JPH06114067A - Binding button for medical suture - Google Patents
Binding button for medical sutureInfo
- Publication number
- JPH06114067A JPH06114067A JP28684492A JP28684492A JPH06114067A JP H06114067 A JPH06114067 A JP H06114067A JP 28684492 A JP28684492 A JP 28684492A JP 28684492 A JP28684492 A JP 28684492A JP H06114067 A JPH06114067 A JP H06114067A
- Authority
- JP
- Japan
- Prior art keywords
- button
- binding
- suture
- present
- medical suture
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0404—Buttons
Abstract
Description
【０００１】[0001]
【産業上の利用分野】本発明は、関節の脱臼及び亜脱臼
障害の関節鏡視下的な治療時に靱帯の縫合固定を補強す
る医療縫合糸の結束用ボタンに関する。更に詳しくは、
損傷部位の修復が徐々に進行し、その強度が日常生活に
ほとんど支障のない程度に安定化するまで、その材料強
度が維持されており、次いで完全修復する頃には、生体
内に分解吸収される医療縫合糸の結束用ボタンに関す
る。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a button for binding a medical suture to reinforce suture fixation of a ligament during arthroscopic treatment of dislocation and subluxation of a joint. For more details,
The strength of the material is maintained until the damaged site is gradually repaired and its strength stabilizes to the extent that it does not interfere with daily life.By the time it is completely repaired, it is decomposed and absorbed in the living body. The present invention relates to a button for binding a medical suture.
【０００２】[0002]
【従来の技術】整形外科分野における肩関節、膝関節及
び足関節等の脱臼の関節鏡視下的な修復術、特に肩関節
外傷性前方不安定症の修復術にはＳｔａｐｌｉｎｇ法や
Ｃａｓｐａｒｉ法などの手段がある。2. Description of the Related Art In the field of orthopedic surgery, the shouldering, knee, ankle and other dislocations are repaired arthroscopically, and particularly for the repair of traumatic anterior instability of the shoulder, the Stapling method, the Caspar method, etc. There is a means of.
【０００３】Ｃａｓｐａｒｉ法は、４〜８本の生体内吸
収性縫合糸を前・下関節窩上腕靱帯（以下ＡＩＧＨＬと
略す）関節唇複合体にかけ、背側の棘下筋筋膜上で縫合
固定する手段であり、棘下筋筋膜の補強として非吸収性
のテフロンボタン、Ｇｏｒｅ−Ｔｅｘ ｐａｔｃｈ等が
使用されている。In the Caspari method, 4 to 8 bioabsorbable sutures are applied to the labial complex of the anterior and inferior glenoid brachial ligament (hereinafter abbreviated as AIGHL), and suture-fixed on the dorsal subspinal fascia. A non-resorbable Teflon button, Gore-Tex patch, or the like is used to reinforce the subspinous fascia.
【０００４】[0004]
【発明が解決しようとする課題】上記の修復術における
靱帯の縫合固定は、筋膜上で縫合を行うため、その固定
が不安定になるという問題がある。The suture fixation of the ligament in the above-mentioned repair has a problem that the fixation becomes unstable because the suture is performed on the fascia.
【０００５】このような問題を解決する補強材として、
上記のテフロンボタンの他にＧｏｒｅ−Ｔｅｘ ｐａｔ
ｃｈ等が用いられている。これらの材料は生体に対して
無毒、不活性であるという特徴から、既に大口径、中口
径の人工血管等に使用するための研究が盛んに行われて
いる。しかし、これらの材料は生体内で吸収されないた
め、関節部位の損傷が治癒した時点で、それを生体内か
ら取り出すために再手術をしなければならず、患者に肉
体的、経済的な負担を強いるという問題があった。As a reinforcing material for solving such a problem,
In addition to the above Teflon button, Gore-Tex Pat
ch etc. are used. Since these materials are nontoxic and inactive to the living body, research for using them in large- and medium-diameter artificial blood vessels has already been actively conducted. However, since these materials are not absorbed in the living body, once the damage to the joint site is healed, it is necessary to perform re-operation to remove it from the body, which imposes a physical and economic burden on the patient. There was a problem of forcing.
【０００６】本発明は上記の問題点に鑑みてなされたも
ので、その目的とするところは、縫合固定に対する充分
な初期強度を有し、しかも、生体内に埋入して所定の役
目を果たした後は生体内に吸収されるため、再手術の必
要性がない医療縫合糸の結束用ボタンを提供することに
ある。The present invention has been made in view of the above problems, and an object of the present invention is to have sufficient initial strength for suture fixing and to be embedded in a living body to fulfill a predetermined role. The purpose of the present invention is to provide a button for binding a medical suture that does not need to be re-operated because it is absorbed into the living body after the operation.
【０００７】[0007]
【課題を解決するための手段】本発明の医療縫合糸の結
束用ボタンはポリ乳酸の成形体より成るもので、医療縫
合糸を挿通する複数の孔が穿孔されており、望ましくは
成形体が延伸されているものである。The button for binding a medical suture according to the present invention comprises a molded product of polylactic acid, and a plurality of holes for inserting the medical suture are perforated, preferably a molded product. It has been stretched.
【０００８】上記のポリ乳酸（以下、ＰＬＡと記す）
は、光学活性を有するＬ体又はＤ体の乳酸から常法
（Ｃ．Ｅ．Ｌｏｖｅ，米国特許第２６６８１８２号明細
書）に従って乳酸の環状二量体であるラクチドを合成し
た後、そのラクチドを開環重合することによって得られ
る生体内吸収性の高分子材料であり、Ｄ体のポリ乳酸よ
りもＬ体のポリ乳酸（以下、ＰＬＬＡと記す）の方がよ
り好適である。The above polylactic acid (hereinafter referred to as PLA)
Is a method for synthesizing a lactide which is a cyclic dimer of lactic acid from an optically active L- or D-form lactic acid according to a conventional method (CE Love, US Pat. No. 2,668,182), and then opens the lactide. It is a bioabsorbable polymer material obtained by ring polymerization, and L-form polylactic acid (hereinafter referred to as PLLA) is more preferable than D-form polylactic acid.
【０００９】このＰＬＬＡは、その分子量と結晶化度を
適度に調整することが重要である。即ち、ＰＬＬＡは分
子量が高いものほど高強度の材料となるが、あまり分子
量が高すぎると、溶融成形の際に高温、高圧が必要とな
るため大幅な分子量低下を招き、結果として溶融成形後
の分子量は低いものとなり、強度が弱くなる。他方、結
晶性材料は非晶性材料に比べて曲げ強度や弾性率が高
く、また体液の浸透は結晶相の方が遅く、見掛け上の加
水分解も遅い。しかし、熱処理により結晶化度を上げて
いくと、強度は向上するが、ＰＬＬＡが熱的に不安定で
あるため劣化が進行して分子量低下が生じ、加水分解速
度が速くなり、強度劣化が急激に起こるようになる。こ
のような理由から、材料のＰＬＬＡは粘度平均分子量が
３０万〜６０万、なかんずく３５万〜５５万程度で、結
晶化度が１０〜６０％程度のものが好適に使用される。It is important that the molecular weight and crystallinity of this PLLA are properly adjusted. That is, PLLA has a higher strength as the molecular weight is higher. However, if the molecular weight is too high, high temperature and high pressure are required during the melt molding, resulting in a large decrease in the molecular weight. The molecular weight is low and the strength is weak. On the other hand, the crystalline material has a higher bending strength and elastic modulus than the amorphous material, the permeation of body fluid is slower in the crystalline phase, and the apparent hydrolysis is slower. However, when the crystallinity is increased by heat treatment, the strength is improved, but because PLLA is thermally unstable, deterioration progresses and the molecular weight decreases, the hydrolysis rate increases, and the strength deterioration rapidly. Will happen to you. For these reasons, PLLA as the material is preferably used having a viscosity average molecular weight of 300,000 to 600,000, especially about 350,000 to 550,000, and a crystallinity of about 10 to 60%.
【００１０】本発明の結束用ボタンは、上記のＰＬＬＡ
を異形金型等によって複数の孔を有する所定のボタン形
状に溶融成形するか、或は、ＰＬＬＡを押出成形又はプ
レス成形で平板状にした後、打ち抜き、切削、孔開け加
工等を施して複数の孔を有する所望のボタン形状に加工
することにより製造される。このような加熱加圧下での
成形には必ず分子量低下を伴うが、分子量低下を最小限
に抑えて溶融成形後のＰＬＬＡの粘度平均分子量を２０
万以上に保つことが望ましい。また、後者の方法で製造
する場合は、平板状に成形したＰＬＬＡの成形体を一軸
方向又は二軸方向に延伸することが望ましく、その場合
の延伸倍率は２〜５倍程度が適当であり、また延伸時の
加熱は、その温度によりＰＬＬＡの結晶化度が変化する
ので、６０〜１６０℃に設定するのが適当である。この
ように、溶融成形後の粘度平均分子量を２０万以上に保
った平板状の成形体を延伸し、圧縮曲げ強度が２５．０
×１０2 〜５５．０×１０2 ｋｇ／ｃｍ2 ，圧縮曲げ弾
性率が１５．０×１０2 〜３５．０×１０2 ｋｇ／ｍｍ
2 、結晶化度が１０〜６０％であるＰＬＬＡの延伸成形
体は、本発明のボタン材料として極めて好適である。The binding button of the present invention is the above-mentioned PLLA.
Is melt-molded into a predetermined button shape having a plurality of holes using a deformed mold or the like, or the PLLA is extruded or press-molded into a flat plate shape, and then punched, cut, punched, etc. It is manufactured by processing into a desired button shape having holes. Molding under such heat and pressure always involves a decrease in molecular weight, but the decrease in molecular weight is minimized to reduce the viscosity average molecular weight of PLLA after melt molding to 20%.
It is desirable to keep above 10,000. Further, in the case of manufacturing by the latter method, it is desirable to stretch the molded body of PLLA formed in a flat plate shape in the uniaxial direction or the biaxial direction, and in that case, the stretching ratio is preferably about 2 to 5 times, Further, the heating during stretching is appropriately set to 60 to 160 ° C. because the crystallinity of PLLA changes depending on the temperature. Thus, a flat plate-shaped molded product having a viscosity average molecular weight of 200,000 or more after melt molding was stretched to have a compression bending strength of 25.0.
× 10 2 to 55.0 × 10 2 kg / cm 2 , the compression bending elastic modulus is 15.0 × 10 2 to 35.0 × 10 2 kg / mm 2.
2. A stretch-molded body of PLLA having a crystallinity of 10 to 60% is extremely suitable as the button material of the present invention.
【００１１】[0011]
【作用】本発明の医療縫合糸の結束用ボタンは、上記の
ようなＰＬＡ（ＰＬＬＡ）の成形体から成るものである
から、結束用ボタンとして必要な機械的強度を備え、損
傷部位が治癒するまで必要な強度を維持することが可能
であり、しかも所定の役割を果たした後は生体内で分解
吸収されるので再手術の必要がない。特に、ＰＬＡの延
伸成形物より成るものは、さらに機械的強度が高く、適
切な結晶化度を有しているので、耐加水分解性が良く、
強度低下も少なくなる。The binding button for a medical suture according to the present invention is made of the above-mentioned molded product of PLA (PLLA), and therefore has the mechanical strength required as a binding button and the damaged site is healed. It is possible to maintain the required strength up to the above, and further, after performing a predetermined role, it is decomposed and absorbed in the living body, so that re-operation is not necessary. In particular, the PLA stretch-molded product has higher mechanical strength and an appropriate crystallinity, and therefore has good hydrolysis resistance,
The decrease in strength is also reduced.
【００１２】また、本発明のボタンはＰＬＡの成形体で
あるから、手術手技における靱帯の縫合固定に充分な強
度を有するものである。Further, since the button of the present invention is a PLA molded body, it has sufficient strength for suture fixing of ligaments in surgical procedures.
【００１３】手術後療法として、術後固定はＶｅｌｐｅ
ａｕ型固定器で行った場合、通常の生活は約３ケ月で復
帰できる。本発明のボタンを体内に埋植すると、体液と
接触して徐々に加水分解を始め、それは表面から穏やか
に進行すると同時に、分子量低下、強度低下が始まる。
しかし、通常生活に復帰できるまでの約３ケ月間は、そ
の初期強度をほぼ維持する。損傷部位の治癒後は、縫合
固定に用いた生体内吸収性縫合糸と一緒に加水分解が進
行し、完全に吸収される。このように本発明のＰＬＡか
ら成る医療縫合糸の結束用ボタンは、従来のテフロン製
ボタン等にはない上述の特徴を有するもので、極めて優
れたものである。As postoperative therapy, postoperative fixation is Velpe
Normal life can be restored in about three months when using the au type fixator. When the button of the present invention is implanted in the body, it comes into contact with body fluid and gradually starts to hydrolyze, which gradually progresses from the surface, and at the same time, decreases in molecular weight and strength.
However, the initial strength is maintained for about three months before returning to normal life. After healing of the damaged site, hydrolysis progresses together with the bioabsorbable suture thread used for suture fixation, and is completely absorbed. As described above, the button for binding the medical suture made of PLA of the present invention has the above-mentioned features which are not present in the conventional Teflon button or the like, and is extremely excellent.
【００１４】[0014]
【実施例】図１及び図２は本発明における医療縫合糸の
結束用ボタンの一実施例を示す拡大側面図及び拡大平面
図、図３〜図７は他の実施例を示す拡大平面図である。1 and 2 are enlarged side views and enlarged plan views showing an embodiment of a button for binding medical sutures according to the present invention, and FIGS. 3 to 7 are enlarged plan views showing other embodiments. is there.
【００１５】図１及び図２に示す結束用ボタン１ａは、
全体形状が円板状でその中に長円形の二つの孔２ａが穿
孔されており、縫合糸を数回重ねて通すことができる。The binding button 1a shown in FIGS. 1 and 2 is
The overall shape is a disk shape, and two oblong holes 2a are perforated therein, and the suture thread can be passed several times.
【００１６】図３に示す結束用ボタン１ｂは、全体形状
が円板状でその中に四つの円形の孔２ｂが穿孔されてお
り、一つの孔には縫合糸を数回重ねて通すことができ
る。The binding button 1b shown in FIG. 3 has a disk-shaped overall shape, and four circular holes 2b are bored therein, and a suture thread can be passed through the hole several times. it can.
【００１７】図４に示す結束用ボタン１ｃは、全体形状
が四隅の角を丸く仕上げた正方形板状であって、その中
に二つの長円形の孔２ａが穿孔されている。The binding button 1c shown in FIG. 4 has a square plate-like shape with the four corners rounded, and two oval holes 2a are punched therein.
【００１８】図５に示す結束用ボタン１ｄは、全体形状
が四隅の角を丸く仕上げた正方形板状であって、その中
に四つの円形の孔２ｂが穿孔されている。The bundling button 1d shown in FIG. 5 has a square plate-like shape in which the four corners are rounded, and four circular holes 2b are punched therein.
【００１９】図６に示す結束用ボタン１ｅは、全体形状
が楕円板状であって、長軸方向に長円形の二つの孔２ａ
が穿孔されている。The binding button 1e shown in FIG. 6 has an oval plate shape as a whole and has two holes 2a which are oval in the longitudinal direction.
Is perforated.
【００２０】図７に示す結束用ボタン１ｆは、全体形状
が楕円板状であって、その中に四つの円形の孔２ｂが開
設されている。The binding button 1f shown in FIG. 7 has an elliptical plate shape as a whole, and four circular holes 2b are formed therein.
【００２１】以上の各ボタンの大きさは約６〜１２ｍｍ
であり、その厚さは１．０〜１．５ｍｍである。The size of each of the above buttons is about 6 to 12 mm.
And its thickness is 1.0 to 1.5 mm.
【００２２】尚、上記のボタン形状は一例を挙げたもの
で、この他にも関節部位や修復術の手技に合わせて種々
の形状のものが使用される。Note that the above-mentioned button shapes are just examples, and in addition to these, various shapes are used according to the joint site and the repair procedure.
【００２３】次に、本発明のボタンの具体的製法及び使
用例を説明する。Next, a concrete manufacturing method and a usage example of the button of the present invention will be described.
【００２４】粘度平均分子量４０万（クロロホルム中、
２５℃にて測定）のＰＬＬＡを溶融押出成形し、平板状
のプレートを得た。このプレートを長軸方向に２倍に延
伸して加工し、厚さ１．２ｍｍ、孔巾１．５ｍｍの図１
〜２に示すような長円形の二つの孔２ａを有する円形ボ
タン１ａを得た。Viscosity average molecular weight 400,000 (in chloroform,
PLLA (measured at 25 ° C.) was melt-extruded to obtain a flat plate. This plate is stretched twice in the long axis direction to be processed, and the thickness 1.2 mm and the hole width 1.5 mm are shown in FIG.
The circular buttons 1a having two oblong holes 2a as shown in FIGS.
【００２５】このボタン１ａを肩関節外傷性前方不安定
症に対する鏡視下Ｂａｎｋａｒｔ修復術でＣａｓｐａｒ
ｉ法を用いて手術に用いた。Ｃａｓｐａｒｉ法にはスー
チャーパンチセットを用い、ポリジオキサノン（以下、
ＰＤＳと記す）製縫合糸、ＰＤＳII０号を４〜８本使用
した。図８に示すように、出来るだけＡＩＧＨＬ／関節
唇複合体の下方まで縫合糸３をかけ、背側に引出し、肩
関節内転内施位の状態で棘下筋筋膜上で縫合を行った。
縫合の際、棘下筋筋膜の補強としてボタン１ａを使用し
た。Ｃａｓｐａｒｉ法は断裂したＡＩＧＨＬに対しても
有効であり、またＡＩＧＨＬの上方への前転法が容易で
適応範囲も広い。更に内部組織を術中に損傷しない利点
もある。本発明のボタンは靱帯の縫合固定を良好に補強
し、更に生体内吸収性であるため損傷治癒後も周囲組織
に対する圧迫がない優れた医療縫合糸の結束用ボタンで
あることが確認された。なお、図８中、ＢＬは関節唇の
剥離及び欠損、ＧＦは関節窩、ＨＨは上腕骨頭、ＬＨＢ
は二頭筋長頭、ＳＢＳは肩甲下筋腱、ＭＧＨＬは中関節
上腕靱帯、ＡＩＧＨＬは前・下関節上腕靱帯である。[0025] The button 1a is used for arthroscopic bankart repair for traumatic anterior instability of the shoulder joint by Caspar.
The method i was used for surgery. A Suture punch set was used for the Caspar method, and polydioxanone (hereinafter,
4-8 sutures made of PDS II0 manufactured by PDS) are used. As shown in FIG. 8, the suture thread 3 was applied to the lower side of the AIGHL / labral lip complex as much as possible, pulled out to the dorsal side, and sutured on the inferior fascia fascia in the condition of adduction of the shoulder joint. .
Button 1a was used to reinforce the subspinous fascia during suturing. The Caspari method is also effective for ruptured AIGHL, and the pre-rolling method above AIGHL is easy and the applicable range is wide. Further, there is an advantage that the internal tissue is not damaged during the operation. It was confirmed that the button of the present invention satisfactorily reinforces the suture fixation of the ligament and is bioabsorbable, so that it is an excellent button for binding medical sutures that does not press the surrounding tissue even after healing the damage. In FIG. 8, BL is detachment and loss of labial lip, GF is glenoid fossa, HH is humeral head, LHB.
Is a long head of biceps, SBS is a subscapularis tendon, MGHL is a middle joint brachial ligament, and AIGHL is an anterior / lower joint brachial ligament.
【００２６】また、このボタン１ａは、図９に示すよう
な膝関節十字靱帯再建術や、図１０に示すような足関節
前距腓靱帯再建術にも使用することができる。なお、図
中、３は前記のＰＤＳ糸、４は骨孔に移植された前十字
靱帯、５は骨孔に移植された前距腓靱帯である。The button 1a can also be used for knee cruciate ligament reconstruction as shown in FIG. 9 and anterior anterior talofibular ligament reconstruction as shown in FIG. In the figure, 3 is the PDS thread, 4 is the anterior cruciate ligament implanted in the bone tunnel, and 5 is the anterior talofibular ligament implanted in the bone tunnel.
【００２７】[0027]
【発明の効果】以上の説明から明らかなように、本発明
の医療縫合糸の結束用ボタンは、テフロン製ボタンやＧ
ｏｒｅ−Ｔｅｘ ｐａｔｃｈ等に比べると、ポリ乳酸が
生体内吸収性を有しているため、損傷治癒後の周囲組織
に対する圧迫がなく、穏やかである。また、生体内から
取り出す再手術を行う必要がある非吸収性のテフロン製
ボタン等に対して、本発明のボタンはその必要がなく、
患者に対して肉体的、経済的な負担を強いることがない
という顕著な効果を奏する。更に、本発明のボタンは強
度においても縫合固定を充分補強できる強さを示してい
る。また、形状、大きさも周囲組織に対して負荷を与え
ず、肩、膝、足首など治療する関節部位、手術手技に合
わせていろいろな形状、大きさに加工でき、利用できる
という利点を有する。このように本発明の医療縫合糸の
結束用ボタンは、関節脱臼、亜脱臼の修復術に対して、
著効を示すものである。As is apparent from the above description, the binding button of the medical suture of the present invention is a Teflon button or a G button.
Compared to the ore-Tex patch and the like, since polylactic acid has bioabsorbability in the body, there is no pressure on the surrounding tissue after healing of the damage, and it is gentle. Further, the button of the present invention does not need to be used for a non-absorbable Teflon button or the like that needs to be re-extracted from the living body,
It has the remarkable effect of not imposing a physical and financial burden on the patient. Further, the button of the present invention has a strength enough to reinforce the suture fixation. In addition, there is an advantage that the shape and size can be processed into various shapes and sizes according to the joint site to be treated such as shoulder, knee, ankle, and surgical procedure without applying load to surrounding tissues, and can be used. In this way, the button for binding the medical suture of the present invention is used for repairing joint dislocation and subluxation,
It is very effective.
【図１】本発明の医療縫合糸の結束用ボタンの一実施例
を示す拡大側面図である。FIG. 1 is an enlarged side view showing an embodiment of a binding button for a medical suture according to the present invention.
【図２】図１のボタンの平面図である。FIG. 2 is a plan view of the button of FIG.
【図３】本発明の医療縫合糸の結束用ボタンの他の実施
例を示す拡大平面図である。FIG. 3 is an enlarged plan view showing another embodiment of the binding button for the medical suture according to the present invention.
【図４】本発明の医療縫合糸の結束用ボタンの別の実施
例を示す拡大平面図である。FIG. 4 is an enlarged plan view showing another embodiment of the binding button for the medical suture according to the present invention.
【図５】本発明の医療縫合糸の結束用ボタンの更に別の
実施例を示す拡大平面図である。FIG. 5 is an enlarged plan view showing still another embodiment of the binding button for the medical suture according to the present invention.
【図６】本発明の医療縫合糸の結束用ボタンの更に別の
実施例を示す拡大平面図である。FIG. 6 is an enlarged plan view showing still another embodiment of the binding button for the medical suture according to the present invention.
【図７】本発明の医療縫合糸の結束用ボタンの更に別の
実施例を示す拡大平面図である。FIG. 7 is an enlarged plan view showing still another embodiment of the binding button for the medical suture according to the present invention.
【図８】本発明の医療縫合糸の結束用ボタンの一使用例
を示す説明図である。FIG. 8 is an explanatory diagram showing an example of use of a button for binding a medical suture according to the present invention.
【図９】本発明の医療縫合糸の結束用ボタンの他の使用
例を示す説明図である。FIG. 9 is an explanatory view showing another usage example of the binding button for the medical suture of the present invention.
【図１０】本発明の医療縫合糸の結束用ボタンの別の使
用例を示す説明図である。FIG. 10 is an explanatory view showing another usage example of the binding button for the medical suture of the present invention.
１ａ，１ｂ，１ｃ，１ｄ，１ｅ，１ｆ 医療縫合糸の結
束用ボタン ２ａ，２ｂ 孔 ３ 縫合糸1a, 1b, 1c, 1d, 1e, 1f Buttons for binding medical sutures 2a, 2b holes 3 sutures
───────────────────────────────────────────────────── フロントページの続き (72)発明者 奥野 政樹 大阪市中央区安土町２丁目３番13号 タキ ロン株式会社内 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Masaki Okuno 2-3-13 Azuchi-cho, Chuo-ku, Osaka Takiron Co., Ltd.
Claims (2)
ポリ乳酸の成形体から成る医療縫合糸の結束用ボタン。1. A button for binding a medical suture, comprising a polylactic acid molded product having a plurality of holes for inserting the medical suture.
請求項１に記載の医療縫合糸の結束用ボタン2. The button for binding a medical suture according to claim 1, wherein the molded body is stretched.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP28684492A JPH06114067A (en) | 1992-09-30 | 1992-09-30 | Binding button for medical suture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP28684492A JPH06114067A (en) | 1992-09-30 | 1992-09-30 | Binding button for medical suture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH06114067A true JPH06114067A (en) | 1994-04-26 |
Family
ID=17709766
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP28684492A Pending JPH06114067A (en) | 1992-09-30 | 1992-09-30 | Binding button for medical suture |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH06114067A (en) |
Cited By (20)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5527341A (en) * | 1991-05-24 | 1996-06-18 | Synthes (U.S.A) | Resorbable tendon and bone augmentation device |
| WO1998035632A1 (en) * | 1997-02-13 | 1998-08-20 | Boston Scientific Ireland Limited | Stabilization sling for use in minimally invasive pelvic surgery |
| US6506197B1 (en) * | 2000-11-15 | 2003-01-14 | Ethicon, Inc. | Surgical method for affixing a valve to a heart using a looped suture combination |
| US6679896B2 (en) | 1998-11-02 | 2004-01-20 | Scimed Life Systems, Inc. | Transvaginal suture spacer devices and methods of use |
| KR20040006162A (en) * | 2002-07-11 | 2004-01-24 | 이은정 | Method for suture using button |
| US7150757B2 (en) | 2003-06-11 | 2006-12-19 | Fallin T Wade | Adjustable line locks and methods |
| US20080234747A1 (en) * | 2007-02-20 | 2008-09-25 | Warsaw Orthopedic, Inc. | Resorbable Release Mechanism for a Surgical Tether and Methods of Use |
| US7594923B2 (en) | 2003-06-11 | 2009-09-29 | Medicine Lodge, Inc | Line lock suture attachment systems and methods |
| EP2223622A4 (en) * | 2007-12-18 | 2011-06-22 | Teijin Ltd | Button made from biomass raw material and method for producing the same |
| WO2013054356A2 (en) * | 2011-08-24 | 2013-04-18 | Padmakar Shinde | Bridge button for ligament reconstruction |
| US9078727B2 (en) | 2006-03-16 | 2015-07-14 | Boston Scientific Scimed, Inc. | System and method for treating tissue wall prolapse |
| US9144483B2 (en) | 2006-01-13 | 2015-09-29 | Boston Scientific Scimed, Inc. | Placing fixation devices |
| US9168120B2 (en) | 2011-09-09 | 2015-10-27 | Boston Scientific Scimed, Inc. | Medical device and methods of delivering the medical device |
| US9339362B2 (en) | 2005-09-28 | 2016-05-17 | Boston Scientific Scimed, Inc. | Apparatus and method for suspending a uterus |
| US9387061B2 (en) | 2010-09-02 | 2016-07-12 | Boston Scientific Scimed, Inc. | Pelvic implants and methods of implanting the same |
| US9433488B2 (en) | 2001-03-09 | 2016-09-06 | Boston Scientific Scimed, Inc. | Medical slings |
| US9814555B2 (en) | 2013-03-12 | 2017-11-14 | Boston Scientific Scimed, Inc. | Medical device for pelvic floor repair and method of delivering the medical device |
| CN108882929A (en) * | 2015-11-30 | 2018-11-23 | 林佳纬 | Force checking device |
| WO2019010398A3 (en) * | 2017-07-06 | 2019-02-14 | Anderson M D Christian | Suture button construct for surgical procedures |
| US11272921B2 (en) | 2017-07-06 | 2022-03-15 | Christian N. Anderson | Self-cinching suture construct apparatus |
-
1992
- 1992-09-30 JP JP28684492A patent/JPH06114067A/en active Pending
Cited By (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5527341A (en) * | 1991-05-24 | 1996-06-18 | Synthes (U.S.A) | Resorbable tendon and bone augmentation device |
| WO1998035632A1 (en) * | 1997-02-13 | 1998-08-20 | Boston Scientific Ireland Limited | Stabilization sling for use in minimally invasive pelvic surgery |
| US6042534A (en) * | 1997-02-13 | 2000-03-28 | Scimed Life Systems, Inc. | Stabilization sling for use in minimally invasive pelvic surgery |
| US6679896B2 (en) | 1998-11-02 | 2004-01-20 | Scimed Life Systems, Inc. | Transvaginal suture spacer devices and methods of use |
| US6506197B1 (en) * | 2000-11-15 | 2003-01-14 | Ethicon, Inc. | Surgical method for affixing a valve to a heart using a looped suture combination |
| US9433488B2 (en) | 2001-03-09 | 2016-09-06 | Boston Scientific Scimed, Inc. | Medical slings |
| KR20040006162A (en) * | 2002-07-11 | 2004-01-24 | 이은정 | Method for suture using button |
| US7150757B2 (en) | 2003-06-11 | 2006-12-19 | Fallin T Wade | Adjustable line locks and methods |
| US7566339B2 (en) | 2003-06-11 | 2009-07-28 | Imds. | Adjustable line locks and methods |
| US7594923B2 (en) | 2003-06-11 | 2009-09-29 | Medicine Lodge, Inc | Line lock suture attachment systems and methods |
| US9339362B2 (en) | 2005-09-28 | 2016-05-17 | Boston Scientific Scimed, Inc. | Apparatus and method for suspending a uterus |
| US9144483B2 (en) | 2006-01-13 | 2015-09-29 | Boston Scientific Scimed, Inc. | Placing fixation devices |
| US9078727B2 (en) | 2006-03-16 | 2015-07-14 | Boston Scientific Scimed, Inc. | System and method for treating tissue wall prolapse |
| US8470002B2 (en) * | 2007-02-20 | 2013-06-25 | Warsaw Orthopedic, Inc. | Resorbable release mechanism for a surgical tether and methods of use |
| US20080234747A1 (en) * | 2007-02-20 | 2008-09-25 | Warsaw Orthopedic, Inc. | Resorbable Release Mechanism for a Surgical Tether and Methods of Use |
| EP2223622A4 (en) * | 2007-12-18 | 2011-06-22 | Teijin Ltd | Button made from biomass raw material and method for producing the same |
| US9387061B2 (en) | 2010-09-02 | 2016-07-12 | Boston Scientific Scimed, Inc. | Pelvic implants and methods of implanting the same |
| WO2013054356A3 (en) * | 2011-08-24 | 2013-07-04 | Padmakar Shinde | Bridge button for ligament reconstruction |
| WO2013054356A2 (en) * | 2011-08-24 | 2013-04-18 | Padmakar Shinde | Bridge button for ligament reconstruction |
| US9168120B2 (en) | 2011-09-09 | 2015-10-27 | Boston Scientific Scimed, Inc. | Medical device and methods of delivering the medical device |
| US9814555B2 (en) | 2013-03-12 | 2017-11-14 | Boston Scientific Scimed, Inc. | Medical device for pelvic floor repair and method of delivering the medical device |
| CN108882929A (en) * | 2015-11-30 | 2018-11-23 | 林佳纬 | Force checking device |
| EP3383280A4 (en) * | 2015-11-30 | 2019-07-24 | Chia-Wei Lin | Force detecting apparatus |
| CN108882929B (en) * | 2015-11-30 | 2021-03-30 | 林佳纬 | Force detection device |
| WO2019010398A3 (en) * | 2017-07-06 | 2019-02-14 | Anderson M D Christian | Suture button construct for surgical procedures |
| US10299784B2 (en) | 2017-07-06 | 2019-05-28 | Christian N. Anderson | Suture button construct for surgical procedures |
| US11272921B2 (en) | 2017-07-06 | 2022-03-15 | Christian N. Anderson | Self-cinching suture construct apparatus |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JPH06114067A (en) | Binding button for medical suture | |
| US6281262B1 (en) | Shape-memory, biodegradable and absorbable material | |
| EP0702934B1 (en) | Tissue attachment device having elastomeric section | |
| EP0520177B1 (en) | Resorbable tendon and bone augmentation device | |
| US6248108B1 (en) | Bioabsorbable surgical screw and washer system | |
| KR101577602B1 (en) | Self-retaining sutures with bi-directional retainers or uni-directional retainers | |
| US6406479B1 (en) | Method for repairing a meniscal tear in a knee | |
| US6893452B2 (en) | Multi-point tension distribution system device and method of tissue approximation using that device to improve wound healing | |
| US7156862B2 (en) | Multi-point tension distribution system device and method of tissue approximation using that device to improve wound healing | |
| JP5518737B2 (en) | Indwelling suture with thermal contact mediator retainer | |
| JP3779327B2 (en) | Degradable material under tissue conditions and method for producing the same | |
| AU2020202786A1 (en) | Suture and method for producing same | |
| US9011485B2 (en) | Implantable biodegradable wound closure device and method | |
| AU2014349020B2 (en) | Recessed surgical fastening devices | |
| US20090228021A1 (en) | Matrix material | |
| JP2011518588A5 (en) | ||
| US20100003306A1 (en) | Pre-shaped user-formable micro-membrane implants | |
| RU2761964C1 (en) | Method for arthroscopic suture of the meniscus of the knee joint | |
| Rokkanen et al. | Totally biodegradable implants for bone fixation and ligament repair | |
| RU2303411C2 (en) | Method for plasty of affected ligaments and tendons | |
| Germann et al. | Techniques of Structure Repair | |
| JPH04244146A (en) | Aid for enterostomy | |
| RU93017951A (en) | METHOD OF CLOSED RESTORATION OF THE TENDONS OF THE FOUR-HEAD MUSCLES OF THE THIGH IN B WIDE |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A02 | Decision of refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A02 Effective date: 20000404 |