CN110353747A - Suture and all fronts holdfast - Google Patents
Suture and all fronts holdfast Download PDFInfo
- Publication number
- CN110353747A CN110353747A CN201910610012.9A CN201910610012A CN110353747A CN 110353747 A CN110353747 A CN 110353747A CN 201910610012 A CN201910610012 A CN 201910610012A CN 110353747 A CN110353747 A CN 110353747A
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- Prior art keywords
- suture
- ontology
- fronts
- flat structure
- fronts holdfast
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- 230000008602 contraction Effects 0.000 claims abstract description 79
- 210000001519 tissue Anatomy 0.000 claims description 31
- 239000004744 fabric Substances 0.000 claims description 7
- 230000008468 bone growth Effects 0.000 claims description 5
- 230000006698 induction Effects 0.000 claims description 5
- 210000000988 bone and bone Anatomy 0.000 description 13
- 230000006378 damage Effects 0.000 description 8
- 238000010586 diagram Methods 0.000 description 7
- 238000004873 anchoring Methods 0.000 description 6
- 238000005553 drilling Methods 0.000 description 5
- 239000003795 chemical substances by application Substances 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 230000015572 biosynthetic process Effects 0.000 description 3
- 238000009954 braiding Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 239000012141 concentrate Substances 0.000 description 2
- 238000009940 knitting Methods 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 239000002356 single layer Substances 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000017423 tissue regeneration Effects 0.000 description 1
- 238000009941 weaving Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
Abstract
The invention discloses a kind of sutures, for across the contraction distortion portion of all fronts holdfast, the suture to include at least one section of flat structure.The invention also discloses a kind of all fronts holdfasts, comprising: the suture;And the contraction distortion portion, the contraction distortion portion includes ontology, and the suture is pierced by along at least one end that the length direction of the ontology passes through the ontology and the suture from the ontology.
Description
Technical field
The present invention relates to the field of medical instrument technology, more particularly to a kind of suture and all fronts holdfast.
Background technique
Overexertion or it is otherwise due to, the intracorporal ligament of people, tendon and/or other soft tissues from its
Completely or partially being detached from for associated bone is relatively common damage, in order to help the part being detached from and bone as soon as possible
Bone combines as soon as possible, needs to attach to damaged tissues on bone associated there again by way of operation.At present
Common method of tissue repair is that first pass through the anchoring pieces such as screw, staple, suture anchor and hobnail enterprising in corresponding bone
Row drilling is fixed, then by the way that damaged tissues are fixed on bone with anchoring piece associated suture, to guarantee damaged tissues
Quick reparation.
Due to carrying out drilling operation on bone, certain damage can be caused to bone, in order to reduce drilling as far as possible
Operate injury to bone, scientist invented it is a kind of suture is passed through into shrinkable deformation component, by by shrinkable deformation
In member-inserting hole, all fronts holdfast of the size bigger than hole is formed using the deformation of shrinkable deformation component, and then plays anchoring
The effect of part.But find that this all fronts holdfast be easy to cause the groups such as fixed ligament during suture in actual use
The damage knitted.
Summary of the invention
Based on this, it is necessary to suture in the holdfast of all fronts to it is fixed organize the formation of damage aiming at the problem that, provide one
Kind suture and all fronts holdfast.
A kind of suture, for across the contraction distortion portion of all fronts holdfast, the suture to include at least one section of flat knot
Structure.
The length of the flat structure is the 10% to 90% of the suture length in one of the embodiments,.
It in one of the embodiments, further include the linear structure positioned at the flat structure at least one end.
The linear structure is located at the both ends of the flat structure length direction in one of the embodiments,.
The suture includes multiple flat knots by the linear structure interval in one of the embodiments,
Structure.
The length of the flat structure or position can be fixed into group in all fronts holdfast in one of the embodiments,
Make at least partly described flat structure from the surface of the tissue extended to around the fixation hole in fixation hole after knitting.
The suture is flexible wires braided fabric in one of the embodiments,.
A kind of all fronts holdfast, comprising:
The suture;And
The contraction distortion portion, the contraction distortion portion includes ontology, length direction of the suture along the ontology
At least one end across the ontology and the suture is pierced by from the ontology.
The both ends of the suture are worn from the both ends of the length direction of the ontology respectively in one of the embodiments,
Out.
The first state and the ontology edge that there is all fronts holdfast ontology to stretch in one of the embodiments,
The second state that the length direction is shunk.
In one of the embodiments, in second state, the flat structure is arranged at the suture
From the part that the ontology is pierced by.
In one of the embodiments, in the first state, the flat structure is arranged at the suture
From the part that the ontology passes through.
In one of the embodiments, the length of the flat structure be the length of the ontology extended state 50% to
200%.
The length of the flat structure is the 100% of the length of the ontology extended state in one of the embodiments,
To 120%.
The generally described flat structure of the suture in one of the embodiments,.
In one of the embodiments, the ratio of the width of the width of the flat structure and the ontology be (0.3~
0.8): 1.
The quantity of the suture is one in one of the embodiments,.
The suture is pierced by the width that position is the ontology described in the ontology in one of the embodiments,
Midpoint.
It is the seam that the suture, which passes through the ontology along the length direction of the ontology, in one of the embodiments,
Zygonema is at least partly or always in body interior extension to pass through the ontology or the suture alternately from described
What is extended outside opposite two surface of ontology passes through the ontology.
The ontology is woven in the suture periphery in one of the embodiments, makes the suture always in institute
State body interior extension.
The contraction distortion portion is tubular or flat in one of the embodiments,.
The contraction distortion portion further includes overlap in one of the embodiments, and the ontology is arranged in the overlap
At least one end of length direction.
The quantity of the overlap is two in one of the embodiments, is separately positioned on the length direction of the ontology
Both ends.
The length of the ontology and overlap ratio is (6~8): (0.05~2) in one of the embodiments,.
Portion and/or the suture be attached with induction of bone growth for the contraction distortion in one of the embodiments,
Agent.
The contraction distortion portion is flexible wires braided fabric in one of the embodiments,.
The suture of the invention can pass through contraction distortion portion and form all fronts holdfast, by the way that contraction distortion portion to be inserted into
In the fixation hole of tissue to be stapled, contraction distortion portion occurs for the tensioning suture that at least one end is pierced by the contraction distortion portion
Deformation and formed size be greater than fixation hole holdfast knot, to play the role of the anchoring to suture.Suture includes at least one
Section flat structure, for the flat structure for contacting with the tissue around fixation hole, the flat structure increases the suture
The contact area of line and tissue, to reduce suture to the effect pressure of the tissue of unit area.In addition, the suture
Flat structure not will increase the thickness of all fronts holdfast so that the suture and the contraction distortion portion are fixed entering
Volume when hole is basically unchanged, therefore the contact surface of suture and tissue is capable of increasing in the case where not increasing the size of drilling
Product, improves the damage problem of the forces on tissue of suture.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the suture of one embodiment of the invention;
Fig. 2 is the structural schematic diagram of the suture of another embodiment of the present invention;
Fig. 3 is the schematic cross-sectional view of all fronts holdfast in the second state of one embodiment of the invention;
Fig. 4 is the overlooking structure diagram of all fronts holdfast in the second state of one embodiment of the invention;
Fig. 5 is the schematic perspective view of all fronts holdfast in the second state of one embodiment of the invention;
Fig. 6 is the structural schematic diagram of all fronts holdfast in first state of one embodiment of the invention;
Fig. 7 is the structural schematic diagram of all fronts holdfast in first state of another embodiment of the present invention;
Fig. 8 is the structural schematic diagram of all fronts holdfast in first state of another embodiment of the present invention;
Fig. 9 is the structural schematic diagram of all fronts holdfast in first state of another embodiment of the present invention.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, by the following examples, it and combines attached
Figure, is further elaborated suture of the invention and all fronts holdfast.It should be appreciated that specific implementation described herein
Example is not intended to limit the present invention only to explain the present invention.
Fig. 1-3 is please referred to, the embodiment of the present invention provides a kind of suture, and the suture 100 is used for across all fronts holdfast
Contraction distortion portion 200, the suture 100 include at least one section of flat structure 120.
The suture 100 of the embodiment of the present invention can pass through contraction distortion portion 200 and form all fronts holdfast, by that will receive
Compression deformation portion 200 is inserted into the fixation hole 400 of tissue to be stapled, and tensioning at least one end is pierced by the seam in the contraction distortion portion 200
Zygonema 100 makes contraction distortion portion 200, and deformation occurs and forms the holdfast knot that size is greater than fixation hole 400, to play opposite joint
The anchoring of zygonema 100 acts on.Suture 100 includes at least one section of flat structure 120, is stitched by being tensioned the suture 100
It is combined while knit, the flat structure 120 is contacted with the tissue around fixation hole 400, increases the suture 100 and group
The contact area knitted, to reduce suture 100 to the effect pressure of the tissue of unit area.In addition, the suture 100
Flat structure 120 not will increase the thickness of all fronts holdfast so that the suture 100 and the contraction distortion portion 200
Volume when entering fixation hole 400 is basically unchanged, therefore is capable of increasing suture in the case where not increasing the size of drilling
100 with tissue contact area, improve suture 100 forces on tissue damage problem.
The suture 100 can the generally described flat structure 120 or part be the flat structure 120, as long as
The length of the flat structure 120 or position can make at least partly described flat knot after all fronts holdfast is fixed into tissue
Structure 120 is from the surface of the tissue extended to around the fixation hole 400 in fixation hole 400.It can guarantee the suture
100 is larger with the contact area of tissue, avoids damage to tissue.
The suture 100 can be the generally described flat structure 120;Or the suture 100 may include flat
Flat structure 120 and linear structure 140, the linear structure 140 are elongate structure, and the width of the flat structure 120 is greater than
The width of the linear structure 140.The linear structure 140 is located at least one end of the flat structure, has linear structure
140 suture 100 is conducive to the convenience of surgical procedure.In one embodiment, the linear structure 140 can be located at described
The both ends of 120 length direction of flat structure.In one embodiment, the suture 100 may include multiple by the threadiness
The spaced flat structure 120 of structure 140.The suture 100 may include multistage be arranged alternately it is described flat
The ratio of structure 120 and the linear structure 140, the flat structure 120 and the linear structure 140 can be according to practical seam
Being combined the case where knitting is determined.In one embodiment, the length of the flat structure 120 can be long for the suture 100
The 10% to 90% of degree, is in one embodiment 20% to 50%, is in one embodiment 30% to 40%, the flat structure
120 length can be sutured according to the distance between the size of tissue to be stapled and multiple fixation holes 400 rational allocation
The length of the flat structure 120 of line 100.
In one embodiment, the suture 100 is flexible wires braided fabric.The braided fabric can carry out in any way
It is woven to arbitrary graphic pattern.Preferably, the surfacing of the suture 100 is being shunk so as to reduce the suture 100
Frictional force when being slided in variant part 200 is conducive to more swimmingly tighten the contraction distortion portion 200.
Fig. 3-6 is please referred to, the embodiment of the present invention also provides a kind of all fronts holdfast, comprising:
The suture 100;And
The contraction distortion portion 200, the contraction distortion portion 200 include ontology 220, and the suture 100 is along described
The length direction of body 220 passes through the ontology 220 and at least one end of the suture 100 is pierced by from the ontology 220.?
In one embodiment, the both ends of the suture 100 are pierced by from the both ends of the length direction of the ontology 220 respectively.
The all fronts holdfast has first state (extended state) and the second state (contraction state), in the ontology 220
It is first state when stretching, extension, is the second state when the ontology 220 is shunk along the length direction.
When being sutured using all fronts holdfast, first organizing, such as bone, in beat fixation hole 400, form receiving
The channel in the contraction distortion portion 200 of all fronts holdfast, and the size of fixation hole 400 becomes the contraction that inserter end is arranged in
It shape portion 200 can be just into fixation hole 400.Then utilize inserter by the contraction distortion of all fronts holdfast of first state
Portion 200 is inserted into fixation hole 400, by stretching out the tensioning suture 100, keeps contraction distortion portion 200 related outward
It is mobile, simultaneously because the size of fixation hole 400 it is smaller so that 200 stress of contraction distortion portion and shrink reunions, formation second
State, all fronts holdfast form holdfast knot (the contraction distortion portion 200 after shrinking) and are anchored on the fixation hole 400 of tissue
In, since the size in the contraction distortion portion 200 of contraction is greater than the size of fixation hole 400, so that holdfast knot is stuck in fixation hole 400
In, so that all fronts holdfast is fixed organizationally, the suture 100 being pierced by the ontology 220 is from fixation hole 400
Middle stretching can be used for further organizing suture.In the first state, the suture 100 is worn in the ontology 220
The part crossed is first segment 102.In second state, the part that the suture 100 passes through in the ontology 220 is the
Two sections of (not shown).The length of the first segment 102 is greater than the length of the second segment.
In the contraction distortion portion 200, the ontology 220 is the suture 100 and 200 knot of contraction distortion portion
The matrix of conjunction, the ontology 220 include the sliding channel when suture 100 is tensioned, and pass through the tensioning of the suture 100
So that the contraction distortion portion 200 is tightened along the extending direction of the suture 100, bulk is changed by bar shaped.
Preferably, the contraction distortion portion 200 can also include overlap 240, and the overlap 240 is arranged in the ontology
At least one end of 220 length direction.It is furthermore preferred that the quantity of the overlap 240 is two, it is separately positioned on the ontology
The both ends of 220 length direction.In 220 end of ontology, setting overlap 240 is conducive to contraction distortion portion 200 after by pulling force and receives
The group of shortening into.Specifically, the extending direction of overlap 240 is not constrained by suture 100, when being pulled outwardly suture 100, overlap 240 can
Extend to two sides, to provide more support forces, during stretching suture 100, the overlap 240 is supported on
The inner wall of fixation hole 400, to be conducive to shrink the contraction distortion portion 200 when suture 100 is tensioned.The contraction becomes
Shape portion 200 planar becomes the second size from first size in the aperture of the fixation hole 400 by contraction distortion, by
Keep material more compact by shrinking in the contraction distortion portion 200, more concentrate, second size is greater than first ruler
It is very little, when the second size after the contraction distortion portion 200 is shunk is greater than the aperture of fixation hole 400, so that all fronts holdfast
It can not deviate from from the fixation hole 400, to play the role of anchoring.
In one embodiment, the length ratio of the ontology 220 and the overlap 240 can be (6~8): (0.05~2).
The width of the length and the flat structure 120 of the ontology 220 and the overlap 240 and the width ratio of the ontology 220
Example cooperates, and all fronts holdfast is enabled to reach bigger contraction size in second state.220 He of ontology
The overlap 240 can be structure as a whole.
In one embodiment, the contraction distortion portion 200 is flat, and the ontology 220 is arranged in the overlap 240
The both ends at the both ends of the length direction, the suture 100 are pierced by from the same surface of the ontology 220, are made described in two
The same side of the suture 100 is arranged in overlap 240, so that described two after the both ends tensioning of the suture 100
Overlap 240 is located at the downside of the suture 100 at the both ends, thus two overlaps 240 can be supported on simultaneously it is described solid
On the inner wall for determining hole 400, under the supporting role at both ends, shape is collapsed to middle part in the both ends for being conducive to the contraction distortion portion 200
At holdfast knot.
In one embodiment, the contraction distortion portion 200 is flexible wires braided fabric.
In one embodiment, the contraction distortion portion 200 can be tubular or flat.
In one embodiment, the contraction distortion portion has two opposite surfaces.The suture 100 can at least portion
Divide or always in 220 internal stretch of ontology to pass through the ontology 220 or the suture 100 alternately from described
What is extended outside opposite two surface of body passes through the ontology 220.In one embodiment, the ontology 220 can be woven in
100 periphery of suture, makes the suture 100 always in 220 internal stretch of ontology.
Please refer to Fig. 6 and Fig. 7, in one embodiment, the contraction distortion portion 200 be it is flat, the suture 100 can
At least partly or always in 220 internal stretch of ontology to pass through the ontology 220.In one embodiment, the ontology
220 may include entrance hole 222 and outlet hole 224, and the entrance hole 222 and outlet hole 224 are only to be provided with the ontology 220
A surface, not through the opening on two opposite surfaces for stating the ontology 220, in the entrance hole 222 and outlet hole
224 when being only provided with a surface of the ontology 220, and the suture 100 is passed through from the inside of the ontology 220 always.
The end of the suture 100 penetrates the ontology 220 from the entrance hole 222, and the suture 100 passes through the ontology
220, it is pierced by outside the ontology 220 from the outlet hole 224, when being tensioned the suture 100, the entrance hole 222 and described
The ontology 220 between outlet hole 224 folds, more compact structure.In another embodiment, the suture 100 is handed over
The ontology 220 is passed through for what is extended outside opposite two surface of the ontology 220, the ontology 220 may include wearing
Row hole 226, the hole 226 of walking is the through-hole that will be connected between two opposite surfaces of the ontology 220, such as flat receipts
Walked described in the through-hole of the thickness direction of the ontology 220 in compression deformation portion 200 quantity in hole 226 at least there are two., described to walk hole
226 quantity is more, alternately pass through number more, institute of the suture 100 from opposite two surface of the ontology 220
It states suture 100 and the connection site in the contraction distortion portion 200 is more, tighten the contraction distortion when suture 100
The folding times in portion 200 are more.Conversely, the quantity for walking hole 226 is fewer, the suture 100 and the contraction distortion
The connection site in portion 200 is fewer, and the folding times for tightening the contraction distortion portion 200 when the suture 100 are fewer.
Fig. 8 and Fig. 9 are please referred to, in another embodiment, the contraction distortion portion 200 is tubular, and the tubular, which is shunk, to be become
Shape portion 200 includes outer tubular wall and hollow channel 205, and the suture 100 can be in the inner surface and the outer surface of the outer wall
Between walk or be arranged in the hollow channel 205.The suture 100 the outer wall the inner surface and the outer surface it
Between walk may include the outer wall side outer wall carry out single layer walk or the outer wall and the outer wall phase
Bilayer is carried out to outer wall to walk.The suture 100 the outer wall side outer wall and the outer wall opposite outer walls into
Structure when row bilayer is walked similar to the suture 100 in the flat contraction distortion portion 200, it is no longer superfluous here
It states.The suture 100 carries out single layer when walking, in second state, the ontology 220 with 100 knot of suture
The surface of conjunction is folded, and folded portion package is by the outer wall of the ontology 220 being not associated with the suture 100
Bulk structure.When the hollow channel 205 in tubular contraction distortion portion 200 is arranged in the suture 100, the suture
Line 100 can be arranged directly in the hollow channel or be provided in the hollow channel braiding structure or tubular structure
Walk channel, the setting of suture 100 walks channel described, and walking for the braiding structure or the barrel-like structure is logical
In conjunction with the inner wall in the contraction distortion portion 200, the ontology 220 is woven in 100 periphery of suture in road, makes the suture
What line 100 to be combined with the suture 100 always in 220 internal stretch of ontology, by being tensioned the suture 100
Contraction distortion portion 200 is shunk.The braiding structure can weave for weaving or "the" shape.
The suture 100 includes two ends.In one embodiment, the suture 100 can be fixed on for one end
On the ontology 220, the other end is pierced by from the contraction distortion portion 200, by being tensioned the other end for the contraction distortion
Portion 200 is tightened, and the suture 100 of the other end is for further suturing.In another embodiment, the suture 100
Two ends be pierced by respectively from the contraction distortion portion 200, suture 100 described in the both ends being pierced by can be merged into one into
The further suture of row, or be divided into two sides in aperture and further sutured respectively.
Preferably, the quantity of the suture 100 is one.Since the suture 100 is provided with the flat structure
120, the flat structure 120 is passed through or is nested in the contraction distortion portion 200, and the width of the flat structure 120 is larger,
The single suture 100 can reduce the width spaces of occupancy, can be superimposed on the ontology 220 to avoid suture 100 or
Intersect, to reduce thickness of all fronts holdfast in the first state, beats fixation hole in the tissue to avoid increasing
The size of fixation hole 400 when 400.
In one embodiment, the ratio of the width of the width and ontology 220 of the flat structure 120 can be (0.3
~0.8): 1.In the proportional region, flat structure 120 in the suture 100 guarantee it is smooth in the ontology 220
While sliding maximum protection can be organized the formation of to be stapled.
In one embodiment, in second state, that is, in the contraction state of all fronts holdfast, the flat knot
Structure 120 be arranged at the suture 100 from the part that the ontology 220 is pierced by, thus play increase 100 He of suture
The effect of tissue contact surface product.
Preferably, in the first state, the flat structure 120 be arranged at the suture 100 from described
The part that ontology 220 passes through, that is, be arranged in the first segment 102.Preferably, the flat structure 120 is arranged at
The end of the first segment 102 so that the suture 100 tensioning after, 102 end of first segment it is described flat
Structure 120 is pierced by from the ontology 220 as free suture 100, the flat structure of 102 end of first segment
120 contact with the tissue of tissue or bore edges outside hole, can reduce suture 100 to the pressure of unit area tissue, drop
The damage of 100 pairs of low suture tissues.In one embodiment, in the first state, the length of the flat structure is described
The 50% to 200% of the length of ontology extended state, to guarantee to enable to the flat knot after shrinking the ontology 220
Structure 120 is from the surface that the tissue around the fixation hole 400 is pierced by and extended in the ontology 220.Preferably, described
The length of flat structure is the 100% to 120% of the length of the ontology extended state.
In one embodiment, the generally described flat structure 120 of the suture 100.In the suture of same thickness
In the case where line 100 and the contraction distortion portion 200, the flat structure 120 not will increase all fronts holdfast described
Thickness when one state, so that the size of fixation hole 400 will not be increased, and when all fronts holdfast is punctured into the second state,
The flat structure 120 can increase the size of all fronts holdfast, to be easier to be anchored in fixation hole 400.
In another embodiment, described flat in second state, that is, in the contraction state of all fronts holdfast
Structure 120 be provided only on the suture 100 from the part that the ontology 220 is pierced by, on the one hand increase suture 100 and group
Contact area is knitted, on the other hand reduces and runs in the guide the length of the flat structure 120 of the ontology 220 in first state.Preferably,
Suture 100 includes two flat structures 120 and the linear structure 140 being arranged between two flat structures 120, in the first shape
When state, only linear structure 140 passes through in the ontology 220;In the second state after all fronts holdfast is fixed into tissue,
The position of the flat structure 120 can just extend to outside fixation hole 400 out of fixation hole 400, and be fitted in fixation hole 400
The surface of the tissue of surrounding.
In one embodiment, it is the ontology 220 that the suture 100, which is pierced by position described in the ontology 220,
The midpoint of width.Preferably, the contraction distortion portion 200 is axisymmetric shape, and the setting of suture 100 becomes in the contraction
On the central axes in shape portion 200, so as to guarantee in 200 contraction process of contraction distortion portion to the contraction distortion portion 200
Middle position concentrate, be more advantageous to form more compact structure, the second larger-sized holdfast knot.
In one embodiment, the contraction distortion portion 200 and/or the suture 100 can be attached with induction of bone growth
Agent.The induction of bone growth agent can for example promote after bone tissue suture to promote bone uptake class drug or nutritional ingredient
The recovery of bone.The induction of bone growth agent can adhere to outer surface and/or the suture 100 in the contraction distortion portion 200
Outer surface.
Each technical characteristic of embodiment described above can be combined arbitrarily, for simplicity of description, not to above-mentioned reality
It applies all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited
In contradiction, all should be considered as described in this specification.
The embodiments described above only express several embodiments of the present invention, and the description thereof is more specific and detailed, but simultaneously
Limitations on the scope of the patent of the present invention therefore cannot be interpreted as.It should be pointed out that for those of ordinary skill in the art
For, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to guarantor of the invention
Protect range.Therefore, the scope of protection of the patent of the invention shall be subject to the appended claims.
Claims (26)
1. a kind of suture, which is characterized in that for across the contraction distortion portion of all fronts holdfast, the suture to include at least one
Section flat structure.
2. suture according to claim 1, which is characterized in that the length of the flat structure is the suture length
10% to 90%.
3. suture according to claim 1, which is characterized in that further include the line positioned at the flat structure at least one end
Shape structure.
4. suture according to claim 3, which is characterized in that the linear structure is located at the flat structure length side
To both ends.
5. suture according to claim 3, which is characterized in that the suture includes multiple by the linear structure
The flat structure at interval.
6. suture according to any one of claims 1-5, which is characterized in that the length of the flat structure or position
At least partly described flat structure can be made to extend to the fixation from fixation hole after all fronts holdfast is fixed into tissue
The surface of the tissue around hole.
7. suture according to claim 1, which is characterized in that the suture is flexible wires braided fabric.
8. a kind of all fronts holdfast characterized by comprising
Suture according to claim 1-7;And
The contraction distortion portion, the contraction distortion portion includes ontology, and the suture is passed through along the length direction of the ontology
At least one end of the ontology and the suture is pierced by from the ontology.
9. all fronts holdfast according to claim 8, which is characterized in that the both ends of the suture are respectively from the ontology
The both ends of length direction are pierced by.
10. all fronts holdfast according to claim 8, which is characterized in that all fronts holdfast has ontology stretching, extension
The second state that first state and the ontology are shunk along the length direction.
11. all fronts holdfast according to claim 10, which is characterized in that in second state, the flat structure is extremely
Be arranged in less the suture from the part that the ontology is pierced by.
12. all fronts holdfast according to claim 10, which is characterized in that in the first state, the flat structure is extremely
Be arranged in less the suture from the part that the ontology passes through.
13. all fronts holdfast according to claim 8, which is characterized in that the length of the flat structure is that the ontology is stretched
The 50% to 200% of the length of exhibition state.
14. all fronts holdfast according to claim 8, which is characterized in that the length of the flat structure is that the ontology is stretched
The 100% to 120% of the length of exhibition state.
15. all fronts holdfast according to claim 8, which is characterized in that the generally described flat structure of the suture.
16. all fronts holdfast according to claim 8, which is characterized in that the width of the flat structure and the ontology
The ratio of width is (0.3~0.8): 1.
17. all fronts holdfast according to claim 8, which is characterized in that the quantity of the suture is one.
18. all fronts holdfast according to claim 8, which is characterized in that the suture is pierced by described in the ontology
Position is the midpoint of the width of the ontology.
19. all fronts holdfast according to claim 8, which is characterized in that length direction of the suture along the ontology
It is the suture at least partly or always in body interior extension to pass through the ontology across the ontology, or
What the suture alternately extended outside opposite two surface of the ontology passes through the ontology.
20. all fronts holdfast according to claim 8, which is characterized in that the ontology is woven in the suture periphery, makes
The suture extends in the body interior always.
21. all fronts holdfast according to claim 8, which is characterized in that the contraction distortion portion is tubular or flat.
22. all fronts holdfast according to claim 8, which is characterized in that the contraction distortion portion further includes overlap, described to fly
While at least one end of the length direction of the ontology is arranged in.
23. all fronts holdfast according to claim 22, which is characterized in that the quantity of the overlap is two, is respectively set
At the both ends of the length direction of the ontology.
24. all fronts holdfast according to claim 22, which is characterized in that the length of the ontology and overlap ratio is (6
~8): (0.05~2).
25. all fronts holdfast according to claim 8, which is characterized in that the contraction distortion be portion and/or the suture
Be attached with induction of bone growth agent.
26. according to the described in any item all fronts holdfasts of claim 8-25, which is characterized in that the contraction distortion portion is flexible wires
Braided fabric.
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CN201910610012.9A CN110353747A (en) | 2019-07-04 | 2019-07-04 | Suture and all fronts holdfast |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2022161065A1 (en) * | 2021-01-27 | 2022-08-04 | 北京天星博迈迪医疗器械有限公司 | All-suture anchor and anchor pulling and shaping kit |
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CN107334502A (en) * | 2017-07-04 | 2017-11-10 | 杭州锐健马斯汀医疗器材有限公司 | A kind of suture and preparation method thereof |
CN107864628A (en) * | 2015-03-31 | 2018-03-30 | 拜欧米特运动医药有限责任公司 | Suture anchor with soft electrospinning fibre anchoring piece |
CN211583312U (en) * | 2019-07-04 | 2020-09-29 | 北京德益达美医疗科技有限公司 | Suture and full-line anchor |
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CN107864628A (en) * | 2015-03-31 | 2018-03-30 | 拜欧米特运动医药有限责任公司 | Suture anchor with soft electrospinning fibre anchoring piece |
CN107334502A (en) * | 2017-07-04 | 2017-11-10 | 杭州锐健马斯汀医疗器材有限公司 | A kind of suture and preparation method thereof |
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