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WO2014157913A1 - Corde d'inclusion - Google Patents

Corde d'inclusion Download PDF

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Publication number
WO2014157913A1
WO2014157913A1 PCT/KR2014/002495 KR2014002495W WO2014157913A1 WO 2014157913 A1 WO2014157913 A1 WO 2014157913A1 KR 2014002495 W KR2014002495 W KR 2014002495W WO 2014157913 A1 WO2014157913 A1 WO 2014157913A1
Authority
WO
WIPO (PCT)
Prior art keywords
rope
shape
binding
outer rope
tissue
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.)
Ceased
Application number
PCT/KR2014/002495
Other languages
English (en)
Korean (ko)
Inventor
이준집
정찬희
박래경
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
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
Application filed by Individual filed Critical Individual
Publication of WO2014157913A1 publication Critical patent/WO2014157913A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14—Macromolecular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00792—Plastic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A61B2017/06176—Sutures with protrusions, e.g. barbs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A61B2017/0618—Sutures elastic, e.g. stretchable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081—Tissue approximator

Definitions

  • the present invention relates to a rope for selling, and more particularly, for improving the rope inserted into the body tissue by using needles during the barring procedure to increase the binding force with the body tissue after the procedure is completed. Relates to the provision of a rope.
  • the meditation procedure is also called meditation therapy, and it does not cut the skin of the body and pulls the skin or muscles tightly to improve wrinkles or to keep the skin tissue elastic. It is used a lot in the procedure.
  • This off-the-shelf procedure uses surgical sutures made of absorbable materials as ropes, for example, polylactic acid, polydiaxonone, lactic acid, Using a material that can be absorbed in vivo such as a copolymer of glycolic acid (Glycolic Acid), there is an advantage that does not need to be removed after the procedure.
  • absorbable materials for example, polylactic acid, polydiaxonone, lactic acid
  • a material that can be absorbed in vivo such as a copolymer of glycolic acid (Glycolic Acid)
  • the rope procedure is absorbed after 3 to 6 months after the procedure in the body.
  • the rope becomes a factor that causes wound irritation in the skin and induces the release of immune substances to heal the wound. After the body tissue is healed, it is possible to continuously maintain the state in which the rope is pulled (lifted), so that the sagging skin may be kept taut or the wrinkles may be improved.
  • a needle having a diameter smaller than 0.45 mm is inserted through a rope hole formed in the needle through a rope for treatment smaller than the diameter of the needle, and then the needle penetrates into the skin to be treated.
  • a material that is absorbed into the living body by the body it is obtained by spinning a twisted yarn having a predetermined diameter as if manufactured by drawing a common thread, and twisting one strand or more strands with each other using this twisted yarn (1). ).
  • the rope 1 is made of a cross-sectional diameter of a substantially circular shape, if necessary to form a knot or false knot (2) in the middle.
  • the above-described conventional ropes for articulation are advantageous in that they can be easily inserted without injury when inserted into the internal tissues using a needle in a state in which the ropes for the articulation are used as they are.
  • the binding force with the tissues may be excellent by knots or knots, but it requires a long time for stabilization. Because of the high risk of bacterial infection through the wound occurred at the boundary of the side, side effects frequently occur after the procedure.
  • the rope for the prior art is a form of the line contact with the tissue in the state of being inserted into the tissue of the body, so that the bonding or contact area is small, it is difficult to maintain a solid binding force to unfold the most characteristic feature of the hook It is difficult to achieve the function and purpose of pulling up or pulling the drooping area.
  • the body tissues such as polylactic acid (Polylactic acid), polydiaxonone (Polydiaxonone), lactic acid (Lactic Acid) and glycolic acid (colycolic acid) copolymer Absorbable material to have the desired shape and shape through injection molding or press molding,
  • the inner rope is inserted into the rope hole formed in the needle and the outer rope located outside the needle, the outer rope has a relatively wider width than the thickness and is configured to widen the contact and binding area with the body tissues So;
  • the lifting rope is formed into a surface through press or injection molding, thereby expanding the contact area through the surface contact in the state of being inserted into the tissue, thereby increasing the bonding force with the tissue, and the rope for the tissue in the tissue. It is an invention having a variety of effects, such as to maintain the binding state to maximize the effect of the off-line procedure, as well as to improve the quality of the off-line rope.
  • FIG. 1 is a diagram of a three-dimensional state showing one embodiment of a rope for stabilization to which the technique of the present invention is applied.
  • Figure 2 (a, b, c) is a block diagram showing an extract of the side of the rope for barge to which the technique of the present invention is applied.
  • Figure 3 (a, b, c) is a block diagram showing an extract of the upper surface of the rope for barge to which the technique of the present invention is applied.
  • (A, b, c, e) is a cross-sectional view taken along the line A-A of the rope for ropes to which the technique of the present invention is applied.
  • Figure 5 is a block diagram showing an excerpt B portion of the rope for barge to which the technique of the present invention is applied.
  • Figure 6 (a, b, c, d) is a block diagram showing another embodiment of the rope for barge to which the technique of the present invention is applied.
  • Figure 7 is a block diagram showing a rope for a stairway to which the prior art is applied.
  • the rope for sale 100 to which the technique of the present invention is applied is polylactic acid, polydiaxonone, lactic acid, and glycolic acid, which are absorbable materials in the body tissue.
  • Material such as (Glycolic Acid) copolymer is injected into the mold in the molten state and molded to have the desired shape and shape by using a press mold in the state of being made in injection molding or sheet form. You are done.
  • the hanging rope 100 includes an inner rope 103 inserted into the rope hole 102 formed in the needle 101 and an outer rope 104 positioned outside the needle 101.
  • the outer rope 104 is configured to have a relatively wide width (B) compared to the thickness (T).
  • the outer rope 104 is configured in the form of a rectangular cross-section as illustrated in the drawings of the present invention, the width (B) is wider than the thickness (T) while the cross-sectional shape is not necessarily rectangular, elliptical or rhombic It may be to have a variety of shapes, such as shape, it will be obvious that the cross section of the inner rope 103 can be implemented in various forms ranging from circular to polygonal shape.
  • the off-line rope 100 is exaggeratedly represented in the drawings of the present invention, but the actual inner rope 103 should be inserted into the needle 101 having a diameter of about 0.45 mm, and the outer rope 104 is The width B may also be larger than the diameter of the needle 101, which may cause difficulty in insertion.
  • Insertion guide portion 105 formed in the inclined surface or round in the insertion direction to prevent physical damage to the boundary point between the inner rope 103 and the outer rope 104 to prevent the occurrence of resistance or jamming during insertion To have.
  • the concave-convex portion 106 having a shape such as a washboard in the width direction, or a plurality of holes 107 may be formed in the outer rope 104.
  • the outer rope 104 On the side of the outer rope 104 is further provided with a binding retainer 110 formed with at least one of the projections (108, 109) having a sawtooth-like shape, the outer rope 104 is inserted in the opposite direction after the insertion pull holding The ridges 108 and 109 constituting the sphere 110 are embedded in the tissues of the body while maintaining a firm binding force to maintain the pulling shape.
  • Mounting projections 108 and 109 constituting the binding retainer 110 are to be inclined backward or inclined backward in the insertion direction so as not to interfere with the insertion, and to be held in the opposite direction to the insertion after insertion.
  • the protrusions 108 and 109 are spread out in the width direction so as to become lodged or bound in the tissue.
  • the binding retainer 110 may be formed over the entire side surface of the outer rope 104, and formed only on the front side (insertion position) of the side, form only formed on the rear side, form formed only in the center, regular or irregular It may be carried out in various forms such as a form formed in the phosphorus position.
  • the ridge protrusions 108 and 109 constituting the binding retention zone 110 are configured in the form of sawtooth, but in the width direction when the outer rope 104 is pulled in the opposite direction as the bird feather.
  • the shape can be formed, it may be configured in any shape, and the present invention is not limited to the description and drawings of the present invention, and is within the technical scope of the present invention as long as it can be easily derived through the description or drawings of the present invention. Will be natural.
  • an arc shape in which the upper surface protrudes upwards at the time of initial forming without forming the outer rope 104 in a straight shape and an arc shape in which the bottom protrudes downwards
  • the outer rope 104 is formed in a shape having a semicircular wave in the longitudinal direction, and the outer rope 104 is formed in a shape having an uneven portion in the longitudinal direction. Afterwards, the binding force and the coupling force may be increased by the force to restore the original shape.
  • rope for sale 100 to which the technique of the present invention is applied include polylactic acid, polydiaxonone, and lactic acid, which are absorbable materials in the body tissue.
  • the material such as copolymer of glycolic acid (Glycolic Acid) is made in the shape of the desired bar through spinning in the molten state, and the outer rope 104 having the binding retainer 110 is completed by post-processing and the inner rope 103 is It may be configured by combining the same material as the outer rope 104 through fusion.
  • the inner rope 103 constituting the rope for rope 100 is inserted into the rope hole 102 formed in the needle 101, and the outer rope 104 is prepared in a state in which it is positioned outside the needle 101.
  • the outer rope 104 may be inserted into the needle hole 102 and prepared so that the outer rope 103 is located outside the needle 101.
  • the needle 101 is inserted into the internal tissue of the position to be treated, and then presses the end position of the needle 101 with one hand to press the boundary position between the inner rope 103 and the outer rope 104 for the sales. Only the needle 101 is released in a state in which the rope 100 is not detached together with the needle 101.
  • the outer rope 104 is pulled while maintaining the tension state inside the body tissues, the tissue to increase the binding force It is possible because it can be combined with the rope to minimize the phenomenon of separation, separation or slipping.
  • the present invention can be made in a variety of shapes through the injection molding or press molding, while the wire rope 100 is easy to be configured in a shape that can expand the internal tissue and contact area, the outer surface of the outer rope 104 Increases the lifting force (which keeps the tension intact) to further form the uneven parts 106 and 107 and the ridges 108 and 109, which can expand the contact area and strengthen the binding force even more (top, bottom and both sides). You will be able to.
  • the present invention can provide the ease of manufacture by obtaining the rope for injection through injection molding or press molding while increasing the tension and strength in the body by maximizing the effect of the procedure by increasing the binding and binding force with the body tissues, etc. Has an advantage.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Molecular Biology (AREA)
  • Chemical & Material Sciences (AREA)
  • Medical Informatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Pathology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Dermatology (AREA)
  • Medicinal Chemistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Ropes Or Cables (AREA)

Abstract

La présente invention concerne une corde d'inclusion, dans laquelle il est possible de fournir une facilité de fabrication par l'obtention de la corde d'inclusion par l'intermédiaire d'un moulage par injection ou d'un moulage par pressage, et pour rendre maximaux les effets du fonctionnement par l'augmentation de la tension in vivo par l'augmentation des forces de combinaison et de liaison sur un tissu in vivo. Une corde interne, qui est introduite dans un trou de corde formé au niveau d'une aiguille, et une corde externe qui est placée à l'extérieur de l'aiguille, sont mises en forme suivant une forme souhaitée à partir d'une matière absorbable in vivo telle que de l'acide polylactique, la polydiaxonone ou un copolymère d'acide lactique et d'acide glycolique par l'intermédiaire d'un moulage par injection ou d'un moulage par pressage, et la largeur de la corde externe est relativement supérieure à l'épaisseur, augmentant ainsi la région de contact et de liaison avec le tissu in vivo.
PCT/KR2014/002495 2013-03-27 2014-03-25 Corde d'inclusion Ceased WO2014157913A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2013-0032945 2013-03-27
KR20130032945A KR101440224B1 (ko) 2013-03-27 2013-03-27 매선용 로프

Publications (1)

Publication Number Publication Date
WO2014157913A1 true WO2014157913A1 (fr) 2014-10-02

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Family Applications (1)

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PCT/KR2014/002495 Ceased WO2014157913A1 (fr) 2013-03-27 2014-03-25 Corde d'inclusion

Country Status (2)

Country Link
KR (1) KR101440224B1 (fr)
WO (1) WO2014157913A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111700708A (zh) * 2020-06-29 2020-09-25 杭州爱普医疗器械股份有限公司 双排凹槽锯齿线
US11071540B2 (en) 2016-06-30 2021-07-27 Dongbang Medical Co., Ltd. Lifting member

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101655943B1 (ko) 2014-10-15 2016-09-08 정찬희 형상 기억 생체 흡수성 고분자 소재를 이용한 의료용 매선로프 제조방법 및 그 제조장치와 그 제품
KR101628991B1 (ko) * 2014-10-24 2016-06-09 김준호 주름제거용 피부 리프트도구
KR101695339B1 (ko) * 2015-11-02 2017-01-11 텐텍 주식회사 굵기를 달리하는 성형수술용 실
KR101642962B1 (ko) 2015-11-05 2016-07-26 (주)제이월드 봉합사 및 그 제조 방법
KR102090211B1 (ko) * 2017-11-02 2020-03-17 주식회사 엠베이스 봉합사 제조방법
KR20190108816A (ko) * 2018-03-15 2019-09-25 정영춘 신규한 형태의 돌기를 포함하는 안면 및 신체 리프팅용 봉합사

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0441322A1 (fr) * 1990-02-06 1991-08-14 Ethicon, Inc. Copolymères segmentés d'epsilon-caprolactone et de glycolide
KR20050074342A (ko) * 2004-04-07 2005-07-18 츠 리앙 우플스 우 수술용 실
US20060111742A1 (en) * 2001-06-29 2006-05-25 Andrew Kaplan Suture method
US20100087855A1 (en) * 2002-09-30 2010-04-08 Quill Medical, Inc. Barbed suture in combination with surgical needle
US20100298871A1 (en) * 2004-05-14 2010-11-25 Quill Medical, Inc. Self-retaining wound closure device including an anchoring loop
KR101057376B1 (ko) * 2010-10-20 2011-08-17 한스바이오메드 주식회사 표면에 돌출형 외부 구조를 가지는 흡수성 봉합사 및 그의 제조방법
KR20120128443A (ko) * 2011-05-17 2012-11-27 양현진 다줄의 의료용 봉합사를 튜브형 바늘 내에 장착하는 방법 및 다줄의 의료용 봉합사가 장착된 튜브형 바늘 유닛
KR20130020123A (ko) * 2011-08-19 2013-02-27 윤인모 피부조직거상술용 수술도구

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0441322A1 (fr) * 1990-02-06 1991-08-14 Ethicon, Inc. Copolymères segmentés d'epsilon-caprolactone et de glycolide
US20060111742A1 (en) * 2001-06-29 2006-05-25 Andrew Kaplan Suture method
US20100087855A1 (en) * 2002-09-30 2010-04-08 Quill Medical, Inc. Barbed suture in combination with surgical needle
KR20050074342A (ko) * 2004-04-07 2005-07-18 츠 리앙 우플스 우 수술용 실
US20100298871A1 (en) * 2004-05-14 2010-11-25 Quill Medical, Inc. Self-retaining wound closure device including an anchoring loop
KR101057376B1 (ko) * 2010-10-20 2011-08-17 한스바이오메드 주식회사 표면에 돌출형 외부 구조를 가지는 흡수성 봉합사 및 그의 제조방법
KR20120128443A (ko) * 2011-05-17 2012-11-27 양현진 다줄의 의료용 봉합사를 튜브형 바늘 내에 장착하는 방법 및 다줄의 의료용 봉합사가 장착된 튜브형 바늘 유닛
KR20130020123A (ko) * 2011-08-19 2013-02-27 윤인모 피부조직거상술용 수술도구

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11071540B2 (en) 2016-06-30 2021-07-27 Dongbang Medical Co., Ltd. Lifting member
CN111700708A (zh) * 2020-06-29 2020-09-25 杭州爱普医疗器械股份有限公司 双排凹槽锯齿线

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