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CN118717260A - A medical suture - Google Patents

A medical suture
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Publication number
CN118717260A
CN118717260ACN202410804896.2ACN202410804896ACN118717260ACN 118717260 ACN118717260 ACN 118717260ACN 202410804896 ACN202410804896 ACN 202410804896ACN 118717260 ACN118717260 ACN 118717260A
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inner core
medical suture
flexible wire
tail
flexible
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CN202410804896.2A
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CN118717260B (en
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庞家贵
傅彦棉
汪宇
邹杰
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Shanghai Fangrun Medical Technology Co ltd
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Shanghai Fangrun Medical Technology Co ltd
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Abstract

The application discloses a medical suture, which comprises an inner core, wherein the inner core is made of hard materials; the flexible line, flexible line parcel is outside the inner core, and the first end of flexible line is the blind end, and the distal end of inner core is sealed in first end, and the second end that is opposite with first end on the flexible line is the open end, and the proximal end that is opposite with the distal end stretches out the second end on the inner core. The medical suture line can realize self-threading without a threading device, so that the aperture of a bone tunnel for threading can be reduced.

Description

Translated fromChinese
一种医用缝合线A medical suture

技术领域Technical Field

本申请涉及医疗器械技术领域,具体涉及一种医用缝合线。The present application relates to the technical field of medical devices, and in particular to a medical suture.

背景技术Background Art

在临床医学中,肩锁关节脱位是肩关节损伤的常见疾病之一,手术修复时多采用弹性固定,常使用缝合线和其它植入物(如钛板等)将锁骨固定在喙突上,以达到修复效果。但在手术中需要将缝合线通过骨髓道从锁骨的上侧送至喙突的下侧,为了使缝合线方便穿过骨隧道,通常在建立骨隧道时,将孔径做大一些,便于借助过线器进行穿线,但喙突实际尺寸很小,孔径做大会影响修复效果。In clinical medicine, acromioclavicular joint dislocation is one of the common diseases of shoulder joint injury. Elastic fixation is often used during surgical repair. Sutures and other implants (such as titanium plates, etc.) are often used to fix the clavicle to the coracoid process to achieve the repair effect. However, during the operation, the suture needs to be sent from the upper side of the clavicle to the lower side of the coracoid process through the medullary canal. In order to facilitate the suture to pass through the bone tunnel, the hole diameter is usually made larger when the bone tunnel is established to facilitate threading with the help of a threader. However, the actual size of the coracoid process is very small, and a larger hole diameter will affect the repair effect.

发明内容Summary of the invention

本申请提供一种医用缝合线,其能够实现自行穿线,不需要借助过线器,因此用于穿线的骨隧道的孔径可以做小。The present application provides a medical suture, which can achieve self-threading without the aid of a threader, so the aperture of the bone tunnel used for threading can be made small.

本申请提供一种医用缝合线,包括:The present application provides a medical suture, comprising:

内芯,所述内芯由硬质材料制成;An inner core, wherein the inner core is made of a hard material;

柔性线,所述柔性线包裹在所述内芯外部,所述柔性线的第一端为封闭端,所述内芯的远端被封闭在所述第一端内,所述柔性线上与所述第一端相对的第二端为开口端,所述内芯上与所述远端相对的近端伸出所述第二端。A flexible wire, wherein the flexible wire is wrapped around the outside of the inner core, the first end of the flexible wire is a closed end, the distal end of the inner core is enclosed in the first end, the second end of the flexible wire opposite to the first end is an open end, and the proximal end of the inner core opposite to the distal end extends out of the second end.

本申请实施例的医用缝合线,由于在柔性线内包裹一由硬质材料制成的内芯,故该医用缝合线具有一定的硬度,医生可以直接用手或者借助手术钳将医用缝合线穿过骨隧道,不需要借助过线器,所以用于穿线的骨隧道的孔径即使做小也能实现该医用缝合线的自行穿线。The medical suture thread of the embodiment of the present application has a certain hardness because an inner core made of a hard material is wrapped in a flexible thread. The doctor can pass the medical suture thread through the bone tunnel directly by hand or with the help of surgical forceps without the help of a threader. Therefore, even if the aperture of the bone tunnel used for threading is made small, the medical suture thread can be threaded by itself.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1是本申请实施例提供的一种医用缝合线的结构示意图。FIG. 1 is a schematic diagram of the structure of a medical suture provided in an embodiment of the present application.

图2是本申请图1中医用缝合线的剖面结构示意图。FIG. 2 is a schematic diagram of the cross-sectional structure of the Chinese medical suture thread in FIG. 1 of the present application.

图3是本申请实施例提供的另一种医用缝合线的结构示意图。FIG. 3 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application.

图4是本申请图3中医用缝合线的剖面结构示意图。FIG. 4 is a schematic diagram of the cross-sectional structure of the Chinese medical suture thread in FIG. 3 of the present application.

图5是本申请实施例提供的另一种医用缝合线的剖面结构示意图。FIG5 is a schematic diagram of the cross-sectional structure of another medical suture provided in an embodiment of the present application.

图6是本申请实施例提供的另一种医用缝合线的剖面结构示意图。FIG. 6 is a schematic diagram of the cross-sectional structure of another medical suture provided in an embodiment of the present application.

图7是本申请实施例提供的另一种医用缝合线的结构示意图。FIG. 7 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application.

图8是本申请图7中医用缝合线的剖面结构示意图。FIG8 is a schematic diagram of the cross-sectional structure of the Chinese medical suture thread in FIG7 of the present application.

图9是本申请实施例提供的另一种医用缝合线的结构示意图。FIG. 9 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application.

图10是本申请图9中医用缝合线的剖面结构示意图。FIG. 10 is a schematic diagram of the cross-sectional structure of the Chinese medical suture thread in FIG. 9 of the present application.

图11是本申请实施例提供的另一种医用缝合线的结构示意图。FIG. 11 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application.

图12是本申请图11中医用缝合线的剖面结构示意图。FIG. 12 is a schematic diagram of the cross-sectional structure of the Chinese medical suture thread in FIG. 11 of the present application.

图13是本申请实施例提供的在肩关节上进行穿线的结构示意图。FIG. 13 is a schematic diagram of the structure for threading a shoulder joint according to an embodiment of the present application.

图14是本申请实施例提供的一种医用缝合线的穿线方法。FIG. 14 is a medical suture threading method provided in an embodiment of the present application.

附图标记说明:100、医用缝合线;1、内芯;11、远端;12、近端;2、柔性线;21、第一端;211、尾部;22、第二端;23、第一柔性线;24、第二柔性线;25、第三柔性线;3、第一头套;4、辅助套;5、第二头套;51、第一封口;52、堵头;53、第二封口;200、锁骨;201、第一骨髓道;300、喙突;301、第二骨髓道。Explanation of the accompanying drawings: 100, medical suture; 1, inner core; 11, distal end; 12, proximal end; 2, flexible line; 21, first end; 211, tail; 22, second end; 23, first flexible line; 24, second flexible line; 25, third flexible line; 3, first head cover; 4, auxiliary cover; 5, second head cover; 51, first seal; 52, plug; 53, second seal; 200, clavicle; 201, first medullary canal; 300, coracoid process; 301, second medullary canal.

具体实施方式DETAILED DESCRIPTION

下面将结合附图对本申请的技术方案进行清楚、完整地描述,显然,所描述的实施例是本申请一部分实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所其他实施例,都属于本发明保护的范围。The technical solution of the present application will be described clearly and completely below in conjunction with the accompanying drawings. Obviously, the described embodiments are part of the embodiments of the present application, not all of the embodiments. Based on the embodiments in the present application, other embodiments obtained by ordinary technicians in the field without creative work are all within the scope of protection of the present invention.

在本申请的描述中,需要说明的是,术语“近端”、“远端”、“前后”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或部件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请的限制。In the description of the present application, it should be noted that the orientations or positional relationships indicated by terms such as "proximal", "distal", "front and back", etc. are based on the orientations or positional relationships shown in the accompanying drawings, and are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or component referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation on the present application.

此外,下面所描述的本申请不同实施方式中所涉及的技术特征只要彼此之间未构成冲突就可以相互结合。In addition, the technical features involved in the different embodiments of the present application described below can be combined with each other as long as they do not conflict with each other.

下面结合附图对本申请作进一步详细说明。The present application is further described in detail below with reference to the accompanying drawings.

如图1、图2所示,图1是本申请实施例提供的一种医用缝合线的结构示意图,图2是本申请图1中医用缝合线的剖面结构示意图。所示医用缝合线100包括内芯1和柔性线2,柔性线2包裹在内芯1的外部,柔性线2为编织而成的医用纱线,柔性线2的一端为第一端21,第一端21为封闭端,内芯1的一端为远端11,远端11被封闭在第一端21内,也就是说内芯1无法从柔性线2的第一端21穿出去。该第一端21还包括一尾部211,尾部211属于柔性线2的第一端21的末尾,且尾部211内不设置内芯1。尾部211的长度优选在10毫米-20毫米之间。在本实施例中,尾部211经过热硬化处理,其由热硬化处理前的空心结构变为热硬化处理后的实心结构,且尾部211的硬度大于柔性线2上其它部分的硬度。因为尾部211为实心结构,所以内芯1被尾部211封闭住,无法从尾部211穿出去,也就是说内芯1的远端11被封闭在柔性线2的第一端21内。柔性线2上与第一端21相对的另一端为第二端22,第二端22为开口端,内芯1上与远端11相对的另一端为近端12,近端12伸出第二端22,也就是说,因为第二端22为开口端,即柔性线2在第二端22的端口处是敞开的,没有被封闭起来,故内芯1从柔性线2的第二端22的端口处伸出部分长度,便于在进行缝线手术时,能够夹住该内芯1的伸出部分将内芯1从柔性线2中抽离出来,使缝合线恢复柔软,后续再将柔性线2进行打结或以其它方式固定住手术部位。内芯1由硬质材料制成,优选为金属丝,金属丝中优选为镍钛丝,镍钛丝具有一定硬度,同时还具有很好的柔韧性,由镍钛丝制成的内芯1可以带动柔性线2更容易穿过骨髓道等孔洞,且可以被弯折,若在要穿线的孔洞之间由轻微错位的情况下,本申请的医用缝合线100也能被弯折后很容易穿过去。在其它实施例中,内芯1也可以采用其它硬质材料制成,例如塑料,在本申请中不做限定。As shown in Figures 1 and 2, Figure 1 is a schematic diagram of the structure of a medical suture provided in an embodiment of the present application, and Figure 2 is a schematic diagram of the cross-sectional structure of the medical suture in Figure 1 of the present application. The medical suture 100 shown includes an inner core 1 and a flexible wire 2, the flexible wire 2 is wrapped around the outside of the inner core 1, the flexible wire 2 is a woven medical yarn, one end of the flexible wire 2 is a first end 21, the first end 21 is a closed end, one end of the inner core 1 is a distal end 11, the distal end 11 is closed in the first end 21, that is, the inner core 1 cannot pass through the first end 21 of the flexible wire 2. The first end 21 also includes a tail 211, the tail 211 belongs to the end of the first end 21 of the flexible wire 2, and the inner core 1 is not arranged in the tail 211. The length of the tail 211 is preferably between 10 mm and 20 mm. In this embodiment, the tail portion 211 is heat-hardened, and the hollow structure before the heat-hardening treatment is changed into a solid structure after the heat-hardening treatment, and the hardness of the tail portion 211 is greater than the hardness of other parts of the flexible line 2. Because the tail portion 211 is a solid structure, the inner core 1 is enclosed by the tail portion 211 and cannot pass through the tail portion 211, that is, the distal end 11 of the inner core 1 is enclosed in the first end 21 of the flexible line 2. The other end of the flexible wire 2 opposite to the first end 21 is the second end 22, and the second end 22 is an open end. The other end of the inner core 1 opposite to the distal end 11 is the proximal end 12, and the proximal end 12 extends out of the second end 22. That is to say, because the second end 22 is an open end, that is, the flexible wire 2 is open at the port of the second end 22 and is not closed, the inner core 1 extends part of its length from the port of the second end 22 of the flexible wire 2, so that when performing a suture operation, the protruding part of the inner core 1 can be clamped to pull the inner core 1 out of the flexible wire 2, so that the suture line can be restored to softness, and the flexible wire 2 can be subsequently knotted or fixed to the surgical site in other ways. The inner core 1 is made of a hard material, preferably a metal wire, and the metal wire is preferably a nickel-titanium wire. The nickel-titanium wire has a certain hardness and good flexibility. The inner core 1 made of nickel-titanium wire can drive the flexible wire 2 to pass through the holes such as the medullary canal more easily, and can be bent. If there is a slight misalignment between the holes to be threaded, the medical suture 100 of the present application can also be bent and easily passed through. In other embodiments, the inner core 1 can also be made of other hard materials, such as plastic, which is not limited in the present application.

柔性线2的第一端21包括一实心的尾部211,该实心的尾部211可以将具有一定硬度的内芯1封闭在柔性线2的第一端21内,在缝线手术的穿线过程中,对医用缝合线100向下用力,使内芯1顶住实心的尾部211而不会从尾部211穿出去,故能带动柔性线2一起穿过骨隧道等需要穿线的孔洞,穿线完成后,用夹线钳夹住尾部211,再用手或另一个夹线钳夹住内芯1从柔性线1的第二端22伸出的部分,就可以向上将内芯1从柔性线2中抽离出来,使缝合线恢复柔软,后续再将柔性线2进行打结或以其它方式固定住手术部位。此外,该尾部211经过热硬化处理,其硬度大于未经过热硬化处理过的柔性线的硬度,方便穿线完成后医生在关节镜的辅助下用夹线钳更容易探测到并夹住该医用缝合线100的具有一定硬度的尾部211。柔性线2优选采用超大分子量的聚乙烯材料制成,其具有很大强度,此外柔性线2优选采用菱形编织而成,是一种医用纱线,可以使内芯1从中抽离后该柔性线2仍具有很大的强度。The first end 21 of the flexible wire 2 includes a solid tail 211, and the solid tail 211 can enclose the inner core 1 with a certain hardness in the first end 21 of the flexible wire 2. During the threading process of the suture operation, the medical suture 100 is forced downward so that the inner core 1 can support the solid tail 211 and will not pass out from the tail 211, so that the flexible wire 2 can be driven to pass through the holes such as the bone tunnel that need threading. After the threading is completed, the tail 211 is clamped with a wire clamp, and then the part of the inner core 1 extending from the second end 22 of the flexible wire 1 is clamped by hand or another wire clamp, and the inner core 1 can be pulled out of the flexible wire 2 upward to make the suture line soft again, and then the flexible wire 2 is knotted or fixed to the surgical site in other ways. In addition, the tail 211 is heat-hardened, and its hardness is greater than that of the flexible line that has not been heat-hardened, so that after the threading is completed, the doctor can more easily detect and clamp the tail 211 of the medical suture 100 with a certain hardness with a wire clamp under the assistance of an arthroscopy. The flexible line 2 is preferably made of a polyethylene material with a large molecular weight, which has great strength. In addition, the flexible line 2 is preferably made of a diamond braid, which is a medical yarn, so that the flexible line 2 still has great strength after the inner core 1 is pulled out.

需要说明的是,本实施例中将整个尾部211都进行了热硬化处理,使整个尾部211成为实心结构。在其它实施例中,也可以只将部分尾部211进行热硬化处理,使该经热硬化处理的部分尾部成为实心结构,优选将尾部211上靠近内芯1的部分进行热硬化处理,做成实心结构。It should be noted that in this embodiment, the entire tail portion 211 is heat-hardened to make the entire tail portion 211 a solid structure. In other embodiments, only a portion of the tail portion 211 may be heat-hardened to make the portion of the tail portion that has been heat-hardened a solid structure. Preferably, the portion of the tail portion 211 close to the inner core 1 is heat-hardened to make it a solid structure.

在本申请另一个实施例中的医用缝合线(图中未示出),其与图1所示医用缝合线100的主要区别在于:尾部211没有经过热硬化处理,而是在尾部211上涂覆有胶水,使尾部211成为实心结构,且尾部211的硬度大于柔性线2上其它部分的硬度。在本实施例中,内芯1的远端11也被实心的尾部211封闭住,无法从尾部211穿出去。除上述区别,本实施例中医用缝合线的其它结构与图1所示医用缝合线100的其它结构均相同或相似,故不再赘述。需要说明的是,本实施例中将整个尾部211都涂覆上胶水,使整个尾部211成为实心结构。在其它实施例中,也可以只将部分尾部211涂覆上胶水,使该涂覆有胶水的部分尾部成为实心结构,优选将尾部211上靠近内芯1的部分涂覆上胶水,做成实心结构。The medical suture in another embodiment of the present application (not shown in the figure) is mainly different from the medical suture 100 shown in Figure 1 in that the tail 211 is not subjected to heat hardening treatment, but is coated with glue on the tail 211, so that the tail 211 becomes a solid structure, and the hardness of the tail 211 is greater than the hardness of other parts on the flexible line 2. In this embodiment, the distal end 11 of the inner core 1 is also closed by the solid tail 211 and cannot be passed through the tail 211. In addition to the above differences, the other structures of the medical suture in this embodiment are the same or similar to the other structures of the medical suture 100 shown in Figure 1, so they are not repeated. It should be noted that in this embodiment, the entire tail 211 is coated with glue to make the entire tail 211 a solid structure. In other embodiments, only part of the tail 211 can be coated with glue to make the part of the tail coated with glue a solid structure, and preferably the part of the tail 211 close to the inner core 1 is coated with glue to make a solid structure.

如图3、图4所示,图3是本申请实施例提供的另一种医用缝合线的结构示意图。图4是本申请图3中医用缝合线的剖面结构示意图。所示医用缝合线100包括内芯1和柔性线2,柔性线2包裹在内芯1的外部,柔性线2为编织而成的医用纱线,柔性线2的一端为第一端21,第一端21为封闭端,内芯1的一端为远端11,远端11被封闭在第一端21内,也就是说内芯1无法从柔性线2的第一端21穿出去。该第一端21还包括一尾部211,尾部211属于柔性线2的第一端21的末尾,且尾部211内不设置内芯1。尾部211的长度优选在10毫米-20毫米之间。在尾部211外还包裹一第一头套3,第一头套3压紧尾部211,使内芯1的远端11被封闭在第一端21内,也就是说被第一头套3压紧的尾部211堵住了内芯1的远端11,使内芯1无法从柔性线2的第一端21穿出去。第一头套3优选采用韧性好的金属制成,在其它实施例中,第一头套3也可以采用塑料或橡胶等材料制成。在本实施例中,第一头套3的长度小于尾部211的长度,其包裹住了靠近内芯1的部分尾部211。在其它实施例中,也可以设置第一头套3的长度大于或等于尾部211的长度,使其完全包裹住尾部211。柔性线2上与第一端21相对的另一端为第二端22,第二端22为开口端,内芯1上与远端11相对的另一端为近端12,近端12伸出第二段22,也就是说,因为第二端22为开口端,即柔性线2在第二端22的端口处是敞开的,没有被封闭起来,故内芯1从柔性线2的第二端22的端口处伸出部分长度,便于在进行缝线手术时,能够夹住该内芯1的伸出部分将内芯1从柔性线2中抽离出来,使缝合线恢复柔软,后续再将柔性线2进行打结或以其它方式固定住手术部位。内芯1由硬质材料制成,优选为金属丝,金属丝中优选为镍钛丝,镍钛丝具有一定硬度,同时还具有很好的柔韧性,由镍钛丝制成的内芯1可以带动柔性线2更容易穿过骨髓道等孔洞,且可以被弯折,若在要穿线的孔洞之间由轻微错位的情况下,本申请的医用缝合线100也能被弯折后很容易穿过去。在其它实施例中,内芯1也可以采用其它硬质材料制成,例如塑料,在本申请中不做限定。As shown in Figures 3 and 4, Figure 3 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application. Figure 4 is a schematic diagram of the cross-sectional structure of the medical suture in Figure 3 of the present application. The medical suture 100 shown includes an inner core 1 and a flexible wire 2, the flexible wire 2 is wrapped around the outside of the inner core 1, the flexible wire 2 is a woven medical yarn, one end of the flexible wire 2 is a first end 21, the first end 21 is a closed end, one end of the inner core 1 is a distal end 11, and the distal end 11 is closed in the first end 21, that is, the inner core 1 cannot pass through the first end 21 of the flexible wire 2. The first end 21 also includes a tail 211, the tail 211 belongs to the end of the first end 21 of the flexible wire 2, and the inner core 1 is not arranged in the tail 211. The length of the tail 211 is preferably between 10 mm and 20 mm. A first head cover 3 is also wrapped outside the tail portion 211. The first head cover 3 presses the tail portion 211 so that the distal end 11 of the inner core 1 is enclosed in the first end 21. In other words, the tail portion 211 pressed by the first head cover 3 blocks the distal end 11 of the inner core 1, so that the inner core 1 cannot pass through the first end 21 of the flexible line 2. The first head cover 3 is preferably made of a metal with good toughness. In other embodiments, the first head cover 3 can also be made of materials such as plastic or rubber. In this embodiment, the length of the first head cover 3 is less than the length of the tail portion 211, and it wraps the part of the tail portion 211 close to the inner core 1. In other embodiments, the length of the first head cover 3 can also be set to be greater than or equal to the length of the tail portion 211 so that it completely wraps the tail 211. The other end of the flexible wire 2 opposite to the first end 21 is the second end 22, and the second end 22 is an open end. The other end of the inner core 1 opposite to the distal end 11 is the proximal end 12, and the proximal end 12 extends out of the second section 22. That is to say, because the second end 22 is an open end, that is, the flexible wire 2 is open at the port of the second end 22 and is not closed, the inner core 1 extends part of its length from the port of the second end 22 of the flexible wire 2, so that when performing a suture operation, the protruding part of the inner core 1 can be clamped to pull the inner core 1 out of the flexible wire 2, so that the suture line becomes soft again, and the flexible wire 2 is subsequently knotted or fixed to the surgical site in other ways. The inner core 1 is made of a hard material, preferably a metal wire, and the metal wire is preferably a nickel-titanium wire. The nickel-titanium wire has a certain hardness and good flexibility. The inner core 1 made of nickel-titanium wire can drive the flexible wire 2 to pass through the holes such as the medullary canal more easily, and can be bent. If there is a slight misalignment between the holes to be threaded, the medical suture 100 of the present application can also be bent and easily passed through. In other embodiments, the inner core 1 can also be made of other hard materials, such as plastic, which is not limited in the present application.

此外,该尾部211外包裹一第一头套3,因第一头套3的硬度较大,方便穿线完成后医生在关节镜的辅助下用夹线钳更容易探测到并夹住该医用缝合线100的具有一定硬度的尾部211。柔性线2优选采用超大分子量的聚乙烯材料制成,其具有很大强度,此外柔性线2优选采用菱形编织而成,是一种医用纱线,可以使内芯1从中抽离后该柔性线2仍具有很大的强度。In addition, the tail 211 is wrapped with a first head cover 3. Since the first head cover 3 has a relatively high hardness, it is convenient for the doctor to detect and clamp the tail 211 of the medical suture 100 with a certain hardness with a wire clamp under the assistance of an arthroscopy after the threading is completed. The flexible wire 2 is preferably made of a polyethylene material with a large molecular weight, which has great strength. In addition, the flexible wire 2 is preferably woven in a diamond shape, which is a medical yarn, so that the flexible wire 2 still has great strength after the inner core 1 is pulled out.

如图5所示,图5是本申请实施例提供的另一种医用缝合线的剖面结构示意图。该医用缝合线100与图2所示医用缝合线100的主要区别在于:包裹在内芯1的远端11外的部分柔性线2为第一柔性线23,该第一柔性线23也经过热硬化处理,故其致密度变大,可以进一步防止在穿线过程中内芯1的远端11从该第一柔性线23处穿出来。除上述区别,本实施例中医用缝合线100的其它结构与图2所示医用缝合线100的其它结构均相同或相似,故不再赘述。As shown in FIG5 , FIG5 is a schematic diagram of the cross-sectional structure of another medical suture provided in an embodiment of the present application. The main difference between the medical suture 100 and the medical suture 100 shown in FIG2 is that the part of the flexible wire 2 wrapped outside the distal end 11 of the inner core 1 is the first flexible wire 23, and the first flexible wire 23 is also subjected to heat hardening treatment, so its density becomes larger, which can further prevent the distal end 11 of the inner core 1 from passing out from the first flexible wire 23 during the threading process. Except for the above differences, the other structures of the medical suture 100 in this embodiment are the same or similar to the other structures of the medical suture 100 shown in FIG2, so they are not repeated.

如图6所示,图6是本申请实施例提供的另一种医用缝合线的剖面结构示意图。该医用缝合线100与图2所示医用缝合线100的主要区别在于两点:第一点,尾部211没有经过热硬化处理,而是在尾部211上涂覆有胶水,使尾部211成为实心结构,且尾部211的硬度大于柔性线2上没有涂覆胶水部分的硬度。在本实施例中,内芯1的远端11也被实心的尾部211封闭住,无法从尾部211穿出去;第二点,包裹在内芯1的远端11外的部分柔性线2为第二柔性线24,该第二柔性线24上也涂覆有胶水,故其致密度变大,可以进一步防止在穿线过程中内芯1的远端11从该第二柔性线24处穿出来。除上述两点区别,本实施例中医用缝合线100的其它结构与图2所示医用缝合线100的其它结构均相同或相似,故不再赘述。As shown in FIG6 , FIG6 is a schematic diagram of the cross-sectional structure of another medical suture provided in an embodiment of the present application. The main differences between the medical suture 100 and the medical suture 100 shown in FIG2 are two points: first, the tail 211 is not subjected to heat hardening treatment, but is coated with glue on the tail 211, so that the tail 211 becomes a solid structure, and the hardness of the tail 211 is greater than the hardness of the part of the flexible line 2 that is not coated with glue. In this embodiment, the distal end 11 of the inner core 1 is also closed by the solid tail 211 and cannot pass through the tail 211; second, the part of the flexible line 2 wrapped outside the distal end 11 of the inner core 1 is the second flexible line 24, and the second flexible line 24 is also coated with glue, so its density becomes larger, which can further prevent the distal end 11 of the inner core 1 from passing through the second flexible line 24 during the threading process. Except for the above two differences, other structures of the medical suture 100 in this embodiment are the same or similar to other structures of the medical suture 100 shown in FIG. 2 , and thus will not be described in detail.

如图7、图8所示,图7是本申请实施例提供的另一种医用缝合线的结构示意图,图8是本申请图7中医用缝合线的剖面结构示意图。该医用缝合线100与图3、图4所示医用缝合线100的主要区别在于:包裹在内芯1的远端11外的部分柔性线2为第三柔性线25,该第三柔性线25外还包裹一辅助套4,该辅助套4优选采用韧性好的金属制成,其可以进一步防止在穿线过程中内芯1的远端11从该第三柔性线25处穿出来。除上述区别,本实施例中医用缝合线100的其它结构与图3、图4所示医用缝合线100的其它结构均相同或相似,故不再赘述。As shown in Figures 7 and 8, Figure 7 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application, and Figure 8 is a schematic diagram of the cross-sectional structure of the medical suture in Figure 7 of the present application. The main difference between the medical suture 100 and the medical suture 100 shown in Figures 3 and 4 is that the part of the flexible wire 2 wrapped outside the distal end 11 of the inner core 1 is a third flexible wire 25, and the third flexible wire 25 is also wrapped with an auxiliary sleeve 4, which is preferably made of a metal with good toughness, which can further prevent the distal end 11 of the inner core 1 from passing out from the third flexible wire 25 during the threading process. In addition to the above differences, the other structures of the medical suture 100 in this embodiment are the same or similar to the other structures of the medical suture 100 shown in Figures 3 and 4, so they are not repeated here.

如图9、图10所示,图9是本申请实施例提供的另一种医用缝合线的结构示意图,图10是本申请图9中医用缝合线的剖面结构示意图。所示医用缝合线100包括内芯1和柔性线2,柔性线2包裹在内芯1的外部,柔性线2的一端为第一端21,第一端21为封闭端,内芯1的一端为远端11,远端11被封闭在第一端21内,也就是说内芯1无法从柔性线2的第一端21穿出去。在柔性线2的第一端21外包裹一第二头套5,第二头套5压紧至少部分第一端21,使内芯1的远端11被封闭在第一端21内,也就是说被第二头套5压紧的第一端21堵住了内芯1的远端11,使内芯1无法从柔性线2的第一端21穿出去。第二头套5优选采用韧性好的金属制成,在其它实施例中,第二头套5也可以采用塑料或橡胶等材料制成。在本实施例中,在柔性线2的长度方向上,第二头套5的长度大于第一端21的长度,也就是说第二头套5超出第一端21部分长度,并且将超出部分的末端的前后部分压紧贴合在一起形成一第一封口51,使内芯1无法从柔性线2的第一端21穿出去。在本实施例中,第二头套5在轴向上的两端均是敞口,没有被堵住。柔性线2上与第一端21相对的另一端为第二端22,第二端22为开口端,内芯1上与远端11相对的另一端为近端12,近端12伸出第二段22,也就是说,因为第二端22为开口端,即柔性线2在第二端22的端口处是敞开的,没有被封闭起来,故内芯1从柔性线2的第二端22的端口处伸出部分长度,便于在进行缝线手术时,能够夹住该内芯1的伸出部分将内芯1从柔性线2中抽离出来,使缝合线恢复柔软,后续再将柔性线2进行打结或以其它方式固定住手术部位。内芯1由硬质材料制成,优选为金属丝,金属丝中优选为镍钛丝,镍钛丝具有一定硬度,同时还具有很好的柔韧性,由镍钛丝制成的内芯1可以带动柔性线2更容易穿过骨髓道等孔洞,且可以被弯折,若在要穿线的孔洞之间由轻微错位的情况下,本申请的医用缝合线100也能被弯折后很容易穿过去。在其它实施例中,内芯1也可以采用其它硬质材料制成,例如塑料,在本申请中不做限定。As shown in Figures 9 and 10, Figure 9 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application, and Figure 10 is a schematic diagram of the cross-sectional structure of the medical suture in Figure 9 of the present application. The medical suture 100 shown includes an inner core 1 and a flexible wire 2, the flexible wire 2 is wrapped around the outside of the inner core 1, one end of the flexible wire 2 is a first end 21, the first end 21 is a closed end, one end of the inner core 1 is a distal end 11, and the distal end 11 is closed in the first end 21, that is, the inner core 1 cannot pass through the first end 21 of the flexible wire 2. A second head cover 5 is wrapped around the first end 21 of the flexible wire 2, and the second head cover 5 presses at least part of the first end 21, so that the distal end 11 of the inner core 1 is closed in the first end 21, that is, the first end 21 pressed by the second head cover 5 blocks the distal end 11 of the inner core 1, so that the inner core 1 cannot pass through the first end 21 of the flexible wire 2. The second head cover 5 is preferably made of a metal with good toughness. In other embodiments, the second head cover 5 can also be made of materials such as plastic or rubber. In this embodiment, in the length direction of the flexible wire 2, the length of the second head cover 5 is greater than the length of the first end 21, that is, the second head cover 5 exceeds the length of the first end 21, and the front and rear parts of the end of the exceeding part are pressed together to form a first seal 51, so that the inner core 1 cannot pass through the first end 21 of the flexible wire 2. In this embodiment, both ends of the second head cover 5 in the axial direction are open and not blocked. The other end of the flexible wire 2 opposite to the first end 21 is the second end 22, and the second end 22 is an open end. The other end of the inner core 1 opposite to the distal end 11 is the proximal end 12, and the proximal end 12 extends out of the second section 22. That is to say, because the second end 22 is an open end, that is, the flexible wire 2 is open at the port of the second end 22 and is not closed, the inner core 1 extends part of its length from the port of the second end 22 of the flexible wire 2, so that when performing a suture operation, the protruding part of the inner core 1 can be clamped to pull the inner core 1 out of the flexible wire 2, so that the suture line becomes soft again, and the flexible wire 2 is subsequently knotted or fixed to the surgical site in other ways. The inner core 1 is made of a hard material, preferably a metal wire, and the metal wire is preferably a nickel-titanium wire. The nickel-titanium wire has a certain hardness and good flexibility. The inner core 1 made of nickel-titanium wire can drive the flexible wire 2 to pass through the holes such as the medullary canal more easily, and can be bent. If there is a slight misalignment between the holes to be threaded, the medical suture 100 of the present application can also be bent and easily passed through. In other embodiments, the inner core 1 can also be made of other hard materials, such as plastic, which is not limited in the present application.

柔性线2优选采用超大分子量的聚乙烯材料制成,其具有很大强度,此外柔性线2优选采用菱形编织而成,是一种医用纱线,可以使内芯1从中抽离后该柔性线2仍具有很大的强度。The flexible wire 2 is preferably made of ultra-high molecular weight polyethylene material, which has great strength. In addition, the flexible wire 2 is preferably woven in a diamond shape, which is a medical yarn, so that the flexible wire 2 still has great strength after the inner core 1 is pulled out.

如图11、图12所示,图11是本申请实施例提供的另一种医用缝合线的结构示意图,图12是本申请图11中医用缝合线的剖面结构示意图。该医用缝合线100与图9、图10所示医用缝合线100的主要区别在于第二头套5的结构不同。本实施例中第二头套5在轴向上的一端是敞口,没有被堵住,另一端则是被与第二头套5一体成型的堵头52堵住的,形成一第二封口53,该第二封口53堵住内芯1的远端11,使内芯1无法从柔性线2的第一端21穿出去。除上述区别,本实施例中第二头套5的其它结构与图9、图10所示医用缝合线100上第二头套5的其它结构均相同或相似,故不再赘述。As shown in Figures 11 and 12, Figure 11 is a schematic diagram of the structure of another medical suture provided in an embodiment of the present application, and Figure 12 is a schematic diagram of the cross-sectional structure of the medical suture in Figure 11 of the present application. The main difference between the medical suture 100 and the medical suture 100 shown in Figures 9 and 10 is that the structure of the second head cover 5 is different. In this embodiment, one end of the second head cover 5 in the axial direction is open and not blocked, and the other end is blocked by a plug 52 integrally formed with the second head cover 5, forming a second seal 53, which blocks the distal end 11 of the inner core 1, so that the inner core 1 cannot pass through the first end 21 of the flexible line 2. Except for the above differences, the other structures of the second head cover 5 in this embodiment are the same or similar to the other structures of the second head cover 5 on the medical suture 100 shown in Figures 9 and 10, so they are not repeated.

如图13、图14所示,图13是本申请实施例提供的在肩关节上进行穿线的结构示意图。图14是本申请实施例提供的一种医用缝合线的穿线方法。本实施例以在肩关节上进行穿线为例来说明本申请实施例中任一种医用缝合线100的穿线方法,包括:As shown in Figures 13 and 14, Figure 13 is a schematic diagram of the structure of threading on a shoulder joint provided in an embodiment of the present application. Figure 14 is a threading method of a medical suture provided in an embodiment of the present application. This embodiment takes threading on a shoulder joint as an example to illustrate any threading method of a medical suture 100 in an embodiment of the present application, including:

第一步S1:用手或手术钳夹住医用缝合线100,以第一端21为起始端,将医用缝合线100穿入锁骨上已打好的第一骨髓道201内;Step S1: Clamp the medical suture 100 by hand or surgical forceps, and insert the medical suture 100 into the first medullary canal 201 on the clavicle with the first end 21 as the starting end;

第二步S2:对医用缝合线100向下用力,使内芯1带动柔性线2一起穿过第一骨隧道201后再穿入喙突300上已打好的第二骨髓道301内;Step 2 S2: Apply downward force to the medical suture 100 so that the inner core 1 drives the flexible wire 2 to pass through the first bone tunnel 201 and then into the second bone marrow canal 301 that has been drilled on the coracoid process 300;

第三步S3:医用缝合线100从第二骨髓道301穿出后,用夹线钳夹住尾部211或第二头套5,再用手或手术钳夹住内芯1从柔性线2的第二端22伸出的部分,向上牵拉将内芯1从柔性线2中抽离出来。Step 3 S3: After the medical suture thread 100 passes through the second medullary canal 301, clamp the tail 211 or the second head cover 5 with a wire clamp, then clamp the part of the inner core 1 extending from the second end 22 of the flexible wire 2 with hands or surgical forceps, and pull upward to pull the inner core 1 out of the flexible wire 2.

内芯1从柔性线2中抽离出来后,使缝合线恢复柔软,后续再将柔性线2进行打结或以其它方式将锁骨固定在喙突上。本申请实施例的医用缝合线,由于在柔性线内包裹一由硬质材料制成的内芯,故该医用缝合线具有一定的硬度,医生可以直接用手或者借助手术钳将医用缝合线穿过骨隧道,不需要借助过线器,所以用于穿线的骨隧道的孔径即使做小也能实现该医用缝合线的自行穿线。After the inner core 1 is pulled out from the flexible wire 2, the suture is restored to be soft, and the flexible wire 2 is subsequently knotted or otherwise used to fix the clavicle to the coracoid process. The medical suture of the embodiment of the present application has a certain hardness because an inner core made of a hard material is wrapped in the flexible wire. The doctor can directly pass the medical suture through the bone tunnel by hand or with the help of surgical forceps without the help of a threader, so even if the aperture of the bone tunnel used for threading is made small, the medical suture can be threaded by itself.

需要说明的是,在本文中,诸如“第一”和“第二”等之类的关系术语仅仅用来将一个实体或者操作与另一个实体或操作区分开来,而不一定要求或者暗示这些实体或操作之间存在任何这种实际的关系或者顺序。且,术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含,从而使得包括一系列要素的过程、方法、物品或者设备不仅包括那些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种过程、方法、物品或者设备所固有的要素。It should be noted that, in this article, relational terms such as "first" and "second" are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any such actual relationship or order between these entities or operations. Moreover, the terms "include", "comprise" or any other variants thereof are intended to cover non-exclusive inclusion, so that a process, method, article or device including a series of elements includes not only those elements, but also other elements not explicitly listed, or also includes elements inherent to such process, method, article or device.

以上均为本申请的较佳实施例,并非依此限制本申请的保护范围,凡在本申请的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本申请的保护范围之内。The above are all preferred embodiments of the present application, and the protection scope of the present application is not limited thereto. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present application should be included in the protection scope of the present application.

Claims (12)

Translated fromChinese
1.一种医用缝合线,其特征在于,包括:1. A medical suture, characterized in that it comprises:内芯,所述内芯由硬质材料制成;An inner core, wherein the inner core is made of a hard material;柔性线,所述柔性线包裹在所述内芯的外部,所述柔性线的第一端为封闭端,所述内芯的远端被封闭在所述第一端内,所述柔性线上与所述第一端相对的第二端为开口端,所述内芯上与所述远端相对的近端伸出所述第二端。A flexible wire, wherein the flexible wire is wrapped around the outside of the inner core, the first end of the flexible wire is a closed end, the distal end of the inner core is enclosed in the first end, the second end of the flexible wire opposite to the first end is an open end, and the proximal end of the inner core opposite to the distal end extends out of the second end.2.根据权利要求1所述的医用缝合线,其特征在于,2. The medical suture according to claim 1, characterized in that:所述第一端包括一尾部,所述尾部内不设置内芯。The first end includes a tail portion, and no inner core is arranged in the tail portion.3.根据权利要求2所述的医用缝合线,其特征在于,3. The medical suture according to claim 2, characterized in that:至少部分所述尾部为实心结构。At least a portion of the tail portion is a solid structure.4.根据权利要求3所述的医用缝合线,其特征在于,4. The medical suture according to claim 3, characterized in that:至少部分所述尾部经过热硬化处理。At least a portion of the tail portion is heat hardened.5.根据权利要求3所述的医用缝合线,其特征在于,5. The medical suture according to claim 3, characterized in that:至少部分所述尾部上涂覆有胶水。At least a portion of the tail is coated with glue.6.根据权利要求1所述的医用缝合线,其特征在于,6. The medical suture according to claim 1, characterized in that:所述内芯为金属丝。The inner core is a metal wire.7.根据权利要求1所述的医用缝合线,其特征在于,7. The medical suture according to claim 1, characterized in that:所述柔性线为医用纱线。The flexible thread is medical yarn.8.根据权利要求2所述的医用缝合线,其特征在于,8. The medical suture according to claim 2, characterized in that:至少部分所述尾部外包裹一第一头套,所述第一头套压紧所述尾部,使所述内芯无法从所述尾部穿出去。At least a portion of the tail portion is wrapped with a first head cover, and the first head cover presses the tail portion tightly so that the inner core cannot pass through the tail portion.9.根据权利要求4所述的医用缝合线,其特征在于,9. The medical suture according to claim 4, characterized in that:包裹在所述内芯的远端外的部分所述柔性线为第一柔性线,所述第一柔性线也经过热硬化处理。The portion of the flexible wire wrapped outside the distal end of the inner core is a first flexible wire, and the first flexible wire is also subjected to heat hardening treatment.10.据权利要求5所述的医用缝合线,其特征在于,10. The medical suture according to claim 5, characterized in that:包裹在所述内芯的远端外的部分所述柔性线为第二柔性线,所述第二柔性线上也涂覆有胶水。The portion of the flexible wire wrapped outside the distal end of the inner core is a second flexible wire, and the second flexible wire is also coated with glue.11.据权利要求8所述的医用缝合线,其特征在于,11. The medical suture according to claim 8, characterized in that:包裹在所述内芯的远端外的部分所述柔性线为第三柔性线,所述第三柔性线外还包裹一辅助套。The portion of the flexible wire wrapped outside the distal end of the inner core is a third flexible wire, and an auxiliary sleeve is further wrapped outside the third flexible wire.12.根据权利要求1所述的医用缝合线,其特征在于,12. The medical suture according to claim 1, characterized in that:所述柔性线的至少部分所述第一端外包裹一第二头套,所述第二头套压紧至少部分所述第一端,使所述内芯无法从所述第一端穿出去。At least part of the first end of the flexible line is wrapped with a second head cover, and the second head cover presses at least part of the first end so that the inner core cannot pass out from the first end.
CN202410804896.2A2024-04-152024-08-14 A medical sutureActiveCN118717260B (en)

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JPS5636960A (en)*1979-08-311981-04-10Matsuda Ika KogyoSuturing gut for medical treatment
JPH0644548U (en)*1992-11-261994-06-14グンゼ株式会社 Surgical suture
JP2006025867A (en)*2004-07-122006-02-02Shimane Univ Surgical suture
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CN106388924A (en)*2016-09-282017-02-15上海凯利泰医疗科技股份有限公司Bone filler injecting system
CN107802943A (en)*2017-12-062018-03-16陈佳The special Auxiliary support seal wire of ureteral distortion
CN116328019A (en)*2022-12-292023-06-27北京大学第三医院(北京大学第三临床医学院)Application of zinc or zinc alloy wire as medical suture and medical imitation braided suture

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
JPS5636960A (en)*1979-08-311981-04-10Matsuda Ika KogyoSuturing gut for medical treatment
JPH0644548U (en)*1992-11-261994-06-14グンゼ株式会社 Surgical suture
JP2006025867A (en)*2004-07-122006-02-02Shimane Univ Surgical suture
US20150258238A1 (en)*2014-03-132015-09-17River Point, LlcSuture material having beneficial physical properties
CN106388924A (en)*2016-09-282017-02-15上海凯利泰医疗科技股份有限公司Bone filler injecting system
CN107802943A (en)*2017-12-062018-03-16陈佳The special Auxiliary support seal wire of ureteral distortion
CN116328019A (en)*2022-12-292023-06-27北京大学第三医院(北京大学第三临床医学院)Application of zinc or zinc alloy wire as medical suture and medical imitation braided suture

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