WO2018178491A1 - Assembly for implanting thread in the body of a patient - Google Patents

Assembly for implanting thread in the body of a patient Download PDF

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Publication number
WO2018178491A1
WO2018178491A1 PCT/ES2018/070280 ES2018070280W WO2018178491A1 WO 2018178491 A1 WO2018178491 A1 WO 2018178491A1 ES 2018070280 W ES2018070280 W ES 2018070280W WO 2018178491 A1 WO2018178491 A1 WO 2018178491A1
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WO
WIPO (PCT)
Prior art keywords
thread
assembly
needle
skin
patient
Prior art date
Application number
PCT/ES2018/070280
Other languages
Spanish (es)
French (fr)
Inventor
Carles Trullàs Cabanas
Original Assignee
Isdin, S.A.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from ES201700326U external-priority patent/ES1183983Y/en
Application filed by Isdin, S.A. filed Critical Isdin, S.A.
Publication of WO2018178491A1 publication Critical patent/WO2018178491A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets

Definitions

  • the present description refers to the implantation of thread in the body of a patient under the epidermis of a patient in order to improve its appearance. More specifically, the present description refers to a set for the implantation of thread in the body of a patient, comprising a thread intended to be implanted under the patient's epidermis and a hollow needle or cannula adapted so that, inside, run the thread, and to enter under the patient's epidermis to implant the thread.
  • the body thread refers to a very fine thread made of a biocompatible material, intended to be introduced under the epidermis of a patient once implanted.
  • a series of body threads is applied under the patient's epidermis.
  • the needle or cannula is inserted making an incision at the level of the patient's temple.
  • the needle or cannula is removed and, once the desired tension has been obtained if the ends of the threads remain outside the skin, they are sometimes tied with knots and, in any case, the leftover part.
  • the knots formed by tying the ends of the threads can be concealed by the patient's hair since the entrance hole has been made in an area of the patient's temple, as indicated.
  • a drawback that has been found in this type of applications in the implantation of body thread is that the formation of knots outside the skin to tie the body threads can lead to infections.
  • knots outside the skin may not always be well concealed by the patient's hair, since it depends on each patient, and an unsightly effect is usually created, both in sight and touch.
  • Another drawback that has been found in this technique is that the knots may become loose and the ends of the threads may become loose, which is not desirable.
  • Still another drawback is that, to make the knots, it is necessary that a minimum of two ends remain outside the skin.
  • the present description presents a set for the implantation of body threads in any part of the anatomy under the skin, in particular, under the epidermis of a patient according to a first aspect according to claim 1, according to a second aspect according to claim 1, and according to a third aspect according to claim 26, which will be described in detail below.
  • the present set for the implantation of body threads has been found to provide important advantages as will be seen hereafter.
  • the set for the implantation of body threads described below has many applications, such as, for example, the reaffirmation and regeneration of the skin on cheeks, facial oval, eye contour, eyebrows, chin , neck, nose, back of hands, arms, thighs and also on knees, buttocks, breasts, abdomen.
  • other applications are not ruled out.
  • the present set for the implantation of body threads comprises a body thread to be implanted.
  • the body thread is made of a material selected from at least one of: polydioxanone, polylactic acid, glycolic acid, polycaprolactone or other equivalent bioabsorbable material.
  • the body yarn can be made of non-bioabsorbable materials, such as gold, polyester, silicone or other equivalents.
  • a suitable length for the body thread is, for example, 30-500 mm, and may be greater, for example, 940 mm.
  • the body thread is of the bearded type, that is, with an external configuration adapted to hinder its movement in an opposite direction. This configuration allows to generate a great mechanical traction, which is advantageous to favor the tension of the implanted body thread and generate an advantageous reaffirmation effect.
  • the set for the implantation of body threads also comprises a hollow needle adapted so that, through its interior, the body thread runs.
  • a needle such as a cannula
  • the needle or cannula can have a length of 25-150 mm.
  • the needle can be of a 19G-31 G caliber, which corresponds to an outside diameter of 1, 1 - 0.26 mm.
  • other lengths, sizes according to the particular area of the patient's body to be treated, are not ruled out.
  • the assembly for the implantation of body threads also comprises a base, also called a cone, coupled at one end of the needle or cannula to facilitate its manual application.
  • This base is made of a suitable material to provide comfort in handling the needle or cannula.
  • the assembly for the implantation of threads in the body of a patient further comprises a manual suturing tool attached to one end of the external body thread to the needle or cannula.
  • the union between the suture tool and the outer end of the body thread can be permanent, for example.
  • the manual suturing tool is detachably attached to the outer end of the body thread.
  • the joint between the suture tool and the outer end of the body thread is permanent, the joint can be by pressing or sealing. Other types of bonding are also possible.
  • This manual suture tool is configured to perform a medical suture on the patient's skin, once the body thread has been implanted under the patient's epidermis.
  • the manual suture tool is a suture needle or cannula manufactured, for example, in surgical stainless steel.
  • suitable flexible and tensile resistant materials that allow easy handling are not ruled out.
  • the set for the implantation of threads in the body of a patient includes a stop to be arranged adjacent to the orifice of the skin.
  • Said stop is configured so that, through it, it can pass at least the needle with a section or section of body thread.
  • this stop comprises a main body intended to be placed adjacent to the orifice of the patient's skin for implanting the body thread and at least one opening for the passage of the needle and the body thread, as indicated.
  • the stop also has a thread release device.
  • This thread release device comprises at least one cut formed in said main body of the stop. The cut is conveniently designed to release, from the main body of the stop, a section or section of the body thread that is outside the skin, that is, a part of the thread that is outside the patient's skin when the thread has already been implanted .
  • said wire release device is constituted by an outer body arranged to cover at least partially the cut of the main body of the stop.
  • This outer body is preferably configured to slide over the main body of the stop when a suitable force is applied. This ensures that the cut of the main body of the stop is at least partially covered or uncovered, as desired.
  • the stop With the outer body arranged at least partially covering the cut, the stop retains the thread and with the outer body arranged leaving the cut at least partially exposed, the thread can be easily removed from the stop.
  • the outer body of the stop may be arranged to detach from the main body of the stop rather than to slide.
  • Other options such as, for example, a combined configuration of an outer body capable of detachment and also capable of sliding relative to the main body of the abutment are not ruled out.
  • a particular case of a removable outer body could be an outer body made of sheet material such as, for example, paper or the like, arranged to cover at least partially the cut of the main body of the stop. Said removable outer body, as indicated, can be detached from the main body of the stop to expose the cut and, thus, be able to extract the thread from the stop with ease. Other materials and configurations are not discarded.
  • the cut may be formed longitudinally in the main body of the stop, extending substantially parallel to a longitudinal axis of the main body.
  • the cut may extend at least partially through the main body of the stop, that is, affecting a dimension, such as width, of the main body of the stop.
  • Other configurations are possible, such as, for example, one in which cut extends substantially at an angle to the longitudinal axis of the main body.
  • the cut is formed transversely in the main body of the stop, extending at least partially through the main body of the stop.
  • a particular case of this example is a radially formed cut in the main body of the stop that extends partially occupying the cross section of the main body of the stop.
  • a single cut or a plurality of cuts may be arranged, such as 2, 3, 4, 5 or even more cuts depending on the configuration and dimensions of the stop.
  • the cut can be V-shaped in cross section although other cross-section shapes such as U, etc. are not ruled out.
  • the main body of the stop it may be preferred that the main body of the abutment has a cylindrical geometry.
  • the outer body is a suitable bushing to be arranged at least partially surrounding the main body of the stop.
  • the main body of the abutment many other different forms for the main body of the abutment, such as spherical or cubic geometries, and even prismatic geometries with a polygonal base, oval base, etc., are not ruled out.
  • the cut may be formed radially, as indicated above, partially extending along a circle of the cross section. The stop is intended to keep the thread anchored to the needle and facilitate it to run through the needle when it is implanted in the skin.
  • a set for the implantation of thread in a patient's body which comprises a body thread, a needle that is hollow adapted so that, inside, the body thread runs, and configured to be introduced under the epidermis through a hole in a patient's skin, in order to implant the body thread, and to be extracted through that same hole in the skin leaving the implanted thread, a base attached at one end of the needle to facilitate its manual application, and a manual suture tool attached to one end of the outer body thread to the needle.
  • He Manual suturing tool is configured to perform a suture on the patient's skin, once the body thread has been implanted under the patient's epidermis.
  • the base coupled at one end of the needle includes a means for releasably coupling the manual suturing tool on an outer part of the base.
  • said base could incorporate a releasable cap so that the suture needle is adequately protected.
  • a set for the implantation of thread in a patient's body which comprises a body thread, a needle that is hollow adapted so that, inside, the body thread runs, and configured to be introduced under the epidermis through a hole in a patient's skin, in order to implant the body thread, and to be extracted through that same hole in the skin leaving the implanted thread, a base attached at one end of the needle to facilitate its manual application, and a manual suture tool attached to one end of the outer body thread to the needle and configured to perform a suture with said suture tool in the patient's skin, once the body thread has been implanted under the patient's epidermis.
  • a stop can be arranged to be disposed adjacent to the skin hole and through which at least the needle with a section of the body thread can pass.
  • This stop may be of cylindrical geometry, although other different forms such as spherical or cubic geometries, and even prismatic geometries of polygonal base, oval base, etc. are not ruled out.
  • the function of the stop is to keep the thread anchored to the needle and facilitate it to run through the needle when it is implanted under the epidermis.
  • the manual suture tool may have a geometry that has at least one curved section to facilitate the completion of a suture with said suture tool in the patient's skin.
  • a suitable geometry can be, for example, a substantially U-shaped shape and, more preferably, a geometry with a substantially U-shaped curved section corresponding to a fraction of 1 / 4-5 / 8 in circumference. This range of lengths for the configuration of the manual suture tool covers lengths suitable for the curved section of the manual suture tool corresponding to a fraction of 1/2 and 3/8 of circumference according to the skin of the particular area of the body to be treated.
  • this set for the implementation of body threads may include a manual suture tool configured by a curved suture needle corresponding to a fraction of 1/2 in circumference, for suturing of subcutaneous (fat) cellular tissue and muscles or of 3/8 of circumference for skin suturing, muscle, nasal cavity, oral, pharynx.
  • a manual suture tool configured by a curved suture needle corresponding to a fraction of 1/2 in circumference, for suturing of subcutaneous (fat) cellular tissue and muscles or of 3/8 of circumference for skin suturing, muscle, nasal cavity, oral, pharynx.
  • the base or cone mentioned above may have a hollow inner part.
  • This hollow interior part of the base or cone can be conveniently adapted to accommodate inside at least a part of the manual suturing tool such as, for example, one end thereof.
  • the manual suture tool may be attached to the outside of the base or cone.
  • the set for the implantation of thread in the body of a patient offers the advantages of the use of body thread for implantation since, for example, it allows an implant to be performed under the epidermis to return firmness. to the skin in a simple and safe way, stimulating the skin to form new collagen without practically causing allergies or rejection, being undetectable to palpation and sight once implanted, and with minimal maintenance that is compatible with other treatments.
  • the set for the implantation of thread in the body of a patient that has been described allows a very effective subjection of the threads through medical suture in the skin, with respect to the implantation systems with knots and without knots , since the formation of outer knots is not required.
  • the present set for the implantation of thread in the body of a patient presents advantages over the prior art in which no knots are used, since the threads, once implanted in the described set, are not they move, and a greater force can be exerted to tighten the thread.
  • the present set for the implantation of thread in the body of a patient does not need to have two free ends of the threads outside the skin, since that only one end is enough. This advantageously allows an anchor point to be made through the creation of stitches, which is more aesthetic because it is not outside the skin and has a smaller volume.
  • the arrangement of the stop allows avoiding risk situations with the part of the body thread that normally hangs outside the patient's skin, with the suture tool attached to it. Therefore, virtually any length of thread can be left out of the skin without the risk of the patient / doctor being pricked with the suture tool.
  • the needle thread exit is properly controlled and a more hygienic assembly is obtained.
  • the body thread of the present assembly could incorporate a knot made around the outside of the needle or cannula.
  • this knot would be hidden inside the skin, when the needle or cannula is removed. This feature makes it possible to further strengthen the support of the body thread and, at the same time, provide a high level of hygiene, free of infections, and without affecting aesthetics.
  • the body thread may include a loop formed by the thread itself, configured as a handle. This loop, after tensioning the thread, once implanted, is hidden under the epidermis. This loop facilitates the application of tension to favor the skin's firming effect.
  • Figure 1 is a schematic elevation view that shows a first example of a set for the implantation of thread in the body of a patient
  • Figure 2 is an enlarged view of the suture tool of the assembly for the implantation of thread of the first example of Figure 1;
  • Figure 3 is a schematic sectional perspective view of a second example of the present assembly for the implantation of thread in the body of a patient with a thread release device comprising a longitudinal section and an outer sleeve showing how the arrangement is arranged. needle and body thread;
  • Figure 4 is a schematic perspective view of the second example of the assembly for the implantation of thread in the body of a patient of Figure 3 where the needle and the thread have not been illustrated for reasons of clarity;
  • Figure 5 is a perspective view of a third example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises a longitudinal section and an outer sleeve adapted to detach from the main body of the stop, top, maximum as a noun, top as an adverb;
  • Figure 6 is a perspective view of a fourth example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises a longitudinal section and does not comprise any bush;
  • Figure 7 is a perspective view of a fifth example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises cuts formed transversely with respect to the main body of the stop and does not comprise any cap
  • Figure 8 is a perspective view of a sixth example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises a radially formed cut with respect to the main body of the stop and does not comprise any cap
  • the assembly for the implantation of body threads 100 of the illustrated example is constituted by a body thread 1 10, a needle 120, a base or cone 130 and a suture tool 140.
  • the 1 10 body thread to be implanted is made of a material selected from one or more of polydioxanone, polylactic acid, glycolic acid, polycaprolactone.
  • the body thread 110 may be made of any other equivalent biocompatible material.
  • a body thread 110 of a length of 30-500 mm is used, depending on the application.
  • the body thread 1 10 may be arranged wrapped around the needle 120 following a spiral shape. In such cases, the length of the body thread 1 10 could even reach 940 mm.
  • the body thread 1 10 of the non-limiting example described is also of the bearded type, that is, with an external configuration adapted to make it difficult to move in the opposite direction.
  • a spiculated body thread 10 is preferred, that is, with small projections around the outside of its extension intended to favor anchorage to the skin. A great advantageous mechanical traction is thus obtained to favor the tension of the implanted body thread 110.
  • the needle 120 is hollow and the body thread 110 runs therethrough.
  • the needle 120 has a beveled tip 125 to facilitate subcutaneous insertion through a skin hole 150 of a patient.
  • any tool equivalent to the needle 120 shown such as, for example, a cannula, can be used, provided it allows it to be introduced under the epidermis through a hole in the patient's skin 150. Needle 120 or cannula could be also not beveled tip.
  • the tip of the needle 120 or cannula may have any appropriate geometry.
  • the needle 120 has the function of implanting the body thread 1 10 under the skin 150 of the patient, as it is introduced under it through said orifice thereof, and leaving it implanted there when it is extracted out of the skin 150 through that same hole.
  • the needle 120 of the example shown in Figure 1 has a length L a of 25-150 mm.
  • the needle 120 used is preferably of a 19G-31G caliber, which corresponds to an outside diameter of 1.1-0.26 mm.
  • Clearly needles 120 can be used in a length L outside this range, if necessary.
  • a stop 160 of cotton, medical silicone or other material is disposed, adjacent to the orifice of the skin 150 through which the needle 120 passes and a section of the body thread 1 10.
  • the stop 160 in the an example shown is a cylindrical geometry body designed to keep the body thread 1 10 anchored to the needle 120 and facilitate it to run inside the same when it is implanted in the skin 150 of the patient.
  • the base or cone 130 It consists of a tubular body made of a material to facilitate the handling of the needle 120 by the professional.
  • Manual suture tool 140 in the example shown in Figure 1, is a suture needle configured to perform a medical suture on the patient's skin 150, once the body thread 1 10 has been implanted under the epidermis.
  • This suture needle 140 is made of surgical stainless steel, although other materials suitable for applying sutures to the skin 150 of a patient are not discarded.
  • This suture needle 140 is permanently attached one end 180 of the body thread 1 10, outside the needle 120. In some cases, however, it is provided that the joint between the suture needle 140 and the body thread 110 be detachable .
  • the suture needle 140 has a curved geometry, in particular, a circular configuration with a length L u corresponding to a fraction of 3/8 of circumference.
  • This configuration corresponding to a fraction of 3/8 in circumference allows sutures to be comfortably made in the patient's skin 150 to perform, for example, a facial rejuvenation treatment to at least partially eliminate wrinkles in the skin of the patient's face.
  • the circular configuration of the suture needle 140 may be of another length according to the particular area of the patient's body to be treated, such as, for example, corresponding to a fraction of 1, 4, 1/2, and 5/8 circumference.
  • the suture needle 140 can be releasably coupled in a coupling means 190 formed in a part exterior of the base or cone 130.
  • Other alternative means to the coupling means 190 are possible to couple the suture needle 140 to the exterior of the base or cone 130.
  • the set 100 described allows for implantation of body threads 1 10 in a manner comfortable, efficient and safe for applications in the reaffirmation and regeneration of the skin on cheeks, facial oval, eye contour, eyebrows, chin, neck, nose, back of hands, arms, thighs and also on knees, buttocks, breasts, abdomen, etc.
  • the professional inserts the needle 120 into an appropriate area of skin 150 of the patient's face using the base or cone 130.
  • the body thread 110 which it carries inside, under the patient's dermis.
  • the needle 120 is removed leaving the body thread 1 10 tight under the skin 150.
  • a suture is made with the suture needle 140 on the patient's skin with the end outer 180 of the body thread 110 whose tension produces an elevation and, consequently, a reaffirmation of the patient's skin 150.
  • various body threads can be implanted 1 10 which can be implanted individually or by forming a network of threads 1 10 defining a mesh.
  • FIG. 3-8 Additional examples of the present assembly 100 for implanting thread 1 10 in the body of a patient in which the stop 160 has a thread release device for releasing a section of the body thread 1 10 is shown in Figures 3-8. it is out of the skin 150 by easily removing it from the stop 160.
  • the stop 160 is a cylindrical geometry body designed to keep the body thread 1 10 anchored to the needle 120 and facilitate it to run through the same when it is implanted on the skin 150 of the patient.
  • the device for releasing the body thread 1 10 is constituted by a longitudinal cut 167, in particular a cut 167 extending along the entire length of the stop 160.
  • the cut 167 which extends over a part of the length of the stop 160.
  • the device for releasing the body thread 1 10 is also constituted by an outer body 168 in the form of a bush of substantially a nature rigid This substantially rigid outer body or bushing 168 also has a cylindrical configuration in the examples shown to cover or at least partially discover the longitudinal cut 167 of the stop 160 as desired.
  • the main body 165 of the stop 160 has an opening 166 that extends longitudinally through the interior of the main body 165. Said opening 166 is configured so that, through it, the needle 120, inside which it runs, in turn. the body thread 1 10.
  • the body thread 1 10 has a return section that goes outside the patient's skin 150 through the opening 166 of the main body 165 of the stop 160, whose return section runs through the outside of the needle 120.
  • the longitudinal section 167 of the body thread releasing device 1 10 defines a zone of weakening in the main body 165 of the stop 160 by which the body thread 1 10 of the stop 160 can be easily removed simply by pulling the thread 1 10 causing the rupture of the stop 160 by said longitudinal cut 167, which allows the thread 1 10 to be released from the stop 160.
  • Figure 4 illustrates this example of the device for releasing the body thread 1 10.
  • the needle and the thread have not been illustrated in order to more clearly appreciate the device for releasing the body thread 110.
  • the longitudinal cut 167 defines a zone of weakening that allows to easily extract the body thread 1 10 from the stop 160 by pulling the thread 1 10 which causes the breakage of the main body 165 of the stop 160 which allows the thread 110 to be released.
  • FIG. 5 Another example of the thread release device is shown in Figure 5.
  • the main body 165 of the stop 160 is surrounded, instead of by the outer sleeve of the case of Figures 3 and 4, by an outer sleeve 168 of removable nature.
  • This outer sleeve 168 may be formed, for example, by a sheet of paper or sheet material surrounding the main body 165 of the stopper 160 covering the longitudinal cut 167. This sheet of paper or sheet material can be adequately detached easily to leave the the longitudinal cut 167 was discovered, allowing the body thread 1 10 to be released from the stop 160 very easily.
  • the wire release device 1 10 simply incorporates said longitudinal section 167, without an outer sleeve.
  • the thread release device 1 10 comprises, instead of the longitudinal section of the examples of Figures 1 to 6, cuts 167 formed transversely with respect to the main body 165 of the stop 160, which are extend radially.
  • the cuts 167 formed transversely with respect to the main body 165 of the stop 160 are, in this example, two rectangular shaped cuts between which there are additionally formed two other cuts of cylindrical configuration all formed transversely with respect to the main body 165 of the stop 160.
  • Other configurations are also possible in this example, such as cuts in which all have the same configuration, for example.
  • said thread release device 1 10 comprises a single cut 167 that is radially formed with respect to the main body 165 of the stopper 160 occupying approximately half circular sector of the cylindrical main body 165 of the stop 160.

Abstract

The invention relates to an assembly (100) comprising a hollow needle (120) through which a body thread (110) to be implanted under the epidermis can be guided, a base (130) coupled to an end (170) of the needle (120) for facilitating the manual application thereof, a manual suturing implement (140) connected to an end (180) of the thread (110) outside the needle (120) and designed to perform suturing once the thread (110) has been implanted, and a stop (160) arranged adjacently to the opening of the skin (150), through which at least the needle (120) can pass with a section of the body thread (110).

Description

DESCRIPCIÓN  DESCRIPTION
Conjunto para la implantación de hilo en el cuerpo de un paciente. La presente solicitud reivindica prioridad del modelo de utilidad español U201700326 presentado el 31 de marzo de 2017, y de la solicitud de patente europea EP17175194.4 presentada el 09 de junio de 2017. Joint for the implantation of thread in the body of a patient. The present application claims priority of the Spanish utility model U201700326 filed on March 31, 2017, and of the European patent application EP17175194.4 filed on June 09, 2017.
CAMPO TÉCNICO TECHNICAL FIELD
La presente descripción se refiere a la implantación de hilo en el cuerpo de un paciente bajo la epidermis de un paciente con el objetivo de mejorar su aspecto. Más concretamente, la presente descripción se refiere a un conjunto para la implantación de hilo en el cuerpo de un paciente, que comprende un hilo destinado a ser implantado bajo la epidermis del paciente y una aguja o cánula hueca adaptada para que, por su interior, discurra el hilo, y para introducirse bajo la epidermis del paciente para implantar el hilo. The present description refers to the implantation of thread in the body of a patient under the epidermis of a patient in order to improve its appearance. More specifically, the present description refers to a set for the implantation of thread in the body of a patient, comprising a thread intended to be implanted under the patient's epidermis and a hollow needle or cannula adapted so that, inside, run the thread, and to enter under the patient's epidermis to implant the thread.
ANTECEDENTES El hilo corporal, dentro del significado de la presente descripción, se refiere a un hilo muy fino fabricado en un material biocompatible, destinado a introducirse bajo la epidermis de un paciente una vez implantado. Con el objetivo principal de mejorar el aspecto de la piel de diversas partes de la anatomía de un paciente, tal como, por ejemplo, en tratamientos de rejuvenecimiento facial, se aplica una serie de hilos corporales bajo la epidermis del paciente. BACKGROUND The body thread, within the meaning of the present description, refers to a very fine thread made of a biocompatible material, intended to be introduced under the epidermis of a patient once implanted. With the main objective of improving the appearance of the skin of various parts of a patient's anatomy, such as, for example, in facial rejuvenation treatments, a series of body threads is applied under the patient's epidermis.
Existen en la actualidad diferentes técnicas para la implantación de los hilos en el cuerpo de un paciente. Es conocida la implantación de hilos en el cuerpo a través de una aguja o cánula fina por cuyo interior discurre el hilo corporal. Mediante dicha aguja o cánula, el profesional primero inserta la aguja o cánula con el hilo corporal, bajo la epidermis del paciente y después la retira de manera que el hilo corporal queda implantado bajo la epidermis ES1022927 describe un hilo metálico a base de oro para aplicaciones médicas, en particular para implantarse por debajo de la piel del paciente mediante una aguja quirúrgica con el fin de corregir y reparar defectos de tipo estético en el cuerpo humano. Dicho hilo está formado por un monofilamento sobre el cual se dispone helicoidalmente por lo menos un hilo metálico formando una hélice de paso relativamente grande. There are currently different techniques for the implantation of the threads in the body of a patient. It is known to implant threads in the body through a needle or fine cannula through which the body thread runs. Using this needle or cannula, the professional first inserts the needle or cannula with the body thread, under the patient's epidermis and then removes it so that the body thread is implanted under the epidermis ES1022927 describes a gold-based metallic thread for medical applications, in particular to be implanted below the patient's skin by means of a surgical needle in order to correct and repair aesthetic defects in the human body. Said wire is formed by a monofilament on which at least one metallic wire is helically arranged forming a relatively large pitch propeller.
En el caso de tratamientos de rejuvenecimiento facial, por ejemplo, en ocasiones la aguja o cánula se inserta practicando una incisión a nivel de la sien del paciente. Cuando se ha aplicado el hilo, la aguja o cánula se retira y, una vez se ha obtenido la tensión deseada si los extremos de los hilos quedan fuera de la piel, en ocasiones se atan con nudos y, en cualquier caso, se corta la parte sobrante. Los nudos formados al atar los extremos de los hilos pueden quedar disimulados por el cabello del paciente dado que el orificio de entrada se ha practicado en una zona de la sien del paciente, tal como se ha indicado. Aunque este tipo de aplicaciones presentan numerosas ventajas, tales como la ausencia de alergias o rechazos, poco mantenimiento, compatibilidad con otros tratamientos, no están, sin embargo, exentas de inconvenientes. Un inconveniente que se ha encontrado en este tipo de aplicaciones en la implantación de hilo corporal es que la formación de nudos fuera de la piel para atar los hilos corporales puede dar lugar a infecciones. Además, los nudos fuera de la piel no siempre pueden quedar bien disimulados por el cabello del paciente, puesto que depende de cada paciente, y normalmente se crea un efecto antiestético, tanto a la vista como al tacto. Otro inconveniente que se ha encontrado en esta técnica es que los nudos pueden llegar a aflojarse y los extremos de los hilos pueden llegar a desatarse, lo cual no es deseable. Todavía otro inconveniente es que, para realizar los nudos, es necesario que queden fuera de la piel un mínimo de dos extremos. In the case of facial rejuvenation treatments, for example, sometimes the needle or cannula is inserted making an incision at the level of the patient's temple. When the thread has been applied, the needle or cannula is removed and, once the desired tension has been obtained if the ends of the threads remain outside the skin, they are sometimes tied with knots and, in any case, the leftover part. The knots formed by tying the ends of the threads can be concealed by the patient's hair since the entrance hole has been made in an area of the patient's temple, as indicated. Although these types of applications have numerous advantages, such as the absence of allergies or rejections, poor maintenance, compatibility with other treatments, they are not, however, exempt from inconveniences. A drawback that has been found in this type of applications in the implantation of body thread is that the formation of knots outside the skin to tie the body threads can lead to infections. In addition, knots outside the skin may not always be well concealed by the patient's hair, since it depends on each patient, and an unsightly effect is usually created, both in sight and touch. Another drawback that has been found in this technique is that the knots may become loose and the ends of the threads may become loose, which is not desirable. Still another drawback is that, to make the knots, it is necessary that a minimum of two ends remain outside the skin.
Finalmente, también existen técnicas en las que, una vez finalizada la implantación, el hilo queda dentro de la piel del paciente sin realizar el nudo. En estos casos se produce una pérdida de tensión del hilo tras el corte y, además, el hilo puede desplazarse con el paso del tiempo. Finally, there are also techniques in which, once the implantation is finished, the thread remains inside the patient's skin without making the knot. In these cases there is a loss of tension of the thread after cutting and, in addition, the thread can move over time.
DESCRIPCIÓN Con el fin de por lo menos mitigar los inconvenientes citados de las técnicas anteriores, la presente descripción presenta un conjunto para la implantación de hilos corporales en cualquier parte de la anatomía bajo la piel, en particular, bajo la epidermis de un paciente de acuerdo con un primer aspecto según la reivindicación 1 , de acuerdo con un segundo aspecto según la reivindicación 1 1 , y de acuerdo con un tercer aspecto según la reivindicación 26, los cuales se describirán en detalle más adelante. El presente conjunto para la implantación de hilos corporales se ha encontrado que proporciona ventajas importantes tal como se verá en lo sucesivo. DESCRIPTION In order to at least mitigate the aforementioned drawbacks of the prior art, the present description presents a set for the implantation of body threads in any part of the anatomy under the skin, in particular, under the epidermis of a patient according to a first aspect according to claim 1, according to a second aspect according to claim 1, and according to a third aspect according to claim 26, which will be described in detail below. The present set for the implantation of body threads has been found to provide important advantages as will be seen hereafter.
En cualquiera de dichos tres aspectos, el conjunto para la implantación de hilos corporales que se describe a continuación tiene muchas aplicaciones, tales como, por ejemplo, la reafirmación y regeneración de la piel en mejillas, óvalo facial, contorno de ojos, cejas, mentón, cuello, nariz, dorso de las manos, brazos, muslos y también en rodillas, glúteos, mamas, abdomen. No se descartan, sin embargo, otras aplicaciones. In any of these three aspects, the set for the implantation of body threads described below has many applications, such as, for example, the reaffirmation and regeneration of the skin on cheeks, facial oval, eye contour, eyebrows, chin , neck, nose, back of hands, arms, thighs and also on knees, buttocks, breasts, abdomen. However, other applications are not ruled out.
En cualquiera de dichos tres aspectos, el presente conjunto para la implantación de hilos corporales comprende un hilo corporal a implantar. Es preferible que el hilo corporal esté realizado en un material seleccionado de por lo menos uno de: polidioxanona, ácido poliláctico, ácido glicólico, policaprolactona u otro material bioabsorbible equivalente. Sin embargo, el hilo corporal puede estar realizado en materiales no bioabsorbibles, tales como oro, poliéster, silicona u otros equivalentes. Una longitud adecuada para el hilo corporal es, por ejemplo, 30-500 mm, pudiendo ser mayor, por ejemplo, de 940 mm. Además, aunque no es esencial, puede ser preferible que el hilo corporal sea de tipo barbado, es decir, con una configuración externa adaptada para dificultar su desplazamiento en un sentido contrario. Esta configuración permite generar una gran tracción mecánica, lo cual es ventajoso para favorecer la tensión del hilo corporal implantado y generar un efecto ventajoso de reafirmación. In any of these three aspects, the present set for the implantation of body threads comprises a body thread to be implanted. It is preferable that the body thread is made of a material selected from at least one of: polydioxanone, polylactic acid, glycolic acid, polycaprolactone or other equivalent bioabsorbable material. However, the body yarn can be made of non-bioabsorbable materials, such as gold, polyester, silicone or other equivalents. A suitable length for the body thread is, for example, 30-500 mm, and may be greater, for example, 940 mm. In addition, although it is not essential, it may be preferable that the body thread is of the bearded type, that is, with an external configuration adapted to hinder its movement in an opposite direction. This configuration allows to generate a great mechanical traction, which is advantageous to favor the tension of the implanted body thread and generate an advantageous reaffirmation effect.
En cualquiera de dichos tres aspectos, el conjunto para la implantación de hilos corporales comprende también una aguja hueca adaptada para que, por su interior, discurra el hilo corporal. Puede utilizarse cualquier útil equivalente a una aguja, tal como, por ejemplo, una cánula, siempre que sea adecuado para introducirse a través de un orificio de la piel de un paciente, en particular, bajo la epidermis, con el fin de implantar el hilo corporal, y para extraerse a través de ese mismo orificio de la piel dejando el hilo implantado. A modo de ejemplo, la aguja o cánula puede tener una longitud de 25-150 mm. No se descartan, sin embargo, otros valores distintos para estas dimensiones de la aguja o cánula fuera de estos rangos. Finalmente, la aguja puede ser de un calibre de 19G-31 G, que corresponde a un diámetro exterior de 1 , 1 - 0,26 mm. No se descartan, sin embargo, otras longitudes, calibres de acuerdo con la zona particular del cuerpo del paciente a tratar. In any of these three aspects, the set for the implantation of body threads also comprises a hollow needle adapted so that, through its interior, the body thread runs. Any tool equivalent to a needle, such as a cannula, may be used, provided it is suitable for insertion through a hole in a patient's skin, in particular under the epidermis, in order to implant the thread body, and to be extracted through the same hole in the skin leaving the implanted thread. By way of For example, the needle or cannula can have a length of 25-150 mm. However, other different values for these dimensions of the needle or cannula outside these ranges are not ruled out. Finally, the needle can be of a 19G-31 G caliber, which corresponds to an outside diameter of 1, 1 - 0.26 mm. However, other lengths, sizes according to the particular area of the patient's body to be treated, are not ruled out.
En cualquiera de dichos tres aspectos, el conjunto para la implantación de hilos corporales comprende también una base, también denominada cono, acoplada en un extremo de la aguja o cánula para facilitar su aplicación manual. Esta base está fabricada en un material adecuado para proporcionar comodidad en el manejo de la aguja o cánula. In any of these three aspects, the assembly for the implantation of body threads also comprises a base, also called a cone, coupled at one end of the needle or cannula to facilitate its manual application. This base is made of a suitable material to provide comfort in handling the needle or cannula.
En cualquiera de dichos tres aspectos, el conjunto para la implantación de hilos en el cuerpo de un paciente comprende, además, un útil de sutura manual unido a un extremo del hilo corporal exterior a la aguja o cánula. La unión entre el útil de sutura y el extremo exterior del hilo corporal puede ser permanente, por ejemplo. Sin embargo, en algunas ocasiones puede ser ventajoso que el útil de sutura manual vaya unido de manera separable al extremo exterior del hilo corporal. En los casos en los que la unión entre el útil de sutura y el extremo exterior del hilo corporal es permanente, la unión puede ser por prensado o por sellado. Otros tipos de unión son también posibles. In any of these three aspects, the assembly for the implantation of threads in the body of a patient further comprises a manual suturing tool attached to one end of the external body thread to the needle or cannula. The union between the suture tool and the outer end of the body thread can be permanent, for example. However, on some occasions it may be advantageous if the manual suturing tool is detachably attached to the outer end of the body thread. In cases where the joint between the suture tool and the outer end of the body thread is permanent, the joint can be by pressing or sealing. Other types of bonding are also possible.
Este útil de sutura manual está configurado para realizar una sutura médica en la piel del paciente, una vez se ha implantado el hilo corporal bajo la epidermis del paciente. En un ejemplo, el útil de sutura manual es una aguja o cánula de sutura fabricada, por ejemplo, en acero inoxidable quirúrgico. No se descartan, sin embargo, otros materiales adecuados flexibles y resistentes a la tracción que permitan una fácil manipulación. This manual suture tool is configured to perform a medical suture on the patient's skin, once the body thread has been implanted under the patient's epidermis. In one example, the manual suture tool is a suture needle or cannula manufactured, for example, in surgical stainless steel. However, other suitable flexible and tensile resistant materials that allow easy handling are not ruled out.
De acuerdo con el primer aspecto, el conjunto para la implantación de hilos en el cuerpo de un paciente incluye un tope para quedar dispuesto adyacente al orificio de la piel. Dicho tope está configurado de manera que, a través del mismo, pueda pasar por lo menos la aguja con una sección o tramo de hilo corporal. Específicamente, este tope comprende un cuerpo principal destinado a colocarse adyacente al orificio de la piel del paciente para el implante del hilo corporal y por lo menos una abertura para el paso de la aguja y el hilo corporal, tal como se ha indicado. El tope presenta, además, un dispositivo de liberación del hilo. Este dispositivo de liberación del hilo comprende por lo menos un corte formado en el citado cuerpo principal del tope. El corte está convenientemente diseñado para liberar, del cuerpo principal del tope, una sección o tramo del hilo corporal que está fuera de la piel, es decir, una parte del hilo que queda fuera de la piel del paciente cuando el hilo ya ha sido implantado. According to the first aspect, the set for the implantation of threads in the body of a patient includes a stop to be arranged adjacent to the orifice of the skin. Said stop is configured so that, through it, it can pass at least the needle with a section or section of body thread. Specifically, this stop comprises a main body intended to be placed adjacent to the orifice of the patient's skin for implanting the body thread and at least one opening for the passage of the needle and the body thread, as indicated. The stop also has a thread release device. This thread release device comprises at least one cut formed in said main body of the stop. The cut is conveniently designed to release, from the main body of the stop, a section or section of the body thread that is outside the skin, that is, a part of the thread that is outside the patient's skin when the thread has already been implanted .
En un ejemplo de este primer aspecto, el citado dispositivo de liberación del hilo está constituido por un cuerpo exterior dispuesto para cubrir por lo menos parcialmente el corte del cuerpo principal del tope. Este cuerpo exterior está configurado preferiblemente para deslizar sobre el cuerpo principal del tope cuando se aplica una fuerza adecuada. Con ello se consigue que el corte del cuerpo principal del tope quede por lo menos parcialmente cubierto o descubierto, según se desee. Con el cuerpo exterior dispuesto cubriendo por lo menos parcialmente el corte, el tope retiene el hilo y con el cuerpo exterior dispuesto dejando el corte por lo menos parcialmente descubierto, el hilo puede retirarse fácilmente del tope. In an example of this first aspect, said wire release device is constituted by an outer body arranged to cover at least partially the cut of the main body of the stop. This outer body is preferably configured to slide over the main body of the stop when a suitable force is applied. This ensures that the cut of the main body of the stop is at least partially covered or uncovered, as desired. With the outer body arranged at least partially covering the cut, the stop retains the thread and with the outer body arranged leaving the cut at least partially exposed, the thread can be easily removed from the stop.
En otros ejemplos posibles del primer aspecto, el cuerpo exterior del tope puede estar dispuesto para desprenderse del cuerpo principal del tope en lugar de para deslizar. No se descartan otras opciones tal como, por ejemplo, una configuración combinada de un cuerpo exterior capaz de desprenderse y también capaz de deslizar respecto al cuerpo principal del tope. In other possible examples of the first aspect, the outer body of the stop may be arranged to detach from the main body of the stop rather than to slide. Other options such as, for example, a combined configuration of an outer body capable of detachment and also capable of sliding relative to the main body of the abutment are not ruled out.
Un caso particular de un cuerpo exterior desprendible podría ser un cuerpo exterior realizado de material laminar tal como, por ejemplo, papel o similar, dispuesto para cubrir por lo menos parcialmente el corte del cuerpo principal del tope. Dicho cuerpo exterior desprendible, como se ha indicado, puede desprenderse del cuerpo principal del tope para dejar descubierto el corte y, de este modo, poder extraer el hilo del tope con facilidad. No se descartan otros materiales y configuraciones. A particular case of a removable outer body could be an outer body made of sheet material such as, for example, paper or the like, arranged to cover at least partially the cut of the main body of the stop. Said removable outer body, as indicated, can be detached from the main body of the stop to expose the cut and, thus, be able to extract the thread from the stop with ease. Other materials and configurations are not discarded.
Respecto al corte, son posibles muchas configuraciones. Por ejemplo, el corte puede estar formado longitudinalmente en el cuerpo principal del tope, extendiéndose substancialmente paralelo a un eje longitudinal del cuerpo principal. El corte puede extenderse por lo menos parcialmente a través del cuerpo principal del tope, es decir, afectando a una dimensión, tal como la anchura, del cuerpo principal del tope. Otras configuraciones son posibles, tales como, por ejemplo, una en la que corte se extienda formando substancialmente un ángulo respecto al eje longitudinal del cuerpo principal. Regarding the cut, many configurations are possible. For example, the cut may be formed longitudinally in the main body of the stop, extending substantially parallel to a longitudinal axis of the main body. The cut may extend at least partially through the main body of the stop, that is, affecting a dimension, such as width, of the main body of the stop. Other configurations are possible, such as, for example, one in which cut extends substantially at an angle to the longitudinal axis of the main body.
En otro ejemplo de configuración del corte, el corte está formado transversalmente en el cuerpo principal del tope, extendiéndose por lo menos parcialmente a través del cuerpo principal del tope. Un caso particular de este ejemplo es un corte formado radialmente en el cuerpo principal del tope que se extiende ocupando parcialmente la sección transversal del cuerpo principal del tope. Puede disponerse un único corte o una pluralidad de cortes, tal como 2, 3, 4, 5 o incluso más cortes en función de la configuración y las dimensiones del tope. Por otra parte, el corte puede tener forma de V en sección transversal si bien no se descartan otras formas en sección transversal tal como U, etc. Son también posibles diversas configuraciones para el cuerpo principal del tope. Por ejemplo, puede preferirse que el cuerpo principal del tope tenga una geometría cilindrica. En este caso el cuerpo exterior es un casquillo adecuado para quedar dispuesto rodeando por lo menos parcialmente el cuerpo principal del tope. No se descartan, sin embargo, muchas otras formas distintas para el cuerpo principal del tope, tales como geometrías esféricas o cubicas, e incluso geometrías prismáticas de base poligonal, de base ovalada, etc. Para un cuerpo principal del tope de geometría cilindrica, el corte puede estar formado radialmente, tal como se ha indicado anteriormente, extendiéndose parcialmente a lo largo de un círculo de la sección transversal. El tope está destinado a mantener el hilo anclado a la aguja y facilitar que éste discurra por el interior de la misma cuando se implanta en la piel. In another example of cutting configuration, the cut is formed transversely in the main body of the stop, extending at least partially through the main body of the stop. A particular case of this example is a radially formed cut in the main body of the stop that extends partially occupying the cross section of the main body of the stop. A single cut or a plurality of cuts may be arranged, such as 2, 3, 4, 5 or even more cuts depending on the configuration and dimensions of the stop. On the other hand, the cut can be V-shaped in cross section although other cross-section shapes such as U, etc. are not ruled out. Various configurations are also possible for the main body of the stop. For example, it may be preferred that the main body of the abutment has a cylindrical geometry. In this case, the outer body is a suitable bushing to be arranged at least partially surrounding the main body of the stop. However, many other different forms for the main body of the abutment, such as spherical or cubic geometries, and even prismatic geometries with a polygonal base, oval base, etc., are not ruled out. For a main body of the cylindrical geometry stop, the cut may be formed radially, as indicated above, partially extending along a circle of the cross section. The stop is intended to keep the thread anchored to the needle and facilitate it to run through the needle when it is implanted in the skin.
De acuerdo con el segundo aspecto, se dispone conjunto para la implantación de hilo en un cuerpo de un paciente, que comprende un hilo corporal, una aguja que es hueca adaptada para que, por su interior, discurra el hilo corporal, y configurada para introducirse bajo la epidermis a través de un orificio de la piel de un paciente, con el fin de implantar el hilo corporal, y para extraerse a través de ese mismo orificio de la piel dejando el hilo implantado, una base acoplada en un extremo de la aguja para facilitar su aplicación manual, y un útil de sutura manual unido a un extremo del hilo corporal exterior a la aguja. El útil de sutura manual está configurado para realizar una sutura en la piel del paciente, una vez se ha implantado el hilo corporal bajo la epidermis del paciente. En dicho segundo aspecto, la base acoplada en un extremo de la aguja incluye un medio para acoplar de manera liberable el útil de sutura manual en una parte exterior de la base. En algunos casos, dicha base podría incorporar una tapa liberable para que la aguja de sutura quede protegida adecuadamente. According to the second aspect, there is a set for the implantation of thread in a patient's body, which comprises a body thread, a needle that is hollow adapted so that, inside, the body thread runs, and configured to be introduced under the epidermis through a hole in a patient's skin, in order to implant the body thread, and to be extracted through that same hole in the skin leaving the implanted thread, a base attached at one end of the needle to facilitate its manual application, and a manual suture tool attached to one end of the outer body thread to the needle. He Manual suturing tool is configured to perform a suture on the patient's skin, once the body thread has been implanted under the patient's epidermis. In said second aspect, the base coupled at one end of the needle includes a means for releasably coupling the manual suturing tool on an outer part of the base. In some cases, said base could incorporate a releasable cap so that the suture needle is adequately protected.
De acuerdo con el tercer aspecto, se dispone conjunto para la implantación de hilo en un cuerpo de un paciente, que comprende un hilo corporal, una aguja que es hueca adaptada para que, por su interior, discurra el hilo corporal, y configurada para introducirse bajo la epidermis a través de un orificio de la piel de un paciente, con el fin de implantar el hilo corporal, y para extraerse a través de ese mismo orificio de la piel dejando el hilo implantado, una base acoplada en un extremo de la aguja para facilitar su aplicación manual, y un útil de sutura manual unido a un extremo del hilo corporal exterior a la aguja y configurado para realizar una sutura con dicho útil de sutura en la piel del paciente, una vez se ha implantado el hilo corporal bajo la epidermis del paciente. According to the third aspect, there is a set for the implantation of thread in a patient's body, which comprises a body thread, a needle that is hollow adapted so that, inside, the body thread runs, and configured to be introduced under the epidermis through a hole in a patient's skin, in order to implant the body thread, and to be extracted through that same hole in the skin leaving the implanted thread, a base attached at one end of the needle to facilitate its manual application, and a manual suture tool attached to one end of the outer body thread to the needle and configured to perform a suture with said suture tool in the patient's skin, once the body thread has been implanted under the patient's epidermis.
En un ejemplo de dicho tercer aspecto, puede disponerse un tope para quedar dispuesto adyacente al orificio de la piel y a través del cual puede pasar por lo menos la aguja con una sección del hilo corporal. Este tope puede ser de geometría cilindrica, aunque no se descartan otras formas distintas tales como geometrías esféricas o cubicas, e incluso geometrías prismáticas de base poligonal, de base ovalada, etc. La función del tope es mantener el hilo anclado a la aguja y facilitar que éste discurra por el interior de la misma cuando se implanta bajo la epidermis. In an example of said third aspect, a stop can be arranged to be disposed adjacent to the skin hole and through which at least the needle with a section of the body thread can pass. This stop may be of cylindrical geometry, although other different forms such as spherical or cubic geometries, and even prismatic geometries of polygonal base, oval base, etc. are not ruled out. The function of the stop is to keep the thread anchored to the needle and facilitate it to run through the needle when it is implanted under the epidermis.
En cualquiera de los aspectos descritos anteriormente, el útil de sutura manual puede presentar una geometría que presente por lo menos un tramo curvo para facilitar la realización de una sutura con dicho útil de sutura en la piel del paciente. Una geometría adecuada puede ser, por ejemplo, una forma substancialmente en U y, más preferiblemente, una geometría con un tramo curvo en forma substancialmente en U que corresponde a una fracción de 1/4-5/8 de circunferencia. Este rango de longitudes para la configuración del útil de sutura manual cubre longitudes adecuadas para el tramo curvo del útil de sutura manual correspondientes a una fracción de 1/2 y 3/8 de circunferencia según la piel de la zona particular del cuerpo a tratar. En un ejemplo, el presente conjunto para la implantación de hilos corporales puede incluir un útil de sutura manual configurado por una aguja de sutura curva correspondiente a una fracción de 1/2 de circunferencia, para sutura de tejido celular subcutáneo (grasa) y músculos o de 3/8 de circunferencia para sutura de piel, músculo, cavidad nasal, oral, faringe. No se descartan, sin embargo, otras longitudes y configuraciones de acuerdo con la zona particular del cuerpo del paciente a tratar. In any of the aspects described above, the manual suture tool may have a geometry that has at least one curved section to facilitate the completion of a suture with said suture tool in the patient's skin. A suitable geometry can be, for example, a substantially U-shaped shape and, more preferably, a geometry with a substantially U-shaped curved section corresponding to a fraction of 1 / 4-5 / 8 in circumference. This range of lengths for the configuration of the manual suture tool covers lengths suitable for the curved section of the manual suture tool corresponding to a fraction of 1/2 and 3/8 of circumference according to the skin of the particular area of the body to be treated. In one example, this set for the implementation of body threads may include a manual suture tool configured by a curved suture needle corresponding to a fraction of 1/2 in circumference, for suturing of subcutaneous (fat) cellular tissue and muscles or of 3/8 of circumference for skin suturing, muscle, nasal cavity, oral, pharynx. However, other lengths and configurations according to the particular area of the patient's body to be treated are not ruled out.
La base o cono citado anteriormente puede presentar una parte interior hueca. Esta parte interior hueca de la base o cono puede estar adaptada convenientemente para alojar en su interior por lo menos una parte del útil de sutura manual tal como, por ejemplo, un extremo del mismo. En otros casos, el útil de sutura manual puede quedar acoplado al exterior de la base o cono. The base or cone mentioned above may have a hollow inner part. This hollow interior part of the base or cone can be conveniently adapted to accommodate inside at least a part of the manual suturing tool such as, for example, one end thereof. In other cases, the manual suture tool may be attached to the outside of the base or cone.
A través de estos ejemplos de configuración del conjunto para la implantación de hilo en el cuerpo de un paciente, en el que la base o cono permite sujetar el útil de sutura, es posible disponer el conjunto de una manera compacta, lo cual resulta ventajoso cuando éste se suministra como un kit, incluido, por ejemplo, en el interior de un envase estéril apropiado. Through these examples of configuration of the assembly for the implantation of thread in the body of a patient, in which the base or cone allows the suture tool to be held, it is possible to arrange the assembly in a compact manner, which is advantageous when This is supplied as a kit, included, for example, inside an appropriate sterile container.
El conjunto para la implantación de hilo en el cuerpo de un paciente que se ha descrito de acuerdo con los aspectos anteriores ofrece las ventajas propias del uso de hilo corporal para implante ya que, por ejemplo, permite realizar un implante bajo la epidermis para devolver firmeza a la piel de manera sencilla y segura, estimulando la piel para formar colágeno nuevo sin ocasionar prácticamente alergias o rechazo, siendo indetectable a la palpación y a la vista una vez implantado, y con un mínimo mantenimiento que es compatible con otros tratamientos. Además de dichas ventajas, el conjunto para la implantación de hilo en el cuerpo de un paciente que se ha descrito permite una sujeción muy eficaz de los hilos a través de sutura médica en la piel, respecto a los sistemas de implantación con nudos y sin nudos, ya que no se requiere la formación de nudos exteriores. Además, el presente conjunto para la implantación de hilo en el cuerpo de un paciente que se ha descrito presenta ventajas respecto a la técnica anterior en la que no se emplean nudos, ya que los hilos, una vez implantados en el conjunto descrito, no se mueven, y se puede ejercer una mayor fuerza para tensar el hilo. Por otra parte, a diferencia de la técnica anterior conocida en la que, para realizar los nudos, es necesario que queden fuera de la piel un mínimo de dos extremos de los hilos, en el presente conjunto para la implantación de hilo en el cuerpo de un paciente no es necesario que haya dos extremos libres de los hilos fuera de la piel, ya que solamente basta un solo extremo. Esto permite ventajosamente realizar un punto de anclaje a través de la realización de puntos de sutura lo cual es más estético al no quedar en el exterior de la piel y con un volumen menor. De manera general, con el conjunto para la implantación de hilo en el cuerpo de un paciente que se ha descrito de acuerdo con los aspectos anteriores se obtiene una aplicación más higiénica, dado que se evitan infecciones, más eficaz, ya que se asegura el atado de los hilos implantados, y más estética al no quedar en el exterior de la piel, pudiéndose seleccionar otras zonas para la incisión de la piel por la aguja o cánula, además de la zona de la sien comúnmente utilizada con los útiles de la técnica anterior. Además, la disposición del tope permite evitar situaciones de riesgo con la parte del hilo corporal que queda normalmente colgando fuera de la piel del paciente, con el útil de sutura unido a éste. Por lo tanto, puede quedar fuera de la piel prácticamente cualquier longitud de hilo sin riesgo de que el paciente/doctor se pinche con el útil de sutura. Con el tope, además, se controla adecuadamente la salida del hilo de la aguja y se obtiene un conjunto más higiénico. The set for the implantation of thread in the body of a patient that has been described in accordance with the previous aspects offers the advantages of the use of body thread for implantation since, for example, it allows an implant to be performed under the epidermis to return firmness. to the skin in a simple and safe way, stimulating the skin to form new collagen without practically causing allergies or rejection, being undetectable to palpation and sight once implanted, and with minimal maintenance that is compatible with other treatments. In addition to these advantages, the set for the implantation of thread in the body of a patient that has been described allows a very effective subjection of the threads through medical suture in the skin, with respect to the implantation systems with knots and without knots , since the formation of outer knots is not required. In addition, the present set for the implantation of thread in the body of a patient that has been described presents advantages over the prior art in which no knots are used, since the threads, once implanted in the described set, are not they move, and a greater force can be exerted to tighten the thread. On the other hand, unlike the prior art known in which, to make the knots, it is necessary that a minimum of two ends of the threads remain outside the skin, in the present set for the implantation of thread in the body of a patient does not need to have two free ends of the threads outside the skin, since that only one end is enough. This advantageously allows an anchor point to be made through the creation of stitches, which is more aesthetic because it is not outside the skin and has a smaller volume. In general, with the set for the implantation of thread in the body of a patient that has been described according to the above aspects, a more hygienic application is obtained, since infections are avoided, more effective, since the binding is ensured of the implanted threads, and more aesthetic when not being outside the skin, being able to select other areas for the skin incision by the needle or cannula, in addition to the temple area commonly used with the tools of the prior art . In addition, the arrangement of the stop allows avoiding risk situations with the part of the body thread that normally hangs outside the patient's skin, with the suture tool attached to it. Therefore, virtually any length of thread can be left out of the skin without the risk of the patient / doctor being pricked with the suture tool. With the stop, in addition, the needle thread exit is properly controlled and a more hygienic assembly is obtained.
En una posible realización, el hilo corporal del presente conjunto podría incorporar un nudo realizado alrededor del exterior de la aguja o cánula. De este modo, al completar el implante del hilo corporal, este nudo quedaría oculto en el interior de la piel, cuando se retira la aguja o cánula. Esta característica permite reforzar todavía más la sujeción del hilo corporal y, al mismo tiempo, proporcionar un alto nivel de higiene, libre de infecciones, y sin afectar a la estética. In a possible embodiment, the body thread of the present assembly could incorporate a knot made around the outside of the needle or cannula. Thus, when completing the implant of the body thread, this knot would be hidden inside the skin, when the needle or cannula is removed. This feature makes it possible to further strengthen the support of the body thread and, at the same time, provide a high level of hygiene, free of infections, and without affecting aesthetics.
En otros ejemplos, el hilo corporal puede incluir un bucle formado por el propio hilo, configurado a modo de asa. Este bucle, tras tensar el hilo, una vez implantado, queda oculto bajo la epidermis. Este bucle permite facilitar la aplicación de tensión para favorecer el efecto de reafirmación de la piel. In other examples, the body thread may include a loop formed by the thread itself, configured as a handle. This loop, after tensioning the thread, once implanted, is hidden under the epidermis. This loop facilitates the application of tension to favor the skin's firming effect.
Otros objetivos, ventajas y características de realizaciones del presente conjunto para la implantación de hilo en el cuerpo de un paciente se pondrán de manifiesto para el experto en la materia a partir de la descripción, o pueden derivarse al llevarlo a la práctica. Other objectives, advantages and features of embodiments of the present set for the implantation of thread in the body of a patient will become apparent to the person skilled in the art from the description, or they can be derived when put into practice.
BREVE DESCRIPCIÓN DEL DIBUJO A continuación, se describirá una realización particular del presente conjunto para la implantación de hilo en el cuerpo de un paciente a título de ejemplo no limitativo, con referencia a los dibujos adjuntos, en los cuales: La figura 1 es una vista esquemática en alzado que muestra un primer ejemplo de un conjunto para la implantación de hilo en el cuerpo de un paciente; BRIEF DESCRIPTION OF THE DRAWING Next, a particular embodiment of the present assembly for the implantation of thread in the body of a patient will be described by way of non-limiting example, with reference to the attached drawings, in which: Figure 1 is a schematic elevation view that shows a first example of a set for the implantation of thread in the body of a patient;
La figura 2 es una vista ampliada del útil de sutura del conjunto para la implantación de hilo del primer ejemplo de la figura 1 ; Figure 2 is an enlarged view of the suture tool of the assembly for the implantation of thread of the first example of Figure 1;
La figura 3 es una vista esquemática en perspectiva en sección de un segundo ejemplo del presente conjunto para la implantación de hilo en el cuerpo de un paciente con un dispositivo de liberación del hilo que comprende un corte longitudinal y un casquillo exterior mostrando cómo se dispone la aguja y el hilo corporal; Figure 3 is a schematic sectional perspective view of a second example of the present assembly for the implantation of thread in the body of a patient with a thread release device comprising a longitudinal section and an outer sleeve showing how the arrangement is arranged. needle and body thread;
La figura 4 es una vista esquemática en perspectiva del segundo ejemplo del conjunto para la implantación de hilo en el cuerpo de un paciente de la figura 3 donde la aguja y el hilo no se han ilustrado por motivos de claridad; La figura 5 es una vista en perspectiva de un tercer ejemplo del presente conjunto para la implantación de hilo en el cuerpo de un paciente en el que el dispositivo de liberación del hilo comprende un corte longitudinal y un casquillo exterior adaptado para desprenderse del cuerpo principal del tope; La figura 6 es una vista en perspectiva de un cuarto ejemplo del presente conjunto para la implantación de hilo en el cuerpo de un paciente en el que el dispositivo de liberación del hilo comprende un corte longitudinal y no comprende ningún casquillo; Figure 4 is a schematic perspective view of the second example of the assembly for the implantation of thread in the body of a patient of Figure 3 where the needle and the thread have not been illustrated for reasons of clarity; Figure 5 is a perspective view of a third example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises a longitudinal section and an outer sleeve adapted to detach from the main body of the stop, top, maximum as a noun, top as an adverb; Figure 6 is a perspective view of a fourth example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises a longitudinal section and does not comprise any bush;
La figura 7 es una vista en perspectiva de un quinto ejemplo del presente conjunto para la implantación de hilo en el cuerpo de un paciente en el que el dispositivo de liberación del hilo comprende unos cortes formados transversalmente respecto al cuerpo principal del tope y no comprende ningún casquillo; y La figura 8 es una vista en perspectiva de un sexto ejemplo del presente conjunto para la implantación de hilo en el cuerpo de un paciente en el que el dispositivo de liberación del hilo comprende un corte formado radialmente respecto al cuerpo principal del tope y no comprende ningún casquillo. Figure 7 is a perspective view of a fifth example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises cuts formed transversely with respect to the main body of the stop and does not comprise any cap Y Figure 8 is a perspective view of a sixth example of the present assembly for the implantation of thread in the body of a patient in which the thread release device comprises a radially formed cut with respect to the main body of the stop and does not comprise any cap
EXPOSICIÓN DETALLADA DE UNA REALIZACIÓN PREFERIDA DETAILED EXHIBITION OF A PREFERRED EMBODIMENT
Haciendo referencia al primer ejemplo no limitativo ilustrado en las figuras 1-2 de los dibujos, se describe un conjunto para la implantación de hilos corporales en un paciente, el cual ha sido designado de manera general por la referencia 100. Referring to the first non-limiting example illustrated in Figures 1-2 of the drawings, a set for implanting body threads in a patient is described, which has been generally designated by reference 100.
El conjunto para la implantación de hilos corporales 100 del ejemplo ilustrado está constituido por un hilo corporal 1 10, una aguja 120, una base o cono 130 y un útil de sutura 140. The assembly for the implantation of body threads 100 of the illustrated example is constituted by a body thread 1 10, a needle 120, a base or cone 130 and a suture tool 140.
El hilo corporal 1 10 a implantar está realizado en un material seleccionado de uno o varios de polidioxanona, ácido poliláctico, ácido glicólico, policaprolactona. Sin embargo, el hilo corporal 110 puede estar realizado de cualquier otro material biocompatible equivalente. En el ejemplo mostrado, se utiliza un hilo corporal 110 de una longitud de 30-500 mm, en función de la aplicación. En algunos casos, el hilo corporal 1 10 puede disponerse arrollado alrededor de la aguja 120 siguiendo una forma de espiral. En tales casos, la longitud del hilo corporal 1 10 podría llegar incluso a 940 mm. El hilo corporal 1 10 del ejemplo no limitativo que se describe es también de tipo barbado, es decir, con una configuración externa adaptada para dificultar su desplazamiento en un sentido contrario. De manera general, se prefiere un hilo corporal 1 10 espiculado, es decir, con pequeños resaltes alrededor del exterior de su extensión destinados a favorecer el anclaje a la piel. Se obtiene así una gran tracción mecánica ventajosa para favorecer la tensión del hilo corporal 110 implantado. La aguja 120 es hueca y por su interior discurre el hilo corporal 110. La aguja 120 tiene una punta biselada 125 para facilitar la inserción subcutánea a través de un orificio de la piel 150 de un paciente. Puede utilizarse, sin embargo, cualquier útil equivalente a la aguja 120 mostrada, tal como, por ejemplo, una cánula, siempre que permita introducirse bajo la epidermis a través de un orificio de la piel 150 del paciente. La aguja 120 o cánula podría ser también de punta no biselada. La punta de la aguja 120 o cánula puede presentar cualquier geometría apropiada. The 1 10 body thread to be implanted is made of a material selected from one or more of polydioxanone, polylactic acid, glycolic acid, polycaprolactone. However, the body thread 110 may be made of any other equivalent biocompatible material. In the example shown, a body thread 110 of a length of 30-500 mm is used, depending on the application. In some cases, the body thread 1 10 may be arranged wrapped around the needle 120 following a spiral shape. In such cases, the length of the body thread 1 10 could even reach 940 mm. The body thread 1 10 of the non-limiting example described is also of the bearded type, that is, with an external configuration adapted to make it difficult to move in the opposite direction. In general, a spiculated body thread 10 is preferred, that is, with small projections around the outside of its extension intended to favor anchorage to the skin. A great advantageous mechanical traction is thus obtained to favor the tension of the implanted body thread 110. The needle 120 is hollow and the body thread 110 runs therethrough. The needle 120 has a beveled tip 125 to facilitate subcutaneous insertion through a skin hole 150 of a patient. However, any tool equivalent to the needle 120 shown, such as, for example, a cannula, can be used, provided it allows it to be introduced under the epidermis through a hole in the patient's skin 150. Needle 120 or cannula could be also not beveled tip. The tip of the needle 120 or cannula may have any appropriate geometry.
La aguja 120 tiene la función de implantar el hilo corporal 1 10 bajo la piel 150 del paciente, a medida que se introduce bajo la misma pasando por dicho orificio de ésta, y dejarlo implantado allí al extraerse fuera de la piel 150 a través de ese mismo orificio. The needle 120 has the function of implanting the body thread 1 10 under the skin 150 of the patient, as it is introduced under it through said orifice thereof, and leaving it implanted there when it is extracted out of the skin 150 through that same hole.
La aguja 120 del ejemplo mostrado en la figura 1 tiene una longitud La de 25-150 mm. La aguja 120 utilizada es preferiblemente de un calibre de 19G-31G, que corresponde a un diámetro exterior de 1 , 1-0,26 mm. Es evidente que pueden utilizarse agujas 120 de una longitud La fuera de este rango de valores, si es necesario. The needle 120 of the example shown in Figure 1 has a length L a of 25-150 mm. The needle 120 used is preferably of a 19G-31G caliber, which corresponds to an outside diameter of 1.1-0.26 mm. Clearly needles 120 can be used in a length L outside this range, if necessary.
Tal como se muestra en los dibujos, se dispone un tope 160 de algodón, silicona médica u otro material, adyacente al orificio de la piel 150 por donde pasa la aguja 120 y un tramo del hilo corporal 1 10. El tope 160, en el ejemplo mostrado, es un cuerpo de geometría cilindrica destinado a mantener el hilo corporal 1 10 anclado a la aguja 120 y facilitar que éste discurra por el interior de la misma cuando se implanta en la piel 150 del paciente. As shown in the drawings, a stop 160 of cotton, medical silicone or other material is disposed, adjacent to the orifice of the skin 150 through which the needle 120 passes and a section of the body thread 1 10. The stop 160, in the an example shown is a cylindrical geometry body designed to keep the body thread 1 10 anchored to the needle 120 and facilitate it to run inside the same when it is implanted in the skin 150 of the patient.
En cuanto a la base, o cono, 130 del conjunto 100 para la implantación de hilos corporales 1 10 que se muestra en el ejemplo de la figura 1 , éste se encuentra acoplado en un extremo 170 de la aguja 120. La base o cono 130 está constituido por un cuerpo tubular fabricado en un material para facilitar el manejo de la aguja 120 por parte del profesional. As for the base, or cone, 130 of the assembly 100 for the implantation of body threads 1 10 shown in the example of Figure 1, this is coupled at one end 170 of the needle 120. The base or cone 130 It consists of a tubular body made of a material to facilitate the handling of the needle 120 by the professional.
El útil de sutura manual 140, en el ejemplo que se muestra en la figura 1 , es una aguja de sutura configurada para realizar una sutura médica en la piel 150 del paciente, una vez se ha implantado el hilo corporal 1 10 bajo la epidermis. Esta aguja de sutura 140 está fabricada en acero inoxidable quirúrgico, aunque no se descartan otros materiales adecuados para la aplicación de suturas en la piel 150 de un paciente. Esta aguja de sutura 140 está unida de manera permanente un extremo 180 del hilo corporal 1 10, exterior a la aguja 120. En algunos casos se prevé, sin embargo, que la unión entre la aguja de sutura 140 y el hilo corporal 110 sea separable. Manual suture tool 140, in the example shown in Figure 1, is a suture needle configured to perform a medical suture on the patient's skin 150, once the body thread 1 10 has been implanted under the epidermis. This suture needle 140 is made of surgical stainless steel, although other materials suitable for applying sutures to the skin 150 of a patient are not discarded. This suture needle 140 is permanently attached one end 180 of the body thread 1 10, outside the needle 120. In some cases, however, it is provided that the joint between the suture needle 140 and the body thread 110 be detachable .
Haciendo referencia a la vista ampliada de la figura 2, la aguja de sutura 140 tiene una geometría curva, en particular, una configuración circular con una longitud Lu correspondiente a una fracción de 3/8 de circunferencia. Esta configuración correspondiente a una fracción de 3/8 de circunferencia permite realizar cómodamente suturas en la piel 150 del paciente para realizar, por ejemplo, un tratamiento de rejuvenecimiento facial para eliminar por lo menos parcialmente arrugas en la piel de la cara del paciente. Sin embargo, la configuración circular de la aguja de sutura 140 puede ser de otra longitud de acuerdo con la zona particular del cuerpo del paciente a tratar, tal como, por ejemplo, correspondiente a una fracción de 1 ,4, 1/2, y 5/8 de circunferencia. Referring to the enlarged view of Figure 2, the suture needle 140 has a curved geometry, in particular, a circular configuration with a length L u corresponding to a fraction of 3/8 of circumference. This configuration corresponding to a fraction of 3/8 in circumference allows sutures to be comfortably made in the patient's skin 150 to perform, for example, a facial rejuvenation treatment to at least partially eliminate wrinkles in the skin of the patient's face. However, the circular configuration of the suture needle 140 may be of another length according to the particular area of the patient's body to be treated, such as, for example, corresponding to a fraction of 1, 4, 1/2, and 5/8 circumference.
En el ejemplo particular que se muestra en la figura 1 , cuando el conjunto 100 para la implantación de hilos corporales 1 10 no se está utilizando, la aguja de sutura 140 puede quedar acoplado de manera liberable en un medio de acoplamiento 190 formado en una parte exterior de la base o cono 130. Otros medios alternativos al medio de acoplamiento 190 son posibles para acoplar la aguja de sutura 140 al exterior de la base o cono 130. El conjunto 100 descrito permite realizar una implantación de hilos corporales 1 10 de una manera cómoda, eficiente y segura para aplicaciones en la reafirmación y regeneración de la piel en mejillas, óvalo facial, contorno de ojos, cejas, mentón, cuello, nariz, dorso de las manos, brazos, muslos y también en rodillas, glúteos, mamas, abdomen, etc. Por ejemplo, para realizar un tratamiento de rejuvenecimiento facial, el profesional inserta la aguja 120 en una zona apropiada de piel 150 de la cara del paciente ayudándose de la base o cono 130. Al insertar la aguja 120 se implanta, al mismo tiempo, el hilo corporal 110, que ésta lleva en su interior, bajo la dermis del paciente. Una vez implantado el hilo corporal 110 bajo la dermis del paciente, la aguja 120 se retira quedando el hilo corporal 1 10 tenso bajo la piel 150. Finalmente, se realiza una sutura con la aguja de sutura 140 en la piel del paciente con el extremo exterior 180 del hilo corporal 110 cuya tensión produce una elevación y, en consecuencia, un reafirmamiento de la piel 150 del paciente. En una intervención pueden implantarse diversos hilos corporales 1 10 los cuales pueden quedan implantados individualmente o bien formando un entramado de hilos 1 10 definiendo una malla. In the particular example shown in Figure 1, when the assembly 100 for the implantation of body threads 1 10 is not being used, the suture needle 140 can be releasably coupled in a coupling means 190 formed in a part exterior of the base or cone 130. Other alternative means to the coupling means 190 are possible to couple the suture needle 140 to the exterior of the base or cone 130. The set 100 described allows for implantation of body threads 1 10 in a manner comfortable, efficient and safe for applications in the reaffirmation and regeneration of the skin on cheeks, facial oval, eye contour, eyebrows, chin, neck, nose, back of hands, arms, thighs and also on knees, buttocks, breasts, abdomen, etc. For example, to perform a facial rejuvenation treatment, the professional inserts the needle 120 into an appropriate area of skin 150 of the patient's face using the base or cone 130. When the needle 120 is inserted, at the same time, the body thread 110, which it carries inside, under the patient's dermis. Once the body thread 110 is implanted under the patient's dermis, the needle 120 is removed leaving the body thread 1 10 tight under the skin 150. Finally, a suture is made with the suture needle 140 on the patient's skin with the end outer 180 of the body thread 110 whose tension produces an elevation and, consequently, a reaffirmation of the patient's skin 150. In one intervention, various body threads can be implanted 1 10 which can be implanted individually or by forming a network of threads 1 10 defining a mesh.
En las figuras 3-8 se muestran ejemplos adicionales del presente conjunto 100 para la implantación de hilo 1 10 en el cuerpo de un paciente en los cuales el tope 160 tiene un dispositivo de liberación del hilo para liberar una sección del hilo corporal 1 10 que está fuera de la piel 150 sacándola fácilmente del tope 160. En este caso, al igual que con las figuras 1 y 2, el tope 160 es un cuerpo de geometría cilindrica destinado a mantener el hilo corporal 1 10 anclado a la aguja 120 y facilitar que éste discurra por el interior de la misma cuando se implanta en la piel 150 del paciente. Additional examples of the present assembly 100 for implanting thread 1 10 in the body of a patient in which the stop 160 has a thread release device for releasing a section of the body thread 1 10 is shown in Figures 3-8. it is out of the skin 150 by easily removing it from the stop 160. In this case, as with Figures 1 and 2, the stop 160 is a cylindrical geometry body designed to keep the body thread 1 10 anchored to the needle 120 and facilitate it to run through the same when it is implanted on the skin 150 of the patient.
De manera general, y de acuerdo con el ejemplo de las figuras 3 y 4, el dispositivo de liberación del hilo corporal 1 10 está constituido por un corte longitudinal 167, en particular un corte 167 que se extiende por toda la longitud del tope 160. Se contemplan otras variantes en las que el corte 167 que se extiende por una parte de la longitud del tope 160. En este ejemplo, el dispositivo de liberación del hilo corporal 1 10 está constituido también por un cuerpo exterior 168 a modo casquillo de naturaleza substancialmente rígida. Este cuerpo exterior o casquillo substancialmente rígido 168 presenta también una configuración cilindrica en los ejemplos mostrados para cubrir o descubrir por lo menos parcialmente el corte longitudinal 167 del tope 160 según se desee. In general, and in accordance with the example of Figures 3 and 4, the device for releasing the body thread 1 10 is constituted by a longitudinal cut 167, in particular a cut 167 extending along the entire length of the stop 160. Other variants are contemplated in which the cut 167 which extends over a part of the length of the stop 160. In this example, the device for releasing the body thread 1 10 is also constituted by an outer body 168 in the form of a bush of substantially a nature rigid This substantially rigid outer body or bushing 168 also has a cylindrical configuration in the examples shown to cover or at least partially discover the longitudinal cut 167 of the stop 160 as desired.
Tal como se muestra en las figuras 3-8, el cuerpo principal 165 del tope 160 presenta una abertura 166 que se extiende longitudinalmente por el interior del cuerpo principal 165. Dicha abertura 166 está configurada para que, a través de la misma, pase la aguja 120, por cuyo interior discurre, a su vez. el hilo corporal 1 10. Durante el implante del hilo corporal 1 10, parte de la aguja 120 y un tramo o sección del hilo corporal 1 10 quedan dentro de la piel 150 del paciente. El hilo corporal 1 10 tiene un tramo de retorno que sale al exterior de la piel 150 del paciente a través de la abertura 166 del cuerpo principal 165 del tope 160, cuyo tramo de retorno discurre por el exterior de la aguja 120. Una vez que se ha realizado el implante del hilo corporal 1 10 en el interior de la piel 150 del paciente, este tramo o sección de retorno del hilo corporal 110 que queda en el exterior de la piel 150 debe retirarse de la aguja 120 y del tope 160. El corte longitudinal 167 del dispositivo de liberación del hilo corporal 1 10, define una zona de debilitamiento en el cuerpo principal 165 del tope 160 mediante la cual puede extraerse fácilmente el hilo corporal 1 10 del tope 160 simplemente tirando del hilo 1 10 provocando la ruptura del tope 160 por dicho corte longitudinal 167, lo que permite liberar el hilo 1 10 del tope 160. As shown in Figures 3-8, the main body 165 of the stop 160 has an opening 166 that extends longitudinally through the interior of the main body 165. Said opening 166 is configured so that, through it, the needle 120, inside which it runs, in turn. the body thread 1 10. During the implantation of the body thread 1 10, part of the needle 120 and a section or section of the body thread 1 10 remain within the skin 150 of the patient. The body thread 1 10 has a return section that goes outside the patient's skin 150 through the opening 166 of the main body 165 of the stop 160, whose return section runs through the outside of the needle 120. Once the implant of the body thread 1 10 inside the patient's skin 150 has been performed, this section or return section of the body thread 110 that is outside the skin 150 must be removed from the needle 120 and the stop 160. The longitudinal section 167 of the body thread releasing device 1 10 defines a zone of weakening in the main body 165 of the stop 160 by which the body thread 1 10 of the stop 160 can be easily removed simply by pulling the thread 1 10 causing the rupture of the stop 160 by said longitudinal cut 167, which allows the thread 1 10 to be released from the stop 160.
En la figura 4 se ha ilustrado este ejemplo del dispositivo de liberación del hilo corporal 1 10. En dicha figura 4 no se ha ilustrado la aguja ni el hilo con el fin de apreciar más claramente el dispositivo de liberación del hilo corporal 110. Tal como se ha indicado anteriormente, una vez que se ha realizado el implante del hilo corporal 1 10, el tramo o sección del hilo corporal 1 10 que queda en el exterior de la piel 150 se retira del tope 160 empujando el casquillo exterior 168 haciéndolo deslizar respecto al cuerpo principal 165 del tope 160 dejando por lo menos parcialmente al descubierto el corte longitudinal 167. Como se ha indicado anteriormente, el corte longitudinal 167 define una zona de debilitamiento que permite extraer fácilmente el hilo corporal 1 10 del tope 160 tirando del hilo 1 10 lo cual provoca la ruptura del cuerpo principal 165 del tope 160 lo que permite liberar el hilo 110. Figure 4 illustrates this example of the device for releasing the body thread 1 10. In said figure 4 the needle and the thread have not been illustrated in order to more clearly appreciate the device for releasing the body thread 110. As indicated above, a Once the implant of the body thread 1 10 has been performed, the section or section of the body thread 1 10 that remains outside the skin 150 is removed from the stopper 160 by pushing the outer sleeve 168 making it slide with respect to the main body 165 of the stopper 160 leaving at least partially exposed the longitudinal cut 167. As indicated above, the longitudinal cut 167 defines a zone of weakening that allows to easily extract the body thread 1 10 from the stop 160 by pulling the thread 1 10 which causes the breakage of the main body 165 of the stop 160 which allows the thread 110 to be released.
En la figura 5 se muestra otro ejemplo del dispositivo de liberación del hilo. En este caso, el cuerpo principal 165 del tope 160 está rodeado, en lugar de por el casquillo exterior del caso de las figuras 3 y 4, por un casquillo exterior 168 de naturaleza desprendible. Este casquillo exterior 168 puede estar formado, por ejemplo, por una lámina de papel o material laminar que rodea el cuerpo principal 165 del tope 160 cubriendo el corte longitudinal 167. Esta lámina de papel o material laminar puede desprenderse adecuadamente de manera fácil para dejar al descubierto el corte longitudinal 167, permitiendo liberar el hilo corporal 1 10 del tope 160 muy fácilmente. Another example of the thread release device is shown in Figure 5. In this case, the main body 165 of the stop 160 is surrounded, instead of by the outer sleeve of the case of Figures 3 and 4, by an outer sleeve 168 of removable nature. This outer sleeve 168 may be formed, for example, by a sheet of paper or sheet material surrounding the main body 165 of the stopper 160 covering the longitudinal cut 167. This sheet of paper or sheet material can be adequately detached easily to leave the the longitudinal cut 167 was discovered, allowing the body thread 1 10 to be released from the stop 160 very easily.
En el ejemplo de la figura 6, el dispositivo de liberación del hilo 1 10 simplemente incorpora el citado corte longitudinal 167, sin casquillo exterior. In the example of Figure 6, the wire release device 1 10 simply incorporates said longitudinal section 167, without an outer sleeve.
En el ejemplo de la figura 7, el dispositivo de liberación del hilo 1 10 comprende, en lugar del corte longitudinal de los ejemplos de las figuras 1 a 6, unos cortes 167 formados transversalmente respecto al cuerpo principal 165 del tope 160, los cuales se extienden radialmente. Como en la figura 6, en este caso no se dispone ningún cuerpo o casquillo exterior rodeando el cuerpo principal 165 del tope 160. Los cortes 167 formados transversalmente respecto al cuerpo principal 165 del tope 160 son, en este ejemplo, dos cortes de configuración rectangular entre los cuales hay formados adicionalmente otros dos cortes de configuración cilindrica todos formados transversalmente respecto al cuerpo principal 165 del tope 160. Otras configuraciones son también posibles en este ejemplo, tales como cortes en los que todos presentan la misma configuración, por ejemplo. In the example of Figure 7, the thread release device 1 10 comprises, instead of the longitudinal section of the examples of Figures 1 to 6, cuts 167 formed transversely with respect to the main body 165 of the stop 160, which are extend radially. As in Figure 6, in this case no outer body or bushing is provided surrounding the main body 165 of the stop 160. The cuts 167 formed transversely with respect to the main body 165 of the stop 160 are, in this example, two rectangular shaped cuts between which there are additionally formed two other cuts of cylindrical configuration all formed transversely with respect to the main body 165 of the stop 160. Other configurations are also possible in this example, such as cuts in which all have the same configuration, for example.
Finalmente, en la figura 8 se muestra otro posible ejemplo del dispositivo de liberación del hilo 1 10. En este caso, dicho dispositivo de liberación del hilo 1 10 comprende un único corte 167 que está formado radialmente respecto al cuerpo principal 165 del tope 160 ocupando aproximadamente medio sector circular del cuerpo principal cilindrico 165 del tope 160. Como en los ejemplos de las figuras 6 y 7, en este caso tampoco se dispone ningún cuerpo o casquillo exterior rodeando el cuerpo principal 165 del tope 160. No se descargan otras configuraciones para este ejemplo formadas por diversos cortes radiales 167. Finally, another possible example of the thread release device 1 10 is shown in Figure 8. In this case, said thread release device 1 10 comprises a single cut 167 that is radially formed with respect to the main body 165 of the stopper 160 occupying approximately half circular sector of the cylindrical main body 165 of the stop 160. As in the examples of figures 6 and 7, in this case there is also no outer body or bushing surrounding the main body 165 of the stop 160. No other configurations are downloaded for this example formed by various radial cuts 167.
A pesar de que se han descrito aquí sólo algunas realizaciones y ejemplos particulares del presente conjunto para la implantación de hilo en el cuerpo de un paciente, el experto en la materia comprenderá que son posibles otras realizaciones alternativas y/o usos del mismo, así como modificaciones obvias y elementos equivalentes. Although only some particular embodiments and examples of the present set for thread implantation in a patient's body have been described herein, the person skilled in the art will understand that other alternative embodiments and / or uses thereof are possible, as well as obvious modifications and equivalent elements.
Además, la presente descripción abarca todas las posibles combinaciones de las realizaciones concretas que se han descrito. Los signos numéricos relativos a los dibujos y colocados entre paréntesis en una reivindicación son solamente para intentar aumentar la comprensión de la reivindicación, y no deben ser interpretados como limitantes del alcance de la protección de la reivindicación. El alcance de la presente descripción no debe limitarse a realizaciones concretas, sino que debe ser determinado únicamente por una lectura apropiada de las reivindicaciones adjuntas. In addition, the present description encompasses all possible combinations of the specific embodiments that have been described. The numerical signs relating to the drawings and placed in parentheses in a claim are only intended to increase the understanding of the claim, and should not be construed as limiting the scope of the claim's protection. The scope of the present description should not be limited to specific embodiments, but should be determined only by an appropriate reading of the appended claims.

Claims

REIVINDICACIONES
1- Conjunto (100) para la implantación de hilo (110) en un cuerpo de un paciente, que comprende un hilo corporal (1 10), una aguja (120) que es hueca adaptada para que, por su interior, discurra el hilo corporal (1 10), y configurada para introducirse bajo la epidermis a través de un orificio de la piel (150) de un paciente, con el fin de implantar el hilo corporal (110), y para extraerse a través de ese mismo orificio de la piel (150) dejando el hilo (1 10) implantado, una base (130) acoplada en un extremo (170) de la aguja (120) para facilitar su aplicación manual, un útil de sutura manual (140) unido a un extremo (180) del hilo corporal (110) exterior a la aguja (120) y configurado para realizar una sutura con dicho útil de sutura (140) en la piel del paciente (150), una vez se ha implantado el hilo corporal (1 10) bajo la epidermis del paciente, y comprendiendo el conjunto (100), además, un tope (160) para quedar dispuesto adyacente al orificio de la piel (150) y a través del cual puede pasar por lo menos la aguja (120) con una sección del hilo corporal (1 10), en el que dicho tope (160) comprende un cuerpo principal (165) destinado a colocarse adyacente al orificio de la piel (150) y que presenta por lo menos una abertura (166) para el paso de la aguja (120) y el hilo corporal (1 10) y un dispositivo de liberación del hilo que comprende por lo menos un corte (167) formado en el cuerpo principal (165) del tope (160) para liberar, del cuerpo principal (165) del tope (160), una sección del hilo corporal (1 10) que está fuera de la piel (150). 1- Set (100) for the implantation of thread (110) in a body of a patient, comprising a body thread (1 10), a needle (120) that is hollow adapted so that, inside, the thread runs body (1 10), and configured to enter under the epidermis through a hole in the skin (150) of a patient, in order to implant the body thread (110), and to be extracted through that same hole the skin (150) leaving the thread (1 10) implanted, a base (130) coupled at one end (170) of the needle (120) to facilitate its manual application, a manual suture tool (140) attached to one end (180) of the body thread (110) outside the needle (120) and configured to perform a suture with said suture tool (140) on the patient's skin (150), once the body thread (1 10) has been implanted ) under the epidermis of the patient, and comprising the assembly (100), in addition, a stop (160) to be arranged adjacent to the orifice of the skin (150) and through d which can pass at least the needle (120) with a section of the body thread (1 10), in which said stop (160) comprises a main body (165) intended to be placed adjacent to the skin hole (150) and which has at least one opening (166) for the passage of the needle (120) and the body thread (1 10) and a thread release device comprising at least one cut (167) formed in the main body (165) of the stop (160) to release, from the main body (165) of the stop (160), a section of the body thread (1 10) that is outside the skin (150).
2- Conjunto de acuerdo con la reivindicación 1 , caracterizado por el hecho de que el dispositivo de liberación del hilo comprende un cuerpo exterior (168) dispuesto para cubrir por lo menos parcialmente el corte (167) del cuerpo principal (165) del tope (160). 3- Conjunto de acuerdo con la reivindicación 2, caracterizado por el hecho de que el cuerpo exterior (168) está dispuesto para deslizar sobre el cuerpo principal (165) del tope (160). 2- Assembly according to claim 1, characterized in that the thread release device comprises an outer body (168) arranged to cover at least partially the cut (167) of the main body (165) of the stop ( 160). 3- Assembly according to claim 2, characterized in that the outer body (168) is arranged to slide on the main body (165) of the stop (160).
4- Conjunto de acuerdo con la reivindicación 2, caracterizado por el hecho de que el cuerpo exterior (168) está dispuesto para desprenderse del cuerpo principal (165) del tope (160). 4- Assembly according to claim 2, characterized in that the outer body (168) is arranged to detach from the main body (165) of the stop (160).
5- Conjunto de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el corte (167) está formado longitudinalmente en el cuerpo principal (165) del tope (160) extendiéndose por lo menos parcialmente a través del cuerpo principal (165) del tope (160). 6- Conjunto de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el corte (167) está formado transversalmente en el cuerpo principal (165) del tope (160) extendiéndose por lo menos parcialmente a través del cuerpo principal (165) del tope (160). 5- Assembly according to any of the preceding claims, characterized in that the cut (167) is formed longitudinally in the main body (165) of the stop (160) extending at least partially through the main body (165 ) of the stop (160). 6- Assembly according to any of the preceding claims, characterized in that the cut (167) is formed transversely in the main body (165) of the stop (160) extending at least partially through the main body (165 ) of the stop (160).
7- Conjunto de acuerdo con la reivindicación 6, caracterizado por el hecho de que incluye un número de cortes (167) que oscila entre 1 y 5. 8- Conjunto de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el corte (167) tiene forma de V en sección transversal. 7- Set according to claim 6, characterized in that it includes a number of cuts (167) ranging from 1 to 5. 8- Set according to any of the preceding claims, characterized in that the Cut (167) is V-shaped in cross section.
9- Conjunto de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el cuerpo principal (165) del tope (160) es cilindrico y el cuerpo exterior (168) es un casquillo dispuesto rodeando por lo menos parcialmente el cuerpo principal del tope (165). 9. Assembly according to any of the preceding claims, characterized in that the main body (165) of the stop (160) is cylindrical and the outer body (168) is a bushing arranged at least partially surrounding the main body from the top (165).
10- Conjunto de acuerdo con la reivindicación 9, caracterizado por el hecho de que el corte (167) está formado radialmente en el cuerpo principal (165) del tope (160) extendiéndose parcialmente a lo largo de un círculo en la sección transversal del cuerpo principal (165) del tope (160). 10. Assembly according to claim 9, characterized in that the cut (167) is formed radially in the main body (165) of the stop (160) partially extending along a circle in the cross-section of the body main (165) of the stop (160).
1 1- Conjunto (100) para la implantación de hilo (110) en un cuerpo de un paciente, que comprende un hilo corporal (1 10), una aguja (120) que es hueca adaptada para que, por su interior, discurra el hilo corporal (1 10), y configurada para introducirse subcutáneamente a través de un orificio de la piel (150) de un paciente, con el fin de implantar el hilo corporal (1 10), y para extraerse a través de ese mismo orificio de la piel (150) dejando el hilo (1 10) implantado, una base (130) acoplada en un extremo (170) de la aguja (120) para facilitar su aplicación manual, y un útil de sutura manual (140) unido a un extremo (180) del hilo corporal (1 10) exterior a la aguja (120) y configurado para realizar una sutura con dicho útil de sutura (140) en la piel del paciente (150), una vez se ha implantado el hilo corporal (1 10) bajo la epidermis del paciente, en el que la base (130) incluye un medio (190) para acoplar de manera liberable el útil de sutura manual (140) en una parte exterior de la base (130). 12- Conjunto de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el útil de sutura manual (140) presenta una geometría que tiene por lo menos un tramo curvo para facilitar la realización de una sutura con dicho útil de sutura (140) en la piel del paciente (150). 1 1- Set (100) for the implantation of thread (110) in a body of a patient, comprising a body thread (1 10), a needle (120) that is hollow adapted so that, inside, the body thread (1 10), and configured to be introduced subcutaneously through a hole in the skin (150) of a patient, in order to implant the body thread (1 10), and to be extracted through that same hole of the skin (150) leaving the thread (1 10) implanted, a base (130) coupled at one end (170) of the needle (120) to facilitate its manual application, and a manual suture tool (140) attached to a end (180) of the body thread (1 10) outside the needle (120) and configured to perform a suture with said suture tool (140) in the patient's skin (150), once the body thread has been implanted ( 1 10) under the patient's epidermis, in which the base (130) includes a means (190) for releasably coupling the manual suture tool (140) in an ex part base base (130). 12. Assembly according to any of the preceding claims, characterized in that the manual suture tool (140) has a geometry that has at least one curved section to facilitate the completion of a suture with said suture tool ( 140) on the patient's skin (150).
13- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que dicho tramo curvo del útil de sutura manual (140) corresponde a una fracción de 1/4-5/8 de circunferencia. 14- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que la aguja (120) tiene una longitud 25-150 de mm. 13. Assembly (100) according to any of the preceding claims, characterized in that said curved section of the manual suture tool (140) corresponds to a fraction of 1 / 4-5 / 8 in circumference. 14- Assembly (100) according to any of the preceding claims, characterized in that the needle (120) is 25-150 mm long.
15- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que la aguja (120) tiene un diámetro exterior de 1 , 1-0,26 mm. 15- Assembly (100) according to any of the preceding claims, characterized in that the needle (120) has an outside diameter of 1, 1-0.26 mm.
16- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el hilo corporal (1 10) tiene una longitud de 30-940 mm. 16- Assembly (100) according to any of the preceding claims, characterized in that the body thread (1 10) has a length of 30-940 mm.
17- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el hilo corporal (110) está realizado en un material seleccionado de por lo menos uno de: polidioxanona, ácido poliláctico, ácido glicólico, policaprolactona, u otro material bioabsorbible equivalente, oro, poliéster, silicona u otro material no bioabsorbible equivalente. 18- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el hilo corporal (1 10) presenta una configuración externa adaptada para dificultar su desplazamiento en un sentido contrario. 17- Assembly (100) according to any of the preceding claims, characterized in that the body thread (110) is made of a material selected from at least one of: polydioxanone, polylactic acid, glycolic acid, polycaprolactone, or other equivalent bioabsorbable material, gold, polyester, silicone or other equivalent non-bioabsorbable material. 18- Assembly (100) according to any of the preceding claims, characterized in that the body thread (1 10) has an external configuration adapted to make it difficult to move in the opposite direction.
19- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el útil de sutura manual (140) está unido de manera permanente al extremo exterior (180) del hilo corporal (1 10). 20- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el útil de sutura manual (140) está unido al extremo exterior (180) del hilo corporal (1 10) por prensado. 21- Conjunto (100) de acuerdo cualquiera de las reivindicaciones 1-19, caracterizado por el hecho de que el útil de sutura manual (140) está unido al extremo exterior (180) del hilo corporal (1 10) por sellado. 19- Assembly (100) according to any of the preceding claims, characterized in that the manual suture tool (140) is permanently attached to the outer end (180) of the body thread (1 10). 20- Assembly (100) according to any of the preceding claims, characterized in that the manual suture tool (140) is attached to the outer end (180) of the body thread (10) by pressing. 21- Assembly (100) according to any of claims 1-19, characterized in that the manual suture tool (140) is attached to the outer end (180) of the body thread (10) by sealing.
22- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 1-18, caracterizado por el hecho de que el útil de sutura manual (140) está unido de manera separable al extremo exterior (180) del hilo corporal (110). 22- Assembly (100) according to any of claims 1-18, characterized in that the manual suture tool (140) is detachably attached to the outer end (180) of the body thread (110).
23- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que dicha base (130) presenta una parte interior hueca adaptada para alojar en su interior por lo menos una parte del útil de sutura manual (140). 23- Assembly (100) according to any of the preceding claims, characterized in that said base (130) has a hollow interior part adapted to accommodate inside at least a part of the manual suturing tool (140) .
24- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el hilo corporal (1 10) incorpora un nudo realizado alrededor del exterior de la aguja (120) destinado a quedar en el interior de la piel (150), cuando se retira la aguja (120) una vez implantado el hilo corporal (1 10). 24- Assembly (100) according to any of the preceding claims, characterized in that the body thread (1 10) incorporates a knot made around the outside of the needle (120) intended to be inside the skin (150), when the needle (120) is removed once the body thread (1 10) is implanted.
25- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones anteriores, caracterizado por el hecho de que el hilo corporal (1 10) se dispone arrollado alrededor de la aguja (120) en forma de espiral. 25 - Assembly (100) according to any of the preceding claims, characterized in that the body thread (1 10) is arranged wound around the needle (120) in the form of a spiral.
26- Conjunto (100) para la implantación de hilo (110) en un cuerpo de un paciente, que comprende un hilo corporal (1 10), una aguja (120) que es hueca adaptada para que, por su interior, discurra el hilo corporal (1 10), y configurada para introducirse subcutáneamente a través de un orificio de la piel (150) de un paciente, con el fin de implantar el hilo corporal (1 10), y para extraerse a través de ese mismo orificio de la piel (150) dejando el hilo (1 10) implantado, una base (130) acoplada en un extremo (170) de la aguja (120) para facilitar su aplicación manual, y un útil de sutura manual (140) unido a un extremo (180) del hilo corporal (1 10) exterior a la aguja (120) y configurado para realizar una sutura con dicho útil de sutura (140) en la piel del paciente (150), una vez se ha implantado el hilo corporal (1 10) bajo la epidermis del paciente 26- Set (100) for the implantation of thread (110) in a body of a patient, comprising a body thread (1 10), a needle (120) that is hollow adapted so that, inside, the thread runs body (1 10), and configured to be introduced subcutaneously through a hole in the skin (150) of a patient, in order to implant the body thread (1 10), and to be extracted through that same hole in the skin (150) leaving the thread (1 10) implanted, a base (130) coupled at one end (170) of the needle (120) to facilitate its manual application, and a manual suture tool (140) attached to one end (180) of the body thread (1 10) outside the needle (120) and configured to make a suture with said tool of suture (140) in the patient's skin (150), once the body thread (1 10) has been implanted under the patient's epidermis
27- Conjunto de acuerdo con la reivindicación 26, caracterizado por el hecho de que comprende, además, un tope (160) para quedar dispuesto adyacente al orificio de la piel27- Assembly according to claim 26, characterized in that it further comprises a stop (160) to be arranged adjacent to the skin hole
(150) y a través del cual puede pasar por lo menos la aguja (120) con una sección del hilo corporal (1 10). (150) and through which at least the needle (120) can pass through a section of the body thread (1 10).
28- Conjunto de acuerdo con la reivindicación 26 o 27, caracterizado por el hecho de que el útil de sutura manual (140) presenta una geometría que tiene por lo menos un tramo curvo para facilitar la realización de una sutura con dicho útil de sutura (140) en la piel del paciente (150). 28- Assembly according to claim 26 or 27, characterized in that the manual suture tool (140) has a geometry having at least one curved section to facilitate the completion of a suture with said suture tool ( 140) on the patient's skin (150).
29- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-28, caracterizado por el hecho de que dicho tramo curvo del útil de sutura manual (140) corresponde a una fracción de 1/4-5/8 de circunferencia. 29- Assembly (100) according to any of claims 26-28, characterized in that said curved section of the manual suture tool (140) corresponds to a fraction of 1 / 4-5 / 8 in circumference.
30- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-29, caracterizado por el hecho de que la aguja (120) tiene una longitud 25-150 de mm. 30- Assembly (100) according to any of claims 26-29, characterized in that the needle (120) is 25-150 mm long.
31- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-30, caracterizado por el hecho de que la aguja (120) tiene un diámetro exterior de 1 , 1-0,26 mm. 31- Assembly (100) according to any of claims 26-30, characterized in that the needle (120) has an outside diameter of 1, 1-0.26 mm.
32- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-31 , caracterizado por el hecho de que el hilo corporal (1 10) tiene una longitud de 30-940 mm. 32- Assembly (100) according to any of claims 26-31, characterized in that the body thread (1 10) has a length of 30-940 mm.
33- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-32, caracterizado por el hecho de que el hilo corporal (110) está realizado en un material seleccionado de por lo menos uno de: polidioxanona, ácido poliláctico, ácido glicólico, policaprolactona, u otro material bioabsorbible equivalente, oro, poliéster, silicona u otro material no bioabsorbible equivalente. 34- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-33, caracterizado por el hecho de que el hilo corporal (1 10) presenta una configuración externa adaptada para dificultar su desplazamiento en un sentido contrario. 35- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-34, caracterizado por el hecho de que el útil de sutura manual (140) está unido de manera permanente al extremo exterior (180) del hilo corporal (110). 33- Assembly (100) according to any of claims 26-32, characterized in that the body thread (110) is made of a material selected from at least one of: polydioxanone, polylactic acid, glycolic acid, polycaprolactone, or other equivalent bioabsorbable material, gold, polyester, silicone or other equivalent non-bioabsorbable material. 34- Assembly (100) according to any of claims 26-33, characterized in that the body thread (1 10) has an external configuration adapted to make it difficult to move in the opposite direction. 35- Assembly (100) according to any of claims 26-34, characterized in that the manual suturing tool (140) is permanently attached to the outer end (180) of the body thread (110).
36- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-35, caracterizado por el hecho de que el útil de sutura manual (140) está unido al extremo exterior (180) del hilo corporal (1 10) por prensado. 36- Assembly (100) according to any of claims 26-35, characterized in that the manual suture tool (140) is attached to the outer end (180) of the body thread (10) by pressing.
37- Conjunto (100) de acuerdo cualquiera de las reivindicaciones 26-35, caracterizado por el hecho de que el útil de sutura manual (140) está unido al extremo exterior (180) del hilo corporal (1 10) por sellado. 37- Assembly (100) according to any of claims 26-35, characterized in that the manual suture tool (140) is attached to the outer end (180) of the body thread (10) by sealing.
38- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-34, caracterizado por el hecho de que el útil de sutura manual (140) está unido de manera separable al extremo exterior (180) del hilo corporal (110). 38- Assembly (100) according to any of claims 26-34, characterized in that the manual suture tool (140) is detachably attached to the outer end (180) of the body thread (110).
39- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-38, caracterizado por el hecho de que dicha base (130) presenta una parte interior hueca adaptada para alojar en su interior por lo menos una parte del útil de sutura manual (140). 40- Conjunto de acuerdo con cualquiera de las reivindicaciones 26-39, caracterizado por el hecho de que la base incluye un medio para acoplar de manera liberable el útil de sutura manual en una parte exterior de la base. 39- Assembly (100) according to any of claims 26-38, characterized in that said base (130) has a hollow interior part adapted to accommodate inside at least a part of the manual suturing tool ( 140). 40. An assembly according to any of claims 26-39, characterized in that the base includes a means for releasably coupling the manual suturing tool on an outer part of the base.
41- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-40 caracterizado por el hecho de que el hilo corporal (1 10) incorpora un nudo realizado alrededor del exterior de la aguja (120) destinado a quedar en el interior de la piel (150), cuando se retira la aguja (120) una vez implantado el hilo corporal (1 10). 42- Conjunto (100) de acuerdo con cualquiera de las reivindicaciones 26-41 , caracterizado por el hecho de que el hilo corporal (1 10) se dispone arrollado alrededor de la aguja (120) en forma de espiral. 41- Assembly (100) according to any of claims 26-40 characterized in that the body thread (1 10) incorporates a knot made around the outside of the needle (120) intended to be inside the skin (150), when the needle (120) is removed once the body thread (1 10) is implanted. 42- Assembly (100) according to any of claims 26-41, characterized in that the body thread (1 10) is arranged wound around the needle (120) in the form of a spiral.
PCT/ES2018/070280 2017-03-31 2018-03-29 Assembly for implanting thread in the body of a patient WO2018178491A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
ES201700326U ES1183983Y (en) 2017-03-31 2017-03-31 Set for the implantation of thread in the body
ESU201700326 2017-03-31
EP17175194 2017-06-09
EP17175194.4 2017-06-09

Publications (1)

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WO2018178491A1 true WO2018178491A1 (en) 2018-10-04

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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20100090394A (en) * 2009-02-06 2010-08-16 배태성 Biological decomposition insertion device for muscle strengthening

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20100090394A (en) * 2009-02-06 2010-08-16 배태성 Biological decomposition insertion device for muscle strengthening

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
DONG HYE SUH ET AL.: "Outcomesof Polydioxanone Knotless Thread Lifting for Facial Rejuvenation", DERMATOLOGIC SURGERY, vol. 41, no. 6, 6 June 2015 (2015-06-06), pages 720 - 726, XP055612049, Retrieved from the Internet <URL:http://pdfs.semanticscholar.org/bd69/10elf716416a89379a8066334700a2bb827.pdf> [retrieved on 20180720], DOI: 10.1097/DSS.0000000000000368 *
MALCOM, D.P.: "Barbed Sutures in Aesthetic Plastic Surgery: Evolution of Thought and Process", AESTHETIC SURGERY JOURNAL, vol. 33, no. 3S, 23 July 2018 (2018-07-23), pages 17S - 31S, XP055612050, Retrieved from the Internet <URL:https://academic.o«p.com/asi/articie-abstract/33/3Supplement/17s/176281> DOI: 10.1177/1090820X13499343 *

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