CN110215247A - The more suture holdfasts of circle sheath and implanted device - Google Patents
The more suture holdfasts of circle sheath and implanted device Download PDFInfo
- Publication number
- CN110215247A CN110215247A CN201910556261.4A CN201910556261A CN110215247A CN 110215247 A CN110215247 A CN 110215247A CN 201910556261 A CN201910556261 A CN 201910556261A CN 110215247 A CN110215247 A CN 110215247A
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- China
- Prior art keywords
- suture
- sheath
- circle
- round
- holdfasts
- Prior art date
- Legal status (The legal status 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 status listed.)
- Pending
Links
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 25
- 238000002513 implantation Methods 0.000 claims abstract description 15
- 238000009954 braiding Methods 0.000 claims description 6
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 claims description 3
- -1 alcohol ester Chemical class 0.000 claims description 3
- 239000004744 fabric Substances 0.000 claims description 3
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 claims description 3
- KKEYFWRCBNTPAC-UHFFFAOYSA-N Terephthalic acid Chemical compound OC(=O)C1=CC=C(C(O)=O)C=C1 KKEYFWRCBNTPAC-UHFFFAOYSA-N 0.000 claims 2
- 239000000463 material Substances 0.000 description 6
- 210000004872 soft tissue Anatomy 0.000 description 5
- 230000006378 damage Effects 0.000 description 4
- 208000021945 Tendon injury Diseases 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 239000004626 polylactic acid Substances 0.000 description 3
- 239000004696 Poly ether ether ketone Substances 0.000 description 2
- 229910001069 Ti alloy Inorganic materials 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000004090 dissolution Methods 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 229920000747 poly(lactic acid) Polymers 0.000 description 2
- 229920002530 polyetherether ketone Polymers 0.000 description 2
- 229920000139 polyethylene terephthalate Polymers 0.000 description 2
- 239000005020 polyethylene terephthalate Substances 0.000 description 2
- 239000000047 product Substances 0.000 description 2
- 241001653121 Glenoides Species 0.000 description 1
- 208000024288 Rotator Cuff injury Diseases 0.000 description 1
- 206010039227 Rotator cuff syndrome Diseases 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 239000007857 degradation product Substances 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 201000004595 synovitis Diseases 0.000 description 1
- 210000001694 thigh bone Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Classifications
-
- 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
Abstract
The present invention provides a kind of more suture holdfasts of round sheath and implanted devices, including suture, circle sheath, one or more apertures are provided on the round sheath, the suture is at least two, suture is added including a pile foundation suture and at least one, the basis suture and circle sheath form closing structure, one or more described addition suture is passed through from the closing structure, by the location hole on the circle sheath implantation bone tissue for putting on suture, it is agglomerating that both ends by tightening basic suture and addition suture can be such that round sheath folds between aperture, is anchored in location hole.The advantages that present invention uses full suture holdfast, has implantation bone road small, and bone removal quantity is few, and it is easy to reprocess, and replaceability is strong, and there is good biocompatibility.The configuration of the present invention is simple, operation are easy, are fixed conveniently, securely, so that full suture holdfast has the ability of multiple fixed sutures.
Description
Technical field
The present invention relates to medical instruments fields, and in particular, to a kind of more suture holdfasts of round sheath and implanted device.
Background technique
In recent years, it is used extensively by the band line holdfast technology of material of titanium alloy, PEEK (polyether-ether-ketone) and poly-lactic acid material
In the reparation of soft tissue and the damage of bone tissue junction, such as: rotator cuff injury, Glenoid labruminjury, near end of thighbone tendon injury, shoulder joint
The damage of upper broad-mouthed receptacle for holding liquid lip front and rear part, collateral ulnar ligament damage are rebuild, the tendon injury of bicipital muscle of arm distal end, ligament reparation between scapholunatum,
Triangular fiber cartilage reparation, extensor tendon injury repair etc..This kind of hard holdfast is threaded onto similar to screw needs fixed position attached
On close bone tissue, the suture preloaded on holdfast, which passes through, needs the soft tissue repaired, by binding tightening suture by soft tissue with
The contact of bone tissue surface is fixed, and the peripheral doses of damaged tissues are completed.
As hard material holdfast technical application is increasingly extensive, there are many defects known to hard material holdfast: titanium alloy metal
It is easy because rejection is inflamed after holdfast implantation, it causes implant site that bone dissolution occurs, causes holdfast and loosen, shift, make
Fail at fixed.PLA (polylactic acid) class can absorb after holdfast implantation may premature breakdown and broken, secondary holdfast displacement causes
The problems such as decline of fix tightly soundness, degradation product may cause synovitis, and bone dissolves.
Full suture holdfast has been developed later, and full suture holdfast has implantation bone road small, and bone removal quantity is few, and it is easy to reprocess, can
Replaceability is outstanding, and has good biocompatibility.Although hard holdfast have the shortcomings that it is many because suture itself has
Hole, doctor can determine the fixed number of sutures of a holdfast according to the demand of operation when in use.And full suture holdfast because
The fixation problem of itself is all and heads into the form that device is integrally fixed and be delivered in user's hand.And full suture holdfast is consolidated
Fixed number of sutures as the difference of specifications and models and fix, interim adjustment can not be made to suture.
The patent document of Publication No. CN202313533U discloses a kind of Full-thread strip line ground anchor, comprising: ground anchor body,
Screw thread is arranged in the periphery of ground anchor body in the main structure for constituting product；Threading structure is arranged inside ground anchor body, in anchor
Channel is formed in nail ontology, the threading hole as threading structure both ends open is separately positioned on corresponding to the screw thread of ground anchor body periphery
Position；Suture is arranged inside above-mentioned threading structure, and the both ends of suture respectively correspond different threading holes, inside ground anchor body
Threading structure is the single channel structure being integrally connected to.Threading structure is simpler, and required time is reduced when product is processed, and improves
Working efficiency.Arc groove is set in the screw position for corresponding to threading hole site, is penetrated so as to more convenient suture
In threading hole.In addition suture both ends knot at corresponding arc groove respectively, to make suture can not be with ground anchor body
Separation reduces the hidden danger in operation.But use hard structure holdfast be easy cause rejection or dissolution so as to cause
The problems such as loosening, shifting, and the holdfast is threadedly secured on bone tissue, is installed not easy enough.
Summary of the invention
For the defects in the prior art, the object of the present invention is to provide a kind of more suture holdfasts of round sheath and implanted devices.
According to an aspect of the present invention, a kind of more suture holdfasts of round sheath are provided, including suture, circle sheath, on the round sheath
One or more apertures are provided with, the suture is at least two, including a pile foundation suture and at least one addition seam
Two free ends of line, the basis suture are pierced into from the aperture by close end at circle sheath both ends respectively, then in the middle part of round sheath respectively
Two apertures be pierced by, then pierced into respectively from adjacent apertures, then be pierced by respectively from adjacent apertures, repetition is pierced into and is pierced by, until
It pierces into or is pierced by from second aperture by close end respectively, the basis suture and circle sheath formation closing structure, described one
Or more addition sutures are passed through from the closing structure,
By the location hole on the circle sheath implantation bone tissue for putting on suture, by the both ends for tightening basic suture and addition suture
Round sheath can be made to fold between aperture agglomerating, folded round sheath volume becomes larger, and the size of circle sheath is greater than the ruler of location hole
It is very little, it is anchored in location hole.
Preferably, the round sheath is hollow cylindrical structure, and the suture can penetrate the hollow inside of round sheath, on the round sheath
Aperture be complex hole or single hole；
The complex hole is two holes that the circumferentially upper line of circle sheath is parallel to round sheath radial direction；
The single hole is a hole in circle sheath circumferential direction.
Preferably, the suture is flat suture or circular seam line, and the suture is ultrahigh molecular weight polyethylene yarn braiding
Made of suture.
Preferably, the round sheath is hollow cylindrical braided fabric made of polyethylene terephthalate braiding.
Preferably, when the location hole being implanted on bone tissue, the middle section of the round sheath is located at the lower section at circle sheath both ends, i.e., round sheath
The relatively round sheath both ends in middle section are closer to location hole bottom.
Preferably, the spacing between the aperture on the round sheath is 3-5mm, between adjacent two aperture at circle sheath both ends
Distance be 1-2mm, distance of the aperture apart from both ends close to circle sheath both ends is 1mm.
Preferably, the aperture on the round sheath is equally spaced in addition to the two neighboring aperture by close end, the aperture
Number is even number.
Preferably, described each circle sheath for putting on suture is axially symmetric structure.
Preferably, the both ends of the round sheath are connected to form closing structure by basic suture, and the addition suture penetrates institute
Closing structure is stated, the basic suture added between suture and circle sheath both ends being capable of opposite sliding or fixed.
According to another aspect of the present invention, a kind of implanted device is provided, including heading into device and the more sutures of circle sheath
Holdfast, it is described head into device by circle the more suture holdfasts of sheath head into positioning hole.
Compared with prior art, the present invention have it is following the utility model has the advantages that
1, the present invention uses full suture holdfast, has implantation bone road small, bone removal quantity is few, and it is easy to reprocess, and replaceability is strong
The advantages that, and there is good biocompatibility.
2, the configuration of the present invention is simple, operation are easy, are fixed conveniently, securely, so that full suture holdfast has multiple fixed seams
The ability of line.
Detailed description of the invention
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention,
Objects and advantages will become more apparent upon:
Fig. 1 is the structural schematic diagram before present invention implantation.
Fig. 2 is another structural schematic diagram before present invention implantation.
Fig. 3 is the structural schematic diagram after present invention implantation tightening suture.
Specific embodiment
The present invention is described in detail combined with specific embodiments below.Following embodiment will be helpful to the technology of this field
Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill of this field
For personnel, without departing from the inventive concept of the premise, several changes and improvements can also be made.These belong to the present invention
Protection scope.
In the description of the present application, it is to be understood that term " on ", "front", "rear", "left", "right", " is erected at "lower"
Directly ", the orientation or positional relationship of the instructions such as "horizontal", "top", "bottom", "inner", "outside" is orientation based on the figure or position
Relationship is set, description the application is merely for convenience of and simplifies description, rather than the device or element of indication or suggestion meaning are necessary
It with specific orientation, is constructed and operated in a specific orientation, therefore should not be understood as the limitation to the application.
The present invention devises the more suture holdfasts of round sheath, has implantation bone road small to overcome the defect of hard material material holdfast,
The advantages that bone removal quantity is few, and it is easy to reprocess, and replaceability is outstanding, and have good biocompatibility.The present invention uses more
Suture, increases the tightening ability of round sheath, and a full suture holdfast is enabled to have the abilities of multiple fixed sutures.The present invention
Not only have and increase circle sheath tightening into the ability of knot, the ability that fixed suture uses can temporarily be increased by being also equipped with.The present invention makes
Use flat suture as raw material, to the cutting damage of soft tissue when reducing the fixed soft tissue of suture.
According to an aspect of the present invention, a kind of more suture holdfasts of round sheath are provided, including suture, circle sheath, on the round sheath
One or more apertures are provided with, the suture is at least two, including a pile foundation suture and at least one addition seam
Two free ends of line, the basis suture are pierced into from the aperture by close end at circle sheath both ends respectively, then in the middle part of round sheath respectively
Two apertures be pierced by, then pierced into respectively from adjacent apertures, then be pierced by respectively from adjacent apertures, repetition is pierced into and is pierced by, until
It pierces into or is pierced by from second aperture by close end respectively, the basis suture and circle sheath formation closing structure, described one
Or more addition sutures are passed through from the closing structure, and the location hole on the circle sheath implantation bone tissue for putting on suture passes through
It is agglomerating that the basic suture of tightening and the both ends for adding suture can be such that round sheath folds between aperture, and folded round sheath volume becomes
Greatly, the size of circle sheath is greater than the size of location hole, is anchored in location hole.It being capable of opposite sliding between the suture and circle sheath.
It preferably, include an addition suture, as shown in the figures 1 and 2.
The round sheath is hollow cylindrical structure, and the suture can penetrate the hollow inside of round sheath, the aperture on the round sheath
For complex hole or single hole；The complex hole is two holes that the circumferentially upper line of circle sheath is parallel to round sheath radial direction；The single hole is circle
A hole in sheath circumferential direction.The aperture of circle sheath is complex hole in Fig. 1；Two apertures of circle sheath end in Fig. 2 (both ends have 4 altogether)
For complex hole, remaining is single hole.When for complex hole, basic suture shuttles in the outside of circle sheath wall to be wound；When for single hole, base
Plinth suture shuttles in the outside of circle sheath wall and inside to be wound.
The suture is flat suture or circular seam line, and the suture is to stitch made of ultrahigh molecular weight polyethylene yarn braiding
Line.The round sheath is hollow cylindrical braided fabric made of polyethylene terephthalate braiding.The diameter of suture is slightly less than circle
The diameter of sheath allows suture to penetrate the hollow inside of round sheath.
When the location hole being implanted on bone tissue, the middle section of the round sheath is located at the lower section at circle sheath both ends, i.e., round sheath middle section compared with
Justify sheath both ends closer to location hole bottom.
The spacing between aperture on the round sheath is 3-5mm, the distance between adjacent two aperture close to circle sheath both ends
For 1-2mm, distance of the aperture at close circle sheath both ends apart from both ends is 1mm.Aperture on the round sheath removes the phase by close end
It is equally spaced outside adjacent two apertures, the number of the aperture is even number.Described each circle sheath for putting on suture is axial symmetry
Structure.The both ends of the round sheath are connected to form closing structure by basic suture, and the addition suture penetrates the closing structure,
The basic suture added between suture and circle sheath both ends being capable of opposite sliding or fixed.
According to another aspect of the present invention, a kind of implanted device is provided, including heading into device and the more sutures of circle sheath
Holdfast, it is described head into device by circle the more suture holdfasts of sheath head into positioning hole.
As shown in Figure 1-3, being headed in the location hole for being drilled circle sheath interlude implantation, being implanted to device is headed into when implantation
After the depth needed, the thimble for heading into device is drawn back, while tightening basic suture.When basic Suture portions are tightened, the two of circle sheath
End can be tightened to round sheath middle position by basic suture, and circle sheath left and right ends can respectively be tightened at multistage, most by basic suture
A knot or a ball of string are formed afterwards.The circle more suture holdfasts of sheath can expand the bone road (location hole) of position in forming process,
A holdfast also bigger than bone road is formed, positioning hole is anchored on.When wanting to extract holdfast, basic Suture portions be will receive
Upward power, but also the tension of passing siding knot is more stable simultaneously, to obtain very high resistance to plucking output capacity.Since basic suture allows
The interlude of round sheath is close together with both ends, and failure needs first pull out interlude, and entire circle sheath needs to carry out ability after once inside out
Circle sheath interlude can be pulled out, can just be failed, what is overturn in this way inherently needs the road Geng great Gu, can not in tiny bone road
It completes, so such design makes the fixed force of holdfast can be more excellent.
Add suture connection (be fixedly connected or be slidably connected) basic suture interlude (be located at circle sheath both ends it
Between), when adding suture by withdrawal force, unless basic suture fracture itself or failure are so that add suture from basic suture
Extraction is to be pulled out, and no side addition suture will not be pulled out, and therefore, addition suture (suture also known as additionally worn) can also obtain
Obtain its good crystallized ability.
When needing replacing holdfast, by the basic suture on circle sheath, such as cuts, two freedom of suture are pulled after cutting
End can be so that suture be detached from circle sheath, so that holdfast failure, is replaceable new holdfast after failure.Or pass through broadening
The mode in bone road (location hole) takes out holdfast.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited to above-mentioned
Particular implementation, those skilled in the art can make a variety of changes or modify within the scope of the claims, this not shadow
Ring substantive content of the invention.In the absence of conflict, the feature in embodiments herein and embodiment can any phase
Mutually combination.
Claims (10)
1. a kind of more suture holdfasts of round sheath, which is characterized in that including suture, circle sheath, be provided with one or more on the round sheath
Aperture, the suture are at least two, add suture including a pile foundation suture and at least one, the basis suture
Two free ends are pierced into from the aperture by close end at circle sheath both ends respectively, then are pierced by from two apertures justified in the middle part of sheath respectively, so
It pierces into from adjacent apertures, then is pierced by respectively from adjacent apertures respectively afterwards, repetition is pierced into and is pierced by, until respectively from by the of close end
Two apertures are pierced into or are pierced by, and the basis suture and circle sheath form closing structure, and described one or more adds suture from institute
It states in closing structure and passes through,
By the location hole on the circle sheath implantation bone tissue for putting on suture, the both ends by tightening basic suture and addition suture can
Fold round sheath between aperture agglomerating, folded round sheath volume becomes larger, and the size of circle sheath is greater than the size of location hole, anchor
It is scheduled in location hole.
2. the more suture holdfasts of round sheath according to claim 1, which is characterized in that the round sheath is hollow cylindrical structure, institute
The hollow inside of round sheath can be penetrated by stating suture, and the aperture on the round sheath is complex hole or single hole；
The complex hole is two holes that the circumferentially upper line of circle sheath is parallel to round sheath radial direction；
The single hole is a hole in circle sheath circumferential direction.
3. the more suture holdfasts of round sheath according to claim 1, which is characterized in that the suture is flat suture or circle seam
Line, the suture are suture made of ultrahigh molecular weight polyethylene yarn braiding.
4. the more suture holdfasts of round sheath according to claim 1, which is characterized in that the round sheath is poly terephthalic acid second two
Hollow cylindrical braided fabric made of alcohol ester braiding.
5. the more suture holdfasts of round sheath according to claim 1, which is characterized in that when the location hole being implanted on bone tissue, institute
The middle section for stating round sheath is located at the lower section at circle sheath both ends, that is, justifies the relatively round sheath both ends in sheath middle section closer to location hole bottom.
6. the more suture holdfasts of round sheath according to claim 1, which is characterized in that the spacing between aperture on the round sheath
For 3-5mm, the distance between adjacent two aperture close to circle sheath both ends is 1-2mm, and the aperture close to circle sheath both ends is apart from both ends
Distance be 1mm.
7. the more suture holdfasts of round sheath according to claim 1, which is characterized in that the aperture on the round sheath, which removes, leans on close end
Two neighboring aperture outside be equally spaced, the number of the aperture is even number.
8. the more suture holdfasts of round sheath according to claim 1, which is characterized in that described each circle sheath for putting on suture is equal
For axially symmetric structure.
9. the more suture holdfasts of round sheath according to claim 1, which is characterized in that the both ends of the round sheath pass through basic suture
It is connected to form closing structure, the addition suture penetrates the closing structure, adds the foundation slot between suture and circle sheath both ends
Line being capable of opposite sliding or fixed.
10. a kind of implanted device, which is characterized in that stitched including heading into circle sheath described in device and any one of claims 1 to 9 more
Line holdfast, it is described head into device by circle the more suture holdfasts of sheath head into positioning hole.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910556261.4A CN110215247A (en) | 2019-06-25 | 2019-06-25 | The more suture holdfasts of circle sheath and implanted device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910556261.4A CN110215247A (en) | 2019-06-25 | 2019-06-25 | The more suture holdfasts of circle sheath and implanted device |
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| Publication Number | Publication Date |
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| CN110215247A true CN110215247A (en) | 2019-09-10 |
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ID=67814863
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
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| CN201910556261.4A Pending CN110215247A (en) | 2019-06-25 | 2019-06-25 | The more suture holdfasts of circle sheath and implanted device |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113768562A (en) * | 2021-09-18 | 2021-12-10 | 运医之星(上海)科技有限公司 | Manufacturing method for round and flat variable diameter suture |
| 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 |
| CN114869374A (en) * | 2022-05-20 | 2022-08-09 | 尤尼泰科(重庆)医疗科技有限公司 | Loop structure for ligament or tendon injury repair surgery |
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| CN211066815U (en) * | 2019-06-25 | 2020-07-24 | 上海利格泰生物科技有限公司 | Round sheath multi-suture anchor and implantation device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN113768562B (en) * | 2021-09-18 | 2024-03-19 | 运医之星(上海)科技有限公司 | Manufacturing method for round and flat reducing suture line |
| 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 |
| CN114869374A (en) * | 2022-05-20 | 2022-08-09 | 尤尼泰科(重庆)医疗科技有限公司 | Loop structure for ligament or tendon injury repair surgery |
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