JP2016168086A - Tying buckle and funiculus body with buckle - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a new tying buckle and a funiculus body with the buckle that can stably perform the tying work of a funiculus body for surgery.SOLUTION: A tying buckle 1 is used as a clasp when tying a funiculus body for surgery. The tying buckle comprises: a buckle body 2 comprising a connection part 21 with a rear end of the funiculus body for surgery connected thereto; and a flap 3 attached to the buckle body so as to be turned between two positions of a first position tilted to one end side where the connection part of the buckle body is present and a second position tilted to the other end side of the buckle body. By using the tying buckle, the flap is positioned in the second position, and then the tip of the funiculus body for surgery is made to pass between the upper surface of the buckle body and the base end 31 where a rotating shaft 4 of the flap is present from the rear end side of the buckle body. After that, the flap is positioned in the first position, and the funiculus body for surgery is held between the upper surface of the buckle body and the lower surface of the flap 3, and thereby the funiculus body for surgery is tied.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a buckle for ligation used as a fastener when tying a surgical cord such as a surgical suture or a band, and a cord with a buckle provided with the tying buckle.

  For example, when performing a surgical operation that requires thoracotomy, a bone called the sternum in the center of the chest is cut open in the longitudinal direction, and a prescribed procedure is performed. Finally, the cut sternum is operated on the surgical cord. The technique of closing with the body is performed.

  Conventionally, a single wire stainless steel wire or a plate-like stainless steel plate has been used as the surgical cord used for sternum bundling performed in such a thoracotomy. In sternum bundling using surgical cords such as these stainless steel wires and stainless steel plates, the surgical cords are passed around the sternum, then the ends are twisted together and fixed by crimping. I was searching for it.

  However, the tying of surgical cords such as stainless steel wires and stainless steel plates requires skill, and if the tightening is too weak, it will fall off after surgery, while if it is too strong, the tissue will be damaged.

  For this reason, single or thin single wire or wire alone or wire or wire and wire are interwoven and knitted to form one or a plurality of chain loops. During sewing, the yarn or wire is linear due to tension. Thus, a material for suture of the sternum has been developed that has a feature that it is easy to fasten by using a hole in a ring during a knotting operation (see, for example, Patent Document 1 below).

JP 2003-79632 A

  Certainly, the material for sternal suture disclosed in Patent Document 1 can be tied using a hole in the ring, so compared to conventional surgical cords such as stainless steel wires and stainless steel plates. The knotting work becomes easy.

  However, the material for sternal suture disclosed in Patent Document 1 also needs to be twisted together and fixed with a crimp after passing the surgical cord through the loop. The strength depends on the skill level of the surgeon.

  The present invention has been developed in view of the above technical problem, and a novel buckle capable of stably performing the operation of tying a surgical cord, and a buckle provided with the above-described buckle. The purpose is to provide an attachment.

  In order to solve the technical problem, a knotting buckle according to the present invention is a knotting buckle used as a fastener when knotting a surgical cable body, and is provided behind the surgical cable body. A buckle body having a connecting portion to which an end is connected; a first position that is tilted to one end side where the connecting portion of the buckle body exists; a second position that is tilted to the other end side of the buckle body; A flap attached to the buckle body so as to be rotatable between the two positions, and the rear end of the buckle body after the flap is positioned at the second position. From the side, after passing the distal end of the surgical cord between the upper surface of the buckle body and the base end where the rotation axis of the flap exists, the flap is positioned at the first position, and the buckle body of The surgical cord is tied by sandwiching the surgical cord between a surface and the lower surface of the flap (hereinafter referred to as “the buckle of the present invention”). .

  In the buckle of the present invention, when the flap is positioned at the second position, a space is secured through which the surgical cord can be inserted between the upper surface of the buckle body and the base end of the flap. Thus, what has a ditch | groove in the upper surface of the said flap and the position near a base end part becomes a preferable aspect.

  In the buckle of the present invention, when the flap is positioned at the first position, the bottom surface of the flap and the base end are arranged so that the distance between the top surface of the buckle body and the base end portion of the flap is narrowed. What has a projection part in the position near the part is a preferred mode.

  In the buckle of the present invention, a protrusion for pushing the cord is provided on the lower surface of the flap, and when the flap is positioned at the first position and the surgical cord is clamped, A preferred embodiment is one in which the protrusion for pushing the cord is configured to press the surgical cord.

  In the buckle of the present invention, further, a cord body press-fitting recess is provided on the upper surface of the buckle body, and when the flap is positioned at the first position and the surgical cord is clamped A preferred embodiment is one in which the surgical cord pressed by the cord pushing convex portion is pushed into the cord press-fitting depression.

  In the buckle of the present invention, the other end side of the buckle body from the position where the base end part of the flap exists so that the buckle body can be picked and held by forceps during the operation of the surgical cord. It is preferable that a pinch portion that can be pinched with the forceps is provided at the position.

  In the buckle of the present invention, when the flap is positioned at the first position during the operation of the surgical cord, the flap can be pressed against the buckle body with forceps. It is preferable that the upper surface is provided with a depression hole into which the tip of the forceps can be inserted.

  A cord with a buckle according to the present invention comprises the buckle according to the present invention and a surgical cord (hereinafter referred to as “the cord of the present invention”).

In the above-mentioned cord of the present invention, it is further preferable to have a penetrating blade.
In the cord of the present invention, the surgical cord is configured by knitting a tube in a state where a plurality of basic wires made of a single wire of metal filaments or convergent lines of metal filaments are crossed with each other. A hollow braid having a net-like peripheral wall is a preferred embodiment.

  According to the present invention, it is possible to stably perform the operation of tying a surgical cord.

FIG. 1A is an exploded perspective view showing a buckle of the present invention according to Embodiment 1, and FIG. 1B is a perspective view showing a state where a flap of the buckle of the present invention is positioned at a first position. FIG. 1C is a perspective view showing a state in which the flap of the buckle of the present invention is positioned at the second position. Fig.2 (a) is a perspective view which shows this invention cord which concerns on Embodiment 1, FIG.2 (b) is a front which shows the expansion-contraction state of the surgical cord in the said invention cord in a cross-sectional state. 2 (c) is a side view showing a stretched state of the surgical cord, and FIG. 2 (d) is a front view showing a flattened deformed state of the surgical cord in a cross-sectional state. It is. FIG. 3 is a front view showing a state in which the sternum is bound with the cord of the present invention. 4 (a) to 4 (d) are cross-sectional views showing a knotting process using the cord of the present invention. FIG. 5 is a flowchart showing a process of binding the sternum with the cord of the present invention. FIGS. 6A to 6C are perspective views illustrating a passing state of the penetrating blade during the first knotting step. FIG. 7A is an exploded perspective view showing the buckle of the present invention according to Embodiment 2, and FIG. 7B is a perspective view showing a state where the flap of the buckle of the present invention is positioned at the first position. FIG. 7C is a perspective view showing a state in which the flap of the buckle of the present invention is positioned at the second position. FIG. 8 is a perspective view showing the cord of the present invention according to the second embodiment. FIG. 9A is a perspective view showing a state in which a knotting process is performed using forceps, and FIG. 9B shows the position of the flap in the buckle of the present invention at the first position with the forceps. It is sectional drawing which shows the state made to do. FIG. 10A is an exploded perspective view showing the buckle of the present invention according to Embodiment 3, and FIG. 10B is a perspective view showing a state in which the flap of the buckle of the present invention is positioned at the first position. FIG. 10 (c) is a perspective view showing a state in which the flap in the buckle of the present invention is positioned at the second position.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings, but the present invention is not limited to these embodiments.

[Embodiment 1]
<Invention buckle 1>
FIG. 1 shows a buckle 1 of the present invention according to the first embodiment. As shown in the exploded perspective view of FIG. 1A, the buckle 1 of the present invention includes a buckle body 2 and a flap 3.

-Buckle body 2-
The buckle body 2 includes a connecting portion 21. More specifically, in this embodiment, the buckle body 2 is formed of stainless steel (SUS316), and the connecting portion 21 is integrated with one end of the flat buckle body main portion 20. Attached. The connecting portion 21 is provided with a connecting hole 210 whose opening direction is one end side of the buckle body 2.

  Furthermore, in this embodiment, a pair of bearing part 22 is provided along the both sides near the other end side of the buckle main body main part 20.

  Each bearing portion 22 is provided with a buckle body side bearing hole 220, and each bearing portion 22 is in a state in which the buckle body side bearing hole 220 is positioned above the upper surface of the buckle body main portion 20. In addition, the buckle body side bearing holes 220 are integrally attached to the buckle body main portion 20 such that the bearing body side bearing holes 220 face each other.

-Flap 3-
In the present embodiment, the flap 3 is attached to the buckle body so that it can be raised and lowered. More specifically, in the present embodiment, the flap is made of stainless steel (SUS316), and includes a flat flap main portion 30 and a base end portion 31. Further, the base end portion 31 is provided with a flap-side bearing hole 310 that is recessed inward from both side surfaces.

  In the flap 3, the base end portion 31 is inserted and disposed between the pair of bearing portions 22, and the flap side bearing hole 310 and the buckle body side bearing hole 220 are communicated with each other. In addition, the rotary shaft 4 is inserted through the flap-side bearing hole 310 and the buckle body-side bearing hole 220 to be pivotally supported by the buckle body 2.

  As a result, the flap 3 has a first position shown in FIG. 1 (b) that is tilted to one end side of the buckle body 2 where the connecting portion 21 exists, and the buckle body 2 shown in FIG. 1 (c). It is possible to rotate between the second position tilted to the other end side.

<Invention cord 10>
FIG. 2 shows the cord 10 of the present invention. The present invention cable body 10 includes the present invention buckle 1, a surgical cable body 5, and a penetrating blade 6.

-Surgical cord 5-
As shown in the enlarged view of FIG. 2A (enlarged view of the middle portion of the surgical cord 5), in this embodiment, the surgical cord 5 is made of a metal filament (this embodiment). In this example, a hollow braided body is used in which a plurality of basic wires 50 (48 in this embodiment) made of a single wire of stainless steel filaments are braided so as to cross each other.

  The surgical cord 5 is formed by knitting each of the basic lines 50, and each of the basic lines 50 is spirally arranged to form a net-like peripheral wall, thereby forming a hollow braid as a whole. Is.

  The “tubular knitting” is a knitting method called warp knitting, which does not distinguish between warp and weft, and each basic line 50 constituting the surgical cord 5 is connected to the surgical cord 5. It means a knitting method in which braiding is performed by alternately intersecting each other while being arranged so as to run spirally at the same spiral pitch around the virtual axis. The surgical cord 5 braided by the tubular braid is composed of the virtual axis of the surgical cord 5 and the basic lines 50 that run spirally with respect to the length direction of the surgical cord 5. The angle formed by the traveling direction is equal at any position of the surgical cord 5.

  As shown in FIGS. 2 (b) and 2 (c), the surgical cord 5 having such a structure is long while contracting its wire diameter when a tensile stress is applied along the length direction. When stretched in the length direction and then released from the tensile stress along the length direction, it has a property (stretchability) that elastically recovers to its original state. Further, as shown in FIG. 2 (d), it is flattened while maintaining stretchability and deformed into a flat plate shape (flattening deformability) as shown in FIG. 2 (d).

  In this embodiment, the surgical cord 5 is deformed by inserting a rear end thereof into the connection hole 210 of the connection portion 21 in the buckle 1 of the present invention and applying pressure to the connection portion 21 from above and below. By doing so, it is connected to the buckle 1 of the present invention while being crimped to the connecting portion 21.

-Through blade 6-
The penetrating blade 6 is for piercing a living tissue and incising a passage for allowing the surgical cord 5 to pass therethrough, a blade 61 having a sharp tip side, a curved body portion 62, And a straight end portion 63. The penetrating blade 6 is welded and fixed to the surgical cord 5 in a state where the end portion 63 is inserted into the distal end side of the surgical cord 5. At this time, the distal end side of the surgical cord 5 is in a state in which the wire diameter is contracted according to the outer diameter of the end portion 63.

<Construction of the surgical cord 5 with the buckle 1 of the present invention>
FIG. 3 shows a state in which the sternum B is bound by the cord 10 of the present invention. Hereinafter, with reference to the process chart of FIG. 4 and the flowchart of FIG.

  In thoracotomy, the chest is cut and opened longitudinally at the center of the sternum B (S1 to S2), and after necessary treatment (S3), the cut sternum B is replaced with the cord of the present invention. Bundle at 10.

  The sternum B is bundled by first piercing the penetrating blade 6 existing at the distal end of the cord 10 of the present invention between the ribs B1, and continuing to the penetrating blade 6 while incising the tissue existing around the sternum B. As shown in FIG. 4 (a), after performing the hand moving step (S4) for turning the surgical cord 5 around the sternum B, the knotting step (S5) for tying the surgical cord 5 To S9).

  In the knotting step (S5 to S9), first, the flap 3 is positioned at the second position, and as shown in FIG. 4 (b), it goes around the sternum B and returns to the operator's hand side. The penetrating blade 6 existing at the distal end of the surgical cord 5 is passed through between the upper surface of the buckle body 2 and the base end portion 31 of the flap 3 from the rear end side of the buckle body 2. One knotting step (S5) is executed.

  Thereafter, as shown in FIG. 4 (c), the operation in which the distal end side (or the penetrating blade 6) of the surgical cord body 5 is orbited around the sternum B while being further pulled or returned. After an appropriate fastening force is generated on the rope 5, a second tying process (S 6) is performed for positioning the flap 3 at the first position. By performing the second knotting step (S6), the surgical rope 5 is fixed in a state of being sandwiched between the upper surface of the buckle body 2 and the lower surface of the flap 3.

  Finally, after confirming that the surgical cord 5 is fixed around the sternum B with an appropriate fastening force according to the bone density and age of the patient (S7), FIG. As shown, a cutting step (S8) is performed in which the surplus portion on the distal end side of the surgical cord 5 is cut to separate the penetrating blade 6 from the surgical cord 5. In addition, before performing the cutting step (S8), if it is confirmed that the surgical cord 5 circulated around the sternum B is too tight or too loose, The flap 3 is returned to the second position (S9), and the distal end side of the surgical cord 5 (or the penetrating blade 6) is further pulled back or adjusted to an appropriate elastic force. Then, the second knotting step (S6) is executed, and the cutting step (S8) is executed.

  That is, in the bundling work using the buckle 1 of the present invention, after the execution of the second knotting work (S6), the surgical cord 5 circulated around the sternum B is too tight, If it is confirmed that it is too loose, before performing the cutting step (S8), the flap 3 is returned to the second position, and again, the distal end side of the surgical cord 5 (or By further pulling or returning the penetrating blade 6), it is possible to adjust to an appropriate fastening force, so that stable tying is possible regardless of the skill level of the operator.

  In addition, the tying of the surgical cord 5 and the adjustment of the fastening force are performed by rotating the flap 3 between the two positions of the first position and the second position. It will be easier.

  In the present embodiment, during the first knotting operation in which the through blade 6 is passed through the buckle 1 of the present invention, the needle tip of the penetrating blade 6 that is curved is directed upward in the figure to the buckle of the present invention. Inserted (see FIG. 4 (b)) and pulled up in the figure as it is (see FIG. 4 (c)), but as shown in FIGS. 6 (a) to (c), the needle tip is in the upward direction in the figure. When the through-blade 6 inserted in the buckle of the present invention is rotated 90 degrees toward the front and then pulled out in the lateral direction in the figure, such work becomes easier to perform.

  In the present embodiment, the buckle 1 of the present invention is made of stainless steel. However, the material forming the buckle of the present invention is not particularly limited as long as the material has a certain degree of biocompatibility. It is not a thing. Specific examples of the material forming the buckle of the present invention include organic materials such as plastics as well as inorganic materials such as titanium and ceramics.

  Furthermore, in this embodiment, a hollow braided body braided in a state where a plurality of basic wires 50 made of a single wire of a metal filament are crossed with each other is used as the surgical cord 5. The material and form of the surgical cord 5 are not particularly limited. Specific examples of the surgical cord 5 include surgical sutures, stainless wires, stainless plates, bands, and the like.

  In addition, in the present embodiment, the penetrating blade 6 includes a blade 61 having a sharp tip, a curved body portion 62, and a linear end portion 63. The shape of the blade 6 is not particularly limited. Further, the through blade 6 is not necessarily capable of passing between the upper surface of the buckle body 2 and the base end portion 31 of the flap 3 in the buckle 1 of the present invention in the first knotting step. Also good. Even if the penetrating blade 6 does not have a shape that can pass between the upper surface of the buckle body 2 and the proximal end portion 31 of the flap 3 in the buckle 1 of the present invention, If the penetration blade 6 is cut off from the surgical cord 5 before execution, the first knotting step can be performed.

[Embodiment 2]
<Invention buckle 1>
FIG. 7 shows the buckle 1 of the present invention according to the second embodiment. As shown in the exploded perspective view of FIG. 7A, the buckle 1 of the present invention includes a buckle body 2 and a flap 3.

-Buckle body 2-
The buckle body 2 in the present buckle 1 according to this embodiment is
(1) A notch 202 is provided in the middle of both side edges of the buckle body (buckle body main part 20) 2 so as to retract the both side edges inwardly;
(2) A point that a cord body press-fit recess 201 is provided on the upper surface of the buckle body (buckle body main part 20) 2;
(3) A point where a knob 23 is provided at the other end of the buckle body 2;
These three points are different from the buckle body 2 in the buckle 1 of the present invention according to the first embodiment, and the other forms are the same.

-Flap 3-
The flap 3 in the present buckle 1 according to this embodiment is
(1) A point in which a concave groove 313 is provided on the upper surface of the flap 3 and a position near the base end portion 31;
(2) Protrusions 311 are provided on the lower surface of the flap 3 and at a position near the base end portion 31;
(3) On the lower surface of the flap (flap main portion 30) 3, a cord pushing convex portion 32 is provided,
(4) The depression hole 312 is provided in the upper surface of the said flap (flap main part 30) 3,
These four points are different from the flap 3 in the buckle 1 of the present invention according to the first embodiment, and the other forms are the same.

  And the said flap 3 is shown in FIG.7 (b), the 1st position which fell on the one end side of the said buckle main body 2 in which the said connection part 21 exists, and the said buckle main body 2 shown in FIG.7 (c). It is attached to the buckle body 2 so as to be able to rotate between the second position tilted to the other end side.

  In the present embodiment, when the flap 3 is positioned at the first position, the positional relationship of the respective parts is set such that the cord pushing convex portion 32 is inserted into the cord press fitting concave portion 201. Is set.

<Invention cord 10>
FIG. 8 shows the cord 10 of the present invention. The present invention cable body 10 includes the present invention buckle 1, a surgical cable body 5, and a penetrating blade 6.

-Surgical cord 5-
The surgical cord 5 is a parallel arrangement type in which a plurality of (in this embodiment, two) metal filaments (in this embodiment, stainless steel filaments) F are adjacent to each other along the length direction. A plurality of basic lines 50 (48 in the present embodiment) consisting of the convergence lines are braided in a state of crossing each other by cylindrical knitting (see the enlarged view of FIG. 7). The surgical cord 5 has the same configuration as that of the first embodiment except that a parallel arrangement type convergence line is used as the basic line 50.

  The surgical cord 5 having such a configuration uses a parallel arrangement type converging line as the basic line 50. Therefore, when the surgical cord 5 is wound around a certain object and deformed into a flat plate shape, the edge portion is sharp. Is eased. Thereby, for example, when wound around the bone, there is an advantage that the risk of damaging the bone and the tissue existing around the bone becomes smaller.

-Through blade 6-
The through blade 6 is the same as the through blade 6 used in the first embodiment.

<Construction of the surgical cord 5 with the buckle 1 of the present invention>
The cord of the present invention 10 according to the present embodiment is tied through the same tying process as the cord of the present invention 10 according to the first embodiment (see FIGS. 4 and 5).

  In the first knotting step in the knotting step, the flap 3 is positioned at the second position, and as shown in FIG. 9 (a), the through blade 6 is moved from the rear end side of the buckle body 2. It passes between the upper surface of the buckle body 2 and the base end portion 31 of the flap 3.

  In the cord 10 of the present invention according to the present embodiment, a concave groove 313 is provided on the upper surface of the flap 3 and at a position near the proximal end portion 31, and the surgery is performed in a space secured by the concave groove 313. Since the cable body 5 can be passed, the first knotting process is facilitated, and the thickness of the buckle 1 of the present invention can be reduced, so that a post-operative discomfort can be reduced.

  In the subsequent second knotting step, the surgical cord 5 that is circulated around the sternum B while further pulling or returning the distal end side (or the penetrating blade 6) of the surgical cord 5. After an appropriate fastening force is generated, the flap 3 is positioned at the first position as shown in FIG.

  In the cord 10 of the present invention according to the present embodiment, the knob 23 is provided at the other end side of the buckle body 2, so that the surgical cord 5 circulated around the sternum B When generating an appropriate fastening force, as shown in FIG. 9A, the knob 23 can be gripped by the forceps 70, and the buckle body 2 is held while being held by the forceps 70. Work can be done.

  Further, in the inventive cable body 10 according to the present embodiment, since the recessed hole 312 is provided on the upper surface of the flap (flap main portion 30) 3, the flap 3 is positioned at the first position. In addition, as shown in FIG. 9B, the tip of the forceps 70 can be inserted into the recessed hole 312 and the flap 3 can be pressed toward the buckle body 2 with the forceps 70.

  Furthermore, in this invention rope 10 which concerns on this embodiment, since the projection part 311 is provided in the lower surface of the said flap 3, and the position near the base end part 31, the said flap 3 is made into said 1st position. When positioned at the position, the distance between the upper surface of the buckle body 2 and the base end portion 31 of the flap 3 is reduced. Thus, when the flap 3 is positioned at the first position, the surgical cord 5 is firmly held between the upper surface of the buckle body 2 and the proximal end portion 31 of the flap 3, and is thus connected. The rope becomes stronger.

  In addition, in the cord 10 of the present invention according to this embodiment, when the flap 3 is positioned at the first position, the cord pushing convex portion 32 is inserted into the cord press fitting concave portion 201. Accordingly, the surgical cord 5 is pushed into the cord press-fit recess 201 by the cord pushing convex portion 32. Thus, when the flap 3 is positioned at the first position, the surgical cord 5 is strongly held between the cord pushing convex portion 32 and the cord press fitting concave portion 201, and , The knot will be stronger.

And in this invention cable body 10 which concerns on this embodiment, since the said notch part 202 is provided in the both-sides middle part of the buckle main body (buckle main body main part 20) 2, the said flap 3 is said 1st. When it is necessary to return the flap 3 to the second position after being positioned at the position, the forceps 70 can be inserted into the notch portion 202 and the flap 3 can be easily caused.
The rest is the same as in the description of the first embodiment, and is omitted to avoid duplication.

[Embodiment 3]
<Invention buckle 1>
FIG. 10 shows the buckle 1 of the present invention according to the first embodiment. As shown in the exploded perspective view of FIG. 10A, the buckle 1 of the present invention includes a buckle body 2 and a flap 3.

-Buckle body 2-
The buckle body 2 in the present buckle 1 according to this embodiment is
(1) Both ends of the knob portion 23 are connected to the inner wall of the bearing portion 22, and as a result, the knob portion 23 is provided at a position sandwiched between the inner walls of the pair of bearing portions 22. point,
(2) The point where the depression 201 for cord press fitting is not provided,
These two points are different from the buckle body 2 in the buckle 1 of the present invention according to the second embodiment, and the other basic forms are the same.

-Flap 3-
The flap 3 in the present buckle 1 according to this embodiment is
(1) The concave groove 313 is provided in a wide range on the upper surface of the flap 3;
(2) The recessed hole 312 is provided in the concave groove 313,
(3) Compared with the second embodiment, the base end portion 31 is provided longer,
These three points are different from the flap 3 in the buckle 1 of the present invention according to the second embodiment, and the other basic forms are the same.

  And the said flap 3 is shown in FIG.10 (b), the 1st position which fell on the one end side of the said buckle main body 2 in which the said connection part 21 exists, and the said buckle main body 2 shown in FIG.10 (c) It is attached to the buckle body 2 so as to be able to rotate between the second position tilted to the other end side.

  In the present embodiment, when the flap 3 is positioned at the second position, the base end portion 31 is fitted between the pair of bearing portions 22 and the knob portion 23 so that each portion The positional relationship is set. Thereby, the stability when the flap 3 is positioned at the second position is improved.

  Similar to the first and second embodiments, the buckle 1 of the present embodiment according to the present embodiment is also the present rope 10 with the connecting portion 21 connected to the rear end of the surgical cord 5 (see FIGS. 2 and 5). It is used as a fastener for tying the surgical cord 5 (see FIG. 3).

Further, the tying of the surgical cord 5 by the buckle 1 of the present invention is executed through the same tying process as the cord 10 of the present invention according to the first and second embodiments (FIGS. 4, 5, and 5). 8).
The rest is the same as in the description of the first and second embodiments, and is omitted to avoid redundant description.

  It should be noted that the present invention can be implemented in various other forms without departing from the spirit or main features thereof. Therefore, the above-mentioned embodiment is only a mere illustration in all points, and should not be interpreted limitedly. The scope of the present invention is indicated by the claims, and is not restricted by the text of the specification. Further, all modifications and changes belonging to the equivalent scope of the claims are within the scope of the present invention.

  The buckle of the present invention is suitably used as a fastener when tying a surgical cord.

1 Invention Buckle (Buckling Buckle)
2 Buckle body 20 Buckle body main part 21 Connecting part 22 Bearing part 23 Knob part 201 Cavity press-fit recess 202 Notch part 210 Connecting hole 220 Buckle body side bearing hole 3 Flap 30 Flap main part 31 Base end part 32 Pushing in the cable body Convex part 310 Flap side bearing hole 311 Protruding part 312 Recessed hole 313 Concave groove 4 Rotating shaft 5 Surgical cord 6 Penetration blade 10 Present cord (buckle with cord)

Claims (10)

A buckle for tying used as a fastener when tying a surgical cord,
A buckle body comprising a connecting portion to which the rear end of the surgical cord is connected;
It is possible to rotate between two positions, a first position that is tilted to one end side of the buckle body where the connecting portion exists and a second position that is tilted to the other end side of the buckle body. A flap attached to the buckle body;
Comprising
After the flap is positioned at the second position, from the rear end side of the buckle body, the distal end of the surgical cord is between the upper surface of the buckle body and the base end where the rotation axis of the flap exists. The flap is positioned at the first position, and the surgical cord is tied between the upper surface of the buckle body and the lower surface of the flap, thereby tying the surgical cord. A buckle for tying, characterized by The knotting buckle according to claim 1,
When the flap is positioned at the second position, a space through which the surgical cord can be inserted is secured between the upper surface of the buckle body and the base end of the flap.
A knotting buckle provided with a concave groove at a position near the top surface of the flap and the base end of the flap. In the knotting buckle according to claim 1 or 2,
When the flap is positioned at the first position, the gap between the upper surface of the buckle body and the base end of the flap is narrowed.
A knotting buckle in which a protrusion is provided on a lower surface of the flap and a position near the base end of the flap. In the buckle for a knot according to any one of claims 1 to 3,
The lower surface of the flap is provided with a protrusion for pushing the cord,
A knotting buckle in which, when the flap is positioned at the first position and the surgical cord is sandwiched, the convexity for pushing the cord presses the surgical cord. The knotting buckle according to claim 4,
Furthermore, a cord body depression is provided on the upper surface of the buckle body,
When the flap is positioned at the first position and the surgical cord is clamped, the surgical cord pressed by the cord pushing convex portion is pushed into the cord press-fitting depression. A buckle for tying made as described above. In the buckle for a knot according to any one of claims 1 to 5,
When tying the surgical cord, so that the buckle body can be picked and held with forceps,
A knotting buckle provided with a knob that can be pinched with the forceps at a position on the other end side of the buckle body from a position where a base end of the flap exists. In the buckle for a knot according to any one of claims 1 to 6,
When positioning the flap in the first position during the operation of the surgical cord, so that the flap can be pressed toward the buckle body with forceps,
A knotting buckle, wherein a depression hole into which a tip of the forceps can be inserted is provided on the upper surface of the flap. A buckle for tying according to any one of claims 1 to 7,
Surgical cord,
The buckle attachment body characterized by comprising. The buckle cable assembly according to claim 8,
Furthermore, the buckle attachment body which comprises a penetration blade. In the buckle attachment body according to claim 8 or 9,
The surgical cable body is a hollow wire having a net-like peripheral wall formed by knitting a plurality of basic wires composed of a single wire of metal filaments or converging wires of metal filaments in a state of crossing each other. A buckle attachment with a braided body.

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