US3791388A - Covered suture - Google Patents
Covered suture Download PDFInfo
- Publication number
- US3791388A US3791388A US00182792A US3791388DA US3791388A US 3791388 A US3791388 A US 3791388A US 00182792 A US00182792 A US 00182792A US 3791388D A US3791388D A US 3791388DA US 3791388 A US3791388 A US 3791388A
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- US
- United States
- Prior art keywords
- suture
- yarn
- covered
- core
- cover
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 239000011230 binding agent Substances 0.000 claims abstract description 19
- 238000004804 winding Methods 0.000 claims abstract description 15
- 229920000728 polyester Polymers 0.000 claims description 23
- 239000004677 Nylon Substances 0.000 claims description 19
- 229920001778 nylon Polymers 0.000 claims description 19
- 239000000203 mixture Substances 0.000 claims description 11
- JJTUDXZGHPGLLC-IMJSIDKUSA-N 4511-42-6 Chemical compound C[C@@H]1OC(=O)[C@H](C)OC1=O JJTUDXZGHPGLLC-IMJSIDKUSA-N 0.000 claims description 10
- 229920001577 copolymer Polymers 0.000 claims description 10
- 229920000642 polymer Polymers 0.000 claims description 6
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Polymers OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 claims description 3
- 229920000954 Polyglycolide Polymers 0.000 claims description 3
- 239000000853 adhesive Substances 0.000 abstract description 8
- 230000001070 adhesive effect Effects 0.000 abstract description 8
- 239000002131 composite material Substances 0.000 abstract description 3
- 239000011248 coating agent Substances 0.000 description 14
- 238000000576 coating method Methods 0.000 description 14
- 229920005989 resin Polymers 0.000 description 11
- 239000011347 resin Substances 0.000 description 11
- 230000000704 physical effect Effects 0.000 description 10
- 238000001035 drying Methods 0.000 description 9
- RKDVKSZUMVYZHH-UHFFFAOYSA-N 1,4-dioxane-2,5-dione Chemical compound O=C1COC(=O)CO1 RKDVKSZUMVYZHH-UHFFFAOYSA-N 0.000 description 8
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 6
- 229920004934 Dacron® Polymers 0.000 description 4
- 229920001519 homopolymer Polymers 0.000 description 4
- 238000004519 manufacturing process Methods 0.000 description 4
- 239000005020 polyethylene terephthalate Substances 0.000 description 4
- ZWEHNKRNPOVVGH-UHFFFAOYSA-N 2-Butanone Chemical compound CCC(C)=O ZWEHNKRNPOVVGH-UHFFFAOYSA-N 0.000 description 3
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 3
- 229920001244 Poly(D,L-lactide) Polymers 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 3
- 239000010959 steel Substances 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 2
- GUTLYIVDDKVIGB-OUBTZVSYSA-N Cobalt-60 Chemical compound [60Co] GUTLYIVDDKVIGB-OUBTZVSYSA-N 0.000 description 2
- 102000008186 Collagen Human genes 0.000 description 2
- 108010035532 Collagen Proteins 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 2
- 241001077673 Mylon Species 0.000 description 2
- 229920002292 Nylon 6 Polymers 0.000 description 2
- 235000014676 Phragmites communis Nutrition 0.000 description 2
- 229920003260 Plaskon Polymers 0.000 description 2
- 239000004743 Polypropylene Substances 0.000 description 2
- RHQDFWAXVIIEBN-UHFFFAOYSA-N Trifluoroethanol Chemical compound OCC(F)(F)F RHQDFWAXVIIEBN-UHFFFAOYSA-N 0.000 description 2
- 238000005299 abrasion Methods 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 229920001436 collagen Polymers 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- -1 polypropylene Polymers 0.000 description 2
- 229920001155 polypropylene Polymers 0.000 description 2
- 239000000047 product Substances 0.000 description 2
- 229920006395 saturated elastomer Polymers 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 229920002334 Spandex Polymers 0.000 description 1
- 229960000583 acetic acid Drugs 0.000 description 1
- 238000003287 bathing Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 229940075482 d & c green 5 Drugs 0.000 description 1
- FPAYXBWMYIMERV-UHFFFAOYSA-L disodium;5-methyl-2-[[4-(4-methyl-2-sulfonatoanilino)-9,10-dioxoanthracen-1-yl]amino]benzenesulfonate Chemical compound [Na+].[Na+].[O-]S(=O)(=O)C1=CC(C)=CC=C1NC(C=1C(=O)C2=CC=CC=C2C(=O)C=11)=CC=C1NC1=CC=C(C)C=C1S([O-])(=O)=O FPAYXBWMYIMERV-UHFFFAOYSA-L 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 239000012467 final product Substances 0.000 description 1
- 239000012362 glacial acetic acid Substances 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 239000003317 industrial substance Substances 0.000 description 1
- 239000012948 isocyanate Substances 0.000 description 1
- 150000002513 isocyanates Chemical class 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 239000004759 spandex Substances 0.000 description 1
- BFKJFAAPBSQJPD-UHFFFAOYSA-N tetrafluoroethene Chemical group FC(F)=C(F)F BFKJFAAPBSQJPD-UHFFFAOYSA-N 0.000 description 1
- 239000004753 textile Substances 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L17/00—Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
- A61L17/14—Post-treatment to improve physical properties
- A61L17/145—Coating
-
- D—TEXTILES; PAPER
- D02—YARNS; MECHANICAL FINISHING OF YARNS OR ROPES; WARPING OR BEAMING
- D02G—CRIMPING OR CURLING FIBRES, FILAMENTS, THREADS, OR YARNS; YARNS OR THREADS
- D02G3/00—Yarns or threads, e.g. fancy yarns; Processes or apparatus for the production thereof, not otherwise provided for
- D02G3/22—Yarns or threads characterised by constructional features, e.g. blending, filament/fibre
- D02G3/36—Cored or coated yarns or threads
- D02G3/362—Cored or coated yarns or threads using hollow spindles
- D02G3/365—Cored or coated yarns or threads using hollow spindles around which a reel supporting feeding spool rotates
-
- D—TEXTILES; PAPER
- D10—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
- D10B—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
- D10B2509/00—Medical; Hygiene
- D10B2509/04—Sutures
Definitions
- Braided multifilament sutures have found wide use in surgery because of their excellent flexibility and good handling properties. Such braided sutures tie down smoothly to form a secure knot. However, reduction of potential tensile strength is inherent in braided sutures consisting of continuous multifilaments or stable yarns. This is due to the deflection of the filaments required by the braided configuration from the straight or parallel directions. Braided suture production, furthermore, is extremely slow due to mechanical limitations of braider machine design.
- the sutures of the present invention have flexibility and handling characteristics approaching a braided suture and tie down easily to form a knot of greatly improved strength.
- the knot strength of a braided suture is generaly only about 50 percent of the straight tensile strength, it is the knot strength that determines the actual retention of such a suture. It is an important advantage of the sutures of the present invention that they have a knot strength that is much greater than that of a braided suture of corresponding size.
- the surgical sutures of the present invention are constructed with the central core of multifilament yarn that has been impregnated with an adhesive binder.
- the core yarn is covered with a helical winding of multifilament yarn the composite structure is hot stretched whereby the binder secures the external winding to itself and the central core.
- the central core of multifilament yarn no adhesive binder present
- Nylon-covered Spandex yarns have been used to make elastomeric stretch yarns for bathing suits. Such filaments would not be suitable for suture use, however, as the surgeon would find it difficult to control the tension of an elastic suture which could cause stangulation and necrosis of the tissue being sutured.
- the sutures of the present invention differ from the covered yarns of the prior art in that they are not elastic.
- the core and helical winding are constructed of filaments having the same composition.
- the covered sutures to be described are also characterized by a greatly improved knot strength.
- the core yarn of the covered suture may be a multifilament of collagen, nylon, polyester, polypropylene, silk or cotton which is non-conductive electrically.
- Preferred polyesters for the manufacture of absorbable covered sutures are the homopolymers and copolymers of glycolide.
- the cover yarn may be a ribbon-like multifilament of collagen, nylon, polyester, polypropylene, slik or cotton.
- the preferred yarns for the helical winding around the core are the homopolymers and copolymers of L() lactide and glycolide.
- FIG. 4 is an enlarged perspective view of a covered multifilament yarn
- FIG. 5 is a cross-sectional of a covered yarn on the Line 5-5 of FIG. 4.
- the preferred method for preparing the flexible covered sutures of the present invention utilizes an H. H. ARNOLD Covering Machine (manufactured by H. H. Arnold, Rockland, Massachusetts) and illustrated in FIGS. 1, 2, and 3.
- the covering machine 10 is constructed with a hollow spindle 12 mounted for rotation on the bracket 14. WThe hollow spindle is keyed to a spool platform 16, the lower end of which is constructed with a pulley 18. A belt 19 serves to drive the pulley rotating the spool platform and the hollow spindle.
- the cover yarn is supplied from a spool 20 having a transverse central bore 21 to receive the hollow spindle.
- the spool rests upon the platform 16.
- Aprojection 22 extending upwardly from the spool platform engages a recess 24 in the bottom flange 25 of the spool.
- a circular cover plate 26 the diameter of which is approximately the diameter of the spool, is provided with a concentric cylinder 28 extending above and below the cover plate when the machine is assembled. As shown in FIG. 2, the lower portion of this cylinder extends below the cover plate into the central bore of the spool an'cT'the hollow spindle iif'Pfoje c'titiiori'the lower surface of the cover plate engages a recess in the upper flange of the spool.
- a flyer 34 rotates freely about the cylinder 28 and is supported on a bearing surface 35 which extends above the cover plate 26.
- the tension that is applied by the flyer to the cover yarn during rotation is controlled by weights 36 which may be slipped over the cylinder 28.
- a guide 38 is secured at the top of the cylinder 28 with a set screw 40.
- a core yarn 41 that is to be covered is fed from a supply spool (not shown) to a feed star wheel 42 from which it passes upwardly through the hollow spindle 12, and cylinder 28 to the take-up star wheel 44.
- the core yarn is wrapped once around the feed and take-up star wheels to be sure that the core yarn is held under tension while the cover yarn is wound on in the cover zone (between the feed and take-up star wheels).
- the spool with its cover plate cylinder and guide are rotated at a rate that is determined by the speed of the pulley, that drives the spool platform, and hollow spindle.
- the amount of cover yarn 43 that is wound on the core yarn is determined by the rate at which the core passes through the cover zone.
- the machine is preferably operated so that the takeup start wheel is rotating about 2 percent faster than the feed star wheel to keep the core yarn under tension.
- the flyer is loadee with a number of flyger weights (short of breaking the cover yarn) to provide high tension on the cover yarn. Under these conditions of operation, the machine produces a compact structure of good intrinsic strength.
- the core yarn is ply twisted prior to applying the cover yarn 43.
- the covered yarn from the take-up star wheel 44 is wound onto a spool 45 and may be stored pending subsequent treatment with an acceptable resin, wax or other suitable finish that may be applied to prevent unraveling, improve abrasion resistance, and tie down characteristics.
- the covered yarn may be passed directly into a finishing bath after it leaves the covering machine.
- the core yarn has not been coated with a resin binder before the helical cover yarn is applied thereto, it is necessary to treat the covered yarn with a resin or wax or other suitable finish to prevent unraveling and improve abrasion resistance. This may be done by passing the covered suture directly into a solution of the desired treating resin and then passing the coated yarn through a drying oven for removal of solvent as is well known in the textile art.
- EXAMPLE l Size 3/0 Polyester Coverred Suture A Size 3/0 covered polyester suture is prepared on the apparatus illustrated in FIGS. 1-3.
- the suture is constructed using a core having 2 ends of 220 denier, 50 filament polyester yarn plied together without twist. This yarn is a bright, high-tenacity multifilament that has been entangled for non-twist cohesion (Rotoset Industrial DACRON Type 2 available from E. l. DuPont de Nemours & Company, Wilminton, Delaware).
- the core yarn prior to covering is coated with an adhesive binder by passing it through a solution containing seven parts of a linear saturated polyester polymer melting at about 280F. (sold by the Industrial Chemicals Division, Eastman Chemical Products, Inc., Kingsport, Tennessee under the trade-name XFA-l); and 93 parts of methylene chloride.
- the core yarn is passed-through a steel die to wipe off excess coating and form a smooth surface.
- the opening of this die is 18 mils. in diameter and the exit of the die is 12 mils. in diameter.
- the core yarn is next dried at room temperature in a counter-current of air, and collected on a drum.
- the coating thus applied to the core yarn amounts to 6.3 per cent of the weight of the uncoated core yarn.
- the spool 20 of the covering machine is loaded with a 40 denier, 27 filament, bright, normal-tenacity yarn (Rotoset industrial DACRON Type 56 available from the E. l. DuPont de Nemours & Company, Wilmington, Delaware).
- the flyer (E16) is loaded with five weights (total weights 50 grams) and the covering machine is operated with a spindle speed of 10,000 r.p.m. to obtain turns per inch of the cover yarn (S twist direction).
- the resin binder in the core of the covered yarn is activated by hot stretching the covered suture 2 per cent between two godets.
- the take-up godet has a diameter of 6 As inches and is at a temperature of 430F.
- the covered suture is wrapped around this heated godet 15 times; the dwell time on the godet at 430F. is approximately 15 seconds.
- the covered suture is cooled to room temperature under minimal tension, collected on a drum, cut to the proper length and sterilizeed with Cobalt 60 irradiation.
- the physical properties of the sterile covered sutures so obtained are compared with those of a braided suture of the same size in Table I.
- the covered polyester suture so obtained has a knot strength more than 25 per cent greater than that of a braided polyester suture of the same size.
- EXAMPLE H Size 2 Polyester Covered Suture A Size 2 covered polyester suture is prepared on the apparatus illustrated in FIGS. 13. The suture is constructed using a core having nine ends of 220 denier, 50 filament polyester yarn plied together without twist. This yarn is a bright, high'tenacity multifilament that has been entangled for non-twist cohesion (Rotoset Industrial DACRON Type 52 available from E. I. DuPont de Nemours & Company, Wilmington, Delaware).
- the spool 20 of the covering machine is loaded with a 70 denier, 34 filament, bright, normal-tenacity, yarn (Rotoset industrial DACRON Type 56 available from E. I. Du-Pont de Nemours & Company, Wilmington, Delaware).
- the flyer (E20) is loaded with six weights (total weights 60 grams) and the covering machine is operated with a spindle speed of 8,500 r.p.m. to obtain 65 turns perinch of the cover yarn (Z twist direction).
- the covered yarn is next coated by passing it through a solution containing 14.25 parts of a linear saturated polyester polymer (sold by the Good Year Tire & Rubber Company of Akron, Ohio, under the trade-name VITEL PE-207); and 0.75 parts of a modified isocyanate curing agent (sold by E. l. DuPont de Nemours & Company, Inc., Wilmington, Delaware under the tradename RC-805); dissolved in parts of methyl ethyl ketone.
- the covered suture is passed through a nine-foot horizontal drying tube (approximate dwell time 45 seconds). The suture is dried in the tube by a counter-current of warm air. The air atthe entry of the drying tube is 197C.
- the covered suture After leaving the drying tube, the covered suture is cooled to room temperature under minimal tension and then collected on a drum, cut to the proper length and sterilized with Cobalt 60 irradiation.
- the physical properties of the sterile covered sutures so obtained are compared with those of a braided suture of the same size in Table 11.
- Intrinsic knot pull p.s.i. 54,500 38,900
- the coated covered polyester suture so obtained has a knot strength more than 30 percent greater than that of a braided polyester suture of the same size.
- EXAMPLE lII Nylon Covered Suture A Size 4/0 covered nylon suture is prepared from a core yarn of 210 denier, 34 filament, Type 380 mylon with 0.7 turns per inch of S twist (available from E. I. DuPont de Nemours & Company, Wilmington, Delaware). Six turns per inch Z twist was inserted into this core yarn prior to covering.
- the spool 20 of the cover machine is loaded with a single covering yarn of 30 denier, 26 filament, 0.5 turns per inch Z twist (Type 280 semi-dull normal-tenacity nylon available from E. I. DuPont de Nemours & Company, Wilmington, Delaware).
- the flyer (E17) is weighted with 1 weight (5 grams) and the spool and spindle are rotated at 10,000 r.p.m. while the core yarn is taken up by the star wheel at a linear rate that produces a suture having 85 turns per inch of cover yarn (Z twist direction).
- Skeins of the covered suture so obtained are dyed by immersing the skein in an aqueous bath containing0.3 parts D & C Green No.5 dye dissolved in 600 parts of glacial acetic acid and 5,400 parts water.
- the temperature of the bath is 2 12F. and the dwell time in the bath is 20 minutes.
- the dried skein is next rinsed in cold water and allowed to air dry.
- the suture is next coated by passing it at room temperature through a solution of 17.5 parts nylon 6 (available from Allied Chemical Plastics Division, Morristown, New Jersey as PLASKON 8202) dissolved in 82.5 parts of trifluoroethanol.
- the covered suture as it emerges from the coating solution passes through a steel die (entrance 0.012 inch, exit 0.006 inch) and travels under tension through a four-foot vertical drying tube.
- the approximate dwell time within the drying tube is about 1 1 seconds.
- the temperature at the bottom ofthe tube is about 75C. and the temperature at the top of the tube is about 130C.
- the weight of the coating resin applied in this step amounts to 14 per cent of the weight of the covered suture prior to coating.
- the finished suture is collected and sterilized as described in Example 1 above.
- the physical properties of the sterile covered suture obtained are compared with those of a braided suture of the same size in Table III.
- the coated covered nylon suture has a knot strength that is about 78 per cent of its straight tensile strength.
- a braided nylon suture has a knot strength that is about 64 per cent of its straight tensile strength.
- a size l/O covered nylon suture is prepared using a core having three ends of 260 denier, l7 filament, bright, high-tenacity, Type 380 (available from E. 1. DuPont de Nemours & Company, Wilmington, Delaware) nylon with one turn per inch of Z twist.
- the three core yarns are plied together with six turns per inch Z twist.
- the spool 20 of the covering machine is loaded with a single covering yarn of denier, 34 filament, 0.5 turns per inch S twist, Type 380 nylon.
- the flyer (B20) is weighted with five weights (50 grams) and the spool and spindle are rotated at 10,000 r.p.m. while the core yarn is taken up by the star wheel at a linear rate that produces a covered suture hav ing 45 turns per inch of covered yarn (Z twist direction).
- the covered suture is next coated by passing it at room temperature through a solution of 17.3 parts nylon 6 (available from Allied Chemical Company Plastics Division, Morristown, New Herset as OKASJIB b 8202) dissolved in 82.7 parts of trifluoroethanol.
- the covered suture as it emerges from the coating solution passes through a steel die (entrance 0.030 inch, ext 0.018 inch) and travels under tension through a fourfoot verticle drying tube.
- the approxmate dwell time within the drying tube is about 1 1 seconds.
- the temperature at the bottom of the tube is about C. and the temperature at the top of the tube is about C.
- the weight of the coating resin applied in this step amounts to 11.2 per cent of the weight of the covered suture prior to coating.
- the finished suture is collected and sterilized as described in Example I above.
- the physical properties of the sterile covered suture obtained are compared with those of a braided suture of the same size in Table IV.
- the coated covered nylon suture has a knot strength that is about 83 percent of its straight tensil strength.
- a braided nylon suture has a knot strength that is about 65 per cent of its straight tensile strength.
- the tie down characteristics of this suture may be improved by applying a surface coating of tetrafluoroethylene as described in U.S. Pat. No. 3,527,650.
- EXAMPLE V Size 2/0, 65/35 L() Lactide/Glycolide Covered Suture A Size 2/0 absorbable covered suture is prepared from a copolymer of 65 mol per cent L() lactide, 35 mol per cent glycolide utilizing the apparatus illustrated in FIGS. 1-3. The production of a copolymer from 65 mol per cent L() lactide and 35 mol per cent glycolide suitable for use in this example is described in Example XVIII of US. Application Ser. No. 36,797, filed May 13, 1970. The suture is constructed using a EbiEhfii/idg? 'iidsbrihtseapbiymer951166 denier, 34 filament copolymer multifilament having six turns per inch), plied together without twist.
- the covering yarn is one end of 66 denier, 34 filament yarn of the copolymer composition described above having 36 turns per inch.
- the flyer (E12) is weighted with three 5-gram weights (total weight l5 grams) and the covering ma chine is operated at a speed of 8,500 rpm. to cover the core yarn with a helical winding having 40 turns per inch (2 twist).
- the covered suture is coated by passing it through a bath containing parts of poly DL lactide homopolymer dissolved in 90 parts of toluene and dried by passing the coated suture through a nine-foot horizontal drying tube.
- the approximate dwell time of the suture within this tube is 40 seconds during which time the su ture is dried by a counter-current of air at room temperature.
- the weight of the coating resin applied in this step amounts to 9.03 per cent of the weight of the cov ered suture prior to coating.
- the finished suture is collected on a drum, annealed at 65C. for three days, and sterilized as described in Example l above.
- the physical properties of the sterile covered suture obtained are compared with those of a braided suture of the same size and composition in Table V.
- EXAMPLE VI Size 2/0 Polyglycolide Covered Suture In accordance with the procedure described in Example V above, a Size 2/0 absorbable suture is preered suture is coated by pasgng it through a solution of 10 parts of poly dl lactide homopolymer in parts of toluene and dried, annealed, and sterilized as described in Example V above. The finished suture has excellent flexibility and knot strength.
- the products of the invention are useful in surgery for suturing. If so desired, they may be treated with lubricants or other surface coating resins as described in US. Pat. No. 3,527,650 to improve tie down characteristics.
- the proportions of L() lactide and glycolide in the polymer composition may be modified to obtain the esired in vivo absorption characteristics.
- the rate of absorption and tensile strength retention of such absorbable covered sutures may also be controlled by varying the copolymer composition of the binder resin that secures the external winding to itself and to the entral core.
- a stefile siiigical suture constructed with an internal non-conductivemultifilament core yarn that is covered by a ribbon-like helical winding of an external multifilament cover yarn; the adjacent edges of said external multifilament yarn being secured to each other and to the central core yarn by means of a binder composition; defining a suture having an intrinsic knot pull strength that is at least 65 percent of the intrinsic straight pull strength of the suture.
- suture of claim 1 wherein said suture, when bent into the shape of a knot, has a strength of not less than 65 percent of the tensile strength of said suture.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Materials Engineering (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- Mechanical Engineering (AREA)
- Textile Engineering (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Materials For Medical Uses (AREA)
- Yarns And Mechanical Finishing Of Yarns Or Ropes (AREA)
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US18279271A | 1971-09-22 | 1971-09-22 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US3791388A true US3791388A (en) | 1974-02-12 |
Family
ID=22670060
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US00182792A Expired - Lifetime US3791388A (en) | 1971-09-22 | 1971-09-22 | Covered suture |
Country Status (10)
| Country | Link |
|---|---|
| US (1) | US3791388A (enExample) |
| JP (1) | JPS4840290A (enExample) |
| AT (1) | AT328091B (enExample) |
| AU (1) | AU462170B2 (enExample) |
| BR (1) | BR7206593D0 (enExample) |
| CA (1) | CA988804A (enExample) |
| DE (1) | DE2246215A1 (enExample) |
| GB (1) | GB1401478A (enExample) |
| IT (1) | IT965454B (enExample) |
| NL (1) | NL7212894A (enExample) |
Cited By (35)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4376685A (en) * | 1981-06-24 | 1983-03-15 | M&T Chemicals Inc. | Acid copper electroplating baths containing brightening and leveling additives |
| WO1986000020A1 (en) * | 1984-06-14 | 1986-01-03 | Bioresearch Inc. | Composite surgical sutures |
| US4880002A (en) * | 1985-05-30 | 1989-11-14 | Corvita Corporation | Stretchable porous sutures |
| US5275618A (en) * | 1991-11-13 | 1994-01-04 | United States Surgical Corporation | Jet entangled suture yarn and method for making same |
| US5447966A (en) * | 1988-07-19 | 1995-09-05 | United States Surgical Corporation | Treating bioabsorbable surgical articles by coating with glycerine, polalkyleneoxide block copolymer and gelatin |
| US5571469A (en) * | 1994-04-11 | 1996-11-05 | Ethicon, Inc. | Process for producing a polyamide suture |
| US5688451A (en) * | 1995-01-03 | 1997-11-18 | American Cyanamid Company | Method of forming an absorbable biocompatible suture yarn |
| WO1998031735A1 (en) * | 1997-01-21 | 1998-07-23 | Aristech Chemical Corporation | Improved polypropylene suture material |
| US6183499B1 (en) * | 1998-09-11 | 2001-02-06 | Ethicon, Inc. | Surgical filament construction |
| US6190408B1 (en) * | 1998-03-05 | 2001-02-20 | The University Of Cincinnati | Device and method for restructuring the heart chamber geometry |
| US6226972B1 (en) * | 1997-12-10 | 2001-05-08 | Izumi International, Inc. | Twisted union yarn manufacturing method and device |
| US6412261B1 (en) * | 2001-03-21 | 2002-07-02 | The Forman School | Method of reinforcing a fiber with spider silk |
| US6520904B1 (en) | 1996-01-02 | 2003-02-18 | The University Of Cincinnati | Device and method for restructuring heart chamber geometry |
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| US20030205041A1 (en) * | 2001-03-20 | 2003-11-06 | Baker Jr. Paul W | Composite yarn |
| US20040015039A1 (en) * | 2002-07-16 | 2004-01-22 | The University Of Cincinnati | Modular power system and method for a heart wall actuation system for the natural heart |
| US20040034271A1 (en) * | 2002-08-19 | 2004-02-19 | The University Of Cincinnati | Heart wall actuation system for the natural heart with shape limiting elements |
| US20040059180A1 (en) * | 2002-09-23 | 2004-03-25 | The University Of Cincinnati | Basal mounting cushion frame component to facilitate extrinsic heart wall actuation |
| US6712838B2 (en) | 1997-10-10 | 2004-03-30 | Ethicon, Inc. | Braided suture with improved knot strength and process to produce same |
| US20050119696A1 (en) * | 2003-12-02 | 2005-06-02 | Walters Troy M. | Braided suture |
| US20050169974A1 (en) * | 2002-05-08 | 2005-08-04 | Radi Medical Systems Ab | Dissolvable medical sealing device |
| US20060085036A1 (en) * | 2004-10-18 | 2006-04-20 | Viola Frank J | Adhesive suture structure and methods of using the same |
| US20060155159A1 (en) * | 2003-06-09 | 2006-07-13 | Melvin David B | Power system for a heart actuation device |
| US20060155160A1 (en) * | 2003-06-09 | 2006-07-13 | Melvin David B | Actuation mechanisms for a heart actuation device |
| US20060162313A1 (en) * | 2005-01-24 | 2006-07-27 | Shigeto Shimizu | Cohensioned silk yarn and silk knit cloth |
| US20060173492A1 (en) * | 2003-07-03 | 2006-08-03 | Radi Medical Systems Ab | Wound closure and sealing device |
| US20060178551A1 (en) * | 2003-06-09 | 2006-08-10 | Melvin David B | Securement system for a heart actuation device |
| US20060187550A1 (en) * | 2002-07-18 | 2006-08-24 | Melvin David B | Deforming jacket for a heart actuation device |
| US20090112236A1 (en) * | 2007-10-29 | 2009-04-30 | Tyco Healthcare Group Lp | Filament-Reinforced Composite Fiber |
| US7715918B2 (en) | 2005-10-18 | 2010-05-11 | University Of Cincinnati | Muscle energy converter with smooth continuous tissue interface |
| US20120303057A1 (en) * | 2011-05-24 | 2012-11-29 | Young Bin Choy | Suture Comprising Drug-Loaded Polymer Layer and Method of Manufacturing the Same |
| US20150168281A1 (en) * | 2013-12-13 | 2015-06-18 | Rehabilitation Institute Of Chicago | Pretensioner System and Methods |
| US9597426B2 (en) | 2013-01-25 | 2017-03-21 | Covidien Lp | Hydrogel filled barbed suture |
| US10238773B2 (en) * | 2008-10-09 | 2019-03-26 | Mimedx Group, Inc. | Methods of making collagen fiber medical constructs and related medical constructs, including nerve guides and patches |
| US11285246B2 (en) * | 2016-02-05 | 2022-03-29 | RxFiber, LLC | High tenacity fibers |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5134708B1 (enExample) * | 1970-06-30 | 1976-09-28 | ||
| JPS62180609A (ja) * | 1986-02-04 | 1987-08-07 | Yokogawa Electric Corp | プログラマブル・タイマ回路 |
| JPH042668Y2 (enExample) * | 1987-03-19 | 1992-01-29 |
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| US4376685A (en) * | 1981-06-24 | 1983-03-15 | M&T Chemicals Inc. | Acid copper electroplating baths containing brightening and leveling additives |
| WO1986000020A1 (en) * | 1984-06-14 | 1986-01-03 | Bioresearch Inc. | Composite surgical sutures |
| US4880002A (en) * | 1985-05-30 | 1989-11-14 | Corvita Corporation | Stretchable porous sutures |
| US5447966A (en) * | 1988-07-19 | 1995-09-05 | United States Surgical Corporation | Treating bioabsorbable surgical articles by coating with glycerine, polalkyleneoxide block copolymer and gelatin |
| US5275618A (en) * | 1991-11-13 | 1994-01-04 | United States Surgical Corporation | Jet entangled suture yarn and method for making same |
| US5423859A (en) * | 1991-11-13 | 1995-06-13 | United States Surgical Corporation | Jet entangled suture yarn and method for making same |
| US5571469A (en) * | 1994-04-11 | 1996-11-05 | Ethicon, Inc. | Process for producing a polyamide suture |
| US5843574A (en) * | 1994-04-11 | 1998-12-01 | Ethicon, Inc. | Polyamide suture having improved tensile strength |
| US5688451A (en) * | 1995-01-03 | 1997-11-18 | American Cyanamid Company | Method of forming an absorbable biocompatible suture yarn |
| US6520904B1 (en) | 1996-01-02 | 2003-02-18 | The University Of Cincinnati | Device and method for restructuring heart chamber geometry |
| US7361191B2 (en) | 1996-01-02 | 2008-04-22 | The University Of Cincinnati | Heart wall actuation device for the natural heart |
| US20040024286A1 (en) * | 1996-01-02 | 2004-02-05 | The University Of Cincinnati | Heart wall actuation device for the natural heart |
| US6592619B2 (en) | 1996-01-02 | 2003-07-15 | University Of Cincinnati | Heart wall actuation device for the natural heart |
| WO1998031735A1 (en) * | 1997-01-21 | 1998-07-23 | Aristech Chemical Corporation | Improved polypropylene suture material |
| US6712838B2 (en) | 1997-10-10 | 2004-03-30 | Ethicon, Inc. | Braided suture with improved knot strength and process to produce same |
| US6226972B1 (en) * | 1997-12-10 | 2001-05-08 | Izumi International, Inc. | Twisted union yarn manufacturing method and device |
| US6409760B1 (en) | 1998-03-05 | 2002-06-25 | University Of Cincinnati | Device and method for restructuring heart chamber geometry |
| US6190408B1 (en) * | 1998-03-05 | 2001-02-20 | The University Of Cincinnati | Device and method for restructuring the heart chamber geometry |
| US6183499B1 (en) * | 1998-09-11 | 2001-02-06 | Ethicon, Inc. | Surgical filament construction |
| US20030205041A1 (en) * | 2001-03-20 | 2003-11-06 | Baker Jr. Paul W | Composite yarn |
| US6412261B1 (en) * | 2001-03-21 | 2002-07-02 | The Forman School | Method of reinforcing a fiber with spider silk |
| US8802124B2 (en) | 2002-05-08 | 2014-08-12 | Radi Medical Systems Ab | Erodible vessel sealing device without chemical or biological degradation |
| US20050169974A1 (en) * | 2002-05-08 | 2005-08-04 | Radi Medical Systems Ab | Dissolvable medical sealing device |
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| US7850729B2 (en) | 2002-07-18 | 2010-12-14 | The University Of Cincinnati | Deforming jacket for a heart actuation device |
| US20060187550A1 (en) * | 2002-07-18 | 2006-08-24 | Melvin David B | Deforming jacket for a heart actuation device |
| US6988982B2 (en) | 2002-08-19 | 2006-01-24 | Cardioenergetics | Heart wall actuation system for the natural heart with shape limiting elements |
| US20040034271A1 (en) * | 2002-08-19 | 2004-02-19 | The University Of Cincinnati | Heart wall actuation system for the natural heart with shape limiting elements |
| US20050250976A1 (en) * | 2002-08-19 | 2005-11-10 | The University Of Cincinnati | Heart wall actuation system for the natural heart with shape limiting elements |
| US20040059180A1 (en) * | 2002-09-23 | 2004-03-25 | The University Of Cincinnati | Basal mounting cushion frame component to facilitate extrinsic heart wall actuation |
| US7753837B2 (en) | 2003-06-09 | 2010-07-13 | The University Of Cincinnati | Power system for a heart actuation device |
| US20060155159A1 (en) * | 2003-06-09 | 2006-07-13 | Melvin David B | Power system for a heart actuation device |
| US20060178551A1 (en) * | 2003-06-09 | 2006-08-10 | Melvin David B | Securement system for a heart actuation device |
| US20060155160A1 (en) * | 2003-06-09 | 2006-07-13 | Melvin David B | Actuation mechanisms for a heart actuation device |
| US7658705B2 (en) | 2003-06-09 | 2010-02-09 | Cardioenergetics, Inc. | Actuation mechanisms for a heart actuation device |
| US20060173492A1 (en) * | 2003-07-03 | 2006-08-03 | Radi Medical Systems Ab | Wound closure and sealing device |
| US20050119696A1 (en) * | 2003-12-02 | 2005-06-02 | Walters Troy M. | Braided suture |
| US8142475B2 (en) | 2004-10-18 | 2012-03-27 | Tyco Healthcare Group Lp | Adhesive suture structure and methods of using the same |
| US20060085036A1 (en) * | 2004-10-18 | 2006-04-20 | Viola Frank J | Adhesive suture structure and methods of using the same |
| US20110139853A1 (en) * | 2004-10-18 | 2011-06-16 | Tyco Healthcare Group Lp | Adhesive suture structure and methods of using the same |
| US8211130B2 (en) | 2004-10-18 | 2012-07-03 | Tyco Healthcare Group Lp | Adhesive suture structure and methods of using the same |
| US9358012B2 (en) | 2004-10-18 | 2016-06-07 | Covidien Lp | Methods of using wound treatment infused sutures |
| US8709026B2 (en) | 2004-10-18 | 2014-04-29 | Covidien Lp | Methods of using wound treatment infused sutures |
| US20060162313A1 (en) * | 2005-01-24 | 2006-07-27 | Shigeto Shimizu | Cohensioned silk yarn and silk knit cloth |
| US7715918B2 (en) | 2005-10-18 | 2010-05-11 | University Of Cincinnati | Muscle energy converter with smooth continuous tissue interface |
| US20090112236A1 (en) * | 2007-10-29 | 2009-04-30 | Tyco Healthcare Group Lp | Filament-Reinforced Composite Fiber |
| US10238773B2 (en) * | 2008-10-09 | 2019-03-26 | Mimedx Group, Inc. | Methods of making collagen fiber medical constructs and related medical constructs, including nerve guides and patches |
| US9295462B2 (en) * | 2011-05-24 | 2016-03-29 | Snu R&Db Foundation | Suture comprising drug-loaded polymer layer and method of manufacturing the same |
| US20120303057A1 (en) * | 2011-05-24 | 2012-11-29 | Young Bin Choy | Suture Comprising Drug-Loaded Polymer Layer and Method of Manufacturing the Same |
| US9597426B2 (en) | 2013-01-25 | 2017-03-21 | Covidien Lp | Hydrogel filled barbed suture |
| US20150168281A1 (en) * | 2013-12-13 | 2015-06-18 | Rehabilitation Institute Of Chicago | Pretensioner System and Methods |
| US10168262B2 (en) * | 2013-12-13 | 2019-01-01 | Rehabilitation Institute Of Chicago | Pretensioner system and methods |
| US11285246B2 (en) * | 2016-02-05 | 2022-03-29 | RxFiber, LLC | High tenacity fibers |
Also Published As
| Publication number | Publication date |
|---|---|
| CA988804A (en) | 1976-05-11 |
| IT965454B (it) | 1974-01-31 |
| ATA817372A (de) | 1975-05-15 |
| AU4684372A (en) | 1974-03-28 |
| BR7206593D0 (pt) | 1973-07-26 |
| AT328091B (de) | 1976-03-10 |
| JPS4840290A (enExample) | 1973-06-13 |
| NL7212894A (enExample) | 1973-03-26 |
| GB1401478A (en) | 1975-07-16 |
| AU462170B2 (en) | 1975-06-19 |
| DE2246215A1 (de) | 1973-03-29 |
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