CN112617924A

CN112617924A - Medical loop ring and manufacturing method thereof

Info

Publication number: CN112617924A
Application number: CN202011640909.5A
Authority: CN
Inventors: 王远强; 袁征; 聂佳力
Original assignee: Shanghai Aopai Medical Technology Co ltd
Current assignee: Shanghai Aopai Medical Technology Co ltd
Priority date: 2020-12-31
Filing date: 2020-12-31
Publication date: 2021-04-09
Anticipated expiration: 2040-12-31
Also published as: CN112617924B

Abstract

The invention provides a medical loop ring which comprises a fixing plate and at least one suture line, wherein the fixing plate is provided with at least 2 threading holes, the suture line is wound into a coil and is arranged on the first side of the fixing plate, two ends of the coil are respectively a telescopic end and a fixed end, the telescopic end and the fixed end respectively penetrate through different threading holes, and the fixed end forms at least one movable knot around the telescopic end on the second side of the fixing plate. According to the medical loop ring, the fixed end forms at least one movable knot around the telescopic end on the second side of the fixing plate, so that when a graft is arranged on the coil, the telescopic end can be locked by self without external force operation, and the coil can be effectively prevented from returning; and when the artificial exogenic action is acted on, the length of the coil can be adjusted by adjusting the movable knot, so that the operation time is shortened, and the operation risk is reduced. The invention also provides a manufacturing method of the medical loop ring.

Description

Medical loop ring and manufacturing method thereof

Technical Field

The invention relates to the field of medical instruments, in particular to a medical loop ring and a manufacturing method thereof.

Background

The loop ring is used for fixing ligament or tendon and bone in orthopedic reconstruction surgery, and is commonly used in anterior and posterior cruciate ligament reconstruction surgery of knee joint, dislocation and fixation of acromioclavicular joint, and the like. For example, in cruciate ligament surgery, bone tunnels are drilled in the femur and tibia, respectively, and ligament grafts with no bone blocks at both ends are fixed in the bone tunnels of the femur and tibia using a titanium plate with straps and screws.

In the cruciate ligament reconstruction surgery of the knee joint, a ligament graft should be filled in a femoral tunnel as completely as possible, and the existing belt-loop titanium plate is divided into a fixed-length belt-loop titanium plate and an adjustable belt-loop titanium plate. Fig. 1 is a schematic structural diagram of a fixed-length belt-loop titanium plate in the prior art, referring to fig. 1, a coil of the fixed-length belt-loop titanium plate is generally in a fixed specification with different sizes, does not have the capability of adjusting the length of the coil, needs to be measured and calculated before use, is difficult to completely fill a femoral tunnel, increases unnecessary operation time, has operation risks, and simultaneously an operating room also needs more space for preparing a library. Fig. 2 is a schematic structural view of an adjustable belt loop titanium plate in the prior art, and referring to fig. 2, the adjustable belt loop titanium plate can solve the problems of a fixed-length belt loop titanium plate, but in actual use of a product existing in the market, a coil is easy to retract due to the reaction force of grafts such as tendons and the like, and operation is not facilitated; and the processing technology is complex, special equipment is needed for winding and weaving so as to meet the same mechanical strength with the fixed-length belt loop titanium plate, and the input cost is high.

Patent publication No. CN 109350149A discloses a cruciate ligament repair structure and a repair method. This cruciate ligament repair structure includes: the fixing plate is provided with two line holes; the number of the suture threads is two, the suture thread is arranged in one of the thread holes in a penetrating manner, penetrates out of the other thread hole after being wound into a coil, and finally penetrates back to the arranged thread hole; the thread holes through which the two sutures are inserted are different, and the ends of the two sutures wound into a coil are connected. In the cruciate ligament repairing structure provided by the invention, after the two suture threads are wound into the coil, the length of the coil can be adjusted, the fixing effect of the belt loop titanium plate is prevented from being influenced by the problems of drilling and graft length in the operation, and the cruciate ligament repairing structure has the advantages of low cost, higher safety and the like. However, the invention is not provided with a retraction prevention structure, so that the coil is easy to retract under the counterforce of the implant, and the operation is not facilitated.

Therefore, there is a need for a new medical loop design that avoids the above-mentioned problems of the prior art.

Disclosure of Invention

The invention aims to provide a medical loop and a manufacturing method thereof, and aims to solve the problems that the length of a coil cannot be adjusted, the coil is easy to retract under the reaction force of a graft, and the operation is not facilitated in the prior art.

In order to achieve the purpose, in a first aspect, the invention discloses a medical loop ring, which comprises a fixing plate and at least one suture line, wherein the fixing plate is provided with at least 2 threading holes, the suture line is wound into a coil and is arranged on a first side of the fixing plate, two ends of the coil are respectively a telescopic end and a fixed end, the telescopic end and the fixed end respectively penetrate through different threading holes, and the fixed end forms at least one movable knot around the telescopic end on a second side of the fixing plate.

The medical loop ring has the beneficial effects that: the two end parts of the coil are respectively a telescopic end and a fixed end, the telescopic end and the fixed end respectively penetrate through different threading holes, the fixed end forms at least one movable knot around the telescopic end on the second side of the fixing plate, when the coil is provided with a graft, the coil pulls the movable knot through the fixed end under the action of the tension of the graft, and the movable knot is subjected to tension to deform the telescopic end, so that the friction force between the movable knot and the telescopic end is increased, the telescopic end is prevented from sliding under the action of the tension of the graft, the telescopic end can realize self-locking without external force operation, the coil can be effectively prevented from returning, the operation time is saved, and the stability and the safety of the loop in clinical use are ensured; when the artificial exogenic action is used, the flexible end can automatically slide and adjust the length of the coil by adjusting the movable knot, so that redundant calculation is not needed during operation, the operation time is shortened, and the operation risk is reduced.

Preferably, the suture is wound into at least 2 of said loops, and two adjacent loops form a nested configuration. The beneficial effects are that: when the grafts are arranged on the two adjacent coils, the two adjacent coils can share the tension of the grafts together, so that the integral stress strength of the loop is increased, the loop is firmer, the clinical requirements on structural mechanics can be met, and the loop can be suitable for fixing the grafts with different tensions; and simple structure, design benefit, low in production cost's input.

Preferably, one of said coils forms at least one first movable knot at the second side of said fixed plate and the other of said coils forms at least one second movable knot at the second side of said fixed plate. The beneficial effects are that: under the action of tension of the implant, the telescopic ends of the coils can be automatically locked without external force operation, the coils can be effectively prevented from returning, and when the artificial external force is applied, the lengths of the two coils can be respectively adjusted by adjusting the first movable knot and the second movable knot, and the telescopic ends of the two coils have adjusting capacity, so that the coil length adjustment of the coils is simpler and more convenient.

Preferably, the at least one sewing thread comprises a continuous sewing thread, and the two adjacent loops are formed by weaving the continuous sewing thread through the threading holes of the fixing plate. The beneficial effects are that: the sewing thread between the two adjacent coils is continuous and uninterrupted, the sewing thread is more firm and durable, the situation that the use of the sewing thread is affected due to the fact that the joint of the two adjacent coils is broken is avoided, meanwhile, the two adjacent coils are formed by the fact that the continuous sewing thread penetrates through the threading hole of the fixing plate in a weaving mode, namely the first end of the first movable knot is connected with the second end of the second movable knot, under the action force of a graft, the first movable knot and the second movable knot can be locked with the telescopic ends of the two coils respectively through stress and contraction, and the coils can be further prevented from retracting.

Preferably, the two adjacent loops are respectively formed by weaving two suture threads of the at least one suture thread through the thread passing hole of the fixing plate. The beneficial effects are that: the weaving is simple and convenient.

Further preferably, the first end of the first movable knot is fixedly connected with the second end of the second movable knot. The beneficial effects are that: the first end of the first movable knot is fixedly connected with the second end of the second movable knot, so that under the action force of the implant, the first movable knot and the second movable knot can be stressed to contract to respectively lock the telescopic ends of the two coils, and the coils can be further prevented from retracting.

Further preferably, the first end of the first movable knot is fixedly arranged with the main body of the first movable knot, and the second end of the second movable knot is fixedly arranged with the main body of the second movable knot. The beneficial effects are that: helping to prevent the coil from backing off.

Preferably, the fixed end and the telescopic end are movably connected to a first side of the fixed plate to form an elastic part. The beneficial effects are that: the fixing plate has the advantages that the graft is prevented from being in contact friction with the fixing plate, the fixing plate can be effectively prevented from damaging the graft, the elastic part and the movable knot are matched to limit the fixing plate to move on the coil, the fixing plate is fixed on the coil, the position of the fixing plate on the coil cannot be influenced by external acting force, when the fixing plate is used clinically, the length of the coil is only required to be adjusted, the fixing plate does not need to be adjusted and moved, the length of the coil is easier to calculate, redundant calculation is not required during operation, the operation time is shortened, and the operation risk is reduced.

Further preferably, the elastic part comprises at least one third movable knot, and the third movable knot is formed by the fixed end winding around the telescopic end on the first side of the fixed plate. The beneficial effects are that: the movable knot type elastic part enables the third movable knot to be woven on site in real time according to the limited distance between the implant and the fixed plate, the number of the third movable knots is adjusted to meet the requirement of the limited distance between the implant and the fixed plate, and in clinical use, the number of the third movable knots is set, so that medical staff can be helped to quickly obtain the distance between the implant and the fixed plate, meanwhile, the coil can be further prevented from retreating under the action of the tension of the implant, and the length of the coil can not be influenced to be adjusted by adjusting the third movable knots when artificial external force acts.

Further preferably, the fixed end is provided with a nesting portion, and the telescopic end penetrates through the nesting portion and is movably connected with the fixed end to form the elastic portion. The beneficial effects are that: the telescopic end passes through the nesting part simply and easily, and the loop ring is convenient to manufacture.

Preferably, the flexible end and the fixed end are movably connected through a threading process to form the elastic part. The beneficial effects are that: due to the weaving process of the suture, the roughness of the outer surface of the suture is higher, and the thread hole in the suture is also a rough inner surface; and penetrating part of the suture line segment of the telescopic end into part of the suture line segment of the fixed end by means of a threading process, so that the outer surface of the suture line of the telescopic end is in interference fit with the line hole inside the suture line of the fixed end, and the anti-backspacing function is provided by mutual friction force.

Preferably, the flexible end and the fixed end are movably connected through a buckle, a clip or a binding mode to form the elastic part. The beneficial effects are that: the movable connection is simple and easy through a buckling, clamping or binding mode, and the loop ring is convenient to manufacture.

Preferably, the end of the movable knot is fixedly arranged with the main body of the movable knot. The beneficial effects are that: helping to prevent the coil from backing off.

Preferably, the invention also provides a manufacturing method of the medical loop ring, which comprises the following steps:

s1: providing a fixing plate and at least one suture line, wherein the fixing plate is provided with at least 2 threading holes;

s2: winding the suture into a coil;

s3: and arranging the coil on the first side of the fixing plate, and enabling the fixed end of the coil to be wound on the second side of the fixing plate to form at least one movable wire knot.

The manufacturing method of the medical loop ring has the advantages that: when the loop is provided with the implant, the loop pulls the movable knot through the fixed end under the action of the pulling force of the implant, the movable knot is pulled to deform the telescopic end, so that the friction force between the fixed end and the telescopic end is increased, the telescopic end is prevented from sliding under the action of the pulling force of the implant, the telescopic end can realize self-locking without being operated by external force, the loop can be effectively prevented from returning, the operation time is saved, and the stability and the safety of clinical use of the loop are ensured; when artificial external force is applied, the telescopic end can automatically slide and adjust the length of the coil by adjusting the movable knot, so that redundant calculation is not needed during operation, the operation time is shortened, and the operation risk is reduced; the movable knot is made in a knotting and winding mode, so that a loop structure is simplified, and the investment of production cost is reduced.

Preferably, a step S21 is further included between the step S2 and the step S3, and the step S21 includes: will the stiff end of coil with the flexible end swing joint of coil forms elasticity portion, and will elasticity portion sets up the first side of fixed plate. The beneficial effects are that: avoided the graft with fixed plate contact friction can effectively prevent the fixed plate causes the damage to the graft, moreover elasticity portion and activity knot cooperation can restrict the fixed plate is in the coil moves, the fixed position of fixed plate on the coil, external effort can not influence the position of fixed plate on the coil, when clinical use, only need adjust the length of coil, calculate the length of coil more easily, need not to carry out unnecessary calculation when the operation, has shortened operation time, reduces the operation risk.

Preferably, the suture is wound into at least 2 loops, one loop is braided in accordance with the steps S1-S3 to form at least one first movable knot, and then the following steps are sequentially performed:

s41: winding the first tail end of the first movable knot into at least one third coil and then penetrating through a first threading hole, a second threading hole, a third threading hole or a fourth threading hole;

s51: winding the first end of the first movable knot into another coil after passing through the coil in the step S3 to form a nested structure on the first side of the fixing plate;

s61: and (3) penetrating the telescopic end of the other coil to the second side of the fixed plate from the threading hole different from the threading hole in the step (S41), and then penetrating the telescopic end of the other coil through the third coil to form at least one second movable knot. The beneficial effects are that: the loop and the other loop form a mutually sleeved structure, so that the pulling force of a graft can be shared when the graft is arranged on the loop and the other loop, the integral stress strength of the loop is increased, the loop is firmer, the clinical requirements on structural mechanics can be met, and the loop can be suitable for fixing the graft with different pulling forces; the structure is simple, the design is ingenious, and the investment of production cost is low; simultaneously, the telescopic ends of the two coils have adjusting capacity, so that the coil length of the coil can be adjusted more simply and conveniently.

Preferably, two of the at least one suture thread are wound into two loops, one of the suture thread is braided in the steps S1-S3 to form at least one first movable knot, and then the following steps are sequentially performed:

s42: passing one end of another suture through the loops in the step S3 to form a sleeving structure, and winding the other suture into another loop;

s52: and arranging the other coil on the first side of the fixed plate, and forming at least one second movable knot by winding the fixed end of the other coil around the telescopic end of the other coil on the second side of the fixed plate. The beneficial effects are that: the weaving is simple and convenient.

Preferably, two of the at least one suture thread are wound into two loops, one of the suture thread is wound into a loop in the step S2, and then the following steps are sequentially performed:

s33: passing one end of another suture through the loops in the step S2 to form a sleeving structure, and winding the other suture into another loop;

s43: and arranging the coil and the other coil on the first side of the fixing plate, arranging the fixed end of the coil on the second side of the fixing plate to wind the telescopic end of the coil to form at least one first movable knot, and arranging the fixed end of the other coil on the second side of the fixing plate to wind the telescopic end of the other coil to form at least one second movable knot. The beneficial effects are that: the weaving is simple and convenient.

Drawings

FIG. 1 is a schematic structural diagram of a fixed-length belt loop titanium plate in the prior art;

FIG. 2 is a schematic structural diagram of an adjustable strap titanium plate of the prior art;

FIG. 3 is a schematic structural view of a first medical loop of an embodiment of the invention;

fig. 4 is a schematic view of a first medical loop according to an embodiment of the present invention in use;

FIG. 5 is a schematic structural diagram illustrating deformation of the extendable end according to an embodiment of the present invention;

fig. 6 is a schematic structural view of a second medical loop of an embodiment of the invention;

FIG. 7 is a schematic view of a fastening portion according to an embodiment of the present invention;

fig. 8 is a schematic structural view of a third medical loop according to an embodiment of the invention;

FIG. 9 is a schematic longitudinal cross-sectional view of the slack portion of FIG. 8;

fig. 10 is a schematic structural view of a fourth medical loop according to an embodiment of the invention;

fig. 11 is a schematic view of a fourth medical loop of an embodiment of the invention in use;

fig. 12 is a schematic structural view of a fifth medical loop of an embodiment of the invention;

FIG. 13 is a schematic structural diagram of a fixing plate according to an embodiment of the present invention;

fig. 14 is a schematic view of a structure formed during the manufacture of a second medical loop in accordance with an embodiment of the present invention;

fig. 15 is a schematic view of a structure formed during the manufacture of a fourth medical loop according to an embodiment of the invention.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings of the present invention, and it is obvious that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention. Unless defined otherwise, technical or scientific terms used herein shall have the ordinary meaning as understood by one of ordinary skill in the art to which this invention belongs. As used herein, the word "comprising" and similar words are intended to mean that the element or item listed before the word covers the element or item listed after the word and its equivalents, but does not exclude other elements or items.

In order to solve the problems in the prior art, the embodiment of the invention provides a medical loop which comprises a fixing plate and at least one suture, wherein the fixing plate is provided with at least 2 threading holes.

FIG. 3 is a schematic structural view of a first medical loop of an embodiment of the invention; fig. 4 is a schematic view of a first medical loop according to an embodiment of the present invention in use; fig. 5 is a schematic structural diagram of deformation of the telescopic end in the embodiment of the present invention.

To solve the problems in the prior art, referring to fig. 3 and 4, an embodiment of the present invention provides a medical loop, including a fixing plate 200 and at least one suture (not shown), where the fixing plate 200 is provided with at least 2 threading holes 201, the suture (not shown) is wound into a coil 100 and is disposed on a first side (not shown) of the fixing plate 200, two ends of the coil 100 are respectively a flexible end 101 and a fixed end 102, the flexible end 101 and the fixed end 102 respectively pass through the different threading holes 201, the fixed end 102 forms at least one movable knot 103 around the flexible end 101 on a second side 202 of the fixing plate 200, so that when the coil 100 is disposed with a graft 300, the coil 100 pulls the movable knot 103 through the fixed end 102 under the tensile force of the graft 300, and the movable knot 103 is subjected to the tensile force to deform the flexible end 101, as shown in fig. 5, the friction force between the movable knot 103 and the telescopic end 101 is increased, the telescopic end 101 is prevented from sliding under the tensile force of the implant 300, so that the telescopic end 101 can be locked by itself without being operated by external force, the coil 100 can be effectively prevented from backing, the operation time is saved, and the stability and the safety of the loop in clinical use are ensured; when the external force is applied manually, the flexible end 101 can automatically slide and adjust the length of the coil 100 by adjusting the movable knot 103, so that redundant calculation is not needed during operation, the operation time is shortened, and the operation risk is reduced.

Referring to fig. 3 and 4, in the embodiment of the present invention, the coil 100 is a suture line segment located at a first side (not shown) of the fastening plate 200, the stretchable end 101 and the fixed end 102 are two end portions of the coil 100, respectively, and the stretchable end 101 includes a portion of the suture line segment located at one end of the coil 100 at the first side (not shown) of the fastening plate 200, a suture line segment passing through the threading hole 201, and a suture line segment located at a second side 202 of the fastening plate 200; the fixed end 102 includes a portion of the suture line segment at the other end of the coil 100 located at a first side (not shown) of the fixing plate 200, a portion of the suture line segment passing through the threading hole 201, and a portion of the suture line segment located at a second side 202 of the fixing plate 200.

In some embodiments of the present invention, referring to fig. 3 and 4, the threading hole 201 includes a first threading hole 2011 and a second threading hole 2012, the telescopic end 101 passes through the first threading hole 2011, and the fixed end 102 passes through the second threading hole 2012.

In some embodiments of the present invention, the fixed end is provided with a plurality of movable wire knots around the flexible end at the second side of the fixed plate, and the plurality of movable wire knots are arranged to enable the flexible end and the fixed end to form a multi-joint point contact, so as to increase a friction force between the movable wire knots and the flexible end, and enable the movable wire knots to have stronger locking capability on the flexible end and to be more stable.

In some embodiments of the invention, the fixed end and the telescopic end are movably connected at the first side of the fixed plate to form a slack part, so that contact friction between a graft and the fixed plate is avoided, damage to the graft by the fixed plate can be effectively prevented, the slack part and the movable knot are matched to limit the fixed plate to move on the coil, the position of the fixed plate on the coil is fixed, external acting force cannot influence the position of the fixed plate on the coil, and in clinical use, the length of the coil is only required to be adjusted, the fixed plate is not required to be adjusted and moved, so that the length of the coil is easier to calculate, redundant calculation is not required in operation, the operation time is shortened, and the operation risk is reduced.

Fig. 6 is a schematic structural view of a second medical loop of an embodiment of the invention; in some embodiments of the present invention, referring to fig. 6, the elastic part comprises at least one third movable knot 104, the third movable knot 104 is formed by the fixing end 102 around the telescopic end 101 on the first side (not shown) of the fixing plate 200, the elastic part is in the form of a movable knot, so that the third movable knot 104 can be woven on site in real time according to the defined distance between the graft (not shown) and the fixing plate 200, and the number of the third movable knots 104 is adjusted to meet the requirement of the defined distance between the graft (not shown) and the fixing plate 200, and when in clinical use, the number of the third movable knots 104 is set to help medical staff to quickly obtain the distance between the graft (not shown) and the fixing plate 200, and under the tensile force of the graft (not shown), so that the third movable knot 104 is forced to contract to realize self-locking of the telescopic end 101, the coil 100 can be further prevented from retreating, and the adjustment of the length of the coil 100 through the adjustment of the third movable knot 104 cannot be influenced when artificial external force is applied.

In some embodiments of the present invention, the elastic portion includes a plurality of third movable knots 104, so that the flexible end 101 and the fixed end 102 form a multi-point contact, thereby increasing the friction between the third movable knot 104 and the flexible end 101, so that the flexible end 101 is locked more by the contraction of the third movable knot 104, and the coil 100 is prevented from retracting more, and the coil 100 is more stable.

FIG. 7 is a schematic view of a fastening portion according to an embodiment of the present invention; in some embodiments of the present invention, referring to fig. 7, the fixing end 102 is provided with a nesting portion 105, the telescopic end 101 penetrates through the nesting portion 105 and is movably connected with the fixing end 102 to form the elastic portion, and the penetrating of the telescopic end 101 through the nesting portion 105 is simple and easy, and is simple and convenient to operate, and the loop can be manufactured conveniently.

Fig. 8 is a schematic structural view of a third medical loop according to an embodiment of the invention; fig. 9 is a schematic longitudinal sectional view of the elastic part in fig. 8.

In some embodiments of the present invention, referring to fig. 8 and 9, the flexible end 101 and the fixed end 102 are movably connected to form the elastic portion 106 through a threading process, and due to the weaving process of the suture itself, the roughness of the outer surface of the suture is high, and the thread hole inside the suture is also a rough inner surface; part of the suture section of the telescopic end 101 is threaded into part of the suture section of the fixed end 102 by means of a threading process, so that the outer surface of the suture of the telescopic end 101 is in interference fit with the thread hole inside the suture of the fixed end 102, and the anti-backing effect is provided by mutual friction.

In some embodiments of the invention, the flexible end and the fixed end are movably connected to form the elastic part in a buckling, clamping or binding mode, and the flexible connection in the buckling, clamping or binding mode is simple and easy, so that a loop ring is convenient to manufacture.

In some embodiments of the present invention, the flexible end and the fixed end are movably connected by a binding manner to form the elastic portion, and the flexible end and the fixed end are movably connected by a binding manner, so that the elastic portion at the joint of the flexible end and the fixed end has a certain friction force and does not completely lose mobility, so that the length of the coil can be adjusted by the elastic portion under an artificial external force during an operation.

In other embodiments of the present invention, the flexible end and the fixed end are both provided with a fastening member, the flexible end and the fixed end are movably connected to form the elastic portion in a fastening manner, and the specific structure of the fastening member is a conventional means in the art, which is not described herein, and the fastening member can form a locking force on the flexible end and the fixed end, and simultaneously, the flexible end does not completely lose the ability of movement relative to the fixed end, so that when an operation is performed, the length of the coil can be adjusted by the elastic portion under an artificial external force.

In still other embodiments of the present invention, the telescopic end and the fixed end are both provided with a clip, the telescopic end and the fixed end are movably connected by a clip to form the elastic portion, the specific structure of the clip is a conventional means in the art, and details are not repeated herein, the clip can form a locking force on the telescopic end and the fixed end, and simultaneously, the telescopic end does not completely lose the ability of movement relative to the fixed end, so that when an operation is performed, the length of the coil can be adjusted by the elastic portion under an artificial external force.

In some embodiments of the present invention, referring to fig. 3, 4, 6 and 8, the end 1031 of the movable knot 103 is fixedly disposed with the body of the movable knot 103 to help prevent the coil from backing.

In some embodiments of the present invention, the end 1031 of the movable knot 103 is fixedly disposed with the main body of the movable knot 103 by adhesion.

In some embodiments of the present invention, the end 1031 of the movable wire knot 103 is fixed to the main body of the movable wire knot 103 in a dead knot structure.

In some embodiments of the present invention, the end 1031 of the movable knot 103 is woven into the stitches of the body of the movable knot 103 to achieve a secure arrangement.

In some embodiments of the invention, the suture is wound into at least 2 coils, and two adjacent coils form a mutually sleeved structure, so that when a graft is arranged on the two adjacent coils, the two adjacent coils can share the tensile force of the graft together, and the integral stress strength of the loop is increased, so that the loop is firmer, can meet the clinical requirements on structural mechanics, and can be suitable for fixing grafts with different tensile forces; and simple structure, design benefit, low in production cost's input.

The phase-sleeved structure in the embodiment of the invention refers to a structure that one end of one coil penetrates through another adjacent coil to form a loop phase-sleeved structure.

Fig. 10 is a schematic structural view of a fourth medical loop according to an embodiment of the invention; fig. 11 is a schematic view of a fourth medical loop of an embodiment of the invention in use; fig. 12 is a schematic structural view of a fifth medical loop according to an embodiment of the invention.

In some embodiments of the present invention, referring to fig. 10, 11 and 12, the coil includes a first coil 110 and a second coil 120, and the first coil 110 and the second coil 120 form a nested structure 130, so that when the first coil 110 and the second coil 120 are provided with the implant 300, the first coil 110 and the second coil 120 can share the tension of the implant 300 together, and the overall stress strength of the loop is increased, so that the loop is firmer, can meet the clinical requirements on structural mechanics, and can be suitable for fixing the implant 300 with different tensions; and simple structure, design benefit, low in production cost's input.

In some embodiments of the present invention, one of the coils forms at least one first movable knot on the second side of the fixing plate, and the other of the coils forms at least one second movable knot on the second side of the fixing plate, so that under the action of the tension of the implant, the telescopic ends of the coils can be locked by themselves without using an external force, the retraction of the coils can be effectively prevented, and when an artificial external force acts, the lengths of the two coils can be adjusted by adjusting the first movable knot and the second movable knot, and the telescopic ends of the two coils both have an adjusting capability, so that the adjustment of the coil lengths of the coils is simpler and more convenient.

In some embodiments of the present invention, referring to fig. 10, 11 and 12, the first fixed end 112 of the first coil 110 forms at least one first movable knot 113 around the first telescopic end 111 of the first coil 110 at the second side 202 of the fixing plate 200, so that the self-locking of the first telescopic end 111 can be realized without using an external force under the pulling force of the implant 300, the first coil 110 can be effectively prevented from backing, and the length of the first coil 110 can be adjusted by adjusting the first movable knot 113 when an external force is applied; the second fixed end 122 of the second coil 120 forms at least one second movable knot 123 around the second telescopic end 121 of the second coil 120 on the second side 202 of the fixing plate 200, so that the second telescopic end 121 can be locked by itself without external force operation under the action of the pulling force of the implant 300, the second coil 120 can be effectively prevented from retreating, and the length of the second coil 120 can be adjusted by adjusting the second movable knot 123 when artificial external force acts on the second telescopic end 121.

In some embodiments of the present invention, the at least one suture line includes a continuous suture line, the two adjacent loops are formed by weaving the continuous suture line through the threading holes of the fixing plate, so that the suture line between the two adjacent loops is continuous and uninterrupted, and is more durable, and the use of the suture line is prevented from being affected by the fracture of the joint between the two adjacent loops, and meanwhile, the two adjacent loops are formed by weaving a continuous suture line through the threading holes of the fixing plate, that is, the first end of the first movable knot and the second end of the second movable knot are connected, so that under the action of the graft, the first movable knot and the second movable knot are stressed to contract and respectively lock the telescopic ends of the two loops, and the retraction of the loops can be further prevented.

In some embodiments of the present invention, referring to fig. 10 and 11, the at least one suture includes a continuous suture, the first coil 110 and the second coil 120 are woven by the continuous suture through the threading hole 201 of the fixing plate 200, such that the first coil 110 and the second coil 120 are continuously and continuously threaded, and are more durable, and the use is prevented from being affected by the breakage of the connection between the first coil 110 and the second coil 120, and the first coil 110 and the second coil 120 are woven by the continuous suture through the threading hole 201 of the fixing plate 200, that is, the first end 1131 of the first movable knot 113 and the second end 1231 of the second movable knot 123 are connected, such that the first movable knot 113 is forced to shrink and lock the first telescopic end 111 of the first coil 110 under the action of the implant 300, the first coil 110 can be further prevented from moving back, and the second movable wire knot 123 is stressed to contract and lock the second telescopic end 121 of the second coil 120, so that the second coil 120 can be further prevented from moving back.

In some embodiments of the present invention, two adjacent loops are respectively formed by weaving two of the at least one suture thread through the threading holes of the fixing plate, the first end of the first movable knot is fixedly connected with the second end of the second movable knot, so that the weaving is simple and convenient, and the first end of the first movable knot is fixedly connected with the second end of the second movable knot, so that under the action of the graft, the first movable knot and the second movable knot are stressed to contract and can respectively lock the telescopic ends of the two loops, thereby further preventing the loops from retracting. In some preferred embodiments of the present invention, the first end of the first movable knot and the second end of the second movable knot are fixedly connected by bonding or knotting.

In some embodiments of the present invention, the first coil 110 and the second coil 120 are respectively formed by weaving two sutures through the threading holes 201 of the fixing plate 200, and the first end 1131 of the first movable knot 113 is fixedly connected to the second end 1231 of the second movable knot 123, so that under the action of the implant, the first movable knot 131 is forced to contract and lock the first telescopic end 111 of the first coil 110, which can further prevent the first coil 110 from retracting, and the second movable knot 123 is forced to contract and lock the second telescopic end 121 of the second coil 120, which can further prevent the second coil 120 from retracting.

In some embodiments of the present invention, the two adjacent loops are respectively formed by weaving two of the at least one suture thread through the threading holes of the fixing plate, the first end of the first movable knot is fixedly disposed with the main body of the first movable knot, and the second end of the second movable knot is fixedly disposed with the main body of the second movable knot. In some preferred embodiments of the present invention, the fixing is performed by any one of adhesion, dead knot, and woven suture, among others.

In some embodiments of the present invention, referring to fig. 12, the first coil 110 and the second coil 120 are respectively formed by two sewing threads that are woven through the threading holes 201 of the fixing plate 200, the first end 1131 of the first movable knot 113 is fixedly disposed with the main body of the first movable knot 113, and the second end 1231 of the second movable knot 123 is fixedly disposed with the main body of the second movable knot 123.

In some embodiments of the present invention, a first fixed end of the first coil and a first telescopic end of the first coil are movably connected to form a flexible portion at a first side of the fixing plate, and a second fixed end of the second coil and a second telescopic end of the second coil are movably connected to form a flexible portion at the first side of the fixing plate.

In some embodiments of the present invention, the first fixed end of the first coil and the first telescopic end of the first coil are movably connected to form a flexible portion on the first side of the fixing plate, and the second fixed end of the second coil and the second telescopic end of the second coil are not connected to form the flexible portion on the first side of the fixing plate.

In some embodiments of the present invention, the first fixed end of the first coil and the first telescopic end of the first coil are not connected to form the elastic portion on the first side of the fixing plate, and the second fixed end of the second coil and the second telescopic end of the second coil are movably connected to form the elastic portion on the first side of the fixing plate.

In some embodiments of the present invention, referring to fig. 10, 11 and 12, the elastic part includes at least one fourth movable knot 114, and the fourth movable knot 114 is formed by the first fixed end 112 of the first coil 110 around the first telescopic end 111 of the first coil 110 at a first side (not shown) of the fastening plate 200.

In some embodiments of the present invention, the first fixing end of the first coil is provided with a nesting portion, and the first flexible end of the first coil passes through the nesting portion and is movably connected with the first fixing end of the first coil to form the elastic portion.

In some embodiments of the present invention, the first flexible end of the first coil and the first fixed end of the first coil are movably connected to form the elastic portion through a threading process.

In some embodiments of the present invention, the first flexible end of the first coil is movably connected to the first fixed end of the first coil by a buckle, a clip, or a binding manner to form the elastic portion.

In some embodiments of the present invention, referring to fig. 10, 11 and 12, the elastic portion includes at least one fifth movable knot 124, and the fifth movable knot 124 is formed by the second fixed end 122 of the second coil 120 around the second telescopic end 121 of the second coil 120 at the first side (not labeled) of the fixing plate 200.

In some embodiments of the present invention, the second fixed end of the second coil is provided with a nesting portion, and the second telescopic end of the second coil passes through the nesting portion and is movably connected with the second fixed end of the second coil to form the elastic portion.

In some embodiments of the present invention, the second flexible end of the second coil is movably connected to the second fixed end of the second coil by a threading process to form the elastic portion.

In some embodiments of the present invention, the second flexible end of the second coil is movably connected to the second fixed end of the second coil by a buckle, a clip, or a binding manner to form the elastic portion.

In some embodiments of the present invention, the suture is any one of silk thread, catgut thread, chemical synthetic thread and pure natural collagen suture, and the suture meeting the stress strength is selected according to the stress requirement in clinic.

In some embodiments of the present invention, the suture thread is any one of a high molecular polyethylene surgical suture, a nylon suture, a polyester suture, a polyamide suture, and a polypropylene suture.

FIG. 13 is a schematic structural diagram of a fixing plate according to an embodiment of the present invention; in some preferred embodiments of the present invention, referring to fig. 13, the fixing plate (not shown) is further provided with at least 1 pulling hole 203, and the pulling hole 203 is provided to facilitate the pulling rope to pull the loop to the right position in clinic. In some preferred embodiments of the present invention, the threading hole may be temporarily used as a pulling hole.

In some preferred embodiments of the present invention, referring to fig. 13, the fixing plate (not shown) is further provided with at least one tab hole 204, and the tab hole 204 is configured to facilitate the tab line to turn and adjust the fixing plate to a correct angle and position in clinical practice. In some preferred embodiments of the invention, the threading hole can be temporarily used as a turner thread.

In some embodiments of the present invention, the diameters of the threading holes of the fixing plates are all the same.

In some embodiments of the present invention, the diameter of some or all of the threading holes of the fixing plate is different, so as to facilitate the passage of a plurality of suture lines through the threading holes with large diameter.

In some embodiments of the present invention, the fixing plate is any one of a titanium plate and a PEEK plate, and the PEEK is polyetheretherketone.

In some embodiments of the present invention, referring to fig. 3, there is also provided a method of making a medical loop, comprising:

s1: providing a fixing plate 200 and at least one suture line (not shown), wherein the fixing plate 200 is provided with at least 2 threading holes 201;

s2: winding the suture (not shown) into a coil 100;

s3: the coil 100 is disposed on a first side (not shown) of the fixation plate 200, and the fixed end 102 of the coil 100 is formed at least one movable wire knot 103 around the telescoping end 101 of the coil 100 on a second side 202 of the fixation plate 200.

In some embodiments of the invention, referring to fig. 3, the method of making the medical loop comprises:

s1: providing a fixing plate 200 and at least one suture line (not marked in the figures), wherein the fixing plate 200 is provided with at least 2 threading holes 201, and the threading holes 201 comprise a first threading hole 2011 and a second threading hole 2012;

s2: winding the suture (not shown) into a coil 100;

s3: after the telescopic end 101 of the coil 100 and the fixed end 102 of the coil 100 respectively pass through the first threading hole 2011 and the second threading hole 2012 from the first side (not labeled in the figure) of the fixing plate 200, the fixed end 102 of the coil 100 forms at least one movable knot 103 around the telescopic end 101 of the coil 100 on the second side 202 of the fixing plate 200.

In other embodiments of the present invention, referring to fig. 3, the method of making a medical loop comprises:

s1: providing a fixing plate 200 and at least one suture (not shown), wherein the fixing plate 200 is provided with at least 2 threading holes 201, and the threading holes 201 comprise a first threading hole 2011 and a second threading hole 2012;

s2: passing one end of the suture thread (not shown) through the first thread passing hole 2011 to a first side (not shown) of the fastening plate 200, and winding the suture thread on the first side (not shown) of the fastening plate 200 to form a coil 100;

s3: after the fixed end 102 of the coil 100 is passed through the second threading hole 2012 from the first side (not labeled) of the fixing plate 200, the fixed end 102 of the coil 100 is formed into at least one movable knot 103 around the telescopic end 101 of the coil 100 at the second side 202 of the fixing plate 200.

In some embodiments of the present invention, the first threading hole 2011 and the second threading hole 2012 are disposed adjacently or alternately.

In some embodiments of the present invention, between the step S2 and the step S3, there is further included a step S21, and the step S21 includes: the fixing end 102 of the coil 100 is movably connected with the telescopic end 101 of the coil 100 to form an elastic part, the elastic part is arranged on the first side (not marked in the figure) of the fixing plate 200, the contact friction between a graft and the fixing plate is avoided, the damage to the graft by the fixing plate can be effectively prevented, the fixing plate can be limited to move on the coil by the cooperation of the elastic part and the movable wire knot, the position of the fixing plate on the coil is fixed, the position of the fixing plate on the coil cannot be influenced by external acting force, the length of the coil is adjusted only when the fixing plate is used clinically, the length of the coil is calculated more easily, redundant calculation is not needed when an operation is performed, the operation time is shortened, and the operation risk is reduced.

Fig. 14 is a schematic view of a structure formed during the manufacture of a second medical loop in accordance with an embodiment of the present invention; in other embodiments of the present invention, referring to fig. 14, a step S21 is further included between the step S2 and the step S3, and the step S21 includes: at least one third movable knot 104 is formed by winding the fixed end 102 of the coil 100 around the telescopic end 101 of the coil 100, and the third movable knot 104 is disposed on a first side (not shown) of the fixing plate 200. Specifically, after at least one third movable knot 104 is formed, the telescopic end 101 of the coil 100 and the fixed end 102 of the coil 100 respectively pass through a first threading hole 2011 and a second threading hole 2012 from a first side (not shown) of the fixing plate 200; or after one end of the suture thread (not shown) passes through the first thread hole 2011 and is wound on the first side (not shown) of the fixing plate 200 to form the coil 100, the fixed end 102 of the coil 100 is wound on the first side (not shown) of the fixing plate 200 to form at least one third movable thread knot 104 around the telescopic end 101 of the coil 100, and then the fixed end 102 of the coil 100 passes through the second thread hole 2012 from the first side (not shown) of the fixing plate 200.

In some embodiments of the present invention, after step S3, the method further includes: the end 1031 of the movable knot 103 is fixedly arranged with the main body of the movable knot 103.

In other embodiments of the present invention, the suture is wound into at least 2 loops, one of the loops is braided in accordance with the steps S1-S3 to form at least one first movable knot, and then the following steps are sequentially performed:

s61: and (3) penetrating the telescopic end of the other coil to the second side of the fixed plate from the threading hole different from the threading hole in the step (S41), and then penetrating the telescopic end of the other coil through the third coil to form at least one second movable knot.

Fig. 15 is a schematic view of a structure formed during the manufacture of a fourth medical tab ring in accordance with an embodiment of the present invention; in some specific embodiments of the present invention, referring to fig. 10 and 15, the coil includes a first coil 110 and a second coil 120, the threading holes include a first threading hole 2011, a second threading hole 2012, a third threading hole 2013 and a fourth threading hole 2014, the first coil 110 is knitted according to the steps S1-S3 to form at least one first movable knot 113, and then the following steps are sequentially performed:

s41: the first end 1131 of the first movable knot 113 is wound into at least one third coil 140 and then passes through the third threading hole 2013;

s51: wrapping the first end 1131 of the first movable wire knot 113 through the first coil 110 on the first side (not labeled) of the fixing plate 200 to form the nested structure 130 into the second coil 120;

s61: the telescopic end 121 of the second coil 120 penetrates through the fourth threading hole 2014 to the second side 202 of the fixing plate 200, and then penetrates through the third coil 140 to form at least one second movable knot 123.

In some embodiments of the present invention, between the step S51 and the step S61, the method further includes: and the fixed end of the other coil is movably connected with the telescopic end of the other coil to form an elastic part, and the elastic part is arranged on the first side of the fixing plate.

In some embodiments of the present invention, two of the at least one suture are wound into two loops, one of the sutures is braided in the steps S1-S3 to form at least one first movable knot, and then the following steps are sequentially performed:

s52: and arranging the other coil on the first side of the fixed plate, and forming at least one second movable knot by winding the fixed end of the other coil around the telescopic end of the other coil on the second side of the fixed plate.

In some embodiments of the present invention, referring to fig. 12, two sutures of the at least one suture are wound into two adjacent loops, namely a first loop 110 and a second loop 120, the first loop 110 is woven through one suture according to the steps S1-S3 to form at least one first movable knot 113, and then the following steps are sequentially performed:

s42: passing one end of another suture through the first coil 110 in the step S3 to form a sleeve structure (not shown) and winding the sleeve structure into a second coil 120;

s52: the second coil 120 is disposed at a first side of the fixed plate 200, and a second fixed end 122 of the second coil 120 is formed at least one second movable wire knot 123 around a second telescopic end 121 of the second coil 120 at a second side 202 of the fixed plate 200.

In some embodiments of the present invention, in step S42: one end of another suture thread passes through the threading hole 201 of the fixing plate 200 to the first side of the fixing plate 200, then passes through the first coil 110 in the step S3 to form a nested structure (not shown), and then is wound into a second coil 120; in the step S52: after the second fixed end 122 of the second coil 120 passes through the threading hole 201 different from the threading hole in the step S42, at least one second movable knot 123 is formed around the second telescopic end 121 of the second coil 120 on the second side 202 of the fixing plate 200.

In other embodiments of the present invention, in step S52: after the second fixed end 122 of the second coil 120 and the second retractable end 121 of the second coil 120 respectively pass through different threading holes 201 from the first side of the fixing plate 200, the second fixed end 122 of the second coil 120 is wound around the second retractable end 121 of the second coil 120 to form at least one second movable knot 123 on the second side 202 of the fixing plate 200.

In some embodiments of the present invention, between the step S42 and the step S52, the method further includes: and the fixed end of the other coil is movably connected with the telescopic end of the other coil to form an elastic part, and the elastic part is arranged on the first side of the fixing plate.

In some embodiments of the present invention, after step S52, the method further includes: and fixedly connecting the first end of the first movable knot with the second end of the second movable knot.

In some embodiments of the present invention, referring to fig. 12, after step S52, the method further includes: the first end 1131 of the first movable knot 113 is fixedly disposed with the main body of the first movable knot 113, and the second end 1231 of the second movable knot 123 is fixedly disposed with the main body of the second movable knot 123.

In other embodiments of the present invention, two of the at least one suture thread are wound into two loops, one of the suture thread is wound into a loop in the step S2, and then the following steps are sequentially performed:

s43: and arranging the coil and the other coil on the first side of the fixing plate, arranging the fixed end of the coil on the second side of the fixing plate to wind the telescopic end of the coil to form at least one first movable knot, and arranging the fixed end of the other coil on the second side of the fixing plate to wind the telescopic end of the other coil to form at least one second movable knot.

In some embodiments of the invention, referring to fig. 12, the method of making the medical loop comprises:

s111: providing a fixing plate and 2 sutures, wherein the fixing plate is provided with 4 threading holes 201 which are a first threading hole 2011, a second threading hole 2012, a third threading hole 2013 and a fourth threading hole 2014 respectively;

s211: winding one of the sutures into a first loop 110;

s311: one end of another suture thread is passed through the first coil 110 in the step S211 to form a nested structure (not shown), and then is wound to form a second coil 120;

s411: forming at least one fourth movable wire knot 114 around the first telescopic end 111 of the first coil 110 by the first fixed end 112 of the first coil 110, and forming at least one fifth movable wire knot 124 around the second telescopic end 121 of the second coil 120 by the second fixed end 122 of the second coil 120:

s511: after the first telescopic end 111 of the first coil 110 and the first fixed end 112 of the first coil 110 respectively pass through the first threading hole 2011 and the second threading hole 2012 from the first side (not labeled) of the fixing plate 200, the first fixed end 112 of the first coil 110 forms at least one first movable thread knot 113 around the first telescopic end 111 of the first coil 110 at the second side 202 of the fixing plate 200, and after the second fixed end 122 of the second coil 120 and the second telescopic end 121 of the second coil 120 respectively pass through the third threading hole 2013 and the fourth threading hole 2014 from the first side (not labeled) of the fixing plate 200, the second fixed end 122 of the second coil 120 forms at least one second movable thread knot 123 around the second telescopic end 121 of the second coil 120 at the second side 202 of the fixing plate 200;

s611: the first end 1131 of the first movable knot 113 is fixedly disposed with the main body of the first movable knot 113, and the second end 1231 of the second movable knot 123 is fixedly disposed with the main body of the second movable knot 123.

In some embodiments of the present invention, the threading holes 201 include at least 4 threading holes, and the first telescopic end 111 of the first coil 110, the first fixed end 112 of the first coil 110, the second telescopic end 121 of the second coil 120 and the second fixed end 122 of the second coil 120 respectively pass through different threading holes 201, so as to facilitate a suture thread to pass through the threading holes to weave a loop.

In some embodiments of the present invention, the number of the threading holes 201 is 2, which are the first threading hole 2011 and the second threading hole 2012 respectively, the first telescopic end 111 of the first coil 110 passes through the first threading hole 2011, the first fixed end 112 of the first coil 110 passes through the second threading hole 2012, the second telescopic end 121 of the second coil 120 passes through the first threading hole 2011 or the second threading hole 2012, the second fixed end 122 of the second coil 120 passes through the first threading hole 2011 or the second threading hole 2012, and the threading holes are different from the threading holes through which the second telescopic end 121 of the second coil 120 passes, so as to reduce the arrangement of the threading holes, thereby reducing the size of the fixing plate.

In some embodiments of the present invention, the first threading hole 2011, the second threading hole 2012, the third threading hole 2013 and the fourth threading hole 2014 are sequentially arranged. Further, first threading hole 2011, second threading hole 2012, third threading hole 2013 and fourth threading hole 2014 can also be other arrangement mode settings, or still include other threading holes, make the suture pass through between the threading hole alternate setting, do not describe herein any more.

Although the embodiments of the present invention have been described in detail hereinabove, it is apparent to those skilled in the art that various modifications and variations can be made to these embodiments. However, it is to be understood that such modifications and variations are within the scope and spirit of the present invention as set forth in the following claims. Moreover, the invention as described herein is capable of other embodiments and of being practiced or of being carried out in various ways.

Claims

1. The utility model provides a medical tong "pan" ring, includes fixed plate and an at least stylolite, its characterized in that, the fixed plate is equipped with 2 at least through wires holes, the stylolite is coiled and sets up the first side of fixed plate, the both ends of coil are flexible end and stiff end respectively, flexible end with the stiff end passes the difference respectively the through wires hole, the stiff end is in the second side of fixed plate is wound flexible end forms at least one activity knot.

2. The medical loop of claim 1 wherein said suture is wound into at least 2 of said loops and two adjacent loops form a nested structure.

3. The medical loop of claim 2 wherein one of said loops forms at least one first active knot on said second side of said holding plate and another of said loops forms at least one second active knot on said second side of said holding plate.

4. The medical loop of claim 3 wherein said at least one suture comprises one continuous suture, and said adjacent two loops are woven from said one continuous suture through said anchor plate threading aperture.

5. The medical loop of claim 3 wherein said adjacent two loops are woven from two of said at least one suture through threading holes of said fastening plate.

6. The medical loop of claim 5 wherein the first end of the first movable knot is fixedly attached to the second end of the second movable knot.

7. The medical loop of claim 5 wherein a first end of the first movable knot is fixedly disposed with the body of the first movable knot and a second end of the second movable knot is fixedly disposed with the body of the second movable knot.

8. The medical loop of claim 1 wherein said fixed end and said extendable end are movably connected at a first side of said anchor plate to form a slack portion.

9. The medical loop of claim 8 wherein said elastic portion comprises at least one third movable knot formed by said fixed end around said telescoping end at the first side of said fixed plate.

10. The medical loop of claim 8, wherein the fixed end is provided with a nesting portion, and the telescopic end passes through the nesting portion and is movably connected with the fixed end to form the elastic portion.

11. The medical loop of claim 8 wherein the flexible end is removably attached to the fixed end by a threading process to form the elastic portion.

12. The medical loop of claim 8, wherein the flexible end and the fixed end are movably connected by a snap, clip or strap to form the elastic portion.

13. The medical loop of claim 1 wherein the distal end of the movable knot is fixedly disposed with the body of the movable knot.

14. A method of making a medical loop of any of claims 1-13, comprising:

s2: winding the suture into a coil;

15. The method of manufacturing a medical loop of claim 14 further comprising step S21 between step S2 and step S3, wherein step S21 comprises: will the stiff end of coil with the flexible end swing joint of coil forms elasticity portion, and will elasticity portion sets up the first side of fixed plate.

16. The method of manufacturing a medical loop of claim 14 or 15 wherein said suture is wound into at least 2 said loops, one of said loops being woven in accordance with said steps S1-S3 to form at least one first movable knot, and then the following steps are performed in sequence:

17. The method of manufacturing a medical loop of claim 14 or 15 wherein two of said at least one suture are wound into two loops, one of said suture is woven in accordance with said steps S1-S3 to form at least one first movable knot, and then the following steps are performed in sequence:

18. The method of manufacturing a medical loop of claim 14 wherein two of said at least one suture are wound into two loops and one of said sutures is placed in said steps

S2 is wound into a coil, and then the following steps are sequentially performed: