CN111658053A - Hemostatic buckle - Google Patents

Abstract

The invention discloses a hemostatic button, the overall structure including a hemostatic button base, a hemostatic button main body and a top button. The upper surface of the hemostatic button base is in the shape of a conical protrusion, which allows sutures or suture wires to pass through, and is used to contact the intercostal needle eye and compress the needle eye; the hemostatic button main body is connected with the hemostatic button base, and the hemostatic button main body includes a sheath tube main body and Limiting device, the main body of the sheath is a hollow structure, the hollow structure can allow sutures or suture wires to pass through, and the limiting device is arranged on the main body of the sheath; the top buckle is a hollow structure, which is used for connecting with the limiting device Coordinate to limit the position, and then adjust the distance between the top button and the hemostatic button base when the hemostatic button is used, so that the hemostatic button base and the top button are respectively in fixed contact with the eye of the needle. The hemostatic buckle is reliable, simple in structure, flexible in operation, economical and practical, and can effectively prevent bleeding at the intercostal space of the thoracic cage where the wire is threaded.

Description

a hemostatic buckle

technical field

The invention relates to the technical field of medical devices, in particular to a hemostatic device, in particular to a hemostatic button pre-installed on a suture thread or a suture wire.

Background technique

After cardiothoracic surgery, if more bleeding from the drainage tube is found, a second thoracotomy must be urgently performed to stop bleeding. 1% or so. The reasons for secondary thoracotomy for hemostasis after operation include active bleeding or oozing of sternal incision, periosteum and medullary cavity, wire thread, internal thoracic artery vascular bed, intercostal muscles, intercostal vessels, and rib stump.

Open cardiothoracic surgery generally uses a median sternum incision or an intercostal incision. The median sternum incision needs to saw the entire sternum. When closing the incision, a needle wire is usually used to suture the left and right incised sternums and then tie them for fixation. When the sternum is sutured, the direct threading of the sternal suture wire needs to use a large force, which is difficult. When encountering patients with high sternum stiffness, the suture position needs to be moved outward through the intercostal muscles on both sides of the sternum. Steel wire, but there are internal thoracic artery vascular beds on both sides of the inner side of the sternum. After the steel wire is tightened, it may injure the internal thoracic artery, causing blood vessel perforation or rupture and bleeding. In addition, the diameter of the steel needle is generally larger than that of the steel wire, and bleeding from the eye of the needle is common. This type of bleeding is relatively hidden, and after the chest is closed, the external drainage of the chest cavity or mediastinum will increase after surgery.

The Chinese utility model patent with the patent publication number CN202714884U discloses a medical self-locking titanium wire suture, including a suture and a suture needle, the suture is composed of multiple strands of titanium wire, and one end of the suture is provided with a pentagonal suture Needle, the other end is provided with a locking device. The locking device includes a bottom sheet and a pressing sheet, the bottom sheet is provided with a screw, the pressing sheet passes through the screw, and a nut matched with the screw is arranged above the pressing sheet. Although this solution is easy to fix in use, has good mechanical strength and is compatible with human body tissues, the hemostasis method for the eye of acupuncture is mainly through the hemostatic drugs applied on the surface of the suture needle and suture, and there is no other hemostasis measure. The tightening device needs to be fixed on the bone with screws. This fixation mode will cause additional trauma to the patient's body. In this solution, the material of the suture is titanium wire, and the locking device is made of titanium alloy, and the cost is correspondingly high.

Patent publication number CN 106798585A Chinese invention patent provides a sternal median incision suture and fixation bandage, including a flexible band and a hook-shaped suture needle, made of PEEK material, with a wider force surface and less cutting of the sternum. It can effectively reduce the possibility of bone tissue damage and re-fracture caused by cutting the sternum. However, the bandage is wide and requires pre-punching of the sternum to be sutured, or still requires puncturing through the intercostal space on both sides of the parasternal side. The former is more traumatic to the patient and time-consuming to operate, while the latter still does not solve the corresponding bleeding problem.

The Chinese invention patent with the patent publication number of CN 110123428A provides a quick-release sternum closing fixture. A tensioning mechanism for forcing the two elastic claws to move toward each other is arranged between the locking wheel and the two elastic claws. Under the circumstance that the elastic claws of the male fixator lose its resilience due to the growth of human tissue, the two elastic claws can be forced back to the initial state by rotating the locking wheel, and the sternum closure fixator can be opened smoothly and quickly. The use method is simple, Strong maneuverability. Although this solution replaces the sternum wire and avoids the cutting of the sternum, there is still a problem of requiring a second operation to remove the sternum, and the economic cost is high.

Therefore, in actual clinical work, how to better solve the bleeding problem of the suture eye in chest closure surgery, while being safe, reliable, simple in structure, convenient in operation, economical and practical, has become a new demand direction that needs to be solved.

SUMMARY OF THE INVENTION

In order to overcome the problems of complex structure, high operation requirements, extra trauma, high cost, etc. in the solution of the prior art for the solution of needle eye bleeding at the suture in cardiothoracic surgery, the present invention provides a pre-installed suture or suture The hemostatic buckle on the steel wire has the advantages of reliable buckle, simple structure, simple operation, economical and practical, and can effectively prevent the problem of bleeding at the suture line or the suture wire in the intercostal space of the thorax.

The technical scheme adopted in the present invention is:

A hemostatic button, comprising a hemostatic button base, a hemostatic button main body and a top button, wherein: the upper surface of the hemostatic button base is in the shape of a conical protrusion, allowing a suture or a suture wire to pass through, and is used for contacting the intercostal needle eye and compressing the needle eye , effectively stop bleeding; the main body of the hemostatic button is connected with the base of the hemostatic button, the main body of the hemostatic button includes a sheath main body and a limiting device, the sheath main body is a hollow structure, and the hollow structure allows sutures or suture steel to pass through ; the limiting device is arranged on the main body of the sheath tube; and a top buckle, the top buckle is a hollow structure, which is used to cooperate with the limiting device to limit the position, and then adjust the hemostatic buckle when using the hemostatic buckle The distance between the top button and the base of the hemostatic button is such that the base of the hemostatic button and the top button are in close contact with the eye of the needle respectively. The hemostatic buckle can be tightened and adjusted in different lengths according to the actual needs of a single bleeding point, can adapt to patients with different physical conditions, has better adaptability, is flexible in operation and has a simple structure.

As an example, the hemostatic button main body further comprises a sheath tube top, which is arranged on the top end of the hemostatic button main body, and the sheath tube top is a slope-shaped surface. When the top of the sheath tube is a slope-like surface, the main body of the hemostatic buckle can be easily pushed from the inside of the thorax through the intercostal soft tissue along the pinhole and out of the thoracic cavity, which reduces the difficulty of the doctor's operation and relieves the pain of the patient.

As a preferred example, the shape of the edge contour of the upper surface of the hemostatic buckle base is one of the following shapes: circle, ellipse, rectangle, and square. As long as the upper surface of the hemostatic buckle base ensures sufficient contact area with the intercostal tissue, it can better fit the intercostal tissue and reduce the secondary trauma to the intercostal tissue.

As a preferred option, a hemostatic material is attached to the upper surface of the base of the hemostatic button. When the surface of the intercostal tissue bleeds, the hemostatic material can stop the bleeding in time and prevent cardiac tamponade.

As a preferred option, the limiting device is a one-way tooth structure or a threaded structure. The top buckle can only perform one-way movement on the limiting device. When the top buckle reaches the target position, it can be snapped and fixed with the limiting device to achieve the purpose of limiting.

As a preferred example, the hemostatic button base and the hemostatic button main body are integral structures. The integrated structure can effectively smooth the connection parts, reduce the damage to the human body at the connection, and the connection is more secure to prevent the two from being separated.

As a preference, the material of the hemostatic button is a degradable material.

As a preference, the degradable material includes polyglycolide, polylactic acid, glycolide-lactide copolymer, and polycaprolactone.

As a preferred option, the hemostatic buckle is used with a handle and a pusher during use, the handle is used to pull the body of the hemostatic buckle upward, and the pusher is used to press the top buckle to a target position.

A sternum suture assembly, comprising two hemostatic buckles, sutures or suture wires and two suture needles according to claim 1; each end of the sutures or suture wires starts from the base of the hemostatic buckle The main body of the hemostatic button is penetrated; the two ends of the suture thread or the suture steel wire are respectively connected with a suture needle, and the top of each sheath tube is respectively close to the tail of each suture needle. In practical applications of this component, the tightening method is not affected by the distance between the eye of the needle. Each hemostatic buckle can effectively compress the eye of the needle. The soft tissue around the buckle can effectively compress and stop bleeding. The structure is simple, flexible and integral. The cost is economical and practical.

As a preferred method, the use method of the sternal suture assembly includes the following steps: (1) passing the suture needle at one end of the suture assembly through the intercostal muscle on one side of the sternum from the inside of the thorax to the outside of the thorax, and attaching the hemostatic button at the tail of the suture needle The main body is pushed along the needle hole from the inside of the thorax through the intercostal soft tissue and out of the thorax; (2) the suture needle at the other end of the suture assembly also passes through the other side of the sternum from the inside of the thorax to the outside of the thorax. For the intercostal muscle, push the main body of the hemostatic button following the tail of the suture needle along the needle hole from the inside of the thorax through the soft tissue between the ribs and out of the thorax; (3) One of the top buckles is clamped by the handle Put the pusher on the limiting device on one of the hemostatic buckle bodies, and then put the pusher through the top of the sheath body and place it above the top buckle, and clamp the handle on the limiting device of the sheath body. One hand pulls the handle, and the other Use the pusher to press down the top button to further tighten the hemostatic button. After tightening, use scissors to cut off the hemostatic button body exposing the top button; (4) Follow the same operation in step (3) to complete another Tighten the hemostatic buckle; (5) then tighten the suture or suture wire. When this component is in use, the suture or suture wire in the eye of the needle is covered with the main body sheath of the hemostatic buckle, so as to prevent the suture or suture wire from directly contacting the soft tissue when tightening, causing secondary strangulation and other injuries, and the operation process is simple and flexible .

The beneficial effect of the present invention is that the overall structure of the hemostatic button of the present invention only includes the hemostatic button main body and the top button, and the structure is simple. The inside of the hemostatic button body can allow the used suture or suture wire to pass through it. In the eye of the needle, different lengths of tightening adjustment can be performed between the hemostatic button body and the top button according to the actual needs of a single bleeding point to achieve compression hemostasis, and the tightening method It is not affected by the distance of the needle eye, and the operation is flexible. The hemostatic button is pre-installed on the commonly used surgical suture or suture wire. During the operation, the suture or suture wire in the eye of the needle is covered with the main sheath of the hemostatic button, so as to avoid the suture or suture wire directly contacting the soft tissue when tightening. Injuries such as strangulation. The hemostatic buckle material can be selected from ordinary medical polymer materials or fully degradable materials, and the overall cost is economical and practical.

Description of drawings

The present invention will be further described below in conjunction with the accompanying drawings and embodiments.

1 is a schematic diagram of the overall structure of a hemostatic buckle according to an embodiment of the present invention;

2 is a schematic diagram of the tightening and use of a hemostatic buckle according to an embodiment of the present invention;

3 is a schematic diagram of a suture assembly according to an embodiment of the present invention;

4 is a schematic diagram of a sternum suture operation performed by a hemostatic button according to an embodiment of the present invention;

Fig. 5 is the schematic diagram of the special scissors applied in the embodiment of the present invention;

In the figure: 1 hemostatic button, 2 handle, 3 pusher, 4 suture or suture wire, 5 needles, 10 hemostatic button body, 20 top button, 101 sheath body, 102 sheath base, 103 sheath top, 104 Limiter.

Detailed ways

The specific embodiments of the present invention will be described in more detail below with reference to the schematic diagrams. The advantages and features of the present invention will become more apparent from the following description. It should be noted that, the accompanying drawings are all in a very simplified form and in inaccurate scales, and are only used to facilitate and clearly assist the purpose of explaining the embodiments of the present invention.

Referring to FIG. 1 , the present invention provides a hemostatic button pre-installed on a suture or suture wire. The overall structure of the hemostatic button includes a hemostatic button base 102 , a hemostatic button main body 10 and a top button 20 .

The outer surface of the base 102 of the hemostatic button is smooth, allowing sutures or suture wires to pass through, and the upper surface 105 of the base 105 is in the shape of a conical protrusion, and the surface is smooth, which is used for contacting with the intercostal needle eye, compressing the needle eye, and effectively stopping bleeding. In this embodiment, the shape of the hemostatic button base 102 is similar to a button, and the shape of the edge contour of the upper surface 105 is a circle. In addition, it can also be a rectangle, a rectangle, an ellipse, etc., and the shape can be designed according to needs. , as long as there is sufficient contact area with the intercostal tissue, so that it can better fit the intercostal tissue and reduce secondary trauma to the intercostal tissue. In order to achieve a better hemostasis effect, a hemostatic material may be attached to the upper surface 105 of the hemostatic buckle base 102. When the surface of the intercostal tissue bleeds, the hemostatic material can stop the bleeding in time and prevent pericardial tamponade. The selected hemostatic materials include hemostatic gauze, instant gauze and the like.

The hemostatic button main body 10 is connected with the hemostatic button base 102. In this embodiment, the hemostatic button main body 10 and the hemostatic button base 102 have an integrated structure, and the integrated structure can be effectively connected smoothly and reduce the damage to the human body at the connection; The structure will make the connection between the hemostatic button main body 10 and the hemostatic button base 102 more tightly, preventing the two from being separated. The hemostatic button main body 10 and the hemostatic button base 102 may also adopt a split structure, as long as the connection is smooth and fastened.

The hemostatic buckle body 10 includes a sheath body 101 , a sheath tip 103 and a limiting device 104 . The sheath tube main body 101 is an inner hollow sheath tube, and the inner diameter of the sheath tube main body 101 is designed to allow the used suture thread or suture wire to pass therethrough. The sheath tube top 103 has a sloped surface, so that the sheath tube body 101 can be easily pushed along the needle hole from the inside of the thorax through the intercostal soft tissue and out of the thorax. Alleviate patient pain. The sheath body 101 is provided with a limiting device 104 for cooperating with the top buckle 20 to achieve the purpose of limiting. In this embodiment, the limiting device 104 is a one-way locking tooth structure. When the top buckle 20 passes through the top end 103 of the sheath to reach the limiting device 104, the top buckle 20 can only move in one direction on the limiting device 104. When the top buckle 20 reaches the target position, the top buckle 20 can be snapped and fixed with the limiting device 104 to achieve the purpose of limiting. In this embodiment, the limiting device 104 adopts a one-way locking tooth structure. In addition, the limiting device 104 may also adopt a structure such as a threaded structure that can achieve the limiting purpose.

The top buckle 20 has a hollow structure, and the top buckle 20 can pass through the top end 103 of the sheath tube, and then match with the limiting device 104 to achieve the purpose of limiting. The inner structure of the top buckle 20 is matched with the limiting device 104. When the limiting device 104 is a one-way clamping tooth, the inner structure of the top buckle 20 has corresponding clamping teeth; when the limiting device 104 is a threaded structure, The inner side of the top buckle 20 has a corresponding thread structure.

Figure 2 is a schematic diagram of the tightening use of the hemostatic buckle in the present invention. In use, the locking and fixing of the hemostatic buckle 1 also needs to be used together with three accessories: the handle 2, the pusher 3 and the special scissors (not shown in the figure). The handle 2 is used to lift the hemostatic button body upwards, so that the hemostatic button body is easier to pass through the intercostal space, and the pusher 3 is used to press the top button 20 to the target position. Used together with the handle 2 and the pusher 3, on the one hand, the hemostatic buckle is locked more tightly during use, and on the other hand, it prevents the surgeon from slipping the gloves during use, which affects the operation process. The locking and fixing steps of the hemostatic button are as follows: (1) the hemostatic button main body 10 relies on the slope-shaped surface of the sheath tube top 103 to be pushed out of the thoracic cage through the intercostal soft tissue, and the hemostatic button base 102 remains in the thoracic cage; (2) The top buckle 20 is snapped on the limiting device 104 extending out of the thorax, and then the pusher 3 is passed through the top 103 of the hemostatic buckle sheath and placed above the top buckle 20, and the handle 2 is stuck on the limit of the hemostatic buckle. On the device 104; (3) locking and fixing the hemostatic button, one hand pulls the handle 2, and the other hand uses the pusher 3 to press down the top button 20 to further tighten the hemostasis button; (4) tighten the hemostasis button Then use special scissors (not shown in the figure) to cut off the hemostatic buckle sheath that exposes the top buckle part. At this time, the hemostatic button base 102 is close to the tissue with the needle eye, and can be compressed to stop bleeding. In addition, the hemostatic button base 102 is attached with a hemostatic material, which can stop bleeding in time and prevent pericardial tamponade. Using the hemostatic buckle in the present invention, after the steel wire is tightened, the steel wire will not directly contact the thorax, but contact the thorax through the hemostatic buckle base and the top buckle, so after the steel wire is tightened, the internal thoracic artery will not be injured . Before reaching the target position, the top buckle 20 can move downward to adjust the position. Therefore, the design of the top buckle in the present invention enables the hemostatic buckle to adapt to patients of different sizes; when the top buckle 20 reaches the target position, stop applying external force to it. , due to the matching structure of the top buckle 20 and the limiting device 104 , the top buckle 20 will be locked and fixed.

It can be seen from the above-mentioned use process that the hemostatic buckle in the present invention is easy to operate during the use process, and it can quickly push the top buckle 20 to the target position by using the functions of the handle 2 and the pusher 3; At the same time, the hemostatic buckle base 102 can press against the soft tissue inside the thorax to prevent the suture or suture wire from directly contacting the soft tissue when tightening, causing secondary strangulation and other injuries, and the hemostatic buckle base 102 can compress the hemostasis and use the hemostatic material to stop the bleeding. Effectively control the bleeding from the eye of the needle and prevent pericardial tamponade; in addition, after the hemostatic button is tightened, the hemostatic button body 10 and the top button 20 can be tightened and adjusted in different lengths according to the actual needs of a single bleeding point, which can adapt to different Body type patients have better adaptability.

3 is a schematic diagram of a suture assembly according to an embodiment of the present invention, comprising two hemostatic buttons 1 , sutures or suture wires 4 and two suture needles 5 , and two hemostatic button bodies 10 are pre-installed on the sutures or suture wires 4 , each end of the suture or suture wire 4 is penetrated by the hemostatic buckle base 102, and the entire hemostatic button body 10 is pierced by the sheath top 103; the two ends of the suture or suture wire 4 are respectively connected with a seam In the needle 5, the top end 103 of each sheath tube is respectively close to the tail of each sewing needle 5. In use, the two hemostatic buckle main bodies 10 also need to be combined with two top buckles 20 to achieve tightening.

FIG. 4 is a schematic diagram of the sternum suture operation performed by the hemostatic button according to the present invention. When carrying out sternum suture operation, the steps of using the hemostatic buckle of the present invention to carry out suture operation are as follows:

(1) Pass the suture needle 5 at one end of the suture assembly through the intercostal muscle on the side of the sternum from the inside of the thorax to the outside of the thorax, and pass the main body of the hemostatic button 10 following the tail of the suture needle 5 along the direction of the needle 5 through the sheath tube. The slope-like surface of the top 103 is pushed from the inside of the thorax through the intercostal soft tissue to the outside of the thorax along the pinhole, and the base 102 of the hemostatic buckle remains in the thorax.

(2) The sewing needle 5 at the other end of the suture assembly also passes through the intercostal muscle on the other side of the sternum from the inside of the thorax to the outside of the thorax, and the main body of the hemostatic button 10 that follows the tail of the sewing needle 5 follows the direction of the needle 5 passing through. , relying on the slope-like surface of the sheath tube top 103 to push from the thorax through the intercostal soft tissue along the pinhole and out of the thorax, and the hemostatic buckle base 102 remains in the thorax.

(3) One of the top buckles 20 is clamped on the limiting device 104 on the main body 10 of one of the hemostatic buckles by means of the handle 2, and then the pusher 3 is placed on the top of the top buckle 20 through the top 103 of the sheath tube, and the handle 2 It is stuck on the limiting device 104, one hand pulls the handle, and the other hand uses the pusher 3 to press down the top buckle 20 to further tighten the hemostatic buckle, and then use scissors to cut off the top buckle 20 after finishing the tightening. The hemostatic buckle body 10.

(4) Follow the same operation in step (3) to complete the tightening of the other hemostatic buckle.

(5) Then tighten the suture or suture wire 4.

As mentioned above, after the hemostatic buckle of the present invention is tightened, different lengths of the hemostatic buckle main body 10 and the top buckle 20 can be tightened and adjusted according to the actual needs of a single bleeding point, and the soft tissue around the buckle can effectively compress and stop bleeding. The function of the tightening method is not affected by the distance between the needle eyes, and the operation is flexible. The hemostatic buckle main body 10 and the sheath tube base 102 can press against the soft tissue inside the thorax when the suture or suture wire is tightened to achieve compression and hemostasis. Secondly, the hemostatic material attached to the surface of the sheath tube base 102 can further promote hemostasis. The bleeding point can play a better hemostasis effect and avoid cardiac tamponade.

The hemostatic button 1 of the present invention is pre-installed on a common surgical suture or suture wire 4, and the suture or suture wire 4 in the eye of the needle is sheathed with a hemostatic button main body sheath 101 during the operation to prevent the suture or suture wire from being retracted. When it is tight, it directly touches the soft tissue to cause secondary strangulation and other injuries.

The structure of the hemostatic button 1 only includes the hemostatic button main body 10 and the top button 20, and the structure is simple. The hemostatic buckle material can be selected from ordinary medical polymer materials or fully degradable materials, and the overall cost is economical and practical.

The hemostatic button in the present invention is made of common medical polymer materials or fully degradable materials. The material does not contain metal and will not produce artifacts under X-rays. The optional materials include polyurethane, silicone rubber, polyester fiber, polyethylene pyrrolidone, polyether ether ketone, polymethyl methacrylate, polyvinyl alcohol, polylactic acid, polyethylene, etc. The handle 2 used in the above operation steps can be made by an injection molding process, and the pusher 3 is made of medical metal, which ensures the safety standard of the operation environment. The above materials are more commonly used materials, and the cost is low.

The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any person skilled in the art can make various changes to these embodiments without departing from the principle and purpose of the present invention. Modifications, substitutions and variations, the scope of the invention is defined by the claims and their equivalents.

Claims (11)

1. a hemostatic buckle, is characterized in that, comprises hemostasis buckle base, hemostasis buckle main body and top buckle, wherein: The upper surface of the hemostatic buckle base is in the shape of a conical protrusion, which allows the suture or suture wire to pass through, and is used to contact the intercostal needle eye and compress the needle eye; The hemostatic button main body is connected with the hemostatic button base, the hemostatic button main body includes a sheath tube main body and a limiting device, the sheath tube main body is a hollow structure, the hollow structure allows sutures or suture steel wires to pass through, and the limit a device disposed on the sheath body; and Top buckle, the top buckle is a hollow structure, which is used to limit the position in cooperation with the limiting device, and then adjust the distance between the top buckle and the base of the hemostatic button when the hemostatic button is used, so that the hemostatic button The base and the top buckle are in close contact with the eye of the needle, respectively. 2 . The hemostatic button according to claim 1 , wherein the hemostatic button main body further comprises a sheath tube top, which is arranged on the top end of the hemostatic button main body, and the sheath tube top is a slope-shaped surface. 3 . 3 . The hemostatic button according to claim 1 , wherein the shape of the edge contour of the upper surface of the hemostatic button base is one of the following shapes: circle, ellipse, rectangle, and square. 4 . 4 . The hemostatic button according to claim 1 , wherein a hemostatic material is attached to the upper surface of the hemostatic button base. 5 . 5 . The hemostatic buckle according to claim 1 , wherein the limiting device is a one-way tooth structure or a threaded structure. 6 . 6 . The hemostatic button according to claim 1 , wherein the hemostatic button base and the hemostatic button main body are integral structures. 7 . 7 . The hemostatic button according to claim 1 , wherein the material of the hemostatic button is a degradable material. 8 . 8 . The hemostatic button according to claim 7 , wherein the degradable material comprises polyglycolide, polylactic acid, glycolide-lactide copolymer, and polycaprolactone. 9 . 9. The hemostatic button according to claim 1, characterized in that, during use, the hemostatic button is used with a handle and a pusher, the handle is used to pull the body of the hemostatic button upward, and the pusher is used to push the hemostatic button upward. The top buckle is pressed to the target position. 10. A sternum suture assembly, characterized in that it comprises two hemostatic buttons, sutures or suture wires according to claim 1 and two suture needles; Each end of the suture thread or suture wire is inserted into the hemostatic button main body from the hemostatic button base as a starting point, and two ends of the suture thread or suture wire are respectively connected with a stitching needle. 11. The method of using the sternum suture assembly of claim 10, comprising the steps of: (1) Pass the suture needle at one end of the suture assembly through the intercostal muscle on the side of the sternum from the inside of the thorax to the outside of the thorax, and pass the main body of the hemostatic button following the tail of the suture needle along the needle's outgoing direction from the thorax along the needle hole. It is pushed out through the intercostal soft tissue and out of the thorax; (2) Pass the suture needle at the other end of the suture assembly through the intercostal muscle on the other side of the sternum from the inside of the thorax to the outside of the thorax, and pass the main body of the hemostatic button following the tail of the suture needle along the needle The hole is pushed out of the thorax through the intercostal soft tissue from the inside of the thorax; (3) One of the top buckles is clamped on the limiting device on the main body of one of the hemostatic buckles by means of the handle, and then the pusher is placed above the top buckle through the top of the main body of the sheath, and the handle is clamped on the limit of the main body of the hemostatic buckle. On the positioning device, one hand pulls the handle, and the other hand uses the pusher to press down the top button to further tighten the hemostatic button. After the tightening is completed, use scissors to cut off the hemostatic button body exposing the top button part; (4) Complete the tightening of another hemostatic buckle according to the same operation in step (3); (5) Tighten the suture or suture wire.

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