RU2355333C2 - Способ наложения швов - Google Patents

Способ наложения швов Download PDF

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RU2355333C2
RU2355333C2 RU2005113280/14A RU2005113280A RU2355333C2 RU 2355333 C2 RU2355333 C2 RU 2355333C2 RU 2005113280/14 A RU2005113280/14 A RU 2005113280/14A RU 2005113280 A RU2005113280 A RU 2005113280A RU 2355333 C2 RU2355333 C2 RU 2355333C2
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suture
tissue
thread
point
cosmetic surgery
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Эндрю КАПЛАН (US)
Эндрю КАПЛАН
Грегори РУФФ (US)
Грегори РУФФ
Джеффри К. ЛЕУНГ (US)
Джеффри К. ЛЕУНГ
Мэттью А. МЕГАРО (US)
Мэттью А. МЕГАРО
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Квилл Медикал, Инк.
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Abstract

Изобретение относится к медицине, хирургии, может быть использовано при выполнении косметических операций. Используют шовную нить с заусенцами. Шовная нить содержит удлиненное тело, заостренные дистальные концы для проникновения в ткань и множество заусенцев. Заусенцы на первой части тела нити между первым концом и первым положением вдоль тела нити обеспечивают возможность движения нити относительно ткани в направлении движения первого конца и предотвращают возможность движения шовной нити в направлении, противоположном движению первого конца. Заусенцы на второй части тела нити между вторым концом шовной нити и вторым положением вдоль тела нити обеспечивают движение в направлении движения второго конца и предотвращают движение в направлении, противоположном движению второго конца. Проталкивание первого конца нити через ткань осуществляют, пока первый конец не выступит в точке выхода. Вытягивают первый конец нити до тех пор, пока второе положение вдоль тела нити не будет вблизи точки введения первого конца шовной нити. Вводят второй конец нити в точке введения первого конца. Вытягивают второй конец нити, пока второе положение не будет вблизи точки введения второго конца нити. После введения и проталкивания концов нити, ручной группировки и продвижения ткани относительно шовной нити выполняют ее подтяжку. В одном из вариантов используют устройство для введения, включающее трубчатый элемент для размещения шовной нити. Шовную нить в одном из вариантов проводят через мягкую ткань, в другом варианте шовную нить проводят через субэпидермальную ткань. При осуществлении косметической операции в частных с

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Claims (17)

1. Способ выполнения косметических операций с использованием шовной нити с заусенцами, включающей удлиненное тело, первый и второй заостренные дистальные концы для проникновения в ткань и множество заусенцев, выступающих из периферии тела нити, где заусенцы на первой части тела нити между первым концом шовной нити и первым положением вдоль тела нити обеспечивают возможность движения шовной нити через ткань в направлении движения первого конца и предотвращают движение шовной нити относительно ткани в направлении, противоположном направлению движения первого конца, а заусенцы на второй части тела нити между вторым концом шовной нити и вторым положением вдоль тела нити, которая меньше, чем расстояние от второго конца до первого положения вдоль тела нити, обеспечивают возможность движения шовной нити через ткань в направлении движения второго конца, и предотвращают движение шовной нити относительно ткани в направлении, противоположном направлению движения второго конца, где способ включает стадии:
(а) введения первого заостренного конца в точке введения на поверхности тела индивидуума;
(b) проталкивания первого конца шовной нити через мягкую ткань до тех пор, пока первый конец шовной нити не выступит из мягкой ткани в точке выхода;
(с) захвата и вытягивания первого конца шовной нити для протаскивания первой части шовной нити через мягкую ткань до тех пор, пока второе положение вдоль тела нити не будет вблизи точки введения первого конца шовной нити, и оставляя отрезок первой части шовной нити в мягкой ткани между точкой введения и точкой выхода первого конца;
(d) введения второго заостренного конца шовной нити в точке введения первого конца;
(е) проталкивания второго конца шовной нити через мягкую ткань до тех пор, пока второй конец шовной нити не выступит из мягкой ткани в точке выхода;
(f) захвата и вытягивания второго конца шовной нити для протаскивания второй части шовной нити через мягкую ткань до тех пор, пока второе положение вдоль тела нити не будет вблизи точки введения второго конца шовной нити, и оставляя отрезок второй части шовной нити в мягкой ткани между точкой введения и точкой выхода второго конца; и
(g) ручной группировки и продвижения мягкой ткани относительно, по меньшей мере, одной части шовной нити для обеспечения желательного количества подтяжки.
2. Способ выполнения косметической операции по п.1, где:
(а) косметическая операция представляет собой подтяжку кожи лица и точка введения находится приблизительно на височной линии волос;
(b) первый конец шовной нити проталкивают через субэпидермальную ткань к точке выхода на волосистой части головы;
(с) второй конец шовной нити проталкивают через субэпидермальную ткань, поверхностную мышечную апоневротическую систему или их комбинацию, к точке выхода поблизости к носогубной складке; и
(d) ткань вручную группируют и продвигают вдоль второй части шовной нити для обеспечения желательного количества подтяжки.
3. Способ выполнения косметической операции по п.1, где:
(а) косметическая операция представляет собой подтяжку кожи лба и точка введения находится на лице индивидуума над линией брови;
(b) первый конец шовной нити проталкивают через субэпидермальную ткань ниже волосистой части головы, а точка выхода первого конца шовной нити находится на волосистой части головы;
(с) второй конец шовной нити проталкивается через субэпидермальную ткань, а точка выхода второго конца шовной нити находится вблизи к брови; и
(d) ткань вручную группируют и продвигают вдоль второй части шовной нити для обеспечения желательного количества подтяжки.
4. Способ выполнения косметической операции по п.3, где точка введения находится приблизительно на лобной линии волос.
5. Способ выполнения косметической операции по п.3, где точка введения находится приблизительно в средней точке между бровью и лобной линией волос.
6. Способ выполнения косметической операции по п.1, где:
(а) косметическая операция представляет собой подтяжку кожи лба и точка введения находится на лице индивидуума над линией брови;
(b) первый конец шовной нити проталкивают через субэпидермальную ткань, а точка выхода первого конца шовной нити находится вблизи к брови;
(с) второй конец шовной нити проталкивается через субэпидермальную ткань, а точка выхода второго конца шовной нити находится вблизи к брови и расположена с промежутком от точки выхода первого конца шовной нити; и
(d) ткань вручную группируют и продвигают вдоль первой и второй части шовной нити для обеспечения желательного количества подтяжки.
7. Способ выполнения косметической операции по п.6, где точка введения находится приблизительно на лобной линии волос.
8. Способ выполнения косметической операции по п.6, где точка введения находится приблизительно посередине между бровью и лобной линией волос.
9. Способ выполнения косметической операции по п.1, где:
(а) косметическая операция представляет собой подтяжку бедер, а точка введения находится преимущественно у паховой складки;
(b) первый конец шовной нити проталкивают в краниальном направлении через субэпидермальную ткань до тех пор, пока первый конец шовной нити не выступит из ткани; и
(с) второй конец шовной нити проталкивают в каудальном направлении через субэпидермальную ткань до тех пор, пока второй конец шовной нити не выступит из ткани на бедре.
10. Способ выполнения косметической операции по п.1, где:
(а) косметическая операция представляет собой подтяжку молочной железы, а точка введения находится на верхней стороне кривизны молочной железы;
(b) первый конец шовной нити проталкивают через подкожную ткань, дермальную ткань и грудную мышцу до выступа из ткани в точке выхода на верхней части молочной железы; и
(с) второй конец шовной нити проталкивают в каудальном направлении через фиброзную и жировую ткани до тех пор, пока второй конец шовной нити не выступит из ткани в точке выхода вдоль передней стороны или нижней стороны кривизны молочной железы.
11. Способ выполнения косметической операции с использованием шовной нити с заусенцами, включающей удлиненное тело, первый и второй заостренные дистальные концы для проникновения в ткань и множество заусенцев, выступающих из периферии тела нити, где заусенцы на первой части тела нити между первым концом шовной нити и первым положением вдоль тела нити обеспечивают возможность движения шовной нити через ткань в направлении движения первого конца и предотвращают движение шовной нити относительно ткани в направлении, противоположном направлению движения первого конца, а заусенцы на второй части тела нити между вторым концом шовной нити и вторым положением вдоль тела нити, которая меньше, чем расстояние от второго конца до первого положения вдоль тела нити, обеспечивают возможность движения шовной нити через ткань в направлении движения второго конца, и предотвращают движение шовной нити относительно ткани в направлении, противоположном направлению движения второго конца, и с использованием устройства для введения, включающего трубчатый элемент, в котором исходно размещается шовная нить, где устройство для введения включает ведущий и ведомый концы с отверстиями в них, с первым концом шовной нити, расположенном вблизи у ведущего конца, где способ включает стадии:
(а) введения первого заостренного конца шовной нити и ведущего конца устройства для введения в точку введения;
(b) проталкивания первого конца шовной нити и ведущего конца устройства для введения через ткань под эпидермисом до достижения конечной точки;
(с) захвата и вытягивания устройства для введения за ведомый конец для удаления устройства для введения, оставляя шовную нить на месте; и
(d) ручной группировки и продвижения ткани относительно первой части шовной нити для обеспечения желательного количества подтяжки.
12. Способ выполнения косметической операции по п.11, где:
(а) косметическая операция представляет собой подтяжку кожи лица;
(b) точка введения находится на волосистой коже головы в точке, в дистальном направлении от височной линии волос;
(с) шовную нить проталкивают через сетчатую дерму под волосистой кожей головы; и
(d) первый конец шовной нити затем проходит через височную линию волос, проникая через фасциальную ткань, выбранную из группы, состоящей из сетчатой дермы, поверхностной мышечной апоневротической системы и их комбинации, простираясь для расположения вблизи к носогубной складке.
13. Способ выполнения косметической операции по п.11, где:
(а) косметическая операция представляет собой подтяжку кожи лба;
(b) точка введения находится в волосистой коже головы в точке, в дистальном направлении от лобной линии волос; и
(с) шовную нить проталкивают через сетчатую дерму под волосистой кожей головы до тех пор, пока первый конец шовной нити не пройдет через лобную линию волос, простираясь до положения вблизи нижней стороны линии бровей.
14. Способ выполнения косметической операции по любому из пп.1-9, где первый и второй заостренные дистальные концы представляют собой иглы.
15. Способ выполнения косметической операции по любому из пп.11-13, где первый и второй заостренные дистальные концы представляют собой иглы.
16. Способ выполнения косметических операций с использованием шовной нити с заусенцами, включающей удлиненное тело, первый и второй заостренные дистальные концы для проникновения в ткань и множество заусенцев, выступающих из периферии тела нити, где заусенцы на первой части тела нити между первым концом шовной нити и первым положением вдоль тела нити обеспечивают возможность движения шовной нити через ткань в направлении движения первого конца и предотвращают движение шовной нити относительно ткани в направлении, противоположном направлению движения первого конца, а заусенцы на второй части тела нити между вторым концом шовной нити и вторым положением вдоль тела нити, которая меньше, чем расстояние от второго конца до первого положения вдоль тела нити, обеспечивают возможность движения шовной нити через ткань в направлении движения второго конца, и предотвращают движение шовной нити относительно ткани в направлении, противоположном направлению движения второго конца, где способ включает стадии:
(а) введения первого заостренного конца в точке введения на поверхности тела индивидуума;
(b) проталкивания первого конца шовной нити через субэпидермальную ткань до тех пор, пока первый конец шовной нити не выступит из субэпидермальной ткани в точке выхода;
(с) захвата и вытягивания первого конца шовной нити для протаскивания первой части шовной нити через субэпидермальную ткань до тех пор, пока второе положение вдоль тела нити не будет вблизи точки введения первого конца шовной нити, и оставляя отрезок первой части шовной нити в субэпидермальной ткани между точкой введения и точкой выхода первого конца;
(d) введения второго заостренного конца шовной нити в точке введения первого конца;
(е) проталкивания второго конца шовной нити через субэпидермальную ткань до тех пор, пока второй конец шовной нити не выступит из субэпидермальной ткани в точке выхода;
(f) захвата и вытягивания второго конца шовной нити для протаскивания второй части шовной нити через субэпидермальную ткань до тех пор, пока второе положение вдоль тела нити не будет вблизи точки введения второго конца шовной нити, и оставляя отрезок второй части шовной нити в субэпидермальной ткани между точкой введения и точкой выхода второго конца; и
(g) ручной группировки и продвижения субэпидермальной ткани относительно, по меньшей мере, одной части шовной нити для обеспечения желательного количества подтяжки.
17. Способ выполнения косметической операции по п.16, где первый и второй заостренные дистальные концы представляют собой иглы.
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