CN107296635A - It is a kind of into knot medical suture and its into knot method - Google Patents
It is a kind of into knot medical suture and its into knot method Download PDFInfo
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- CN107296635A CN107296635A CN201710311636.1A CN201710311636A CN107296635A CN 107296635 A CN107296635 A CN 107296635A CN 201710311636 A CN201710311636 A CN 201710311636A CN 107296635 A CN107296635 A CN 107296635A
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- knot
- suture
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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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
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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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0649—Coils or spirals
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- Health & Medical Sciences (AREA)
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- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (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 one kind into knot medical suture and its into knot method, including flexible anchor and load suture, the flexible anchor is the flexible thing of column；The load suture semi-surrounding is helically wound around flexible anchor.The present invention it is a kind of into knot medical suture into knot method：By the flexible anchor it is spacing after, while pull it is described load suture the end of a thread one and the end of a thread two, the flexible anchor is to be deformed into helical form knot；The effective area of the helical form knot is 2~4 times of the maximum external area of a circle in the flexible anchor section.The present invention is a kind of flexible band line holdfast into knot suture, is implanted into during column, becomes spiral knot after implantation and be fixed in bone, as fixing point, is used for repairing the soft tissue of injury of human by surgeon.Compared to the prior art, it is bigger into the diameter after knot, and structure is more stable, can provide bigger and more stable fixed strength.
Description
Technical field
The invention belongs to suture technical field, it is related to one kind into knot medical suture and its into knot method, particularly relates to
And it is a kind of be used to repairing soft tissue into knot medical suture and its into knot method.
Background technology
The damage majority of soft tissue is that tendon, ligament or other soft tissues depart from completely or partially from bone, is occurred mainly in
The joint part of human body, due to hyperkinesia or with older, the damage that soft tissue overstress is caused, it usually needs
Surgical operation.It is that the soft tissue of disengaging is fixed to bone with line anchor apparatus that repair mode is commonly used in current surgical operation.
Band line holdfast is exactly holdfast string on suture, and to ensure that holdfast can be on suture or so slidably.
The conventional holdfast with line anchor apparatus is substantially using polymer, metal or biodegradable chemical combination at present
Thing, these holdfasts implantation is usually required and the much the same surgical hole of diameter itself, could place interior to the marrow, if device loosens, just
It may trigger and occur the potential danger of hard device in human synovial, it is possible to make patient evolution into arthritic risk, some
Possibility made by polyplant, such as PLA slackens bone, induces patients with fractures.Metal device may cause on MRI
It is scattered, make follow-up MRF inaccurate.
Simultaneously for the reparation of the human body such as Minor articulus such as hand, foot damage, existing rigid holdfast volume is too big, it is impossible to plant
Enter, and flexible anchor nail small volume, fixed strength height, this technical barrier is solved well.
To solve these problems, develop with flexible, the band line holdfast that flexible material is made.
It refer to that soft anchoring implant is made of biaxial braid thing in patent CN104053406A.
The suture anchor being made of tubular textile material is refer in patent CN105163673A.
It refer to that flexible fixed component is made of suture in patent CN104869920A.
The band line holdfast that what these patents were mentioned be all made of flexible material.
There are many advantages using only the band line holdfast of flexible, flexible material in reparation.
Implantation only needs smaller hole, and material is non-breakable and softness, will not occur the hard IA risk of device tears stream,
Postoperative to use MRI, tissue rejection is small, stronger fixed strength and smaller risk of bone fracture.
The advantage of flexible holdfast is also resided in, and the diameter before and after implantation can change a lot, and the diameter after implantation is at least
It is bigger by 30% than before implantation, the fixed strength of holdfast can be so greatly increased, makes it less easy to fall off.
It refer to that soft anchoring implant is made of biaxial braid thing in patent CN104053406A, with the technology of the present invention side
Case is similar, and it is to utilize to suture wire compression column flexible knitting thing into knot scheme, and the braiding for increasing column flexible knitting thing is handed over
Angle is pitched, compression, the spheroidal knot of final class above and below flexible knitting thing.It is this into knot mode, if will be by being added to knot
Diameter increase the length or diameter that fixed strength is accomplished by increasing soft anchor implant, this means that needs to increase preboring hand
The diameter or length in art hole, add the damage to human body.
The content of the invention
The technical problems to be solved by the invention are to increase flexible holdfast on the basis of not increasing to injury of human to fix
Strength, into knot medical suture and its into knot method, is especially to provide a kind of for repairing the medical into tying of soft tissue there is provided one kind
Suture and its into knot method.When being fixed in human body soft tissue prosthesis using grappling, holdfast implantation needs to drill on bone
Or self tapping hole, this just has damage to human body bone, influences the recovery of patient.Holdfast small volume is clinically required, fixed strength is big,
It is even more so particularly in the reparation of some Minor articulus of human body or circumferential cartilage.And traditional holdfast can not meet this requirement,
The exploitation of flexible holdfast is exactly that, in order to solve this technical barrier, flexible holdfast is exactly the spy using flexible material changeability
Property, it is implanted into elongated, minor diameter shape, forces holdfast to be deformed into knot by external force after the implantation, plays fixation.Realize
Small volume, fixed strength is big.
The present invention provides a kind of with into knot suture and the method into spiral knot, is a kind of flexible holdfast newly.It is soft
Property anchor determined by suture through the mode of flexible anchor into knot shape is main, the present invention using the soft characteristic of suture,
It assign it as flexible anchor.
The present invention's is a kind of into knot medical suture, including flexible anchor and load suture, and the flexible anchor is that column is flexible
Thing；The load suture semi-surrounding is helically wound around flexible anchor；
The load suture is made up of successively five parts：The end of a thread one, spiral winding section one, linkage section, the end of a thread two and spiral shell
Rotation winding section two；The threading direction of the spiral winding Duan Yiyu spiral windings section two is identical and the hand of spiral is consistent；
The linkage section connects the spiral winding section one and spiral winding section two；The end of a thread one and the end of a thread two are respectively from connection
The two ends of section start to pass through inside flexible anchor；
The spiral winding refers to that the end of a thread one and the end of a thread two spiral in the flexible anchor of the load suture detour
Inside after certain angle from the flexible anchor is passed through, and is then worn in inside of the identical angle again from the flexible anchor of detouring
Cross, by that analogy；
The angle and direction that the spiral winding Duan Yiyu spiral windings section two detours is consistent.
The concrete operations mode into spiral knot of flexible anchor：First determine required flexible anchor into the diameter after knot before threading
R and during column flexible anchor diameter R0, then choose two threading points in one end close proximity to column flexible anchor and be used as load
The starting point of flexible anchor is worn at the two ends (the end of a thread one and the end of a thread two) of suture, and the two threading point lines need and column flexible anchor
Length direction is parallel, and the distance of two threading points is (R-R0), it is clockwise around column flexible anchor using 2 threading o'clock as 0 ° of point
There are 360 ° of points in direction, and the two ends (the end of a thread one and the end of a thread two) for then loading suture start from 0 ° of point through column flexible anchor respectively
It is internal to 180 ° of points, then left-handed to 270 ° points (or dextrorotation to 90 ° of points), from flexible anchor inside pass through to forming first spiral shell
Rotation winding section, this winds the length of section and is (2 π R), and the two ends (the end of a thread one and the end of a thread two) for then loading suture are distinguished again
Around left-handed to 270 ° points of column flexible anchor (or dextrorotation to 90 ° of points), from flexible anchor inside pass through, form second spiral winding
Section, this winds the length of section and is (2 π R), and follow-up threading comes according to second spiral winding section threading mode.
It is used as preferred technical scheme：
As described above a kind of into knot medical suture, spiral winding section two is wound in institute described in the spiral winding Duan Yiyu
The every segment length for stating flexible anchor is equal and be equal into the maximum circumferential periphery of flexible anchor after knot.
It is as described above a kind of that into knot medical suture, the flexible anchor is column braid, column flexible rubber or plastics,
Length is 10mm~30mm, and diameter control is in 0.3mm~5mm；Column flexible anchor is from textile material braided suture, suture
Line can cut into every section of 10mm~30mm, and the two ends of flexible anchor need to seal loose to prevent port, and sealing mode selection is high
Warm hardening, glue bonding or filament sutures mode.
As described above a kind of into knot medical suture, the load suture is 5-0~7# suturees.Described is negative
Carry suture and be not limited to one, can be from the parallel suture of two, three or more than three.
It is as described above a kind of into knot medical suture, the helix parameter of the spiral winding section one：Detour angle for 45 °~
135°。
As described above a kind of into knot medical suture, spiral winding section two is all left-handed described in the spiral winding Duan Yiyu
Or be all dextrorotation.
It is as described above a kind of into knot medical suture, the linkage section, the end of a thread one and the end of a thread two are respectively from the two of linkage section
Section starts to pass through from flexible anchor, and linkage section is parallel with column flexible anchor length direction.
It is as described above a kind of into knot medical suture, the material of the flexible anchor and the load suture exists for molecular weight
High molecular weight polyethylene, polyester or nylon between 50~3,000,000.
Present invention also offers it is a kind of into knot medical suture into knot method：By the flexible anchor it is spacing after, simultaneously pull
The end of a thread one and the end of a thread two of the load suture, the flexible anchor is to be deformed into helical form knot.
As described above into knot method, the effective area of the helical form knot is the maximum external disc in the flexible anchor section
Long-pending 2~4 times.
Beneficial effect
The spiral knot of the present invention, by changing the contour structures of flexible body, makes it into helical structure, the maximum of helical structure
Peripheral diameter likens big 2~4 times to before knot, and structure stacked on top increases the stability finished, makes it in bone hole well
Interior stationarity strength and stability enhancing.
The technical scheme is that directly distorting the shape of column flexible knitting thing, make its spiral rotating formation spiral
Knot, the structure stacked on top of spiral knot is stable, and the diameter of spiral is at least more than 2 times during column.
Compared to spherical junctions, helical structure is more stable, big into the diameter and thickness after knot, so provides for bigger and more steady
Fixed fixed strength.
Brief description of the drawings
Fig. 1 is suture threading schematic diagram；
Fig. 2 is suture into helical structure schematic diagram；
Fig. 3 is into knot suture and loads inserter schematic diagram；
Fig. 4 is into knot medical sutures device implantation schematic diagram；
Fig. 5 is into after knot suture implantation into knot schematic diagram；
Wherein, 101 be flexible anchor, and 102 load sutures, and 103 be outer tube (metal hollow bar), 104 inner tube (metal hollows
Bar), the operation prebored hole on 105 bones, 201 for load suture the end of a thread one, 202 for load suture the end of a thread two, 203 Hes
206 be adjacent two sections of the spiral winding section one of load suture, and 204 and 207 be the spiral winding section two-phase of load suture
Adjacent two sections, 205 be load suture linkage section.
Embodiment
The invention will be further elucidated with reference to specific embodiments.It should be understood that these embodiments are merely to illustrate this hair
Bright rather than limitation the scope of the present invention.In addition, it is to be understood that after the content of the invention lectured has been read, art technology
Personnel can make various changes or modifications to the present invention, and these equivalent form of values equally fall within the application appended claims and limited
Fixed scope.
Embodiment 1：Fig. 1 is the threading mode of flexible anchor, and the flexible anchor is clearly required before threading line into the diameter R after knot
The diameter R of (see Fig. 2) and column flexible anchor0.By column flexible anchor centered on central shaft line, flexible anchor diameter periphery along suitable
Clockwise is positioned to 360 ° of Linear Points, 0 ° of point of periphery, 205 length by 101 diameters of 205 two end points connecting lines
For (R-R0) it is and parallel with 101 length directions, 205 close proximity to 101 one end.201 and 202 two ends first from 205 are distinguished
Start to pass through from 101 inside, 201 and 202 penetrate since 0 ° of point, passed through from 101 inside, 180 ° of points are passed, and then dextrorotation is arrived
90 ° of points are penetrated, and are passed through from 101 inside, 270 ° of points are passed, are formed two spiral windings section 203 and 204,203 and 204 respectively
Length is (2 π R), and then dextrorotation is penetrated to 90 ° of points again, is passed through from 101 inside, 270 ° of points are passed, and forms two spirals respectively and twines
It is (2 π R) around the length of section 206 and 207,206 and 207.Now threading is completed.If now also without threading to flexible anchor 101
Another end points, then according to 206 and 207 generation type continue threading, until another end points of threading to flexible anchor.
Embodiment 2：Fig. 3 is into knot suture and loads inserter schematic diagram, and the implantation into knot suture needs
It could be realized by inserter, using syringe-like piston principle, the flexible anchor 101 into knot suture is filled in metal
Hollow stem 103, is then inserted into the internal diameter metal hollow bar 104 smaller than the diameter of flexible anchor 101, flexible anchor 101 is withstood on 103
Head, loads afterbody of the two ends of suture all from metal hollow bar 104 and extends out, and has been assembled into traditional thread binding into knot medical sutures
Put.
Embodiment 3：Fig. 4 is into knot medical sutures line apparatus implantation schematic diagram, and the medical seam of knot is used into surgical operation
Zygonema device, it is necessary first to which, being inserted into knot medical sutures line apparatus in surgical hole, then metal hollow bar 103 is retreated, metal
Hollow stem 104 is motionless, the implant surgery hole of flexible anchor 101, then pulls load suture to extend two ends (the end of a thread of hollow stem
One and the end of a thread two), flexible anchor will be into spiral knot, implantation success (see Fig. 5).
Claims (10)
1. it is a kind of into knot medical suture, it is characterized in that：Including flexible anchor and load suture, the flexible anchor is that column is flexible
Thing；The load suture semi-surrounding is helically wound around flexible anchor；
The load suture is made up of successively five parts：The end of a thread one, spiral winding section one, linkage section, the end of a thread two and spiral are twined
Around section two；The threading direction of the spiral winding Duan Yiyu spiral windings section two is identical and the hand of spiral is consistent；
The linkage section connects the spiral winding section one and spiral winding section two；The end of a thread one and the end of a thread two are respectively from linkage section
Two ends start to pass through inside flexible anchor；
The spiral winding refers to that the end of a thread one and the end of a thread two spiral in the flexible anchor of the load suture detour necessarily
Inside after angle from the flexible anchor is passed through, and then the inside further around row identical angle again from the flexible anchor is passed through, with
This analogizes；
The angle and direction that the spiral winding Duan Yiyu spiral windings section two detours is consistent.
2. it is according to claim 1 a kind of into knot medical suture, it is characterised in that spiral shell described in the spiral winding Duan Yiyu
Every segment length that rotation winding section two is wound in the flexible anchor is equal and be equal into the maximum circumferential periphery of flexible anchor after knot.
3. according to claim 1 a kind of into knot medical suture, it is characterised in that the flexible anchor be column braid,
Column flexible rubber or plastics, length are 10mm~30mm, and diameter control is in 0.3mm~5mm；And the two ends of flexible anchor need envelope
Mouth is loose to prevent port, and sealing mode selection is heat setting, glue is bonded or filament sutures mode.
4. it is according to claim 1 a kind of into knot medical suture, it is characterised in that the load suture is 5-0~7#
Suture.
5. it is according to claim 1 a kind of into knot medical suture, it is characterised in that the spiral ginseng of the spiral winding section one
Number：Angle detour for 45 °~135 °.
6. it is according to claim 1 a kind of into knot medical suture, it is characterised in that spiral shell described in the spiral winding Duan Yiyu
Rotation winding section two is all left-handed or is all dextrorotation.
7. it is according to claim 1 a kind of into knot medical suture, it is characterised in that the linkage section, the end of a thread one and the end of a thread
Two pass through since two sections of linkage section from flexible anchor respectively, and linkage section is parallel with column flexible anchor length direction.
8. it is according to claim 1 a kind of into knot medical suture, it is characterised in that the flexible anchor and load suture
The material of line is High molecular weight polyethylene, polyester or nylon of the molecular weight between 50~3,000,000.
9. it is as claimed in claim 1 a kind of into knot medical suture into knot method, it is characterized in that：The flexible anchor is spacing
Afterwards, while pulling the end of a thread one and the end of a thread two of the load suture, the flexible anchor is to be deformed into helical form knot.
10. it is according to claim 9 into knot method, it is characterised in that the effective area of the helical form knot is described soft
Property 2~4 times of the anchor section maximum external area of a circle.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710311636.1A CN107296635B (en) | 2016-06-29 | 2017-05-05 | It is a kind of at knot medical suture and its at knot method |
| PCT/CN2017/096121 WO2018201636A1 (en) | 2017-05-05 | 2017-08-04 | Knotting medical suture and knotting method therefor |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2016105205647 | 2016-06-29 | ||
| CN201610520564.7A CN106166080A (en) | 2016-06-29 | 2016-06-29 | The medical suture complexes of knot can be become and for the method repairing soft tissue |
| CN201710311636.1A CN107296635B (en) | 2016-06-29 | 2017-05-05 | It is a kind of at knot medical suture and its at knot method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107296635A true CN107296635A (en) | 2017-10-27 |
| CN107296635B CN107296635B (en) | 2019-07-12 |
Family
ID=64017067
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710311636.1A Active CN107296635B (en) | 2016-06-29 | 2017-05-05 | It is a kind of at knot medical suture and its at knot method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107296635B (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110409054A (en) * | 2019-08-26 | 2019-11-05 | 上海大博医疗科技有限公司 | A kind of all fronts holdfast braiding device |
| CN110565262A (en) * | 2019-08-26 | 2019-12-13 | 上海大博医疗科技有限公司 | full suture anchor weaving method |
| CN112971884A (en) * | 2021-02-04 | 2021-06-18 | 杭州锐健马斯汀医疗器材有限公司 | Suture anchor implantation device |
| CN113208675A (en) * | 2021-05-24 | 2021-08-06 | 杭州锐健马斯汀医疗器材有限公司 | Device is implanted to compound suture anchor |
| CN114366204A (en) * | 2022-01-13 | 2022-04-19 | 北京天星博迈迪医疗器械有限公司 | Full suture anchor and implantation equipment |
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|---|---|---|---|---|
| US20090082805A1 (en) * | 2006-09-29 | 2009-03-26 | Biomet Sports Medicine, Llc | Adjustable knotless loops |
| US20120059417A1 (en) * | 2006-02-03 | 2012-03-08 | Biomet Sports Medicine, Llc | Method and Apparatus for Coupling Soft Tissue to a Bone |
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2017
- 2017-05-05 CN CN201710311636.1A patent/CN107296635B/en active Active
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120059417A1 (en) * | 2006-02-03 | 2012-03-08 | Biomet Sports Medicine, Llc | Method and Apparatus for Coupling Soft Tissue to a Bone |
| US20090082805A1 (en) * | 2006-09-29 | 2009-03-26 | Biomet Sports Medicine, Llc | Adjustable knotless loops |
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110409054A (en) * | 2019-08-26 | 2019-11-05 | 上海大博医疗科技有限公司 | A kind of all fronts holdfast braiding device |
| CN110565262A (en) * | 2019-08-26 | 2019-12-13 | 上海大博医疗科技有限公司 | full suture anchor weaving method |
| CN110565262B (en) * | 2019-08-26 | 2021-07-23 | 上海大博医疗科技有限公司 | Full suture anchor weaving method |
| CN110409054B (en) * | 2019-08-26 | 2024-04-12 | 上海大博医疗科技有限公司 | Full-line anchor knitting device |
| CN112971884A (en) * | 2021-02-04 | 2021-06-18 | 杭州锐健马斯汀医疗器材有限公司 | Suture anchor implantation device |
| CN112971884B (en) * | 2021-02-04 | 2022-12-16 | 杭州锐健马斯汀医疗器材有限公司 | Suture anchor implantation device |
| CN113208675A (en) * | 2021-05-24 | 2021-08-06 | 杭州锐健马斯汀医疗器材有限公司 | Device is implanted to compound suture anchor |
| CN113208675B (en) * | 2021-05-24 | 2022-05-10 | 杭州锐健马斯汀医疗器材有限公司 | Device is implanted to compound suture anchor |
| CN114366204A (en) * | 2022-01-13 | 2022-04-19 | 北京天星博迈迪医疗器械有限公司 | Full suture anchor and implantation equipment |
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| CN107296635B (en) | 2019-07-12 |
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