WO2019045303A1 - Structure de couplage de suture en polydioxanone multifilament et de tube d'aiguille - Google Patents

Structure de couplage de suture en polydioxanone multifilament et de tube d'aiguille Download PDF

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Publication number
WO2019045303A1
WO2019045303A1 PCT/KR2018/008931 KR2018008931W WO2019045303A1 WO 2019045303 A1 WO2019045303 A1 WO 2019045303A1 KR 2018008931 W KR2018008931 W KR 2018008931W WO 2019045303 A1 WO2019045303 A1 WO 2019045303A1
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WO
WIPO (PCT)
Prior art keywords
suture
needle tube
sponge
polydioxanone
thread
Prior art date
Application number
PCT/KR2018/008931
Other languages
English (en)
Korean (ko)
Inventor
신미향
유재원
Original Assignee
21세기메디칼 주식회사
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
Application filed by 21세기메디칼 주식회사 filed Critical 21세기메디칼 주식회사
Publication of WO2019045303A1 publication Critical patent/WO2019045303A1/fr

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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
    • 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
    • A61B17/06061—Holders for needles or sutures, e.g. racks, stands
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0059—Cosmetic or alloplastic implants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00—Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06—At least partially resorbable materials
    • A61L17/10—At least partially resorbable materials containing macromolecular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00747—Dermatology
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00792—Plastic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00969—Surgical instruments, devices or methods, e.g. tourniquets used for transplantation

Definitions

  • the present invention relates to a bonding structure of a multifilament polydioxanone suture and a piercing tube, and more particularly, to a bonding structure for bonding a suture formed of a polydioxanone without visible to a piercing tube, And a bonding structure of a multifilament polydioxanone suture yarn and a needle barrel which maximizes meridian effect.
  • a suture used for surgery is attached to one end of a suturing needle and is manufactured and sold in a fixed state.
  • a conventional suture needle and a suture connection structure have a structure in which a hole having a predetermined depth in the axial direction of a suturing needle is formed at one end of a suturing needle to which a suture thread is to be attached and one end of the suturing thread is inserted do. After one end of the suture is inserted into the hole, the suture is fixed to the hole of the suturing needle by a method of filling the hole with an adhesive material or by applying a pressure to the end of the suturing needle to change the section of the hole .
  • the suture used is a multifilament type comprising a plurality of thin filaments, or when various types of sutures are to be connected to one suturing needle, Is inserted into the hole of the suture needle at a time and fixed, so that the manufacturing efficiency may be lowered and the reliability of the bonding may also be deteriorated.
  • Japanese Patent Application Publication No. 10-2038073 (entitled " Medical Tubular Needle Unit " and a method of mounting a plurality of medical sutures in a tubular needle) with a conventional technique has been proposed.
  • the present invention has been made to solve the above-mentioned problems, and it is an object of the present invention to provide a suture formed of a polydioxanone without visible, which is folded over a first suture and a first suture, And a plurality of second sutures connected to the suture, wherein the suture includes a plurality of second sutures connected to the suture.
  • the present invention also provides a method for minimizing the effect of skin lifting and meridian by inserting the multi-filament polydioxanone suture and the needle-pinched structure.
  • the multifilament polydioxanone suture and the mating structure of the needle barrel according to the first embodiment of the present invention are inserted into a suture, formed into polydioxanone and absorbed into the body,
  • the suture thread is inserted and inserted into the body, and a sponge for fixing the suture thread and the suture thread, the suture thread is connected to the groove of the suture tube, the suture thread and the suture thread are inserted and fixed to the sponge,
  • a plurality of second sutures connected to the first suture in a shape folded over the first suture, the suture including a first suture joined to the groove of the needle tube and forming a loop,
  • a coupling structure can be provided.
  • the sponge may have a circular column shape and include a center hole formed at the center and penetrating through the center hole.
  • the combined structure of the multifilament polydioxanone suture and the needle barrel according to the second embodiment of the present invention is characterized in that the sponge has a square pillar shape and is formed symmetrically with respect to the center hole, And a plurality of suture holes formed at predetermined intervals in the center hole.
  • a method of bonding a multifilament polydioxanone suture and a needle tube comprising the steps of: (a) inserting one end of a first suture into a groove of a needle tube; (b) rotating the other end of the first suture to form a loop, and inserting the other end of the first suture into the groove of the cap; (c) arranging a plurality of second suture ends so that both ends coincide with each other; (d) inserting a plurality of second sutures into the first suture formed in a loop and folding the suture in a first suture ring in a ring shape; and (e) placing the first suture formed with a ring on the first suture, And a step of inserting one end of the suture and fixing the suture and the second suture, to provide a method of bonding a multifilament polydioxanone suture and a needle tube.
  • one end of the second suture is inserted into the first suture and the first suture is positioned at the center of the second suture so that one end and the other end of the second suture folded are positioned at the same position .
  • the multifilament polydioxanone suture of the present invention has a structure in which a suture formed of a polydioxanone without visible is folded over a first suture and a first suture which are joined to a groove of a penetration tube and form a loop, And a plurality of second sutures connected to the first suture yarn and combined with the piercing, so that the manufacturing efficiency and the reliability of the joint can be improved.
  • the bonding structure of the multifilament polydioxanone suture and the piercing it is inserted thinly in the skin cosmetic treatment, and the traces are not seen from the skin, and the skin lifting and meridian effect can be maximized.
  • FIG. 1 is a side view showing a bonded structure of a multifilament polydioxanone suture and a capillary tube according to a first embodiment of the present invention
  • FIG. 2 is a plan view showing a bonding structure of a multifilament polydioxanone suture and a capillary tube according to a second embodiment of the present invention.
  • FIG. 3 is a view illustrating a method of bonding a multifilament polydioxanone suture and a cap fitting according to a first embodiment of the present invention.
  • the present invention relates to a suture inserted into a suture and formed of polydioxanone and absorbed into the body;
  • the suture thread is inserted and inserted into the body, and a sponge for fixing the suture thread and the suture thread, the suture thread is connected to the groove of the suture tube, the suture thread and the suture thread are inserted and fixed to the sponge, And a plurality of second sutures connected to the first suture in a shape folded over the first suture, the suture including a first suture joined to the groove of the needle tube and forming a loop, Lt; / RTI >
  • FIG. 1 illustrates an embodiment of the present invention.
  • FIG. 1 is a side view showing a bonding structure of a multifilament polydioxanone suture and a needle tube according to a first embodiment of the present invention.
  • the multifilament polydioxanone suture and the mating structure of the needle bar according to the first embodiment of the present invention may include a suture 100, a needle tube 200, and a sponge 300.
  • the suture 100 may be an absorbable suture inserted into the body and formed of polydioxanone and absorbed into the body.
  • the suture 100 formed of polydioxanone is used as a surgical suture and is a monofilament suture prepared by synthesis and melt spinning.
  • the chemical structure of the polydioxanone has a repeating unit of [-O- (CH2) 2-OCH2CO-] n, a crystallization temperature of -16 to -10 ° C and a melting point of 110 to 115 ° C.
  • the degradation mechanism of the polydioxanone suture is degraded by hydrolysis after implantation.
  • the decomposition period can be from 180 days to 240 days.
  • the tensile force may be highest and the tissue reaction may be low.
  • the suture 100 may be formed of 99.7 to 99.9 parts by weight of polydioxanone and 0.1 to 0.3 part by weight of DIED SEED Violet 2.
  • the suture 100 may include a first suture 110 and a second suture 120.
  • the first suture thread 110 may be coupled to the groove of the needle tube 200 to form a loop.
  • the first suture thread 110 may be inserted into the groove of the cap tube 200 at one end and the other end thereof.
  • the first suture 110 is closely attached to the needle tube 200. Accordingly, the first suture thread 110 can be smoothly inserted into the skin without dislodging.
  • the first suture 110 may have a diameter of 550 to 650 ⁇ and a length of 100 to 120 mm, but this is not limitative of the present invention.
  • first suture thread 110 may be thicker than the second suture thread 120 to secure and hold the second suture thread 120.
  • the second suture 120 may be connected to the first suture 110 by folding over the first suture 110. It is most preferable that the number of the second sutures 120 is 7. However, since it is only an embodiment of the present invention, a plurality of the second sutures 120 may be provided.
  • the second suture 120 may be annularly attached to the first suture 110 in the form of an annulus, and the first end and the second end may be placed at the same position and fixed by the sponge 300.
  • the second suture 120 may have a diameter of 50 to 150 ⁇ and a length of 80 to 100 mm. However, the second suture 120 is not limited thereto and may be thinner than the first suture 110 .
  • the first suture thread 110 is inserted and fixed in the groove of the piercing tube 200, and the plurality of second suture threads 120 are hooked on the first suture thread 110, Is inserted into the skin, the first suture thread 110 can be inserted into the skin and the second suture thread 120 can be drawn in. Thereafter, when the second suture 120 is positioned on the desired treatment site, the second suture 120 may be fixed by fixing the second suture 120 out of the skin by hand, and then the needle 200 may be removed.
  • the needle tube 200 can be inserted into the body and the suture 100 is combined.
  • C type, L type, N type, W type, and LS type can be used as the capillary 200.
  • the capillary tube 200 may be 23 G and the length may be 40 to 60 mm.
  • a needle can be connected in the direction opposite to the edge of the needle tube 200.
  • the needle can be used as a knob to facilitate the operation because the needle is connected to the needle tube (200).
  • the sponge 300 may fix the needle tube 200 and the suture 100.
  • the sponge 300 is in the shape of a circular column, and a center hole 310 may be formed and penetrated.
  • the needle tube 200 and the second suture 120 of the suture 100 may be inserted into the center hole of the sponge 300 so that the second suture 120 may be fixed to the needle tube 200.
  • the second suture 120 is aligned Can be inserted into the skin.
  • FIG. 2 is a plan view showing a bonding structure of a multifilament polydioxanone suture and a needle tube according to a second embodiment of the present invention.
  • the multi-filament polydioxanone suture and the mating structure of the needle bar according to the second embodiment of the present invention may include a suture hole 320 in the sponge 300.
  • the suture 100 and the tubing 200 are the same as the suture 100 and the tubing 200 of the combined structure of the multifilament polydioxanone suture and the pincushion according to the first embodiment of the present invention described above, Is omitted.
  • the sponge 300 is formed in a rectangular pillar shape, and a center hole 310 may be formed and penetrated.
  • the suture hole 320 may be formed symmetrically with respect to the center hole 310 and may be spaced apart from the center hole 310 by a predetermined distance.
  • the space for spacing is very small, and it is preferable to arrange the plurality of second suture yarns 120 so as to be substantially adjacent to the yarn.
  • One end and the other end of the second suture 120 may be inserted into the two symmetrical suture holes 320.
  • one second suture 120 is inserted into the center hole 310 as shown in FIG.
  • the two second sutures 120 are inserted into the two suture holes 320 closest to the center hole 310 and the two second sutures 120 are inserted into the adjacent two suture holes 320,
  • One end and the other end of the second suture 120 may be inserted and fixed to the two suture holes 320 formed on the outermost side.
  • the shape of the sponge 300 and the number of the suture holes 320 are not limited because it is only the second embodiment of the present invention.
  • the structure in which the second suture 120 is inserted into the sponge 300 can be changed according to the position of the desired suture 100 during the procedure.
  • FIG. 3 is a method of bonding a multifilament polydioxanone suture and a capillary tube according to a first embodiment of the present invention.
  • the filament polydioxanone suture and the method of bonding the needle tube according to the first embodiment of the present invention include a step of inserting one end of a first suture into a groove of a needle tube (S100) A step S120 of forming a loop by inserting the other end of the first suture into the groove of the needle tube (S110), a step S120 of arranging the ends of the plurality of the second sutures to be aligned with each other (S120) (Step S130) of inserting a second suture of the first suture into the first suture by folding and inserting one end of the first suture with the first suture and the second suture combined with the sponge to fix the suturing and the second suture (S140 ).
  • one end of the first suture thread 110 may be inserted and fixed in a groove formed in the needle tube 200 in the nip direction.
  • step S110 of inserting the other end of the first suture thread into the groove of the needle suture by rotating the other end of the first suture thread one end of the first suture thread 110 is fixed in step S100, 110) and the other end can be rotated to form a loop.
  • first suture thread 110 may be inserted into the groove of the first end suture fixed at one end, and finally the first suture thread 110 may be fixed to the endoscope 200 in a ring shape.
  • the second suture 120 is connected to the first suture 110 and the second suture 120 so that the first suture 120 and the second suture 120 are connected to each other.
  • the step of arranging the plurality of second suture ends so that both ends of the second suture ends coincide with each other may be arranged such that both ends of the plurality of second sutures 120 coincide with each other.
  • both ends of the bundle of the plurality of second sutures 120 are uniformly formed.
  • step S130 a plurality of second sutures 120 arranged in a loop are inserted into a first suture formed by a loop, and a plurality of first sutures 110 and the first suture thread 110 is positioned at the center of the length of the second suture thread 120 so that the first suture thread 110 can be engaged with the first suture thread 110 in a folded shape.
  • the center of the second suture 120 may be folded in the longitudinal direction so that one end and the other end are located at the same position.
  • the first suture 110 is finally assembled so as to be in close contact with the nip 200.
  • the first suture thread 110 is in close contact with the piercing tube 200, the first suture water 110 can be smoothly inserted into the skin without dropping during the procedure.
  • a step S140 of inserting one end of the first suture thread and the second suture thread to which the first suture thread and the second suture thread are coupled is inserted to fix the first suture thread 110 and the second suture thread 120,
  • One end of the needle tube 200 may be inserted into the sponge 300 to fix the needle tube 200 and the second suture.
  • the second suture thread 120 is fixed to the sponge 300, (300) can catch it.
  • the second suture 120 when the second suture 120 is inserted into the skin along the incision 200, it can be inserted with a minimum area and can be inserted properly.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Materials Engineering (AREA)
  • Epidemiology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)

Abstract

L'invention concerne une structure de couplage d'une suture en polydioxanone multifilament et d'un tube d'aiguille comprenant : une suture insérée dans le corps et présentant la caractéristique d'être absorbée par le corps, étant constituée de polydioxanone ; un tube d'aiguille auquel est couplée la suture, qui est inséré dans le corps ; et une éponge destinée à fixer le tube d'aiguille et la suture, la suture étant couplée et reliée à une rainure du tube d'aiguille, le tube d'aiguille et la suture étant fixés par insertion dans l'éponge, et la suture comprenant une première suture couplée à la rainure du tube d'aiguille de sorte à former une boucle, et une pluralité de deuxièmes sutures reliées à la première suture dans une forme repliée sur la première suture.
PCT/KR2018/008931 2017-08-29 2018-08-07 Structure de couplage de suture en polydioxanone multifilament et de tube d'aiguille WO2019045303A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2017-0109326 2017-08-29
KR1020170109326A KR101898188B1 (ko) 2017-08-29 2017-08-29 멀티 필라멘트 폴리디옥사논 봉합사 및 침관의 결합구조

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022219442A1 (fr) 2021-04-13 2022-10-20 Ethicon, Inc. Sutures avec filament externe contenant un médicament

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102610210B1 (ko) * 2023-04-10 2023-12-05 (주)시지바이오 탄성으로 유발되는 통증을 완화하는 의료용 실 삽입 장치

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200351863Y1 (ko) * 2004-02-13 2004-05-31 김종환 봉합사를 갖는 봉합침
KR101515075B1 (ko) * 2014-11-26 2015-04-24 주식회사 씨앤지 피부 주름 성형용 캐뉼라의 봉합사 세팅방법
KR20160023081A (ko) * 2014-08-21 2016-03-03 주식회사 파인수처스 봉합사 일체형 봉합바늘
KR101696855B1 (ko) * 2016-01-28 2017-01-16 김종환 금실을 포함하는 탈모치료용 듀얼 봉합침 세트
KR20170038364A (ko) * 2015-09-30 2017-04-07 (주)아모레퍼시픽 봉합사 삽입을 위한 피부 시술 도구 및 이를 포함하는 키트

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200351863Y1 (ko) * 2004-02-13 2004-05-31 김종환 봉합사를 갖는 봉합침
KR20160023081A (ko) * 2014-08-21 2016-03-03 주식회사 파인수처스 봉합사 일체형 봉합바늘
KR101515075B1 (ko) * 2014-11-26 2015-04-24 주식회사 씨앤지 피부 주름 성형용 캐뉼라의 봉합사 세팅방법
KR20170038364A (ko) * 2015-09-30 2017-04-07 (주)아모레퍼시픽 봉합사 삽입을 위한 피부 시술 도구 및 이를 포함하는 키트
KR101696855B1 (ko) * 2016-01-28 2017-01-16 김종환 금실을 포함하는 탈모치료용 듀얼 봉합침 세트

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022219442A1 (fr) 2021-04-13 2022-10-20 Ethicon, Inc. Sutures avec filament externe contenant un médicament

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