WO2015069042A1 - 수술용 실의 돌기 형성장치 및 그 방법 - Google Patents
수술용 실의 돌기 형성장치 및 그 방법 Download PDFInfo
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- WO2015069042A1 WO2015069042A1 PCT/KR2014/010626 KR2014010626W WO2015069042A1 WO 2015069042 A1 WO2015069042 A1 WO 2015069042A1 KR 2014010626 W KR2014010626 W KR 2014010626W WO 2015069042 A1 WO2015069042 A1 WO 2015069042A1
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- WIPO (PCT)
- Prior art keywords
- suture
- surgical thread
- motor
- protrusion
- projection
- Prior art date
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- 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
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- D—TEXTILES; PAPER
- D02—YARNS; MECHANICAL FINISHING OF YARNS OR ROPES; WARPING OR BEAMING
- D02J—FINISHING OR DRESSING OF FILAMENTS, YARNS, THREADS, CORDS, ROPES OR THE LIKE
- D02J3/00—Modifying the surface
- D02J3/02—Modifying the surface by abrading, scraping, scuffing, cutting, or nicking
-
- 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
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26D—CUTTING; DETAILS COMMON TO MACHINES FOR PERFORATING, PUNCHING, CUTTING-OUT, STAMPING-OUT OR SEVERING
- B26D1/00—Cutting through work characterised by the nature or movement of the cutting member or particular materials not otherwise provided for; Apparatus or machines therefor; Cutting members therefor
- B26D1/01—Cutting through work characterised by the nature or movement of the cutting member or particular materials not otherwise provided for; Apparatus or machines therefor; Cutting members therefor involving a cutting member which does not travel with the work
- B26D1/45—Cutting through work characterised by the nature or movement of the cutting member or particular materials not otherwise provided for; Apparatus or machines therefor; Cutting members therefor involving a cutting member which does not travel with the work having a cutting member the movement of which is not covered by any preceding group
- B26D1/455—Cutting through work characterised by the nature or movement of the cutting member or particular materials not otherwise provided for; Apparatus or machines therefor; Cutting members therefor involving a cutting member which does not travel with the work having a cutting member the movement of which is not covered by any preceding group for thin material, e.g. for sheets, strips or the like
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26D—CUTTING; DETAILS COMMON TO MACHINES FOR PERFORATING, PUNCHING, CUTTING-OUT, STAMPING-OUT OR SEVERING
- B26D5/00—Arrangements for operating and controlling machines or devices for cutting, cutting-out, stamping-out, punching, perforating, or severing by means other than cutting
- B26D5/005—Computer numerical control means
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26D—CUTTING; DETAILS COMMON TO MACHINES FOR PERFORATING, PUNCHING, CUTTING-OUT, STAMPING-OUT OR SEVERING
- B26D7/00—Details of apparatus for cutting, cutting-out, stamping-out, punching, perforating, or severing by means other than cutting
- B26D7/08—Means for treating work or cutting member to facilitate cutting
- B26D7/14—Means for treating work or cutting member to facilitate cutting by tensioning the work
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- D—TEXTILES; PAPER
- D02—YARNS; MECHANICAL FINISHING OF YARNS OR ROPES; WARPING OR BEAMING
- D02J—FINISHING OR DRESSING OF FILAMENTS, YARNS, THREADS, CORDS, ROPES OR THE LIKE
- D02J3/00—Modifying the surface
- D02J3/10—Modifying the surface by indenting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
-
- 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
- A61B2017/06176—Sutures with protrusions, e.g. barbs
Definitions
- the present invention relates to an apparatus for forming a protrusion of a surgical thread and a method thereof, and more particularly, it is possible to automatically form protrusions (Cogs) of a desired pattern on the outer surface of the surgical thread to achieve productivity and quality improvement.
- the present invention relates to a projection forming device of a surgical thread and a method thereof.
- Korean Patent No. 0320005 discloses hook-shaped barbed protrusions on the surface of a thread having good tensile strength, such as nylon or prolene, which is a single-line medical suture in a certain direction, or in a bidirectional or zigzag direction. Medical threads have been disclosed that can be tilted or serrated to maintain fixability without being tied to the thread inserted by the thorn structure when inserted under the skin.
- Medical seals having such spinous protrusions have various shapes, such as (a), (b), (c), and (d) of FIG. 1, and suture two muscles or pull muscles during surgery. It can be used in medical activities such as forming or pulling organs, and can support the pulling force without slipping or slipping in the direction of the spinous projection, which helps to simplify complex suture and shorten the operation time. give.
- the thread that comes out of the skin, tissue, or muscle is simple and can be easily and conveniently completed by simply cutting it.
- the medical thread having such spinous processes does not have to bark knots after surgery, which is particularly useful for endoscopic surgery, and when soaked in a specific drug and sutured, the drug remaining between the spinous processes after surgery gradually penetrates the drug delivery function.
- it because it can also pull up the substances that cause atherosclerosis, it may be applied to pull out blood clots without having to incision.
- the present invention was created in view of the above-mentioned problems in the prior art as described above, by automatically producing a suture having a spinous process by using a mechanical means to increase the production efficiency, reduce the cost, improve the quality
- the main object of the present invention is to provide a projection forming apparatus and a method of the surgical thread.
- the present invention is a means for achieving the above object, the bobbin 110, the suture 100 is wound; First and second tension rolls 200 and 210 for maintaining the suture 100 released from the bobbin 110 at a constant tension; A pair of friction rolls 300 through which the suture 100 is passed so as to pull the suture 100 and exit to the exit side; A pressing lever 330 temporarily fixing the suture 100 which proceeds to the exit side by the friction roll 300 and moving up and down; Protruding at the same time as the rotation toward the suture 100 is fixed by the push lever 330 while moving obliquely to the left or right with a diagonal cut on the surface of the suture 100 to form a spinous process Forming knife 400; provides a projection forming device of the surgical thread comprising a.
- the surface of the pair of friction roll 300 is characterized in that the roughness is given.
- any one of the pair of friction roll 300 is characterized in that it is configured to twist and transfer the suture 100 to proceed to move in the vertical direction.
- the pair of friction roll 300 is also characterized in that it is configured to be spaced through the roller opening lever 304 which is operated on the lever principle.
- the protrusion forming knife 400 is fixed to the angle adjustable on the rotation axis of the fourth motor (410);
- the fourth motor 410 is fixed to the motor base 420 of the 'b' shape;
- a rotating wheel 440 having a diameter larger than its width is fixed to the bent bottom surface of the motor base 420;
- the rotary wheel 440 is disposed to be in contact with any one of the pair of first and second inclined guides 450a and 450b arranged inclined therebetween;
- the motor base 420 is configured to be movable in the X and Y directions by a plurality of sliders 422 and 426 and LM guides 424 and 428;
- the motor base 420 is also characterized in that it is configured to move in connection with the ball screw 490 is self-rotated by the fifth motor (500).
- first and second inclined guides 450a and 450b are bound to each other by a micrometer 460 which is a microadjusting means to form a spinous process by adjusting the inclination of the first and second inclined guides 450a and 450b. It is also characterized by the ability to adjust the inclination and depth of the sheath.
- the rotary wheel 440 in contact with any one of the first and second inclined guides 450a and 450b has a rod-shaped left and right operating table 600 that linearly moves in the left and right directions by the sixth motor 610. Is also adjusted by moving the motor base 420 left or right.
- a cutter 350 is further provided on the exit side of the suture 100 after the spinous protrusion is formed to cut the suture 100 by a predetermined length.
- the present invention provides a method for forming a projection of the surgical thread using the projection forming device of the surgical thread described above; Suture withdrawal preparation step of arranging the suture 100 wound on the bobbin 110 so as to withdraw the suture 100 to the exit side between the first and second tension rolls 200 and 210 and the friction roll 300 (S100). ); When the suture 100 is maintained in a withdrawable state, a protrusion forming direction setting step of determining and setting whether a protrusion to be formed in the suture 100 is formed in the longitudinal direction of the suture 100 or the opposite side in the longitudinal direction is set.
- FIG. 1 is an exemplary view of a suture formed with spinous protrusions according to the prior art.
- 3 and 4 is an exemplary partial perspective view showing a projection forming device of another surgical thread in the present invention.
- FIG. 9 is a flowchart showing a method of forming a protrusion of a surgical thread according to the present invention.
- FIG. 10 is an exemplary view showing various examples of the protrusions formed on the suture according to the present invention.
- the present invention is to form a cogs (cogs) on the surface of the thread with a sharp knife to be configured to maintain the desired tensile force when the protrusions are caught by the muscle when entering the skin.
- the present invention is configured to adjust the operation direction and size of the knife making the projection on the thread, which is configured to automatically process by controlling the motor of the multi-axis according to this setting after designing and storing the desired shape in advance in the PLC. do.
- the projection forming device of the surgical thread according to the present invention includes a bobbin 110, the suture 100 is wound.
- the bobbin 110 is configured to be rotated by the first motor 120 installed on the bottom.
- the fixing of the first motor 120, the installation of the bobbin 110 is made through the bobbin base 130 shown in Figure 5, the plate-like plate installation structure such as the bobbin base 130 Since it is generally known, a detailed description thereof is omitted.
- a first tension roll 200 is provided at intervals from the bobbin 110, and a second tension roll 210 is alternately provided with the first tension roll 200 so that the suture thread 100 is provided. It is configured to maintain a constant tension by passing through the first and second tension rolls 200 and 210.
- first and second tension rolls 200 and 210 are rotatably installed on the tension roll base 220, respectively.
- the first tension roll 200 is configured to be movable for tension adjustment.
- the first tension roll 200 is rotatably fixed to an upper surface of one end of the operation piece 230, and the other end of the operation piece 230 is the tension roll base 220.
- the shaft is rotatably fixed.
- one end of the tension spring 240 is fixed to a part of the length of the operation piece 230, and the other end of the tension spring 240 is fixed on the tension roll base 220.
- the second tension roll 210 since the second tension roll 210 is installed to be inward of the first tension roll 200, that is, to the opposite side to the position where the tension spring 240 is installed, the second tension roll 210 passes through the first tension roll 200.
- the suture 100 passing through the tension roll 210 tries to pull the first tension roll 200 toward the second tension roll 210, but in the opposite direction, the tension spring 240 is elastically pulled. Suture 100 is able to maintain the appropriate tension.
- the tension roll base 220 in the downward position of the first tension roll 200 is formed with a long groove-shaped flow groove 250, a part of the roll axis of the first tension roll 200, that is, the lower end It is configured to move within the flow groove 250 while being fitted in the flow groove 250.
- the flow groove 250 is formed in a direction in which the first and second tension rolls 200 and 210 face each other, and one end of the flow groove 250 and preferably the second tension roll 210 and the second groove.
- the limit switch 260 is installed in the near end part.
- the limit switch 260 outputs a signal for driving control of the above-described first motor 120 for driving the bobbin 110, for example, the length of the suture 100 released from the bobbin 110 is If it is not enough, the tension of the suture 100 becomes strong, so the suture 100 eventually overcomes the elastic force of the tension spring 240 and pulls the first tension roll 200 to the second tension roll 210 side, wherein the roll
- the shaft touches the limit switch 260 provided in the flow groove 250, and then the suture 100 wound on the bobbin 110 is rotated while the first motor 120 is rotated by the signal of the limit switch 260. Solve the excess tension while maintaining the appropriate tension is to ensure that the suture 100 is continuously supplied smoothly.
- the suture 100 past the second tension roll 210 is configured to be drawn and pulled between the pair of friction roll 300. More precisely, the friction roll 300 pushes the suture 100 in the opposite direction, and is pulled when viewed from the bobbin 110. Therefore, the tension applied to the suture 100 is initially caused by the friction roll 300.
- the lower portion of any one of the friction roll 300, the second motor 310 is installed to rotate the friction roll 300, the suture 100 to accurately and without slip to push the Roughness is preferably given to the surface of the friction roll 300.
- it may be in the form of coating the artificial diamond on the surface of the friction roll (300).
- a roller opening lever 304 may be further provided to open and close the roll fixing block 302 in which the friction roll 300 is installed on the lever principle so as to open the friction roll 300.
- the pair of roll fixing block 302 is elastically coupled by a spring, spreading the friction roll 300 through the roller opening lever 304 to open the suture 100, etc. After the work is released, it is configured to close automatically by the elastic force.
- a pedestal 320 is provided at an adjacent position of the friction roll 300, and a pressing plate 330 is provided at an upper portion of the pedestal 320, and the pressing plate 330 is formed by the third motor 340. It is configured to be movable up and down at a constant cycle.
- the vertical movement cam 342 is fixed to the rotation axis of the third motor 340, the pressing plate by the Shanghai dong cam 342 Equipped with an elastic return structure (using a spring) so that the 330 can be lifted and lowered, it can be easily configured.
- the suture 100 passes through the lower portion of the pressing plate 330, and when the pressing plate 330 is lowered, the pressing plate 330 is fixed to the upper surface of the pedestal 320 while pressing the suture 100. When the pressing plate 330 is raised, the suture 100 is not fixed and thus is movable.
- the third motor 340 does not necessarily have to use a motor that rotates, and may use a small pneumatic or hydraulic cylinder in another way that can be designed very easily.
- any one of the friction roll 300 is configured to be movable up and down, the suture 100 which is engaged to be engaged is twisted and twisted, that is, proceeds in a spiral manner. It can be implemented in the form.
- any one of the friction roll 300 is moved up and down while rotating may be the cam method described above, and can be moved in a fine range up and down with other known lifting means such as other cylinders. It can be adjusted so that, by adjusting this movement can also control the degree of twisting the suture (100).
- an end of the pedestal 320 that is, the cutting scissors 350 (see FIG. 2) is installed at a direction in which the suture 100 moves and is discharged to cut the suture 100 having a spinous protrusion to a predetermined length.
- the cut suture 100 is dropped into the tray 360 to be stored.
- the cutting scissors 350 is fixed to the support block (SB), as shown in Figure 3, the other scissors blade is linked with the solenoid 312 in accordance with the operation of the solenoid 312 It is possible to cut the suture 100 to proceed to a certain length.
- the projection forming knife 400 is provided in front of the pedestal 320.
- (a) is a side schematic and (b) is a principal part top view.
- the protrusion forming knife 400 is fixed on the sensor reference plate 412 fixed on the rotation axis of the fourth motor 410 is configured to rotate within a predetermined angle.
- the fourth motor 410 is preferably a stepping motor because it must perform accurate and smooth repetitive rotation within a certain angle.
- the fourth motor 410 is fixed to the motor base 420, the motor base 420 is a bracket of approximately 'b' shape, the bent bottom surface as shown in (b) of FIG.
- the induction groove 430 of the 'c' shape cut to a certain depth from one end is formed.
- a rotating wheel 440 having a diameter larger than its width is rotatably fixed on the bent bottom surface, and the rotating wheel 440 is horizontally positioned therebetween, that is, the protruding knife 400. It is configured to be guided by a pair of first and second inclined guide (450a, 450b) arranged in the longitudinal direction of the).
- the rotary wheel 440 is fixed to the upper surface of the lower end of the motor base 420, the motor base 420 is moved to the left or right of any of the first and second inclined guide (450a, 450b) It comes into contact with one opposing face and moves the motor base 420 in an oblique direction while moving along it.
- the protruding knife 400 when the protruding knife 400 is advanced toward the suture 100, the protruding knife 400 is sutured in the longitudinal direction of the suture 100 without being in contact with the suture 100 and staying at one point. She is able to cut the sheath by moving it in the direction of progression or vice versa.
- first and second inclined guides 450a and 450b are coupled to each other by a microadjusting means such as a micrometer 460 so that they can simultaneously move in the form of a turnbuckle to adjust the inclination angle to form a spinous protrusion. Tilt, depth, etc. can be adjusted freely.
- the motor base 420 in order to enable such an operation, must be capable of horizontal movement as well as forward and backward movement, and thus, includes at least two LM guides.
- the left and right moving slider 422 is formed in the width direction on a portion of the lower surface of the motor base 420, and the left and right moving slider 422 is assembled to the left and right moving LM guide 424, and the left and right moving LM guide 424 is fixed to the upper surface of the front and rear slider 426, the front and rear movement LM guide 428 is fixed in the longitudinal direction to the bottom surface of the front and rear slider 426, the front and rear movement LM guide 428 It is assembled to the upper surface of the base plate 470.
- the motor base 420 may move the front and rear movement slider 426 in the front and rear direction along the front and rear movement LM guide 428 with respect to the base plate 470, the upper surface of the front and rear movement slider 426 Since the left and right LM guide 424 is integrally fixed, the left and right LM guide 424 moves together in the front and rear direction. At the same time, the left and right LM guide 424 is assembled with the left and right slider 426 to move in the left and right direction.
- the motor base 420 is able to move in the left and right directions as it moves forward, and can be guided in the inclined direction by the first and second slope guides 450a and 450b described above.
- connecting piece 480 is vertically fixed to one side surface of the front and rear slider 426, and the protruding end of the connecting piece 480 is engaged with the ball screw 490 in a direction orthogonal thereto.
- the ball screw 490 is connected to the rotation shaft of the fifth motor 500.
- the operation guide groove 430 is a rod-shaped left and right operating unit 600 is arranged vertically, and the sixth motor 610 is installed on the upper end of the left and right operating unit 600, the rotation direction according to the The left and right operating table 600 may be moved toward the left side, that is, the first slope guide 450a, or may be moved to the right side, that is, the second slope guide 450b.
- the sixth motor 610 and the left and right operating table 600 may be eccentrically fixed on a disc to operate in a cam manner.
- the motor base 420 moves together to the left by the left and right moving LM guide 424.
- the rotary wheel 440 and the first inclined guide 450a Since the driving of the sixth motor 610 is stopped when contacted, the rotary wheel 440 is configured to move along the contact surface of the first inclined guide 450a, and vice versa.
- control of the upper limb sixth motor 610 may be configured to automatically adjust by setting in advance in the PLC when determining the direction of formation of the spinous process.
- a spine protrusion (Cog) having a shape formed on the lower part of FIG. 1 (b) is formed, and the second inclined guide 450b
- the spinous process having the shape as shown in FIG. 1 (a) is formed.
- the protrusion forming knife 400 is formed so that the blade 402 is lifted upward while having an inclination, and is chamfered so that the blade 402 does not contact the suture 100 first, but the pedestal 330.
- the edge of the working die provided in the first, and because the rotary movement in the state at the same time to move left and right because the blade 402 is moved forward and left or right while rotating as if lying in the blade width direction suture 100 and At the moment of contact, the cutting is performed slightly while cutting in the oblique direction so that the spinous processes as shown in FIG. 1 can be accurately formed.
- the length and depth of the cog are determined by the amount of movement of the fourth motor 410, but the ratio of the length and depth is determined by the micrometer 460 initially set.
- the cog that is, the length of the protrusion is changed by the angle of the protrusion forming knife 400.
- the length of the cog is changed according to the inclination angle of the rotation shaft of the fourth motor 410.
- the inclined knife 400 is always inclined in a state consistent with the center of the fourth motor 410. It must be fixed.
- the size and depth of the left, right may be different, or may be the same when forming the projection, which is made by determining the ratio of depth and length, the surface of the inclined blade and suture 100 of the projection forming knife 400 As these crosses meet, protrusions are formed.
- the blade since the blade is in contact with the suture 100 in an oblique line from the beginning, too thin the epidermis is generated, so that the blade is rotated in a state where the blade is properly inserted, so that the blade can be cut to form a desired sheath.
- the first and second number evaluation guides G1 and G2 are further linked to the rear ends of the first and second slope guides 450a and 450b to guide the rotary wheel 440. If the rotary wheel 440 is first to proceed in a straight line riding any one of the first and second number evaluation guides (G1, G2) arranged from the point where the first and second number evaluation guides (G1, G2) ends The above-described problem can be sufficiently solved because the diagonal movement of one of the first and second slope guides 450a and 450b is carried out diagonally.
- the rotation wheel 440 when the rotation wheel 440 is adjusted to contact the first water rating guide G1 by the sixth motor 610, the rotation wheel 440 is initially the first water rating guide G1.
- the linear movement in the direction of the end of the first water guide (G1) that is, the point connected to the first slope guide (450a) from the first slope guide (450a) inclined movement, that is to move in an oblique direction because the projection
- the forming knife 400 enters the suture 100 in a linear motion method with an inclination angle, and rotates by the fourth motor 410 at the moment when the forming knife 400 contacts the suture 100, while the protruding knife 400 is laid and made at the same time. Due to the phenomenon of moving in an oblique direction on the inclined guide 450a, a v-shaped or gull-shaped protrusion, that is, a spinous protrusion, is formed in the suture 100.
- the depth of the sheath can be freely changed by varying the point where the first and second number evaluation guides G1 and G2 meet the first and second inclined guides 450a and 450b, and the shape, direction, depth, and size of the protrusion can be changed.
- 10 and the like can be formed in one device according to the present invention as shown in Figure 10 is expected to maximize its utility.
- the projections are formed from the moment when the surface of the suture 100 meets the inclined place of the blade, when the direction of the suture 100 and the blade is placed in a plane, the suture If 100 and the blade are orthogonal to each other, no projection is formed, and when a slightly larger degree is about 100 °, the projection is formed according to the moving amount.
- the inlet that comes out of the suture 100 as well as the X, Y axis, that is, when viewed from the front edge of the knife with respect to the direction of movement Should be slanted slightly up.
- the length of the protrusion is formed by the inclination angle of the fourth motor 410 by the movement of the moving motor shaft by the inclination of the blade, the depth is determined according to the inclination of the blade.
- the inclined blade of the protrusion forming knife 400 is intended to induce a soft contact to occur at the moment of contact with the suture 100, while the depth is also deepened according to the inclination so that it can be adjusted. .
- the protrusion forming knife 400 is configured to be movable in the Z-axis, that is, the height direction is better if the blade is smoothly processed without mechanically hitting the blade.
- the device according to the present invention since the device according to the present invention has too many adjustment points, even if it is misaligned and the blade hits a plate such as a pedestal, the device is energized between the blade and the plate in contact so that the device can be emergency stopped or avoided. By controlling, it enables safe operation and should not be broken or damaged by blades or devices.
- the suture is not processed if the suture is not processed because it is equipped with a sensor that can determine whether the deviation on the movement path of the suture 100 can be corrected by giving an alarm or erect the equipment. It is better to configure it.
- the front and rear of the suture 100 may be further aligned to further include an alignment means to increase the processing efficiency.
- the processing of the suture 100 is processed by the data input to the PLC, such data, as shown in Figure 10, the number of the projections, the direction of the projections, the direction of rotation of the suture, the pitch of the projections, the depth of the projections , The length of the projection, the cutting edge curve of the blade, the angle of entry of the blade, the length of the non-cutting area, the cutting position, the batch production of various kinds at once, the production of one at a time, the batch production of various kinds at once You can predefine and define whether you want to produce and how to produce. It is very suitable for automatic production and can form various kinds of protrusions with one device.
- the present invention made of such a configuration is to form a spinous process through the following method.
- the suture withdrawal preparation step (S100) is a step of maintaining the suture can be drawn out, the withdrawal of the suture is rotated the second motor 310 described above to rotate the suture 100 is engaged with the friction roll 300 By pushing it to the exit side.
- the suture 100 wound on the bobbin 110 is drawn out while being released while maintaining the appropriate tension by a plurality of tension rolls.
- the protrusion forming direction setting step S110 is performed.
- the protrusion forming direction setting step (S110) is a step of determining and setting whether the protrusions to be formed in the suture 100 are formed in the longitudinal direction of the suture 100 or the opposite side in the longitudinal direction, for example, forming the protrusions. By counting the number of times, if the number exceeds the set number, the motor base 420 may be easily moved by changing the direction.
- the projection forming step (S120) is performed in which the operation of rotating and simultaneously moving in an oblique direction to make a sheath in a direction set on the surface of the suture 100 is performed.
- the pressing plate 330 is lowered in accordance with the movement of the projection forming knife 400 to hold the suture 100 does not move is automatically performed according to the set sequence.
- a cutting step S130 of cutting the suture 100 by a predetermined length using a cutting scissors 350 is performed.
- the apparatus for forming a protrusion of a surgical thread according to the present invention and its method completely improve the conventional method of manual operation by the worker so as to automatically form through a machine, thereby contributing to the improvement of productivity as well as the quality and mass production.
- the manufacturing cost can be reduced.
- suture 110 bobbin
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Abstract
Description
Claims (13)
- 봉합사(100)가 감겨 있는 보빈(110);상기 보빈(110)으로부터 풀려 나온 봉합사(100)를 일정한 장력으로 유지시키는 제1,2텐션롤(200,210);상기 봉합사(100)를 당겨 출측으로 배출하도록 봉합사(100)가 통과되는 한 쌍의 마찰롤(300);상기 마찰롤(300)에 의해 출측으로 진행되는 봉합사(100)를 일시 고정하며, 승하강 동작되는 누름판(330);상기 누름판(330)에 의해 고정되어 있는 봉합사(100)를 향해 회전과 동시에 전진되면서 이와 함께 좌측 혹은 우측으로 사선이동되어 상기 봉합사(100)의 표면에 사선형 칼집을 내어 가시 돌기를 형성하는 돌기형성칼(400);을 포함하는 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1에 있어서;상기 한 쌍의 마찰롤(300)의 표면에는 거칠기가 부여된 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1에 있어서;상기 한 쌍의 마찰롤(300) 중 어느 하나는 상하방향으로 움직일 수 있게 하여 진행하는 봉합사(100)를 꼬면서 이송시키도록 구성된 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1에 있어서;상기 한 쌍의 마찰롤(300)은 지렛대 원리로 동작되는 롤러벌림레버(304)를 통해 사이를 벌릴 수 있도록 구성된 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1에 있어서;상기 돌기형성칼(400)은 제4모터(410)의 회전축 상에 각도 조절가능하게 고정되고; 상기 제4모터(410)는 'ㄴ' 형상의 모터베이스(420)에 고정되며; 상기 모터베이스(420)의 절곡된 하단면에는 그 폭보다 큰 직경을 갖는 회전휠(440)이 고정되고; 상기 회전휠(440)은 이를 사이에 두고 경사 배열된 한 쌍의 제1,2경사가이드(450a,450b)중 어느 하나와 접촉되게 배치되고; 상기 모터베이스(420)는 다수의 슬라이더(422,426)와 LM가이드(424,428)에 의해 X,Y방향으로 움직일 수 있도록 구성되며; 상기 모터베이스(420)는 제5모터(500)에 의해 자회전되는 볼스크류(490)와 연결되어 움직일 수 있도록 구성된 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 5에 있어서;상기 제1,2경사가이드(450a,450b)의 선단은 미세조절수단인 마이크로미터(460)로 상호 결속되어 제1,2경사가이드(450a,450b)의 경사조절을 통해 가시 돌기를 형성하는 칼집의 경사, 깊이를 조절할 수 있는 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 5에 있어서;상기 제1,2경사가이드(450a,450b)의 각 일단에는 직선형인 제1,2수평가이드(G1,G2)가 더 링크된 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 7에 있어서;상기 제1,2경사가이드(450a,450b)중 어느 하나와 접촉하는 회전휠(440)은 제6모터(610)에 의해 좌우방향으로 직선운동하는 막대 형태의 좌우작동대(600)가 모터베이스(420)를 좌측 혹은 우측으로 움직이는 것에 의해 조절되는 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1에 있어서;상기 봉합사(100)에 가시 돌기가 형성된 후 배출되는 출측에는 절단가위(350)가 더 구비되어 상기 봉합사(100)를 일정 길이별로 절단하는 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 9에 있어서;상기 절단가위(350)는 솔레노이드(312)에 의해 진행하는 봉합사(100)를 일정길이로 절단하는 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1에 있어서;상기 돌기형성칼(400)과, 상기 누름판(330)이 구비된 받침대(320)는 오동작에 의해 상호 접촉시 통전되게 하여 동작을 비상정지시켜 장치를 보호하도록 구성된 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1에 있어서;상기 수술용 실의 돌기 형성장치는 PLC에 의해 제어되며, 상기 PLC에 입력되어 가변처리 가능한 데이터는 돌기의 갯수, 돌기의 방향, 봉합사의 회전방향, 돌기의 피치, 돌기의 깊이, 돌기의 길이, 칼날의 절단면 커브도, 칼날의 진입각도, 가공없는 곳의 길이, 절단위치를 포함하고, 다양한 종류를 한 번에 일괄생산할 것인지 전체를 생산할 것인지, 생산개수는 어떻게 할 것인지를 미리 입력하고 정의할 수 있는 것을 특징으로 하는 수술용 실의 돌기 형성장치.
- 청구항 1 내지 청구항 12 중 어느 하나에 기재된 수술용 실의 돌기 형성장치를 이용하여 수술용 실의 돌기를 형성하는 방법에 있어서;봉합사(100)를 인출할 수 있도록 보빈(110)에 감겨 있는 봉합사(100)를 제1,2텐션롤(200,210) 및 마찰롤(300) 사이를 경유하여 출측으로 배열하는 봉합사 인출준비단계(S100);봉합사(100)가 인출가능한 상태로 유지되면, 봉합사(100)에 형성될 돌기가 봉합사(100)의 길이방향으로 형성될 것인지 아니면 길이방향 반대쪽으로 형성될 것인지를 결정하여 세팅하는 돌기 형성방향 설정단계(S110);돌기 형성방향 설정이 완료되면, 봉합사(100)를 인출시킴과 동시에 돌기형성칼(400)를 전진시키면서 동시에 회전시키고, 또한 동시에 사선방향으로 이동시켜 봉합사(100)의 표면에 설정된 방향으로 칼집을 만드는 돌기형성 개시단계(S120);일정길이 혹은 설정 개수 만큼의 돌기가 형성되면 절단가위(350)를 이용하여 봉합사(100)를 일정길이별로 잘라내는 커팅단계(S130);를 포함하는 것을 특징으로 하는 수술용 실의 돌기 형성방법.
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JP2016553194A JP2017505860A (ja) | 2013-11-07 | 2014-11-06 | 手術用糸の突起形成装置及びその方法 |
US15/034,180 US9949736B2 (en) | 2013-11-07 | 2014-11-06 | Apparatus for forming cogs on surgical thread and method therefor |
CN201480061210.XA CN105745371B (zh) | 2013-11-07 | 2014-11-06 | 手术用线的突起形成装置及其方法 |
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US9498893B2 (en) | 2007-09-27 | 2016-11-22 | Ethicon, Inc. | Self-retaining sutures including tissue retainers having improved strength |
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CN105745371B (zh) | 2018-02-23 |
US9949736B2 (en) | 2018-04-24 |
CN105745371A (zh) | 2016-07-06 |
KR101550103B1 (ko) | 2015-09-03 |
JP2017505860A (ja) | 2017-02-23 |
US20160278769A1 (en) | 2016-09-29 |
KR20150053008A (ko) | 2015-05-15 |
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