Sternum suture material and its manufacturing method

• US 20030153947A1
• Filed: 02/03/2003
• Published: 08/14/2003
• Est. Priority Date: 02/14/2002
• Status: Abandoned Application

• Current Assignee: Tomoaki Koseki
• Original Assignee: Tomoaki Koseki
• Inventors: Koseki, Tomoaki
• Application Number:
  US10/358,049
• Publication Number:
  US 20030153947A1
• Time in Patent Office: Days
• US Class Current: 606/228
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0493 Protective devices for suturing, i.e. for protecting the patient's organs or the operator
• CPC Class Codes: A61B 17/06 Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials puncturing needles A61B17/34; hypodermic needles A61M5/32 ; sewing needles D05B85/00
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/823 for the sternum

Abstract

Monofilament wires or threads are woven, becoming a wire with ring forms. The center part of the wire is in a plain weave in a tape form. The material is to be either non-magnetic property material or bio-absorbable material. An automatic weaving machine is utilized to manufacture the wire. The center part of the metal cable is woven with thin metal filaments, and either one end or both ends of the cable are hardened with silver wax to facilitate the attachment of a suture needle to the ends of the cable. Also, the hardened end of the cable is directly processed into a suture needle form. A U-shaped sternum fixing hook and an adjusting screw press and fix the sternum, a piercing tool pierces a hole into the sternum, then sternum suture material is passed through the sternum, then the sternum suture is conducted. The thickness of the base of the sternum fixing hook is set to prevent the needlepoint of the piercing tool from reaching the lung, or a protection plate can be provided. The center part of the wire is made in a U-shape in advance. A straight needle with a wire is fixed, and pierced from below the sternum. Sternum fixing hooks are continuously fixed with ball joints, making a fixing arm and a movable arm, having the function to open and close the incision sides of the sternum. With the above proposal it is possible to provide a smooth and easy-to-handle sternum suture material which does not establish metal fatigue, prevents halation when using the MRI, health insurance can be applied, easier to fasten, less bleeding, prevents vertical gaps of the sternum when closing the sternum. Piercing the sternum can be done easily, precisely, and safely, and then conduct the sternum suture. The operator does not need to remove needles or guide-wires. This is less invasive to the sternum. This invention does not harm the lung. An affordable and convenient manufacturing method can be provided.

Claims

1. A sternum suture material used when closing the sternum during cardiac surgery, the material made of thin monofilaments or thin wire cross-woven by combining the monofilament and the wire and forming one loop or a multiple number of chain-like rings in the cable, the thread or the wire becomes a straight line during suture due to tension, the cable easy to fasten at time of fastening because of utilizing the rings of the chain, a straight needle or a curved needle to pierce the sternum is connected to one or both ends of the wire, the end parts of the wire to which the needle is connected is woven in a thinly narrowed way.

2. A sternum suture material as claimed in claim 1, wherein the center part is woven in a plain weave in a tape form, and the end parts to which the needles are connected are woven in a thinly narrowed manner.

3. A sternum suture material as claimed in claims 1 and 2, wherein the material is made of non-magnetic property substance.

4. A sternum suture material as claimed in claims 1 and 2, wherein the material is made of a substance that can be absorbed within the body.

5. A manufacturing method of the thread or the wire parts of the sternum suture material as claimed in claims 1 and 2, wherein an automatic weaving machine Torsion is utilized when weaving the thread or wire, forming one or a multiple number of rings or chain-like form by conducing uniform continuous weaving, the center part of the wire is made in plain weave in a tape form, the ends of the wire are woven in a thinly narrowed manner, a hole is made in the base part of a needle in a vertical direction using a drill, laser or discharge processing, the end of the material is inserted into that hole, the circumference of the needle is compressed uniformly and the needle is fixed into the wire.

6. A manufacturing method of the thread of the wire parts of the sternum suture material as claimed in claims 1 and 2, wherein a braiding machine is used when weaving the thread or wire, forming one or a multiple number of rings or chain-like form by conducting uniform continuous weaving, the center part of the wire can be made in plain weave in a tape form, the ends of the wire are woven in a thinly narrowed manner, a hole is made in the base part of a needle in a vertical direction using a drill, laser or discharge processing, the end of the material is inserted into that hole, the circumference of the needle is compressed uniformly and the needle is fixed into the wire.

7. A manufacturing method of sternum suture metal cable with a needle attached, a manufacturing method of a metal cable used for sternum suture during cardiac surgery, wherein the center part of the cable is woven of thin metal monofilaments with a braiding machine or a Torsion, either one or both ends of the cable has flax applied, then silver wax is adhered by heating the wax with a burner thence harden the ends to facilitate the needle attachment for suture.

8. A sternum suture metal cable used during cardiac surgery, wherein the center part of the cable is woven of thin metal monofilaments with a braiding machine or a Torsion, either one or both ends of the cable has flax applied, then silver wax is adhered by heating the wax with a burner thence harden the thin metal monofilaments, and furthermore process the ends into a straight or a curved needle with a pressing machine, the end of the cable itself is made into a needle to pierce through the sternum directly.

9. A sternum suture metal cable as claimed in claim 8 wherein the needle at the end of the cable is made as a dull-end needle.

10. A sternum piercing tool utilized for sternum suture during cardiac surgery, consisting of three parts being sternum fixing hook, adjusting screw, and piercing tool, wherein a thread cutting hole is made at the upper part of a U-shaped sternum fixing hook for the adjusting screw to be inserted, so when the adjusting screw is rotated the sternum is pressed and fixed between the base part of the sternum fixing hook and the adjusting screw, a hole for the piercing tool is made in a vertical direction at the center of the adjusting screw, the base part of the sternum fixing hook has a hole in the direction of the needlepoint of the piercing tool, and that hole is continued onto the side slit from which the sternum suture material are pulled out after being passed through the sternum, and side ditches or spikes and such are applied at the top part of the base portion of the sternum fixing hook for slip-proof of the sternum, when the sternum if pressed and fixed between the base part of the sternum fixing hook and the adjusting screw, a hole is pierced into the sternum with the piercing tool from the hole at the top of the adjusting screw, the hole through which sternum suture material are passed through to the sternum, and then the suture is conducted.

11. A sternum piercing tool as claimed in claim 10, wherein the sternum fixing hook has a vertical hole on its back side in the center, the columnar shaft is inserted to that hole, and one end of the projected columnar shaft is bent perpendicularly and is continued to an elevation table, and the elevation table is united with the piercing tool grip part sandwiched with a fixing plate, the elevation table is rotated having the columnar shaft as the axis, the needlepoint of the piercing tool is matched with the position of the hole, and the columnar shaft is made to have the function as the guide when the piercing tool is lowered down.

12. A sternum piercing tool as claimed in claims 10 and 11, the thickness of the lower part of the sternum fixing hook is made so that the needlepoint of the piercing tool digs into the top end of the base side of the sternum fixing hook when the piercing tool is pierced into the sternum in cases where the height of the inside of the sternum fixing hook is the same as the thickness of the sternum, and so that the piercing tool needlepoint does not go beyond the base side of the lower part of the sternum fixing hook when the piercing tool needlepoint is pierced into the sternum in cases where the sternum is thin after screwing in the adjusting screw to its maximum.

18. A sternum piercing tool wherein the sternum fixing hook as claimed in claims 10, 11, 12, 13, 14 and 16, wherein a ball joint is applied to the upper side of the sternum fixing hook, a multiple number of sternum fixing hooks are fixed continuously, forming a fixing arm and a movable arm to be applied to the incision side of the sternum when cutting open the sternum to the right and left, one end of the fixing arm is connected perpendicularly to one end of the rail, and one end of the movable arm is in a box form to wrap around the rail, wherein continuous ditches are applied to the side of the rail, two pins inside the box enter into the rail ditches to move the movable arm, then the pins are connected with a handle that is projected above the box, so when the handle is rotated the movable arm moves above the rail and thus the sternum incision sides open and close.

13. A sternum piercing tool used for sternum suture during cardiac surgery, which consists of three parts being the sternum fixing hook, adjusting screw, and piercing tool, wherein a thread cutting hole is made at the upper part of a U-shaped sternum fixing hook for the adjusting screw to be inserted, so when the adjusting screw is rotated the sternum is pressed and fixed between the base part of the sternum fixing hook and the adjusting screw, a hole for the piercing tool is made in a vertical direction at the center of the adjusting screw, the base part of the sternum fixing hook has a hole in the direction of the needlepoint of the piercing tool, and that hole is continued onto the side slit for which the sternum suture material are pulled out after being passed through the sternum, and side ditches or spikes and such are applied at the top part of the base portion of the sternum fixing hook for slip-proof of the sternum, the hole at the base portion of the sternum fixing hook is a piercing hole expanding in the lower part in a cone shape facilitating the passing through of the sternum suture material from below, the sternum is pressed and fixed between the base part of the sternum fixing hook and the adjusting screw, a hole is pierced onto the sternum with the piercing tool from the hole at the top of the adjusting screw, the hole through which sternum suture material is passed through to the sternum, and then the suture is conducted.

14. A sternum piercing tool as claimed in claim 13 wherein the sternum fixing hook is structured so that a plate is continued from the lower part to the front side or to the back side vertically downwards, and the plate is bent perpendicularly once again to be in parallel to the lower part of the sternum fixing hook, to function as the protection plate to protect the lung from being damaged by the needlepoint of the piercing tool.

15. A sternum suture wire for suture of sternum used after a hole is pierced with the above sternum piercing tool, wherein the center part is bent in advance in a U-shape, the length of the bent center part is equal to the distance between the two holes on the sternum one on the right and the other on the left side, the holes made with the sternum piercing tool as claimed in claims 13 and 14, the two ends of the wire is inserted into the sternum from below to above the sternum for fastening.

16. A sternum piercing tool used for sternum suture during cardiac surgery, wherein suture material is connected to the end of the piercing tool as a united part, the connection part between the piercing tool and the suture material are pressed in the piercing tool fixing slit at the base part of the sternum fixing hook, it is then screwed and fixed from the side with fixing screw, a thread cutting hole is made at the top part of the sternum fixing hook to insert the pull-up-screw, there is a hole at the base of the pull-up-screw for the needlepoint of the piercing tool to enter, so when the pull-up-screw is rotated the sternum fixing hook is pulled up, the piercing tool pierces the sternum from the back, the needlepoint of the piercing tool digs into the base of the pull-up-screw, then the fixing screw is loosened and the sternum fixing hook is taken off, the needlepoint of the piercing tool is pulled up and then the suture is conducted.

17. A sternum suture wire with an attached needle used for sternum suture using the sternum piercing tool as claimed in claim 16, wherein a hole is made with a drill, discharge process or laser to make a hole in a vertical direction at the tip end of the straight needle having an appropriate length to pierce through the sternum, the needle is inserted to either one end or both ends of the wire, and connected with caulking processing to prevent gaps or differences between the needle circumference and the wire, the cross-sectional form of the needle is made to be in a triangular or square form using press processing to facilitate the needle to pierce through even hard sternum, the material of the wire is soft quality metal material aiming for less invasiveness and damage onto the sternum.