WO2017159904A1 - Fil biodégradable pour le redrapage de la peau et kit d'insertion associé - Google Patents

Fil biodégradable pour le redrapage de la peau et kit d'insertion associé Download PDF

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Publication number
WO2017159904A1
WO2017159904A1 PCT/KR2016/002797 KR2016002797W WO2017159904A1 WO 2017159904 A1 WO2017159904 A1 WO 2017159904A1 KR 2016002797 W KR2016002797 W KR 2016002797W WO 2017159904 A1 WO2017159904 A1 WO 2017159904A1
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WO
WIPO (PCT)
Prior art keywords
skin
lifting
thread
knot
skin lifting
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2016/002797
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English (en)
Korean (ko)
Inventor
최철
유민선
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Individual
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Individual
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Filing date
Publication date
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Publication of WO2017159904A1 publication Critical patent/WO2017159904A1/fr
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Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents

Definitions

  • the present invention relates to a biodegradable seal for skin shaping and an insertion kit thereof, wherein at least two or more liftings are applied to a curved area such as a cheek so as to obtain a lifting effect by minimizing the shift of the skin barrier while reducing the possibility of nerve damage.
  • the present invention relates to a biodegradable seal for skin shaping and an insertion kit having a suitable length.
  • a method of injecting a drug into the skin such as Botox, to make the drooped portion more elastic, or a method of making the wrinkles taut by plastic surgery.
  • a thread having a hook formed therein is inserted therein to pull the base of the skin taut, leaving the thread, and growing in the body around the thread.
  • a syringe-type thread inserter is used to insert the thread, and if the thread inserter is too deeply inserted into the skin, it may not only damage the nerves, but also the most inclined cross-section through the skin. By doing so, there is a problem in that the skin and subcutaneous tissues are wide and severely damaged.
  • an object of the present invention is to solve such a problem, it is possible to accurately pass a predetermined position in the skin through the thread inserter, to minimize the damage to the skin when passing through the skin and to facilitate the insertion and smoothing operation
  • the present invention provides a biodegradable seal for skin shaping and its insertion kit suitable for lifting in a plurality of paths to a curved area so as to minimize the shift of the skin barrier while minimizing the possibility of nerve damage, thereby obtaining a sufficient lifting effect.
  • the tension is maintained about 75 to 85% by 21 days, and the diameter is uniformly rectangular in the longitudinal direction at regular intervals on the body surface of about 0.02 to 0.04 mm
  • the rectangular spines formed by peeling off are radially alternating so as not to damage nerves and are suitable for lifting the skin sufficiently in small numbers.
  • Insertion kit of the biodegradable seal for lifting skin includes a needle portion for providing a cut surface of a predetermined angle, and a grip portion for holding the needle portion by hand, the needle portion is a long inner passage therein It has a tubular member having a solid needle member having a predetermined stiffness to be coupled to the inside of the tubular member and to place the tubular member arched in the soft tissue path.
  • the needle portion has a depth limiting portion so as not to damage the nerve, and a directional guide groove is formed so that the cut surface of the guide end portion faces the cut surface of the needle portion so as not to provide a large skin damage area. Can be.
  • the biodegradable seal for skin lifting and the insertion kit can accurately pass a thread inserter into a predetermined position in the skin, and minimize the damage to the skin when passing through the skin. It is possible to provide a biodegradable seal for lifting and its insertion kit, which can be more conveniently obtained by lowering the possibility of nerve damage and minimizing the shift of the skin barrier to obtain a sufficient lifting effect.
  • the biodegradable seal for skin lifting and the insertion kit according to an embodiment of the present invention have nerve damage to a predetermined length having an optimal strength and tension suitable for lifting in a plurality of paths in consideration of the curved face area. It is prevented to improve safety, and the lifting effect specialized for each site can be reliably realized.
  • the biodegradable yarn for skin lifting and the insertion kit when the two biodegradable yarn for lifting the skin at a predetermined angle in the unit path that is applied to the curved portion at a certain angle and the force is divided into a vector to fix The knot may not loosen for a long time.
  • biodegradable yarn for skin lifting and the insertion kit can be easily knotted at least three times by a knot portion, and a guide tip provided at a position opposite to the knot portion.
  • a knot portion By the spine can be well seated against the skin muscle tendon (SMAS).
  • SMAS skin muscle tendon
  • FIG. 1 is an enlarged perspective view of a skin lifting seal according to an embodiment of the present invention.
  • Figure 2 is a perspective view of the insertion kit of the skin lifting seal according to an embodiment of the present invention.
  • 3 to 5 are enlarged perspective views showing a state in which the skin lifting seal is combined with an insertion kit according to an embodiment of the present invention, an optimum angle for increasing the lifting effect, and a conceptual view showing the depth limiting portion thereof.
  • FIG. 6 is a diagram illustrating a general wrinkle distribution and a position of lifting in relation to the wrinkle distribution.
  • FIG. 7 is a view showing an example of the lifting experiment for determining the optimum length of the skin lifting seal and the insertion kit according to an embodiment of the present invention.
  • FIG. 8 is a view illustrating a skin lifting process using a skin lifting seal and an insertion kit according to an embodiment of the present invention.
  • FIG. 9 is a view showing the optimum length of the skin lifting seal and the insertion kit according to an embodiment of the present invention.
  • the skin lifting seal 10 is used to seal an open wound by surgery or injury, and in particular, a barbed suture absorbable to human tissue.
  • a barbed suture absorbable to human tissue.
  • optimization is necessary as a thread for skin lifting.
  • the thread for skin lifting 10 is made of a copolymer of glycolic acid and trimethylene catoate, and as shown in Table 1, the traction of the yarn during lifting is visible (11a). As a result of comparison with the number of), as the number of thorns (11a) increased, the traction was also increased.
  • the traction force is not only good, but also provide natural elasticity.
  • the traction force acts in all directions, and the rectangular spines 11a are about 20 for the body portion 11 of 1 cm length. When equipped, it can be seen that generally corresponds to the traction of the 20's skin.
  • the skin lifting thread 10 preferably has a certain period in which 20 thorns appear per 1CM in order to implement a specific lifting force required for lifting. It is about 0.02 to 0.04mm and it can be seen that the barbed (11a) has a depth enough to maintain the elasticity while being formed to peel off the surface in the longitudinal direction of the body portion (11).
  • the skin lifting thread 10 according to an embodiment of the present invention has the rectangular barbed 11a sticking to the body portion 11 when inserted into the thread insertion kit 30 to be described later. It is easy.
  • Skin lifting thread 10 can be easily inserted into the elongated inner passage of the thread insertion kit 30, the thread insertion so that the anchor can be easily fixed down to the SMAS
  • the guide tip portion 13 has a cutting surface 13a in which radial projections are cut.
  • the cutting surface 13a of the guide tip 13 is disposed opposite to the cutting surface 31a of the needle portion 31 of the thread insertion kit 30, and the anchor is anchored to the skin tissue as shown in FIG.
  • the anchor is anchored to the skin tissue as shown in FIG.
  • a unit path that is, two skin lifting threads 10, may be formed at a predetermined angle and about 30 degrees with respect to the end of the body portion 11 facing the guide tip portion 13 so as to divide the force in a vector manner. It further has a knot portion 15 that can be knotted at least three times, wherein the knot portion 15 has an inclined surface 15a of a predetermined angle or a square at a portion where a knot is formed, for example, a portion located in the direction in which the knot is stretched. Alternatively, the rectangular spines 11a may be removed or thermally bonded to provide a smooth surface so that the knot may be easily formed.
  • the body 19, the guide tip 13, and the knot 15 are visible in the seal 10 for skin lifting according to an embodiment of the present invention 19. May be provided.
  • the indicator 19 may be displayed in different colors.
  • the skin lifting thread 10 has a number of thorns 11a when inserted alone into the SMAS to provide a predetermined lifting effect, but most preferably to provide the least wound It is desirable to.
  • a pair of knots 15 of the skin lifting thread 10 is within about 40 degrees, preferably V at an angle of about 30 degrees It was found that the V-shaped knot was maintained for a period of 21 days or more when new skin tissues such as collagen were formed when the shaped knot was formed.
  • the skin lifting thread 10 itself is not only knotted well with an elastic material having the spines 11a, but also biodegraded gradually for 180 days to change the tissue structure of the thread.
  • the thread inserting kit 30 for skin lifting includes a needle part 31 providing a cutting surface 31a such as a sharp syringe needle, It has a large holding part 33 for holding and controlling the needle part 31 by hand.
  • the needle part 31 has a tubular member 35 having an elongated inner passage therein, and is coupled to the tubular member 35 to draw the tubular member 35 smoothly and smoothly along the SMAS path. It may be made of a solid needle member 37 having a predetermined rigidity so that it can be arranged.
  • the needle portion 31 When the cutting surface 31a of the needle portion 31 enters the SMAS at an angle with respect to the tubular member 35 of the cutting surface 31a, the needle portion 31 prevents the needle portion 31 from sticking deeper than the SMAS thickness. Needs to be.
  • the tubular member 35 is characterized in that it has a depth limiting portion 35a adjacent to the cut surface 31a to limit the initial penetration depth.
  • the depth limiting portion 35a is applied to the tubular member 35 in the form of an O-ring having a degree of elasticity so that the needle portion 31 can be inserted only to a desired depth in consideration of the skin thickness of the operator. can do.
  • the inner diameter of the depth limiting portion 35a coincides with the outer diameter of the tubular member 35, and may be shifted and installed in accordance with the insertion depth of the needle portion 31.
  • the cut surface 13a of the guide tip portion 13 is a cut surface 31a of the needle portion 31.
  • Direction guide groove (35b) may be formed to guide to face against.
  • the operator simply hangs the knot 15 against the tubular member 35 so that the skin lifting thread 10 may be anchored to the soft tissue, and finally, the skin lifting thread 10. Since it is disposed opposite to the cut surface 13a of the to provide a blunt end, it may not cause a large area of skin damage.
  • FIG. 6 is a view showing a general wrinkle distribution and the lifting position in relation to the corresponding wrinkle distribution
  • Figure 7 is a plurality of unit paths for determining the optimum length of the skin lifting seal and the insertion kit according to an embodiment of the present invention
  • 8 is a view showing an example of the lifting experiment
  • Figure 8 is a view illustrating a skin lifting process using the skin lifting seal and the insertion kit according to an embodiment of the present invention
  • Figure 9 is a skin according to an embodiment of the present invention Figure showing the optimum length of the lifting seal and its insertion kit.
  • Skin lifting using a skin lifting thread by using two skin lifting yarns for the unit path to form a V-shaped knot to make a minimum wound while the flesh of the V-shaped knot inside area Since it can provide a lifting effect without increasing the width, it may be suitable for use in the V-shaped area of the local curve such as 1 nasolabial fold, 2 jaw 3 jaw 4 eye tail 5 clown 6 temple of the face shown in FIG. .
  • it is suitable to perform a lifting procedure along a plurality of unit paths connecting the PQ arc made of hair lines and the RS arc forming a nasolabial fold, a jawline, and a jaw line.
  • skin lifting using a skin lifting thread at least one or more 1 1 wrinkles, 2 jaw 3 jaw 4 eye tail 5 between the PQ arc and the RS arc first Considering the wrinkle distribution of clown 6 temple, it consists of at least two V-shaped procedures and at least two unit paths along these curved areas.
  • the vertices of the V-shaped line are arranged along a TU line that is roughly arranged in the middle of the PQ and RS lines, and the V-shaped line can be placed along the RS line to leave fewer scars on the face by using a small number of V-shaped line. It is preferable because the face does not look spread.
  • the needle part 31 of the thread inserting kit 30 for skin lifting is in two unit paths, and the primary path (first branch) is approximately the arc RS and the arc TU, and the secondary The path (second branch) is arranged approximately between the call TU and the call PQ.
  • the depth of the tubular member 35 is limited through the depth limiting portion 35a so that the cutting surface 31a of the needle portion 31 is exposed to deep tissues or nerves. It can be avoided.
  • the solid needle member 37 may be separated from the tubular member 35 of the needle part 31.
  • the knot portion 15 of the thread 10 for skin lifting in accordance with an embodiment of the present invention is inserted into the directional guide groove 35b of the tubular member 35, and enters into the tubular member 35.
  • the knot 15 When the knot 15 is worn and smoothed, the knot may be easily formed.
  • the cut surface 13a of the guide tip 13 faces inward, so that the guide tip is inward. (13) is anchored to the skin tissue and the spine (11a) is unfolded and stably fixed, as well as opposed to the cutting surface 31a of the needle portion 31 can be agglomerated the end does not damage the wide skin tissue .
  • the knot of two skin lifting threads anchored by the guide tip 13 and the thorn 11a in the path along the SMAS of the first and second branches of the unit path The portion 15 is bundled at least three times so that the force is distributed vectorically so that it can be maintained for a long time or at least 21 days by adjacent fascia / fat / skin or the like.
  • the knot 15 of the skin lifting thread 10 preferably corresponds to the length of the body portion 11.
  • the number of wounds due to the SMAS incision can be reduced as compared to the case of fixing one end like an anchor and fixing the other end as in conventional face lift.
  • the lifting effect was long lasting.
  • the SMAS paths of the first and second branches that is, the angle of the V-shaped knot, are within 40 degrees.
  • Conventional facial augmentation is a method of opening the soft tissue of the cheek area through a short incision and hooking the projection mesh or wire to the PQ arc.
  • the above-described procedure steps may be applied to a TU line disposed between the PQ and RS.
  • the procedure may be followed, followed by the RS line to provide a double V-shaped line.
  • the skin lifting thread 10 suitable for the double V-shaped procedure, as shown in Figure 5, about 5mm so that the length of the guide tip 13 is anchored to the SMAS interface
  • the length of the body portion 11 is about 45 mm since approximately two V-shaped treatment lines are formed between the PG arc and the RS arc when considering the face size, and the length of the knot 15 is the guide.
  • Approximately 50 mm in length to correspond to the length of the tip 13 and the body 11 and to form a knot can cause the spine to be hung on both the smas and subcutaneous fat layer at the smas interface, and also to penetrate the smas layer. It is desirable because it may not damage bones / vessels.
  • the skin lifting thread 10 has a high strength compared to the conventional, 20 thorns 20a per centimeter radially arranged and has a length of about 100mm in total and much more than the conventional yarn Despite the small number, it can provide an excellent lifting effect.
  • Skin lifting yarn 10 according to an embodiment of the present invention can be used commercially available V-LOC Covidian's.
  • the length of the needle part 31 of the thread inserting kit 30 for skin lifting according to an embodiment of the present invention is passed through the body part 11 of the skin lifting thread 10 according to an embodiment of the present invention. Since it should be able to make a path, it should be longer than the length of about 60mm is preferable, and considering that the grip portion 33 is usually about 20mm to be held by hand, it can be seen that it is preferably around 80mm ⁇ 90mm. .
  • Treatment with these threads is simple, free of bleeding, and few scars remain.
  • the procedure can be performed without hospitalization under local anesthesia and the recovery period can be short.

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

Abstract

L'invention concerne, selon un mode de réalisation, un fil de redrapage de la peau pouvant être absorbé par des tissus humains présentant une longueur optimale appropriée pour le redrapage d'une zone à surface incurvée par une pluralité de trajectoires unitaires en forme de V, et maintenant une tension d'environ 75 à 85 % et des arêtes rectangulaires formées par décollement en forme rectangulaire uniforme dans la direction longitudinale selon des intervalles rectangulaires depuis la surface d'un corps présentant un diamètre d'environ 0,02 à 0,04 mm étant agencées de manière alternée radialement de manière à ne pas endommager le nerf et étant approprié pour redraper suffisamment la peau en quantité réduite.
PCT/KR2016/002797 2016-03-15 2016-03-21 Fil biodégradable pour le redrapage de la peau et kit d'insertion associé Ceased WO2017159904A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2016-0030928 2016-03-15
KR1020160030928A KR101751504B1 (ko) 2016-03-15 2016-03-15 피부 리프팅용 생분해 실 및 그 삽입키트

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WO2017159904A1 true WO2017159904A1 (fr) 2017-09-21

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PCT/KR2016/002797 Ceased WO2017159904A1 (fr) 2016-03-15 2016-03-21 Fil biodégradable pour le redrapage de la peau et kit d'insertion associé

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WO (1) WO2017159904A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102038477B1 (ko) * 2017-10-20 2019-10-30 21세기메디칼 주식회사 실 삽입기
KR101962876B1 (ko) 2017-12-13 2019-04-05 주식회사 필코리아 생분해성 실의 제조방법
KR102013877B1 (ko) 2017-12-27 2019-08-23 주식회사 동방메디컬 리프팅 실, 리프팅 실 삽입기 및 리프팅 실 삽입 유니트

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20050094394A (ko) * 2002-09-30 2005-09-27 퀼 메디컬, 인코포레이티드 미늘 봉합사에 대한 미늘 모형들
KR20110014206A (ko) * 2008-05-16 2011-02-10 안지오테크 파마슈티칼즈, 인코포레이티드 암호화된 헤테로기능성 봉합사 및 방법
KR20140099698A (ko) * 2013-02-04 2014-08-13 정수영 주름제거용 실 삽입장치 및 이를 이용한 주름제거 시술방법
KR20150145578A (ko) * 2014-06-20 2015-12-30 김도아 생체용 실을 삽입하기 위한 도구
JP2016503331A (ja) * 2012-12-05 2016-02-04 ワイ．ジェイコブス メディカル インコーポレーテッド 医療用糸挿入装置、及びそれを具備した医療用糸挿入施術キット

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20050094394A (ko) * 2002-09-30 2005-09-27 퀼 메디컬, 인코포레이티드 미늘 봉합사에 대한 미늘 모형들
KR20110014206A (ko) * 2008-05-16 2011-02-10 안지오테크 파마슈티칼즈, 인코포레이티드 암호화된 헤테로기능성 봉합사 및 방법
JP2016503331A (ja) * 2012-12-05 2016-02-04 ワイ．ジェイコブス メディカル インコーポレーテッド 医療用糸挿入装置、及びそれを具備した医療用糸挿入施術キット
KR20140099698A (ko) * 2013-02-04 2014-08-13 정수영 주름제거용 실 삽입장치 및 이를 이용한 주름제거 시술방법
KR20150145578A (ko) * 2014-06-20 2015-12-30 김도아 생체용 실을 삽입하기 위한 도구

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