CN104619268A - Shaped surgical thread for intracorporal knotting and method of production - Google Patents

Shaped surgical thread for intracorporal knotting and method of production Download PDF

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Publication number
CN104619268A
CN104619268A CN201380048021.4A CN201380048021A CN104619268A CN 104619268 A CN104619268 A CN 104619268A CN 201380048021 A CN201380048021 A CN 201380048021A CN 104619268 A CN104619268 A CN 104619268A
Authority
CN
China
Prior art keywords
suture thread
operation suture
ring
knot
curve
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201380048021.4A
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Chinese (zh)
Inventor
约瑟夫·巴巴拉
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Individual
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Individual
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 SK5020-2012A external-priority patent/SK288339B6/en
Application filed by Individual filed Critical Individual
Publication of CN104619268A publication Critical patent/CN104619268A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • A61B2017/06171Sutures helically or spirally coiled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • A61B2017/0618Sutures elastic, e.g. stretchable

Abstract

Shaped surgical suture for intracorporeal knotting is shaped from an elastic surgical suture that is gelatine coated or thermally treated with shape memory to form two 3D open and unfastened loops (1) ended with C curve (2) whereas the first loop (1) is equipped with a surgical needle (3).

Description

For the molding surgical thread of tiing a knot in body and manufacture method
Technical field
The present invention relates to the molding operation suture thread and its manufacture method of tiing a knot in body in sewing up for laparoscopy and thoracoscopy.The invention belongs to field of surgical.
Background technology
The various operation oversewing materials that current existence is distinguished according to stitching thread nature: braided suture and monofilament linea suturalis, Absorbable rod and nonabsorable stitching thread, also can distinguish according to different thickness.The main not damaged suture material used is provided with pin in its one end at present.The feature of surgical sewing needle is their size, bending, needle body and needle point cross sectional shape.In our research about existing apparatus, we also do not find in order in endoscopic surgery, having of tying object improves the stitching thread of shape.Such as, we know the nylon rope sling binding used in endoscopic surgery, and the binding of nylon rope sling can strain pre-prepd ring, and the braiding that this and we propose and the knotting method main distinction do not weave step for it.Also the known apparatus used in endoscopic surgery for weaving, it uses and is provided with long sutural not damaged suture material, and (body cavity namely carrying out wherein performing the operation is outer) knotting in vitro.Also have developed the mechanical apparatus for endoscope sewing: " the titanium knotting device (Titanium knot device for minimallyinvasive surgery) for Minimally Invasive Surgery " of LSI Solition, " the automatic peritoneoscope knotting of Nobel and stitching devices (Nobel AutomaticLaparoscopic Knotting and Suturing device) ", publish in October, 2010 in " Delhi health care and hospital's news (Health Care & Hospitals news) ", Delhi, India, or " the endoscope's knotting apparatus (Laparoscopic Knot-TyingDevice for Minimally Invasive Cardiac Surgery) for Cardiac operation with mini-trauma " (European cardiothoracic surgery periodical (Eur J Cardiothorac Surg.)) and other many articles.Our design is different, because it does not presuppose use sewing machine, and uses common endoscope surgical equipment.Another aspect comprises mechanical apparatus---and peg tissue by using nail and to get together organizing and cutting closer under the scope of mechanically closing tissue.But they can not replace stitching with operation without traumatic material completely.
In endoscopic surgery sew up and first knot correct making with avoid any undesirable unclamp still challenging with need the plenty of time.We can think that noinvasive suture material is by the eternal position in open operation and Minimally Invasive Surgery with it.
Because these are true, make great efforts in by when performing the operation relevant position apply a device unclamping knot form for opening to make as operation supplementary means to tie a knot in body during peritoneoscope and thoracoscopic operation stitching more easy.
Described effort impels and obtains invention described below, the invention solves the molding operation suture thread for tiing a knot in body and its manufacture method.
Summary of the invention
Above-mentioned shortcoming is eliminated according to the molding operation suture thread for tiing a knot in body of the present invention and its manufacture method.Key point for the molding operation suture thread of tiing a knot in body is: stitching thread is molded into by elastic surgical stitching thread to be had shape memory and forms two the 3D opening trip rings terminated with " C " shape curve, and wherein first ring is provided with surgical sewing needle.Operation suture thread or heat treated on specific device, or be coated with glue, to obtain its shape memory.This innovative idea may be used for manufacturing pre-prepared binode, and wherein two 3D opening trip rings turn clockwise, and arranged in series." C " shape part tying up to the curve on ring is left-handed, and its underpart curve terminates before the center of first ring.This innovative idea also may be used for making another pre-prepared binode, and wherein two 3D opening trip rings are rotated counterclockwise, and are arranged in series." C " shape part tying up to the curve on ring is dextrorotation, and its upper curve terminates before the center of first ring.This innovative idea also may be used for making another pre-prepared Slipped Clove Hitch, and wherein two 3D opening trip rings are arranged in parallel, and first ring is turned left, and the second hoop is turned right, and is that the lower curve of " C " shape part of curve thereon terminates before the second ring center.
Manufacture method for the molding operation suture thread of tiing a knot in body is: the elasticity of operation suture thread and shape memory are the results of operation suture thread heat treatment or operation suture thread rubber cover.The operation suture thread be around on the 3D device of opening trip ring and " C " shape curve with binode or Slipped Clove Hitch is heat-treated, and is exposed to temperature up to 90 ° one minute at the most.When covering glue, operation suture thread is coated with liquid glue, then around on the 3D device of the opening trip ring He " C " shape curve with binode or Slipped Clove Hitch, until gelling is solid.
Advantage according to the molding stitching thread for tiing a knot in body of the present invention and its manufacture method is: stitching thread has the pre-prepared 3D shape with ring, and such operating theater instruments is easy to accurately pass.After catching the sutural accurate directed end portion with the apparatus passed, after the traction making sutural both ends separated from one another subsequently, one accurately knot manufactured go out and fix.Like this, people save and make the time required for tying with endoscopic instrument.The predefined shape of stitching thread does not allow to adopt wrong step, and such as, the direction of ring is other direction.In this way, people can constantly tie a knot, and make applied knot have greater security.
The method that can obtain sutural shape memory is proposed, namely, the heat treatment of material and stitching thread glue cover, and seem that the performance for material does not impact.Stitching thread becomes flexible with regard to its 3D shape, but its intensity and longitudinal stretching length remain unchanged.
Accompanying drawing explanation
Molding operation suture thread for tying in body of the present invention is explained in the accompanying drawings further, and wherein, Fig. 1 shows to be had the pre-prepared of left-handed " C " shape curve and unclamp binode (double knot).Fig. 2 shows to be had the pre-prepared of dextrorotation " C " shape curve and unclamps binode.Fig. 3 shows and pre-preparedly unclamps Slipped Clove Hitch (slip knot).
Detailed description of the invention
Independent embodiment of the present invention only for illustration of, should not be understood as the restriction to technical scheme.The expert being familiar with technology just just can obtain a lot of equivalents of the application-specific of technical scheme by the experiment of routine.These equivalents also fall in the protection domain of claims below.
The expert being familiar with technology does not have any problem about decision design, and therefore, these labellings are not by detailed explanation.
Embodiment 1
In this embodiment of the present invention's application, the binode of described for the molding operation suture thread of tiing a knot in body the is first version shown in Fig. 1.The elastic surgical stitching thread with shape memory is configured as two the 3D opening trip rings being formed and terminate with " C " shape curve 2.First ring 1 is provided with surgical sewing needle 3.The operation suture thread used is coated with glue, remembers shape to make it.In the binode that this is pre-prepared, there is the 3D opening trip ring 1 of two clockwise arranged in series, and " C " shape part of curve 2 is connected on 3D opening trip ring 1.This " C " shape part is left-handed, and its lower curve terminates before the center of first ring 1.
The operation suture thread being heat-treated the memory of materialize shape during the manufacture of 3D opening trip ring 1 and " C " shape curve 2 can be used as replacement scheme.
Embodiment 2
This of application-specific of the present invention described in the embodiments another form for the molding operation suture thread of tiing a knot in body with the binode shown in construction drawing 2.The elastic surgical stitching thread with shape memory is shaped to the 3D opening trip ring 1 that formation two terminates with " C " curve 2.First ring 1 is provided with surgical sewing needle 3.The operation suture thread used is coated with glue and remembers shape to make it.In the binode that this is pre-prepared, there is the 3D opening trip ring 1 be rotated counterclockwise of two arranged in series, and " C " shape part of curve 2 is connected on 3D opening trip ring 1; Be somebody's turn to do the dextrorotation of " C " shape part, and its upper curve terminates before the center of first ring 1.
During the manufacture of 3D opening trip ring 1 and " C " shape curve 2, be heat-treated to the operation suture thread with shape memory can be used as replacement scheme.
Embodiment 3
This of application-specific of the present invention described in the embodiments the third modification for the molding operation suture thread of tiing a knot in body in order to the Slipped Clove Hitch shown in construction drawing 3.The elastic surgical stitching thread with shape memory is shaped to the 3D opening trip ring that formation two terminates with " C " shape curve 2.First ring 1 is provided with surgical sewing needle 3.The operation suture thread used is coated with glue and remembers shape to make it.In the Slipped Clove Hitch that this is pre-prepared, have two 3D opening trip rings 1 be arranged in parallel, first ring 1 is to left-handed, and the second ring 1 is to dextrorotation, and " C " shape part of curve 2 connects 3D opening trip ring 1; The lower curve of being somebody's turn to do " C " shape part terminates before the center of first ring 1.
During the manufacture of 3D opening trip ring 1 and " C " shape curve 2, be heat-treated to the operation suture thread with shape memory can be used as replacement scheme.
Embodiment 4
This of application-specific of the present invention described in the embodiments the manufacture method for tiing a knot the molding operation suture thread carrying out sewing up in body.In the first case, the elasticity of operation suture thread and shape memory are to the heat treated result of operation suture thread.Operation suture thread is through heat treatment: operation suture thread around on the 3D device of the opening trip ring He " C " shape curve with binode or Slipped Clove Hitch, and to be exposed in the temperature up to 90 DEG C 1 minute at the most.
Embodiment 5
This of application-specific of the present invention described in the embodiments the manufacture method for tiing a knot the molding operation suture thread carrying out sewing up in body.In the second situation, the elasticity of operation suture thread and shape memory are results operation suture thread being covered to glue.Operation suture thread is coated with liquid glue, then around on the 3D device of the opening trip ring He " C " shape curve with binode or Slipped Clove Hitch, until gelling is solid.
Industrial applicibility
Minimally invasive endoscopic surgery is particularly useful for according to the molding operation suture thread for tiing a knot in body of the present invention and its manufacture method.

Claims (8)

1. the molding operation suture thread for tiing a knot in body, it is characterized in that: by the molding of elastic surgical stitching thread, there is shape memory and also form two 3D opening trip rings (1) of terminating with " C " shape curve (2), wherein first ring (1) is provided with surgical sewing needle (3).
2. the molding operation suture thread for tiing a knot in body according to claim 1, it is characterized in that: in binode form, two 3D opening trip rings (1) are rotate clockwise and arranged in series, wherein, " C " shape curve (2) is left-handed, and lower curve terminates before the center of first ring (1).
3. the molding operation suture thread for tiing a knot in body according to claim 1, it is characterized in that: in binode form, two 3D opening trip rings (1) are counterclockwise rotate and arranged in series, wherein, curve (2) dextrorotation of " C " shape, upper curve terminates before the center of first ring (1).
4. the molding operation suture thread for tiing a knot in body according to claim 1, it is characterized in that: in Slipped Clove Hitch form, two 3D opening trip rings (1) are arranged in parallel, wherein, first ring (1) is left-handed, second ring (1) dextrorotation, the lower curve of " C " shape curve (2) terminates before the center of first ring (1).
5. the molding operation suture thread for tiing a knot in body according to item at least one in claim 1-4, is characterized in that: described molding operation suture thread is cover glue.
6. the manufacture method of operation suture thread for tiing a knot in body, is characterized in that: the elasticity of operation suture thread and shape memory are the results that the heat treated result of operation suture thread or operation suture thread cover glue.
7. the manufacture method of the molding operation suture thread for tiing a knot in body according to claim 6, it is characterized in that: the elasticity of operation suture thread and shape memory are the heat treated results of operation suture thread, wherein operation suture thread to be exposed in the temperature up to 90 DEG C maximum 1 minute on the 3D device of the opening trip ring He " C " shape curve with binode or Slipped Clove Hitch.
8. the manufacture method of the molding operation suture thread for tiing a knot in body according to claim 6, it is characterized in that: the elasticity of operation suture thread and shape memory are the results that operation suture thread covers glue, wherein operation suture thread is coated with glue, then around on the 3D device of the opening trip ring He " C " shape curve with binode or Slipped Clove Hitch, until gelling is solid.
CN201380048021.4A 2012-09-17 2013-09-16 Shaped surgical thread for intracorporal knotting and method of production Pending CN104619268A (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
SK5020-2012A SK288339B6 (en) 2012-09-17 2012-09-17 Shaped surgical thread for intracorporal knotting and method of manufacture thereof
SK50762012 2012-09-17
SKPUV5076-2012 2012-09-17
SKPP5020-2012 2012-09-17
PCT/SK2013/000010 WO2014042600A2 (en) 2012-09-17 2013-09-16 Shaped surgical thread for intracorporal knotting and method of production

Publications (1)

Publication Number Publication Date
CN104619268A true CN104619268A (en) 2015-05-13

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CN201380048021.4A Pending CN104619268A (en) 2012-09-17 2013-09-16 Shaped surgical thread for intracorporal knotting and method of production

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EP (1) EP2895082A2 (en)
CN (1) CN104619268A (en)
HK (1) HK1210003A1 (en)
IN (1) IN2015KN00608A (en)
WO (1) WO2014042600A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106388890A (en) * 2016-10-10 2017-02-15 上海百玫医疗科技有限公司 Monofilament operating suture line and preparation method thereof

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5954748A (en) * 1996-07-15 1999-09-21 United States Surgical Corporation Gelatin coated gut suture
WO2005079388A2 (en) * 2004-02-13 2005-09-01 The University Of Cincinnati A coupling device enabled by mechanical continuity of cellular scaffolding across tissue boundaries
WO2007017562A1 (en) * 2005-08-04 2007-02-15 Microval Element for blocking the movement of a mesh structure serving as a prosthesis
US20090216268A1 (en) * 2008-02-21 2009-08-27 Panter Gideon G Suture and suturing technique for facilitating knotting
WO2011039755A1 (en) * 2009-10-01 2011-04-07 Virtual Ports Ltd. A system and method for forming a knot
CN201855285U (en) * 2010-09-30 2011-06-08 刘忠臣 Automatic knotting suturing ligature

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5954748A (en) * 1996-07-15 1999-09-21 United States Surgical Corporation Gelatin coated gut suture
WO2005079388A2 (en) * 2004-02-13 2005-09-01 The University Of Cincinnati A coupling device enabled by mechanical continuity of cellular scaffolding across tissue boundaries
WO2007017562A1 (en) * 2005-08-04 2007-02-15 Microval Element for blocking the movement of a mesh structure serving as a prosthesis
US20090216268A1 (en) * 2008-02-21 2009-08-27 Panter Gideon G Suture and suturing technique for facilitating knotting
WO2011039755A1 (en) * 2009-10-01 2011-04-07 Virtual Ports Ltd. A system and method for forming a knot
CN201855285U (en) * 2010-09-30 2011-06-08 刘忠臣 Automatic knotting suturing ligature

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106388890A (en) * 2016-10-10 2017-02-15 上海百玫医疗科技有限公司 Monofilament operating suture line and preparation method thereof

Also Published As

Publication number Publication date
WO2014042600A3 (en) 2014-05-08
HK1210003A1 (en) 2016-04-15
EP2895082A2 (en) 2015-07-22
WO2014042600A2 (en) 2014-03-20
IN2015KN00608A (en) 2015-07-17

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