KR102125136B1 - Suture retention device including strap member for tightening suture - Google Patents

Abstract

The present invention relates to a medical suture retainer including a strap portion for tightening a suture, and a medical suture retainer including a strap portion for tightening a suture according to the present invention to a medical suture retainer used to suture an incised or torn wound during surgery. In the medical suture retainer, a groove or a hole that is dug inward from an upper surface is formed, a first gear is formed on an inner circumferential surface of the groove or hole, and a body part through which a first through hole through which a suture is penetrated is formed. And a second gear which is inserted into the groove or hole and which is gear-engaged with the first gear at one end of the outer circumferential surface, and at the upper end of the insertion part and the insertion part where a second through hole through which the suture is penetrated is formed at the other end. It includes a suture rotating fastening part which protrudes above the upper surface of the body part and forms a rotational force transmission part in which a third gear is formed on an outer circumferential surface, and a fourth gear is formed on one side in the form of a strap to engage the third gear and the gear. It characterized in that by pulling the end of the strap portion to rotate the suture rotating fastener to generate a tension in the suture.

Description

Medical suture retainer including a strap for tightening sutures {SUTURE RETENTION DEVICE INCLUDING STRAP MEMBER FOR TIGHTENING SUTURE}

The present invention relates to a medical suture retainer including a strap portion for tightening a suture, and more specifically, the suture is directly pierced through the wound by pulling the sutures so as to come into contact with each other in the state of being attached to both skins of the incised or torn wound during surgery It relates to a medical suture retainer including a strap portion for fastening sutures that can be tightened by pulling the sutures mounted together to pass through a plurality of medical suture holders to enable skin suture without stitching.

When the skin was cut due to an incision or accidental accident during the surgical procedure, the wound was treated to prevent bacterial infection from the outside and to treat the wound. It is important to prevent the bleeding and infection and to prevent the bleeding and infection by joining the torn area by keeping the flanked skin surface close.

Conventionally, the skin is sutured by stitching the skin using a suture or fixing the staple to the skin. The method has the advantage of fastening the wound tightly in a short time, but there are many scars due to the skin invasion of the suture or staple. There were cosmetic disadvantages.

Thus, as described in Korean Patent Registration No. 10-1619500, a skin suturing device that performs skin suture by a non-invasive method by pulling and fixing using a strap while attached to both skins of an incised wound site Has been disclosed and used.

However, the skin suture device has a problem in that it is easy to suture for a straight incision such as an incision during surgery, and it is not easy to use for an incision type other than a straight line, and a thick strap passes through the wound area. Therefore, there is a problem that it is difficult to attach a suture retainer of another method.

Republic of Korea Registered Patent No. 10-1619500

Therefore, the object of the present invention is to solve such a conventional problem, by using a conventional suture in the state attached to the suture retainer on both skin of the incision site, but suture by pulling and fixing the suture retainer without penetrating the skin. To perform, but to provide a medical suture retainer including a strap portion for tightening the suture that can be tightened by pulling the sutures mounted together for a plurality of medical suture holders by the strap portion.

The problems to be solved by the present invention are not limited to the problems mentioned above, and other problems not mentioned will be clearly understood by those skilled in the art from the following description.

The object is, according to the present invention, in the medical suture retainer used to suture the incised or torn wound portion during surgery, the medical suture retainer is formed a groove or hole dug inward from the upper surface, the groove or hole A body part in which a first gear is formed on an inner circumferential surface and a first through hole through which a suture is penetrated is formed through a side surface; And a second gear which is inserted into the groove or hole and which is gear-engaged with the first gear at one end of the outer circumferential surface, and at the upper end of the insertion part and the insertion part where a second through hole through which the suture is penetrated is formed at the other end. It includes a suture rotating fastening part which protrudes above the upper surface of the body part and forms a rotational force transmission part in which a third gear is formed on an outer circumferential surface. It can be achieved by a medical suture retainer comprising a strap for suture tightening by pulling the end of the strap portion to rotate the suture rotating fastener to generate tension in the suture.

Here, the medical suture retainer may further include an adhesive sheet member having an adhesive layer formed to fix the body portion and adhere to the skin on the lower surface.

Here, the body portion further includes a flange portion extending in the form of a flange from the lower portion, the adhesive sheet member is a lower adhesive sheet member having the adhesive layer formed on the lower surface; And an upper adhesive sheet member that is adhered to an upper surface of the lower adhesive sheet member and interposed between the lower adhesive sheet member and the flange portion.

Here, the medical suture retainer may further include a release film covering the adhesive layer of the adhesive sheet member, and may include a strap portion for tightening the suture.

Here, a plurality of perforations may be formed in the adhesive sheet member.

Here, a plurality of the medical suture holders are arranged in a line, and the strap portion can be engaged with a plurality of the medical suture holders and rotate each of the suture rotating fasteners at once.

Here, it may further include a guide portion including an insertion groove for inserting at least a portion of the strap portion in the longitudinal direction of the strap portion and a support portion supporting the medical suture retainer when pulling the strap portion.

Here, the suture rotating fastener may rotate only in one direction by gear engagement between the first gear and the second gear.

Here, the body portion is a first body portion forming a bottom surface; And a second body portion formed by combining with the first body portion to form an upper surface, a hole penetrating the upper surface, and a first gear formed along the circumference of the inner circumferential surface of the hole.

Here, a first coupling portion protruding vertically upward is formed at a position spaced apart along the edge of the first body portion, and the first coupling portion protrudes vertically downward at a spaced edge along the upper surface edge of the second body portion. A second coupling part inserted into a space between the first and second body parts may be coupled, and the first through hole may be formed in the first coupling part or the second coupling part.

According to the medical suture retainer including a strap portion for tightening the suture of the present invention as described above, there is an advantage that the suture mounted to pass through a plurality of medical suture holders by the strap portion can be pulled and tightened at once.

In addition, since the suture is performed by a non-invasive method, there is an advantage that scarring can be minimized.

In addition, there is an advantage that the suture can be performed regardless of the shape of the incision.

In addition, there is also an advantage that the suture can be fixed by pulling the suture in a simple way to rotate the suture.

In addition, there is an advantage that it is easy to use so that the sutures cross because it uses a thin suture compared to the conventional strap method.

In addition, the use of a thin suture has the advantage that it is easy to additionally attach another retainer such as a tape.

There is also an advantage that the patient can remove the suture retainer directly after recovery.

1 is an exploded perspective view of a medical suture retainer according to an embodiment of the present invention.
Figure 2 is a perspective view of Figure 1 combined.
3 is a plan view showing the winding operation of the suture according to the rotation of the suture rotating fastener of the medical suture retainer according to an embodiment of the present invention.
4 is a perspective view of a strap portion according to an embodiment of the present invention.
5 is a perspective view of a guide unit according to an embodiment of the present invention.
6 to 9 is a perspective view showing a process of performing a suture using a medical suture retainer including a strap portion for tightening the suture according to the present invention for a straight incision.

Specific details of the embodiments are included in the detailed description and drawings.

Advantages and features of the present invention, and methods for achieving them will be clarified with reference to embodiments described below in detail together with the accompanying drawings. However, the present invention is not limited to the embodiments disclosed below, but may be implemented in various different forms, and only the embodiments allow the disclosure of the present invention to be complete, and common knowledge in the technical field to which the present invention pertains. It is provided to completely inform the person having the scope of the invention, and the present invention is only defined by the scope of the claims. Throughout the specification, the same reference numerals refer to the same components.

Hereinafter, the present invention will be described with reference to drawings for explaining a medical suture retainer including a strap portion for tightening a suture according to embodiments of the present invention.

1 is an exploded perspective view of a medical suture retainer according to an embodiment of the present invention, FIG. 2 is a combined perspective view of FIG. 1, and FIG. 3 is a suture rotating fastener of a medical suture retainer according to an embodiment of the present invention It is a plan view showing the winding operation of the suture according to the rotation.

The medical suture retainer 100 according to an embodiment of the present invention may include a body portion 110 and a suture rotating fastener 140. In addition, the adhesive sheet member 150 may be further included.

1 and 2, the body portion 110 has a shape in which a cylindrical groove digs inward from the upper surface 135 of the cylindrical body. The suture rotating fastener 140, which will be described later, is inserted into the groove to rotate. In this embodiment, for example, a cylindrical groove is formed, but if the suture rotating fastener 140 is inserted and can be rotated, the present invention is not limited thereto, and the upper surface 135 and the bottom surface 125 of the cylindrical body are A through-hole cylindrical hole may be formed.

A first gear 136 may be formed along an inner circumferential surface at an upper portion of the groove. The first gear 136 is in gear engagement with the second gear 146 formed on the outer circumferential surface of the suture rotating fastener 140 to be described later.

In addition, a first through hole 132 through which the suture 200 penetrates may be formed on a side surface of the body portion 110. At this time, the suture rotation fastener 140 formed in the center of the body portion 110 is formed to penetrate the portion where the groove is inserted, the first through hole 132 is on both sides facing the body portion 110 It is preferable to form each. Therefore, the suture 200 injected through the first through hole 132 on one side may pass through the first through hole 132 on the other side.

At this time, as shown, for assembling the suture rotating fastener 140, the body portion 110 may be formed separately from the first body portion 120 and the second body portion 130, respectively. The first body part 120 is formed with a first coupling part 127 protruding vertically upward at a position spaced a predetermined number from the circular bottom surface 125 along the edge, and the second body part to correspond thereto. 130, the second coupling portion 137 is formed to protrude downwardly at a position spaced a predetermined number from the upper surface 135, the second coupling to the space formed between the first coupling portion 127 The first body portion 120 and the second body portion 130 may be coupled to each other in such a way that the portion 137 is inserted.

At this time, the first gear 136 described above is formed along the circumference of the inner circumference on the inner circumferential surface of the hole 131 formed in the center of the upper surface 135 of the second body 130, and the bottom of the first body portion 120 In the center of the surface 125, a fixing part 129 for fixing the rotation suture to be rotated by inserting the suture rotating fastener 140 to be described later may be formed.

In addition, a first through hole 132 through which the above-described suture 200 is inserted and may be formed may be formed at a predetermined position of the first coupling portion 127 or the second coupling portion 137, but in the drawing, the second coupling The case where the first through hole 132 is formed in the portion 137 is shown.

An adhesive layer may be formed on the bottom surface 125 of the body portion 110 to directly fix the body portion 110 to the body, but in this embodiment, the adhesive sheet member 150 is separately formed to form the body portion. Let (110) be fixed to the skin.

The adhesive sheet member 150 is a plate-shaped member having a predetermined area in a shape of a circle, a rectangle, etc., so that an adhesive layer (not shown) is attached to the lower surface by attaching an adhesive tape or applying an adhesive material to the lower surface of the wound. Is formed. At this time, for the protection of the adhesive layer, a release film 160 covering the adhesive layer is formed to remove the release film 160 and press the adhesive sheet member 150 so that the adhesive layer contacts the skin. The suture retainer 100 can be attached to the skin.

At this time, the adhesive sheet member 150 is preferably formed of a soft material because it must be firmly attached without lifting along the curved surface of the human body when attached to the skin. For example, it may be formed of a thin cloth made of a non-woven material, but is not limited thereto.

In addition, a plurality of perforations 158 may be formed on the adhesive sheet member 150 as shown in FIG. 1. The perforations 158 increase the adhesive strength of the adhesive sheet member 150 formed of a soft material, and further serve to maintain the skin to which the adhesive sheet member 150 is attached, in contact with air.

The body portion 110 is fixed to the adhesive sheet member 150, and may be formed separately from the lower adhesive sheet member 155 and the upper adhesive sheet member 152 to securely fix the body portion 110. The lower adhesive sheet member 155 on which the adhesive layer is formed and the upper adhesive sheet member 152 are bonded to each other to form the adhesive sheet member 150, which extends horizontally in the form of a flange at the lower end of the first body portion 120. The flange portion 124 is formed, the lower adhesive sheet member 155 by interposing the flange portion 124 of the first body portion 120 between the lower adhesive sheet member 155 and the upper adhesive sheet member 152 Body portion 110 can be firmly fixed to the adhesive sheet member 150 by the strong adhesive force between and the upper adhesive sheet member 152. At this time, a hole 152 may be formed in the upper adhesive sheet member 152 so that the rest of the body portion 110 penetrates, except for the flange portion 124 described later.

The suture rotating fastener 140 may include an insertion unit 141 and a rotational force transmission unit 148. The insertion portion 141 is cylindrically inserted into and rotates in a cylindrical groove or hole formed inward from the upper surface 135 of the body portion 110, and the outer circumferential surface of the insertion portion 141 is rotated along the circumference of the outer circumferential surface. A second gear 146 geared with the first gear 136 may be formed. Accordingly, the suture rotating fastener 140 may be rotatable within the body portion 110 by the gear coupling to the insertion portion 141 inserted in the body portion 110. At this time, it is preferable to configure the suture rotating fastener 140 to rotate only in one direction according to the shape of the gear.

Furthermore, a second through hole 142 through which the suture 200 penetrates may be formed at a lower end of the insertion portion 141. Thus, the suture 200 injected through the first through hole 132 formed on one side of the body portion 110 is the second through hole 142 formed in the insertion portion 141 of the suture rotating fastener 140 The suture 200 may be coupled to pass through and pass through the first through hole 132 formed on the other side of the body portion 110.

Thus, as shown in FIG. 3, when the suture rotating fastener 140 is rotated in one direction, the suture 200 is wound along the outer circumferential surface of the insertion portion 141, or the suture 200 has a longer moving path, thereby increasing the suture. It can provide tension to 200. For reference, FIG. 3(a) shows the state in which the suture 200 is fastened, and FIG. 3(b) rotates the suture rotating fastener 140 in the clockwise direction at a predetermined angle in FIG. 3(a). State.

The rotational force transmitting portion 148 protrudes from the upper portion of the insertion portion 141 to the upper surface of the body portion 110 to rotate the suture rotating fastener 140 using the strap portion 170 described later. At this time, a third gear 149 may be formed on the outer circumferential surface of the rotational force transmission unit 148 as illustrated.

Hereinafter, the strap portion and the guide portion for pulling and tightening the suture attached to the aforementioned medical suture retainer with reference to FIGS. 4 to 5 will be described.

4 is a perspective view of a strap portion according to an embodiment of the present invention, and FIG. 5 is a perspective view of a guide portion according to an embodiment of the present invention.

The strap portion 170 shown in FIG. 4 is formed with a handle portion 172 to insert and pull a finger at the end in a long strip shape, and a fourth side is formed on one side of the long strip-shaped strap 174. The gear 175 is formed to be engaged with the third gear 149 formed in the rotational force transmission unit 148 of the suture rotating fastener 140. Therefore, after the gear is coupled between the strap portion 170 and the rotational force transmitting portion 148, the grip portion 172 is grasped and pulled to rotate the suture rotating fastener 140. Accordingly, as described above with reference to FIG. 3, the suture 200 is wound on the insertion portion 141 of the suture rotating fastener 140 or the movement path of the suture 200 is lengthened to provide tension to the suture 200. I can do it.

In particular, the strap portion 170 of the present invention is a fourth gear of the strap portion 170 in a state in which a plurality of medical suture retainers 100 are attached in line to the skin as described below with reference to FIGS. 6 to 9. (175) by pulling the strap portion 170 in the state of gear engagement with the third gear 149 of each medical suture retainer 100, the suture rotating fastener of the plurality of medical suture retainers 100 ( 140) can be rotated all at once to pull and tighten the suture 200 with a constant force.

In this case, when the suture 200 is pulled using the strap portion 170 to generate tension, the guide portion 180 may be further included to operate more stably. When the strap portion 170 is pulled, the medical suture retainer 200 attached to the skin may move, and thus the transmission of the force pulling the strap portion 170 may not be easy, and further, the third gear 149 and the fourth This is because gear coupling between the gears 175 may be released.

Guide portion 180, as shown in Figure 5, a plurality of insertion grooves 182 and the medical suture retainer 100 to insert at least a portion of the strap portion 170 in the longitudinal direction of the strap portion 170 It may be formed by including a support portion 184 for contacting the fixed position of the medical suture holder 100 in contact with ). The fourth gear 175 of the strap portion 170 is exposed in a space between the plurality of insertion grooves 182 arranged in a line to make gear engagement with the third gear 149 of the medical suture retainer 100. Can be. In addition, the support portion 184 may be formed to support the upper portion of the medical suture retainer 100, the inner surface of the support portion 184 is formed with a protrusion protruding cylindrically 185, the rotational force transmitting portion 148 An insertion fixing portion 147 into which the protrusion portion 185 is inserted is formed at an upper end portion of the upper portion, thereby maintaining a plurality of medical sutures through a guide portion 180 by inserting the protrusion portion 147 into the insertion fixing portion 147. The base 100 can be stably supported. The configuration of the supporting portion 184 is not limited to this, as long as it can be stably supported in contact with the plurality of medical suture holders 100 arranged in a row.

As described above, in this embodiment, each of the plurality of medical suture retainers 100 is pulled by pulling the strap 170 while the plurality of medical suture holders 100 are stably supported by the guide unit 180. The rotational force transmitting unit 148 can be stably rotated.

In the present invention, a plurality of the above-described medical suture retainers 100 are attached to both sides of the incision wound site, and the first through hole 132 and the second through hole of each medical suture retainer 100 After connecting the suture 200 through 142, the suture 200 is pulled and fixed by rotating the suture rotating fastener 140 through the rotational force transmitting unit 148, thereby attaching it to the skin by the tension of the suture 200 As the suture retainer 100 is pulled, the incised skin part may be pulled to close and close it. That is, in the prior art, the incision was closed by a method of stitching the suture 200 through the skin using a surgical needle, but in the present invention, the suture 200 is used, but the medical suture retainer 100 attached to the skin The suture 200 is inserted through to suture the skin by pulling by tension. At this time, since the suture 200 used in the present invention is not used by invading the skin as in the prior art, it is not limited to the suture 200 used when invading, and various types of suture 200 may be used.

Therefore, in the present invention, since the suture is performed using the suture 200 as a non-invasive method, scarring can be minimized. In addition, since the thin suture 200 is used compared to the conventional strap method, it is easy to use the suture 200 to cross.

Hereinafter, an example of a use aspect of the medical suture retainer 100 according to the present invention described with reference to FIGS. 5 to 9 will be described.

6 to 9 is a perspective view showing a process of performing a suture using a medical suture retainer including a strap portion for tightening the suture according to the present invention for a straight incision.

First, before using the medical suture retainer 100 according to the present invention, disinfection of the incised wound site is essential, and foreign matter, moisture, grease, etc. are attached to the attachment site so that it can be firmly attached by the adhesive sheet member 110. It is desirable to wipe it clean so that it does not exist.

When the disinfection of the wound site is completed as described above, the release film 160 is removed, and the suture retainer 100 according to the present invention is pressed to the skin on both sides of the incision site as shown in FIG. It is attached to the location and a predetermined number of.

Next, as illustrated in FIG. 7, the suture 200 is penetrated through the first through hole 132 and the second through hole 142 to connect between the adjacent suture retainers 100. At this time, it is preferable to connect in a zigzag form so that the suture 200 crosses around the wound.

In addition, both ends of the suture 200 are preferably fixed to pass through the suture holder 100 so as not to pass completely, for example, as shown in the enlarged view of FIG. 6, the first through hole 132 Each of the ends of the suture 200 is fixed by attaching a button-shaped member larger than the size of each to both ends of the suture 200 to the member, or both ends of the suture 200 are adhesive or tape. It is possible to use a method of fixing in a different fixed position.

Next, as shown in FIG. 8, a plurality of medical suture retainers arranged in a row using the support portion 184 in a state where the strap portion 170 is inserted into the insertion groove 182 of the guide portion 180 ( 100) to position the guide portion 180 to stably support. At this time, the fourth gear 175 of the strap portion 170 and the third gear 146 formed on the suture rotating fastener 140 are gear-engaged.

Next, as illustrated in FIG. 9, the strap portion 170 is pulled in a state in which the plurality of medical suture holders 100 are stably supported through the guide portion 180 and geared with the strap portion 170. Each suture rotating fastener 140 of the plurality of medical suture holders 100 is rotated to pull and tighten the suture 200. The suture retainer 100 attached to the skin may be moved by the tension pulling the suture 200 to pull the incised skin area to seal the incision. At this time, it is preferable to arrange a plurality of medical suture retainers 100 on both sides around the incision, and pull the straps 170 located on each side at once to provide tension to the suture 200 and tighten. Do.

As described above, since the first gear 136 and the second gear 146 are rotated by a gear combination that rotates only in one direction, their positions are fixed together with the rotation of the suture rotating fastener 140.

The scope of the present invention is not limited to the above-described embodiments, but can be implemented in various forms of embodiments within the scope of the appended claims. Any person skilled in the art to which the present invention pertains without departing from the gist of the present invention as claimed in the claims is deemed to be within the scope of the claims of the present invention to a wide range that can be modified.

100: suture retainer 110: body portion
120: first body portion 124: flange portion
125: bottom surface 127: first engaging portion
129: fixing portion 130: second body portion
131: hole 132: first through hole
135: upper surface 136: first gear
137: second engaging portion 140: suture rotating tightening portion
141: insertion portion 142: second through hole
146: second gear 147: insertion fixing
148: rotation force transmission unit 149: third gear
150: adhesive sheet member 152: upper adhesive sheet member
153: hole 155: lower adhesive sheet member
158: perforation 160: release film
170: strap portion 172: handle portion
174: strap 175: fourth gear
180: guide portion 182: insertion groove
184: support 185: protrusion

Claims (10)

A medical suture retainer used to suture incised or torn wounds during surgery,
The medical suture retainer
A body part in which a groove or a hole that is dug inward from an upper surface is formed, a first gear is formed on an inner circumferential surface of the groove or hole, and a first through hole through which a suture passes through the side surface; And
It is inserted into the groove or hole, and a second gear that is gear-engaged with the first gear is formed at one end of the outer circumferential surface, and at the upper end of the insertion portion and an upper portion of the insertion portion, a second through hole through which the suture is penetrated is formed at the other end. It extends over the upper surface of the body portion and includes a suture rotating fastening portion in which a rotational force transmission portion in which a third gear is formed on the outer circumferential surface is formed,
A fourth gear is formed on one side in the form of a strap, and pulls the end of the strap portion for gear engagement with the third gear to rotate the suture rotating fastener to generate tension in the suture, and includes a strap for suture tightening Medical suture retainer. According to claim 1,
The medical suture retainer
A medical suture retainer comprising a strap portion for tightening the suture, further comprising an adhesive sheet member having an adhesive layer formed to fix the body portion and adhere to the skin on the lower surface. According to claim 2,
The body portion
Further comprising a flange portion extending in the form of a flange at the lower end,
The adhesive sheet member
A lower adhesive sheet member having the adhesive layer formed on the lower surface; And
A medical suture retainer comprising a strap portion for tightening a suture, which includes an upper adhesive sheet member that is bonded to an upper surface of the lower adhesive sheet member and interposes the flange portion between the lower adhesive sheet member. According to claim 2,
The medical suture retainer
A medical suture retainer further comprising a release film covering the adhesive layer of the adhesive sheet member, the strap portion for tightening the suture. According to claim 2,
The adhesive sheet member has a plurality of perforations are formed, a medical suture retainer comprising a strap for tightening the suture. According to claim 1,
A plurality of the medical suture holders are arranged in a line,
The strap portion is a medical suture retainer comprising a strap portion for fastening the suture, which is geared with a plurality of the medical suture holder and rotates each of the suture rotating fasteners at once. The method of claim 6,
Further comprising a guide portion including an insertion groove for inserting at least a portion of the strap portion in the longitudinal direction of the strap portion and a support portion supporting the medical suture retainer when pulling the strap portion, a medical suture holder including a strap portion for tightening the suture . According to claim 1,
The suture rotating fastener is rotated only in one direction by a gear coupling between the first gear and the second gear, and the medical suture retainer including a strap portion for tightening the suture. According to claim 1,
The body portion
A first body part forming a bottom surface; And
A strap for fastening the suture, which is formed by combining the first body portion to form an upper surface, wherein a hole penetrating the upper surface is formed and a second body portion is formed along the circumference of the inner peripheral surface of the hole. A medical suture retainer comprising parts. The method of claim 9,
A first engaging portion protruding vertically upward is formed at a position spaced apart along the edge of the first body portion, and protruding vertically downward at a spaced edge along the upper surface edge of the second body portion between the first coupling portions. A second coupling portion inserted into the space is formed to combine the first body portion and the second body portion,
A medical suture retainer including a strap portion for fastening suture, wherein the first through hole is formed in the first coupling portion or the second coupling portion.

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