WO2018194258A1 - Suture film - Google Patents
Suture film Download PDFInfo
- Publication number
- WO2018194258A1 WO2018194258A1 PCT/KR2018/002387 KR2018002387W WO2018194258A1 WO 2018194258 A1 WO2018194258 A1 WO 2018194258A1 KR 2018002387 W KR2018002387 W KR 2018002387W WO 2018194258 A1 WO2018194258 A1 WO 2018194258A1
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- WIPO (PCT)
- Prior art keywords
- suture
- film
- needle
- bar
- hole
- Prior art date
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/0608—J-shaped
Definitions
- the present invention relates to a suture film, and more particularly, to a suture film which can suture the incision to the hygienically convenient and enhance the reliability of the suture.
- sutures are threads used to suture damaged lesions of tissue from surgery or trauma.
- Korean Patent Application Publication No. 2010-0000291 published date 2010.01.06
- 'Surge Suture Device And Utility Model Registration No. 0195052 Registration date 2000.06.26
- 'Surge suture knot tightening device for endoscopic surgery' is disclosed.
- the present invention has been made to solve the conventional problems as described above, it is an object of the present invention to provide a suture film that can be sutured in hygienically convenient and enhance the reliability of the suture.
- the needle through-hole is formed, the base film having flexibility, the tow portion disposed at the tip of the needle through-hole of the base film and the loop portion disposed at the rear end is detachably attached It includes a suture to suture, the tow of the suture is towed by the suture needle to pass through the loop portion through the affected part to form a knot.
- the suture of the present invention may further include a connecting portion detachably attached to be connected to one side of the needle through-hole connected to the towing portion, and a closing portion detachably attached to be connected to the loop portion.
- the towing portion of the suture may be detachably attached to cross the portion adjacent to the tip of the needle through-hole.
- a tow knot may be formed at the tip of the tow of the suture.
- the loop portion of the suture may be formed in an annular shape that is not tightened to form a knot.
- Beads may be formed on both sides of the base film in the present invention to have a clamping force.
- a plurality of holes may be drilled in the beads at regular intervals.
- a protective film may be attached to one surface of the base film to prevent contamination of the sutures.
- the suture including the traction part and the loop part may be detachably attached at predetermined intervals along the longitudinal direction of the base film.
- the suture is sewn from the suture film by the stitching needle can be sewn hygienically by sewing the affected part, and through the pre-formed loop part to form a knot to stably and conveniently sew It has a very useful effect.
- FIG. 1 is a perspective view of a suture according to an embodiment of the present invention.
- FIG. 2 is a perspective view of a case and a cover separated from the suture according to the embodiment of the present invention.
- Figure 3 is an exploded perspective view showing an exploded state of the sewing needle and the drive member according to an embodiment of the present invention.
- Figure 4 is a perspective view showing a combined state of the sewing needle and the drive member according to an embodiment of the present invention.
- FIG. 5 is an elevation view showing a suture film according to an embodiment of the present invention.
- Figure 6 is an exploded perspective view showing an exploded state of the film transfer member according to an embodiment of the present invention.
- FIG. 7 is a cross-sectional view taken along the line A-A of FIG.
- Figure 8 is an exploded perspective view showing an exploded state of the holding member and the cutting member according to an embodiment of the present invention.
- FIG. 9 is a front view showing a state in which the front body is removed according to an embodiment of the present invention.
- FIG. 10 is an exploded perspective view showing an exploded state of the affected part catch member according to an embodiment of the present invention.
- FIG. 11 is a cross-sectional view taken along the line B-B in FIG. 10; FIG.
- FIG 12 is an operation view showing the operating state of the suture film, the driving member, the holding member and the cutting member according to an embodiment of the present invention.
- Figure 13 is an exemplary view showing another embodiment of a suture film according to an embodiment of the present invention.
- Embodiment of the present invention may be modified in various forms, the scope of the invention should not be construed as limited to the embodiments described in detail below. This embodiment is provided to more completely explain the present invention to those skilled in the art.
- the suture of the present invention including the retractable portion 122 and the loop portion 126, the transfer of the suture film 100, the suture film 100 detachably attached to the base film 110
- the suture needle 470 rotates to pass through the loop portion 126, the drive member 400 which serves to rotate the suture needle 470 and transfer the suture film 100, and the suture thread by the drive member 400
- a holding member 500 that holds the tow portion 122 penetrating the loop portion 126 of the 120 to form a knot
- a cutting member 600 that cuts the suture 120 formed by the holding member 500. do.
- the suture film 100 includes a flexible base film 110 and a suture 120 detachably attached to the base film 110 and used to suture the affected part 1 of the tissue due to surgery or trauma.
- the base film 110 is made of a synthetic resin material of a thin thickness having flexibility to bend to a predetermined curvature.
- slightly thick beads 111 are formed on left and right sides of the base film 110 to maintain a shape to some extent without being deformed against a predetermined external force—the force pressed by the film pusher 420.
- a plurality of sprocket holes 112 are drilled at regular intervals, and are engaged with the upper sprocket 712 and the lower sprocket 722 described later.
- the center of the base film 110 is formed with a long needle through-hole 114 in the longitudinal direction, the needle through-hole 114 is penetrated while the suture needle 470 rotates from the pull of the suture 120 to the loop portion ( 126 allows the formation of knots.
- the suture 120 is connected to the tow portion 122, the tow portion 122 is disposed at the tip of the needle through hole 114 of the base film 110, as shown in Figure 5, the needle through hole 114 To the connecting portion 124 disposed along the longitudinal direction to be adjacent to one side of the loop portion 126, the loop portion 126 is connected to the connecting portion 124 adjacent to the rear end of the needle through-hole 114 And a subsequent finishing portion 128.
- Towing portion 122 is a portion disposed in the width direction at the tip of the needle through-hole 114 of the base film 110, as shown in Figure 5 the front end and the rear end of the towing portion 122 is a base film 110 Is detachably attached to the center between the portions adjacent to the tip of the needle through hole 114.
- a tow knot 123 is formed at the tip of the tow portion 122 so that when the suture needle 470 pulls the tow portion 122 as shown in an enlarged one-dotted line circle on the left side of FIG. Do not fall to the tip of (120).
- connection part 124 is detachably attached to the base film 110 so as to be adjacent to one side of the longitudinal direction of the needle through-hole 114 by being connected to the traction part 122.
- the connecting portion 124 has a suitable length in consideration of the moving distance penetrating the loop portion 126 after one rotation in which the sewing needle 470 starts towing the towing portion 122.
- the loop portion 126 is a fixed annular portion that is not tightened to form a knot, and as shown in FIG. 5, the loop portion 126 is formed in a round annular shape connected to the connecting portion 124 and penetrated therethrough. Tie and form a knot.
- the finish portion 128 is connected to the loop portion 126 and detachably attached to the base film 110 to close the end portion of the suture 120.
- the suture 120 is pulled by the suture needle 470 by the suture needle 470 to pass through the loop portion 126 through the affected part 1 of the tissue to form a knot.
- FIG. 13 attached is an exemplary view showing another embodiment of the suture film 100 of the present invention, including a traction unit 122, the connection portion 124, the loop portion 126 and the finishing portion 128
- the suture 120 formed in one pattern is formed in plural and detachably attached at a predetermined interval along the longitudinal direction of the base film 110. That is, as shown in FIG. 13, the suture 120 formed in one pattern without breaking is detachably attached to the base film 110 at a predetermined interval, preferably at the same interval. Accordingly, the suture 120 may be continuously supplied according to the size or shape of the affected part 1 to seal the affected part while forming a plurality of knots.
- the protective film 130 is detachably attached to at least one surface of the base film 110 to prevent contamination of the suture 120. That is, referring to the cross section of the suture film 100 shown in the dashed-line ellipse on the upper right side of FIG. 13, one side or both sides of the base film 110 to which the suture 120 is attached is disinfected and antimicrobial treated film. Attached 130 can be removed immediately before use or at a desired time, thereby preventing contamination from being transported or stored.
- the protective film 130 is shown to be attached to one surface of the base film 110 as shown in Figure 13, it may be attached to both sides of the base film 110 as necessary.
- Body 200 is a frame of the present invention, as shown in Figure 2 includes a front body 210 and the rear body 250 and the intermediate body 230 coupled between them. As shown in FIG. 1, the front, rear, left and right portions of the body 200 are protected by the case 300 and the top thereof is closed by the cover 310. 1 and 6, the holding bar hole 311, the film pusher hole 312, the push bar hole 313, and the cutting bar hole 314 are formed in the cover 310 to be described later. ), The film pusher 420, the push bar 410 and the cutting bar 610 are each protruded operatively. The cover 310 is formed with a film drawing hole 315 and the suture film 100 transferred along the guide slit 231 is drawn out.
- the front body 210 has a cross section of approximately ' ⁇ ' and is formed in a long frame shape in the vertical direction.
- catch bar rails 211 are formed at both front sides of the front body 210 to guide the lifting and lowering of the catch bar 810, which will be described later.
- Catch bar spring groove 211a is formed and the catch bar restoring member 820 described later is installed.
- the holding bar rail 222 is formed on the left side of the front body 210 to guide the lifting and lowering of the holding bar 510, which will be described later.
- a spring groove 222a is formed and a holding bar restoring member 530 to be described later is installed.
- the pusher rail 223 is formed at the inner rear left side of the front body 210 to guide the lifting and lowering of the film pusher 420, and the cutting bar 224 is formed at the right side of the front body 210. Guide the lifting of the cutting bar 610 to be described later.
- the lower center of the front body 210 is provided with a catch bar support 225 having a surface approximately curved in a semi-circular shape to support the surface 11 of the cut portion 10 of the annulus 1.
- a suture guide 232 is provided at a lower rear portion of the front body 210 as shown in FIGS. 7 and 8 so that the suture 120 penetrating the affected part 1 by the rotation of the suture needle 470 is rotated.
- the guide guide so as not to interfere with the suture needle 470, the upper portion is provided with a film stopper 233 supported by the torsion spring 234 as shown in Figs. 7 and 9 to the suture film 100 Only when applying the force is to be interrupted to be transported along the guide slit 231.
- the intermediate body 230 is formed in a long frame shape in a vertical direction having a cross section of approximately ' ⁇ ' and is coupled to the rear surface of the front body 210.
- a guide slit 231 is formed on the front surface of the intermediate body 230 to guide linear and circular transfer of the suture film 100, and the guide slit 231 is formed of the intermediate body 230. It includes a linear guide slit 231a formed on both sides of the front surface and a curved guide slit 231b connecting the lower end of the linear guide slit 231a to be curved in a substantially 'U' shape.
- an entrance guide slit 231c having a wide width is formed at the upper end of the linear guide slit 231a on the left to guide the easy entry of the suture film 100, and an upper end of the linear guide slit 231b on the right side. It extends to the upper portion of the intermediate body 230 so as to be connected to the film lead-out hole 315 of the cover 310 in succession.
- the guide slit 231 formed on the front surface of the intermediate body 230 is formed on the inner rear side of the front body 210 to guide both sides of the suture film 100 to provide stable transport.
- the rear body 250 is formed in a substantially plate shape as shown in Figure 3 is coupled to the rear of the intermediate body (230).
- a guide block is formed on the front upper portion of the rear body 250 to support the one surface of the push bar 410 to be elevated.
- the front surface of the rear body 250 is provided with a partition convex portion 252 connected long from the center to the bottom so as not to interfere when driving the belt 440 as shown in Figure 4, the push bar guider 254 in the center Is provided to guide to prevent the flow when the push bar 410, the shaft hole 256 is formed at the bottom is coupled to the needle shaft 460 to be described later rotatably.
- the suture needle 470 rotates to pull the retractable portion 122 of the suture 120 and pass through the loop portion 126 past the affected portion 1.
- the sewing needle 470 is a needle orthogonal to the needle axle 471, needle axle 471 is coupled to the needle shaft 460
- the connection part 472 includes a needle part 473 connected to the needle connection part 472 to sew the affected part 1 by the towed suture 120.
- the needle axle 471 is coupled to the axle hole 462 of the needle shaft 460 to be described later and integrally rotated, the needle axle 471 and the needle connecting portion 472 is orthogonally connected and viewed from the right side ' ⁇ 'Is formed in one shape.
- the needle portion 473 is formed in an approximately semi-circular arc shape to pull the retractable portion 122 of the suture 120 and to be sewn through the loop portion 126 past the annular portion 1, such a needle portion
- a traction groove 474 having a substantially 'v' shape is formed to be pulled so as not to walk off the suture 120.
- the drive member 400 has a function of sewing the affected part 1 to the suture 120 by rotating the suture needle 470 and simultaneously transferring the suture film 100 along the guide slit 231. As shown in FIGS. 3 and 4, the driving member 400 is installed in the body 200 so as to be able to lift and lower the film pusher 420 and the rack 411 to transfer the suture film 100 to the guide slit 231.
- the driven pinion 450 is connected to include a needle shaft 460 rotatably installed in the body 200, and a push bar restoring member 480 for restoring the push bar 410.
- the push bar 410 drives to simultaneously act to rotate the suture needle 470 and the action of transferring the suture film 100.
- one side of the push bar 410 is supported by the guide block 251 of the rear body 250, and the other side of the push bar 410 is supported by the rear side of the intermediate body 230 and is capable of lifting. Is installed.
- the rack 411 is provided at the center of the push bar 410 to rotate the driving pinion 430 to be engaged, and a push rod 412 is provided at the bottom of the rack 411 to provide the push bar guider 254.
- the top of the rack 411 is provided with a stopper 414 is interrupted so as not to fall further by being caught by the drive pinion 430 when the push bar 410 is lowered.
- the coupling groove 413 is formed on one side of the push bar 410
- the coupling protrusion 421 formed on one side of the film pusher 420 is detachably coupled
- the film pusher 420 is a push bar 410
- the other side of the film pusher 420 is a pusher rail formed on the front body 210 as shown in FIG. 223 is installed to be elevated.
- the drive pinion 430 is rotatably installed at an upper portion between the intermediate body 230 and the rear body 250 to rotate in engagement with the rack 411 of the push bar 410. .
- one side of the needle shaft 460 is provided with a driven pinion 450 connected to the drive pinion 430 by a belt 440 in the shaft hole 256 of the rear body 250. It is rotatably installed, and the axle hole 462 is formed at the other side, and the sewing needle 470 is mounted.
- the push bar restoring member 480 is a member for elastically restoring the lowered push bar 410.
- the push bar restoring member 480 is an outer diameter of the push rod 412 as shown in FIGS. Implemented by a coil spring coupled to the elastic and compressive movement between the rack 411 and the push bar guider 254.
- the push bar restoring member 480 may be implemented as a leaf spring capable of elastically restoring the lowered push bar 410.
- Holding member 500 is to form a knot by holding the towing portion 122 penetrating the loop portion 126 of the suture 120, such a holding member 500 is shown in Figures 8 and 9
- the holding bar support 226 formed at the lower end of the holding bar rail 222 of the front body 210 and the tow part 122 supported by the holding support 226 through the loop part 126 of the suture 120 are provided.
- Holding to resiliently restoring the holding bar 510 the holding bar 510 is installed to be elevated along the holding bar rail 222 of the front body 210 to operate the holder 520, holder 520 to hold Bar restoring member 530 is included.
- the holding bar support 226 is formed in a horizontally flat surface at the lower end of the holding bar rail 222 to support any part of the pull unit 122 of the suture 120 disposed between the holder 520.
- the holding bar 510 is formed as a rod having a rounded circumference and a lower portion having a quadrangular shape.
- the holding bar 510 is elastically restored, and the lower portion of the quadrangle is lifted along the holding bar rail 222 of the front body 210.
- the holder 520 is provided at the lower end of the holding bar 510 and has a horizontally flat upper surface. The flat upper surface firmly holds the suture 120 supported by the holding bar support 226.
- Holding bar restoring member 530 is implemented as a coil spring coupled to the upper outer diameter of the holding bar 510, as shown in Figure 8 is accommodated in the holding bar spring groove 222a of the front body 210, wherein the coil The upper end of the spring is not pulled out by the snap ring 540.
- the holding bar restoring member 530 may be implemented as a leaf spring capable of elastically restoring the lowered holding bar 510.
- the holding bar 510 when the holding bar 510 is pushed down by the hand, a space is formed between the holding bar support 226 and the holder 520, and the towing unit penetrates the loop part 126 of the suture 120 to the space.
- the holding bar 510 when the hand is released from the holding bar 510, the holding bar 510 is raised by the elasticity of the holding bar restoring member 530, thereby firmly holding the towing portion 122 of the suture 120.
- a knot may be formed by pulling the pull unit 122 that penetrates the loop portion 126 of the suture 120.
- the cutting member 600 is a member for cutting the suture 120 having a knot
- the cutting member 600 is a cutting bar 610 provided to be elevated on the body 200 as illustrated in FIGS. 8 and 9.
- a cutter 620 installed at the cutting bar 610 to cut the suture 120 having a knot
- a cutting bar restoring member 630 for elastically restoring the cutting bar 610.
- the cutting bar 610 is installed to move up and down along the cutting bar rail 224 of the front body 210 to operate the cutter 620, and the cutting bar rod 612 is provided at the lower end of the cutting bar 610.
- Coil spring is provided is implemented by the cutting bar restoration member 630 which will be described later.
- the cutter 620 is provided at the lower portion of the cutting bar 610 to cut the suture 120 having a knot while descending by the cutting bar 610.
- the cutting bar restoring member 630 is a member for elastically restoring the cutting bar 610 that is lowered to cut the suture 120. Such a cutting bar restoring member 630 is illustrated in FIGS. 8 and 9. As implemented as a coil spring is coupled to the outer diameter of the cutting bar rod 612. Optionally, the cutting bar restoring member 630 may be implemented as a plate spring for elastically restoring the lowered cutting bar 610.
- the cutter 620 is simultaneously lowered to cut the suture 120 having a knot through the loop part 126, and when the hand is removed from the cutting bar 610, the cutting bar is removed. It is elastically lifted by the restoring member 630 to maintain its original position.
- the suture of the present invention further includes a film transfer member 700 for transferring the suture film 100 to a desired position.
- the film transfer member 700 is provided with an upper sprocket 712 and a driving pulley 711 engaged with the sprocket hole 112 of the suture film 100.
- Upper rotatable roller 710 rotatably installed on the upper part of), driven pulley 721 connected to the drive pulley 711 by the belt 730 and the lower sprocket 712 engaged with the sprocket hole 112 of the suture film.
- a rotary knob 740 is rotatably installed on the lower portion of the body 200, the rotary knob 740 is connected to rotate the upper rotary roller 710 to transfer the suture film 100.
- the upper rotary roller 710 is rotatably installed between the front body 210 and the intermediate body 230 to generate a driving force by the rotation of the rotary knob 740.
- a driving pulley 711 is provided at the center of the upper rotating roller 710, and an upper sprocket 712 is provided at both sides thereof to engage the sprocket hole 112 of the suture film 100.
- the lower rotating roller 720 is rotatably installed at a lower portion between the front body 210 and the middle body 230 to be rotated by the driving of the upper rotating roller 710.
- a driven pulley 721 connected to the drive pulley 711 by a belt 730 is provided at the center of the lower rotating roller 720, and a lower sprocket 722 is provided at both sides thereof, so that a sprocket hole of the suture film 100 is provided ( 112).
- the rotary knob 740 is coupled to the upper rotary roller 710 so as to be exposed to the outside of the front body 210 as shown in Figure 6 to rotate the upper rotary roller 710 to transfer the suture film 100. .
- the rotary knob 740 when the rotary knob 740 is turned in one direction, the upper rotary roller 710 rotates, and the bellows pulley 721 connected to the drive pulley 711 of the upper rotary roller 710 by the belt 730 is rotated. Since it is operated to rotate the lower rotary roller 720, the suture film 100 is to be transported to the desired position by the sprocket hole 112 which is engaged with the upper sprocket 712 and the lower sprocket 722.
- the suture film 100 is transferred by the lowering of the film pusher 420, the upper sprocket 712 and the lower sprocket 722 rotates by engaging the sprocket hole 112 of the suture film 100, The film 100 is safely transported without flowing from side to side.
- the present invention further includes an affected part catch member 800 for holding the cut out portion 10 of the affected part 1.
- the annular catch member 10 is provided to protrude in the lower portion of the front body 210 to support the surface of the cutout portion 10 of the annular portion 1.
- a curved rod 812 for catching the inner surface of the cut-out portion 10 of the annulus 1 supported by the catch bar support 225 is provided can be elevated along the catch bar rail 211 of the front body 210
- the catch bar support 225 is formed to protrude to form a curved surface at a predetermined curvature in the lower portion of the front body 210 to support the surface 11 of the cut portion 10 of the annulus 1.
- the catch bar 810 is formed in a rod-shaped round circumference as shown in FIG. 10 so as to be liftable along the catch bar rails 211 formed on both sides of the front body 210, and bent outwardly on the upper portion thereof.
- Catch bar handle 814 is provided that can be conveniently pressed by hand, the lower portion is provided with a curved rod 812 curved to match the curved surface of the catch bar support 225 cut portion 10 of the affected part 1 ) Supports the inner surface 12.
- the catch bar 810 is formed in the shape of a round rod as described above, and thus can be rotated in the left and right direction around the catch bar rail 211, so as to various shapes of the incision 1 It can rotate and raise suitably accordingly.
- the catch bar restoring member 820 is a member for elastically restoring the lowered catch bar 810.
- the catch bar restoring member 820 is coupled to the upper outer diameter of the catch bar 810 as shown in FIG.
- the catch bar restoring member 820 may be implemented as a leaf spring capable of elastically restoring the lowered catch bar 810.
- the catch bar 810 is lowered to form a gap between the catch bar support and the 225, the curved rod between the cut portion 10 of the affected part (1) Put the 812 into the inner surface 12 and release the catch bar handle 812 while pressing the surface 11 of the incision 10 of the affected part 1 with the catch bar support 225, and then release the catch bar.
- the catch bar 810 is elastically raised by the restoring member 820 so that the cutout portion 10 of the affected part 1 remains firmly caught, and therefore, due to the characteristics of the thin tissue, The incision 10 can be maintained so as not to bleed to facilitate sutures.
- the suture needle 470 is rotated to suture 120.
- the towing groove 474 of the sewing needle 470 is enlarged by a dashed-dotted circle on the left side of FIG. 123 is pulled without being caught, in which case the film pusher 420 is lowered at the same time as the push bar 410 to transfer the suture film 120, even after the film pusher 420 is lowered at the same time with the push bar 410 By continuing to transport the suture film 120.
- the suture needle 470 which pulls the tow portion 122 of the suture 120 through the annulus 1 together with the connecting portion 124 as shown in FIG. After that, it passes through the loop portion 126 as shown in FIG.
- the holding bar 510 is pushed down, a space is formed between the hold support 226 and the holder 520, and the towing portion 122 penetrating the loop portion 126 of the suture 120 into the space is formed.
- the holding bar 510 is lifted up by the elasticity of the holding bar restoring member 530 when the hand is released from the holding bar 510 and the tow portion 122 of the suture 120 as shown in FIG. Since it is firmly held, by pulling the towing portion 122 to form a knot.
- the suture 120 knotted as described above is cut by the cutting member 600, ie, the cutter 620 descending by pressing the cutting bar 610 as shown in FIG.
- suture film 110 base film
- front body 225 catch bar support
- middle body 231 guide slit
- film transfer member 710 upper rotary roller
- curve rod 820 catch bar restoring member
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Abstract
The present invention relates to a suture film which makes it possible to sanitarily and conveniently suture an incised lesion and improve the reliability of suturing. The suture film of the present invention comprises: a base film having flexibility through which a needle through hole is formed; and a suture thread in which a pulling portion disposed at a front end of the needle through hole of the base film and a loop portion disposed at a rear end are detachably attached to suture a lesion, wherein the pulling portion of the suture thread is pulled by a suture needle, passes through the lesion, penetrates the loop portion, and then forms a knot. Accordingly, the present invention has an effect of making it possible to sanitarily and conveniently suture a lesion because the suture thread is separated from the suture film by a simple operation while the lesion is sutured.
Description
본 발명은 봉합사필름에 관한 것으로서, 더욱 상세하게는 절개된 환부를 위생적으로 편리하게 봉합하고 봉합의 신뢰성을 제고시킬 수 있는 봉합사필름에 관한 것이다.The present invention relates to a suture film, and more particularly, to a suture film which can suture the incision to the hygienically convenient and enhance the reliability of the suture.
주지된 바와 같이, 봉합사는 수술이나 외상으로 인한 조직의 손상된 환부를 봉합하는 데 사용하는 실이다.As is well known, sutures are threads used to suture damaged lesions of tissue from surgery or trauma.
근래에는 봉합을 용이하게 하기 위해 다양한 봉합사 또는 봉합사의 매듭을 맺는 장치에 관련된 기술이 개발되고 있으며, 이에 관련된 선행기술로서 대한민국 공개특허 제2010-0000291호(공개일자 2010.01.06) ‘수술용 봉합장치’ 및 등록실용신안 제0195052호(등록일자 2000.06.26) ‘내시경 수술시 수술 봉합사 매듭 조임기기’ 등이 개시되어 있다.Recently, a technique related to a device for tying various sutures or sutures to facilitate sutures has been developed. As a related art, Korean Patent Application Publication No. 2010-0000291 (published date 2010.01.06) 'Surge Suture Device And Utility Model Registration No. 0195052 (Registration date 2000.06.26), 'Surge suture knot tightening device for endoscopic surgery' is disclosed.
그러나 위에서 언급한 선행기술은 별도로 마련된 봉합사를 장치나 기기에 끼워서 사용하는 과정에서 오염되어 위생성이 떨어질 수 있고, 환부를 꿰매고 매듭을 지어 마무리하는 과정이 번거롭고 불편할 수 있으며, 매듭을 묶어 유지하는 신뢰성이 떨어질 수 있는 문제점이 있었다.However, the above-mentioned prior art can be contaminated in the process of inserting a separately prepared suture into a device or device, and the sanitary property may be degraded. There was a problem that could fall.
**선행기술문헌**Prior Art Literature
**특허문헌**** Patent Literature **
(선행기술 0001) 대한민국 공개특허 제2010-0000291호(공개일자 2010.01.06)(Prior art 0001) Republic of Korea Patent Publication No. 2010-0000291 (published date 2010.01.06)
(선행기술 0002) 대한민국 등록실용신안 제0195052호(등록일자 2000.06.26)(Prior art 0002) Korean Utility Model Registration No. 0195052 (Registration date 2000.06.26)
본 발명은 상술한 바와 같은 종래의 문제점을 해결하기 위해 안출한 것으로서, 본 발명의 목적은 절개된 환부를 위생적으로 편리하게 봉합하고 봉합의 신뢰성을 제고시킬 수 있는 봉합사필름을 제공하는 데 있다.The present invention has been made to solve the conventional problems as described above, it is an object of the present invention to provide a suture film that can be sutured in hygienically convenient and enhance the reliability of the suture.
상기 목적을 달성하기 위한 본 발명의 봉합사필름은, 바늘관통공이 형성되어 유연성을 갖는 베이스필름, 상기 베이스필름의 바늘관통공 선단에 배치되는 견인부와 후단에 배치되는 루프부가 분리가능하게 부착되어 환부를 봉합하는 봉합사를 포함하되, 상기 봉합사의 견인부는 봉합바늘에 의해 견인되어 환부를 지나 루프부를 관통한 후 매듭을 형성하는 것이다.Suture film of the present invention for achieving the above object, the needle through-hole is formed, the base film having flexibility, the tow portion disposed at the tip of the needle through-hole of the base film and the loop portion disposed at the rear end is detachably attached It includes a suture to suture, the tow of the suture is towed by the suture needle to pass through the loop portion through the affected part to form a knot.
본 발명의 상기 봉합사는, 상기 견인부에 연이어져 바늘관통공의 어느 한 측면에 인접되도록 분리가능하게 부착되는 연결부, 상기 루프부에 연이어지도록 분리가능하게 부착되는 마감부를 더 포함할 수 있다.The suture of the present invention may further include a connecting portion detachably attached to be connected to one side of the needle through-hole connected to the towing portion, and a closing portion detachably attached to be connected to the loop portion.
이때, 상기 봉합사의 견인부는 바늘관통공의 선단에 인접된 부분을 가로지르도록 분리가능하게 부착될 수 있다.At this time, the towing portion of the suture may be detachably attached to cross the portion adjacent to the tip of the needle through-hole.
이때, 상기 봉합사의 견인부의 선단에는 견인매듭이 형성될 수 있다.At this time, a tow knot may be formed at the tip of the tow of the suture.
이때, 상기 봉합사의 루프부는 매듭을 형성하기 위해 조여지지 않은 고리형상으로 형성될 수 있다.At this time, the loop portion of the suture may be formed in an annular shape that is not tightened to form a knot.
본 발명에서 상기 베이스필름의 양측에는 형체력을 갖도록 비드가 형성될 수 있다.Beads may be formed on both sides of the base film in the present invention to have a clamping force.
이때, 상기 비드에는 복수의 홀이 일정한 간격으로 천공될 수 있다.In this case, a plurality of holes may be drilled in the beads at regular intervals.
본 발명에서 상기 베이스필름의 일면에는 봉합사의 오염을 방지하도록 보호필름이 부착될 수 있다.In the present invention, a protective film may be attached to one surface of the base film to prevent contamination of the sutures.
본 발명에서 상기 견인부와 루프부를 포함하는 봉합사는 복수로 이루어져 베이스필름의 길이방향을 따라 소정 간격으로 분리가능하게 부착될 수 있다.In the present invention, the suture including the traction part and the loop part may be detachably attached at predetermined intervals along the longitudinal direction of the base film.
상술한 해결 수단으로 구현된 본 발명에 따르면, 봉합바늘에 의해 봉합사필름에서 봉합사가 분리되면서 환부를 꿰매어 위생적으로 봉합할 수 있고, 미리 형성된 루프부를 관통한 후 매듭을 형성하므로 안정적이고 편리하게 봉합할 수 있는 매우 유용한 효과가 있다.According to the present invention implemented by the above-described solution, the suture is sewn from the suture film by the stitching needle can be sewn hygienically by sewing the affected part, and through the pre-formed loop part to form a knot to stably and conveniently sew It has a very useful effect.
도 1은 본 발명의 실시예에 의한 봉합기의 사시도.1 is a perspective view of a suture according to an embodiment of the present invention.
도 2는 본 발명의 실시예에 의한 봉합기에서 케이스와 커버가 분리된 상태의 사시도.2 is a perspective view of a case and a cover separated from the suture according to the embodiment of the present invention.
도 3은 본 발명의 실시예에 의한 봉합바늘과 구동부재의 분해된 상태를 나타낸 분해사시도.Figure 3 is an exploded perspective view showing an exploded state of the sewing needle and the drive member according to an embodiment of the present invention.
도 4는 본 발명의 실시예에 의한 봉합바늘과 구동부재의 결합된 상태를 나타낸 결합사시도.Figure 4 is a perspective view showing a combined state of the sewing needle and the drive member according to an embodiment of the present invention.
도 5는 본 발명의 실시예에 의한 봉합사필름을 나타낸 입면도.5 is an elevation view showing a suture film according to an embodiment of the present invention.
도 6은 본 발명의 실시예에 의한 필름이송부재의 분해된 상태를 나타낸 분해사시도.Figure 6 is an exploded perspective view showing an exploded state of the film transfer member according to an embodiment of the present invention.
도 7은 도 2의 A-A선 단면도.7 is a cross-sectional view taken along the line A-A of FIG.
도 8은 본 발명의 실시예에 의한 홀딩부재와 커팅부재의 분해된 상태를 나타낸 분해사시도.Figure 8 is an exploded perspective view showing an exploded state of the holding member and the cutting member according to an embodiment of the present invention.
도 9는 본 발명의 실시예에 의한 전면바디가 제거된 상태를 나타낸 정면도.9 is a front view showing a state in which the front body is removed according to an embodiment of the present invention.
도 10은 본 발명의 실시예에 의한 환부캐치부재의 분해된 상태를 나타낸 분해사시도.10 is an exploded perspective view showing an exploded state of the affected part catch member according to an embodiment of the present invention.
도 11은 도 10의 B-B선 단면도.FIG. 11 is a cross-sectional view taken along the line B-B in FIG. 10; FIG.
도 12는 본 발명의 실시예에 의한 봉합사필름, 구동부재, 홀딩부재 및 커팅부재의 작동상태를 나타낸 작동도.12 is an operation view showing the operating state of the suture film, the driving member, the holding member and the cutting member according to an embodiment of the present invention.
도 13은 본 발명의 실시예에 의한 봉합사필름의 다른 실시예를 나타낸 예시도.Figure 13 is an exemplary view showing another embodiment of a suture film according to an embodiment of the present invention.
이하에서는 본 발명을 충분히 이해하기 위해서 본 발명의 바람직한 실시예를 첨부 도면을 참조하여 설명한다.DETAILED DESCRIPTION Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings in order to fully understand the present invention.
본 발명의 실시예는 여러 가지 형태로 변형될 수 있으며, 본 발명의 범위가 아래에서 상세히 설명하는 실시예로 한정되는 것으로 해석되어서는 안 된다. 본 실시예는 당업계에서 평균적인 지식을 가진 자에게 본 발명을 더욱 완전하게 설명하기 위하여 제공되는 것이다.Embodiment of the present invention may be modified in various forms, the scope of the invention should not be construed as limited to the embodiments described in detail below. This embodiment is provided to more completely explain the present invention to those skilled in the art.
따라서, 도면에서 표현한 구성요소의 형상 등은 더욱 명확한 설명을 강조하기 위해서 과장되어 표현될 수 있다. 각 도면에서 동일한 구성은 동일한 참조부호로 도시한 경우가 있음을 유의하여야 한다. 또한, 본 발명의 요지를 불필요하게 흐릴 수 있다고 판단되는 공지 기술의 기능 및 구성에 관한 상세한 설명은 생략된다.Therefore, the shape of the components, etc. represented in the drawings may be exaggerated to emphasize a more clear description. It should be noted that the same configuration in each drawing is shown with the same reference numerals. In addition, the detailed description about the function and structure of the well-known technique which judged that the summary of this invention may be unnecessarily blurred is abbreviate | omitted.
본 발명의 봉합기는, 견인부(122) 및 루프부(126)를 포함하는 봉합사(120)가 베이스필름(110)에 분리가능하게 부착된 봉합사필름(100), 봉합사필름(100)의 이송을 안내하도록 가이드슬릿(231)을 갖는 바디(200), 바디(200)의 가이드슬릿(231)을 따라 이송하는 봉합사필름(100)의 봉합사(120) 견인부(122)를 견인하여 환부(1)를 지나 루프부(126)를 관통하도록 회전하는 봉합바늘(470), 봉합바늘(470)의 회전 및 봉합사필름(100)의 이송을 겸하는 구동부재(400), 구동부재(400)에 의해 봉합사(120)의 루프부(126)를 관통한 견인부(122)를 잡아서 매듭을 맺는 홀딩부재(500), 홀딩부재(500)로 매듭을 맺은 봉합사(120)를 커팅하는 커팅부재(600)를 포함한다.The suture of the present invention, the suture 120, including the retractable portion 122 and the loop portion 126, the transfer of the suture film 100, the suture film 100 detachably attached to the base film 110 To pull the suture 120 of the suture 120 of the suture film 100 to be transported along the guide slit 231 of the body 200, the body 200 having a guide slit 231 to guide the affected part (1) The suture needle 470 rotates to pass through the loop portion 126, the drive member 400 which serves to rotate the suture needle 470 and transfer the suture film 100, and the suture thread by the drive member 400 ( A holding member 500 that holds the tow portion 122 penetrating the loop portion 126 of the 120 to form a knot, and a cutting member 600 that cuts the suture 120 formed by the holding member 500. do.
봉합사필름(100)은 유연성을 갖는 베이스필름(110)과 이 베이스필름(110)에 분리가능하게 부착되어 수술이나 외상으로 인한 조직의 환부(1)를 봉합하는데 쓰이는 봉합사(120)를 포함한다.The suture film 100 includes a flexible base film 110 and a suture 120 detachably attached to the base film 110 and used to suture the affected part 1 of the tissue due to surgery or trauma.
먼저, 베이스필름(110)은 소정의 곡률로 휘어지도록 유연성을 갖는 얇은 두께의 합성수지재질로 이루어진다. 도 5를 참조하면, 베이스필름(110)의 좌우 양측에는 약간 두꺼운 비드(111)가 형성되어 소정의 외력-필름푸셔(420)로 누르는 힘-에 대항하여 변형되지 않고 어느 정도 형체를 유지하는 형체력을 갖고, 이 비드(111)에는 복수의 스프로킷홀(112)이 일정한 간격으로 천공되어 후술하는 어퍼스프로킷(712) 및 로워스프로킷(722)에 맞물려 이송된다. 베이스필름(110)의 중앙에는 길이 방향으로 긴 바늘관통공(114)이 형성되며, 이 바늘관통공(114)은 봉합바늘(470)이 회전하면서 관통되어 봉합사(120)의 견인부터 루프부(126)를 지나 매듭의 형성을 가능하게 한다.First, the base film 110 is made of a synthetic resin material of a thin thickness having flexibility to bend to a predetermined curvature. Referring to FIG. 5, slightly thick beads 111 are formed on left and right sides of the base film 110 to maintain a shape to some extent without being deformed against a predetermined external force—the force pressed by the film pusher 420. In this bead 111, a plurality of sprocket holes 112 are drilled at regular intervals, and are engaged with the upper sprocket 712 and the lower sprocket 722 described later. The center of the base film 110 is formed with a long needle through-hole 114 in the longitudinal direction, the needle through-hole 114 is penetrated while the suture needle 470 rotates from the pull of the suture 120 to the loop portion ( 126 allows the formation of knots.
그리고 봉합사(120)는 도 5에 도시된 바와 같이, 베이스필름(110)의 바늘관통공(114) 선단에 배치되는 견인부(122), 견인부(122)에 연이어져 바늘관통공(114)의 어느 한 측변에 인접되도록 길이 방향을 따라 배치되는 연결부(124), 연결부(124)에 연이어져 바늘관통공(114)의 후단에 인접되도록 배치되는 루프부(126), 루프부(126)에 연이어지는 마감부(128)를 포함한다.And the suture 120 is connected to the tow portion 122, the tow portion 122 is disposed at the tip of the needle through hole 114 of the base film 110, as shown in Figure 5, the needle through hole 114 To the connecting portion 124 disposed along the longitudinal direction to be adjacent to one side of the loop portion 126, the loop portion 126 is connected to the connecting portion 124 adjacent to the rear end of the needle through-hole 114 And a subsequent finishing portion 128.
견인부(122)는 베이스필름(110)의 바늘관통공(114) 선단에 폭 방향으로 배치되는 부분으로서, 도 5에 도시된 바와 같이 견인부(122)의 선단과 후단은 베이스필름(110)에 분리가능하게 부착되고 그 사이의 중앙은 바늘관통공(114)의 선단에 인접된 부분을 가로지르게 된다. 견인부(122)의 선단에는 견인매듭(123)이 형성되어 도 12의 (b) 좌측에 일점쇄선 원에 확대 도시한 바와 같이 봉합바늘(470)이 견인부(122)를 견인할 때 걸려서 봉합사(120)의 선단부로 빠지지 않도록 한다. Towing portion 122 is a portion disposed in the width direction at the tip of the needle through-hole 114 of the base film 110, as shown in Figure 5 the front end and the rear end of the towing portion 122 is a base film 110 Is detachably attached to the center between the portions adjacent to the tip of the needle through hole 114. A tow knot 123 is formed at the tip of the tow portion 122 so that when the suture needle 470 pulls the tow portion 122 as shown in an enlarged one-dotted line circle on the left side of FIG. Do not fall to the tip of (120).
연결부(124)는 도 5에 도시된 바와 같이 견인부(122)에 연이어져 바늘관통공(114)의 길이방향 어느 한 측변에 인접되도록 베이스필름(110)에 분리가능하게 부착되는 부분으로서, 이러한 연결부(124)는 봉합바늘(470)이 견인부(122)를 견인하면서 시작하는 1회전 후 루프부(126)를 관통하는 이동 거리를 고려하여 적절한 길이로 이루어진다.As shown in FIG. 5, the connection part 124 is detachably attached to the base film 110 so as to be adjacent to one side of the longitudinal direction of the needle through-hole 114 by being connected to the traction part 122. The connecting portion 124 has a suitable length in consideration of the moving distance penetrating the loop portion 126 after one rotation in which the sewing needle 470 starts towing the towing portion 122.
루프부(126)는 매듭을 형성하기 위해 조여지지 않은 고정된 고리 형상의 부분으로서, 도 5에 도시된 바와 같이 연결부(124)에 연이어진 둥근 고리 형상으로 형성되어 관통되는 견인부(122)와 묶어서 매듭을 형성한다.The loop portion 126 is a fixed annular portion that is not tightened to form a knot, and as shown in FIG. 5, the loop portion 126 is formed in a round annular shape connected to the connecting portion 124 and penetrated therethrough. Tie and form a knot.
마감부(128)는 루프부(126)에 연이어져 베이스필름(110)에 분리가능하게 부착되어 봉합사(120)의 끝 부분을 마감한다.The finish portion 128 is connected to the loop portion 126 and detachably attached to the base film 110 to close the end portion of the suture 120.
이에 따라, 봉합사(120)는 견인부(122)가 봉합바늘(470)에 의해 견인되어 조직의 환부(1)를 지나 루프부(126)를 관통한 후 묶어서 매듭을 형성하게 된다.Accordingly, the suture 120 is pulled by the suture needle 470 by the suture needle 470 to pass through the loop portion 126 through the affected part 1 of the tissue to form a knot.
한편, 첨부된 도 13은 본 발명의 봉합사필름(100)의 다른 실시예를 나타낸 예시도로서, 견인부(122)와 연결부(124)와 루프부(126) 및 마감부(128)를 포함하여 하나의 패턴으로 형성된 봉합사(120)는 복수로 이루어져 베이스필름(110)의 길이방향을 따라 소정 간격을 이루면서 분리가능하게 부착된다. 즉, 도 13에 도시된 바와 같이 끊어지지 않고 하나의 패턴으로 형성된 봉합사(120)가 소정 간격, 바람직하게는 동일한 간격을 이루면서 베이스필름(110)에 분리가능하게 부착되는 것이다. 이에 따라, 환부(1)의 크기나 모양에 따라 봉합사(120)를 연속적으로 공급하여 여러 개의 매듭을 형성하면서 환부를 봉합할 수 있게 된다.On the other hand, Figure 13 attached is an exemplary view showing another embodiment of the suture film 100 of the present invention, including a traction unit 122, the connection portion 124, the loop portion 126 and the finishing portion 128 The suture 120 formed in one pattern is formed in plural and detachably attached at a predetermined interval along the longitudinal direction of the base film 110. That is, as shown in FIG. 13, the suture 120 formed in one pattern without breaking is detachably attached to the base film 110 at a predetermined interval, preferably at the same interval. Accordingly, the suture 120 may be continuously supplied according to the size or shape of the affected part 1 to seal the affected part while forming a plurality of knots.
다른 한편, 봉합사필름(100)의 또 다른 실시예에 의하면, 베이스필름(110)의 적어도 일면에는 보호필름(130)이 분리가능하게 부착되어 봉합사(120)의 오염을 방지하게 된다. 즉, 도 13의 상부 우측에 일점쇄선 타원 내에 도시된 봉합사필름(100)의 단면을 참조하면, 봉합사(120)가 부착된 베이스필름(110)의 어느 일면 또는 양면에는 소독 및 항균 처리된 보호필름(130)이 부착되어 사용 직전 또는 원하는 시점에 떼어 낼 수 있으므로, 운반 또는 보관 중 오염으로부터 방지할 수 있게 된다. 이러한 보호필름(130)은 도 13에 도시된 바와 같이 베이스필름(110)의 일면에 부착되게 나타내었으나, 필요에 따라 베이스필름(110)의 양면에도 부착될 수 있다.On the other hand, according to another embodiment of the suture film 100, the protective film 130 is detachably attached to at least one surface of the base film 110 to prevent contamination of the suture 120. That is, referring to the cross section of the suture film 100 shown in the dashed-line ellipse on the upper right side of FIG. 13, one side or both sides of the base film 110 to which the suture 120 is attached is disinfected and antimicrobial treated film. Attached 130 can be removed immediately before use or at a desired time, thereby preventing contamination from being transported or stored. Although the protective film 130 is shown to be attached to one surface of the base film 110 as shown in Figure 13, it may be attached to both sides of the base film 110 as necessary.
바디(200)는 본 발명의 골조를 이루는 것으로서, 도 2에 도시된 바와 같이 전면바디(210)와 후면바디(250) 및 그 사이에 결합되는 중간바디(230)를 포함한다. 도 1에 도시된 바와 같이, 바디(200)의 전후 및 좌우 부분은 케이스(300)에 의해 보호되고 상부는 커버(310)에 의해 마감된다. 여기서, 커버(310)에는 도 1 및 도 6에 도시된 바와 같이 홀딩바홀(311), 필름푸셔홀(312), 푸시바홀(313) 및 커팅바홀(314)이 형성되어 후술하는 홀딩바(510), 필름푸셔(420), 푸시바(410) 및 커팅바(610)가 각각 작동가능하게 돌출된다. 그리고 커버(310)에는 필름인출공(315)이 형성되어 가이드슬릿(231)을 따라 이송된 봉합사필름(100)이 인출된다. Body 200 is a frame of the present invention, as shown in Figure 2 includes a front body 210 and the rear body 250 and the intermediate body 230 coupled between them. As shown in FIG. 1, the front, rear, left and right portions of the body 200 are protected by the case 300 and the top thereof is closed by the cover 310. 1 and 6, the holding bar hole 311, the film pusher hole 312, the push bar hole 313, and the cutting bar hole 314 are formed in the cover 310 to be described later. ), The film pusher 420, the push bar 410 and the cutting bar 610 are each protruded operatively. The cover 310 is formed with a film drawing hole 315 and the suture film 100 transferred along the guide slit 231 is drawn out.
전면바디(210)는 도 2 및 도 6에 도시된 바와 같이 대략 ‘└┘’의 단면으로 이루어져 세로 방향으로 긴 틀 형상으로 형성된다. 먼저, 도 6을 참조하면, 전면바디(210)의 전면 양측에는 캐치바레일(211)이 형성되어 후술하는 캐치바(810)의 승강을 안내하는데, 이러한 캐치바레일(211)의 중앙 윗부분에는 캐치바 스프링홈(211a)이 형성되어 후술하는 캐치바 복원부재(820)가 설치된다. 그리고 도 8을 참조하면, 전면바디(210)의 좌측면에는 홀딩바레일(222)이 형성되어 후술하는 홀딩바(510)의 승강을 안내하는데, 이러한 홀딩바레일(222)의 상부에는 홀딩바 스프링홈(222a)이 형성되어 후술하는 홀딩바 복원부재(530)가 설치된다. 또한, 도 6 및 도 8을 참조하면, 전면바디(210)의 안쪽 후면 좌측에는 푸셔레일(223)이 형성되어 필름푸셔(420)의 승강을 안내하고, 우측에는 커팅바레일(224)이 형성되어 후술하는 커팅바(610)의 승강을 안내한다. 아울러, 전면바디(210)의 하부 중앙에는 대략 반원형으로 만곡된 면을 갖는 캐치바서포트(225)가 구비되어 환부(1)의 절개된 부위(10)의 표면(11)을 지지한다. 더하여, 전면바디(210)의 후면 하부에는 도 7 및 도 8에 도시된 바와 같이 봉합사가이드(232)가 구비되어 봉합바늘(470)의 회전으로 환부(1)를 관통하는 봉합사(120)가 회전하는 봉합바늘(470)에 간섭되지 않도록 안내하고, 그 상부에는 도 7 및 도 9에 도시된 바와 같이 토션스프링(234)에 의해 지지되는 필름스토퍼(233)가 구비되어 봉합사필름(100)에 소정의 힘을 가할 경우에만 가이드슬릿(231)을 따라 이송되도록 단속하게 된다.As shown in FIGS. 2 and 6, the front body 210 has a cross section of approximately '└┘' and is formed in a long frame shape in the vertical direction. First, referring to FIG. 6, catch bar rails 211 are formed at both front sides of the front body 210 to guide the lifting and lowering of the catch bar 810, which will be described later. Catch bar spring groove 211a is formed and the catch bar restoring member 820 described later is installed. 8, the holding bar rail 222 is formed on the left side of the front body 210 to guide the lifting and lowering of the holding bar 510, which will be described later. A spring groove 222a is formed and a holding bar restoring member 530 to be described later is installed. 6 and 8, the pusher rail 223 is formed at the inner rear left side of the front body 210 to guide the lifting and lowering of the film pusher 420, and the cutting bar 224 is formed at the right side of the front body 210. Guide the lifting of the cutting bar 610 to be described later. In addition, the lower center of the front body 210 is provided with a catch bar support 225 having a surface approximately curved in a semi-circular shape to support the surface 11 of the cut portion 10 of the annulus 1. In addition, a suture guide 232 is provided at a lower rear portion of the front body 210 as shown in FIGS. 7 and 8 so that the suture 120 penetrating the affected part 1 by the rotation of the suture needle 470 is rotated. The guide guide so as not to interfere with the suture needle 470, the upper portion is provided with a film stopper 233 supported by the torsion spring 234 as shown in Figs. 7 and 9 to the suture film 100 Only when applying the force is to be interrupted to be transported along the guide slit 231.
중간바디(230)는 도 3 및 도 6에 도시된 바와 같이 대략 ‘└┘’의 단면으로 이루어진 세로 방향으로 긴 틀 형상으로 형성되어 전면바디(210)의 후면에 결합된다. 중간바디(230)의 전면에는 도 3에 도시된 바와 같이 가이드슬릿(231)이 형성되어 봉합사필름(100)의 선형 및 원호 이송을 안내하는데, 이러한 가이드슬릿(231)은 중간바디(230)의 전면 양측에 직선형으로 형성된 선형 가이드슬릿(231a)과 이 선형 가이드슬릿(231a)의 하단부를 만곡되게 연결하는 만곡 가이드슬릿(231b)을 포함하여 대략 ‘U’자 형의 궤도로 형성된다. 여기서, 좌측의 선형 가이드슬릿(231a)의 상단부에는 넓은 폭으로 이루어진 진입 가이드슬릿(231c)이 형성되어 봉합사필름(100)의 용이한 진입을 안내하고, 우측의 선형 가이드슬릿(231b)의 상단부는 커버(310)의 필름인출공(315)에 연이어져 인출되도록 중간바디(230)의 상부까지 연장된다. 이와 같이 중간바디(230)의 전면에 형성된 가이드슬릿(231)은 전면바디(210)의 안쪽 후면에도 동일하게 형성되어 봉합사필름(100)의 양측을 안내하여 안정적인 이송을 하게 된다.3 and 6, the intermediate body 230 is formed in a long frame shape in a vertical direction having a cross section of approximately '└┘' and is coupled to the rear surface of the front body 210. A guide slit 231 is formed on the front surface of the intermediate body 230 to guide linear and circular transfer of the suture film 100, and the guide slit 231 is formed of the intermediate body 230. It includes a linear guide slit 231a formed on both sides of the front surface and a curved guide slit 231b connecting the lower end of the linear guide slit 231a to be curved in a substantially 'U' shape. Here, an entrance guide slit 231c having a wide width is formed at the upper end of the linear guide slit 231a on the left to guide the easy entry of the suture film 100, and an upper end of the linear guide slit 231b on the right side. It extends to the upper portion of the intermediate body 230 so as to be connected to the film lead-out hole 315 of the cover 310 in succession. As such, the guide slit 231 formed on the front surface of the intermediate body 230 is formed on the inner rear side of the front body 210 to guide both sides of the suture film 100 to provide stable transport.
후면바디(250)는 도 3에 도시된 바와 같이 대략 판재 형상으로 형성되어 중간바디(230)의 후면에 결합된다. 후면바디(250)의 전면 상부에는 가이드블럭이 형성되어 푸시바(410)의 일면을 승강가능하게 지지한다. 후면바디(250)의 전면에는 중앙에서 하부까지 길게 연결된 구획철부(252)가 구비되어 도 4에 도시된 바와 같이 벨트(440)의 구동 시 간섭되지 않도록 하는데, 그 중앙에는 푸시바가이더(254)가 구비되어 푸시바(410)의 승강 시 유동을 방지하도록 안내하며, 하부에는 샤프트홀(256)이 형성되어 후술하는 바늘샤프트(460)가 회전가능하게 결합된다.The rear body 250 is formed in a substantially plate shape as shown in Figure 3 is coupled to the rear of the intermediate body (230). A guide block is formed on the front upper portion of the rear body 250 to support the one surface of the push bar 410 to be elevated. The front surface of the rear body 250 is provided with a partition convex portion 252 connected long from the center to the bottom so as not to interfere when driving the belt 440 as shown in Figure 4, the push bar guider 254 in the center Is provided to guide to prevent the flow when the push bar 410, the shaft hole 256 is formed at the bottom is coupled to the needle shaft 460 to be described later rotatably.
봉합바늘(470)은 봉합사(120)의 견인부(122)를 견인하여 환부(1)를 지나 루프부(126)를 관통하도록 회전한다.The suture needle 470 rotates to pull the retractable portion 122 of the suture 120 and pass through the loop portion 126 past the affected portion 1.
도 3의 하부 좌측에 일점쇄선의 타원 내부에 확대 도시된 도면을 참조하면, 봉합바늘(470)은 바늘샤프트(460)에 결합되는 바늘액슬(471), 바늘액슬(471)에 직교로 연결된 바늘연결부(472), 바늘연결부(472)에 연결되어 견인한 봉합사(120)로 환부(1)를 꿰매는 바늘부(473)를 포함한다.Referring to the drawing shown enlarged in the ellipse of the dashed-dotted line on the lower left of Figure 3, the sewing needle 470 is a needle orthogonal to the needle axle 471, needle axle 471 is coupled to the needle shaft 460 The connection part 472 includes a needle part 473 connected to the needle connection part 472 to sew the affected part 1 by the towed suture 120.
그리고 바늘액슬(471)은 후술하는 바늘샤프트(460)의 액슬홀(462)에 결합되어 일체로 회전하고, 바늘액슬(471)과 바늘연결부(472)는 직교로 연결되어 우측에서 보면 대략 ‘┌’한 형상으로 형성된다.And the needle axle 471 is coupled to the axle hole 462 of the needle shaft 460 to be described later and integrally rotated, the needle axle 471 and the needle connecting portion 472 is orthogonally connected and viewed from the right side '┌ 'Is formed in one shape.
또한, 바늘부(473)는 대략 반원형의 원호 형상으로 형성되어 봉합사(120)의 견인부(122)를 견인하고 환부(1)를 지나 루프부(126)를 관통하여 꿰매게 되는데, 이러한 바늘부(473)의 선단에는 대략 ‘v’자 형상의 견인홈(474)이 형성되어 봉합사(120)를 걸어서 빠지지 않도록 견인하게 된다.In addition, the needle portion 473 is formed in an approximately semi-circular arc shape to pull the retractable portion 122 of the suture 120 and to be sewn through the loop portion 126 past the annular portion 1, such a needle portion At the front end of the 473, a traction groove 474 having a substantially 'v' shape is formed to be pulled so as not to walk off the suture 120.
구동부재(400)는 봉합바늘(470)을 회전시켜서 봉합사(120)로 환부(1)를 꿰매는 기능과 봉합사필름(100)을 가이드슬릿(231)을 따라 이송시키는 기능을 동시에 겸한다. 구동부재(400)는 도 3 및 도 4에 도시된 바와 같이, 바디(200) 내에 승강가능하게 설치되어 봉합사필름(100)을 가이드슬릿(231)으로 이송시키는 필름푸셔(420) 및 랙(411)이 구비된 푸시바(410), 푸시바(410)의 랙(411)에 맞물리도록 바디(200)에 회전가능하게 설치되는 구동피니언(430), 구동피니언(430)에 벨트(440)로 연결되는 종동피니언(450)이 구비되어 바디(200)에 회전가능하게 설치되는 바늘샤프트(460), 푸시바(410)를 복원시키는 푸시바 복원부재(480)를 포함한다.The drive member 400 has a function of sewing the affected part 1 to the suture 120 by rotating the suture needle 470 and simultaneously transferring the suture film 100 along the guide slit 231. As shown in FIGS. 3 and 4, the driving member 400 is installed in the body 200 so as to be able to lift and lower the film pusher 420 and the rack 411 to transfer the suture film 100 to the guide slit 231. ) Is provided with a push bar 410, a drive pinion 430 rotatably installed on the body 200 to be engaged with the rack 411 of the push bar 410, the drive pinion 430 as a belt 440 The driven pinion 450 is connected to include a needle shaft 460 rotatably installed in the body 200, and a push bar restoring member 480 for restoring the push bar 410.
푸시바(410)는 봉합바늘(470)을 회전시키는 작용과 봉합사필름(100)을 이송시키는 작용을 동시에 겸하도록 구동한다. 도 3 및 도 4에 도시된 바와 같이, 푸시바(410)의 일면은 후면바디(250)의 가이드블럭(251)에 지지되고 대응되는 다른 일면은 중간바디(230)의 후면에 지지되어 승강가능하게 설치된다. 그리고 푸시바(410)의 중앙에는 랙(411)이 세로 방향으로 구비되어 맞물리는 구동피니언(430)을 회전시키고, 랙(411)의 하부에는 푸시로드(412)가 구비되어 푸시바가이더(254)를 따라 승강이 안내되며, 랙(411)의 상부에는 스토퍼(414)가 구비되어 푸시바(410)의 하강 시 구동피니언(430)에 걸려서 더 이상 내려가지 않도록 단속된다. 또한, 푸시바(410)의 일측에는 결합홈(413)이 형성되어 필름푸셔(420)의 일측에 형성된 결합돌기(421)가 분리가능하게 결합되는데, 이러한 필름푸셔(420)는 푸시바(410)를 누르는 동시에 하강되어 봉합사필름(100)의 상단부를 눌러서 가이드슬릿(231)을 따라 이송시키며, 필름푸셔(420)의 타측은 도 8에 도시된 바와 같이 전면바디(210)에 형성된 푸셔레일(223)에 승강가능하게 설치된다.The push bar 410 drives to simultaneously act to rotate the suture needle 470 and the action of transferring the suture film 100. As shown in FIGS. 3 and 4, one side of the push bar 410 is supported by the guide block 251 of the rear body 250, and the other side of the push bar 410 is supported by the rear side of the intermediate body 230 and is capable of lifting. Is installed. In addition, the rack 411 is provided at the center of the push bar 410 to rotate the driving pinion 430 to be engaged, and a push rod 412 is provided at the bottom of the rack 411 to provide the push bar guider 254. Ascending is guided along the), the top of the rack 411 is provided with a stopper 414 is interrupted so as not to fall further by being caught by the drive pinion 430 when the push bar 410 is lowered. In addition, the coupling groove 413 is formed on one side of the push bar 410, the coupling protrusion 421 formed on one side of the film pusher 420 is detachably coupled, the film pusher 420 is a push bar 410 At the same time as pressing down to lower the suture film 100 by pressing the upper end of the guide slit 231, the other side of the film pusher 420 is a pusher rail formed on the front body 210 as shown in FIG. 223 is installed to be elevated.
구동피니언(430)은 도 3및 도 4에 도시된 바와 같이 중간바디(230)와 후면바디(250) 사이의 상부에 회전가능하게 설치되어 푸시바(410)의 랙(411)에 맞물려 회전된다.As shown in FIGS. 3 and 4, the drive pinion 430 is rotatably installed at an upper portion between the intermediate body 230 and the rear body 250 to rotate in engagement with the rack 411 of the push bar 410. .
도 3 및 도 4를 참조하면, 바늘샤프트(460)의 일측에는 구동피니언(430)에 벨트(440)로 연결되는 종동피니언(450)이 구비되어 후면바디(250)의 샤프트홀(256)에 회전가능하게 설치되고, 타측에는 액슬홀(462)이 형성되어 봉합바늘(470)이 장착된다.3 and 4, one side of the needle shaft 460 is provided with a driven pinion 450 connected to the drive pinion 430 by a belt 440 in the shaft hole 256 of the rear body 250. It is rotatably installed, and the axle hole 462 is formed at the other side, and the sewing needle 470 is mounted.
푸시바 복원부재(480)는 하강된 푸시바(410)를 탄성적으로 복원시키는 부재로서, 이러한 푸시바 복원부재(480)는 도 3 및 도 4에 도시된 바와 같이 푸시로드(412)의 외경에 결합되는 코일스프링으로 구현되어 랙(411)과 푸시바가이더(254) 사이에서 탄성적인 압축 및 신장 운동을 하게 된다. 선택적으로, 푸시바 복원부재(480)는 하강된 푸시바(410)를 탄성적으로 복원시킬 수 있는 판스프링 따위로 구현될 수 있다.The push bar restoring member 480 is a member for elastically restoring the lowered push bar 410. The push bar restoring member 480 is an outer diameter of the push rod 412 as shown in FIGS. Implemented by a coil spring coupled to the elastic and compressive movement between the rack 411 and the push bar guider 254. Optionally, the push bar restoring member 480 may be implemented as a leaf spring capable of elastically restoring the lowered push bar 410.
홀딩부재(500)는 봉합사(120)의 루프부(126)를 관통한 견인부(122)를 잡아서 매듭을 형성하기 위한 것으로서, 이러한 홀딩부재(500)는 도 8 및 도 9에 도시된 바와 같이, 전면바디(210)의 홀딩바레일(222) 하단부에 형성된 홀딩바서포트(226), 봉합사(120)의 루프부(126)를 관통하여 홀딩서포트(226)에 지지되는 견인부(122)를 잡도록 홀더(520), 홀더(520)를 작동시키도록 전면바디(210)의 홀딩바레일(222)을 따라 승강가능하게 설치된 홀딩바(510), 홀딩바(510)를 탄성적으로 복원시키는 홀딩바 복원부재(530)를 포함한다.Holding member 500 is to form a knot by holding the towing portion 122 penetrating the loop portion 126 of the suture 120, such a holding member 500 is shown in Figures 8 and 9 The holding bar support 226 formed at the lower end of the holding bar rail 222 of the front body 210 and the tow part 122 supported by the holding support 226 through the loop part 126 of the suture 120 are provided. Holding to resiliently restoring the holding bar 510, the holding bar 510 is installed to be elevated along the holding bar rail 222 of the front body 210 to operate the holder 520, holder 520 to hold Bar restoring member 530 is included.
홀딩바서포트(226)는 홀딩바레일(222)의 하단부에 수평으로 평평한 면으로 형성되어 홀더(520)와의 사이에 배치된 봉합사(120)의 견인부(122) 어느 한 부분을 지지하게 된다.The holding bar support 226 is formed in a horizontally flat surface at the lower end of the holding bar rail 222 to support any part of the pull unit 122 of the suture 120 disposed between the holder 520.
홀딩바(510)는 도 8에 도시된 바와 같이 상부는 둘레가 둥글고 하부는 사각형으로 형성된 봉으로 형성되는데, 이러한 홀딩바(510)의 둥근 상부에는 홀딩바 복원부재(530)가 결합되어 하강된 홀딩바(510)를 탄성적으로 복원시키고, 사각형의 하부는 전면바디(210)의 홀딩바레일(222)을 따라 승강된다.As shown in FIG. 8, the holding bar 510 is formed as a rod having a rounded circumference and a lower portion having a quadrangular shape. The holding bar 510 is elastically restored, and the lower portion of the quadrangle is lifted along the holding bar rail 222 of the front body 210.
홀더(520)는 홀딩바(510)의 하단에 구비되어 수평으로 평평한 상면을 갖는데, 이 평평한 상면은 홀딩바서포트(226)에 지지된 봉합사(120)를 견고히 잡게 된다.The holder 520 is provided at the lower end of the holding bar 510 and has a horizontally flat upper surface. The flat upper surface firmly holds the suture 120 supported by the holding bar support 226.
홀딩바 복원부재(530)는 도 8에 도시된 바와 같이 홀딩바(510)의 상부 외경에 결합되는 코일스프링으로 구현되어 전면바디(210)의 홀딩바 스프링홈(222a)에 수용되며, 이때 코일스프링의 상단은 스냅링(540)에 의해 빠지지 않게 된다. 선택적으로, 홀딩바 복원부재(530)는 하강된 홀딩바(510)를 탄성적으로 복원시킬 수 있는 판스프링 따위로 구현될 수 있다.Holding bar restoring member 530 is implemented as a coil spring coupled to the upper outer diameter of the holding bar 510, as shown in Figure 8 is accommodated in the holding bar spring groove 222a of the front body 210, wherein the coil The upper end of the spring is not pulled out by the snap ring 540. Optionally, the holding bar restoring member 530 may be implemented as a leaf spring capable of elastically restoring the lowered holding bar 510.
이에 따라, 손으로 홀딩바(510)를 눌러서 하강시키면 홀딩바서포트(226)와 홀더(520) 사이에 공간이 형성되고, 이 공간으로 봉합사(120)의 루프부(126)를 관통한 견인부(122)가 배치될 때 홀딩바(510)에서 손을 떼면 홀딩바 복원부재(530)의 탄성에 의해 홀딩바(510)는 상승하면서 봉합사(120)의 견인부(122)를 견고히 잡게 되므로, 봉합사(120)의 루프부(126)를 관통한 견인부(122)를 당겨서 매듭을 형성할 수 있다.Accordingly, when the holding bar 510 is pushed down by the hand, a space is formed between the holding bar support 226 and the holder 520, and the towing unit penetrates the loop part 126 of the suture 120 to the space. When the 122 is disposed, when the hand is released from the holding bar 510, the holding bar 510 is raised by the elasticity of the holding bar restoring member 530, thereby firmly holding the towing portion 122 of the suture 120. A knot may be formed by pulling the pull unit 122 that penetrates the loop portion 126 of the suture 120.
커팅부재(600)는 매듭을 맺은 봉합사(120)를 커팅하는 부재로서, 이러한 커팅부재(600)는 도 8 및 도 9에 도시된 바와 같이, 바디(200)에 승강가능하게 설치된 커팅바(610), 커팅바(610)에 설치되어 매듭을 맺은 봉합사(120)를 커팅하는 커터(620), 커팅바(610)를 탄성적으로 복원시키는 커팅바 복원부재(630)를 포함한다.The cutting member 600 is a member for cutting the suture 120 having a knot, and the cutting member 600 is a cutting bar 610 provided to be elevated on the body 200 as illustrated in FIGS. 8 and 9. ), A cutter 620 installed at the cutting bar 610 to cut the suture 120 having a knot, and a cutting bar restoring member 630 for elastically restoring the cutting bar 610.
커팅바(610)는 전면바디(210)의 커팅바레일(224)을 따라 승강가능하게 설치되어 커터(620)를 작동시키는 것으로서, 이러한 커팅바(610)의 하단부에는 커팅바로드(612)가 구비되어 후술하는 커팅바 복원부재(630)로 구현되는 코일스프링이 결합된다.The cutting bar 610 is installed to move up and down along the cutting bar rail 224 of the front body 210 to operate the cutter 620, and the cutting bar rod 612 is provided at the lower end of the cutting bar 610. Coil spring is provided is implemented by the cutting bar restoration member 630 which will be described later.
커터(620)는 커팅바(610)의 하부에 구비되어 커팅바(610)에 의해 하강하면서 매듭을 맺은 봉합사(120)를 커팅하게 된다.The cutter 620 is provided at the lower portion of the cutting bar 610 to cut the suture 120 having a knot while descending by the cutting bar 610.
커팅바 복원부재(630)는 봉합사(120)를 커팅하기 위해 하강한 커팅바(610)를 탄성적으로 복원시키는 부재로서, 이러한 커팅바 복원부재(630)는 도 8 및 도 9에 도시된 바와 같이 코일스프링으로 구현되어 커팅바로드(612)의 외경에 결합된다. 선택적으로, 커팅바 복원부재(630)는 하강된 커팅바(610)를 탄성적으로 복원시키는 판스프링 따위로 구현될 수 있다.The cutting bar restoring member 630 is a member for elastically restoring the cutting bar 610 that is lowered to cut the suture 120. Such a cutting bar restoring member 630 is illustrated in FIGS. 8 and 9. As implemented as a coil spring is coupled to the outer diameter of the cutting bar rod 612. Optionally, the cutting bar restoring member 630 may be implemented as a plate spring for elastically restoring the lowered cutting bar 610.
이에 따라, 손으로 커팅바(610)를 누르면 커터(620)가 동시에 하강되어 루프부(126)를 관통하여 매듭을 맺은 봉합사(120)를 커팅하고, 커팅바(610)에서 손을 떼면 커팅바 복원부재(630)에 의해 탄성적으로 상승되어 원위치를 유지하게 된다.Accordingly, when the cutting bar 610 is pressed by hand, the cutter 620 is simultaneously lowered to cut the suture 120 having a knot through the loop part 126, and when the hand is removed from the cutting bar 610, the cutting bar is removed. It is elastically lifted by the restoring member 630 to maintain its original position.
한편, 본 발명의 봉합기는 봉합사필름(100)을 원하는 위치로 이송시키는 필름이송부재(700)를 더 포함한다.On the other hand, the suture of the present invention further includes a film transfer member 700 for transferring the suture film 100 to a desired position.
이러한 필름이송부재(700)는 도 6 및 도 7에 도시된 바와 같이, 봉합사필름(100)의 스프로킷홀(112)에 맞물리는 어퍼스프로킷(712) 및 구동풀리(711)가 구비되어 바디(200)의 상부에 회전가능하게 설치된 어퍼회전롤러(710), 구동풀리(711)에 벨트(730)로 연결되는 종동풀리(721) 및 봉합사필름의 스프로킷홀(112)에 맞물리는 로워스프로킷(712)이 구비되어 바디(200)의 하부에 회전가능하게 설치된 로워회전롤러(720), 어퍼회전롤러(710)를 회전시키도록 연결되어 봉합사필름(100)을 이송시키는 로터리노브(740)를 포함한다.As shown in FIGS. 6 and 7, the film transfer member 700 is provided with an upper sprocket 712 and a driving pulley 711 engaged with the sprocket hole 112 of the suture film 100. Upper rotatable roller 710 rotatably installed on the upper part of), driven pulley 721 connected to the drive pulley 711 by the belt 730 and the lower sprocket 712 engaged with the sprocket hole 112 of the suture film. It is provided with a rotary knob 740 is rotatably installed on the lower portion of the body 200, the rotary knob 740 is connected to rotate the upper rotary roller 710 to transfer the suture film 100.
어퍼회전롤러(710)는 전면바디(210)와 중간바디(230) 사이의 상부에 회전가능하게 설치되어 로터리노브(740)의 회전에 의해 구동력을 발생시킨다. 어퍼회전롤러(710)의 중앙에는 구동풀리(711)가 구비되고 그 양측에는 어퍼스프로킷(712)이 구비되어 봉합사필름(100)의 스프로킷홀(112)에 맞물린다.The upper rotary roller 710 is rotatably installed between the front body 210 and the intermediate body 230 to generate a driving force by the rotation of the rotary knob 740. A driving pulley 711 is provided at the center of the upper rotating roller 710, and an upper sprocket 712 is provided at both sides thereof to engage the sprocket hole 112 of the suture film 100.
로워회전롤러(720)는 전면바디(210)와 중간바디(230) 사이의 하부에 회전가능하게 설치되어 어퍼회전롤러(710)의 구동에 의해 회전된다. 로워회전롤러(720)의 중앙에는 구동풀리(711)에 벨트(730)로 연결되는 종동풀리(721)가 구비되고 그 양측에는 로워스프로킷(722)이 구비되어 봉합사필름(100)의 스프로킷홀(112)에 맞물린다.The lower rotating roller 720 is rotatably installed at a lower portion between the front body 210 and the middle body 230 to be rotated by the driving of the upper rotating roller 710. A driven pulley 721 connected to the drive pulley 711 by a belt 730 is provided at the center of the lower rotating roller 720, and a lower sprocket 722 is provided at both sides thereof, so that a sprocket hole of the suture film 100 is provided ( 112).
로터리노브(740)는 도 6에 도시된 바와 같이 전면바디(210)의 외부로 노출되도록 어퍼회전롤러(710)에 결합되어 어퍼회전롤러(710)를 회전시켜서 봉합사필름(100)을 이송시키게 된다.The rotary knob 740 is coupled to the upper rotary roller 710 so as to be exposed to the outside of the front body 210 as shown in Figure 6 to rotate the upper rotary roller 710 to transfer the suture film 100. .
이에 따라, 로터리노브(740)를 어느 한 방향으로 돌리면 어퍼회전롤러(710)가 회전하고, 이 어퍼회전롤러(710)의 구동풀리(711)에 벨트(730)로 연결된 종돌풀리(721)가 작동되어 로워회전롤러(720)를 돌리게 되므로, 봉합사필름(100)은 어퍼스프로킷(712)과 로워스프로킷(722)에 맞물리는 스프로킷홀(112)에 의해 원하는 위치에 이송되는 것이다.Accordingly, when the rotary knob 740 is turned in one direction, the upper rotary roller 710 rotates, and the bellows pulley 721 connected to the drive pulley 711 of the upper rotary roller 710 by the belt 730 is rotated. Since it is operated to rotate the lower rotary roller 720, the suture film 100 is to be transported to the desired position by the sprocket hole 112 which is engaged with the upper sprocket 712 and the lower sprocket 722.
또한, 필름푸셔(420)의 하강에 의해 봉합사필름(100)이 이송될 때, 어퍼스프로킷(712)과 로워스프로킷(722)이 봉합사필름(100)의 스프로킷홀(112)에 맞물려서 회전하므로, 봉합사필름(100)은 좌우로 유동되지 않고 안전하게 이송된다.In addition, when the suture film 100 is transferred by the lowering of the film pusher 420, the upper sprocket 712 and the lower sprocket 722 rotates by engaging the sprocket hole 112 of the suture film 100, The film 100 is safely transported without flowing from side to side.
다른 한편, 본 발명은 환부(1)의 절개된 부위(10)를 잡는 환부캐치부재(800)를 더 포함한다.On the other hand, the present invention further includes an affected part catch member 800 for holding the cut out portion 10 of the affected part 1.
이러한 환부캐치부재(10)는 도 10 및 도 11에 도시된 바와 같이, 전면바디(210)의 하부에 돌출되게 구비되어 환부(1)의 절개된 부위(10) 표면을 지지하는 캐치바서포트(225), 캐치바서포트(225)에 지지된 환부(1)의 절개된 부위(10) 내면을 잡는 커브로드(812)가 구비되어 전면바디(210)의 캐치바레일(211)을 따라 승강가능하게 설치된 캐치바(810), 캐치바(810)를 탄성적으로 복원시키는 캐치바 복원부재(820)를 포함한다.As shown in FIGS. 10 and 11, the annular catch member 10 is provided to protrude in the lower portion of the front body 210 to support the surface of the cutout portion 10 of the annular portion 1. 225, a curved rod 812 for catching the inner surface of the cut-out portion 10 of the annulus 1 supported by the catch bar support 225 is provided can be elevated along the catch bar rail 211 of the front body 210 And a catch bar restoring member 820 for elastically restoring the catch bar 810 and the catch bar 810.
캐치바서포트(225)는 전면바디(210)의 하부에 소정의 곡률로 만곡된 곡면을 이루도록 돌출되게 형성되어 환부(1)의 절개된 부위(10) 표면(11)을 지지한다.The catch bar support 225 is formed to protrude to form a curved surface at a predetermined curvature in the lower portion of the front body 210 to support the surface 11 of the cut portion 10 of the annulus 1.
캐치바(810)는 도 10에 도시된 바와 같이 둘레가 둥근 막대 형상으로 형성되어 전면바디(210)의 양측에 형성된 캐치바레일(211)을 따라 승강가능하게 설치되고, 상부에는 외측으로 절곡되게 캐치바손잡이(814)가 구비되어 손으로 편리하게 누를 수 있으며, 하부에는 캐치바서포트(225)의 곡면에 부합되도록 만곡된 커브로드(812)가 구비되어 환부(1)의 절개된 부위(10) 내면(12)을 지지한다. 여기서, 캐치바(810)는 앞서 설명한 바와 같이 둘레가 둥근 막대 형상으로 형성되는데, 이에 따라 캐치바레일(211)을 중심으로 좌우 방향으로 회전시킬 수 있으므로, 절개된 환부(1)의 다양한 모양에 따라 적절히 회전 및 승강시킬 수 있다.The catch bar 810 is formed in a rod-shaped round circumference as shown in FIG. 10 so as to be liftable along the catch bar rails 211 formed on both sides of the front body 210, and bent outwardly on the upper portion thereof. Catch bar handle 814 is provided that can be conveniently pressed by hand, the lower portion is provided with a curved rod 812 curved to match the curved surface of the catch bar support 225 cut portion 10 of the affected part 1 ) Supports the inner surface 12. Here, the catch bar 810 is formed in the shape of a round rod as described above, and thus can be rotated in the left and right direction around the catch bar rail 211, so as to various shapes of the incision 1 It can rotate and raise suitably accordingly.
캐치바 복원부재(820)는 하강된 캐치바(810)를 탄성적으로 복원시키는 부재로서, 이러한 캐치바 복원부재(820)는 도 10에 도시된 바와 같이 캐치바(810)의 상부 외경에 결합되는 코일스프링으로 구현되어 캐치바레일에 형성된 캐치바 스프링홈(211a)에 수용되며, 이때 코일스프링의 상단은 캐치바(810)의 상부에 결합된 스냅링(830)에 의해 고정된다. 선택적으로, 캐치바 복원부재(820)는 하강된 캐치바(810)를 탄성적으로 복원시킬 수 있는 판스프링 따위로 구현될 수 있다.The catch bar restoring member 820 is a member for elastically restoring the lowered catch bar 810. The catch bar restoring member 820 is coupled to the upper outer diameter of the catch bar 810 as shown in FIG. Implemented as a coil spring is received in the catch bar spring groove 211a formed in the catch bar rail, the upper end of the coil spring is fixed by a snap ring 830 coupled to the upper portion of the catch bar 810. Optionally, the catch bar restoring member 820 may be implemented as a leaf spring capable of elastically restoring the lowered catch bar 810.
이에 따라, 캐치바손잡이(814)를 잡아 누르면서 캐치바(810)가 하강되어 캐치바서포트와(225)의 사이에 간격이 형성되는데, 이때 환부(1)의 절개된 부위(10) 사이로 커브로드(812)를 넣어 내면(12)을 받치고 캐치바서포트(225)로 환부(1)의 절개된 부위(10) 표면(11)을 누른 상태에서 캐치바손잡이(812)에서 손을 떼면, 캐치바 복원부재(820)에 의해 캐치바(810)가 탄성적으로 상승되어 환부(1)의 절개된 부위(10)는 견고히 캐치된 상태를 유지하게 되므로, 얇은 조직의 특성으로 인해 환부(1)의 절개된 부위(10)가 흐물거리지 않도록 유지하여 봉합을 용이하게 할 수 있게 된다.Accordingly, while holding the catch bar handle 814, the catch bar 810 is lowered to form a gap between the catch bar support and the 225, the curved rod between the cut portion 10 of the affected part (1) Put the 812 into the inner surface 12 and release the catch bar handle 812 while pressing the surface 11 of the incision 10 of the affected part 1 with the catch bar support 225, and then release the catch bar. The catch bar 810 is elastically raised by the restoring member 820 so that the cutout portion 10 of the affected part 1 remains firmly caught, and therefore, due to the characteristics of the thin tissue, The incision 10 can be maintained so as not to bleed to facilitate sutures.
이와 같이 구성된 본 발명의 전체적인 작용 및 효과를 첨부된 도면을 참조하여 상세히 설명한다.The overall operation and effects of the present invention configured as described above will be described in detail with reference to the accompanying drawings.
먼저, 환부캐치부재(800)로 환부(1)의 절개된 부위(10)를 잡아서 흐물거리지 않도록 긴장을 유지할 수 있다. 즉, 앞서 환부캐치부재(800)의 구성 및 작용에서 설명한 바와 같이, 캐치바(810)를 눌러 환부(1)의 절개된 부위(10) 내면(12)을 받치고 캐치바서포트(225)로 환부(1)의 절개된 부위(10) 표면(11)을 눌러서 환부(1)의 절개된 부위(10)를 견고히 잡으며, 이로 인해 환부(1)의 절개된 부위(10)를 당겨서 봉합하기에 적절한 긴장력을 유지할 수 있는 것이다.First, by holding the cut portion 10 of the affected part 1 with the affected part catch member 800 can maintain tension so as not to bleed. That is, as described above in the configuration and operation of the affected part catch member 800, by pressing the catch bar 810 to support the inner surface 12 of the cut portion 10 of the affected part 1 and affected by the catch bar support 225 Pressing the incision site 10 of (1) firmly holds the incision site 10 of the affected site 1 by pressing the incision site 10, which is suitable for pulling the sutured site 10 of the affected site 1 by pulling You can maintain tension.
이어서, 구동부재(400)에 의해 봉합사필름(100)을 이송시키면서 봉합바늘(470)을 작동시켜서 환부(1)를 꿰매는 과정을 설명한다.Next, the process of sewing the affected part 1 by operating the suture needle 470 while transferring the suture film 100 by the driving member 400 will be described.
도 4의 화살표 방향으로 푸시바(410)를 눌러서 하강시키면 랙(411)에 맞물리는 구동피니언(430)이 회전되고, 이 구동피니언(430)에 벨트(440)로 연결된 종동피니언(450)이 회전되어 도 12의 (a)와 같이 바늘샤프트(460)와 봉합바늘(470)이 동시에 회전되는데, 이때 푸시바(410)의 일측에 구비된 필름푸셔(420)도 동시에 하강되면서 봉합사필름(100)의 상단부를 아래로 밀어 가이드슬릿(231)을 따라 이송시킨다.When the push bar 410 is pushed down in the direction of the arrow in FIG. 4, the drive pinion 430 that is engaged with the rack 411 is rotated, and the driven pinion 450 connected to the drive pinion 430 by the belt 440 is rotated. The needle shaft 460 and the stitching needle 470 are rotated at the same time as shown in FIG. 12 (a). At this time, the film pusher 420 provided on one side of the push bar 410 is also lowered at the same time. The upper end of the) to move along the guide slit 231.
그리고 도 12의 (b)와 같이 캐치바서포트(225)를 환부(1)의 표면에 접촉시키거나 근접시킨 상태에서 푸시바(410)를 눌러서 하강시키면 봉합바늘(470)이 회전되어 봉합사(120)의 견인부(122)를 견인하기 시작하고, 봉합바늘(470)의 견인홈(474)은 도 12의 (b) 좌측에 일점쇄선 원으로 확대 도시된 바와 같이 봉합사(120)의 견인매듭(123)에 걸려서 빠지지 않고 견인하는데, 이때 필름푸셔(420)는 푸시바(410)와 동시에 하강되어 봉합사필름(120)을 이송시키며, 이후에서도 필름푸셔(420)는 푸시바(410)와 동시에 하강하여 봉합사필름(120)을 계속 이송시키게 된다.In addition, when the catch bar support 225 is pushed down by pressing the push bar 410 in contact with or close to the surface of the affected part 1 as shown in FIG. 12 (b), the suture needle 470 is rotated to suture 120. Towing the towing portion 122 of the), the towing groove 474 of the sewing needle 470 is enlarged by a dashed-dotted circle on the left side of FIG. 123 is pulled without being caught, in which case the film pusher 420 is lowered at the same time as the push bar 410 to transfer the suture film 120, even after the film pusher 420 is lowered at the same time with the push bar 410 By continuing to transport the suture film 120.
계속해서, 푸시바(410)를 더 누르면 도 12의 (c)와 같이 봉합사(120)의 견인부(122)를 견인한 봉합바늘(470)이 연결부(124)와 함께 환부(1)를 관통한 후, 도 12의 (d)와 같이 루프부(126)를 지나게 된다.Subsequently, when the push bar 410 is further pressed, the suture needle 470 which pulls the tow portion 122 of the suture 120 through the annulus 1 together with the connecting portion 124 as shown in FIG. After that, it passes through the loop portion 126 as shown in FIG.
다음, 홀딩바(510)를 아래로 누르면 홀드서포트(226)와 홀더(520) 사이에 공간이 형성되고, 이 공간으로 봉합사(120)의 루프부(126)를 관통한 견인부(122)가 배치될 때, 홀딩바(510)에서 손을 떼면 홀딩바 복원부재(530)의 탄성에 의해 홀딩바(510)는 상승하여 도 12의 (e)와 같이 봉합사(120)의 견인부(122)를 견고히 잡게 되므로, 견인부(122)를 당겨서 매듭을 형성하게 된다.Next, when the holding bar 510 is pushed down, a space is formed between the hold support 226 and the holder 520, and the towing portion 122 penetrating the loop portion 126 of the suture 120 into the space is formed. When placed, the holding bar 510 is lifted up by the elasticity of the holding bar restoring member 530 when the hand is released from the holding bar 510 and the tow portion 122 of the suture 120 as shown in FIG. Since it is firmly held, by pulling the towing portion 122 to form a knot.
이와 같이 매듭을 맺은 봉합사(120)는 커팅부재(600), 즉 도 12의 (e)와 같이 커팅바(610)를 눌러서 하강하는 커터(620)에 의해 커팅되어 봉합을 마감하게 된다.The suture 120 knotted as described above is cut by the cutting member 600, ie, the cutter 620 descending by pressing the cutting bar 610 as shown in FIG.
이상에서 설명된 본 발명의 실시예는 예시적인 것에 불과하며, 본 발명이 속한 기술분야의 통상의 지식을 가진 자라면 이로부터 다양한 변형 및 균등한 타 실시예가 가능하다는 점을 잘 알 수 있을 것이다.Embodiments of the present invention described above are merely exemplary, and those skilled in the art will appreciate that various modifications and equivalent other embodiments are possible therefrom.
그러므로 본 발명은 상기의 상세한 설명에서 언급되는 형태로만 한정되는 것은 아님을 잘 이해할 수 있을 것이다.Therefore, it will be understood that the present invention is not limited to the forms mentioned in the above detailed description.
따라서 본 발명의 진정한 기술적 보호 범위는 첨부된 특허청구범위의 기술적 사상에 의해 정해져야 할 것이다. 또한, 본 발명은 첨부된 청구범위에 의해 정의되는 본 발명의 정신과 그 범위 내에 있는 모든 변형물과 균등물 및 대체물을 포함하는 것으로 이해되어야 한다.Therefore, the true technical protection scope of the present invention will be defined by the technical spirit of the appended claims. It is also to be understood that the present invention includes all modifications, equivalents, and substitutes within the spirit and scope of the invention as defined by the appended claims.
**부호의 설명**** Description of the sign **
1 : 환부 10 : 절개된 부위1: affected part 10: incision site
100 : 봉합사필름 110 : 베이스필름100: suture film 110: base film
120 : 봉합사 122 : 견인부120: suture 122: towing unit
126 : 루프부 200 : 바디126 loop portion 200 body
210 : 전면바디 225 : 캐치바서포트210: front body 225: catch bar support
230 : 중간바디 231 : 가이드슬릿230: middle body 231: guide slit
250 : 후면바디 300 : 케이스250: rear body 300: case
310 : 커버 400 : 구동부재310: cover 400: drive member
410 : 푸시바 420 : 필름푸셔410: push bar 420: film pusher
460 : 바늘샤프트 470 : 봉합바늘460: needle shaft 470: sewing needle
500 : 홀딩부재 510 : 홀딩바500: holding member 510: holding bar
520 : 홀더 530 : 홀딩바 복원부재520: holder 530: holding bar restoring member
600 : 커팅부재 610 : 커팅바600: cutting member 610: cutting bar
620 : 커터 630 : 커팅바 복원부재620: cutter 630: cutting bar restoration member
700 : 필름이송부재 710 : 어퍼회전롤러700: film transfer member 710: upper rotary roller
712 : 어퍼스프로킷 720 : 로워회전롤러712: upper procket 720: lower rotary roller
722 : 로워스프로킷 740 : 로터리노브722: lower sprocket 740: rotary knob
800 : 환부캐치부재 810 : 캐치바800: affected part catch member 810: catch bar
812 : 커브로드 820 : 캐치바 복원부재812: curve rod 820: catch bar restoring member
Claims (9)
- 바늘관통공이 형성되어 유연성을 갖는 베이스필름, 상기 베이스필름의 바늘관통공 선단에 배치되는 견인부와 후단에 배치되는 루프부가 분리가능하게 부착되어 환부를 봉합하는 봉합사를 포함하되,A needle through hole is formed to include a base film having flexibility, a tow portion disposed at the tip of the needle through hole of the base film and a loop portion disposed at a rear end thereof are detachably attached to suture the affected part.상기 봉합사의 견인부는 봉합바늘에 의해 견인되어 환부를 지나 루프부를 관통한 후 매듭을 형성하는 것을 특징으로 하는 봉합사필름.The suture puller is pulled by the suture needle, the suture film, characterized in that to form a knot after passing through the loop portion through the affected part.
- 청구항 1에 있어서,The method according to claim 1,상기 봉합사는, 상기 견인부에 연이어져 바늘관통공의 어느 한 측면에 인접되도록 분리가능하게 부착되는 연결부, 상기 루프부에 연이어지도록 분리가능하게 부착되는 마감부를 더 포함하는 것을 특징으로 하는 봉합사필름.The suture is suture film, characterized in that it further comprises a connecting portion which is detachably attached so as to be connected to one side of the needle through-hole connected to the towing portion, the closing portion detachably attached so as to connect to the loop portion.
- 청구항 1 또는 청구항 2에 있어서,The method according to claim 1 or 2,상기 봉합사의 견인부는 바늘관통공의 선단에 인접된 부분을 가로지르도록 분리가능하게 부착되는 것을 특징으로 하는 봉합사필름.The suture traction unit is suture film, characterized in that detachably attached to cross the portion adjacent to the tip of the through-hole.
- 청구항 1 또는 청구항 2에 있어서,The method according to claim 1 or 2,상기 봉합사의 견인부의 선단에는 견인매듭이 형성된 것을 특징으로 하는 봉합사필름.Suture film, characterized in that the tow knot is formed on the front end of the towing portion of the suture.
- 청구항 1 또는 청구항 2에 있어서,The method according to claim 1 or 2,상기 봉합사의 루프부는 매듭을 형성하기 위해 조여지지 않은 고리형상으로 형성된 것을 특징으로 하는 봉합사필름.The suture loop portion of the suture film, characterized in that formed in a ring shape that is not tightened to form a knot.
- 청구항 1에 있어서,The method according to claim 1,상기 베이스필름의 양측에는 형체력을 갖도록 비드가 형성된 것을 특징으로 하는 봉합사필름.Suture film, characterized in that the beads are formed on both sides of the base film to have a clamping force.
- 청구항 6에 있어서,The method according to claim 6,상기 비드에는 복수의 홀이 일정한 간격으로 천공된 것을 특징으로 하는 봉합사필름.The bead suture film, characterized in that a plurality of holes perforated at regular intervals.
- 청구항 1에 있어서,The method according to claim 1,상기 베이스필름의 적어도 어느 일면에는 봉합사의 오염을 방지하도록 보호필름이 부착된 것을 특징으로 하는 봉합사필름.Suture film, characterized in that the protective film is attached to at least one surface of the base film to prevent contamination of the suture.
- 청구항 1에 있어서,The method according to claim 1,상기 견인부와 루프부를 포함하는 봉합사는 복수로 이루어져 베이스필름의 길이방향을 따라 소정 간격으로 분리가능하게 부착되는 것을 특징으로 하는 봉합사필름.The suture film including the traction part and the loop part is made of a plurality of suture film, characterized in that detachably attached at a predetermined interval along the longitudinal direction of the base film.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1020170051716A KR20180118415A (en) | 2017-04-21 | 2017-04-21 | A film of attached suture for suturing device |
KR10-2017-0051716 | 2017-04-21 |
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WO2018194258A1 true WO2018194258A1 (en) | 2018-10-25 |
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PCT/KR2018/002387 WO2018194258A1 (en) | 2017-04-21 | 2018-02-27 | Suture film |
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WO (1) | WO2018194258A1 (en) |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH07178100A (en) * | 1992-01-20 | 1995-07-18 | Karl Dr Med H C Storz | Apparatus with forceps-form needle holder |
KR20050065568A (en) * | 2002-09-30 | 2005-06-29 | 퀼 메디컬, 인코포레이티드 | Barbed suture in combination with surgical needle |
KR20150054345A (en) * | 2013-11-12 | 2015-05-20 | 육상수 | suturing device |
KR20150107140A (en) * | 2014-03-13 | 2015-09-23 | 김남식 | Structure of a skin suture fiber and knp skin suture method thereof |
KR20160069343A (en) * | 2014-12-08 | 2016-06-16 | 육상수 | A suture knot and suture device |
-
2017
- 2017-04-21 KR KR1020170051716A patent/KR20180118415A/en active IP Right Grant
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2018
- 2018-02-27 WO PCT/KR2018/002387 patent/WO2018194258A1/en active Application Filing
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH07178100A (en) * | 1992-01-20 | 1995-07-18 | Karl Dr Med H C Storz | Apparatus with forceps-form needle holder |
KR20050065568A (en) * | 2002-09-30 | 2005-06-29 | 퀼 메디컬, 인코포레이티드 | Barbed suture in combination with surgical needle |
KR20150054345A (en) * | 2013-11-12 | 2015-05-20 | 육상수 | suturing device |
KR20150107140A (en) * | 2014-03-13 | 2015-09-23 | 김남식 | Structure of a skin suture fiber and knp skin suture method thereof |
KR20160069343A (en) * | 2014-12-08 | 2016-06-16 | 육상수 | A suture knot and suture device |
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