WO2020067619A1 - Hemostatic member for cervix, and hemostatic member kit for cervix - Google Patents

Hemostatic member for cervix, and hemostatic member kit for cervix Download PDF

Info

Publication number
WO2020067619A1
WO2020067619A1 PCT/KR2019/004858 KR2019004858W WO2020067619A1 WO 2020067619 A1 WO2020067619 A1 WO 2020067619A1 KR 2019004858 W KR2019004858 W KR 2019004858W WO 2020067619 A1 WO2020067619 A1 WO 2020067619A1
Authority
WO
WIPO (PCT)
Prior art keywords
hemostatic
hemostatic member
cervix
petal
flower
Prior art date
Application number
PCT/KR2019/004858
Other languages
French (fr)
Korean (ko)
Inventor
홍대기
정민호
Original Assignee
주식회사 엔도비전
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from KR1020190003988A external-priority patent/KR102248697B1/en
Application filed by 주식회사 엔도비전 filed Critical 주식회사 엔도비전
Priority to EP19867941.7A priority Critical patent/EP3858311A4/en
Priority to CN201980010380.8A priority patent/CN111655209A/en
Priority to JP2021517430A priority patent/JP2022503854A/en
Priority to US16/963,469 priority patent/US20200360055A1/en
Publication of WO2020067619A1 publication Critical patent/WO2020067619A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/36Surgical swabs, e.g. for absorbency or packing body cavities during surgery

Definitions

  • the present invention relates to a hemostatic member for the cervix, which is inserted into the affected area during a cervical biopsy or surgery on the cervix to effectively stop the hemostatic site.
  • Chitosan-based hemostatic dressing material is made of 100% chitosan material, has a predetermined size and shape, and is applied to a wound or surgical site of the human body, and a chitosan dressing material that is involved in hemostasis and recovery of the wound or surgical site, It is coupled to at least one surface of the chitosan dressing material and is characterized in that it includes an auxiliary member for preventing desorption of fibers and maintaining the shape of the chitosan dressing material.
  • chitosans were limited to the fields of wastewater treatment such as flocculants, heavy metal adsorbents, dye waste water purification agents, and agricultural sectors such as soil improvers, pesticides, plant antiviral agents, pesticides, but food and beverages as the advantages and various properties of chitosan were revealed.
  • the scope is further expanded to application fields, health and hygiene applications, cosmetics applications, textile related applications, and pharmaceutical applications.
  • hemostatic dressing material that can be used universally through useful functions of chitosan.
  • the prior art can be usefully used as a dressing material for hemostasis to the outer skin of the body, but it is limited to hemostasis as a general-purpose dressing material for surgery or treatment on body organs that form a special structure and shape inside the body. There is.
  • What is noted in the present invention is to enable effective hemostasis to the affected area that occurs when performing a biopsy for surgery or diagnosis of cervical cancer in women.
  • a hemostatic member capable of achieving an effective hemostatic effect on the affected area, not a gauze-like form that can be used universally as in the prior art.
  • the present applicant is a hemostatic member that is inserted into the affected area during uterine biopsy or surgery, and uses chitosan-based chitosan, which is characterized by forming a non-woven chitosan nonwoven fabric having a hemostatic effect into a hemostatic bundle having a round shape. Hemostatic member has been filed (Application No. 10-2017-0127526).
  • the prior art is a hemostatic member having a round shape, and it is necessary to improve the shape for hemostasis management after tissue collection.
  • the present invention was devised by the necessity of the above, and an object thereof is to provide a flower-shaped cervical hemostatic member that effectively prevents hemostasis for each indication of the hemostatic site.
  • another object of the present invention is to provide a hemostatic member kit for the cervix for providing a hemostatic member by means of an applicator handle to a hemostatic site by inserting a hemostatic member embodied in a flower shape into a dressing material for hemostatic action. Is done.
  • the present invention is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, is composed of a plurality of petals, and when applied to the affected area, a plurality of the petals are selectively closed in a bud form,
  • the hemostatic member for the cervix, which is formed to be unfolded, is a technical point.
  • the hemostatic member for the cervix it is preferable that only a part of the petal part is unfolded depending on the shape of the affected part, or the entire petal part is unfolded according to the form of the affected part.
  • the hemostatic member for the cervix may be formed by including a flower core formed in the center and a plurality of petal parts formed around the flower core, and the petal part has a relatively low dressing density compared to the flower core.
  • the flower core portion may be formed to have a relatively high height compared to the petal portion.
  • a thread is formed at a lower end of the flower core, and the thread preferably further includes an X-ray sensitive material.
  • the dressing material chitosan, cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), any of alginate and casein, or cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), It is characterized by using a mixture of chitosan with either alginate or casein.
  • the dressing material it is preferable that the hemostatic material is mixed and provided in the form of a non-woven fabric, or a coating layer made of the hemostatic material is formed in a single layer or multiple layers on the surface to be provided in the form of a non-woven fabric.
  • carboxymethyl chitosan (Carboxymethyl chitosan, CMCS), carboxy methyl cellulose (Carboxymethylcellulose, CMC), chitosan succinate (Chitosan Succinate), sodium alginate (Sodium Alginate), hyaluronic acid (Hyaluronic Acid), collagen (Collagen) ), Gelatin, Chondroitin Sulfate, Poly- ⁇ -glutamic acid, Pullulan, Kaolin, Zeolite, Chondroitin Sulfate , Calcium Chloride (Calcium Chloride), Calcium Chloride Thrombin (Calcium Chloride Thrombin), Fibrinogen (Fibrinogen), Catechol (Catechol), Polyurethane foam (polyurethane foam) It is preferred that one or two or more are mixed.
  • the hemostatic member further includes an X-ray sensitive material therein.
  • the diameter of the flower core is formed to 15 ⁇ 25mm, it is preferable that the diameter of the hemostatic member constituting the petal portion is formed of 30 ⁇ 60mm.
  • the hemostatic member is preferably formed in a lengthwise direction, and one side is implemented by winding a rolling member in which the cutting part is cut in one direction, cut by the number of petals of the petal part.
  • the cutting portion is formed so that the height is larger and the width is wider as it goes in the winding direction, and the larger the size of the petal portion on the outer side, the larger the gap between each petal portion is. .
  • the size (diameter) and density of the hemostatic member by overlapping a plurality of the rolling members to adjust the size (diameter) of the hemostatic member or by placing a step in the direction in which the plurality of rolling members are wound to overlap.
  • the flower core portion is implemented in a form in which the horizontal cross-sectional area becomes narrower as the shape of the lower portion goes to the lower side.
  • the present invention is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, is composed of a plurality of petals, and when applied to the affected area, a plurality of the petals are selectively formed into a bud shape, and are formed to spread,
  • a hemostatic member kit for the cervix is a hemostatic member having a thread formed at the lower end of the flower core and an applicator that accommodates the hemostatic member inside and provides the hemostatic member to the hemostatic site.
  • the applicator includes a body having a space portion in which the hemostatic member is accommodated at a front end, and is accommodated inside the body to push the hemostatic member out of the body to expand the hemostatic member into a flower shape and expand the hemostatic member. It characterized in that it comprises a handle to provide a hemostatic portion.
  • the hemostatic member is formed to include a space portion formed to accommodate, and a handle receiving portion formed in a lengthwise direction in communication with the space portion forming a relatively narrow cross-sectional area than the space portion.
  • the front end of the space portion is formed in a curved shape, it is preferable that the opening and closing portion is formed to be elastically opened by the pushing force of the hemostatic member when the hemostatic member is provided outside the body.
  • a marking portion is formed on the outer surface of the body, and is preferably formed to identify the insertion depth of the body, and a grip portion is formed on one outer surface of the body.
  • a locking portion is formed on the inner surface of the handle receiving portion so that the handle does not stray from the front side of the body.
  • the handle is accommodated in the handle receiving portion, the body portion formed to be movable in the front-rear direction inside and outside the handle receiving portion, and formed in the front end of the body portion, accommodated in the space portion within the space portion It is formed so as to be movable in the front-rear direction, the first extension is formed to catch the rear end of the space portion, the rear end of the body portion, and is formed to be movable in the front-rear direction outside the handle receiving portion, the handle It is preferably made to include a second extension formed to catch the rear end of the receiving portion.
  • the present invention provides a hemostatic member that can be efficiently inserted into the affected area during cervical biopsy or cervical surgery to manage the hemostatic site.
  • the present invention is a hemostatic member provided in a flower shape when inserted into the affected area, rather than the existing round-shaped hemostatic member shape, and is formed of a dressing material that has a hemostatic effect, so that a plurality of petals can be freely expanded or closed according to the shape of the affected area. It is realized that the contact with the affected area is close and the contact area is wide, thereby facilitating hemostasis management.
  • the present invention is implemented in an advantageous form for hemostasis management after tissue harvesting and hemostasis management after cone resection, providing a hemostatic member with excellent hemostatic performance for cervical indications, and in particular, formed in a flower shape to a cervical hemostatic member user It has the effect of providing an aesthetic sense.
  • the hemostatic member according to the present invention is provided in a closed form of a bud shape, is inserted into the affected part and formed to expand into a flower shape during hemostasis, and is provided in the form of a bud to facilitate insertion into the affected part and facilitate storage. After it is inserted into the affected area, it expands into a flower shape and has a beneficial effect on hemostasis management.
  • the present invention also provides a hemostatic member and a hemostatic member kit for the cervix forming an applicator, inserting the applicator into the cervix while the hemostatic member is accommodated inside the applicator, and pushing the hemostatic member to provide a hemostatic member to the hemostatic site
  • the hemostatic member is easily and accurately provided to the hemostatic site by an applicator, so that the hemostatic member is provided in close contact with the hemostatic site, thereby having a very advantageous effect on hemostatic management.
  • FIG. 1 a perspective view of a hemostatic member for the cervix according to an embodiment of the present invention.
  • FIG. 1 Figure 2-Front view of the hemostatic member for the cervix according to an embodiment of the present invention.
  • FIG. 5 Figure 5-rear perspective view of the applicator in the hemostatic member kit for cervix according to an embodiment of the present invention.
  • Figure 6- a diagram showing the rear front of the applicator in the hemostatic member kit for cervix according to an embodiment of the present invention.
  • FIG. 7 a perspective view of a hemostatic member kit for cervix according to an embodiment of the present invention.
  • the present invention relates to a hemostatic member for the cervix, which is inserted into the affected area during a cervical biopsy or surgery on the cervix to stop the hemostatic site.
  • the present invention relates to a hemostatic member for a cervical cervix, which is a flower-shaped cervical bleeding agent that effectively breaks away from the shape of the hemostatic member in the form of a hemostatic member having a round shape.
  • FIG. 1 is a perspective view of a hemostatic member for the cervix according to an embodiment of the present invention
  • FIG. 2 is a front view of a hemostatic member for the cervix according to an embodiment of the present invention
  • FIG. 3 is an embodiment of the present invention
  • Figure 4 is a perspective view of the applicator in the cervical hemostatic member kit according to an embodiment of the present invention
  • Figure 5 is an embodiment of the present invention
  • FIG. 1 is a perspective view of a hemostatic member for the cervix according to an embodiment of the present invention
  • FIG. 2 is a front view of a hemostatic member for the cervix according to an embodiment of the present invention
  • FIG. 3 is an embodiment of the present invention
  • Figure 4 is a perspective view of the applicator in the cervical hemostatic member kit according to an embodiment of the present invention
  • Figure 5 is an embodiment of the present invention
  • FIG. 6 shows a rear front view of the applicator in the hemostatic member kit for cervix according to the present invention
  • FIG. 7 shows an embodiment of the present invention 8 is a perspective view of the hemostatic member kit for cervix according to the present invention
  • FIG. 8 is an operational schematic diagram of the hemostatic member kit for cervix according to an embodiment of the present invention
  • FIG. 9 is the present invention State of use for the hemostatic member kit for the cervix according to an embodiment of the present invention
  • Figure 10 shows a schematic diagram for each indication of the hemostatic member for the cervix according to an embodiment of the present invention.
  • the hemostatic member 100 is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, consists of a plurality of petals 120, and when applied to the affected area, a plurality It characterized in that the petal portion 120 of the dog is formed to be selectively expanded or unfolded in the form of a bud.
  • the present invention is a hemostatic member (! 00) provided in a flower shape when inserted into the affected area, rather than the existing round-shaped hemostatic member shape, and is formed of a dressing material for hemostatic action, and a plurality of petal parts 120 are provided in the affected area.
  • a hemostatic member (! 00) provided in a flower shape when inserted into the affected area, rather than the existing round-shaped hemostatic member shape, and is formed of a dressing material for hemostatic action, and a plurality of petal parts 120 are provided in the affected area.
  • it is implemented so that it can be freely unfolded or shrunk, so that contact with the affected area is close and the contact area is wide, which facilitates hemostasis management.
  • the hemostatic member of the round shape was not in close contact with the side of the spherical-shaped affected area, such as the cervix, and thus had a lack of hemostatic management in the cervix.
  • the hemostatic member of the flower shape according to the present invention may naturally unfold a part of the petal part 120 when the plantain is used or inserted into the affected area without using the plantain, and a part of the petal part 120 is shaped like the affected part In accordance with this, it is realized in an oval shape (that is, a flower core part), and a part is realized in an unfolded form (that is, a flower part part).
  • the hemostatic member according to the present invention depending on the shape of the affected part, only some individuals of the petal part 120 are unfolded, or the entire petal part 120 is unfolded according to the form of the affected part, such as a cervical part. In order to ensure a very close and rapid hemostatic management.
  • the hemostatic member 100 for cervix according to the present invention is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, and is formed in the center of the flower core 110 and the flower core 110 formed in the center portion. It is formed of a plurality of petals (120).
  • the flower core 110 when applied to the affected area, it may mean an area in which the petal part 120 is unfolded according to the shape of the affected area.
  • the peripheral part of the flower core 110 that is, the petal part 120
  • the unfolded area is a petal part 120 corresponding to the flower core part 110.
  • the petal portion 120 is characterized in that it has a relatively low dressing density compared to the flower core portion 110.
  • the present invention is a hemostatic member 100 provided as a flower shape when inserted into the affected area, rather than the shape of the existing round-shaped hemostatic member, which is formed of a dressing material having a hemostatic effect, that is, a relatively high density of the dressing material, that is, a dressing material It is composed of a flower core portion 110 in a densely formed central portion and a petal portion 120 having a relatively low density of the dressing material compared to the flower core portion 110.
  • the diameter of the flower core 110 is formed of 15 ⁇ 25mm
  • the diameter of the hemostatic member 100 forming the petal portion 120 is preferably formed of 30 ⁇ 60mm, that is, the entire hemostasis
  • the diameter of the relatively high density of the dressing material is 15 to 25 mm, preferably 20 mm
  • the diameter of the relatively low density of the dressing material is 30 to 60 mm, preferably 40 mm. This is large enough to cover the cervix when inserted into the cervix, and more hemostatic action is made by the flower core 110 having a relatively high density of the dressing material.
  • the flower core portion 110 it is formed at a certain height, or the height of the dressing material that acts as a hemostatic effect is made higher than the petal portion 120, so that the flower core portion 110 is formed higher. Hemostatic action can be made more.
  • the flower core 110 in the case of the flower core 110, a large amount is brought into closer contact with the hemostatic site according to the cone resection to remove the anomaly or cancerous tissue observed by the naked eye by cutting the cervix into a cone shape. Allows rapid hemostasis of blood. That is, the flower core 110 is suitable for hemostasis management after cervical cancer surgery (conical resection).
  • a portion of the petal portion 120 in the center may be the flower core portion 110 corresponding to the shape of the affected portion naturally.
  • the portion where the petal portion 120 is unfolded around the flower core portion 110 may be the petal portion 120 corresponding to the flower core portion 110.
  • the flower core part 110 may not be distinguished morphologically, and in this case, the surface area is maximized to advantageously apply to hemostatic management for a specific affected part.
  • the flower core portion 110 and the petal portion 120 as described above, the flower core portion 110 and the petal portion 120, the shape and height, the density of the dressing material, etc. can be divided by different, and the flowers The core portion 110 is higher than the petal portion 120, and the density of the dressing material is formed higher, so that it is more advantageous for hemostasis management during cone resection and tissue collection, respectively, when applied to affected areas such as the cervix.
  • the present invention provides a hemostatic member in the form of a flower, and by implementing the petal portion 120, the hemostatic member according to the present invention can secure a large surface area, thus collecting tissue for examination of cervical cancer (Biopsy) and cone It can be closely adhered to the curved and atypical lesions that occur after the conversion, which is very suitable for hemostasis management of the lesions associated with the cervix.
  • Biopsy cervical cancer
  • cone It can be closely adhered to the curved and atypical lesions that occur after the conversion, which is very suitable for hemostasis management of the lesions associated with the cervix.
  • the hemostatic member according to the present invention is unlike the hemostasis on the side of the cervical side after the sample, the central part of the cervical region due to its morphological characteristics (wide surface area). Both (conical resection) and cervical edge (at the time of sample) have easy features for hemostasis management.
  • the density (petal thinning) of the petal portion 120 when the density (petal thinning) of the petal portion 120 is insufficient, there may be an empty portion, and hemostasis of the cervical edge may not be easy, and if the density of the flower core 110 is insufficient, cone resection is performed. Since the dressing material does not adhere properly to the cut-off portion, hemostasis may not be easy, and the density of the petal portion 120 and the flower core portion 110 is easily adjusted to control hemostasis.
  • the hemostatic member 100 according to the present invention can be inserted into the affected area using the plantain when the petal part is provided in an unfolded state. It is formed to expand into flower shape. When provided in the form of a bud, it is easy to insert into the affected area, facilitates storage, and is expanded into a flower shape after being inserted into the affected area, and is advantageously formed for hemostasis management.
  • the hemostatic member 100 may further include an X-ray sensitive material therein. This is to be used to locate the hemostatic member 100 inserted into the body.
  • the present invention is a flower-shaped hemostatic member 100 formed of a dressing material having a hemostatic effect, and is implemented in an advantageous form for hemostasis management after tissue collection and hemostasis management after cone resection, and has excellent hemostatic performance for cervical indications. It is to provide the hemostatic member 100. In particular, it is formed in a flower shape to provide an aesthetic feeling to the user of the cervical hemostatic member 100.
  • a thread 130 is formed at a lower end of the flower core 110, and the hemostatic member 100 inserted into the body by further including an X-ray sensitive material is included in the thread 130. It can be used to determine the location, and after sufficient hemostasis is made, when removing the hemostatic member 100, it is possible to easily remove the hemostatic member 100 by pulling the end of the thread 130.
  • the dressing material that has a hemostatic effect constituting the hemostatic member 100 according to the present invention may be made of only a fiber-based non-woven fabric, and is provided by being woven with a non-woven fabric containing a functional component as required, or a material of various functional components in the non-woven fabric It may be provided by forming a coating layer consisting of.
  • the dressing material chitosan, cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), any one of alginate and casein, or cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), alginate and Chitosan is mixed with any one of casein and provided in the form of a non-woven fabric to be provided in flower form.
  • the dressing material may be made of only a fiber-based non-woven fabric, or may be made of only a chitosan-based non-woven fabric to utilize useful functions of chitosan.
  • chitosan when applying only chitosan, it becomes difficult to maintain strength and shape as it becomes gelled, so it can be manufactured by mixing chitosan with cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), alginate and casein. have.
  • a dressing material is prepared by mixing rayon with chitosan, even if rayon is acid-treated, it does not melt and serves as a fast absorbing speed, and thus may be provided as a preferred embodiment.
  • the dressing material is provided in the form of a non-woven fabric in which a hemostatic material is mixed or provided in the form of a non-woven fabric, or a coating layer made of a hemostatic material is formed in a single layer or multiple layers on the surface.
  • the hemostatic material has a better ability to absorb blood, has the effect of coating the affected area, is excellent in biocompatibility, has no toxicity, and has excellent biodegradability, Carboxymethyl chitosan (CMCS), Carboxymethylcellulose , CMC), Chitosan Succinate, Sodium Alginate, Hyaluronic Acid, Collagen, Gelatin, Chondroitin Sulfate, Polygamma Glutamic Acid (poly - ⁇ -glutamic acid, pullulan, kaolin, zeolite, chondroitin sulfate, calcium chloride, calcium chloride thrombin, fibrinogen , Catechol, polyurethane foam (polyurethane foam), any one or two or more of the mixture may be used.
  • CMCS Carboxymethyl chitosan
  • CMC Carboxymethylcellulose
  • Chitosan Succinate Sodium Alginate, Hyaluronic Acid, Collagen, Gelatin, Chondroitin Sulfate, Polygamma
  • the hemostatic member 100 is formed long in the longitudinal direction, one side is a rolling member 140 is formed with a cutting portion 141 is cut by the number of petals of the petal portion 120 ) By winding (rolling) in one direction.
  • the rolling member 140 determines the length in consideration of the diameter of the hemostatic member 100, forms the cutting portion 141 as many as the number of petals 120, but the cutting portion 141 is in the winding direction It is formed such that the height is larger and the width is wider, so that the size of the petals 120 on the outer side is relatively larger and the gap between the petals 120 is wider.
  • the rolling member 140 is formed long in the longitudinal direction in consideration of the diameter of the hemostatic member 100, except for the portion corresponding to the height of the flower core 110
  • the upper part is formed with a number of petals of the petal part 120 and a cutting part 141 corresponding to the shape, size (width) and length of the petals.
  • the petals of the petal part 120 become larger and have a larger gap as they go from the flower core part 110 to the outer side. Have a more favorable shape.
  • the flower core portion 110, the shape of the lower portion toward the lower side can be implemented in a form in which the horizontal cross-sectional area is narrowed, which is the lower end of the rolling member 140 when overlapping a plurality of the rolling member 140 It may be implemented by overlapping a step, or may be formed by varying the height of the lower end.
  • a hemostatic member kit for the cervix it is formed of a dressing material that acts to hemostatic, is implemented in a flower shape, consists of a plurality of petals 120, and is applied to the affected area.
  • a plurality of the petal portion 120 is selectively formed in the shape of a bud to be stretched or unfolded, and the hemostatic member 100 and the hemostatic member 100 in which the thread 130 is formed at the lower end of the flower core 120. It characterized in that it consists of an applicator 200 to accommodate the inside to provide the hemostatic member to the hemostatic site.
  • the hemostatic member 100 is the same as the flower-shaped hemostatic member 100 described by FIGS. 1 to 3 or described by the above, and the applicator 200 is such a hemostatic member It serves to provide the hemostatic member 100 to the hemostatic site by accommodating (100) therein.
  • the applicator 200 is elongated in the longitudinal direction to favor cervical indications, and is formed in a curved shape, that is, a cylindrical shape as a whole, so that stimulation is minimized when the cervix is inserted, and the front end is also formed in a hemispherical shape to allow smooth insertion into the affected area. Make it possible.
  • the applicator 200 serves to assist the hemostatic member 100 to be easily and accurately provided to the hemostatic site.
  • the applicator 200 is made of a polyolefin-based material (LDPE, LLDPE, HDPE), which satisfies the physical properties for the hemostatic member 100 to be smoothly provided outside the applicator 200, the applicator 200 ) Prevents damage to surrounding tissues when inserted into the body, and is a material that secures biological stability.
  • LDPE polyolefin-based material
  • the applicator 200 includes a body 210 having a space portion 211 in which the hemostatic member 100 is accommodated in a front end portion, and is accommodated inside the body 210. It includes a handle 220 that pushes the hemostatic member 100 out of the body 210 to expand the hemostatic member 100 into a flower shape and provides the hemostatic member 100 to a hemostatic site.
  • the hemostatic member 100 according to the present invention is accommodated in the space 211 of the body 210, and in this case, the hemostatic member 100 is closed in a bud state. Then, when the hemostatic member 100 is pushed out of the body 210 by using the handle 220 accommodated in the body 210, the hemostatic member 100 gradually comes out of the body 210 and gradually becomes a petal part ( 120) is expanded to the shape of a flower as it is all unfolded to provide a flower-shaped hemostatic member 100.
  • the body 210 has a space portion 211 formed to accommodate the hemostatic member 100 and a relatively narrow cross-sectional area than the space portion 211 and communicates with the space portion 211 in the longitudinal direction. It comprises a long formed handle receiving portion 212.
  • the front end portion of the space portion 211 is formed in a curved shape, and when the hemostatic member 100 is provided outside the body 210, the opening and closing portion is elastically opened by the pushing force of the hemostatic member 100 Characterized in that (211a) is formed.
  • the opening and closing portion 211a is formed when the applicator 200 is inserted into the body, so that the front end portion of the space portion 211 of the body 210 is curved to facilitate insertion into the body, and surrounding tissue in the body. It is formed so as not to irritate. And after insertion into the affected part, the hemostatic member 100 is pulled outward, and the opening / closing part 211a is split and opened by the pushing force, so that the petal part 120 is expanded to realize a flower-shaped hemostatic member 100. Will be.
  • a marking portion 213 is formed on the outer surface of the body 210 so that the insertion depth of the body 210 can be identified, and an embossed grip portion is formed on one outer surface of the body 210. 214 is formed, which is convenient for insertion or removal into the body.
  • a locking portion 212a is formed on the inner surface of the handle receiving portion 212 so that the handle 220 does not stray from the front side of the body 210. That is, when the hemostatic member 100 is pushed out of the body 210 using the handle 220, the body 220 passes through the inside of the handle receiving portion 212 in a direction in which the handle 220 moves. This is to prevent the side from escaping.
  • the handle 220 is accommodated in the handle receiving portion 212, the body portion 221 is formed to be movable in the front-rear direction in and out of the handle receiving portion 212, and the front end of the body portion 221
  • the handle 220 is basically formed to be movable in the front-rear direction inside the space portion 211 and the handle receiving portion 212 of the body 210, by the first extension portion 222 Hanging on the rear end of the space portion 211, the handle 220 is not separated from the rear of the body 210, the handle 220 by the second extension 223, the front of the body 210 As it does not deviate, the handle 220 is free to move inside the body 210 in the front-rear direction, but is formed so as not to escape outside the body 210.
  • the locking portion 212a serves to assist the handle 220 so that the body 210 does not stray out to the front side.
  • the hemostatic member 100 accommodated inside the applicator 200 is pushed forward by the handle 220 of the rear to open the opening and closing portion 211a, and the body 210 outside through the opening and closing portion 211a
  • the hemostatic member 100 is shown a state provided.
  • a hemostatic member 100 according to the present invention is accommodated in the space 211 of the body 210, and the handle 220 is a body 210 behind the hemostatic member 100. It is accommodated in the first extension portion 222 of the handle 220 and the rear side of the hemostatic member 100 shows a state in contact. At this time, the opening / closing portion 211a maintains a closed state, and the front end portion of the body 210, that is, the front end portion of the space portion 211, maintains a curved surface.
  • the handle 220 and the body 210 are pulled backwards and removed from the body, so that only the hemostatic member 100 is provided and remains on the hemostatic site.
  • Figure 9 shows the state of use for the cervical hemostatic member kit according to an embodiment of the present invention, inserting the applicator 200 containing the hemostatic member 100 in the affected area (Fig. 9 (a)), the After the hemostatic member 100 is pushed out using the handle 220 so that the hemostatic member 100 comes out of the body 210 (FIG. 9 (b), (c)), the hemostatic member When the 100 is provided to the hemostatic site, the handle 220 and the body 210 are pulled out of the body (FIG. 9 (d)), so that only the hemostatic member 100 remains at the hemostatic site (FIG. 9). (e) At this time, the thread 130 of the hemostatic member 100 is pulled by a patient or a doctor when hemostasis is completed, and is used to conveniently remove the hemostatic member 100.
  • FIG. 10 is a schematic diagram for each indication of the hemostatic member 100 for cervix according to an embodiment of the present invention.
  • the flower core portion 110 of the hemostatic member 100 is high in density of the dressing material and is advantageous for the hemostasis management of conical resection, which is a cervical surgery, about 20 mm in diameter, and the petal portion 120 of the hemostatic member 100 ) Has a large area and is large enough to cover the cervix and can be advantageously applied to hemostasis management after uterine tissue collection.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Pathology (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention provides a hemostatic member for the cervix, the hemostatic member being formed from a dressing material having a hemostatic effect, being implemented in a flower shape, and comprising: a flower core part formed in the center portion thereof; and a petal part formed on a surrounding portion of the flower core part and having a relatively lower dressing material density than the flower core part. The subject matter of the present invention is a hemostatic member kit for the cervix, the kit comprising: the hemostatic member; and an applicator for receiving the hemostatic member therein so as to provide same to a hemostasis site.

Description

자궁 경부용 지혈부재 및 자궁 경부용 지혈부재 키트Hemostatic member for cervix and hemostatic kit for cervix
본 발명은 자궁 경부용 지혈부재에 관한 것으로서, 자궁 경부 조직 검사나 자궁 경부에 대한 수술시 환부에 삽입되어 지혈부위를 효과적으로 지혈하기 위한 것이다.The present invention relates to a hemostatic member for the cervix, which is inserted into the affected area during a cervical biopsy or surgery on the cervix to effectively stop the hemostatic site.
신체에 외상이 발생하는 경우 상처가 깊지 않다면 간단한 조치만으로도 혈액의 응고기작에 의해 혈액 응고가 이루어진다. 하지만 상처가 깊거나 수술 또는 검사를 위해 조직을 떼어내는 경우에는 과다출혈을 막기 위해 환부에 대한 인위적인 지혈을 해주어야 할 필요성이 크다.In the case of trauma to the body, if the wound is not deep, blood clotting is achieved by coagulation of blood with simple measures. However, if the wound is deep or the tissue is removed for surgery or examination, there is a great need to give artificial bleeding to the affected area to prevent excessive bleeding.
본 발명과 관련한 종래기술로 본 출원인에 의해 특허 출원되어 등록된 대한민국 등록특허 제10-1700107호의 "키토산 기반의 지혈 드레싱재 및 그 제조방법"이 알려져 있다.The "chitosan-based hemostatic dressing material and its manufacturing method" of Korean Patent Registration No. 10-1700107, which has been patented and registered by the applicant, is known as a prior art related to the present invention.
종래기술에 의한 키토산 기반의 지혈 드레싱재는 100% 키토산 물질로 구성되고 소정 크기와 형상을 가지며 인체의 상처 부위나 수술 부위에 적용되어 상처 부위나 수술 부위의 지혈 및 회복에 관여하는 키토산 드레싱재와, 상기 키토산 드레싱재의 적어도 일면에 결합되며 섬유의 탈착방지 및 키토산 드레싱재의 형태 유지를 위한 보조 부재를 포함하는 것을 특징으로 한다.Chitosan-based hemostatic dressing material according to the prior art is made of 100% chitosan material, has a predetermined size and shape, and is applied to a wound or surgical site of the human body, and a chitosan dressing material that is involved in hemostasis and recovery of the wound or surgical site, It is coupled to at least one surface of the chitosan dressing material and is characterized in that it includes an auxiliary member for preventing desorption of fibers and maintaining the shape of the chitosan dressing material.
이러한 키토산의 주요 용도로는 응집제, 중금속 흡착제, 염료폐수 정화제 등의 폐수처리 분야와 토양개량제, 살충제, 식물 항바이러스제, 농약 등 농업분야에 한정되었으나, 키토산의 장점과 다양한 특성이 밝혀지면서 식품과 음료 응용분야, 보건위생 응용분야, 화장품 응용분야, 섬유관련 응용분야, 의약품 응용분야 등으로 그 범위가 더욱 확대되고 있다.The main uses of these chitosans were limited to the fields of wastewater treatment such as flocculants, heavy metal adsorbents, dye waste water purification agents, and agricultural sectors such as soil improvers, pesticides, plant antiviral agents, pesticides, but food and beverages as the advantages and various properties of chitosan were revealed. The scope is further expanded to application fields, health and hygiene applications, cosmetics applications, textile related applications, and pharmaceutical applications.
이와 같이 키토산의 유용한 기능을 통해 범용적으로 사용될 수 있는 지혈 드레싱재를 제공하고자 한다. 종래기술은 외부로 드러나는 신체의 외피에 대한 지혈을 위한 드레싱재로 유용하게 사용될 수 있지만, 신체 내부의 특수한 구조 및 형상을 이루는 신체 기관에 대한 수술이나 처치 시에는 범용적인 드레싱재로는 지혈에 한계가 있게 된다.As such, it is intended to provide a hemostatic dressing material that can be used universally through useful functions of chitosan. The prior art can be usefully used as a dressing material for hemostasis to the outer skin of the body, but it is limited to hemostasis as a general-purpose dressing material for surgery or treatment on body organs that form a special structure and shape inside the body. There is.
본 발명에서 주목하는 것은 여성의 자궁경부암에 대한 수술이나 진단을 위한 조직 검사를 할 때 발생되는 환부에 대한 효과적인 지혈이 이루어질 수 있도록 하고자 한다. 이를 위해서는 종래기술과 같은 범용적으로 사용될 수 있는 거즈와 같은 형태가 아닌 해당 환부에 대한 효과적인 지혈작용을 달성할 수 있는 지혈부재의 필요성이 요구된다.What is noted in the present invention is to enable effective hemostasis to the affected area that occurs when performing a biopsy for surgery or diagnosis of cervical cancer in women. To this end, there is a need for a hemostatic member capable of achieving an effective hemostatic effect on the affected area, not a gauze-like form that can be used universally as in the prior art.
이러한 필요성에 의해 본 출원인은 자궁 조직 검사 또는 수술시 환부에 삽입되어 사용되는 지혈부재로서, 지혈작용을 하는 키토산 부직포를 둥근 형상을 이루는 지혈뭉치로 형성하도록 하는 것을 특징으로 하는 자궁 경부용 키토산 기반의 지혈부재를 출원(출원번호 10-2017-0127526)한 바 있다.Due to this necessity, the present applicant is a hemostatic member that is inserted into the affected area during uterine biopsy or surgery, and uses chitosan-based chitosan, which is characterized by forming a non-woven chitosan nonwoven fabric having a hemostatic effect into a hemostatic bundle having a round shape. Hemostatic member has been filed (Application No. 10-2017-0127526).
종래 기술은 둥근 형상을 이루는 지혈부재로 조직 채취 후 지혈관리를 위해서는 그 형상을 개선할 필요성이 있다.The prior art is a hemostatic member having a round shape, and it is necessary to improve the shape for hemostasis management after tissue collection.
또한, 환부에 삽입시 보다 신속하고 원활한 삽입을 위해서 구조 및 형상 개선에 대한 필요성이 요구되고 있다.In addition, there is a need for improved structure and shape for faster and smoother insertion when inserted into the affected area.
본 발명은 상기 필요성에 의해 고안된 것으로서, 지혈부위의 각 적응증에 대해 효과적으로 지혈이 이루어질 수 있도록 하는 꽃 형상의 자궁 경부용 지혈부재의 제공을 그 목적으로 한다.The present invention was devised by the necessity of the above, and an object thereof is to provide a flower-shaped cervical hemostatic member that effectively prevents hemostasis for each indication of the hemostatic site.
또한, 본 발명은 지혈작용을 하는 드레싱재로 꽃 형상으로 구현된 지혈부재를 어플리케이터 내부에 삽입하여 어플리케이터 핸들에 의해 지혈부재를 지혈부위에 제공하기 위한 자궁 경부용 지혈부재 키트의 제공을 또 다른 목적으로 한다.In addition, another object of the present invention is to provide a hemostatic member kit for the cervix for providing a hemostatic member by means of an applicator handle to a hemostatic site by inserting a hemostatic member embodied in a flower shape into a dressing material for hemostatic action. Is done.
상기 목적을 달성하기 위해 본 발명은, 지혈작용을 하는 드레싱재로 형성되며, 꽃 형상으로 구현되고, 복수개의 꽃잎부로 이루어지며, 환부에 적용시 복수개의 상기 꽃잎부가 선택적으로 봉오리 형태로 오므라지거나, 펼쳐지도록 형성되는 것을 특징으로 하는 자궁 경부용 지혈부재를 기술적 요지로 한다.In order to achieve the above object, the present invention is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, is composed of a plurality of petals, and when applied to the affected area, a plurality of the petals are selectively closed in a bud form, The hemostatic member for the cervix, which is formed to be unfolded, is a technical point.
또한, 상기 자궁 경부용 지혈부재는, 환부의 형태에 따라 상기 꽃잎부의 일부 개체만 펼쳐지거나, 또는 환부의 형태에 따라 상기 꽃잎부 전체가 펼쳐지는 것이 바람직하다.In addition, the hemostatic member for the cervix, it is preferable that only a part of the petal part is unfolded depending on the shape of the affected part, or the entire petal part is unfolded according to the form of the affected part.
또한, 상기 자궁 경부용 지혈부재는, 중심부에 형성된 꽃심부와, 상기 꽃심부 주변부에 형성된 복수개의 꽃잎부를 포함하여 형성될 수 있으며, 상기 꽃잎부는, 상기 꽃심부에 비해 상대적으로 낮은 드레싱재 밀도를 갖거나, 상기 꽃심부는, 상기 꽃잎부에 비해 상대적으로 높이가 높게 형성될 수 있다.In addition, the hemostatic member for the cervix may be formed by including a flower core formed in the center and a plurality of petal parts formed around the flower core, and the petal part has a relatively low dressing density compared to the flower core. Alternatively, the flower core portion may be formed to have a relatively high height compared to the petal portion.
또한, 상기 꽃심부의 하단부에는 쓰레드(thread)가 형성된 것이 바람직하며, 상기 쓰레드는, 엑스레이(X-ray) 감응물질이 더 포함되는 것이 바람직하다.In addition, it is preferable that a thread is formed at a lower end of the flower core, and the thread preferably further includes an X-ray sensitive material.
또한, 상기 드레싱재는, 키토산, 셀룰로오스(면, 견 또는 마), 재생셀룰로오스(레이온 또는 인견), 알지네이트 및 카제인 중 어느 하나, 또는 셀룰로오스(면, 견 또는 마), 재생셀룰로오스(레이온 또는 인견), 알지네이트 및 카제인 중 어느 하나에 키토산을 혼합하여 사용하는 것을 특징으로 한다.In addition, the dressing material, chitosan, cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), any of alginate and casein, or cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), It is characterized by using a mixture of chitosan with either alginate or casein.
여기에서, 상기 드레싱재는, 지혈재가 혼합되어 부직포 형태로 제공되거나, 표면에 지혈재로 이루어진 코팅층을 단일층 또는 복수층으로 형성하여 부직포 형태로 제공되는 것이 바람직하다.Here, the dressing material, it is preferable that the hemostatic material is mixed and provided in the form of a non-woven fabric, or a coating layer made of the hemostatic material is formed in a single layer or multiple layers on the surface to be provided in the form of a non-woven fabric.
또한, 상기 지혈재는, 카복시메틸키토산(Carboxymethyl chitosan, CMCS), 카복시 메틸셀룰로오스(Carboxymethylcellulose, CMC), 키토산 숙시네이트(Chitosan Succinate), 소듐 알지네이트(Sodium Alginate), 히알루론산(Hyaluronic Acid), 콜라젠(Collagen), 젤라틴(Gelatin), 콘도로이친 설페이트(Chondroitin Sulfate), 폴리감마글루탐산 (poly-γ-glutamic acid), 풀루란(pullulan), 카올린(kaolin), 제올라이트(Zeolite), 콘드로이친 설페이트(Chondroitin Sulfate), 칼슘 클로라이드(Calcium Chloride), 칼슘 클로라이드 트롬빈(Calcium Chloride Thrombin), 피브리노겐(Fibrinogen), 카테콜(Catechol), 폴리우레탄 폼(polyurethane foam) 중 어느 하나 또는 둘 이상이 혼합된 것이 바람직하다.In addition, the hemostatic material, carboxymethyl chitosan (Carboxymethyl chitosan, CMCS), carboxy methyl cellulose (Carboxymethylcellulose, CMC), chitosan succinate (Chitosan Succinate), sodium alginate (Sodium Alginate), hyaluronic acid (Hyaluronic Acid), collagen (Collagen) ), Gelatin, Chondroitin Sulfate, Poly-γ-glutamic acid, Pullulan, Kaolin, Zeolite, Chondroitin Sulfate , Calcium Chloride (Calcium Chloride), Calcium Chloride Thrombin (Calcium Chloride Thrombin), Fibrinogen (Fibrinogen), Catechol (Catechol), Polyurethane foam (polyurethane foam) It is preferred that one or two or more are mixed.
또한, 상기 지혈부재는, 내부에 엑스레이(X-ray) 감응물질이 더 포함된 것이 바람직하다.In addition, it is preferable that the hemostatic member further includes an X-ray sensitive material therein.
또한, 상기 꽃심부의 지름은 15~25mm로 형성되며, 상기 꽃잎부를 이루는 상기 지혈부재의 지름은 30~60mm로 형성된 것이 바람직하다.In addition, the diameter of the flower core is formed to 15 ~ 25mm, it is preferable that the diameter of the hemostatic member constituting the petal portion is formed of 30 ~ 60mm.
또한, 상기 지혈부재는, 길이 방향으로 길게 형성되고, 일측이 상기 꽃잎부의 꽃잎의 갯수만큼 절단된 컷팅부가 형성된 롤링부재를 일 방향으로 감아서 구현되는 것이 바람직하다.In addition, the hemostatic member is preferably formed in a lengthwise direction, and one side is implemented by winding a rolling member in which the cutting part is cut in one direction, cut by the number of petals of the petal part.
또한, 상기 컷팅부는 감는 방향으로 갈수록 높이가 더 크고 너비가 더 넓도록 형성되어, 외곽에 있는 꽃잎부일수록 그 크기가 상대적으로 더 크고, 각 꽃잎부 사이의 간격이 더 벌어지도록 구현되는 것이 바람직하다.In addition, the cutting portion is formed so that the height is larger and the width is wider as it goes in the winding direction, and the larger the size of the petal portion on the outer side, the larger the gap between each petal portion is. .
또한, 상기 롤링부재는 복수개 겹쳐 상기 지혈부재의 크기(지름)를 조절하거나, 상기 복수개의 롤링부재를 감는 방향으로 단차를 두어 겹치게 하여 상기 지혈부재의 크기(지름) 및 밀도를 조절하는 것이 바람직하다.In addition, it is preferable to adjust the size (diameter) and density of the hemostatic member by overlapping a plurality of the rolling members to adjust the size (diameter) of the hemostatic member or by placing a step in the direction in which the plurality of rolling members are wound to overlap. .
또한, 상기 꽃심부는, 하측부의 형상이 하측으로 갈수록 수평단면적이 좁아지는 형태로 구현된 것이 바람직하다.In addition, it is preferable that the flower core portion is implemented in a form in which the horizontal cross-sectional area becomes narrower as the shape of the lower portion goes to the lower side.
또한 본 발명은, 지혈작용을 하는 드레싱재로 형성되며, 꽃 형상으로 구현되고, 복수개의 꽃잎부로 이루어지며, 환부에 적용시 복수개의 상기 꽃잎부가 선택적으로 봉오리 형태로 오므라지거나, 펼쳐지도록 형성되고, 상기 꽃심부의 하단부에는 쓰레드가 형성된 지혈부재와, 상기 지혈부재를 내부에 수용하여 지혈부위에 상기 지혈부재를 제공하는 어플리케이터로 이루어진 자궁 경부용 지혈부재 키트를 또 다른 기술적 요지로 한다.In addition, the present invention is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, is composed of a plurality of petals, and when applied to the affected area, a plurality of the petals are selectively formed into a bud shape, and are formed to spread, Another technical aspect of the hemostatic member kit for the cervix is a hemostatic member having a thread formed at the lower end of the flower core and an applicator that accommodates the hemostatic member inside and provides the hemostatic member to the hemostatic site.
여기에서, 상기 어플리케이터는, 전단부에 상기 지혈부재가 수용되는 공간부가 형성된 바디와, 상기 바디 내부에 수용되어 상기 지혈부재를 상기 바디 외측으로 밀어내어 상기 지혈부재를 꽃 형상으로 확장시키고 상기 지혈부재를 지혈부위에 제공하는 핸들을 포함하는 것을 특징으로 한다.Here, the applicator includes a body having a space portion in which the hemostatic member is accommodated at a front end, and is accommodated inside the body to push the hemostatic member out of the body to expand the hemostatic member into a flower shape and expand the hemostatic member. It characterized in that it comprises a handle to provide a hemostatic portion.
또한 상기 바디는, 상기 지혈부재가 수용되도록 형성된 공간부와, 상기 공간부보다 상대적으로 좁은 단면적을 이루며 상기 공간부에 연통되어 길이 방향으로 길게 형성된 핸들수용부를 포함하여 이루어진 것이 바람직하다.In addition, the body, it is preferable that the hemostatic member is formed to include a space portion formed to accommodate, and a handle receiving portion formed in a lengthwise direction in communication with the space portion forming a relatively narrow cross-sectional area than the space portion.
또한, 상기 공간부의 전단부는, 곡면 형상으로 형성되며, 상기 지혈부재가 상기 바디 외측으로 제공될 때 상기 지혈부재의 미는 힘에 의해 탄성 개방되도록 개폐부가 형성된 것이 바람직하다.In addition, the front end of the space portion is formed in a curved shape, it is preferable that the opening and closing portion is formed to be elastically opened by the pushing force of the hemostatic member when the hemostatic member is provided outside the body.
또한, 상기 바디의 외표면에는, 마킹부가 형성되어, 상기 바디의 체내 삽입 깊이를 식별하도록 형성된 것이 바람직하며, 상기 바디의 일측 외표면에는, 그립부가 형성된 것을 특징으로 한다.In addition, a marking portion is formed on the outer surface of the body, and is preferably formed to identify the insertion depth of the body, and a grip portion is formed on one outer surface of the body.
또한, 상기 핸들수용부 내표면에는, 걸림부가 형성되어 상기 핸들이 상기 바디 전방측으로 무단이탈하지 않도록 하는 것이 바람직하다.In addition, it is preferable that a locking portion is formed on the inner surface of the handle receiving portion so that the handle does not stray from the front side of the body.
또한, 상기 핸들은, 상기 핸들수용부에 수용되어 상기 핸들수용부 내외에서 전후 방향으로 이동가능하도록 형성된 몸체부와, 상기 몸체부의 전단부에 형성되고, 상기 공간부에 수용되어 상기 공간부 내에서 전후 방향으로 이동가능하도록 형성되며, 상기 공간부의 후단부에 걸리도록 형성된 제1확장부와, 상기 몸체부의 후단부에 형성되고, 상기 핸들수용부 외부에서 전후 방향으로 이동가능하도록 형성되며, 상기 핸들수용부의 후단부에 걸리도록 형성된 제2확장부를 포함하여 이루어진 것이 바람직하다.In addition, the handle is accommodated in the handle receiving portion, the body portion formed to be movable in the front-rear direction inside and outside the handle receiving portion, and formed in the front end of the body portion, accommodated in the space portion within the space portion It is formed so as to be movable in the front-rear direction, the first extension is formed to catch the rear end of the space portion, the rear end of the body portion, and is formed to be movable in the front-rear direction outside the handle receiving portion, the handle It is preferably made to include a second extension formed to catch the rear end of the receiving portion.
본 발명은 자궁 경부 조직 검사나 자궁 경부에 대한 수술시 환부에 삽입되어 지혈부위를 효율적으로 관리할 수 있는 지혈부재를 제공한다.The present invention provides a hemostatic member that can be efficiently inserted into the affected area during cervical biopsy or cervical surgery to manage the hemostatic site.
본 발명은 기존의 둥근 형상의 지혈부재 형상이 아니라 환부에 삽입시 꽃 형상으로 제공되는 지혈부재로, 지혈작용을 하는 드레싱재로 형성되며, 복수개의 꽃잎부가 환부의 형태에 따라 자유롭게 펼쳐지거나 오므라지도록 구현되어 환부와의 접촉이 긴밀하고 접촉 면적이 넓어져 지혈관리에 용이한 장점이 있다.The present invention is a hemostatic member provided in a flower shape when inserted into the affected area, rather than the existing round-shaped hemostatic member shape, and is formed of a dressing material that has a hemostatic effect, so that a plurality of petals can be freely expanded or closed according to the shape of the affected area. It is realized that the contact with the affected area is close and the contact area is wide, thereby facilitating hemostasis management.
본 발명은 조직 채취 후 지혈관리와 원추절제술 후 지혈관리에 유리한 형태로 구현되어, 자궁 경부 적응증에 대한 지혈 성능이 우수한 지혈부재를 제공하게 되며, 특히, 꽃 모양으로 형성되어 자궁 경부 지혈부재 사용자에게 심미감을 제공하는 효과가 있다.The present invention is implemented in an advantageous form for hemostasis management after tissue harvesting and hemostasis management after cone resection, providing a hemostatic member with excellent hemostatic performance for cervical indications, and in particular, formed in a flower shape to a cervical hemostatic member user It has the effect of providing an aesthetic sense.
또한 본 발명에 따른 지혈부재는 봉오리 형태의 오므라진 상태로 제공되고, 환부에 삽입되어 지혈시에는 꽃 모양으로 확장되도록 형성되어, 봉오리 형태로 제공되어 환부에 삽입이 용이하도록 하고, 보관이 용이하도록 하며, 환부에 삽입 후에는 꽃 모양으로 확장되어 지혈관리에 유리한 효과가 있다.In addition, the hemostatic member according to the present invention is provided in a closed form of a bud shape, is inserted into the affected part and formed to expand into a flower shape during hemostasis, and is provided in the form of a bud to facilitate insertion into the affected part and facilitate storage. After it is inserted into the affected area, it expands into a flower shape and has a beneficial effect on hemostasis management.
또한 본 발명은 지혈부재 및 어플리케이트를 이루는 자궁 경부용 지혈부재 키트를 제공하며, 어플리케이터 내부에 지혈부재가 수용된 상태에서 어플리케이터를 자궁 경부로 삽입하고, 지혈부재를 밀어내어 지혈부위에 지혈부재가 제공되도록 하는 것으로, 어플리케이터에 의해 상기 지혈부재를 지혈부위에 용이하고 정확하게 제공하여, 지혈부위에 지혈부재가 밀착 제공되도록 하여 지혈관리에 매우 유리한 효과가 있다.The present invention also provides a hemostatic member and a hemostatic member kit for the cervix forming an applicator, inserting the applicator into the cervix while the hemostatic member is accommodated inside the applicator, and pushing the hemostatic member to provide a hemostatic member to the hemostatic site By making it possible, the hemostatic member is easily and accurately provided to the hemostatic site by an applicator, so that the hemostatic member is provided in close contact with the hemostatic site, thereby having a very advantageous effect on hemostatic management.
도 1 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재에 대한 사시도.1-a perspective view of a hemostatic member for the cervix according to an embodiment of the present invention.
도 2 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재에 대한 정면도.Figure 2-Front view of the hemostatic member for the cervix according to an embodiment of the present invention.
도 3 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재의 롤링부재에 대한 모식도.Figure 3-Schematic diagram of the rolling member of the hemostatic member for the cervix according to an embodiment of the present invention.
도 4 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에서 어플리케이터에 대한 사시도.4-a perspective view of an applicator in a hemostatic member kit for cervix according to an embodiment of the present invention.
도 5 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에서 어플리케이터에 대한 후측 사시도.Figure 5-rear perspective view of the applicator in the hemostatic member kit for cervix according to an embodiment of the present invention.
도 6 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에서 어플리케이터의 후측 정면을 나타낸 도.Figure 6-a diagram showing the rear front of the applicator in the hemostatic member kit for cervix according to an embodiment of the present invention.
도 7 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에 대한 사시도.7-a perspective view of a hemostatic member kit for cervix according to an embodiment of the present invention.
도 8 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에 대한 작동 모식도.8-operation schematic diagram for the hemostatic member kit for the cervix according to an embodiment of the present invention.
도 9 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에 대한 사용 상태도.Figure 9-State of use for the cervical hemostatic member kit according to an embodiment of the present invention.
도 10 - 본 발명의 일실시예에 따른 자궁 경부용 지혈부재의 각 적응증에 대한 모식도.10-Schematic diagram for each indication of a hemostatic member for cervix according to an embodiment of the present invention.
본 발명은 자궁 경부용 지혈부재에 관한 것으로서, 자궁 경부 조직 검사나 자궁 경부에 대한 수술시 환부에 삽입되어 지혈부위를 지혈하기 위한 것이다.The present invention relates to a hemostatic member for the cervix, which is inserted into the affected area during a cervical biopsy or surgery on the cervix to stop the hemostatic site.
특히, 기존 둥근 형상의 지혈뭉치 형태의 지혈부재의 형상에서 탈피하여, 지혈부위의 각 적응증에 대해 효과적으로 지혈이 이루어질 수 있도록 하는 꽃 형상의 자궁 경부용 지혈부재에 관한 것이다.In particular, the present invention relates to a hemostatic member for a cervical cervix, which is a flower-shaped cervical bleeding agent that effectively breaks away from the shape of the hemostatic member in the form of a hemostatic member having a round shape.
이하에서는 첨부된 도면을 참조하여 본 발명에 대해 상세히 설명하고자 한다. 도 1은 본 발명의 일실시예에 따른 자궁 경부용 지혈부재에 대한 사시도이고, 도 2는 본 발명의 일실시예에 따른 자궁 경부용 지혈부재에 대한 정면도이고, 도 3은 본 발명의 일실시예에 따른 자궁 경부용 지혈부재의 롤링부재에 대한 모식도이고, 도 4는 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에서 어플리케이터에 대한 사시도이고, 도 5는 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에서 어플리케이터에 대한 후측 사시도이고, 도 6은 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에서 어플리케이터의 후측 정면도를 나타낸 것이고, 도 7은 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에 대한 사시도이고, 도 8은 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에 대한 작동 모식도이고, 도 9는 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에 대한 사용 상태도이며, 도 10은 본 발명의 일실시예에 따른 자궁 경부용 지혈부재의 각 적응증에 대한 모식도를 나타낸 것이다.Hereinafter, the present invention will be described in detail with reference to the accompanying drawings. 1 is a perspective view of a hemostatic member for the cervix according to an embodiment of the present invention, FIG. 2 is a front view of a hemostatic member for the cervix according to an embodiment of the present invention, and FIG. 3 is an embodiment of the present invention It is a schematic diagram of the rolling member of the cervical hemostatic member according to the example, Figure 4 is a perspective view of the applicator in the cervical hemostatic member kit according to an embodiment of the present invention, Figure 5 is an embodiment of the present invention It is a rear perspective view of the applicator in the hemostatic member kit for cervix according to the present invention, and FIG. 6 shows a rear front view of the applicator in the hemostatic member kit for cervix according to the present invention, and FIG. 7 shows an embodiment of the present invention 8 is a perspective view of the hemostatic member kit for cervix according to the present invention, and FIG. 8 is an operational schematic diagram of the hemostatic member kit for cervix according to an embodiment of the present invention, and FIG. 9 is the present invention State of use for the hemostatic member kit for the cervix according to an embodiment of the present invention, Figure 10 shows a schematic diagram for each indication of the hemostatic member for the cervix according to an embodiment of the present invention.
도 1에 도시된 바와 같이, 본 발명에 따른 지혈부재(100)는 지혈작용을 하는 드레싱재로 형성되며, 꽃 형상으로 구현되고, 복수개의 꽃잎부(120)로 이루어지며, 환부에 적용시 복수개의 상기 꽃잎부(120)가 선택적으로 봉오리 형태로 오므라지거나, 펼쳐지도록 형성되는 것을 특징으로 한다.As shown in Figure 1, the hemostatic member 100 according to the present invention is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, consists of a plurality of petals 120, and when applied to the affected area, a plurality It characterized in that the petal portion 120 of the dog is formed to be selectively expanded or unfolded in the form of a bud.
본 발명은 기존의 둥근 형상의 지혈부재 형상이 아니라 환부에 삽입시 꽃 형상으로 제공되는 지혈부재(!00)로, 지혈작용을 하는 드레싱재로 형성되며, 복수개의 꽃잎부(120)가 환부의 형태에 따라 자유롭게 펼쳐지거나 오므라지도록 구현되어 환부와의 접촉이 긴밀하고 접촉 면적이 넓어져 지혈관리에 용이한 장점이 있다.The present invention is a hemostatic member (! 00) provided in a flower shape when inserted into the affected area, rather than the existing round-shaped hemostatic member shape, and is formed of a dressing material for hemostatic action, and a plurality of petal parts 120 are provided in the affected area. Depending on the shape, it is implemented so that it can be freely unfolded or shrunk, so that contact with the affected area is close and the contact area is wide, which facilitates hemostasis management.
특히 둥근 형상의 지혈부재는 자궁 경부와 같은 구 형태의 환부의 싸이드(side)에는 긴밀하게 접촉이 되지 않아 자궁 경부에의 지혈관리에 부족한 면이 있었다.In particular, the hemostatic member of the round shape was not in close contact with the side of the spherical-shaped affected area, such as the cervix, and thus had a lack of hemostatic management in the cervix.
이러한 본 발명에 따른 꽃 형상의 지혈부재는 질경 이용 시 또는 질경을 이용하지 않고 환부에 삽입시 자연스럽게 상기 꽃잎부(120)의 일부가 펼쳐질 수 있으며, 상기 꽃잎부(120)의 일부는 환부의 형상에 따라 오므라진 형태(즉, 꽃심부를 이룸)로 구현되고, 일부는 펼쳐진 형태(즉, 꽃잎부를 이룸)로 구현되게 된다.The hemostatic member of the flower shape according to the present invention may naturally unfold a part of the petal part 120 when the plantain is used or inserted into the affected area without using the plantain, and a part of the petal part 120 is shaped like the affected part In accordance with this, it is realized in an oval shape (that is, a flower core part), and a part is realized in an unfolded form (that is, a flower part part).
즉, 본 발명에 따른 지혈부재는 환부의 형태에 따라 상기 꽃잎부(120)의 일부 개체만 펼쳐지거나, 또는 환부의 형태에 따라 상기 꽃잎부(120) 전체가 펼쳐지게 되어, 자궁 경부와 같은 환부 형태에 매우 긴밀하면서 신속한 지혈관리가 이루어질 수 있도록 하는 것이다.That is, in the hemostatic member according to the present invention, depending on the shape of the affected part, only some individuals of the petal part 120 are unfolded, or the entire petal part 120 is unfolded according to the form of the affected part, such as a cervical part. In order to ensure a very close and rapid hemostatic management.
이와 같이 본 발명에 따른 자궁 경부용 지혈부재(100)는 지혈작용을 하는 드레싱재로 형성되며, 꽃 형상으로 구현되고, 중심부에 형성된 꽃심부(110)와, 상기 꽃심부(110) 주변부에 형성된 복수개의 꽃잎부(120)로 형성된다.As described above, the hemostatic member 100 for cervix according to the present invention is formed of a dressing material that has a hemostatic effect, is implemented in a flower shape, and is formed in the center of the flower core 110 and the flower core 110 formed in the center portion. It is formed of a plurality of petals (120).
여기서 상기 꽃심부(110)는 환부에 적용시 환부의 형태에 따라 상기 꽃잎부(120)가 펼쳐지지 않은 영역을 의미할 수 있으며, 그 외에 상기 꽃심부(110)의 주변부 즉, 꽃잎부(120)가 펼쳐진 영역이 상기 꽃심부(110)에 대응되는 꽃잎부(120)라고 구분지을 수 있다.Here, when the flower core 110 is applied to the affected area, it may mean an area in which the petal part 120 is unfolded according to the shape of the affected area. In addition, the peripheral part of the flower core 110, that is, the petal part 120 ) May be divided into an area where the unfolded area is a petal part 120 corresponding to the flower core part 110.
본 발명의 일실시예로 상기 꽃잎부(120)는 상기 꽃심부(110)에 비해 상대적으로 낮은 드레싱재 밀도를 갖는 것을 특징으로 한다. In one embodiment of the present invention, the petal portion 120 is characterized in that it has a relatively low dressing density compared to the flower core portion 110.
본 발명은 기존의 둥근 형상의 지혈부재 형상이 아니라 환부에 삽입시 꽃 형상으로 제공되는 지혈부재(100)로, 지혈작용을 하는 드레싱재로 형성되되, 상대적으로 드레싱재의 밀도가 높은 즉, 드레싱재가 조밀하게 형성된 중심부의 꽃심부(110)와, 상기 꽃심부(110)에 비해 상기 드레싱재의 밀도가 상대적으로 낮게 형성된 꽃잎부(120)로 구성된 것이다. The present invention is a hemostatic member 100 provided as a flower shape when inserted into the affected area, rather than the shape of the existing round-shaped hemostatic member, which is formed of a dressing material having a hemostatic effect, that is, a relatively high density of the dressing material, that is, a dressing material It is composed of a flower core portion 110 in a densely formed central portion and a petal portion 120 having a relatively low density of the dressing material compared to the flower core portion 110.
여기에서, 상기 꽃심부(110)의 지름은 15~25mm로 형성되며, 상기 꽃잎부(120)를 이루는 상기 지혈부재(100)의 지름은 30~60mm로 형성되는 것이 바람직하며, 즉, 전체 지혈부재(100)에 있어서, 드레싱재의 밀도가 상대적으로 높은 부위의 지름이 15~25mm, 바람직하게는 20mm, 드레싱재의 밀도가 상대적으로 낮은 부위의 지름이 30~60mm, 바람직하게는 40mm 정도로 형성된다. 이는 자궁 경부에 삽입시 자궁 경부를 충분히 커버할 수 있을 정도의 크기이며, 드레싱재의 밀도가 상대적으로 높은 꽃심부(110)에 의해 지혈작용이 더욱 많이 이루어지게 된다.Here, the diameter of the flower core 110 is formed of 15 ~ 25mm, the diameter of the hemostatic member 100 forming the petal portion 120 is preferably formed of 30 ~ 60mm, that is, the entire hemostasis In the member 100, the diameter of the relatively high density of the dressing material is 15 to 25 mm, preferably 20 mm, and the diameter of the relatively low density of the dressing material is 30 to 60 mm, preferably 40 mm. This is large enough to cover the cervix when inserted into the cervix, and more hemostatic action is made by the flower core 110 having a relatively high density of the dressing material.
또한, 상기 꽃심부(110)의 경우 일정 높이로 형성되거나, 상기 꽃잎부(120)에 비해 상대적으로 높이를 높게 구현하여 지혈작용을 하는 드레싱재의 밀도가 상기 꽃심부(110)에서 더욱 높게 형성하여 지혈작용이 더욱 많이 이루어지게 할 수 있다. In addition, in the case of the flower core portion 110, it is formed at a certain height, or the height of the dressing material that acts as a hemostatic effect is made higher than the petal portion 120, so that the flower core portion 110 is formed higher. Hemostatic action can be made more.
특히 도 2에 도시한 바와 같이, 상기 꽃심부(110)의 경우 자궁 경부를 원추 모양으로 절제하여 육안으로 관찰되는 이형 또는 암조직을 제거하는 원추절제술에 따른 지혈부위에 더욱 밀착되게 접촉되어 많은 양의 혈액의 신속한 지혈이 가능하도록 한다. 즉, 상기 꽃심부(110)의 경우 자궁 경부암 수술(원추절제술) 후 지혈관리에 적합하다.Particularly, as shown in FIG. 2, in the case of the flower core 110, a large amount is brought into closer contact with the hemostatic site according to the cone resection to remove the anomaly or cancerous tissue observed by the naked eye by cutting the cervix into a cone shape. Allows rapid hemostasis of blood. That is, the flower core 110 is suitable for hemostasis management after cervical cancer surgery (conical resection).
여기에서 상기 꽃심부(110)와 꽃잎부(120)는 상술한 바와 같이 환부에 적용시 자연스럽게 환부의 형태에 대응하여 중심부에 꽃잎부(120)가 오므라진 부분이 꽃심부(110)가 될 수 있으며, 상기 꽃심부(110) 주변에 꽃잎부(120)가 펼쳐진 부분이 상기 꽃심부(110)에 대응하는 꽃잎부(120)가 될 수 있다. 환부의 형태에 따라 꽃잎부(120)가 모두 펼쳐지면서 상기 꽃심부(110)가 형태적으로 구분이 안될 수도 있으며, 이 경우 표면적이 극대화되어 특정 환부에 대해서는 지혈관리에 유리하게 적용할 수도 있다.Here, when the flower core portion 110 and the petal portion 120 are applied to the affected area as described above, a portion of the petal portion 120 in the center may be the flower core portion 110 corresponding to the shape of the affected portion naturally. The portion where the petal portion 120 is unfolded around the flower core portion 110 may be the petal portion 120 corresponding to the flower core portion 110. Depending on the shape of the affected part, as the petal part 120 is all unfolded, the flower core part 110 may not be distinguished morphologically, and in this case, the surface area is maximized to advantageously apply to hemostatic management for a specific affected part.
또한, 상기 꽃심부(110)와 꽃잎부(120)는 상술한 바와 같이, 상기 꽃심부(110)와 꽃잎부(120)의 형태와 높이, 드레싱재의 밀도 등을 달리하여 구분할 수 있으며, 상기 꽃심부(110)가 상기 꽃잎부(120)에 비해 높이는 더 높고, 드레싱재의 밀도는 더 높게 형성하여 자궁 경부와 같은 환부에 적용시 원추절제술 및 조직 채취 시 각각 지혈관리에 더욱 유리하도록 적용한 것이다.In addition, the flower core portion 110 and the petal portion 120, as described above, the flower core portion 110 and the petal portion 120, the shape and height, the density of the dressing material, etc. can be divided by different, and the flowers The core portion 110 is higher than the petal portion 120, and the density of the dressing material is formed higher, so that it is more advantageous for hemostasis management during cone resection and tissue collection, respectively, when applied to affected areas such as the cervix.
이와 같이 본 발명은 꽃 형상의 지혈부재를 제공하며, 상기 꽃잎부(120)의 구현으로 본 발명에 따른 지혈부재가 넓은 표면적을 확보할 수 있어, 자궁 경부암 검사를 위한 조직 채취(Biopsy) 및 원추절체술(Conization) 후 발생하는 굴곡지고 비정형적인 환부에 빈틈없이 밀착이 가능하여, 자궁 경부와 관련된 환부의 지혈관리에 매우 적합하다.As described above, the present invention provides a hemostatic member in the form of a flower, and by implementing the petal portion 120, the hemostatic member according to the present invention can secure a large surface area, thus collecting tissue for examination of cervical cancer (Biopsy) and cone It can be closely adhered to the curved and atypical lesions that occur after the conversion, which is very suitable for hemostasis management of the lesions associated with the cervix.
즉, 기존의 구 형태의 자궁 경부 지혈부재의 경우 검체 후 자궁 경부 가장 자리(side) 쪽 지혈이 용이하지 않는 것과 달리 본 발명에 따른 지혈부재는 그 형태적 특성(넓은 표면적)으로 인해 자궁 경부 중앙(원추절제술) 및 자궁 경부 가장자리(검체 시) 모두 지혈관리에 용이한 특징이 있다.In other words, in the case of the existing spherical cervical hemostatic member, the hemostatic member according to the present invention is unlike the hemostasis on the side of the cervical side after the sample, the central part of the cervical region due to its morphological characteristics (wide surface area). Both (conical resection) and cervical edge (at the time of sample) have easy features for hemostasis management.
여기에서 상기 꽃잎부(120)의 밀도(꽃잎 숱)가 부족할 경우, 비어있는 부분이 있을 수 있으며, 자궁 경부 가장자리 지혈이 용이하지 않을 수 있으며, 상기 꽃심부(110)의 밀도가 부족하면 원추절제술에 의해 도려진 부분에 드레싱재가 알맞게 밀착하지 않아 지혈이 용이하지 않을 수 있으므로, 상기 꽃잎부(120) 및 꽃심부(110)의 밀도는 지혈관리에 용이하게 조절하여 형성한다.Here, when the density (petal thinning) of the petal portion 120 is insufficient, there may be an empty portion, and hemostasis of the cervical edge may not be easy, and if the density of the flower core 110 is insufficient, cone resection is performed. Since the dressing material does not adhere properly to the cut-off portion, hemostasis may not be easy, and the density of the petal portion 120 and the flower core portion 110 is easily adjusted to control hemostasis.
또한, 본 발명에 따른 지혈부재(100)는 꽃잎부가 펼쳐진 상태로 제공되는 경우에는 질경을 이용하여 환부에 삽입할 수 있으며, 봉오리 형태의 오므라진 상태로 제공되는 경우에는 환부에 삽입되어 지혈시에는 꽃 모양으로 확장되도록 형성된다. 봉오리 형태로 제공되는 경우에는 환부에 삽입이 용이하도록 하고, 보관이 용이하도록 하며, 환부에 삽입 후에는 꽃 모양으로 확장되어 지혈관리에 유리하도록 형성된 것이다.In addition, the hemostatic member 100 according to the present invention can be inserted into the affected area using the plantain when the petal part is provided in an unfolded state. It is formed to expand into flower shape. When provided in the form of a bud, it is easy to insert into the affected area, facilitates storage, and is expanded into a flower shape after being inserted into the affected area, and is advantageously formed for hemostasis management.
또한, 상기 지혈부재(100)는 내부에 엑스레이(X-ray) 감응물질이 더 포함될 수 있다. 이는 신체 내부에 삽입된 지혈부재(100)의 위치 파악에 활용될 수 있도록 한 것이다.In addition, the hemostatic member 100 may further include an X-ray sensitive material therein. This is to be used to locate the hemostatic member 100 inserted into the body.
이와 같이 본 발명은 지혈작용을 하는 드레싱재로 형성된 꽃 모양의 지혈부재(100)로, 조직 채취 후 지혈관리와 원추절제술 후 지혈관리에 유리한 형태로 구현되어, 자궁 경부 적응증에 대한 지혈 성능이 우수한 지혈부재(100)를 제공하게 되는 것이다. 특히, 꽃 모양으로 형성되어 자궁 경부 지혈부재(100) 사용자에게 심미감을 제공하게 된다.As described above, the present invention is a flower-shaped hemostatic member 100 formed of a dressing material having a hemostatic effect, and is implemented in an advantageous form for hemostasis management after tissue collection and hemostasis management after cone resection, and has excellent hemostatic performance for cervical indications. It is to provide the hemostatic member 100. In particular, it is formed in a flower shape to provide an aesthetic feeling to the user of the cervical hemostatic member 100.
또한, 상기 꽃심부(110)의 하단부에는 쓰레드(thread)(130)가 형성되며, 상기 쓰레드(130)에는 엑스레이(X-ray) 감응물질이 더 포함됨으로써 신체 내부에 삽입된 지혈부재(100)의 위치 파악에 활용될 수 있고, 충분한 지혈이 이루어지고 난 다음에 지혈부재(100)를 제거할 때 쓰레드(130)의 끝단을 잡아 당겨서 간편하게 지혈부재(100)를 제거할 수 있다.In addition, a thread 130 is formed at a lower end of the flower core 110, and the hemostatic member 100 inserted into the body by further including an X-ray sensitive material is included in the thread 130. It can be used to determine the location, and after sufficient hemostasis is made, when removing the hemostatic member 100, it is possible to easily remove the hemostatic member 100 by pulling the end of the thread 130.
한편, 본 발명에 따른 지혈부재(100)를 이루는 지혈작용을 하는 드레싱재는 섬유 기반의 부직포만으로 이루어질 수 있으며, 필요에 따라 기능성 성분이 포함된 부직포로 직조되어 제공되거나, 부직포에 다양한 기능성 성분의 물질로 이루어진 코팅층을 형성하여 제공할 수도 있다.On the other hand, the dressing material that has a hemostatic effect constituting the hemostatic member 100 according to the present invention may be made of only a fiber-based non-woven fabric, and is provided by being woven with a non-woven fabric containing a functional component as required, or a material of various functional components in the non-woven fabric It may be provided by forming a coating layer consisting of.
상기 드레싱재는, 키토산, 셀룰로오스(면, 견 또는 마), 재생셀룰로오스(레이온 또는 인견), 알지네이트 및 카제인 중 어느 하나, 또는 셀룰로오스(면, 견 또는 마), 재생셀룰로오스(레이온 또는 인견), 알지네이트 및 카제인 중 어느 하나에 키토산을 혼합하여 부직포 형태로 제공하여 꽃 모양으로 구현하여 제공되게 된다.The dressing material, chitosan, cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), any one of alginate and casein, or cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), alginate and Chitosan is mixed with any one of casein and provided in the form of a non-woven fabric to be provided in flower form.
즉, 상기 드레싱재는 섬유 기반의 부직포만으로 이루어질 수도 있으며, 키토산의 유용한 기능을 활용하기 위해 키토산 기반의 부직포만으로도 이루어질 수도 있다. 이 경우 키토산만을 적용할 시 겔화가 되면서 소재가 물러져 강도 및 형상 유지가 어려울 수 있어, 키토산에 셀룰로오스(면, 견 또는 마), 재생셀룰로오스(레이온 또는 인견), 알지네이트 및 카제인을 혼합하여 제작할 수 있다.That is, the dressing material may be made of only a fiber-based non-woven fabric, or may be made of only a chitosan-based non-woven fabric to utilize useful functions of chitosan. In this case, when applying only chitosan, it becomes difficult to maintain strength and shape as it becomes gelled, so it can be manufactured by mixing chitosan with cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), alginate and casein. have.
특히 키토산에 레이온을 혼합하여 드레싱재를 제작한 경우, 레이온이 산처리를 하더라도 녹지 않고 흡수속도가 빠르게 하는 역할을 하여 바람직한 일실시예로 제공될 수 있다.In particular, when a dressing material is prepared by mixing rayon with chitosan, even if rayon is acid-treated, it does not melt and serves as a fast absorbing speed, and thus may be provided as a preferred embodiment.
또한, 상기 드레싱재는 지혈재가 혼합되어 부직포 형태로 제공되거나, 표면에 지혈재로 이루어진 코팅층이 단일층 또는 복수층으로 형성된 부직포 형태로 제공된다.In addition, the dressing material is provided in the form of a non-woven fabric in which a hemostatic material is mixed or provided in the form of a non-woven fabric, or a coating layer made of a hemostatic material is formed in a single layer or multiple layers on the surface.
상기 지혈재는, 피를 흡수하는 능력이 보다 우수하고, 환부를 코팅하는 작용이 있으며, 생체 적합성이 뛰어나고, 독성이 없으며, 생분해성이 우수한 카복시메틸키토산(Carboxymethyl chitosan, CMCS), 카복시 메틸셀룰로오스(Carboxymethylcellulose, CMC), 키토산 숙시네이트(Chitosan Succinate), 소듐 알지네이트(Sodium Alginate), 히알루론산(Hyaluronic Acid), 콜라젠(Collagen), 젤라틴(Gelatin), 콘도로이친 설페이트(Chondroitin Sulfate), 폴리감마글루탐산 (poly-γ-glutamic acid), 풀루란(pullulan), 카올린(kaolin), 제올라이트(Zeolite), 콘드로이친 설페이트(Chondroitin Sulfate), 칼슘 클로라이드(Calcium Chloride), 칼슘 클로라이드 트롬빈(Calcium Chloride Thrombin), 피브리노겐(Fibrinogen), 카테콜(Catechol), 폴리우레탄 폼(polyurethane foam) 중 어느 하나 또는 둘 이상이 혼합된 것을 사용할 수 있다.The hemostatic material has a better ability to absorb blood, has the effect of coating the affected area, is excellent in biocompatibility, has no toxicity, and has excellent biodegradability, Carboxymethyl chitosan (CMCS), Carboxymethylcellulose , CMC), Chitosan Succinate, Sodium Alginate, Hyaluronic Acid, Collagen, Gelatin, Chondroitin Sulfate, Polygamma Glutamic Acid (poly -γ-glutamic acid, pullulan, kaolin, zeolite, chondroitin sulfate, calcium chloride, calcium chloride thrombin, fibrinogen , Catechol, polyurethane foam (polyurethane foam), any one or two or more of the mixture may be used.
한편, 도 3에 도시한 바와 같이, 상기 지혈부재(100)는 길이 방향으로 길게 형성되고, 일측이 상기 꽃잎부(120)의 꽃잎의 갯수만큼 절단된 컷팅부(141)가 형성된 롤링부재(140)를 일 방향으로 감아서(말아서) 구현할 수 있다.On the other hand, as shown in Figure 3, the hemostatic member 100 is formed long in the longitudinal direction, one side is a rolling member 140 is formed with a cutting portion 141 is cut by the number of petals of the petal portion 120 ) By winding (rolling) in one direction.
즉, 상기 롤링부재(140)는 지혈부재(100)의 지름을 고려하여 길이를 정하고, 꽃잎부(120)의 갯수만큼 컷팅부(141)를 형성하되, 상기 컷팅부(141)는 감는 방향으로 갈수록 높이가 더 크고 너비가 더 넓도록 형성되어, 외곽에 있는 꽃잎부(120)일수록 그 꽃잎의 크기가 상대적으로 더 크고, 각 꽃잎부(120) 사이의 간격이 더 벌어지도록 구현되도록 한다.That is, the rolling member 140 determines the length in consideration of the diameter of the hemostatic member 100, forms the cutting portion 141 as many as the number of petals 120, but the cutting portion 141 is in the winding direction It is formed such that the height is larger and the width is wider, so that the size of the petals 120 on the outer side is relatively larger and the gap between the petals 120 is wider.
도 3(a)에 도시한 바와 같이, 상기 롤링부재(140)는 지혈부재(100)의 지름을 고려하여 길이 방향으로 길게 형성되며, 상기 꽃심부(110)의 높이에 대응하는 부분을 제외하고 상측부에는 상기 꽃잎부(120)의 꽃잎의 갯수 및 꽃잎의 형태, 크기(너비) 및 길이에 대응된 컷팅부(141)가 형성된다. 이때 감는 방향으로 갈수록 더 길고 더 넓은 컷팅부(141)를 구현하여 상기 꽃심부(110)에서 외곽으로 갈수록 상기 꽃잎부(120)의 꽃잎이 더 커지고 간격이 더 벌어지도록 하여 조직 채취 후의 지혈관리에 더욱 유리한 형상을 가지도록 한다.As shown in Figure 3 (a), the rolling member 140 is formed long in the longitudinal direction in consideration of the diameter of the hemostatic member 100, except for the portion corresponding to the height of the flower core 110 The upper part is formed with a number of petals of the petal part 120 and a cutting part 141 corresponding to the shape, size (width) and length of the petals. At this time, by implementing a longer and wider cutting part 141 toward the winding direction, the petals of the petal part 120 become larger and have a larger gap as they go from the flower core part 110 to the outer side. Have a more favorable shape.
또한, 도 3(b)에 도시한 바와 같이, 상기 지혈부재(100)의 크기(지름)를 더 크게 하기 위해 필요에 따라 상기 롤링부재(140)를 복수개 겹쳐서 상기 지혈부재(100)의 두께를 조절할 수 있으며, 이때 상기 복수개의 롤링부재(140)를 감는 방향으로 단차를 두어 겹치게 하여 상기 지혈부재(100)의 크기 및 드레싱재의 밀도를 조절할 수 있다.In addition, as shown in Figure 3 (b), the thickness of the hemostatic member 100 by overlapping a plurality of the rolling member 140 as necessary to increase the size (diameter) of the hemostatic member 100, as necessary. At this time, it is possible to adjust the size of the hemostatic member 100 and the density of the dressing material by overlapping the steps in the direction in which the plurality of rolling members 140 are wound.
또한, 상기 꽃심부는(110), 하측부의 형상이 하측으로 갈수록 수평단면적이 좁아지는 형태로 구현되게 할 수 있으며, 이는 상기 롤링부재(140)를 복수개 겹칠때 상기 롤링부재(140)의 하측단을 단차를 두어 겹치는 방식으로 구현하거나, 하측단의 높이를 달리하여 형성할 수 있다.In addition, the flower core portion 110, the shape of the lower portion toward the lower side can be implemented in a form in which the horizontal cross-sectional area is narrowed, which is the lower end of the rolling member 140 when overlapping a plurality of the rolling member 140 It may be implemented by overlapping a step, or may be formed by varying the height of the lower end.
이는 상기 꽃심부(110)의 하측부가 하측으로 갈수록 좁아지는 형태적 특성으로 인해, 자궁 경부의 지혈 관리 후 제거 시 질 내부 압박에 의한 마찰을 최소화할 수 있어 지혈부재의 제거가 용이하도록 한 것이다.This is because the lower portion of the flower core 110 becomes narrower toward the lower side, and it is possible to minimize friction due to internal vaginal compression when removing it after hemostatic management of the cervix, thereby facilitating removal of the hemostatic member.
본 발명의 또 다른 실시예로 자궁 경부용 지혈부재 키트를 제공하는 것으로, 지혈작용을 하는 드레싱재로 형성되며, 꽃 형상으로 구현되고, 복수개의 꽃잎부(120)로 이루어지며, 환부에 적용시 복수개의 상기 꽃잎부(120)가 선택적으로 봉오리 형태로 오므라지거나, 펼쳐지도록 형성되고, 상기 꽃심부(120)의 하단부에는 쓰레드(130)가 형성된 지혈부재(100)와, 상기 지혈부재(100)를 내부에 수용하여 지혈부위에 상기 지혈부재를 제공하는 어플리케이터(200)로 이루어진 것을 특징으로 한다.In another embodiment of the present invention to provide a hemostatic member kit for the cervix, it is formed of a dressing material that acts to hemostatic, is implemented in a flower shape, consists of a plurality of petals 120, and is applied to the affected area. A plurality of the petal portion 120 is selectively formed in the shape of a bud to be stretched or unfolded, and the hemostatic member 100 and the hemostatic member 100 in which the thread 130 is formed at the lower end of the flower core 120. It characterized in that it consists of an applicator 200 to accommodate the inside to provide the hemostatic member to the hemostatic site.
본 발명의 다른 실시예에 따른 지혈부재(100)는 상술한 바에 의해 설명되거나 도 1 내지 도 3에 의해 도시한 꽃 모양의 지혈부재(100)와 동일하며, 상기 어플리케이터(200)는 이러한 지혈부재(100)를 내부에 수용하여 지혈부위에 상기 지혈부재(100)를 제공하는 역할을 하는 것이다.The hemostatic member 100 according to another embodiment of the present invention is the same as the flower-shaped hemostatic member 100 described by FIGS. 1 to 3 or described by the above, and the applicator 200 is such a hemostatic member It serves to provide the hemostatic member 100 to the hemostatic site by accommodating (100) therein.
상기 어플리케이터(200)는 자궁 경부 적응증에 유리하도록 길이 방향으로 길게 형성되며, 자궁 경부 삽입시 자극이 최소화되도록 전체적으로 곡면 형상 즉, 원통 형상으로 형성되며, 전단부도 반구형으로 형성되어 환부에의 부드러운 삽입이 가능하도록 한다.The applicator 200 is elongated in the longitudinal direction to favor cervical indications, and is formed in a curved shape, that is, a cylindrical shape as a whole, so that stimulation is minimized when the cervix is inserted, and the front end is also formed in a hemispherical shape to allow smooth insertion into the affected area. Make it possible.
즉, 상기 어플리케이터(200) 내부에 지혈부재(100)가 수용된 상태에서 어플리케이터(200)를 자궁 경부로 삽입하고, 지혈부재(100)를 밀어내어 지혈부위에 지혈부재(100)가 제공되도록 하는 것으로, 상기 어플리케이터(200)는 상기 지혈부재(100)를 지혈부위에 용이하고 정확하게 제공되도록 보조하는 역할을 하는 것이다.That is, by inserting the applicator 200 into the cervix while the hemostatic member 100 is accommodated inside the applicator 200, the hemostatic member 100 is pushed out so that the hemostatic member 100 is provided on the hemostatic site. , The applicator 200 serves to assist the hemostatic member 100 to be easily and accurately provided to the hemostatic site.
상기 어플리케이터(200)는 폴리올레핀 계열의 소재(LDPE, LLDPE, HDPE)로 이루어지며, 이는 상기 지혈부재(100)가 어플리케이터(200) 외측으로 원활하게 제공되기 위한 물성을 만족하는 것으로서, 상기 어플리케이터(200)가 체내로 삽입 시 주변 조직에 손상을 주는 것을 방지하고, 생물학적으로 안정성이 확보된 소재이다.The applicator 200 is made of a polyolefin-based material (LDPE, LLDPE, HDPE), which satisfies the physical properties for the hemostatic member 100 to be smoothly provided outside the applicator 200, the applicator 200 ) Prevents damage to surrounding tissues when inserted into the body, and is a material that secures biological stability.
도 4 내지 도 8에 도시한 바와 같이, 상기 어플리케이터(200)는 전단부에 상기 지혈부재(100)가 수용되는 공간부(211)가 형성된 바디(210)와, 상기 바디(210) 내부에 수용되어 상기 지혈부재(100)를 상기 바디(210) 외측으로 밀어내어 상기 지혈부재(100)를 꽃 형상으로 확장시키고 상기 지혈부재(100)를 지혈부위에 제공하는 핸들(220)을 포함한다.4 to 8, the applicator 200 includes a body 210 having a space portion 211 in which the hemostatic member 100 is accommodated in a front end portion, and is accommodated inside the body 210. It includes a handle 220 that pushes the hemostatic member 100 out of the body 210 to expand the hemostatic member 100 into a flower shape and provides the hemostatic member 100 to a hemostatic site.
즉, 상기 바디(210)의 공간부(211)에 본 발명에 따른 지혈부재(100)를 수용하고, 이때는 상기 지혈부재(100)는 봉오리 상태로 오므라져 있다. 그 후 상기 바디(210) 내부에 수용된 핸들(220)을 이용하여 상기 지혈부재(100)를 바디(210) 외측으로 밀어내면 상기 지혈부재(100)는 바디(210) 외측으로 나오면서 서서히 꽃잎부(120)가 모두 펼쳐지면서 꽃 형상으로 확장되어 꽃 모양의 지혈부재(100)를 제공하게 되는 것이다.That is, the hemostatic member 100 according to the present invention is accommodated in the space 211 of the body 210, and in this case, the hemostatic member 100 is closed in a bud state. Then, when the hemostatic member 100 is pushed out of the body 210 by using the handle 220 accommodated in the body 210, the hemostatic member 100 gradually comes out of the body 210 and gradually becomes a petal part ( 120) is expanded to the shape of a flower as it is all unfolded to provide a flower-shaped hemostatic member 100.
또한, 상기 바디(210)는 상기 지혈부재(100)가 수용되도록 형성된 공간부(211)와, 상기 공간부(211)보다 상대적으로 좁은 단면적을 이루며 상기 공간부(211)에 연통되어 길이 방향으로 길게 형성된 핸들수용부(212)를 포함하여 이루어진다.In addition, the body 210 has a space portion 211 formed to accommodate the hemostatic member 100 and a relatively narrow cross-sectional area than the space portion 211 and communicates with the space portion 211 in the longitudinal direction. It comprises a long formed handle receiving portion 212.
여기에서, 상기 공간부(211)의 전단부는 곡면 형상으로 형성되며, 상기 지혈부재(100)가 상기 바디(210) 외측으로 제공될 때 상기 지혈부재(100)의 미는 힘에 의해 탄성 개방되도록 개폐부(211a)가 형성된 것을 특징으로 한다.Here, the front end portion of the space portion 211 is formed in a curved shape, and when the hemostatic member 100 is provided outside the body 210, the opening and closing portion is elastically opened by the pushing force of the hemostatic member 100 Characterized in that (211a) is formed.
상기 개폐부(211a)는 신체 내에 어플리케이터(200)의 삽입시에는 오므라져 형성되어, 상기 바디(210)의 공간부(211) 전단부는 곡면 형상을 이루어 신체 내 삽입이 용이하도록 하고, 신체 내 주변 조직에 자극을 주지 않도록 형성된다. 그리고 환부에 삽입 후에는 상기 지혈부재(100)가 외측으로 빠져 나오면서 미는 힘에 의해 상기 개폐부(211a)가 갈라지면서 개방되어 상기 꽃잎부(120)가 확장되어 꽃 모양의 지혈부재(100)가 구현되게 된다.The opening and closing portion 211a is formed when the applicator 200 is inserted into the body, so that the front end portion of the space portion 211 of the body 210 is curved to facilitate insertion into the body, and surrounding tissue in the body. It is formed so as not to irritate. And after insertion into the affected part, the hemostatic member 100 is pulled outward, and the opening / closing part 211a is split and opened by the pushing force, so that the petal part 120 is expanded to realize a flower-shaped hemostatic member 100. Will be.
또한, 상기 바디(210)의 외표면에는 마킹부(213)가 형성되어, 상기 바디(210)의 체내 삽입 깊이를 식별할 수 있도록 하고, 상기 바디(210)의 일측 외표면에는 엠보 형상의 그립부(214)가 형성되어, 체내로 삽입하거나 제거시 편리하도록 한다.In addition, a marking portion 213 is formed on the outer surface of the body 210 so that the insertion depth of the body 210 can be identified, and an embossed grip portion is formed on one outer surface of the body 210. 214 is formed, which is convenient for insertion or removal into the body.
또한, 도 5 및 도 6에 도시한 바와 같이, 상기 핸들수용부(212) 내표면에는 걸림부(212a)가 형성되어 상기 핸들(220)이 상기 바디(210) 전방측으로 무단이탈하지 않도록 한다. 즉, 상기 핸들(220)을 이용하여 지혈부재(100)를 바디(210) 외측으로 밀어낼 때 상기 핸들(220)이 움직이는 방향으로 상기 핸들수용부(212) 내부를 통과하여 바디(210) 전방측으로 이탈하는 것을 방지하기 위한 것이다.In addition, as illustrated in FIGS. 5 and 6, a locking portion 212a is formed on the inner surface of the handle receiving portion 212 so that the handle 220 does not stray from the front side of the body 210. That is, when the hemostatic member 100 is pushed out of the body 210 using the handle 220, the body 220 passes through the inside of the handle receiving portion 212 in a direction in which the handle 220 moves. This is to prevent the side from escaping.
여기에서, 상기 핸들(220)은 상기 핸들수용부(212)에 수용되어 상기 핸들수용부(212) 내외에서 전후 방향으로 이동가능하도록 형성된 몸체부(221)와, 상기 몸체부(221)의 전단부에 형성되고, 상기 공간부(211)에 수용되어 상기 공간부(211) 내에서 전후 방향으로 이동가능하도록 형성되며, 상기 공간부(211)의 후단부에 걸리도록 형성된 제1확장부(222)와, 상기 몸체부(221)의 후단부에 형성되고, 상기 핸들수용부(212) 외부에서 전후 방향으로 이동가능하도록 형성되며, 상기 핸들수용부(212)의 후단부에 걸리도록 형성된 제2확장부(223)를 포함하여 이루어진다.Here, the handle 220 is accommodated in the handle receiving portion 212, the body portion 221 is formed to be movable in the front-rear direction in and out of the handle receiving portion 212, and the front end of the body portion 221 A first extension portion 222 formed in a portion, accommodated in the space portion 211, formed to be movable in the front-rear direction within the space portion 211, and engaged with a rear end portion of the space portion 211 ), Is formed on the rear end of the body portion 221, is formed so as to be movable in the front-rear direction from the outside of the handle receiving portion 212, the second formed to catch the rear end of the handle receiving portion 212 It comprises an extension 223.
즉, 기본적으로 상기 핸들(220)은 상기 바디(210)의 공간부(211) 및 핸들수용부(212) 내부에서 전후 방향으로 이동가능하도록 형성되되, 상기 제1확장부(222)에 의해 상기 공간부(211)의 후단부에 걸려 상기 핸들(220)은 바디(210)의 후방으로 이탈되지 않게 되고, 상기 제2확장부(223)에 의해 상기 핸들(220)은 바디(210)의 전방으로 이탈하지 않게 되어, 상기 핸들(220)은 전후 방향으로 바디(210) 내부에서 자유롭게 움직일 수는 있으나 바디(210) 외부로 이탈은 되지 않게 형성된 것이다.That is, the handle 220 is basically formed to be movable in the front-rear direction inside the space portion 211 and the handle receiving portion 212 of the body 210, by the first extension portion 222 Hanging on the rear end of the space portion 211, the handle 220 is not separated from the rear of the body 210, the handle 220 by the second extension 223, the front of the body 210 As it does not deviate, the handle 220 is free to move inside the body 210 in the front-rear direction, but is formed so as not to escape outside the body 210.
이때 상기 걸림부(212a)는 상기 핸들(220)이 상기 바디(210) 전방측으로 무단이탈하지 않도록 보조하는 역할을 하게 된다.At this time, the locking portion 212a serves to assist the handle 220 so that the body 210 does not stray out to the front side.
도 7은 어플리케이터(200) 내부에 수용된 지혈부재(100)가 후방의 핸들(220)에 의해 전방으로 밀려지면서 상기 개폐부(211a)를 개방시키고, 개방된 개폐부(211a)를 통해 바디(210) 외측으로 지혈부재(100)가 제공된 상태를 도시한 것이다.7 is the hemostatic member 100 accommodated inside the applicator 200 is pushed forward by the handle 220 of the rear to open the opening and closing portion 211a, and the body 210 outside through the opening and closing portion 211a The hemostatic member 100 is shown a state provided.
도 8(a)는 상기 바디(210)의 공간부(211)에 본 발명에 따른 지혈부재(100)가 수용되고, 상기 지혈부재(100) 후방으로는 상기 핸들(220)이 바디(210)에 수용되어 상기 핸들(220)의 제1확장부(222)와 상기 지혈부재(100)의 후측부가 접하고 있는 상태를 도시한 것이다. 이때 상기 개폐부(211a)는 오므라져 있는 상태를 유지하고 있으며, 상기 바디(210)의 전단부 즉 상기 공간부(211)의 전단부는 곡면을 이룬 상태를 유지하고 있다.8 (a) is a hemostatic member 100 according to the present invention is accommodated in the space 211 of the body 210, and the handle 220 is a body 210 behind the hemostatic member 100. It is accommodated in the first extension portion 222 of the handle 220 and the rear side of the hemostatic member 100 shows a state in contact. At this time, the opening / closing portion 211a maintains a closed state, and the front end portion of the body 210, that is, the front end portion of the space portion 211, maintains a curved surface.
도 8(b),(c)는 상기 핸들(220)을 전방으로 밀게 되면 상기 공간부(211)에 수용되어 있는 지혈부재(100)가 바디(210)의 외측으로 나오게 되는데, 상기 지혈부재(100)가 미는 힘에 의해 상기 공간부(211)의 개폐부(211a)는 탄성 개방되면서 상기 지혈부재(100)가 상기 바디(210) 외측으로 제공되도록 한다.8 (b) and (c), when the handle 220 is pushed forward, the hemostatic member 100 accommodated in the space 211 comes out of the body 210, and the hemostatic member ( 100) the opening and closing portion 211a of the space portion 211 is elastically opened by the pushing force so that the hemostatic member 100 is provided outside the body 210.
도 8(d)는 상기 핸들(220)을 전방으로 더 밀게 되면 상기 공간부(211)에 수용되어 있던 지혈부재(100)가 바디(210)의 외측으로 완전히 나오게 되며, 이때 상기 꽃잎부(120)가 완전히 펼쳐지면서 상기 지혈부재(100)는 꽃 모양으로 확장되어 지혈부위에 제공되게 된다.8 (d), when the handle 220 is further pushed forward, the hemostatic member 100 accommodated in the space 211 completely comes out of the body 210, and at this time, the petal 120 ) As the fully unfolded, the hemostatic member 100 is expanded into a flower shape to be provided on the hemostatic site.
그 후 상기 핸들(220) 및 바디(210)를 후방으로 당겨 신체 내에서 제거하여, 상기 지혈부재(100)만 지혈부위에 제공되어 남아있게 된다.Thereafter, the handle 220 and the body 210 are pulled backwards and removed from the body, so that only the hemostatic member 100 is provided and remains on the hemostatic site.
도 9는 본 발명의 일실시예에 따른 자궁 경부용 지혈부재 키트에 대한 사용 상태도를 나타낸 것으로, 환부에 지혈부재(100)가 수용된 어플리케이터(200)를 삽입하고(도 9(a)), 상기 핸들(220)을 이용하여 상기 지혈부재(100)를 밀어내어 상기 지혈부재(100)가 상기 바디(210) 외측으로 빠져나오도록 한 후(도 9(b), (c)), 상기 지혈부재(100)가 지혈부위에 제공이 완료되면, 상기 핸들(220)과 바디(210)를 당겨 신체 외부로 빼내어(도 9(d)), 지혈부위에는 지혈부재(100)만 남도록 한다(도 9(e). 이때 상기 지혈부재(100)의 쓰레드(130)는 지혈이 완료되게 되면 환자 또는 의사에 의해 잡아당겨져 상기 지혈부재(100)를 편리하게 제거하는데 사용된다.Figure 9 shows the state of use for the cervical hemostatic member kit according to an embodiment of the present invention, inserting the applicator 200 containing the hemostatic member 100 in the affected area (Fig. 9 (a)), the After the hemostatic member 100 is pushed out using the handle 220 so that the hemostatic member 100 comes out of the body 210 (FIG. 9 (b), (c)), the hemostatic member When the 100 is provided to the hemostatic site, the handle 220 and the body 210 are pulled out of the body (FIG. 9 (d)), so that only the hemostatic member 100 remains at the hemostatic site (FIG. 9). (e) At this time, the thread 130 of the hemostatic member 100 is pulled by a patient or a doctor when hemostasis is completed, and is used to conveniently remove the hemostatic member 100.
도 10은 본 발명의 일실시예에 따른 자궁 경부용 지혈부재(100)의 각 적응증에 대한 모식도를 나타낸 것이다.10 is a schematic diagram for each indication of the hemostatic member 100 for cervix according to an embodiment of the present invention.
상술한 바와 같이, 상기 지혈부재(100)의 꽃심부(110)는 드레싱재의 밀도가 높고 지름 20mm 정도로 자궁 경부 수술인 원추절제술의 지혈관리에 유리하고, 상기 지혈부재(100)의 꽃잎부(120)는 면적이 넓고, 자궁 경부를 커버할 수 있는 정도의 크기로 자궁 조직 채취 후 지혈관리에 유리하게 적용할 수 있다.As described above, the flower core portion 110 of the hemostatic member 100 is high in density of the dressing material and is advantageous for the hemostasis management of conical resection, which is a cervical surgery, about 20 mm in diameter, and the petal portion 120 of the hemostatic member 100 ) Has a large area and is large enough to cover the cervix and can be advantageously applied to hemostasis management after uterine tissue collection.

Claims (24)

  1. 지혈작용을 하는 드레싱재로 형성되며, 꽃 형상으로 구현되고,It is formed of a dressing material that has a hemostatic effect, and is embodied in a flower shape.
    복수개의 꽃잎부로 이루어지며,It consists of a plurality of petals,
    환부에 적용시 복수개의 상기 꽃잎부가 선택적으로 봉오리 형태로 오므라지거나, 펼쳐지도록 형성되는 것을 특징으로 하는 자궁 경부용 지혈부재.A hemostatic member for the cervix, characterized in that, when applied to the affected area, a plurality of the petals are selectively formed into a bud shape or expanded.
  2. 제 1항에 있어서, 상기 자궁 경부용 지혈부재는,According to claim 1, wherein the cervical hemostatic member,
    환부의 형태에 따라 상기 꽃잎부의 일부 개체만 펼쳐지거나,Depending on the shape of the affected part, only some individuals of the petal part are unfolded,
    또는 환부의 형태에 따라 상기 꽃잎부 전체가 펼쳐지는 것을 특징으로 하는 자궁 경부용 지혈부재.Or the hemostatic member for the cervix, characterized in that the entire petal portion unfolds according to the shape of the affected part.
  3. 제 1항에 있어서, 상기 자궁 경부용 지혈부재는,According to claim 1, wherein the cervical hemostatic member,
    중심부에 형성된 꽃심부;Flower core formed in the center;
    상기 꽃심부 주변부에 형성된 복수개의 꽃잎부;를 포함하여 형성된 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that formed including; a plurality of petals formed in the periphery of the flower core.
  4. 제 3항에 있어서, 상기 꽃잎부는,The method of claim 3, wherein the petal portion,
    상기 꽃심부에 비해 상대적으로 낮은 드레싱재 밀도를 갖는 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that it has a relatively low dressing density compared to the flower core.
  5. 제 3항에 있어서, 상기 꽃심부는,The method of claim 3, wherein the flower core,
    상기 꽃잎부에 비해 상대적으로 높이가 높은 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that the height is relatively high compared to the petal portion.
  6. 제 3항에 있어서, 상기 꽃심부의 하단부에는 쓰레드(thread)가 형성된 것을 특징으로 하는 자궁 경부용 지혈부재.The hemostatic member for cervix according to claim 3, wherein a thread is formed at a lower end of the flower core.
  7. 제 3항에 있어서, 상기 쓰레드는,The method of claim 3, wherein the thread,
    엑스레이(X-ray) 감응물질이 더 포함된 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that the x-ray (X-ray) sensitive material is further included.
  8. 제 1항에 있어서, 상기 드레싱재는,According to claim 1, The dressing material,
    키토산, 셀룰로오스(면, 견 또는 마), 재생셀룰로오스(레이온 또는 인견), 알지네이트 및 카제인 중 어느 하나,Chitosan, cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), alginate and casein,
    또는 셀룰로오스(면, 견 또는 마), 재생셀룰로오스(레이온 또는 인견), 알지네이트 및 카제인 중 어느 하나에 키토산을 혼합하여 사용하는 것을 특징으로 하는 자궁 경부용 지혈부재. Or a hemostatic member for the cervix, characterized in that a mixture of chitosan is used in any one of cellulose (cotton, silk or hemp), regenerated cellulose (rayon or silk), alginate and casein.
  9. 제 8항에 있어서, 상기 드레싱재는,The method of claim 8, wherein the dressing material,
    지혈재가 혼합되어 부직포 형태로 제공되거나,Hemostatic material is mixed and provided in the form of non-woven fabric,
    표면에 지혈재로 이루어진 코팅층을 단일층 또는 복수층으로 형성하여 부직포 형태로 제공되는 것을 특징으로 하는 자궁 경부용 지혈부재.A hemostatic member for the cervix, characterized in that a coating layer made of a hemostatic material is formed in a single layer or multiple layers on the surface and provided in the form of a nonwoven fabric.
  10. 제 9항에 있어서, 상기 지혈재는,The method of claim 9, wherein the hemostatic material,
    카복시메틸키토산(Carboxymethyl chitosan, CMCS), 카복시 메틸셀룰로오스(Carboxymethylcellulose, CMC), 키토산 숙시네이트(Chitosan Succinate), 소듐 알지네이트(Sodium Alginate), 히알루론산(Hyaluronic Acid), 콜라젠(Collagen), 젤라틴(Gelatin), 콘도로이친 설페이트(Chondroitin Sulfate), 폴리감마글루탐산 (poly-γ-glutamic acid), 풀루란(pullulan), 카올린(kaolin), 제올라이트(Zeolite), 콘드로이친 설페이트(Chondroitin Sulfate), 칼슘 클로라이드(Calcium Chloride), 칼슘 클로라이드 트롬빈(Calcium Chloride Thrombin), 피브리노겐(Fibrinogen), 카테콜(Catechol), 폴리우레탄 폼(polyurethane foam) 중 어느 하나 또는 둘 이상이 혼합된 것을 특징으로 하는 자궁 경부용 지혈부재.Carboxymethyl chitosan (CMCS), Carboxymethylcellulose (CMC), Chitosan Succinate, Sodium Alginate, Hyaluronic Acid, Collagen, Gelatin , Chondroitin Sulfate, Poly-γ-glutamic acid, Pullulan, Kaolin, Zeolite, Chondroitin Sulfate, Calcium Chloride ), Calcium chloride thrombin (Calcium Chloride Thrombin), fibrinogen (Fibrinogen), catechol (Catechol), polyurethane foam (polyurethane foam) any one or two or more of the hemostatic member for cervix characterized in that a mixture.
  11. 제 1항에 있어서, 상기 지혈부재는,According to claim 1, The hemostatic member,
    내부에 엑스레이(X-ray) 감응물질이 더 포함된 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that the x-ray (X-ray) sensitizer is further included.
  12. 제 1항에 있어서, 상기 꽃심부의 지름은 15~25mm로 형성되며,According to claim 1, The diameter of the flower core is formed to 15 ~ 25mm,
    상기 꽃잎부를 이루는 상기 지혈부재의 지름은 30~60mm로 형성된 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that the diameter of the hemostatic member forming the petal portion is formed of 30 ~ 60mm.
  13. 제 1항에 있어서, 상기 지혈부재는,According to claim 1, The hemostatic member,
    길이 방향으로 길게 형성되고, 일측이 상기 꽃잎부의 꽃잎의 갯수만큼 절단된 컷팅부가 형성된 롤링부재를 일 방향으로 감아서 구현되는 것을 특징으로 하는 자궁 경부용 지혈부재.The hemostatic member for the cervix, which is formed by winding a rolling member formed in a lengthwise direction in one direction and having a cutting portion cut on one side cut by the number of petals of the petal portion in one direction.
  14. 제 13항에 있어서, 상기 컷팅부는 감는 방향으로 갈수록 높이가 더 크고 너비가 더 넓도록 형성되어, 외곽에 있는 꽃잎부일수록 그 크기가 상대적으로 더 크고, 각 꽃잎부 사이의 간격이 더 벌어지도록 구현되는 것을 특징으로 하는 자궁 경부용 지혈부재.The method according to claim 13, wherein the cutting portion is formed to have a higher height and a wider width as it goes in a winding direction, so that the size of the petal portion on the outer side is relatively larger, and the gap between each petal portion is widened. Hemostatic member for the cervix, characterized in that.
  15. 제 13항에 있어서, 상기 롤링부재는 복수개 겹쳐 상기 지혈부재의 크기(지름)를 조절하거나,The method of claim 13, wherein the rolling member overlaps a plurality to adjust the size (diameter) of the hemostatic member,
    상기 복수개의 롤링부재를 감는 방향으로 단차를 두어 겹치게 하여 상기 지혈부재의 크기(지름) 및 밀도를 조절하는 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that to control the size (diameter) and density of the hemostatic member by placing the steps in the direction in which the plurality of rolling members are wound to overlap.
  16. 제 3항에 있어서, 상기 꽃심부는,The method of claim 3, wherein the flower core,
    하측부의 형상이 하측으로 갈수록 수평단면적이 좁아지는 형태로 구현된 것을 특징으로 하는 자궁 경부용 지혈부재.Hemostatic member for the cervix, characterized in that the shape of the lower portion is implemented in a form in which the horizontal cross-section is narrowed toward the lower side.
  17. 지혈작용을 하는 드레싱재로 형성되며, 꽃 형상으로 구현되고,It is formed of a dressing material that has a hemostatic effect, and is embodied in a flower shape.
    복수개의 꽃잎부로 이루어지며, 환부에 적용시 복수개의 상기 꽃잎부가 선택적으로 봉오리 형태로 오므라지거나, 펼쳐지도록 형성되고, 상기 꽃심부의 하단부에는 쓰레드가 형성된 지혈부재;A hemostatic member formed of a plurality of petal parts, and when applied to the affected area, a plurality of the petal parts are selectively formed to be expanded or unfolded into a bud shape, and a thread is formed at a lower end of the flower core;
    상기 지혈부재를 내부에 수용하여 지혈부위에 상기 지혈부재를 제공하는 어플리케이터;로 이루어진 자궁 경부용 지혈부재 키트.A hemostatic member kit for the cervix comprising; an applicator for receiving the hemostatic member therein and providing the hemostatic member to the hemostatic site.
  18. 제 17항에 있어서, 상기 어플리케이터는,The method of claim 17, wherein the applicator,
    전단부에 상기 지혈부재가 수용되는 공간부가 형성된 바디;A body in which a space portion in which the hemostatic member is accommodated is formed in a front end portion;
    상기 바디 내부에 수용되어 상기 지혈부재를 상기 바디 외측으로 밀어내어 상기 지혈부재를 꽃 형상으로 확장시키고 상기 지혈부재를 지혈부위에 제공하는 핸들;을 포함하는 것을 특징으로 하는 자궁 경부용 지혈부재 키트.And a handle provided inside the body to push the hemostatic member out of the body to expand the hemostatic member into a flower shape and to provide the hemostatic member to the hemostatic site.
  19. 제 18항에 있어서, 상기 바디는,The method of claim 18, wherein the body,
    상기 지혈부재가 수용되도록 형성된 공간부;A space portion formed to accommodate the haemostatic member;
    상기 공간부보다 상대적으로 좁은 단면적을 이루며 상기 공간부에 연통되어 길이 방향으로 길게 형성된 핸들수용부;를 포함하여 이루어진 것을 특징으로 하는 자궁 경부용 지혈부재 키트.A hemostatic member kit for the cervix, comprising a handle receiving part formed in a lengthwise direction in communication with the space part and forming a relatively narrow cross-sectional area than the space part.
  20. 제 19항에 있어서, 상기 공간부의 전단부는,The front end portion of the space portion,
    곡면 형상으로 형성되며, 상기 지혈부재가 상기 바디 외측으로 제공될 때 상기 지혈부재의 미는 힘에 의해 탄성 개방되도록 개폐부가 형성된 것을 특징으로 하는 자궁 경부용 지혈부재 키트.The hemostatic member kit for the cervix, which is formed in a curved shape and is opened and closed to be elastically opened by the pushing force of the hemostatic member when the hemostatic member is provided outside the body.
  21. 제 19항에 있어서, 상기 핸들수용부 내표면에는,The method of claim 19, wherein the inner surface of the handle receiving portion,
    걸림부가 형성되어 상기 핸들이 상기 바디 전방측으로 무단이탈하지 않도록 하는 것을 특징으로 하는 자궁 경부용 지혈부재 키트.Hemostatic member kit for the cervix, characterized in that the locking portion is formed so that the handle does not stray to the front side of the body.
  22. 제 19항에 있어서, 상기 핸들은,The method of claim 19, wherein the handle,
    상기 핸들수용부에 수용되어 상기 핸들수용부 내외에서 전후 방향으로 이동가능하도록 형성된 몸체부;A body portion accommodated in the handle accommodation portion and formed to be movable in the front-rear direction from inside and outside the handle accommodation portion;
    상기 몸체부의 전단부에 형성되고, 상기 공간부에 수용되어 상기 공간부 내에서 전후 방향으로 이동가능하도록 형성되며, 상기 공간부의 후단부에 걸리도록 형성된 제1확장부;A first extension portion formed in the front end portion of the body portion, accommodated in the space portion, and formed to be movable in the front-rear direction within the space portion, and engaged with the rear end portion of the space portion;
    상기 몸체부의 후단부에 형성되고, 상기 핸들수용부 외부에서 전후 방향으로 이동가능하도록 형성되며, 상기 핸들수용부의 후단부에 걸리도록 형성된 제2확장부;를 포함하여 이루어진 것을 특징으로 하는 자궁 경부용 지혈부재 키트.It is formed on the rear end of the body portion, and is formed to be movable in the front-rear direction from the outside of the handle receiving portion, the second extension portion formed to catch the rear end of the handle receiving portion; Hemostatic kit.
  23. 제 18항에 있어서, 상기 바디의 외표면에는,The method of claim 18, wherein the outer surface of the body,
    마킹부가 형성되어, 상기 바디의 체내 삽입 깊이를 식별하도록 형성된 것을 특징으로 하는 자궁 경부용 지혈부재 키트.A hemostatic member kit for the cervix, characterized in that a marking portion is formed and formed to identify the insertion depth of the body.
  24. 제 18항에 있어서, 상기 바디의 일측 외표면에는,The method of claim 18, wherein the outer surface of one side of the body,
    그립부가 형성된 것을 특징으로 하는 자궁 경부용 지혈부재 키트.Hemostatic member kit for the cervix, characterized in that the grip portion is formed.
PCT/KR2019/004858 2018-09-27 2019-04-23 Hemostatic member for cervix, and hemostatic member kit for cervix WO2020067619A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP19867941.7A EP3858311A4 (en) 2018-09-27 2019-04-23 Hemostatic member for cervix, and hemostatic member kit for cervix
CN201980010380.8A CN111655209A (en) 2018-09-27 2019-04-23 Hemostatic member for cervix and hemostatic member kit for cervix
JP2021517430A JP2022503854A (en) 2018-09-27 2019-04-23 Cervical hemostatic member and cervical hemostatic member kit
US16/963,469 US20200360055A1 (en) 2018-09-27 2019-04-23 Hemostatic member for cervix, and hemostatic member kit for cervix

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
KR10-2018-0115334 2018-09-27
KR20180115334 2018-09-27
KR10-2019-0003988 2019-01-11
KR1020190003988A KR102248697B1 (en) 2018-09-27 2019-01-11 hemostatic for uterine cervical and hemostatic for uterine cervical kit

Publications (1)

Publication Number Publication Date
WO2020067619A1 true WO2020067619A1 (en) 2020-04-02

Family

ID=69952995

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2019/004858 WO2020067619A1 (en) 2018-09-27 2019-04-23 Hemostatic member for cervix, and hemostatic member kit for cervix

Country Status (2)

Country Link
JP (1) JP2022503854A (en)
WO (1) WO2020067619A1 (en)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080195121A1 (en) * 2007-02-14 2008-08-14 Samuel Eldar Mesh deployment apparatus
KR20100101550A (en) * 2009-08-24 2010-09-17 김한식 Health hygienic liner for inserting vagina
KR20130105942A (en) * 2005-12-30 2013-09-26 킴벌리-클라크 월드와이드, 인크. Absorbent tampon for feminine hygiene
KR101517112B1 (en) * 2014-02-03 2015-05-04 순천향대학교 산학협력단 Jam-pack Insert vagina for Hemorrhage and Oozing Packing Pouch
KR101700107B1 (en) 2016-03-15 2017-01-26 주식회사 엔도비전 Chitosan-based hemostatic dressing member and manufacturing method thereof
KR20170127526A (en) 2015-04-09 2017-11-21 주식회사 소니 인터랙티브 엔터테인먼트 Information processing device, relay device, information processing system, and software update method

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1871317A1 (en) * 2005-04-19 2008-01-02 The Procter and Gamble Company A tampon applicator having a force controller
US9393160B2 (en) * 2012-06-29 2016-07-19 Kimberly-Clark Worldwide, Inc. Tampon with contact elements
CN203556049U (en) * 2013-07-11 2014-04-23 广州晟和医疗科技有限公司 Novel vaginal suppository

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20130105942A (en) * 2005-12-30 2013-09-26 킴벌리-클라크 월드와이드, 인크. Absorbent tampon for feminine hygiene
US20080195121A1 (en) * 2007-02-14 2008-08-14 Samuel Eldar Mesh deployment apparatus
KR20100101550A (en) * 2009-08-24 2010-09-17 김한식 Health hygienic liner for inserting vagina
KR101517112B1 (en) * 2014-02-03 2015-05-04 순천향대학교 산학협력단 Jam-pack Insert vagina for Hemorrhage and Oozing Packing Pouch
KR20170127526A (en) 2015-04-09 2017-11-21 주식회사 소니 인터랙티브 엔터테인먼트 Information processing device, relay device, information processing system, and software update method
KR101700107B1 (en) 2016-03-15 2017-01-26 주식회사 엔도비전 Chitosan-based hemostatic dressing member and manufacturing method thereof

Also Published As

Publication number Publication date
JP2022503854A (en) 2022-01-12

Similar Documents

Publication Publication Date Title
US20140088529A1 (en) Minimally Invasive Endoscopic/Laparoscopic Highly Absorbent Surgical Devices, Methods and System
US7749173B2 (en) Apparatus for simultaneously collecting exocervical and endocervical samples
KR20200035808A (en) hemostatic for uterine cervical and hemostatic for uterine cervical kit
US20130338533A1 (en) Apparatus and method for obtaining transepithelial specimen
CN105246538A (en) Methods and devices for fallopian tube diagnostics
US9144420B2 (en) Endometrial sample collector
WO2011004975A2 (en) Absorbent article for medical treatment or menstruation
US20070282222A1 (en) Sexually transmitted infection sampling device
EP1148819B1 (en) Cervical cancer self-screening apparatus
CA3083884A1 (en) Self-sampling universal kit, methods and use
CA2435023A1 (en) Signal string tampon
WO2020067619A1 (en) Hemostatic member for cervix, and hemostatic member kit for cervix
WO2017188506A1 (en) Uterine cervix adhesion prevention device
CN105662492A (en) Fetching bag capable of being opened repeatedly without occupying pore canal
WO2019022462A2 (en) Tampon-type chitosan hemostatic material
WO2014163316A1 (en) Rope embedding tool
WO2016052780A1 (en) Cell collection pad for examining cervical diseases and collection kit comprising same
CN211325582U (en) Operation hole piece of cloth of changeable hole size
US5743893A (en) Device for collection of vaginal discharge
RU2592174C2 (en) Device for personal hygiene comprising moisture activated composition
CN207493052U (en) A kind of opening of the cervix cream drug delivery device
ITFI20070115A1 (en) NASAL BUFFER.
CN214761461U (en) Disposable cavity mirror apparatus receiver
RU2816019C1 (en) Method for laying neotympanic flap in myringoplasty
CN215191430U (en) Improved vaginal speculum

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 19867941

Country of ref document: EP

Kind code of ref document: A1

ENP Entry into the national phase

Ref document number: 2021517430

Country of ref document: JP

Kind code of ref document: A

NENP Non-entry into the national phase

Ref country code: DE

ENP Entry into the national phase

Ref document number: 2019867941

Country of ref document: EP

Effective date: 20210428