TWI528934B - Suture thread, suture thread support body, and method of manufacturing suture thread - Google Patents

Description

Suture, suture support, and method of manufacturing suture

The present invention relates to a suture for use in surgery and a suturing method using the suture, and more particularly to a suture that does not require a knotting step in a suturing procedure; a method of manufacturing the suture And a method of suturing applying the suture.

In the suturing process of various types of surgical operations such as damaged muscles, blood vessels, nerves, injured or surgical incisions, double eyelid surgery, wrinkle plastic surgery, etc., the knot is tied to prevent the suture from being sutured and sutured. The process of loosening the thread is a time consuming, annoying and very important task that can affect the outcome of the procedure. During the suturing process, a knot is used to prevent loosening of the beginning and the end of the suture, or if necessary, the midsection.

Since it is very important to shorten the operation time and complete the surgery as soon as possible, the technique of suturing and knotting is indispensable for stable and efficient surgery. However, in the course of surgery using, for example, a laparoscope, an endoscope or an arthroscope, it is not easy to use a tool to quickly attach a knot at a distance to engage the suture of the body. .

Traditionally, in order to tie the suture to the knot during the stitching process, the operator uses two tools to secure or wind the suture while holding the suture. Since the operation of the two tools requires a large space, the operator must have extensive experience to minimize the time for surgical suturing in a limited space, such as the abdominal cavity. Thus, a method and a suturing tool, for example, have excellent degrees of freedom, such as Cambridge endo, Real hand, half A Radius surgical system or the like or a robot has been developed to easily and quickly and securely tie the suture to a knot in a limited space.

Japanese Patent Laid-Open Publication No. 2006-25867 discloses a surgical suture in which a suture is woven in the longitudinal direction to be hollow inside, and a suture tip is coupled to both ends of the suture. Japanese Patent Laid-Open Publication No. 2003-19683 discloses a surgical manipulator for ligation and suturing to prevent damage to living tissue. However, robots, such as the Davinci robot system, which facilitate suturing and knotting in endoscopic surgery, are quite expensive and require a large installation space and cannot be widely used. Therefore, it is necessary to develop a suturing method that can be easily used at low cost, as well as sutures and needles that implement the method.

The present invention provides a method for quick and easy suturing in a limited space of surgery, a tool for the method (suture support, needle housing, a suture support and/or needle accommodation) Body stitching), and a method of making the tool.

The present invention provides a suture which does not need to be tied to some or all of the original knots when suturing, a method of manufacturing the suture, a suture support required for the suture, a needle receiving body, And a method of stitching using the suture.

According to the present invention, a support is provided to prevent the top end of the suture from being pulled into the skin or tissue during suturing; and a slit The wire is coupled to one end of the suture. The other end of the suture is sutured by suture needles through the skin or tissue in the suture site. When suturing by a suture, the support acts as a knot, so that one end of the support coupling is fixed to the site where the suture starts. Thus, since there is no need to worry about loosening of the suture, no knotting is required during the suturing process. Furthermore, one end of the suture can be more securely attached to the skin or tissue as compared to the case where the suture has only one knot.

According to another aspect of the present invention, a needle housing having a tubular shape having through holes penetrating through both ends, and a suture having the needle housing are provided. The needle receiving body may have a shape of a flat-headed cone or a flat-headed triangular pyramid, the through-hole diameter of which increases from one end to the other end, or the shape of a cylinder or a corner post having a constant through-hole diameter. The needle housing may be formed of a strong material or an elastic material as necessary. The suture needle is inserted into the needle housing. A part of the needle body of the suture needle coupled to the needle receiving body can fit the outer shape of the through hole of the needle receiving body. The diameter of a portion of the needle body of the suture needle is larger than the diameter of the bottom end portion of the needle housing. The suture needle can be pulled from the bottom end of the needle receiving body to remove the suture needle from the needle receiving body. The suture needle connects the needle housing.

According to another aspect of the present invention, a suture having a needle accommodating body and a suture needle is provided, wherein a portion of the needle body of the suture needle coupled to the bottom end portion of the needle accommodating body is larger than a bottom end portion of the needle accommodating body ( The ends have a relatively large diameter). The needle receiving body may have a tubular shape extending through the through holes at both ends, and has a shape of a flat cone or a flat triangular pyramid whose diameter of the through hole increases from one end to the other end, or has a through shape The shape of a cylinder or a corner column with the same hole diameter. The suture needle connects the needle housing. The suture needle can be pulled from the bottom end of the needle receiving body to remove the suture needle from the needle receiving body.

According to another aspect of the present invention, a method of making a support and/or a needle receptacle is provided.

When a suture needle having a needle-receiving body is used, in the final step of suturing, the needle-accepting body is inserted into the tissue, and the suture needle penetrates or inserts other tissues surrounding the suture portion. Then, the suture needle is pulled from the bottom end portion of the needle accommodating body to remove the suture needle from the needle accommodating body. Thus, the needle receiving body after the suture needle is removed remains in the tissue, and the suture for suturing is still coupled to the needle receiving body. Therefore, even if the knot is not knotted at the last part of the stitching, the stitching is not released.

According to the present invention, the suture needle can contribute to a firm suture without a knot. When a suture having a support body and/or a needle-receiving body is used, it is not necessary to spend time to tie the knot to obtain a firm knot effect. Thus, with an easy stitching technique, the stitching time can be significantly reduced. Furthermore, the suturing operation can be performed stably and easily without using a suture technique requiring experience.

Furthermore, when a suture according to the present invention is used, the suturing operation can be performed by a single tool. Therefore, even if the area treated with the endoscope is minute, the suturing can be completed quickly and accurately.

Further, when the suture, the suture needle, the needle accommodating body, and the support of the present invention are made of a living body absorbable material, the process of removing these elements after the surgery may be unnecessary.

The present invention will be described in more detail with reference to the accompanying drawings. However, the present invention may be embodied in various forms and should not be construed as being limited to the embodiments described herein. The embodiments are provided so that the disclosure will be thorough and complete, and more fully convey the concept of the present invention to the technical field. Have the usual knowledge. In the drawings, the needle portion is exaggerated to facilitate an understanding of the present invention. It should be understood that the length of the wire attached to the needle or needle housing is quite long in practical use.

1A-1F illustrate a suture 10 having different supports 40 in accordance with an embodiment of the present invention. Referring to FIGS. 1A to 1F, the support body 40 has a diameter larger than the suture 10, and a shape such as a rod, a ball, a cylinder, a cone, a triangular cone, a flat cone or a flat triangular pyramid, a disk, a dish, a polyhedron, and the like. The invention is not limited. The support 40 can have any shape and size that supports the suture 10 to prevent the ends of the suture 10 from being pulled into the suture. The support 40 may be a uniform solid or may have at least one hole at both ends of the support 40. For example, the support body 40 is a truncated cone and has a through hole penetrating both ends of the support body 40. The diameter of the hole or hole is larger than the suture in use. The support 40 may be, for example, nylon, polypropylene, for example, mesh fabric (MESH), polyvinyldene fluoride, unsaturated polyester, stainless steel, titanium, etc. It is formed of a material that is not absorbed by the living body, but the invention is not limited. Further, depending on the purpose, the support 40 may be formed of an absorbable material. For example, polylactic acid, polydiaxonone, A copolymer of lactic acid and glycolic acid or the like can be used, but the invention is not limited. When a material that can be absorbed by a living body is used, the support 40 does not need to be removed after suturing the human body.

A method of coupling a suture 10 and a support 40, comprising a method of fusing a portion of a support coupled to an end of the suture and/or a suture; forming at least one hole (eg, the support of Figure 8C) The method of the hole 41), the suture is passed through the hole, and the suture is tied together or the suture is tied to the knot 42 to have a diameter larger than the hole in the support; and a hole that will pass through the hole A method in which a suture passes through another hole in an opposite direction. However, the invention is not limited, and various methods can be used (Fig. 1A to Fig. 1F).

The suture 10 having the support 40 of the present invention is inserted into the suture needle or coupled to the needle receiving body when in use. The suture needle to be used may be formed of a material that is not absorbed, such as a metal, or a material that is easily absorbed, such as polydioxanone. The suture needle as a whole has a straight or curved shape. The tip can have a common and widely used shape, such as a spherical or sharpened shape.

A method of coupling a suture 10 to a suture needle, comprising: a method of inserting a suture into a hollow needle body and pressing the needle; a method of forming a hole (pinhole) on the needle and inserting the suture into the hole; And a method of cutting a groove on a needle wall having a hole and guiding the suture on the groove. However, the invention is not limited, and other different methods can be used herein.

When suturing by the suture having the above-mentioned support body, it is not necessary to individually tie the knot on the suturing start portion, and the suture can be more firmly tied in the case where the knot is only tied. . This not only helps the suture outside the body, but also helps the internal suture, such as endoscopic surgery.

2 illustrates a suture 10 having a support 40 and a suture needle 30, in accordance with an embodiment of the present invention. Referring to Fig. 2, a support body in the form of a truncated cone having a through hole penetrating through both end portions thereof is used. When the support having a larger diameter on the bottom surface, such as the support 40, is disposed to face the suture needle 30, a stable knot effect can be obtained.

3A-3D illustrate a needle housing 20 and a suture 10 having the needle housing 20, in accordance with an embodiment of the present invention. Referring to FIGS. 3A-3D, the needle receiving body 20 of the present invention is coupled to the suture 10. The needle housing 20 has an outer shape of a tubular member penetrating through the through holes at both ends thereof, and has an outer shape of a flat circular or flat triangular pyramid whose diameter increases from one end to the other end. In view of the diameter of the suture needle to be used, the diameter of the through hole in the needle housing 20 is adjusted to allow the needle to pass through and be inserted into the through hole.

A method of coupling a suture 10 to a needle receiving body 20, comprising a method of melting one end of a suture and/or coupling a suture to adhere a portion of the needle receiving body of the suture to the needle receiving body; A method of forming at least one hole in a needle receiving body, wherein a suture is inserted into the hole, and the suture is tied or tied together. However, the invention is not limited, and various other methods can be used herein.

The suture needle 30 is coupled to the needle housing 20 . The suture needle 30 used in the present invention includes a needle body 31 and a needle tip 32 formed at one end of the needle body 31. The diameter of the needle body 31 is gradually increased from the needle tip 32 to the other end of the needle body 31. The suture needle 30 is inserted into the needle accommodating body 20 to which the suture 10 is coupled, and is sutured. In the final step of suturing, the suture needle 30 penetrates other tissue around the suture, or penetrates or penetrates other tissue around the suture for receiving the needle 20 pushed into the organization. Then, the suture needle 30 is removed by pulling the suture needle 30 toward a bottom end portion 21 of the needle accommodating body 20. Thus, the needle receiving body 20 without the suture needle 30 remains in the tissue, and the suture 10 for suturing is still coupled to the needle receiving body 20, so that no knot is attached in the final step of the suturing, and the suture can be performed. Not loose.

Since the needle housing 20 has a conical or triangular pyramid shape, the diameter of the through hole is increased from one end portion to the other end of the needle housing 20, and a part of the needle main body 31 inserted into the needle housing 20 also has another The diameter gradually increases at one end. Therefore, during the suturing process, when the suture 10 is pulled after the suture needle 30 is inserted into the suture portion, the suture needle 30 is not removed from the needle housing 20. To this end, the through hole in the needle housing 20 has a size sufficient to accommodate the suture needle 30. Further, the size of the through hole of the front end portion 22 of the needle accommodating body 20 is smaller than the size of the partial needle main body 31 having the largest diameter.

4A-4B illustrate the appearance of a needle receiving body and a suture needle according to another embodiment of the present invention. When the needle accommodating body and part or all of the needle main body of the suture needle are larger than the bottom end portion of the needle accommodating body, a gap can be formed, and thus the suture needle can be prevented from being self-sustained when the suture needle is pulled in the suturing direction during suturing The needle housing is removed. The needle accommodating body has a shape of a pipe member having a through hole penetrating through both ends thereof, and has a flat cone or a flat triangular pyramid shape, the diameter of the through hole is increased from one end to the other end (FIG. 4A), or has a cylinder or The shape of the corner post is fixed by the diameter of the through hole (Fig. 4B). In the above method, the suture is coupled to the needle receiving body.

The suture needle used in the present invention may generally have a straight or curved shape. The tip can have a common and widely used shape, such as a spherical or sharpened shape. The length and thickness of the tip can be adjusted for its purpose.

The needle container of the present invention may be formed of a living body absorbable material such as polylactic acid, polydioxanone, lactic acid and glycolic acid, but the invention is not limited thereto.

The present invention includes the suture of Figure 5, wherein the needle receiving body is coupled to both ends of the suture; the suture of Figures 1 to 3 and Figures 6 to 8, wherein the needle receiving body is coupled to one end of the suture And/or the support is coupled to the other end thereof; and the sutures of Figures 9A and 9B, wherein the support is coupled to both ends of the suture 10.

The suture used in the present invention includes various shapes well known in the related art of the present invention, and the suture of the present invention may be composed of one or two wires and include at least one winding portion (Figs. 6 and 7). FIG. 7A illustrates the suture needle insertion needle housing 20. FIG. 7B illustrates the suture needle 30 being removed from the needle receiving body 20.

In the present invention, a monofilament suture or a twisted suture, or a monofilament suture or a twisted suture having barbs or cogs on its surface, can be used as the suture 10. The barbed sutures are disclosed in Korean Patent Publication No. 10-2008-39345 and No. 10-2005-0108494, Korean New Publication No. 20-320005, and U.S. Patent No. 5,931,855, the contents of which are incorporated herein by reference. for reference. The barbs can be placed on the fibers depending on the desired architecture and can be formed by suitable methods including those known in the related art. These methods can utilize knife or laser, press-formed injection molding, stamping or cutting. The required number of acute angle cuts are formed on the suture. In the related art of the present invention, the size of the barb can be within a reasonable range according to the purpose Adjustment. For example, the barbs formed on the suture can be about 30 to 100 microns, which can be adjusted depending on the diameter of the suture. The distance between the barbs formed on the outer surface of the suture may be from 100 micrometers to 1 millimeter, or higher.

8A-8C illustrate a barbed suture in accordance with an embodiment of the present invention. Referring to FIG. 8A, two or more sutures 10 are combined, wherein the front half and the back half of each suture 10 have a plurality of barbs 50 inclined in the same direction, and the barbs 50 are long relative to the suture 10 The angle of inclination of the shaft is less than ninety degrees or greater than ninety degrees and less than one hundred and eighty degrees. Then, one end of each suture 10 is coupled to the suture needle 30, and the other end of each suture 10 is coupled to the support body 40. In other embodiments, as shown in Figure 8B, the one or more sutures 10 have barbs 50 formed on the suture 10, and the barbs 50 are inclined in opposite directions in the front and rear halves. For example, the angle of inclination of all of the barbs 50 of the front half relative to the major axis of the suture 10 toward the front end of the suture 10 is less than ninety degrees, while all of the barbs 50 of the second half are relative to the suture of the rear end of the suture 10 The inclination angle of the 10 long axis is less than ninety degrees. The suture 10 is folded over by the eye 34 of the needle 30. Then, the ends of either of the sutures 10 are coupled to the support 40, or one end of any of the folded stitches 10 is inserted into the suture needle 30 and pressed thereto, and the other end thereof is coupled to the support 40. Referring to FIG. 8C, the oblique direction of the barb 50 of the suture 10 is different from the oblique direction of the barb 50 of the suture 10 in FIG. 8B. In this case, the suture 10 is folded over after passing through the hole 41 of the support 40 and the ends of the suture 10 are coupled to the suture needle 30. For example, two, three or four sutures 10 having barbs 50 are used, and the suture 10 can be adjusted depending on the thickness of the suture 10 or the purpose of use. Quantity. The direction of the barbs 50 in the suture 10 is schematically illustrated in the right half of any of Figures 8A, 8B, and 8C. For example, in the example of the suture 10 of the present invention as described above, as shown in FIG. 8, the barbs 50 are inclined toward the support 40, thus forming an acute angle with respect to the longitudinal direction of the suture 10. When the barbs 50 have the above-described outer shape, the suture 10 can smoothly travel forward during suturing, and the barbs 50 prevent the suture 10 from traveling in the opposite direction of the suture direction. When the suture needle 30 is severed after the suturing is completed, the suture 10 is not loosened due to the barb 50 and thus there is no need to tie the knot. As such, when two or more sutures 10 having barbs 50 coupled to the support 40 and/or the needle receiving body 20 are used, there is no need to tie the knot and a more secure knot effect can be obtained. Moreover, as compared to the use of barbed sutures conventionally used, as the length of the suture is reduced by about half or more, the single thread may be broken during suturing. However, when two or more sutures are used, the strength of the suture can be increased by a factor of two or more, and thus the suture can reduce breakage. In addition, since the number of barbs or the contact surface of any barb is increased by a factor of two or more, a more stable stitching can be obtained and the suture can be prevented from traveling backward.

In another embodiment of the present invention, the support body 40 is coupled to one end of the suture 10 and the suture needle 30 is coupled to the other end thereof, and the additional support body or cone 51 has the shape of a flat cone or a flat triangular pyramid and has a through support. Through holes at both ends of the body 40. The support 40 is inserted into the suture 10 at a position close to the suture needle 30, as depicted in Figures 9A and 9B. The flat cone produces less friction and is more suitable as a cone 51. The cone 51 is disposed such that a portion (front end) having a smaller diameter can face the suture needle 30 and the two knots A And B, each of the knots has a diameter larger than the front end, and is formed before and after the front end, respectively (Figs. 9A and 9B). The two knots A and B are close to each other. The knot A prevents the cone 51 from detaching after suturing and after the suture needle 30 is removed. The knot B prevents the cone 51 from being pulled back during the suture. The conical 51 remains at the end of the suture 10 even when the suturing is completed and the suture needle 30 is removed. Therefore, it is not necessary to tie the knot after suturing, and there is no need to worry that the suture 10 is not tied. Another additional support, such as a truncated cone or triangular cone 51, can be provided in front of the knot A and has a smaller diameter surface (front end) facing the suture needle 30. As such, the knot A can easily pass through the tissue during suturing, and the stitching can be easily accomplished (Fig. 9B). When the suture needle is removed after suturing, the front cone 51 is removed, and thus the knot A and the rear cone 51 prevent the suture 10 from coming loose, as in Figure 9A. The cone 51 may be formed of an absorbable material such as a copolymer of L-Lactide and Glycolide, or a non-absorbable material such as polypropylene. The length of the cone 51 is, for example, about one millimeter to ten kilometers. However, the invention is not limited, and the length can be adjusted depending on the position and purpose of use. The diameter of the through hole penetrating the both ends of the support body 40 in the cone 51 may be, for example, a relatively small diameter at the front end, about one to two millimeters at zero, and a relatively large diameter at the rear end, about zero five. Up to five millimeters. However, the invention is not limited, and the diameter can be adjusted according to the thickness and purpose of the suture.

In the suture 10 (for example, FIG. 8) having the barb 50 and having one end coupled to the support 40, the support body 40 is coupled to the support body 40 at one end thereof, and the rope is formed in a portion close to the connection needle. a suture 10 with a knot and a cone (for example In FIG. 9), the other end of the suture 10 that is not coupled to the support 40 can be coupled to the needle receiving body 20 or can be directly coupled to the suture needle 30 for use. When the suture portion where the suturing is completed is not used as the knot of the knot, even if the suture needle 30 is removed after suturing, the suture 10 can be detached due to the barb 50 or the conical 51 suture.

The suture provided in accordance with the present invention may be a non-absorbable material such as polypropylene, gold, stainless steel, titanium, nylon, polyvinylidene fluoride, unsaturated polyester, braided, etc., or an absorbable material such as a polydioxane ring. The formation of pentanone is not limited in the present invention.

According to an embodiment of the invention, a method of manufacturing a suture having a suture needle and/or a needle receiving body includes coupling one end of the suture to the support body and coupling the other end of the suture to the suture needle or needle The operation of the housing.

Coupling of the suture to the support includes providing thermal energy to one end of the suture or support to melt one end of the suture and the support, and to incorporate a suture having either or both ends to be melted and a support. The coupling of the suture to the support may additionally include lowering the temperature of the portion of the suture and the support that are coupled to each other. Additionally, the method can include passing a suture through a hole formed in the support or through the through hole and then knotting on the suture to have a diameter larger than the hole or through hole of the support. Additionally, the method can include passing the suture through a hole formed in the support or through the through hole and then through the suture in an opposite direction through other holes formed in the support. When two sutures are used, the present invention can include passing the suture through a hole formed in the support or through the through hole, and then tying the suture together or knotting the suture.

The coupling of the suture to the suture needle can include placing the suture into the suture needle having the through hole formed therein and pressing the suture needle; inserting the suture into the cavity formed in the suture needle; or inserting the suture needle with the through hole The incision formed in the wall suspends the suture.

The coupling of the suture to the needle receiving body may include coupling by melting one end of the suture and/or a partial needle receiving body coupled to the suture, and inserting the suture into at least one hole formed in the needle receiving body And tie the suture to the knot or tie the suture together to be larger than the diameter of the hole.

According to an embodiment of the present invention, a method of manufacturing a suture includes the operation of combining two sutures, each having a plurality of barbs inclined in the same direction in the front half and the back half of the suture, and any suture One end of the wire is coupled to the support body, and the other end is coupled to the suture needle. Furthermore, in another embodiment of the present invention, the suture having the barb is folded in half, and the barb is inclined in the opposite direction in the front half and the rear half of the suture, and then one end of the suture is coupled to the support and the other end is coupled. Stitching needle.

In another embodiment of the present invention, a method of manufacturing a suture includes: coupling a support to one end of a suture; attaching a suture to a portion near the other end of the suture; forming on the suture The front side of the knot is inserted into the suture with a flat-conical or flat-headed triangular cone having a through-hole through the ends thereof, having a smaller diameter at the front end thereof facing the suture needle; the suture is tied before the cone; and coupled The other end of the suture is to the suture needle. The method may further include inserting an additional cone between the suture needle and the knot prior to the cone such that the front end has a relatively small diameter to face the suture needle.

A suture needle formed by the above method falls within the scope of the present invention.

A method for suturing a suture having a needle-receiving body according to the present invention, comprising: suturing a suture portion by using a suture needle in a needle-receiving body of the suture; and pushing the suture needle through the tissue near the end of the suture portion For burying or passing the needle-receiving body; and removing the suture needle by pulling the suture needle toward the bottom end of the needle-receiving body. When the needle-receiving body having the suture is embedded in the tissue and fixed at this time, one end of the suture is also connected to the needle-receiving body. Therefore, there is no need to worry about not having a knot on the suture, and there is no need to tie the knot.

The suture, the needle-receiving body, and the suture support according to the present invention can be used for suturing various external operations such as damaged muscles, blood vessels, nerves, injured or surgical incisions, double eyelid surgery, wrinkle plastic surgery, and the like. Wait.

10‧‧‧ suture

20‧‧‧Needles

21‧‧‧The bottom end of the needle housing

22‧‧‧ front end of the needle housing

23‧‧‧ Holes in the needle housing

30‧‧‧Sewing needle

31‧‧‧ needle body

32‧‧‧Needle

34‧‧‧ pinhole

40‧‧‧Support

41‧‧‧ Holes in the support

42‧‧‧ knot

50‧‧‧ barbed

51‧‧‧Cone

A, B‧‧‧ knot

1A-1F illustrate sutures having different supports in accordance with an embodiment of the present invention.

2 illustrates a suture having a support and a needle, in accordance with an embodiment of the present invention.

3A-3D illustrate a needle receiving body and a suture having the needle receiving body according to an embodiment of the invention; FIGS. 3A and 3B are diagrams showing a needle receiving body of the needle insertion coupling suture; FIG. 3C A needle receiving body is illustrated in accordance with an embodiment of the present invention; and FIG. 3D illustrates a method of coupling a needle receiving body and a suture.

4A-4B illustrate the outer shape of a needle receiving body in accordance with other embodiments of the present invention.

Figure 5 illustrates a suture having a needle receiving body provided at either end.

6 illustrates that the support body and the needle receiving body of the coupling suture are respectively coupled to one end of the suture and the other end.

7A and 7B illustrate the formation of a loop connected to a needle receiving body in accordance with an embodiment of the present invention.

8A through 8C illustrate sutures having barbs in accordance with an embodiment of the present invention.

9A and 9B illustrate a suture having a cone and a knot, in accordance with an embodiment of the present invention.

10‧‧‧ suture

30‧‧‧Sewing needle

40‧‧‧Support

42‧‧‧ knot

Claims (20)

A suture having a needle receiving body coupled to one end thereof, wherein the needle receiving body has a shape of a tubular member having a consistent perforation therethrough or having a tubular member shape, the tubular member Having a uniform perforation through both ends thereof, and the diameter of the through hole is increased from one end to the other end, a wall surface of the needle accommodating body has no hole, or the wall surface of the needle accommodating body has One or more holes, and a suture needle is inserted into the through hole, and wherein the other end of the suture is coupled to a suture support, the suture support having a diameter larger than the suture, having One or more holes through which the suture passes are avoided to prevent the end of the suture from being pulled into the skin or tissue. The suture according to claim 1, wherein the needle receiving body, the suture support or the suture is formed by a living body absorbable material. The suture according to claim 1, wherein the suture is formed by one or more wires or includes a winding portion. A suture line formed by two or more lines, wherein one end of the suture is coupled to a suture support body, and the suture support body has two or more holes through which the suture passes, and any hole Having a diameter greater than the suture to prevent one end of the suture from being pulled into skin or tissue, and the other end of the suture is connected to a suture needle, and wherein one of the additional supports has a flat cone or a a shape of a flat triangular pyramid having a consistent perforation extending through both ends of the additional support, the additional support being inserted by the suture into the through hole of the additional support Providing a portion of the suture coupled to a suture needle, the additional support being disposed to face a surface or a front end of the suture needle having a relatively small diameter, and a set of knots respectively attached thereto Before and after the front end, the diameter is relatively larger than the front end. The suture according to claim 4, wherein the suture support has a shape of a truncated cone or a flat triangular pyramid. The suture of claim 5, wherein the suture is a suture comprising a barb. The suture of claim 4, wherein the suture comprises a barb. a suture, one end of the suture coupled to a suture support, the suture support having one or more holes through which the suture passes, any hole having a diameter larger than the suture, and Preventing one end of the suture from being pulled into skin or tissue, and the other end of the suture is connected to a suture needle, wherein the suture support has a flat cone or a flat triangular pyramid shape and has a consistent Perforations extend through both ends of the suture support, one end portion of the suture support has a relatively large diameter, and is disposed toward the suture needle, and is passed through the suture support The suture of the through hole is tied to prevent the suture support from being detached from the suture. The suture of claim 8, wherein the suture is formed from two or more barbed lines. The suture according to claim 8, further comprising an additional support body having a flat cone or a flat triangular pyramid Shaped and having a continuous perforation extending through the ends of the additional support, the additional support being provided adjacent to a suture needle coupling by the suture inserted into the through hole of the additional support a portion of the suture, the additional support being disposed to face a surface or a front end of the suture needle having a relatively small diameter, and a set of knots respectively before and after the front end to have a The front end is relatively large in diameter. The suture according to claim 10, further comprising another additional support having a shape of a truncated cone or a flat triangular pyramid and having a continuous perforation extending through the both ends, Another additional support is disposed between the suture needle and the knot of the suture before the additional support as described in claim 10, the additional support being configured A surface or a front end facing the suture needle has a relatively small diameter. The suture of claim 8, wherein the suture comprises a barb. A suture support coupled to one end of a suture having a diameter greater than the suture, having one or more holes through which the suture passes to prevent the end of the suture from being pulled into the skin Or tissue, wherein the suture support has the shape of a flat cone or a flat triangular pyramid and has a consistent perforation through the ends. A method of manufacturing a suture comprising coupling one end of a suture to the suture support of claim 13 and/or coupling the other end of the suture to a suture or A needle housing. The method of claim 14, wherein the method has the same The two lines of the slanted barbs are combined, and one end of either of the two wires is coupled to the support body, and the other end is coupled to the suture needle or the needle accommodating body. The method of claim 14, wherein a line having barbs is folded in half, the barbs are inclined in opposite directions in a front half and a rear half of the line, and one end of the line is coupled The support body is coupled to the suture needle or the needle receiving body at the other end. A suture formed by the method of claim 14 of the patent application. A method of manufacturing a suture having a suture support, the method comprising: coupling the suture support to one end of the suture, and the suture at a portion proximate to the other end of the suture Attaching a knot; providing a cone having the shape of a flat or flat triangular pyramid and having a consistent perforation through the ends of the suture prior to the knot toward a suture needle, A front end of the cone facing the suture needle has a relatively small diameter; and the suture is tied before the cone and one end of the suture is coupled to the suture needle. The method of claim 18, further comprising providing another cone having a flat-conical or flat-triangular pyramid shape with a consistent perforation extending between the suture needle and the cone Both ends between the knots, the other cone having a relatively small diameter facing a front end of the suture needle. A suture line by claiming the 18th and 19th patents A method according to any one of the preceding claims.