Surgical suture abstract
In a packaging (1) for surgical suture material (6), a thread duct
which runs spiral-like is formed in a base (2) and opens at its
first end to form a thread removal zone in the periphery area of
the base (2). The base (2) is provided with a cover (4). An edge
segment (3) of the base (2) can be folded down about a fold line
provided in the region of the underside of the base (2) for access
to the thread removal zone.
Surgical suture claims
What is claimed is:
1. A suture package, comprising a base having a thread duct which
runs in a spiral-like fashion and which opens at a first end thereof
to form a thread removal zone in a periphery area of said base,
said base including a fold line and an edge segment which is foldable
at said fold line so as to permit access to said thread removal
zone; and a cover connected to said base.
2. The suture package of claim 1 wherein said fold line of said
base includes a plurality of film hinges; and wherein said base
has an arcuate slit-like opening located between said film hinges.
3. The suture package of claim 1 wherein said base includes an
opening at a second end of said thread duct.
4. The suture package of claim 1 wherein said cover includes an
opening at a second end of said thread duct.
5. The suture package of claim 1 wherein said edge segment is
foldable between a closed position, in which said edge segment constricts
free ends of threads projecting from said thread duct, and an open
position, in which said edge segment does not constrict the free
thread ends.
6. The suture package of claim 5 wherein said edge segment of
said base has a raised side wall and a stop lug extending from said
raised side wall, said stop lug being sized and shaped to be in
contact with an adjacent edge of said cover when said edge segment
is in its said closed position.
7. The suture package of claim 5 wherein said edge segment of
said base has a raised side wall and a stop lug extending from said
raised side wall, said stop lug being spaced from an adjacent edge
of said cover when said edge segment is in its said closed position.
8. The suture package of claim 1 wherein said cover is a flat
sheet and is sized and shaped to overlie s aid thread duct.
9. The suture package of claim 8 wherein said cover contains cardboard.
10. The suture package of claim 8 wherein said cover contains
paper.
11. The suture package of claim 8 wherein said cover has an inner
surface which faces said base and which contains polyethylene.
12. The suture package of claim 8 wherein said cover has an inner
surface which faces said base and which contains polypropylene.
13. The suture package of claim 1 wherein said base is formed
as an injection-molded part.
14. The suture package of claim 13 wherein said base is made of
polyethylene.
15. The suture package of claim 13 wherein said base is made of
polypropylene.
16. The suture package of claim 1 wherein said cover is sealed
on said base.
17. The suture package of claim 16 wherein said thread duct is
defined by a thread duct wall having a plurality of beads formed
in an upper end area of said thread duct wall adjacent to said cover.
18. The suture package of claim 1 wherein said base has an outer
surface and wherein said fold line is located on said outer surface.
19. The suture package of claim 1 wherein said edge segment of
said base includes a raised side wall having a height and said thread
duct has a depth which is substantially the same as said height
of said raised side wall.
Surgical suture descriptionTECHNICAL FIELD
The invention relates to packaging for surgical suture material,
with a base in which a thread duct which runs in a spiral-like way
is formed, which opens at its first end to form a thread removal
zone in the periphery area of the base, and with a cover for the
base.
BACKGROUND OF THE INVENTION
Packages for surgical suture material are known and are described
for example in EP 0 471 458 A1. At least one surgical thread can
be housed in the thread duct, and can then be removed from the packaging
via the thread removal zone after opening the packaging. Being guided
through the thread duct is to prevent the surgical thread from sticking
or becoming entangled with other thread parts. As the thread duct
is constructed in a spiral-like way, relatively long surgical threads
can be housed in a compact packaging.
In the packaging for surgical suture material known from EP 0 471
458 A1 there is located at the thread removal zone in the cover
an opening through which a needle projects which is attached to
the end of a surgical thread stored in the packaging. To remove
the suture material, it is necessary to pull on the needle. The
thread then slides through the relatively small opening and can
rub against the edge of the opening, which is a disadvantage. A
further disadvantage of the previously known packaging is that the
front end of the thread, here in the area of the point of attachment
to the needle, must be guided through the opening in the cover with
a fairly small radius of curvature, as the front end area of the
thread or the needle is otherwise not safely accessible after the
packaging is opened (which is carried out by folding down a flap
covering the opening away from the cover). In areas with a small
radius of curvature or at kinks, a surgical thread does not generally
reassume its original straight form after removal from the packaging
(thread memory effect), which is not desired.
DISCLOSURE OF THE INVENTION
The object of the invention is to provide a packaging for surgical
suture material from which surgical suture material can be removed
easily and without problems, a thread memory effect being essentially
avoided.
This object is achieved by a packaging for surgical suture material
with the features of claim 1. Advantageous versions of the invention
result from the subsidiary claims.
The packaging according to the invention for surgical suture material
has a base in which a thread duct running in a spiral-like way is
formed. The thread duct opens at one end, its first end, to form
a thread removal zone in the periphery area of the base. The packaging
also has a cover for the base. An edge segment of the base can be
folded down about a fold line provided in the bottom area, preferably
on the underside, of the base, for access to the thread removal
zone.
In order to open the packaging according to the invention, the
edge segment of the base is thus folded down away from the cover
so that the thread removal zone is freely accessible. The packaging
can then be held so that the cover points upwards and the edge segment
can be folded downwards, but also the other way round. Surgical
suture material need not be fed through a relatively narrow opening
in the cover but instead can be pulled via the freely accessible
thread removal zone directly out of the first end of the thread
duct. Surgical suture thread situated in the packaging can therefore
be laid so that no unwanted kinks form. The thread duct can serve
to house one, but also several surgical threads. The packaging according
to the invention is particularly suited to needleless suture material,
i.e. for surgical threads to which no surgical needle is attached,
but can also be used for threads with needles. In this case, the
thread removal zone serves to house the surgical needle or needles
when the packaging is unopened. To avoid a thread memory effect,
it is advantageous to have the thread removal zone situated in the
periphery area of the base, as the initially more closely wound
coils of a surgical thread which are located in the inner area of
the packaging when packed are extended to ever-greater radii of
curvature when pulled out through the thread duct.
In a preferred version of the packaging according to the invention,
the edge segment has a raised wall of the height of the thread duct,
which extends along the periphery of the base. The wall need not
run over the entire periphery of the edge segment as, if the packaging
is stored in a tight outer wrapper, it also remains sterile if it
has openings itself. A stop lug preferably extends from the raised
wall.
In a preferred version, the stop lug is constructed to hold one
edge of the cover when the edge segment is not folded down. On the
one hand, therefore, the down-foldable edge segment can be locked
at the cover with the help of the stop lug. On the other hand, the
raised wall ensures, depending on the design in co-operation with
the stop lug, that the surgical threads contained in the packaging
lie curved in the area of the thread removal zone prior to opening
and do not come into contact with an outer wrapper, e.g. a foil
outer wrapper. When the edge segment is folded down, the stop lug
disengages from the cover and the end areas of the surgical threads
located in the thread removal zone are no longer held by the raised
wall or the stop lug. They tend therefore to straighten up so that
the end areas of the threads or the surgical needles attached to
them project from the packaging. It is therefore easy to grip an
individual thread end (or where appropriate the surgical needle
attached to it) and to pull the corresponding surgical thread out
of the thread duct. If several threads are contained in the packaging,
these can be removed bundled if necessary.
In a similar preferred version, the stop lug is designed to hold
the end area of one or more surgical threads contained in the packaging
when the edge segment is not folded down (packaging in the closed
state). The stop lug can additionally engage at the edge of the
cover, but it need not. In the latter case, the stop lug, acting
in cooperation with the section of the raised wall from which it
extends, holds the thread end areas laid curved (or where appropriate
the surgical needles attached to them) when the packaging is closed.
The surgical suture material is removed in a similar way to the
previous version. When the edge segment is folded down, the curved
thread areas spring from the stop lug and more or less straighten
up. Thus any thread end can easily be individually gripped and the
corresponding surgical thread can be pulled out of the packaging.
If necessary, a bundle of surgical threads can also be removed as
a whole.
The cover is preferably constructed as a flat sheet and can contain
cardboard or paper, the cover preferably containing polyethylene
or polypropylene on its underside facing the base. The cover can
for example consist of a sheet or film made from polyethylene or
polypropylene. In a particularly advantageous version of the invention,
the cover is made from a piece of cardboard which is coated on its
underside with polyethylene. A cover of this kind has various advantages.
Cardboard is suitable for imprinting, so that the packaging can
be easily provided with a product label. Furthermore, cardboard
acts as a hydrostore, i.e. it is able to absorb residual quantities
of water after a packaging with surgical suture material has been
introduced into a tight outer wrapper. The cover seals off the thread
duct to the top and thus protects the surgical suture material contained
in it. Such a cover acts as a lid for the base and thus reinforces
the entire package. Furthermore, the paper fibres of the cardboard
are bound by the polyethylene coating on the side of cover facing
the surgical suture material so that no contamination of the product
contained in the packaging can occur. In principle the cover can
be glued onto the base for example by dispersion varnish or adhesive,
but is sealed up in the particularly advantageous version (see below).
The base is preferably formed as an injection- moulded part and
can consist of polyethylene or polypropylene. Injection-moulded
parts can be prepared in large quantities at favourable cost and
with high precision.
In the particularly advantageous version mentioned, the cover is
sealed onto the base which is made from polyethylene in this case.
To do this, the cover or the base or both components are heated
so that the two facing surfaces containing polyethylene melt together.
The temperature and contact pressure are preferably chosen so that
a bead forms to the cover in the upper end area of the thread duct
wall. This bead forms from surplus melted polyethylene which is
pulled from the duct wall in a furrow-like manner to the polyethylene
coating on the underside of the cover, as a result of intermolecular
interactions. The bead formation has the advantage that gaps are
reliably avoided between the upper end area of the duct wall and
the cover. Therefore there is no need to fear that, when surgical
suture material is removed, a thread becomes stuck or pulled tight
in such a gap, which would be a great disadvantage. The particularly
advantageous version of the packaging according to the invention
for surgical suture material cannot just be cheaply produced, but
also has a cross-section form of the thread duct which enables the
thread to be withdrawn safely.
The fold line is preferably constructed as a film hinge. The fold
line can have at least two sections lying on a straight line which
are connected via an opening or a broken line in the base. Such
a break in the fold line can be necessary for design reasons if
for example a part of the thread duct wall projects above the break,
which would prevent the edge segment from being folded down.
In a preferred version of the invention, the base and/or the cover
has an opening in the area of the second end of the thread duct.
To fill the packaging with surgical suture material, a below-atmospheric
pressure can be applied at this opening. In this way, surgical threads
which are inserted into the first end of the thread duct with their
ends opposite to the end considered up to now can be sucked into
the first end of the thread duct without problems.
The packaging according to the invention for surgical suture material
can thus be produced cheaply and is simple and reliable in handling.
In particular, the packaging can be easily and quickly opened, and,
when the surgical suture material is removed, the threads are minimally
damaged at most, as they are neither caught nor squashed nor bent.
If only the base and the cover are used as components and the foldable
edge segment is connected in one piece with the rest of the base,
there are no loose parts or parts to be loosened. Furthermore, the
packaging can have a small overall height, which reduces the storage
and transport costs. In principle, similarly constructed packagings
can be used for completely different thread lengths and also thread
numbers.
The invention is described in more detail in the following by means
of embodiments.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 a perspective view of a first version of a packaging according
to the invention for surgical suture material, in part (a) in the
closed state and in part (b) in the opened state.
FIG. 2 a plan view of the version according to FIG. 1 in part
(a) in the closed state and in part (b) in the opened state.
FIG. 3 a perspective view of a second version of a packaging according
to the invention for surgical suture material, in part (a) in the
closed state and in part (b) in the opened state.
FIG. 4 a plan view of the version according to FIG. 3 in part
(a) in the closed state and in part (b) in the opened state.
FIG. 5 a plan view of the version according to FIG. 1 areas which
are not directly visible being represented in broken lines, in part
(a) in the closed state and in part (b) in the opened state.
FIG. 6 a longitudinal section through the version according to
FIG. 3 along the longitudinal axis.
FIG. 7 a side view of the version according to FIG. 3 areas which
are not directly visible being represented in broken lines.
FIG. 8 an enlarged view of the left-hand area of FIG. 6.
FIG. 9 a diagrammatic view of the edge segment of the version according
to FIG. 3 from underneath.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
A first version of a packaging 1 for surgical suture material is
shown in FIG. 1 in perspective view. The packaging 1 has a base
2 with an edge segment 3. A thread duct which runs in a spiral-like
way is formed in the base 2 (see FIG. 5). A cover 4 is situated
above the base 2. Housed in the packaging 1 are a plurality of surgical
threads 6 which are needleless in the example, but which can also
be provided with surgical needles. In part (a), FIG. 1 shows the
closed state of packaging 1 i.e. a state in which the edge segment
3 is not folded away from the rest of the base 2. As explained below
in detail, the edge segment 3 can be folded downwards or swivelled
away about a fold line provided on the underside of the base 2
so that the state shown in part (b) of FIG. 1 is achieved. In this
state, the end areas 8 of the surgical threads 6 are no longer constricted
by the edge segment 3 so that they fan out slightly, as shown in
FIG. 1 part (b). It is then readily possible to grip an individual
surgical thread 6 by its end area 8 and pull it out of the packaging
1. FIG. 2 corresponds to FIG. 1 but shows a plan view of the packaging
1.
FIGS. 3 and 4 are analogous representations of a second version
of a packaging 1' for surgical suture material. The packaging 1'
differs from packaging 1 simply in the formation of the cover 4
in the area of the edge segment 3 of the base 2. Thus the same reference
numbers are used for both versions.
The base 2 with the edge segment 3 is formed in the embodiments
in one piece as an injection-moulded part and is composed of polyethylene.
Other materials such as for example polypropylene are also conceivable.
The cover 4 is made from cardboard in the embodiment and is coated
with polyethylene on its underside, i.e. the side facing the base
2. A strong bond between cardboard and polyethylene can be produced
for example by rolling a polyethylene film hot onto cardboard, the
polyethylene softening and penetrating into the pores present in
the cardboard, or by spraying polyethylene.
The structure of the base 2 which is the same in the two respective
versions of the packaging 1 and 1', is explained further in the
following using FIGS. 5 to 9.
As FIGS. 5 and 6 in particular show, a thread duct 10 running
in a spiral-like way and defined by a thread duct wall 12 is formed
in the base 2. The thread duct wall 12 limits the packaging 1 or
1' towards the outside, i.e. at its periphery, and in addition separates
the individual coils of the thread duct 10 from one other. At the
outer periphery of the packaging 1 or 1', the thread duct wall 12
carries a strengthening edge 14 (see FIG. 6 and FIG. 7). The thread
duct 10 opens at one end, its first end, to form thread removal
zone 16 which is located in the periphery area of the base 2 see
FIG. 5. At its other end, the second end, there is an opening 18
on the underside of the base 2 see FIG. 5. If a below atmospheric
pressure is applied at the opening 18 surgical threads 6 can be
sucked into the packaging 1 or 1 (see below).
The middle region of the base 2 is occupied by a cavity 19 which
is not connected to the thread duct 10. Auxiliary openings 20 and
22 facilitate the handling of the packaging 1 or 1' during manufacture
and filling with surgical suture material.
The region of the base 2 shown on the right-hand side in FIGS.
5 6 and 7 is formed by the edge segment 3. The edge segment 3 can
be folded downwards about a fold line provided on the underside
24 of the base 2 for access to the thread removal zone 16 as already
seen. The fold line has two sections 26 and 27 see in particular
FIG. 7 and the schematic representation according to FIG. 9 and
is constructed as a film hinge (see FIG. 7). The facing ends of
the sections 26 and 27 are connected to each other by a broken line
28 i.e. by an opening which is formed in the base 2 (see FIG. 6).
The broken line 28 is provided because a curved region of the thread
duct wall 12 extends from the adjacent bottom zone, see in particular
FIG. 5 part (b), which is not to be foldable with the edge segment
3.
The major part of the outer periphery of the edge segment 3 is
occupied by a raised wall 30 see in particular FIG. 5 part (a)
and FIG. 6 which starts from the bottom, numbered 31 of the edge
segment 3 and is about as high as the thread duct wall 12. From
the upper end of the raised wall 30 a stop lug (securing lug) 32
projects inwards in the vicinity of the longitudinal axis L-L of
the packaging 1 or 1', see in particular FIG. 5 part (a), FIG. 6
and FIG. 9. One edge 34 of the cover 4 is clamped under the stop
lug 32 in packaging 1 when packaging 1 is in the closed state, thus
in the state in which the edge segment 3 is not folded down, see
FIG. 1 part (a), FIG. 2 part (a) and FIG. 5 part (a). In the other
version, packaging 1', on the other hand, in this state the stop
lug 32 holds the end areas 8 of the surgical threads 6 directly,
as shown in FIG. 3 part (a) and FIG. 4 part (a). In this version,
the cover 4 does not extend beneath the stop lug 32 see FIG. 6.
In the embodiments, the cover 4 is sealed on the base 2. As the
cover 4 is coated with polyethylene on its underside, this polyethylene
fuses, when heated, with the polyethylene on the upper side of the
thread duct walls 12 of the base 2. In the upper end area of the
thread duct wall 12 to the cover 4 beads 36 form as drawn in black
in FIG. 8. These beads prevent a thread 6 which is located inside
the thread duct 10 from being pulled into any intermediate space
between the base 2 and the cover 4 and sticking there, when it is
being pulled out. Thus in the versions described, the cover 4 can
be easily secured on the base 2 by being sealed on, which results
in a thread duct 10 being closed in cross-section, from which thread
removal is possible without problems.
To fill the packaging 1 or 1' with surgical suture material, the
surgical threads 6 to be introduced are inserted as a bundle into
the thread removal zone 16 with their ends opposite the end areas
8 after the cover 4 is secured onto the base 2. The edge segment
3 can be in the non-folded state, as the thread removal zone 16
is also accessible from above because of the cut-out of the cover
4. A below-atmospheric pressure is then applied to the opening 18
as a result of which the surgical threads 6 are sucked into the
thread duct 10. After this process is over, only their end areas
8 still project from the thread duct 10. The end areas 8 of the
surgical threads 6 are then clamped under the stop lug 32 either
directly (packaging 1') or under the edge 34 of the cover 4 which
is held by the stop lug 32 (packaging 1).
The packaging 1 or 1' is preferably stored in a gastight sealed
outer wrapper which consists for example of aluminium foil or aluminized
plastics film. As the glued or sealed seams of such an outer wrapper
are not normally absolutely tight, the cardboard material used in
the embodiments for the cover 4 has the advantage that it absorbs
moisture that penetrates these seams in the course of time, and
in this way keeps it away from the suture material. Surgical threads
6 which are manufactured for example from hydrolytically degradable
resorbable material, would lose their strength under the influence
of moisture. The cardboard material of the cover 4 has the further
advantage that identifying descriptions for the suture material
located in the packaging 1 or 1' can be printed on the upper side
of the cover 4.
To use the packaging 1 or 1', it is first removed from the outer
wrapper mentioned. Then, the edge segment 3 can be folded down without
difficulty, whereby the end areas 8 of the surgical threads 6 as
already explained, become freely accessible. The end areas 8 can
thus be gripped without problems in order to pull out individual
surgical threads 6 from the packaging 1 or 1'. The thread duct 10
which runs spiral-like guides the surgical threads 6 securely so
that they do not become entangled or knotted with each other and,
when the desired thread is pulled out, the surgical threads 6 remaining
in the thread duct 10 are displaced only to a negligible degree. |