KR20200025370A - Suture retention device including strap member for tightening suture - Google Patents

Abstract

The present invention relates to a medical suture retainer including a strap part for tightening a suture. The medical suture retainer including a strap part for tightening a suture according to the present invention, which is used to suture a wound site cut or torn during surgery, comprises: a body part having a groove or a hole recessed from an upper surface to the inside, a first gear formed on an inner circumferential surface of the groove or the hole, and a first through-hole of which a suture passes through a side surface; an insertion part inserted into the groove or the hole, having a second gear gear-coupled to the first gear on one end of an outer circumferential surface, and having a second through-hole, through which the suture passes, formed at the other end; and a suture rotation tightening part having a rotation force transmission part which is extended and protrudes from an upper part of the insertion part to above an upper surface of the body part and has a third gear formed on an outer circumferential surface thereof. In addition, a fourth gear is formed on one side surface in a strap shape to pull an end of the strap part which is gear-coupled to the third gear to rotate the suture rotation tightening part, thereby generating tension in the suture.

Description

Medical suture retainer including 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 sutures, and more particularly, the sutures are pulled directly through the wound by touching the sutures in contact with each other in the state of being attached to both skin of the incision or torn wound during surgery. The present invention relates to a medical suture retainer including a strap portion for tightening a suture that can be pulled and tightened at a time by a strap portion of a suture mounted through a plurality of medical suture retainers to enable skin suture without sewing.

If the incision was made during surgery or the skin was injured due to inadvertent accident, it was treated by preventing susceptible bacterial infection from outside and sutured for wound treatment. Sutures that suture the incision wound in this way is important to keep the skin surface open torn apart, thereby preventing bleeding and infection, and to ensure that the torn site is joined by skin regeneration.

 Conventionally, the suture is stitched to the skin or the skin is sewn by a method of fixing a staple to the skin. The method has the advantage of tightly binding the wound within a short time, but there are many scars due to skin invasion of the suture or staple. There were cosmetic shortcomings.

Thus, as disclosed in Korean Patent No. 10-1619500, a method of pulling and fixing by using a strap in a state in which it is attached to both skin of the cut incision site, the skin closure device to perform skin closure by a non-invasive method Is disclosed and used.

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

Republic of Korea Patent No. 10-1619500

Accordingly, an object of the present invention is to solve such a conventional problem, using a traditional suture with the suture retainer attached to both skin of the incision site, but by suturing the suture retainer by pulling and fixing the suture retainer without penetrating the skin. To perform, but to provide a medical suture retainer comprising a strap portion for tightening the suture can be pulled together to tighten the suture attached to the plurality of medical suture retainer at one time.

Problems to be solved by the present invention are not limited to the above-mentioned problems, 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 to be used to seal the wound or torn wound during surgery, the medical suture retainer is formed with a groove or hole that is indented from the upper surface inwards, A body part having a first gear formed on an inner circumferential surface thereof and having a first through hole through which a suture passes; And an insertion part inserted into the groove or hole and having a second gear formed at one end of an outer circumferential surface thereof and gear-engaged with the first gear, and having a second through hole through which the suture penetrates at the other end thereof. It includes a suture rotation tightening portion extending from the upper surface of the body protruding over the upper surface to form a rotational force transmission portion is formed on the outer circumferential surface, the fourth gear is formed on one side in the form of a strap to the gear coupling with the third gear It may be achieved by a medical suture retainer comprising a strap portion for suture tightening, by pulling the end of a strap portion to rotate the suture rotational tightening portion to generate tension in the suture.

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

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

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

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

Here, a plurality of medical suture holders may be arranged in a row, and the strap part may be engaged with a plurality of the medical suture holders and rotate each of the suture rotation fasteners at once.

The apparatus may further include a guide part including an insertion groove for inserting at least a portion of the strap part in a length direction of the strap part and a support part supporting the medical suture retainer when the strap part is pulled out.

Here, the suture rotation tightening unit can rotate only in one direction by the gear coupling between the first gear and the second gear.

Here, the body portion first body portion to form a bottom surface; And a second body portion which is coupled to the first body portion to form an upper surface, and a through hole is formed in the upper surface, and a first gear is formed around the inner circumferential surface of the hole.

Herein, a first coupling part is formed to protrude upwardly vertically at a position spaced along an edge of the first body part, and protrudes vertically downward at a position spaced along an edge of an upper surface of the second body part so that the first coupling part is formed. A second coupling part inserted into a space between the first coupling part and the second coupling part 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 sutures mounted to pass through the plurality of medical suture retainers 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 the scar 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 an advantage that can be fixed by pulling the suture in a simple way to rotate the suture rotation tightening.

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

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

There is also the 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.
2 is a perspective view of the combination of FIG.
3 is a plan view illustrating a winding operation of the suture according to the rotation of the suture rotation tightening unit of the medical suture retainer according to an embodiment of the present invention.
Figure 4 is a perspective view of the 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 are perspective views illustrating a process of performing a suture using a medical suture retainer including a strap for tightening a suture according to the present invention with respect to 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 apparent with reference to the embodiments described below in detail in conjunction with the accompanying drawings. However, the present invention is not limited to the embodiments disclosed below, but may be embodied in various different forms, and the present embodiments merely make the disclosure of the present invention complete, and those of ordinary skill in the art to which the present invention belongs. It is provided to fully inform the person having the scope of the invention, which is defined only by the scope of the claims. Like reference numerals refer to like elements throughout.

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

Figure 1 is an exploded perspective view of the medical suture retainer according to an embodiment of the present invention, Figure 2 is a perspective view of the combination of Figure 1, Figure 3 is a suture rotation tightening portion of the medical suture retainer according to an embodiment of the present invention A top view showing the winding operation of the suture according to the rotation of the.

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

As shown in FIGS. 1 and 2, the body part 110 has a shape in which a cylindrical groove is formed inwardly formed from the upper surface 135 of the cylindrical body. The groove is inserted into the suture rotation fastener 140 to be described later to be rotated. In the present embodiment, for example, a cylindrical groove is formed, but not limited to the suture rotation tightening unit 140 is inserted and rotated as long as it is not limited to the upper surface 135 and the bottom surface 125 of the cylindrical body. The through-hole cylindrical hole may be formed.

The first gear 136 may be formed along the inner circumferential surface of the groove. The first gear 136 is in gear coupling with the second gear 146 formed on the outer circumferential surface of the suture rotation tightening unit 140 to be described later.

In addition, a first through hole 132 through which the suture 200 penetrates may be formed at a side surface of the body 110. At this time, the suture rotation tightening unit 140 formed in the center of the body 110 is formed so as to penetrate the portion where the groove is inserted, the first through hole 132 is on both sides of the body portion 110 facing each other. 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.

In this case, as shown, the body portion 110 may be separately formed into the first body portion 120 and the second body portion 130 for assembly with the suture rotation tightening portion 140. The first body part 120 has a first coupling part 127 which protrudes vertically upward at a position spaced apart by a predetermined number along the edge of the circular bottom surface 125, and the second body part so as to correspond thereto. 130 is formed with a second coupling portion 137 protruding downwardly vertically at a position spaced apart from the upper surface 135 by a predetermined number, the second coupling in the space formed between the first coupling portion 127 The first body part 120 and the second body part 130 may be coupled to each other by the method in which the part 137 is inserted.

At this time, the above-described first gear 136 is formed along the inner circumference of the inner circumferential surface of the hole 131 formed at the center of the upper surface 135 of the second body 130, and the bottom of the first body 120 is formed. In the center of the surface 125, a fixing portion 129 for inserting the suture rotation fastener 140, which will be described later, to be rotatable and fixed may be formed.

In addition, a first through hole 132 through which the aforementioned suture 200 is inserted and penetrated may be formed at a predetermined position of the first coupling part 127 or the second coupling part 137. The case where the first through hole 132 is formed in the portion 137 is illustrated.

Although the adhesive layer may be formed on the bottom surface 125 of the bottom of the body part 110 to directly fix the body part 110 to the body, in this embodiment, the adhesive sheet member 150 is separately formed to form the body part. Fix 110 to the skin.

The adhesive sheet member 150 is a plate-shaped member having a predetermined area in the shape of a circle, a rectangle, and the like, and an adhesive layer (not shown) is attached to the lower surface by attaching an adhesive tape or applying an adhesive material to be attached to the skin of the wound. Is formed. In this case, the release film 160 covering the adhesive layer is formed to protect the adhesive layer, thereby removing the release film 160 and pressing 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 should 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 of nonwoven material, but is not limited thereto.

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

The body part 110 is fixed to the adhesive sheet member 150, and may be formed by being separated into the lower adhesive sheet member 155 and the upper adhesive sheet member 152 to firmly fix the body part 110. The lower adhesive sheet member 155 and the upper adhesive sheet member 152 on which the adhesive layer is formed are bonded to each other to form an adhesive sheet member 150. The lower end of the first body part 120 extends horizontally in the form of a flange. The flange portion 124 is formed, and the lower adhesive sheet member 155 by opening the flange portion 124 of the first body portion 120 between the lower adhesive sheet member 155 and the upper adhesive sheet member 152. And the body part 110 can be firmly fixed to the adhesive sheet member 150 by the strong adhesive force between the upper adhesive sheet member 152 and the upper adhesive sheet member 152. In this case, a hole 152 may be formed in the upper adhesive sheet member 152 so that the body portion 110 passes through except for the flange portion 124 which will be described later.

Suture rotation tightening unit 140 may be composed of an insertion unit 141 and the rotational force transmission unit 148. The insertion part 141 is cylindrically inserted into the cylindrical groove or hole formed inwardly from the upper surface 135 of the body part 110, and rotates, and one end of the outer circumferential surface of the insertion part 141 is formed along the circumference of the outer circumferential surface. A second gear 146 in gear engagement with the first gear 136 may be formed. Therefore, the suture rotation fastener 140 may be rotatable within the body 110 by the gear coupling to the insertion portion 141 inserted into the body 110. At this time, according to the shape of the gear suture rotation tightening unit 140 is preferably configured to rotate only in one direction.

In addition, a second through hole 142 through which the suture 200 penetrates may be formed at a lower end of the insertion part 141. Therefore, the suture 200 injected through the first through hole 132 formed at one side of the body part 110 is the second through hole 142 formed in the insertion part 141 of the suture rotation tightening part 140. The suture 200 may be coupled to pass through and pass through the first through hole 132 formed at the other side of the body 110.

Therefore, as shown in FIG. 3, when the suture rotation tightening unit 140 rotates in one direction, the suture 200 is wound along the outer circumferential surface of the insertion unit 141, or the movement path of the suture 200 is lengthened to suture. Tension may be provided at 200. For reference, (a) of FIG. 3 is a state in which the suture 200 is fastened. FIG. 3 (b) rotates the suture rotation fastener 140 in a clockwise direction at a predetermined angle in FIG. 3 (a). The state is shown.

The rotational force transmission part 148 protrudes from the upper part of the insertion part 141 and extends over the upper surface of the body part 110 to rotate the suture rotation tightening part 140 using the strap part 170 to be described later. In this case, a third gear 149 may be formed on the outer circumferential surface of the rotation force transmitting unit 148 as shown.

Hereinafter, with reference to FIGS. 4 to 5 will be described with respect to the strap portion and the guide portion for pulling and tightening the suture is mounted on the medical suture retainer described above.

4 is a perspective view of a strap unit according to an embodiment of the present invention, Figure 5 is a perspective view of a guide unit according to an embodiment of the present invention.

Strap portion 170 shown in Figure 4 has a long belt-like handle portion 172 is formed to be pulled by inserting the finger at the end, the long side of the strap-shaped strap 174 is fourth The gear 175 is formed to be in gear engagement with the third gear 149 formed in the rotational force transmission unit 148 of the suture rotation tightening unit 140. Therefore, the gear unit is engaged between the strap unit 170 and the rotational force transmission unit 148, and then the handle unit 172 is pulled out and the suture rotation tightening unit 140 can be rotated. Therefore, as described above with reference to FIG. 3, the suture 200 is wound around the insertion portion 141 of the suture rotation tightening unit 140 or the movement path of the suture 200 is lengthened to provide tension to the suture 200. You can do it.

In particular, the strap 170 of the present invention is the fourth gear of the strap 170 in a state in which the plurality of medical suture retainer 100 is attached to the skin in a line as described below with reference to FIGS. Suture rotation fasteners of the plurality of medical suture retainers 100 by pulling the strap portion 170 in a state in which 175 is in gear engagement with the third gear 149 of each medical suture retainer 100 ( 140) by rotating the suture 200 can be tightened by pulling a certain force at a time.

At this time, the guide portion 180 may be further included to operate the strap 200 more stably when pulling the suture 200 to generate tension. When pulling out the strap 170, the medical suture retainer 200 attached to the skin may move to transfer the force to pull the strap 170, and further, the third gear 149 and the fourth. This is because the gear coupling between the gears 175 may be released.

The guide portion 180 includes a plurality of insertion grooves 182 and medical suture retainers 100 for inserting at least a portion of the strap portion 170 in the longitudinal direction of the strap portion 170 as shown in FIG. 5. It may be formed to include a support portion 184 to contact and securely hold the position of the medical suture holder (100). The fourth gear 175 of the strap unit 170 is exposed in the space between the plurality of insertion grooves 182 arranged in a line to be in gear engagement with the third gear 149 of the medical suture retainer 100. There is a number. 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 projecting in the cylindrical shape 185, the rotational force transmission unit 148 Insertion fixing part 147 is formed at the upper end of the protrusion 185 is inserted, the plurality of medical suture is maintained through the guide portion 180 by inserting the protrusion 147 into the insertion fixing portion 147. The machine 100 can be stably supported. The configuration of the support 184 is not limited to this, as long as it can contact the plurality of medical suture holders 100 arranged in a line and stably support the position.

As described above, in the present embodiment, each of the plurality of medical suture holders 100 is pulled by pulling the strap 170 in a state in which the plurality of medical suture holders 100 are stably supported. The rotation force transmission unit 148 can be stably rotated.

In the present invention, a plurality of the above-described medical suture retainer 100 is attached to both sides of the wound site, and the first through hole 132 and the second through hole of each medical suture retainer 100 are attached to each other. After connecting the suture 200 through 142, by rotating the suture rotation tightening unit 140 through the rotational force transmission unit 148 to pull the suture 200 fixed, the attachment to the skin by the tension of the suture 200 As the pulled suture retainer 100 is pulled, the cut skin region may be pulled to close and close. That is, in the prior art, the suture 200 was sewn by a method of sewing the suture 200 to penetrate the skin, but in the present invention, the suture 200 is used, but the medical suture retainer 100 is attached to the skin. Insert the suture 200 through to suture the skin by pulling by tension. At this time, since the suture 200 used in the present invention is not used to invade the skin as in the prior art, the suture 200 may be used in various forms without being limited to the suture 200 used during invasion.

Therefore, in the present invention, since the suture is performed using the suture 200 in a non-invasive manner, the scar can be minimized. In addition, since it uses a thin suture 200 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 are perspective views illustrating a process of performing a suture using a medical suture retainer including a strap for tightening a suture according to the present invention with respect to a straight incision.

First, disinfection of the cut wound site is essential before using the medical suture retainer 100 according to the present invention, and foreign substances, moisture, grease, etc. to the attachment site so as to be firmly attached by the adhesive sheet member 110. It is advisable to wipe it clean so that it is free.

When the disinfection of the wound is completed as described above, the release film 160 is removed, and as shown in FIG. 6, the suture retainer 100 according to the present invention is pressed onto the skin on both sides of the incision site, and the predetermined pressure is applied to the skin. Position and attach to a predetermined number.

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

In addition, it is preferable to fix both ends of the suture 200 so as not to completely pass through the suture retainer 100. For example, as shown in the enlarged view of FIG. Fixing both ends of the suture 200 by the method of tying the suture 200 to the member by each having a button-shaped member larger than the size of the end, or both ends of the suture 200 with an adhesive or tape You can use a method of fixing to another fixed position.

Next, as illustrated in FIG. 8, a plurality of medical suture retainers arranged in a line using the support part 184 in a state in which the strap part 170 is inserted into the insertion groove 182 of the guide part 180 ( The guide part 180 is positioned to stably support 100. At this time, the fourth gear 175 of the strap unit 170 and the third gear 146 formed in the suture rotation tightening unit 140 is gear-coupled.

Next, as shown in FIG. 9, the strap portion 170 is geared with the strap portion 170 by pulling the strap portion 170 while stably supporting the plurality of medical suture retainers 100 through the guide portion 180. Each suture rotary tightening unit 140 of the plurality of medical suture retainer 100 is rotated to pull and suture the suture 200. The suture retainer 100 attached to the skin is moved by the tension to pull the suture 200 to pull the cut incision skin to suture 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 strap 170 located at each side at the same time to provide tension to the suture 200 at the same time. Do.

As described above, since the first gear 136 and the second gear 146 rotate by a gear coupling that rotates in only one direction, the position of the first gear 136 and the second gear 146 is fixed together with the rotation of the suture rotation fastener 140.

The scope of the present invention is not limited to the above-described embodiments but may be implemented in various forms of embodiments within the scope of the appended claims. Without departing from the gist of the invention as claimed in the claims, it is intended that any person skilled in the art to which the invention pertains falls within the scope of the claims described in the present invention to various extents which can be modified.

100: suture holder 110: body portion
120: first body portion 124: flange portion
125: bottom surface 127: first coupling portion
129: fixed portion 130: second body portion
131: hole 132: first through hole
135: upper surface 136: first gear
137: second coupling portion 140: suture rotation tightening portion
141: insertion portion 142: second through hole
146: second gear 147: insertion fixing
148: torque transmission unit 149: third gear
150: adhesive sheet member 152: upper adhesive sheet member
153: hole 155: lower adhesive sheet member
158: perforated 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)

In a medical suture retainer used to suture a wound or torn wound during surgery,
The medical suture retainer
A body portion having a groove or a hole formed inwardly from an upper surface, a first gear formed on an inner circumferential surface of the groove or hole, and a first through hole through which a suture passes; And
An insertion part inserted into the groove or hole and having a second gear formed at one end of an outer circumferential surface thereof and engaging with the first gear and a second through hole through which the suture penetrates at the other end thereof; It includes a suture rotation tightening portion extending from the upper surface of the body portion protruding to form a rotational force transmission portion is formed on the outer peripheral surface,
A fourth gear is formed on one side in the form of a strap and pulls an end portion of the strap portion for gear engagement with the third gear to rotate the suture rotation tightening portion to generate tension in the suture, including a strap portion for suture tightening Medical Suture Retainer. The method of claim 1,
The medical suture retainer
A medical suture retainer comprising a strap portion for suture tightening, further comprising an adhesive sheet member having an adhesive layer formed thereon to fix the body and be attached to the skin on the lower surface. The method of claim 2,
The body part
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 a lower surface thereof; And
A medical suture retainer comprising a strap portion for suture tightening, the upper adhesive sheet member adhered to an upper surface of the lower adhesive sheet member, the upper adhesive sheet member opening the flange portion between the lower adhesive sheet member. The method of claim 2,
The medical suture retainer
Medical suture retainer comprising a strap for tightening the suture further comprises a release film covering the adhesive layer of the adhesive sheet member. The method of claim 2,
Medical adhesive suture retainer comprising a strap portion for tightening the suture, the adhesive sheet member is formed with a plurality of perforations. The method of claim 1,
Arrange a plurality of medical suture holder in a row,
And the strap portion is gear-coupled with a plurality of medical suture retainers and includes a strap portion for suture tightening to rotate each of the suture rotation fasteners at once. The method of claim 6,
A medical suture retainer comprising a strap portion for suture tightening, further comprising a guide portion including an insertion groove for inserting at least a portion of the strap portion in a longitudinal direction of the strap portion and a support portion supporting the medical suture retainer when the strap portion is pulled out. . The method of claim 1,
Medical suture retainer comprising a strap portion for suture tightening, the suture rotation tightening unit rotates in only one direction by the gear coupling between the first gear and the second gear. The method of claim 1,
The body part
A first body part forming a bottom surface; And
A strap for fastening sutures is formed by combining with the first body portion to form an upper surface, the upper surface is formed through the second body portion is formed through the periphery of the hole and the first gear is formed around the inner circumferential surface of the hole; Medical suture retainer comprising a part. The method of claim 9,
A first coupling part is formed to protrude upwardly vertically at a position spaced along an edge of the first body portion, and protrudes vertically downward at a position spaced along an edge of an upper surface of the second body portion, so that the first coupling portion is disposed between the first coupling portion. A second coupling part inserted into a space is formed to couple the first body part to the second body part,
Medical suture retainer comprising a strap for tightening the suture, the first through-hole is formed in the first coupling portion or the second coupling portion.

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