JPWO2019212607A5 - - Google Patents
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- JPWO2019212607A5 JPWO2019212607A5 JP2021512358A JP2021512358A JPWO2019212607A5 JP WO2019212607 A5 JPWO2019212607 A5 JP WO2019212607A5 JP 2021512358 A JP2021512358 A JP 2021512358A JP 2021512358 A JP2021512358 A JP 2021512358A JP WO2019212607 A5 JPWO2019212607 A5 JP WO2019212607A5
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少なくともいくつかの実施形態では、縫合ブリッジは、第１の材料を含む、伸長堅性挿入体と、第２の材料を含む、変形可能なシェルであって、第２の材料は、第１の材料と異なり、シェルは、少なくとも部分的に、堅性挿入体を囲繞し、挿入体およびシェルは、患者の皮膚に接触するように構成される第１の患者接触表面を含む、第１の脚部と、第１の脚部から離間され、患者の皮膚に接触するように構成される第２の患者接触表面を含む、第２の脚部と、第１の脚部に接続される、第１の支持体と、第２の脚部に接続される、第２の支持体と、少なくとも部分的に、第１の脚部の一部ならびに第１の支持体の一部を通して形成される、第１のスロットと、少なくとも部分的に、第２の脚部の一部および第２の支持体の一部を通して形成される、第２のスロットと、第１の支持体と第２の支持体との間に延在する、横断部材とを有する、ブリッジ本体を集合的に形成する、変形可能なシェルとを含む。
本発明は、例えば、以下を提供する。
（項目１）
縫合ブリッジであって、
第１の材料を含む伸長堅性挿入体と、
第２の材料を含む変形可能なシェルであって、前記第２の材料は、前記第１の材料と異なり、前記シェルは、少なくとも部分的に、前記堅性挿入体を囲繞し、前記挿入体および前記シェルは、ブリッジ本体を集合的に形成し、前記ブリッジ本体は、患者の皮膚に接触するように構成される第１の患者接触表面を含む第１の脚部と、前記第１の脚部から離間され、前記患者の皮膚に接触するように構成される第２の患者接触表面を含む第２の脚部と、前記第１の脚部に接続される第１の支持体と、前記第２の脚部に接続される第２の支持体と、少なくとも部分的に、前記第１の脚部の一部および前記第１の支持体の一部を通して形成される第１のスロットと、少なくとも部分的に、前記第２の脚部の一部および前記第２の支持体の一部を通して形成される第２のスロットと、前記第１の支持体と前記第２の支持体との間に延在する横断部材とを有する、変形可能なシェルと
を備える、縫合ブリッジ。
（項目２）
前記第１の材料は、ポリマーである、項目１に記載の縫合ブリッジ。
（項目３）
前記第２の材料は、エラストマである、項目１に記載の縫合ブリッジ。
（項目４）
前記エラストマの第２の材料は、シリコーンを含む、項目３に記載の縫合ブリッジ。
（項目５）
前記ブリッジ本体は、前記第１の脚部から前記第２の脚部までの複数の厚さを含み、前記挿入体は、前記横断部材において前記ブリッジ本体の第１の厚さの第１の割合と、前記第１の脚部において前記本体の第２の厚さの第２の割合とを構成し、前記第１の割合は、前記第２の割合を上回る、項目１に記載の縫合ブリッジ。
（項目６）
前記ブリッジ本体は、前記第１の脚部から前記第２の脚部までの複数の厚さを含み、前記シェルは、前記横断部材において前記ブリッジ本体の第１の厚さの第１の割合と、前記第１の脚部において前記本体の第２の厚さの第２の割合とを構成し、前記第１の割合は、前記第２の割合を下回る、項目１に記載の縫合ブリッジ。
（項目７）
前記挿入体は、前記シェルよりも大きい曲げ弾性率を有し、前記シェルは、前記挿入体よりも変形可能である、項目１に記載の縫合ブリッジ。
（項目８）
第３の脚部と、第４の脚部とをさらに備える、項目１に記載の縫合ブリッジ。
（項目９）
前記横断部材は、前記第１の脚部よりも堅性である、項目１に記載の縫合ブリッジ。
（項目１０）
前記第１の脚部は、前記横断部材よりも変形可能である、項目１に記載の縫合ブリッジ。
（項目１１）
前記横断部材は、前記挿入体および前記シェルの両方を通して画定される中心開口を含む、項目１に記載の縫合ブリッジ。
（項目１２）
前記横断部材は、前記挿入体および前記シェルの両方を通して画定される複数の開口を含む、項目１に記載の縫合ブリッジ。
（項目１３）
前記ブリッジ本体は、前記第１の脚部から前記第２の脚部までの一定の厚さと、前記第１の脚部から前記第２の脚部までの複数の異なる剛度とを有する、項目１に記載の縫合ブリッジ。
（項目１４）
一体型ヒンジを介して前記横断部に取り付けられる保定器フラップをさらに備える、項目１に記載の縫合ブリッジ。
（項目１５）
キットであって、
第１の材料を含む伸長堅性挿入体と、第２の材料を含む変形可能なシェルであって、前記第２の材料は、前記第１の材料と異なり、前記シェルは、少なくとも部分的に、前記堅性挿入体を囲繞し、前記挿入体および前記シェルは、ブリッジ本体を集合的に形成し、前記ブリッジ本体は、患者の皮膚に接触するように構成される第１の患者接触表面を含む第１の脚部と、前記第１の脚部から離間され、前記患者の皮膚に接触するように構成される第２の患者接触表面を含む第２の脚部と、前記第１の脚部に接続される第１の支持体と、前記第２の脚部に接続される第２の支持体と、少なくとも部分的に、前記第１の脚部の一部および前記第１の支持体の一部を通して形成される第１のスロットと、少なくとも部分的に、前記第２の脚部の一部および前記第２の支持体の一部を通して形成される第２のスロットとを有する、変形可能なシェルとを含む、縫合ブリッジと
保定器部材と、
縫合糸と、
外科手術用針と
を備える、キット。
（項目１６）
創傷閉鎖の方法であって、
堅性挿入体と、エラストマシェルとを有するブリッジ本体を提供することであって、前記挿入体および前記シェルは、患者の皮膚に接触するように構成される第１の患者接触表面を含む第１の脚部と、前記第１の脚部から離間され、前記患者の皮膚に接触するように構成される第２の患者接触表面を含む第２の脚部と、前記第１の脚部に接続される第１の支持体と、前記第２の脚部に接続される第２の支持体と、少なくとも部分的に、前記第１の脚部の一部および前記第１の支持体の一部を通して形成される第１のスロットと、少なくとも部分的に、前記第２の脚部の一部および前記第２の支持体の一部を通して形成される第２のスロットと、前記第１の支持体と前記第２の支持体との間に延在する横断部材と、前記第１の支持体と前記第２の支持体との間に延在する横断部材とを集合的に形成する、ことと、
前記スロットのうちの少なくとも１つを通して縫合糸を通過させることと、
４ニュートンを上回る力を前記縫合糸上に印加し、前記創傷を閉鎖することと
を含む、方法。
（項目１７）
前記縫合糸を通すことは、前記縫合糸を２つのスロットの最も外側の部分に隣接する前記患者の組織を通して通過させることを含み、前記縫合糸上に力を印加することは、前記縫合糸に前記２つのスロット内を進行させ、前記患者の組織の２つの部分をともに寄せ集めさせる、項目１６に記載の方法。
（項目１８）
力を印加することは、創傷組織の弾性限界を超過する力を印加することを含む、項目１６に記載の方法。
（項目１９）
力を印加することは、前記縫合ブリッジを部分的に平坦化することを含む、項目１６に記載の方法。
（項目２０）
前記縫合ブリッジから前記力を除去し、前記縫合ブリッジが、より隆起された静置条件に戻り、前記創傷の反対側に組織を寄せ集め、前記組織を前記横断部材に向かって引き上げることを可能にすることをさらに含む、項目１９に記載の方法。
In at least some embodiments, the suture bridge is a stretchable rigid insert comprising a first material and a deformable shell comprising a second material, wherein the second material is a first material. Unlike the material, the shell surrounds the rigid insert, at least in part, and the insert and shell include a first patient contact surface configured to contact the patient's skin, a first leg. A second leg and a first leg connected to the portion, including a second patient contact surface that is separated from the first leg and configured to contact the patient's skin. One support, a second support connected to a second leg, and at least partially formed through a portion of the first leg and a portion of the first support. A second slot, a first support and a second support formed through a first slot and, at least in part, a portion of the second leg and a portion of the second support. Includes a deformable shell that collectively forms the bridge body, with a transverse member extending between and.
The present invention provides, for example,:
(Item 1)
It ’s a suture bridge,
An elongate insert containing the first material,
A deformable shell comprising a second material, wherein the second material differs from the first material in that the shell at least partially surrounds the rigid insert and the insert. And the shell collectively forms a bridge body, the bridge body is a first leg comprising a first patient contact surface configured to contact the patient's skin, and the first leg. A second leg comprising a second patient contact surface that is separated from the portion and configured to contact the patient's skin, a first support connected to the first leg, and the said. A second support connected to the second leg and, at least in part, a first slot formed through a portion of the first leg and a portion of the first support. Between the first support and the second support, at least in part, a second slot formed through a portion of the second leg and a portion of the second support. With a deformable shell, with a transverse member extending into
A suture bridge.
(Item 2)
The suture bridge according to item 1, wherein the first material is a polymer.
(Item 3)
The suture bridge according to item 1, wherein the second material is an elastomer.
(Item 4)
The suture bridge according to item 3, wherein the second material of the elastomer contains silicone.
(Item 5)
The bridge body includes a plurality of thicknesses from the first leg portion to the second leg portion, and the insert body is a first ratio of the first thickness of the bridge body in the cross member. The suture bridge according to item 1, wherein the first leg portion constitutes a second ratio of the second thickness of the main body, and the first ratio exceeds the second ratio.
(Item 6)
The bridge body comprises a plurality of thicknesses from the first leg to the second leg, and the shell is the first ratio of the first thickness of the bridge body in the cross member. The suture bridge according to item 1, wherein the first leg constitutes a second ratio of the second thickness of the main body, and the first ratio is lower than the second ratio.
(Item 7)
The suture bridge according to item 1, wherein the insert has a greater flexural modulus than the shell, and the shell is more deformable than the insert.
(Item 8)
The suture bridge according to item 1, further comprising a third leg and a fourth leg.
(Item 9)
The suture bridge according to item 1, wherein the cross member is stiffer than the first leg.
(Item 10)
The suture bridge according to item 1, wherein the first leg is more deformable than the cross member.
(Item 11)
The suture bridge of item 1, wherein the cross member comprises a central opening defined through both the insert and the shell.
(Item 12)
The suture bridge of item 1, wherein the cross member comprises a plurality of openings defined through both the insert and the shell.
(Item 13)
Item 1 The bridge body has a constant thickness from the first leg to the second leg and a plurality of different stiffnesses from the first leg to the second leg. Suture bridge as described in.
(Item 14)
The suture bridge of item 1, further comprising a retainer flap attached to the cross section via an integrated hinge.
(Item 15)
It ’s a kit,
An elongate rigid insert comprising a first material and a deformable shell comprising a second material, wherein the second material is different from the first material and the shell is at least partially. Surrounding the rigid insert, the insert and the shell collectively form a bridge body, the bridge body having a first patient contact surface configured to contact the patient's skin. A first leg including the first leg, a second leg including a second patient contact surface separated from the first leg and configured to contact the patient's skin, and the first leg. A first support connected to the portion, a second support connected to the second leg, and at least a part of the first leg and the first support. A variant having a first slot formed through a portion of the second leg and, at least in part, a second slot formed through a portion of the second leg and a portion of the second support. With suture bridges, including with possible shells
Retainer member and
With sutures
With surgical needles
A kit that includes.
(Item 16)
A method of wound closure,
To provide a bridge body with a rigid insert and an elastomashell, the insert and the shell include a first patient contact surface configured to be in contact with the patient's skin. And a second leg that includes a second patient contact surface that is separated from the first leg and is configured to be in contact with the patient's skin, and is connected to the first leg. A first support to be formed, a second support connected to the second leg, and at least a part of the first leg and a part of the first support. A first slot formed through, and at least partially, a second slot formed through a portion of the second leg and a portion of the second support, and the first support. To collectively form a transverse member extending between the first support and the second support, and a transverse member extending between the first support and the second support. ,
Passing the suture through at least one of the slots,
Applying a force greater than 4 Newton onto the suture to close the wound
Including, how.
(Item 17)
Passing the suture involves passing the suture through the patient's tissue adjacent to the outermost portion of the two slots, and applying force onto the suture is to the suture. 16. The method of item 16, wherein the two parts of the patient's tissue are brought together by advancing through the two slots.
(Item 18)
The method of item 16, wherein applying the force comprises applying a force that exceeds the elastic limit of the wound tissue.
(Item 19)
The method of item 16, wherein applying force comprises partially flattening the suture bridge.
(Item 20)
Relieving the force from the suture bridge allows the suture bridge to return to a more raised rest condition, gathering tissue on the opposite side of the wound and pulling the tissue towards the transverse member. 19. The method of item 19, further comprising:
Claims (20)
第１の材料を含む伸長堅性挿入体と、
第２の材料を含む変形可能なシェルであって、前記第２の材料は、前記第１の材料と異なり、前記シェルは、少なくとも部分的に、前記堅性挿入体を囲繞し、前記挿入体および前記シェルは、ブリッジ本体を集合的に形成し、前記ブリッジ本体は、患者の皮膚に接触するように構成される第１の患者接触表面を含む第１の脚部と、前記第１の脚部から離間され、前記患者の皮膚に接触するように構成される第２の患者接触表面を含む第２の脚部と、前記第１の脚部に接続される第１の支持体と、前記第２の脚部に接続される第２の支持体と、少なくとも部分的に、前記第１の脚部の一部および前記第１の支持体の一部を通して形成される第１のスロットと、少なくとも部分的に、前記第２の脚部の一部および前記第２の支持体の一部を通して形成される第２のスロットと、前記第１の支持体と前記第２の支持体との間に延在する横断部材とを有する、変形可能なシェルと
を備える、縫合ブリッジ。 It ’s a suture bridge,
An elongate insert containing the first material,
A deformable shell comprising a second material, wherein the second material differs from the first material in that the shell at least partially surrounds the rigid insert and the insert. And the shell collectively forms a bridge body, the bridge body is a first leg comprising a first patient contact surface configured to contact the patient's skin, and the first leg. A second leg comprising a second patient contact surface that is separated from the portion and configured to contact the patient's skin, a first support connected to the first leg, and the said. A second support connected to the second leg and, at least in part, a first slot formed through a portion of the first leg and a portion of the first support. Between the first support and the second support, at least in part, a second slot formed through a portion of the second leg and a portion of the second support. A suture bridge with a deformable shell, with a transverse member extending into the.
第１の材料を含む伸長堅性挿入体と、第２の材料を含む変形可能なシェルとを含む縫合ブリッジであって、前記第２の材料は、前記第１の材料と異なり、前記シェルは、少なくとも部分的に、前記堅性挿入体を囲繞し、前記挿入体および前記シェルは、ブリッジ本体を集合的に形成し、前記ブリッジ本体は、患者の皮膚に接触するように構成される第１の患者接触表面を含む第１の脚部と、前記第１の脚部から離間され、前記患者の皮膚に接触するように構成される第２の患者接触表面を含む第２の脚部と、前記第１の脚部に接続される第１の支持体と、前記第２の脚部に接続される第２の支持体と、少なくとも部分的に、前記第１の脚部の一部および前記第１の支持体の一部を通して形成される第１のスロットと、少なくとも部分的に、前記第２の脚部の一部および前記第２の支持体の一部を通して形成される第２のスロットとを有する、縫合ブリッジと、
保定器部材と、
縫合糸と、
外科手術用針と
を備える、キット。 It ’s a kit,
A suture bridge comprising an elongate rigid insert comprising a first material and a deformable shell comprising a second material, wherein the second material is different from the first material and the shell is. First, the rigid insert is surrounded, at least in part, the insert and the shell collectively form a bridge body, the bridge body being configured to contact the patient's skin. A first leg containing the patient contact surface, and a second leg containing a second patient contact surface that is separated from the first leg and configured to come into contact with the patient's skin. A first support connected to the first leg, a second support connected to the second leg, and at least a part of the first leg and the said. A first slot formed through a portion of the first support and, at least in part, a second slot formed through a portion of the second leg and a portion of the second support. With a suture bridge ,
Retainer member and
With sutures
A kit with surgical needles.
堅性挿入体およびエラストマシェルを有するブリッジ本体であって、前記挿入体および前記シェルは、患者の皮膚に接触するように構成される第１の患者接触表面を含む第１の脚部と、前記第１の脚部から離間され、前記患者の皮膚に接触するように構成される第２の患者接触表面を含む第２の脚部と、前記第１の脚部に接続される第１の支持体と、前記第２の脚部に接続される第２の支持体と、少なくとも部分的に、前記第１の脚部の一部および前記第１の支持体の一部を通して形成される第１のスロットと、少なくとも部分的に、前記第２の脚部の一部および前記第２の支持体の一部を通して形成される第２のスロットと、前記第１の支持体と前記第２の支持体との間に延在する横断部材と、前記第１の支持体と前記第２の支持体との間に延在する横断部材とを集合的に形成する、ブリッジ本体と、
前記スロットのうちの少なくとも１つを通して通過するように構成される縫合糸と
を備え、
前記創傷は、４ニュートンを上回る力を前記縫合糸上に印加することによって閉鎖される、システム。 A system for wound closure,
A bridge body having a rigid insert and an elastomashell , wherein the insert and the shell include a first leg comprising a first patient contact surface configured to contact the patient's skin, and said. A second leg that includes a second patient contact surface that is separated from the first leg and is configured to contact the patient's skin, and a first support that is connected to the first leg. A first formed through the body, a second support connected to the second leg, and at least in part, a portion of the first leg and a portion of the first support. And, at least in part, a second slot formed through a part of the second leg and a part of the second support, and the first support and the second support. A bridge body that collectively forms a transverse member extending between the body and a transverse member extending between the first support and the second support.
With sutures configured to pass through at least one of the slots
Equipped with
The wound is closed by applying a force greater than 4 Newton onto the suture .
19. The system of claim 19, wherein the suture bridge is configured to allow it to return to a more elevated static condition when the force is removed from the suture bridge .
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862665329P | 2018-05-01 | 2018-05-01 | |
| US62/665,329 | 2018-05-01 | ||
| US16/240,127 | 2019-01-04 | ||
| US16/240,127 US10555730B2 (en) | 2018-05-01 | 2019-01-04 | Deformable suture bridge having an insert and methods of manufacturing and using same |
| PCT/US2019/012362 WO2019212607A1 (en) | 2018-05-01 | 2019-01-04 | Deformable suture bridge having an insert and methods of manufacturing and using same |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2021522968A JP2021522968A (en) | 2021-09-02 |
| JPWO2019212607A5 true JPWO2019212607A5 (en) | 2022-01-14 |
| JP7305753B2 JP7305753B2 (en) | 2023-07-10 |
Family
ID=68384365
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2021512358A Active JP7305753B2 (en) | 2018-05-01 | 2019-01-04 | Deformable suture bridge with inserts and methods of making and using same |
Country Status (6)
| Country | Link |
|---|---|
| US (2) | US10555730B2 (en) |
| EP (1) | EP3787527A4 (en) |
| JP (1) | JP7305753B2 (en) |
| AU (1) | AU2019262706B2 (en) |
| CA (1) | CA3098831A1 (en) |
| WO (1) | WO2019212607A1 (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| USD884171S1 (en) * | 2019-01-04 | 2020-05-12 | Suturegard Medical, Inc. | Suture bridge |
| US11950775B2 (en) * | 2021-03-07 | 2024-04-09 | Giftedness And Creativity Company | Stitching method for everted wound closure |
Family Cites Families (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3014483A (en) * | 1959-10-26 | 1961-12-26 | Avco Corp | Surgical bridge for supporting sutures |
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| JPS51186A (en) * | 1974-06-08 | 1976-01-05 | Bioo Medeikasu Inc | SHUJUTSUYOBURITSUJI |
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| WO2000019914A1 (en) * | 1998-10-06 | 2000-04-13 | Progressive Surgical Products | External tissue expansion device for breast reconstruction, male pattern baldness and removal of nevi and keloids |
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| US20080033487A1 (en) | 2006-08-07 | 2008-02-07 | Bioduct, Llc | Medical device for repair of tissue and method for implantation and fixation |
| US20120209313A1 (en) * | 2007-04-21 | 2012-08-16 | Joseph Vincent Ierulli | Nasal Dilator With Means To Direct Resilient Properties |
| US10456259B2 (en) * | 2008-04-16 | 2019-10-29 | Heart Repair Technologies, Inc. | Transvalvular intraannular band for mitral valve repair |
| AU2012236205B2 (en) * | 2011-03-31 | 2016-08-25 | Brijjit Medical, Inc. | Force modulating tissue bridge |
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| US10463360B2 (en) * | 2015-07-17 | 2019-11-05 | Suturegard Medical, Inc. | Suture locks |
| US10064616B2 (en) * | 2015-07-17 | 2018-09-04 | William Lear | Variable stiffness suture bridges compatible with various suture patterns |
-
2019
- 2019-01-04 WO PCT/US2019/012362 patent/WO2019212607A1/en unknown
- 2019-01-04 US US16/240,127 patent/US10555730B2/en active Active
- 2019-01-04 CA CA3098831A patent/CA3098831A1/en active Pending
- 2019-01-04 JP JP2021512358A patent/JP7305753B2/en active Active
- 2019-01-04 EP EP19796987.6A patent/EP3787527A4/en active Pending
- 2019-01-04 AU AU2019262706A patent/AU2019262706B2/en active Active
- 2019-12-19 US US16/721,462 patent/US11571203B2/en active Active
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