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CN117414166B - Tension-reducing suture line - Google Patents

Tension-reducing suture line Download PDF

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Publication number
CN117414166B
CN117414166B CN202311419571.4A CN202311419571A CN117414166B CN 117414166 B CN117414166 B CN 117414166B CN 202311419571 A CN202311419571 A CN 202311419571A CN 117414166 B CN117414166 B CN 117414166B
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China
Prior art keywords
steel wire
needle
transition section
suture
main body
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CN202311419571.4A
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CN117414166A (en
Inventor
韩帅
梁浩欣
林蔚杰
谢宇恒
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Southern Medical University Zhujiang Hospital
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Southern Medical University Zhujiang Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a tension reducing suture, and relates to the field of sutures. The tension reducing suture comprises a horn needle, a steel wire and a hose structure, wherein one end of the horn needle is provided with a puncture tip, and the other end of the horn needle is fixedly connected with the steel wire; a plurality of reinforcing ribs are also connected between the end face of the other end of the angle needle and the outer circumferential surface of the steel wire, and the reinforcing ribs are circumferentially distributed at intervals around the outer circumferential surface of the steel wire; the hose structure comprises a transition section and a main body section, wherein the main body section is wrapped outside the steel wire, the inner diameter of the main body section is matched with the diameter of the steel wire, and the transition section is wrapped at the connecting part of the angle needle and the steel wire; the other end of the transition section and the other end of the angle needle are in interference fit, bonding fit or welding fit, the outer diameter of the transition section gradually increases from the angle needle to the steel wire, and the transition section is smoothly connected with the main body section. The hose structure can enable the suture to form a firm ligature structure, so that the problem that the ligature part of the suture is easy to loosen and abrade is avoided, and the incision is ensured not to be cracked again.

Description

Tension-reducing suture line
Technical Field
The invention relates to the technical field of suture, in particular to a tension reducing suture.
Background
The stretch-reducing suturing method is a suturing technique for which there is a large skin tension at the incision, and the purpose is to prevent the incision from being ruptured. The tension reducing stitching method is applicable to the following cases: patients with poor nutritional status, elderly and frail patients, patients who have recently needed secondary surgery and re-enter the original incision, patients suspected of having an abnormal healing post-operative incision, etc.
Because the tension reducing suture is a full-layer suture to the skin, subcutaneous and muscle layers, compared with the common suture mode, the tension for splitting the incision is released in the subcutaneous layer, and the skin layer is prevented from splitting due to the tension. The traditional No. 10 silk thread is thinner, even if a rubber tube is added as an outer sleeve, the tension of a suture incision only acts on local tissues, the stress range of the tissues is small, skin and subcutaneous tissues are easy to cut, and thus the incision of a patient and surrounding skin are damaged again. Moreover, if the surgeon does not tie a knot to the suture firmly, the suture itself is easily worn and cannot provide sufficient suture tension, which may result in increased tension in the incision and may be detrimental to the healing of the incision. In severe cases, pain may be caused to the patient, and the incision may be opened again.
In summary, the traditional tension reducing suture can cause cutting damage to local skin of the incision, the suture ligature part can be loosened, the suture is easy to abrade, and the incision cannot be ensured to be cracked again.
Disclosure of Invention
In order to solve the problems, the invention aims to provide a tension reducing suture, which solves the problems that the traditional tension reducing suture can cause cutting damage to local skin of a cut, the suture ligature part can be loosened, the suture is easy to wear, and the cut cannot be cracked again.
The technical scheme of the tension reducing suture thread is as follows:
the tension reducing suture comprises a horn needle, a steel wire and a hose structure, wherein one end of the horn needle is provided with a puncture tip, and the other end of the horn needle is fixedly connected with the steel wire;
A plurality of reinforcing ribs are further connected between the end face of the other end of the angle needle and the outer circumferential surface of the steel wire, and the reinforcing ribs are circumferentially distributed at intervals around the outer circumferential surface of the steel wire;
The hose structure comprises a transition section and a main body section, wherein the main body section is wrapped outside the steel wire, the inner diameter of the main body section is matched with the diameter of the steel wire, and the transition section is wrapped at the connecting part of the angle needle and the steel wire;
The transition section is in interference fit, bonding fit or welding fit with the other end of the angle needle, the outer diameter of the transition section from the angle needle to the steel wire line is gradually increased, and the transition section is in smooth connection with the main body section.
As a further preferable scheme, the reinforcing rib integrated into one piece is provided with a first straight edge, a second straight edge and an arc edge, the first straight edge is fixedly connected with the outer peripheral surface of the steel wire, the other end of the angle needle is provided with a round end head, the arc edge is in concave-convex fit with the round end head of the angle needle, and the second straight edge is obliquely connected between the first straight edge and the arc edge in an extending mode.
As a further preferable mode, the reinforcing ribs are respectively connected with the outer peripheral surface of the steel wire and the end surface of the other end of the angle pin by adopting laser welding.
As a further preferable scheme, the reinforcing ribs are at least four, and the at least four reinforcing ribs are uniformly distributed at intervals along the circumferential direction around the outer circumference of the steel wire.
As a further preferred embodiment, the steel wire is made of 304 stainless steel material, the diameter of the steel wire is any size between 0.3mm and 0.5mm, and the length of the steel wire is any size between 100mm and 500 mm.
As a further preferred embodiment, the hose structure is made of PVC, silicone or medical rubber material.
As a further preferred embodiment, the outer diameter of the hose structure is of any size between 0.6mm and 1.0 mm.
As a further preferred aspect, the outer diameter of the end of the transition section close to the horn needle is 0.6mm, the diameter of the end of the transition section far from the horn needle is 0.8mm, and the outer diameter of the main body section is 0.8mm.
As a further preferred embodiment, the length of the transition section is any dimension between 0.5mm and 1.0mm and the length of the main body section is any dimension between 100mm and 500 mm.
As a further preferable scheme, the angle needle comprises a triangular prism part and a quadrangular part, the triangular prism part and the quadrangular part are integrally formed, the puncture tip is arranged at the end part of the triangular prism part, which is far away from the quadrangular part, the puncture tip is a triangular pyramid tip, and the quadrangular part is fixedly connected with the steel wire.
Compared with the prior art, the tension reducing suture has the beneficial effects that: the tension reducing suture adopts the design form of a horn needle, a steel wire and a hose structure, one end of the horn needle is provided with a puncture needle head, and the puncture needle head is used for puncturing the skin and leading out the suture when the incision is sutured. The steel wire is fixedly connected with the other end of the angle needle, a plurality of reinforcing ribs are connected between the end face of the other end of the angle needle and the outer circumferential surface of the steel wire, and the reinforcing ribs are circumferentially distributed at intervals around the outer circumferential surface of the steel wire. The reinforcing rib is utilized to play a role in strengthening connection between the angle needle and the steel wire, so that the integral structural design of the angle needle and the steel wire is realized, and the condition that the needle and the wire are separated from each other when the suture line is used for tension reducing is prevented.
Wherein, hose structure's main part section parcel is in the outside of wire, and the internal diameter of main part section and the external diameter phase-match of wire, and main part section is tight to the parcel compactness of wire, and the wholeness of suture is good. On the one hand, the outer diameter of the suture line is increased, so that the contact area between the suture line and skin tissues is larger, and the hose structure is made of softer materials, so that the skin tissues are prevented from being cut to cause pain during suturing. On the other hand, when the suture is knotted, the flexible deformation capability of the hose structure is better, the suture can form a firm ligature structure, the problem that the ligature part of the suture is easy to loosen and abrade is avoided, and therefore the incision is ensured not to be cracked again.
In addition, the changeover portion cover of hose structure locates the junction of angle needle and wire, and the changeover portion is by angle needle to the direction external diameter of wire line increase gradually, prevents that the external diameter of hose structure from increasing suddenly and leading to the easy condition of blocking of suture, has played the guard action to the junction of needle-line with the changeover portion, and the changeover portion has played from thin to thick transitional effect between the main part section of angle needle and hose structure, has guaranteed that the suture wears to draw more smoothly. And the other ends of the transition section and the angle needle are in interference fit, bonding fit or welding fit, so that the connection firmness between the transition section and the angle needle is improved, and the hose structure of the suture and the steel wire line are ensured not to slip and separate.
Drawings
FIG. 1 is a schematic perspective view of a stretch-reducing suture thread according to an embodiment of the present invention;
FIG. 2 is a schematic perspective view of a stretch-reducing suture at a transition in an embodiment of the present invention;
FIG. 3 is a partial perspective view of a horn needle and wire of a suture thread of a stretch-reducing suture in an embodiment of the present invention;
FIG. 4 is an enlarged schematic view of a stretch-reducing suture at a stiffener in an embodiment of the present invention.
In the figure: 1-angle needle, 10-puncture tip, 11-triangular prism part, 12-triangular prism part, 2-steel wire, 20-reinforcing rib, 201-first straight edge, 202-second straight edge, 203-arc edge, 3-hose structure, 31-transition section, 32-main body section.
Detailed Description
The following describes in further detail the embodiments of the present invention with reference to the drawings and examples. The following examples are illustrative of the invention and are not intended to limit the scope of the invention.
In the embodiment, as shown in fig. 1 to 4, the tension reducing suture comprises a horn needle 1, a steel wire 2 and a hose structure 3, wherein one end of the horn needle 1 is provided with a puncture tip 10, and the other end of the horn needle 1 is fixedly connected with the steel wire 2; a plurality of reinforcing ribs 20 are also connected between the end face of the other end of the angle needle 1 and the outer circumferential surface of the steel wire 2, and the plurality of reinforcing ribs 20 are circumferentially distributed at intervals around the outer circumferential surface of the steel wire 2.
The hose structure 3 comprises a transition section 31 and a main body section 32, the main body section 32 is wrapped outside the steel wire 2, the inner diameter of the main body section 32 is matched with the diameter of the steel wire 2, and the transition section 31 is sleeved at the connecting part of the angle needle 1 and the steel wire 2; the other ends of the transition section 31 and the angle needle 1 are in interference fit, bonding fit or welding fit, the outer diameter of the transition section 31 gradually increases from the angle needle 1 to the steel wire 2, and the transition section 31 is smoothly connected with the main body section 32.
The tension-reducing suture adopts the design form of a horn needle 1, a steel wire 2 and a hose structure 3, wherein one end of the horn needle 1 is provided with a puncture needle head 10, and the puncture needle head 10 is used for puncturing the skin and leading out the suture when the incision is sutured. The steel wire 2 is fixedly connected with the other end of the angle needle 1, a plurality of reinforcing ribs 20 are connected between the end face of the other end of the angle needle 1 and the outer circumferential surface of the steel wire 2, and the reinforcing ribs 20 are circumferentially distributed at intervals around the outer circumferential surface of the steel wire 2. The reinforcing rib 20 is utilized to play a role in strengthening connection between the angle needle 1 and the steel wire 2, so that the integral structural design of the angle needle 1 and the steel wire 2 is realized, and the condition that the needle and the wire are separated from each other is prevented.
Wherein, the main part section 32 of hose structure 3 wraps up in the outside of wire 2, and the internal diameter of main part section 32 and the external diameter phase-match of wire 2, and main part section 32 is closely packed to wire 2, and the wholeness of suture is good. On the one hand, the outer diameter of the suture line is increased, so that the contact area between the suture line and skin tissues is larger, and the hose structure 3 is made of softer materials, so that the skin tissues are prevented from being cut to cause pain during suturing. On the other hand, when the suture is knotted, the flexible deformation capability of the hose structure 3 is better, so that the suture can form a firm ligature structure, the problem that the ligature part of the suture is easy to loosen and abrade is avoided, and the incision is ensured not to be cracked again.
In addition, the changeover portion 31 of hose structure 3 overlaps the junction of angle needle 1 and wire 2, and changeover portion 31 is by angle needle 1 to wire 2's direction external diameter increase gradually, prevents that the external diameter of hose structure 3 from suddenly increasing and the easy condition of blocking of suture, utilizes changeover portion 31 to play the guard action to the junction of needle-line, and changeover portion 31 has played from thin to thick transitional effect between angle needle 1 and hose structure 3's main part section 32, has guaranteed that the suture wears to draw more smoothly. In addition, the other ends of the transition section 31 and the angle needle 1 are in interference fit, bonding fit or welding fit, so that the connection firmness between the transition section 31 and the angle needle 1 is improved, and the hose structure 3 of the suture and the steel wire 2 are ensured not to slip and separate.
In this embodiment, the reinforcing rib 20 is integrally formed with a first straight edge 201, a second straight edge 202 and an arc edge 203, the first straight edge 201 is fixedly connected with the outer peripheral surface of the steel wire 2, the other end of the angle needle 1 is provided with a round end, the arc edge 203 is in concave-convex fit with the round end of the angle needle 1, and the second straight edge 202 is obliquely and extendedly connected between the first straight edge 201 and the arc edge 203. Namely, the outer contour of the reinforcing rib 20 is matched with the contour of the connecting part of the angle needle 1 and the steel wire 2, so that the connection strength of the needle-wire is effectively enhanced; the second straight edge 202 extends obliquely, and can guide the transition section 31 when the hose structure 3 is installed, so that the transition section 31 can be smoothly sleeved on the angle needle 1 from the steel wire 2.
As a further preferable scheme, the reinforcing ribs 20 are respectively connected with the outer peripheral surface of the steel wire 2 and the end surface of the other end of the angle pin 1 by adopting laser welding, so that the precision of the laser welding is high, the welding forming quality is reliable, and the processing requirement of a precision device is met. In this embodiment, there are eight reinforcing ribs 20, and the eight reinforcing ribs 20 are uniformly distributed at intervals circumferentially around the outer circumference of the steel wire 2. In order to meet different use requirements, in other embodiments, the number of the reinforcing ribs is not limited to eight, but can be four, five, six or seven, and at least four reinforcing ribs are uniformly distributed at intervals around the outer circumference of the steel wire.
The steel wire 2 is made of 304 stainless steel materials, and has strong tensile property and toughness and good safety. The diameter of the steel wire 2 is any size between 0.3mm and 0.5mm, and the length of the steel wire 2 is any size between 100mm and 500 mm. Specifically, the diameter of the steel wire 2 is 0.4mm, and the length of the steel wire 2 is 400mm. Correspondingly, the hose structure 3 is made of PVC, silica gel or medical rubber materials, and better flexibility and ligature firmness are provided for the suture under the condition of ensuring medical safety.
The outer diameter of the hose structure 3 is of any size between 0.6mm and 1.0 mm. In this embodiment, the outer diameter of the end of the transition section 31 close to the angle needle 1 is 0.6mm, the diameter of the end of the transition section 31 far away from the angle needle 1 is 0.8mm, the outer diameter of the main body section 32 is 0.8mm, the transition section 31 plays a good transition role from the angle needle 1 to the main body section 32, and the smoothness of suture threading is ensured. And the length of the transition section 31 is any size between 0.5mm and 1.0mm, and the length of the main body section 32 is any size between 100mm and 500 mm.
In addition, the angle needle 1 comprises a triangular prism part 11 and a quadrangular prism part 12, the triangular prism part 11 and the quadrangular prism part 12 are integrally formed, the puncture tip 10 is arranged at the end part of the triangular prism part 11 far away from the quadrangular prism part 12, the puncture tip 10 is a triangular pyramid tip, and the quadrangular prism part 12 is fixedly connected with the steel wire line 2. The angle needle 1 adopts the design of triangular pyramid tip, has better puncture property and is convenient for the suture operation of the skin.
The foregoing is merely a preferred embodiment of the present invention, and it should be noted that modifications and substitutions can be made by those skilled in the art without departing from the technical principles of the present invention, and these modifications and substitutions should also be considered as being within the scope of the present invention.

Claims (4)

1. The tension reducing suture line is characterized by comprising a horn needle (1), a steel wire line (2) and a hose structure (3), wherein one end of the horn needle (1) is provided with a puncture tip (10), and the other end of the horn needle (1) is fixedly connected with the steel wire line (2);
A plurality of reinforcing ribs (20) are further connected between the end face of the other end of the angle needle (1) and the outer circumferential surface of the steel wire (2), and the reinforcing ribs (20) are circumferentially distributed at intervals around the outer circumferential surface of the steel wire (2);
The hose structure (3) comprises a transition section (31) and a main body section (32), wherein the main body section (32) is wrapped outside the steel wire (2), the inner diameter of the main body section (32) is matched with the diameter of the steel wire (2), and the transition section (31) is wrapped at the connecting part of the angle needle (1) and the steel wire (2);
The transition section (31) is in interference fit, bonding fit or welding fit with the other end of the angle needle (1), the outer diameter of the transition section (31) gradually increases from the angle needle (1) to the steel wire (2), and the transition section (31) is smoothly connected with the main body section (32);
The reinforcing rib (20) is integrally formed and provided with a first straight edge (201), a second straight edge (202) and an arc-shaped edge (203), the first straight edge (201) is fixedly connected with the outer peripheral surface of the steel wire (2), the other end of the angle needle (1) is provided with a round end head, the arc-shaped edge (203) is in concave-convex fit with the round end head of the angle needle (1), and the second straight edge (202) is obliquely connected between the first straight edge (201) and the arc-shaped edge (203) in an extending mode;
The reinforcing ribs (20) are respectively connected with the outer peripheral surface of the steel wire (2) and the end surface of the other end of the angle needle (1) by adopting laser welding;
at least four reinforcing ribs (20) are arranged, and the at least four reinforcing ribs (20) are uniformly distributed at intervals along the circumferential direction around the outer circumference of the steel wire (2);
The steel wire (2) is made of 304 stainless steel materials, the diameter of the steel wire (2) is any size between 0.3mm and 0.5mm, and the length of the steel wire (2) is any size between 100mm and 500 mm;
The outer diameter of the hose structure (3) is any size between 0.6mm and 1.0 mm;
The angle needle (1) comprises a triangular prism portion (11) and a quadrangular portion (12), the triangular prism portion (11) and the quadrangular portion (12) are integrally formed, the puncture tip (10) is arranged at the end part, away from the quadrangular portion (12), of the triangular prism portion (11), the puncture tip (10) is a triangular pyramid tip, and the quadrangular portion (12) is fixedly connected with the steel wire line (2).
2. The stretch-reducing suture as defined in claim 1, wherein the hose structure (3) is made of PVC, silicone or medical rubber material.
3. A suture according to claim 1, characterized in that the outer diameter of the end of the transition section (31) close to the horn needle (1) is 0.6mm, the diameter of the end of the transition section (31) remote from the horn needle (1) is 0.8mm, and the outer diameter of the main body section (32) is 0.8mm.
4. The stretch-reducing suture as set forth in claim 1, wherein the length of the transition section (31) is any size between 0.5mm and 1.0mm and the length of the main body section (32) is any size between 100mm and 500 mm.
CN202311419571.4A 2023-10-30 2023-10-30 Tension-reducing suture line Active CN117414166B (en)

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CN117414166B true CN117414166B (en) 2024-10-18

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CN214104495U (en) * 2020-08-14 2021-09-03 陈智 Tension-reducing sewing device
CN216060614U (en) * 2021-08-27 2022-03-18 南通华尔康医疗科技有限公司 Improved suture needle and thread
CN219700010U (en) * 2023-03-27 2023-09-19 复旦大学附属中山医院 Anti-cutting surgical suture

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