from the woven structure of the free section C111 to form a nested structure 112i, the tail ends of the free section C111 and the free section D112 do not penetrate from the woven structure, and the joint, namely the part between the nested structure 111i and the nested structure 112i, is bonded and combined through an adhesive, so that the head-to-tail connection of a single suture is completed, and a suture loop with two nested structures, which is connected with the button steel plate as shown in fig. 7, is formed.
Example 9
A suture joint method is characterized in that the suture is twelve strands of suture, the diameter of the suture is 2mm, and as shown in figure 6A, the suture has two free sections at two ends, namely a free section C111 and a free section D112, of the suture with a two-nested structure. Firstly, two ends of a suture pass through an opening in the middle of a button steel plate, then as shown in fig. 6B, a free section C111 relatively penetrates from a weaving structure of a free section D112 to form a nested structure 111i, then as shown in fig. 6C, a free end D112 relatively penetrates from the weaving structure of the free section C111 to form a nested structure 112i, then the tail end of the free section C111 penetrates from the weaving structure of the free section D112, the tail end of the free section D112 penetrates from the weaving structure of the free section C111, the joint part between the nested structure 111i and the nested structure 112i is fastened at the joint part of the tail ends, the joint part is fixed by using a fusion bonding mode, finally, one tail end is cut off, the other tail end penetrates into the weaving structure of the free section, the penetration point and the penetration point are different, and a suture loop with five nested structures connected with the button steel plate as shown in fig. 7 is formed.
Example 10
A suture jointing method is characterized in that the suture is twelve strands of suture, the diameter of the suture is 0.5mm, and as shown in figure 6A, the suture has two free sections at two ends, namely a free section C111 and a free section D112, of the suture with a two-nested structure. Firstly, two ends of a suture pass through an opening in the middle of a button steel plate, then as shown in fig. 6B, a free section C111 relatively penetrates from a weaving structure of a free section D112 to form a nested structure 111i, then as shown in fig. 6C, a free end D112 relatively penetrates from the weaving structure of the free section C111 to form a nested structure 112i, then the tail end of the free section C111 penetrates from the weaving structure of the free section D112, the tail end of the free section D112 penetrates from the weaving structure of the free section C111, the part between the nested structure 111i and the nested structure 112i at the joint of the tail end is tightened, finally the tail end of the free section C111 penetrates from an original penetrating point into the weaving structure of the free section D112, and the tail end of the free section D112 penetrates from the original penetrating point into the weaving structure of the free section C111 to form a seam with a four-nested structure connected with the button steel plate as shown in fig. 7.
Example 11
A suture joint method is characterized in that the suture is twelve strands of suture, the diameter of the suture is 0.3mm, and the suture has two free sections, namely a free section A10 and a free section B20, at two ends of the suture without a nested structure. Firstly, the free section B20 is relatively penetrated into the weaving structure of the free section A10 to form a nested structure 20i, then the free end A10 is relatively penetrated into the weaving structure of the free section B20 to form a nested structure 10i, the tail ends of the free sections A10 and B20 do not penetrate out of the weaving structure, the joint, namely the part between the nested structure 20i and the nested structure 10i, is combined through fusion bonding, and the end-to-end connection of the suture is completed, so that a suture loop with two nested structures as shown in figure 8 is formed.
Example 12
A suture joining method, the suture is sixteen strands of suture, as shown in fig. 9, and there are two sutures 30 and 40 without nested structures, the diameter of the suture 30 is 0.2mm, and the diameter of the suture 40 is 0.3mm. Firstly, the free segment E301 is relatively penetrated into the nested structure 301i from the knitting structure of the free segment G401, the free end G401 is relatively penetrated into the nested structure 401i from the knitting structure of the free segment E301, the free segment F302 is relatively penetrated into the nested structure 302i from the knitting structure of the free segment F402, the free end H402 is relatively penetrated into the nested structure 402i from the knitting structure of the free segment F302, the tail ends of the segments do not penetrate out of the knitting structure, the joint, namely the part between the nested structure 301i and the nested structure 401i and the part between the nested structure 302i and the nested structure 402i are combined through stitching, and the end-to-end connection of the stitching is completed, so that the stitching loop with the four nested structures as shown in fig. 9 is formed.
Example 13
A suture jointing method is characterized in that the suture is twelve strands of suture, the diameter of the suture is 0.2mm, and two free sections of the suture without a nested structure are arranged at two ends of the suture. Firstly, a tail end of a suture is threaded into another tail end, then the tail end is threaded out from the thread, then the two tail ends are threaded into the thread for multiple times, the thread is threaded into and out of the thread in the same embodiment 10, the tail end of the thread is threaded into the thread again, and finally the tail end is threaded into the thread after the thread is threaded for multiple times, so that a suture loop with multiple nested structures as shown in fig. 10 is formed.

Claims (10)

1. A suture joint method, the suture is multi-strand suture, characterized by: the two separated suture free sections are connected into a whole, and are formed by mutually nesting and interpenetrating the two separated suture free sections; the method comprises the following steps:
the two separated suture free sections are a free section A and a free section B respectively, the free section A relatively penetrates from the weaving structure of the free section B to form a nested structure, and the free section B relatively penetrates from the weaving structure of the free section A to form a nested structure;
the relative penetration means that the threading direction of the free section A or the free section B deviates from the tail end direction of the other side;
the joint is completed by merging the joints, which refers to the portion between two nested structures.
2. A method of joining a suture according to claim 1 wherein the suture has a diameter of 0.1 to 2mm and the nesting is continuous when threaded relative to each other or intermittent when threaded from one free section into and out of the woven structure of the other free section.
3. A method of joining sutures according to claim 1, wherein the two separate free segments of suture refer to the free segments of either end of one suture or to each free segment of two sutures.
4. A method of joining sutures according to claim 3, wherein each of said one and two sutures is a continuous suture obtained by braiding or a discontinuous suture obtained by joining and having a nested structure.
5. A method of joining a suture according to claim 3, wherein the two separate free sections of suture are joined to form a loop of suture when the free sections of suture are joined at opposite ends of a single suture.
6. The method of claim 5, wherein the suture loop is lined with a button steel plate.
7. A method of seaming a seam according to claim 1 wherein the tail ends of the free sections a and B do not pass through the woven structure and the seam is joined by adhesive bonding, melt bonding, knotting or stitching.
8. A method of suture joining according to claim 1 wherein the tail end of free segment a is threaded out of the woven structure of free segment B and the tail end of free segment B is threaded out of the woven structure of free segment a, the joining being by tightening the two tails.
9. A method of suture joining according to claim 8 wherein the joining is adhesive bonded, melt bonded, knotted or sewn.
10. A method of suture joining according to claim 8 wherein the tail ends are trimmed after the tail ends are gathered or the tail ends of free segment a are threaded into the weave of free segment B and the tail ends of free segment B are threaded into the weave of free segment a.
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