CA1282343C - Coated suture - Google Patents
Coated sutureInfo
- Publication number
- CA1282343C CA1282343C CA000528355A CA528355A CA1282343C CA 1282343 C CA1282343 C CA 1282343C CA 000528355 A CA000528355 A CA 000528355A CA 528355 A CA528355 A CA 528355A CA 1282343 C CA1282343 C CA 1282343C
- Authority
- CA
- Canada
- Prior art keywords
- suture
- poly
- molecular weight
- alkylene oxide
- high molecular
- 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.)
- Expired - Lifetime
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L17/00—Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
- A61L17/14—Post-treatment to improve physical properties
- A61L17/145—Coating
Abstract
COATED SUTURE
Abstract There is disclosed an improved absorbable surgical suture. The suture is coated with an absorbable composition consisting of a high molecular weight poly(alkylene oxide).
Abstract There is disclosed an improved absorbable surgical suture. The suture is coated with an absorbable composition consisting of a high molecular weight poly(alkylene oxide).
Description
3~3 COATED SUTURE
The present invention relates to the field of absorbable sutures. More particularly, the present invention relates to a coated suture having improved tie-down properties.
Suture materials are generally classified as absorbable or non-absorbable, with each type of suture being preferred for different applications. Absorbable suture materials are preferred for applications in which the sewn tissues after healing will hold together without suture reinforcement and in which a non-absorbed suture material may provide the possibility of an adverse body reaction over an extended period of time. Suture materials are considered to be absorbable if they disappear from the sewn tissue within a year after surgery, but most absorbable suture materials disappear within shorter periods of time.
The most commonly employed absorbable suture materials are catgut and extruded collagenous materials. More recently sutures have been developed from synthetic polymers which are absorbable, strong, uniform and dimensionally stable, storable in the dry state and sterilizable.
A significant problem associated with the early s~nthetic absorbable sutures was difficulty in knot placement. The braid was rough, preventing the surgeon from sliding the knots down the suture and locating those knots accurately for good tissue approximation.
To solve this problem, various coating materials have :
, ' .
3X3~
been applied to absorbable sutures. A number of United States patents disclose the use of different coating materials.
United States Patent No. 4,027,676 issued June 7, 1977 discloses an absorbable suture coated with a multicomponent composition comprising (a) an absorbable film-former, (b) an absorbable lubricant, and (c) an absorbable hydrophobic material. This coating has the effect of stiffening the suture so it becomes wire-like rather than soft, smooth and flexible.
United States Patent No. 4,047,533 issued September 13, 1977 discloses an absorbable suture coated with a block copolymer of polyoxyethylene and polvoxypropylene. This coating provides good knot slip-down but knot security is lost and the surgeon must tie four or five knots instead of three to maintain a stitch securely.
United States Patent No. 3,896,814 issued July 29, 1975 discloses the use of a low molecular weight (c400) poly(alkylene oxide) as a hygroscopic agent to improve the suppleness of collagen suturesO In the above patent, the low molecular weight poly(alkylene oxide) is used as a humectant for retaining water in the collagen fiber.
~5 Thus, there is a continuing need for a coating for an absorbable suture resulting in a suture having simultaneous improvement in knot security, knot slip-down and hand.
In accordance with the present invention, there is disclosed a novel bioabsorbable coating for absorbable sutures. The novel coating consists of a high molecular weight poly(alkylene oxide). By khe term "high molecular weight poly(alkylene oxide)" is meant a , 3~3 poly(alkylene o~ide) of a molecular weight ranging from 100,000 to 5,000,000 with a preferred range ,rom about 250,000 to about 5,000,000. A preferred poly~alkylene oxide) is poly(ethylene oxide). The novel coating can be applied to any suture, including polyglycolide and polylactide sutures. The present invention also comprises a suture attached to a sterile surgical needle and a sterile package containing the suture attached to a sterile surgical needle.
10 - The coating composition of the present invention may be applied to any suture where it is desired to ` improve fiber lubricity, suture tie-down characteristics or the like. Examples of suture compositions include synthetic absorbable sutures including polylactide, polyglycolide, and copolymers of lactide and glycolide with each other and with other reactive monomers such as those described in, for example, U.S. Patent No. 3,936,952 and U.S. Patent No.
The present invention relates to the field of absorbable sutures. More particularly, the present invention relates to a coated suture having improved tie-down properties.
Suture materials are generally classified as absorbable or non-absorbable, with each type of suture being preferred for different applications. Absorbable suture materials are preferred for applications in which the sewn tissues after healing will hold together without suture reinforcement and in which a non-absorbed suture material may provide the possibility of an adverse body reaction over an extended period of time. Suture materials are considered to be absorbable if they disappear from the sewn tissue within a year after surgery, but most absorbable suture materials disappear within shorter periods of time.
The most commonly employed absorbable suture materials are catgut and extruded collagenous materials. More recently sutures have been developed from synthetic polymers which are absorbable, strong, uniform and dimensionally stable, storable in the dry state and sterilizable.
A significant problem associated with the early s~nthetic absorbable sutures was difficulty in knot placement. The braid was rough, preventing the surgeon from sliding the knots down the suture and locating those knots accurately for good tissue approximation.
To solve this problem, various coating materials have :
, ' .
3X3~
been applied to absorbable sutures. A number of United States patents disclose the use of different coating materials.
United States Patent No. 4,027,676 issued June 7, 1977 discloses an absorbable suture coated with a multicomponent composition comprising (a) an absorbable film-former, (b) an absorbable lubricant, and (c) an absorbable hydrophobic material. This coating has the effect of stiffening the suture so it becomes wire-like rather than soft, smooth and flexible.
United States Patent No. 4,047,533 issued September 13, 1977 discloses an absorbable suture coated with a block copolymer of polyoxyethylene and polvoxypropylene. This coating provides good knot slip-down but knot security is lost and the surgeon must tie four or five knots instead of three to maintain a stitch securely.
United States Patent No. 3,896,814 issued July 29, 1975 discloses the use of a low molecular weight (c400) poly(alkylene oxide) as a hygroscopic agent to improve the suppleness of collagen suturesO In the above patent, the low molecular weight poly(alkylene oxide) is used as a humectant for retaining water in the collagen fiber.
~5 Thus, there is a continuing need for a coating for an absorbable suture resulting in a suture having simultaneous improvement in knot security, knot slip-down and hand.
In accordance with the present invention, there is disclosed a novel bioabsorbable coating for absorbable sutures. The novel coating consists of a high molecular weight poly(alkylene oxide). By khe term "high molecular weight poly(alkylene oxide)" is meant a , 3~3 poly(alkylene o~ide) of a molecular weight ranging from 100,000 to 5,000,000 with a preferred range ,rom about 250,000 to about 5,000,000. A preferred poly~alkylene oxide) is poly(ethylene oxide). The novel coating can be applied to any suture, including polyglycolide and polylactide sutures. The present invention also comprises a suture attached to a sterile surgical needle and a sterile package containing the suture attached to a sterile surgical needle.
10 - The coating composition of the present invention may be applied to any suture where it is desired to ` improve fiber lubricity, suture tie-down characteristics or the like. Examples of suture compositions include synthetic absorbable sutures including polylactide, polyglycolide, and copolymers of lactide and glycolide with each other and with other reactive monomers such as those described in, for example, U.S. Patent No. 3,936,952 and U.S. Patent No.
2,683,136~
Such preferred suture compositions are referred to herein as simply polymers and copolymers of lactide and glycolide.
The suture onto which the coating composition of the present invention is to be applied can be in the form of a monofilament or a plurality of the component filaments may be combined into a multifilament braid.
The monofilament or multifilament suture can be any desired length. Needles may be attached to the sutures. The coated sutures, with or without needles, are generally packaged in sterile enclosures to main-tain sterility until time of use.
The coating composition of the present invention consists of a high molecular weight poly(alkylene oxide). Preferred high molecular weight poly(alkylene oxide(s) include poly(ethylene oxide), poly(propylene ' 3Z3~3 oxide) and poly(alkylene oxides) of up to 6 carbon atoms in the alkylene group. Preferred high molecular weight poly(alkylene oxides) are those commercially available from Union Carbide under the trade mark POLYOX ~. These are water-soluble, non-ionic poly(ethylene oxide) homopolymers ranging in molecular weight from one hundred thousand to five million.
Other high molecular weight poly(alkylene oxides) are commercially available from Aldrich Chemical. In the preferred embodiment of the present invention, the polv(alkylene oxide) coating composition has a molecular weight ranging from about 250,000 to about 5,000,000 daltons.
The coating composition of the present invention may be applied to the suture and then the coated suture, with or without an attached needle, can, if desired, be sterile packaged.
Methods of application of the coating composition to the suture include moving the suture through a receptacle containing the coating composition dissolved in an appropriate solvent, moving the suture past a brush or an applicator wette~d with the solution or past one or more spray nozzles dispensing the solution as droplets.
If it is desired to apply the poly(alkylene oxide) coating composition of the present invention in a solid form, the coating composition may be applied to the suture by passing the suture over or between solid blocks of the coating composition which is transferred to the suture by a rubbing action.
If a multifilament suture is to be coated with the composition of the present invention, it is not necessary that every filament within the suture be individually or completelv coatedO In most instances, ~,S~8~3~3 however, the coating composition will penetrate into the braided suture structure.
~uitable solvents into which the present coating composition may be dissolved include methylene chloride, propylene glycol mono- methyl ether (DOWANOL~ PM), water, acetonitrile, acetone, and ethanol.
The amount of coating ccmposition applied to the suture, or the coating add-on, will vary depending upon the construction of the fiber, e.g., the number of filaments and tightness of braid or twist and the nature of the coating composition, i.e. solution or solid. In general, a coating composition applied to the suture will constitute from about 0.1 to about 20 percent by weight of the coated fiber with a preferred range of from about 3 to about 15 percent by weight.
The level of coating add-on imparting maximum desired characteristics, such as tie down performance, is readily determined experimentally for any particular fiber-coating system.
The coating composition may, if desired, also contain components other than those discussed above for other useful purposes including dyes, antibiotics, antiseptics, anesthetics and anti-inflammatory agents.
Having described the invention in general terms, reference is now made to specific examples thereof.
- . . , , ~ .
. , ~, ... . . . .
3Z3~3 EXAMPLE 1 ~
Eighteen inch lengths of Dexon "S" polyglycolic acid braided suture from American Cyanamid Corporation and Pfizer Inc. Hospital Product Group dyed, braided and heat-stretched PGA (Polyglycolic acid) size 4-0 were immersed in 100 cc of solution of various coating agents in methylene chloride. The concentrations of the coating agents are given in grams per 100 cc of solution (~ w/v). The sutures were immersed for at least 2 minutes, then hung to air dry in a vertical position. The coating add-on was determined by weighing a length of suture before and after coating on an analytical balance and averaging the results of three separate threads. Ten to twenty 18 inch coatings on Pfizer's 4-0 PGA were prepared; two 18 inch specimens of each coating on 4-0 Dexon were prepared.
The coated sutures were tested by the following techniques:
(a) Slip-Down - A two throw square knot is tied to a firm closed knot but not extremely tightly, the long ears grasped, and pulled apart. If the thread is drawn through the knot, giving the appearance of the knot slipping down the braid, that is denoted good slip-down. If the knot binds and will not slide when the ears are pulled apart, then there is no slip-down.
(b) Knot-Security A triple throw square knot is firmly tied creating a loop in the length of the suture that is large enough so that when the loop is cut opposite to the knot, the two equal arms of the cut loop can be held in a tensile testing machine. The cut lengths of the loop are on the patient's side of the knot. The lengths of suture (the free ends) on the other side of the knot (the surgeon's side) are carefully trimmed before cutting `~, ~ ~32343 the loop to a specified length, such as 0.1 inch or 0.2 inch, etc. called ears. The loop is then cut to create the patient's side ends. These are then clamped in a tensile testing machine and the suture is pulled until the knot slips out or the suture breaks. If the knot slips out, for the next trial an additional square knot throw is added to the knot. The knot security is the number of square knot throws required to cause the suture to break reliably at the knot instead of slip ~ng out. The tensile tes ~ g machine used was a Scott ensilometer or an I-Mass odel SP-101 slip/peel tester modified to permit the attachment of fibers.
Coated sutures were evaluated for texture, the results of which are summarized in Table 1. The coated sutures were also evaluated for knot security and snug~down rating, the results of which are summarized in Table 2.
, - .
' '~` ' ' '-' :
, . .
~ ~X3~3 ~ o .~ ~ o ~ V
U~ o ~ ~ ~ o o o ~ ~ o o o O ~ u~
C~
rd ~ ~ ~ ~, ,~
rl ~ rl rl~rl ~¢ ~ ~ ,~ O rl rl rl ,!~ ,!~ .IJ ~ ~
U~ U~ ~ O r~l ~1 r-l r-l r l U~
(I~ ~ rl ~rl h ~ r-l r-l ~ ~ ~ r-l ~Ir~
X ~ ~ ~ ~ ~ rG
Z r i r-l O O ~) ~ ~ O O r~ r~
o 3 ~r ~D O c)~ ~ r~ D r1 0 o ~r o r~ ~ ~ r1 Ul(~
f~ h ~r ~D ~ ~ u) r~ ~) ~ ~) a),~ r I_ ~ r1 ~ ~ r~
X
O^
l r ~
~1 ~ 3 IY ,-1--:~ O
E~ u~ \ ao ao G~O ao o\O o`~O o\O G~ o~O ao ~ ao ~ o o o o u~ o In U~ O U'l U') O
u~ ~ r1 r-~
~ ~ I o a c~ o E~ :~:
~ U
_ ~ ~ _ r~ r~ _ _ _ _ _ ~ _ r~ ~ r~
o o ~ a~ aJ ~ a) a) a~ o o o r~
~1 ~ rl rl rl r~ rl rl r 1:~ .,1 r-l r-l X X X X X X X r-l r-l ~I
S~ ~ ~ O O O O O O O O O O O O O O ~ ~ ~
~ ~ O O O O O O O O O O O
,¢ ~a) o o a) o a) o a.) o o oa) o a~ o a) o a~ o a~ o a) o E~ ~~ ~: o ~ o ~ o ~ o o ~ o a~ o a~ o a) oa) o a) o a) o a ,~ o ,~ o ,~ o ,~ o ~1 o ~1 o ~1 o ~ o ~ ~ ~1 ~
0 3 a~ 3 ~ 3 OJ 3 o ~ 3 a~ 3 ~ ~3 a) 3 a~ ~2 O O O O O O O O O O O O
~1 h _l ~ aJ
~ O N
~ X = _ _ ~1 _ e _ _ _ U~ ~ IH
~ P~
123~3 Q, U~ .
OQ
~3 ~ ~
* ~ Q, a) Q, :~ ' Q~ X
~ O I r~ O
,1 ~ ~ s~
s~ ~ a) ~ u, ~ ~ R u~
O O O
O
t~ Q) I h X .Y X
Z u~ Q
H U~ ~ ~) 3 u~
~ O O ~ ~ ~ ~ ~
P; ~ ~ o a) o a~ a) ~ o ~ ~ X ~ ~ ~ ~ ~ ~
Z E~ ~: O R O O rl rl R
3 S~
o ~ ~ m ~ m m cn cn ~ ~ ~ J~
U~ 3 O ~ d) a~
~ ~1 ,~
Z ~ ~1 au a~ a) ~ a) a) ~ a P;
X X X X ~C X X X
H U~ ~d u~ 0 E~ ~ ~ ~ ~ ~ ~ ~ o O ~ ~ ~ o r~ ~ ~ In ~ ,~
Z ~
In r~ ~ ~ ~ ~ ~1 CO
u~ 3 ~1 ~ ~
l ~ ~:
.,~
~ ,~ O
P; O .
E~
:~
o o o o o o o o O
~ o o o o o o o o i ~ ~1 O O O O O O O O
~ ~1 o o o o o O S~ O O O O O ~1 ~ ~1 Q, U) ~ 0 0 0 ~ ~ 3 a) 3 ~1 3 ~1 ~ ~I P ~I P ,~
,S~ ~ h ~^ ~^ ~--m ~ ~ ~ O ~ O ~ O
u o x o x o x o x o x o ~ o ~ o ~
~ o ~ o ~ o p~ o ~4 Q) s~
~ a~
.1 N
U~ 4~
~ l .
' .
, ! , '~ " '" `, , ' ' ' ' ~ ' . ~ ' ' ' ' ' " ' . ~ . ' .
, ' j~ ' '
Such preferred suture compositions are referred to herein as simply polymers and copolymers of lactide and glycolide.
The suture onto which the coating composition of the present invention is to be applied can be in the form of a monofilament or a plurality of the component filaments may be combined into a multifilament braid.
The monofilament or multifilament suture can be any desired length. Needles may be attached to the sutures. The coated sutures, with or without needles, are generally packaged in sterile enclosures to main-tain sterility until time of use.
The coating composition of the present invention consists of a high molecular weight poly(alkylene oxide). Preferred high molecular weight poly(alkylene oxide(s) include poly(ethylene oxide), poly(propylene ' 3Z3~3 oxide) and poly(alkylene oxides) of up to 6 carbon atoms in the alkylene group. Preferred high molecular weight poly(alkylene oxides) are those commercially available from Union Carbide under the trade mark POLYOX ~. These are water-soluble, non-ionic poly(ethylene oxide) homopolymers ranging in molecular weight from one hundred thousand to five million.
Other high molecular weight poly(alkylene oxides) are commercially available from Aldrich Chemical. In the preferred embodiment of the present invention, the polv(alkylene oxide) coating composition has a molecular weight ranging from about 250,000 to about 5,000,000 daltons.
The coating composition of the present invention may be applied to the suture and then the coated suture, with or without an attached needle, can, if desired, be sterile packaged.
Methods of application of the coating composition to the suture include moving the suture through a receptacle containing the coating composition dissolved in an appropriate solvent, moving the suture past a brush or an applicator wette~d with the solution or past one or more spray nozzles dispensing the solution as droplets.
If it is desired to apply the poly(alkylene oxide) coating composition of the present invention in a solid form, the coating composition may be applied to the suture by passing the suture over or between solid blocks of the coating composition which is transferred to the suture by a rubbing action.
If a multifilament suture is to be coated with the composition of the present invention, it is not necessary that every filament within the suture be individually or completelv coatedO In most instances, ~,S~8~3~3 however, the coating composition will penetrate into the braided suture structure.
~uitable solvents into which the present coating composition may be dissolved include methylene chloride, propylene glycol mono- methyl ether (DOWANOL~ PM), water, acetonitrile, acetone, and ethanol.
The amount of coating ccmposition applied to the suture, or the coating add-on, will vary depending upon the construction of the fiber, e.g., the number of filaments and tightness of braid or twist and the nature of the coating composition, i.e. solution or solid. In general, a coating composition applied to the suture will constitute from about 0.1 to about 20 percent by weight of the coated fiber with a preferred range of from about 3 to about 15 percent by weight.
The level of coating add-on imparting maximum desired characteristics, such as tie down performance, is readily determined experimentally for any particular fiber-coating system.
The coating composition may, if desired, also contain components other than those discussed above for other useful purposes including dyes, antibiotics, antiseptics, anesthetics and anti-inflammatory agents.
Having described the invention in general terms, reference is now made to specific examples thereof.
- . . , , ~ .
. , ~, ... . . . .
3Z3~3 EXAMPLE 1 ~
Eighteen inch lengths of Dexon "S" polyglycolic acid braided suture from American Cyanamid Corporation and Pfizer Inc. Hospital Product Group dyed, braided and heat-stretched PGA (Polyglycolic acid) size 4-0 were immersed in 100 cc of solution of various coating agents in methylene chloride. The concentrations of the coating agents are given in grams per 100 cc of solution (~ w/v). The sutures were immersed for at least 2 minutes, then hung to air dry in a vertical position. The coating add-on was determined by weighing a length of suture before and after coating on an analytical balance and averaging the results of three separate threads. Ten to twenty 18 inch coatings on Pfizer's 4-0 PGA were prepared; two 18 inch specimens of each coating on 4-0 Dexon were prepared.
The coated sutures were tested by the following techniques:
(a) Slip-Down - A two throw square knot is tied to a firm closed knot but not extremely tightly, the long ears grasped, and pulled apart. If the thread is drawn through the knot, giving the appearance of the knot slipping down the braid, that is denoted good slip-down. If the knot binds and will not slide when the ears are pulled apart, then there is no slip-down.
(b) Knot-Security A triple throw square knot is firmly tied creating a loop in the length of the suture that is large enough so that when the loop is cut opposite to the knot, the two equal arms of the cut loop can be held in a tensile testing machine. The cut lengths of the loop are on the patient's side of the knot. The lengths of suture (the free ends) on the other side of the knot (the surgeon's side) are carefully trimmed before cutting `~, ~ ~32343 the loop to a specified length, such as 0.1 inch or 0.2 inch, etc. called ears. The loop is then cut to create the patient's side ends. These are then clamped in a tensile testing machine and the suture is pulled until the knot slips out or the suture breaks. If the knot slips out, for the next trial an additional square knot throw is added to the knot. The knot security is the number of square knot throws required to cause the suture to break reliably at the knot instead of slip ~ng out. The tensile tes ~ g machine used was a Scott ensilometer or an I-Mass odel SP-101 slip/peel tester modified to permit the attachment of fibers.
Coated sutures were evaluated for texture, the results of which are summarized in Table 1. The coated sutures were also evaluated for knot security and snug~down rating, the results of which are summarized in Table 2.
, - .
' '~` ' ' '-' :
, . .
~ ~X3~3 ~ o .~ ~ o ~ V
U~ o ~ ~ ~ o o o ~ ~ o o o O ~ u~
C~
rd ~ ~ ~ ~, ,~
rl ~ rl rl~rl ~¢ ~ ~ ,~ O rl rl rl ,!~ ,!~ .IJ ~ ~
U~ U~ ~ O r~l ~1 r-l r-l r l U~
(I~ ~ rl ~rl h ~ r-l r-l ~ ~ ~ r-l ~Ir~
X ~ ~ ~ ~ ~ rG
Z r i r-l O O ~) ~ ~ O O r~ r~
o 3 ~r ~D O c)~ ~ r~ D r1 0 o ~r o r~ ~ ~ r1 Ul(~
f~ h ~r ~D ~ ~ u) r~ ~) ~ ~) a),~ r I_ ~ r1 ~ ~ r~
X
O^
l r ~
~1 ~ 3 IY ,-1--:~ O
E~ u~ \ ao ao G~O ao o\O o`~O o\O G~ o~O ao ~ ao ~ o o o o u~ o In U~ O U'l U') O
u~ ~ r1 r-~
~ ~ I o a c~ o E~ :~:
~ U
_ ~ ~ _ r~ r~ _ _ _ _ _ ~ _ r~ ~ r~
o o ~ a~ aJ ~ a) a) a~ o o o r~
~1 ~ rl rl rl r~ rl rl r 1:~ .,1 r-l r-l X X X X X X X r-l r-l ~I
S~ ~ ~ O O O O O O O O O O O O O O ~ ~ ~
~ ~ O O O O O O O O O O O
,¢ ~a) o o a) o a) o a.) o o oa) o a~ o a) o a~ o a~ o a) o E~ ~~ ~: o ~ o ~ o ~ o o ~ o a~ o a~ o a) oa) o a) o a) o a ,~ o ,~ o ,~ o ,~ o ~1 o ~1 o ~1 o ~ o ~ ~ ~1 ~
0 3 a~ 3 ~ 3 OJ 3 o ~ 3 a~ 3 ~ ~3 a) 3 a~ ~2 O O O O O O O O O O O O
~1 h _l ~ aJ
~ O N
~ X = _ _ ~1 _ e _ _ _ U~ ~ IH
~ P~
123~3 Q, U~ .
OQ
~3 ~ ~
* ~ Q, a) Q, :~ ' Q~ X
~ O I r~ O
,1 ~ ~ s~
s~ ~ a) ~ u, ~ ~ R u~
O O O
O
t~ Q) I h X .Y X
Z u~ Q
H U~ ~ ~) 3 u~
~ O O ~ ~ ~ ~ ~
P; ~ ~ o a) o a~ a) ~ o ~ ~ X ~ ~ ~ ~ ~ ~
Z E~ ~: O R O O rl rl R
3 S~
o ~ ~ m ~ m m cn cn ~ ~ ~ J~
U~ 3 O ~ d) a~
~ ~1 ,~
Z ~ ~1 au a~ a) ~ a) a) ~ a P;
X X X X ~C X X X
H U~ ~d u~ 0 E~ ~ ~ ~ ~ ~ ~ ~ o O ~ ~ ~ o r~ ~ ~ In ~ ,~
Z ~
In r~ ~ ~ ~ ~ ~1 CO
u~ 3 ~1 ~ ~
l ~ ~:
.,~
~ ,~ O
P; O .
E~
:~
o o o o o o o o O
~ o o o o o o o o i ~ ~1 O O O O O O O O
~ ~1 o o o o o O S~ O O O O O ~1 ~ ~1 Q, U) ~ 0 0 0 ~ ~ 3 a) 3 ~1 3 ~1 ~ ~I P ~I P ,~
,S~ ~ h ~^ ~^ ~--m ~ ~ ~ O ~ O ~ O
u o x o x o x o x o x o ~ o ~ o ~
~ o ~ o ~ o p~ o ~4 Q) s~
~ a~
.1 N
U~ 4~
~ l .
' .
, ! , '~ " '" `, , ' ' ' ' ~ ' . ~ ' ' ' ' ' " ' . ~ . ' .
, ' j~ ' '
Claims (20)
1. An absorbable surgical suture having improved tie down properties characterized in that the surface of the suture is coated with a composition consisting of at least one high molecular weight poly (alkylene oxide).
2. The suture of claim 1 wherein said high molecular weight poly (alkylene oxide) has a molecular weight ranging from about 100,000 to about 5,000,000.
3. The suture of claim 2 wherein said high molecular weight poly (alkylene oxide) has a molecular weight ranging from about 250,000 to about 5,000,000.
4. The suture of claim 1, 2 or 3, wherein said suture is a poly (glycolic acid) suture.
5. The suture of claim 1, 2 or 3, wherein said suture is a multifilament suture.
6. The suture of claim 1, 2 or 3, wherein said suture is a multifilament braided suture.
7. The suture of claim 1, 2 or 3, wherein the suture is a monofilament suture.
8. The suture of claim 1, 2 or 3, wherein the high molecular weight poly (alkylene oxide) is poly (ethylene oxide).
9. The suture of claim 1, 2 or 3, wherein the suture is a synthetic absorbable suture selected from polylactide, polyglycolide and copolymers of lactide and glycolide; and the high molecular weight poly (alkylene oxide) is poly (ethylene oxide).
10. The suture of claim 1, 2 or 3, wherein the amount of the poly (alkylene oxide) coating is from about 0.1 to about 20 percent by weight based on the coated suture; the suture is a synthetic absorbable suture selected from polylactide, polyglycolide and copolymers of lactide and glycolide; and the high molecular weight poly (alkylene oxide) is poly (ethylene oxide).
11. The suture of claim 3, wherein the poly (alkylene oxide) is poly (ethylene oxide); the suture is a poly (glycolic acid) multifilament braided suture; and the amount of the poly (ethylene oxide) coating is from about 3 to about 15 percent by weight based on the coated suture.
12. A needled surgical suture comprising at least one surgical suture and one needle characterized in that the surface of the suture is coated with a composition consisting of at least one high molecular weight poly (alkylene oxide).
13. A surgical suture package comprising a sterile enclosure containing a sterile needled surgical suture, the suture being characterized in that the surface thereof is coated with a composition consisting of at least one high molecular weight poly (ethylene oxide).
14. The suture of claim 12 wherein said high molecular weight poly (alkylene oxide) has a molecular weight ranging from about 100,000 to about 5,000,000.
15. The suture of claim 14 wherein said high molecular weight poly (alkylene oxide) has a molecular weight ranging from about 250,000 to about 5,000,000.
16. The suture of claim 12, 14 or 15, wherein the amount of the poly (alkylene oxide) coating is from about 0.1 to about 20 percent by weight based on the coated suture; the suture is a synthetic absorbable suture selected from polylactide polyglycolide and copolymers of lactide and glycolide; and the high molecular weight poly (alkylene oxide) is poly (ethylene oxide).
17. The suture of claim 15, wherein the poly (alkylene oxide) is poly (ethylene oxide); the suture is a poly (glycolic acid) multifilament braided suture; and the amount of the poly (ethylene oxide) coating is from about 3 to about 15 percent by weight based on the coated suture.
18. A process for producing the coated suture as defined in claim 1, comprising applying a composition consisting of at least one high molecular weight poly (alkylene oxide) to the surface of an uncoated absorbable surgical suture.
19. A process of claim 18, wherein the application comprises:
(i) moving the suture through a receptacle containing the coating composition dissolved in an appropriate solvent, or (ii) moving the suture past a brush or an applicator wetted with the solution or past one or more spray nozzles dispensing the solution as droplets, or (iii) passing the suture over or between solid blocks of the coating composition such that the coating composition is transferred to the suture by a rubbing action.
(i) moving the suture through a receptacle containing the coating composition dissolved in an appropriate solvent, or (ii) moving the suture past a brush or an applicator wetted with the solution or past one or more spray nozzles dispensing the solution as droplets, or (iii) passing the suture over or between solid blocks of the coating composition such that the coating composition is transferred to the suture by a rubbing action.
20. A process of claim 18 or 19, wherein said high molecular weight poly (alkylene oxide) has a molecular weight ranging from about 100,000 to about 5,000,000; wherein the amount of the poly (alkylene oxide) coating is from about 0.1 to about 20 percent by weight based on the coated suture; the suture is a synthetic absorbable suture selected from polylactide polyglycolide and copolymers of lactide and glycolide; and the high molecular weight poly (alkylene oxide) is poly(ethylene oxide).
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US06/824,348 US4649920A (en) | 1986-01-30 | 1986-01-30 | Coated suture |
| US824,348 | 1986-01-30 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1282343C true CA1282343C (en) | 1991-04-02 |
Family
ID=25241161
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA000528355A Expired - Lifetime CA1282343C (en) | 1986-01-30 | 1987-01-28 | Coated suture |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US4649920A (en) |
| JP (1) | JPS62183767A (en) |
| AU (1) | AU575268B2 (en) |
| CA (1) | CA1282343C (en) |
Families Citing this family (46)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5222978A (en) | 1987-08-26 | 1993-06-29 | United States Surgical Corporation | Packaged synthetic absorbable surgical elements |
| US5037429A (en) * | 1987-08-26 | 1991-08-06 | United States Surgical Corporation | Method for improving the storage stability of a polymeric braided suture susceptible to hydrolytic degradation and resulting article |
| US5226912A (en) | 1987-08-26 | 1993-07-13 | United States Surgical Corporation | Combined surgical needle-braided suture device |
| US5306289A (en) * | 1987-08-26 | 1994-04-26 | United States Surgical Corporation | Braided suture of improved characteristics |
| US5366081A (en) | 1987-08-26 | 1994-11-22 | United States Surgical Corporation | Packaged synthetic absorbable surgical elements |
| US5782903A (en) * | 1987-10-19 | 1998-07-21 | Medtronic, Inc. | Intravascular stent and method |
| JPH01223969A (en) * | 1988-03-04 | 1989-09-07 | Nippon Medical Supply Corp | Coated suture |
| US5610214A (en) * | 1988-12-29 | 1997-03-11 | Deknatel Technology Corporation, Inc. | Method for increasing the rate of absorption of polycaprolactone |
| US5359831A (en) | 1989-08-01 | 1994-11-01 | United States Surgical Corporation | Molded suture retainer |
| US5246104A (en) * | 1989-08-01 | 1993-09-21 | United States Surgical Corporation | Molded suture retainer |
| US5100433A (en) * | 1990-11-08 | 1992-03-31 | Ethicon, Inc. | Suture coated with a copolymer coating composition |
| US5102420A (en) * | 1990-11-14 | 1992-04-07 | Ethicon, Inc. | Suture coated with a polyetheramide |
| US5269783A (en) * | 1991-05-13 | 1993-12-14 | United States Surgical Corporation | Device and method for repairing torn tissue |
| JPH05161708A (en) * | 1991-12-18 | 1993-06-29 | Terumo Corp | Artificial blood vessel |
| US5352515A (en) * | 1992-03-02 | 1994-10-04 | American Cyanamid Company | Coating for tissue drag reduction |
| CA2092646A1 (en) * | 1992-03-25 | 1993-09-26 | Ross R. Muth | Bioabsorbable blends of a bioabsorbable copolymer and a poly(oxyalkylene) |
| US5312437A (en) * | 1992-06-12 | 1994-05-17 | United States Surgical Corporation | Absorbable coating composition and suture coated therewith |
| US5383903A (en) * | 1992-08-20 | 1995-01-24 | United States Surgical Corporation | Dimethylsiloxane-alkylene oxide copolymer coatings for filaments |
| CA2437773C (en) | 1992-09-21 | 2005-02-22 | United States Surgical Corporation | Device for applying a meniscal staple |
| US5939191A (en) * | 1993-06-11 | 1999-08-17 | United States Surgical Corporation | Coated gut suture |
| US5925065A (en) * | 1993-06-11 | 1999-07-20 | United States Surgical Corporation | Coated gut suture |
| CA2117967A1 (en) * | 1993-10-27 | 1995-04-28 | Thomas W. Sander | Tissue repair device and apparatus and method for fabricating same |
| US5584858A (en) * | 1994-11-14 | 1996-12-17 | United States Surgical Corporation | Tubing fluid |
| US5584857A (en) * | 1994-11-14 | 1996-12-17 | United States Surgical Corporation | Suture coating and tubing fluid |
| US5645568A (en) * | 1995-11-20 | 1997-07-08 | Medicinelodge, Inc. | Expandable body suture |
| US6143037A (en) * | 1996-06-12 | 2000-11-07 | The Regents Of The University Of Michigan | Compositions and methods for coating medical devices |
| US6010971A (en) * | 1997-11-21 | 2000-01-04 | Kimberly-Clark Worldwide, Inc. | Polyethylene oxide thermoplastic composition |
| US6110849A (en) | 1997-12-19 | 2000-08-29 | Kimberly-Clark Worlwide, Inc. | Thermoplastic composition including polyethylene oxide |
| JP2002512182A (en) * | 1998-04-20 | 2002-04-23 | ジェンザイム・コーポレーション | Drug delivery of proteins from polymer blends |
| US6177094B1 (en) | 1998-04-30 | 2001-01-23 | United States Surgical Corporation | Bioabsorbable blends and coating composition containing same |
| CA2372258C (en) | 2000-04-11 | 2008-12-30 | Peter Barreiro | Single shot meniscal repair device |
| US20050226993A1 (en) * | 2000-10-03 | 2005-10-13 | Nawrocki Jesse G | Medical devices having durable and lubricious polymeric coating |
| US20060190040A1 (en) * | 2001-09-27 | 2006-08-24 | Roby Mark S | Coated surgical needles |
| US20040068293A1 (en) * | 2002-10-04 | 2004-04-08 | Howard Scalzo | Packaged antimicrobial medical device and method of preparing same |
| US20040220614A1 (en) * | 2002-10-04 | 2004-11-04 | Howard Scalzo | Packaged antimicrobial medical device and method of preparing same |
| US7343920B2 (en) * | 2002-12-20 | 2008-03-18 | Toby E Bruce | Connective tissue repair system |
| US20050125036A1 (en) | 2003-08-14 | 2005-06-09 | Mark Roby | Heterogeneous yarns for surgical articles |
| US20100016891A1 (en) | 2003-08-14 | 2010-01-21 | Kennedy John J | Heterogeneous yarns for surgical articles |
| CA2481046A1 (en) * | 2003-09-10 | 2005-03-10 | Tyco Healthcare Group Lp | Method for treating a section of a suture and forming a suture tip for attachment to a needle |
| EP1946705B1 (en) | 2003-09-10 | 2010-03-03 | Tyco Healthcare Group Lp | Method for treating a section of a suture and forming a suture tip for attachment to a needle |
| US9101505B2 (en) * | 2006-04-27 | 2015-08-11 | Brs Holdings, Llc | Composite stent |
| US9155646B2 (en) | 2006-04-27 | 2015-10-13 | Brs Holdings, Llc | Composite stent with bioremovable ceramic flakes |
| US9693841B2 (en) | 2007-04-02 | 2017-07-04 | Ension, Inc. | Surface treated staples, sutures and dental floss and methods of manufacturing the same |
| US20090264925A1 (en) | 2008-04-17 | 2009-10-22 | Joseph Hotter | Poly(Trimethylene)Terephthalate Filaments And Articles Made Therefrom |
| EP2425865A1 (en) | 2010-08-06 | 2012-03-07 | Aesculap AG | Medicinal thread having a polyhydroxyalkanoate coating |
| USD869656S1 (en) * | 2016-04-12 | 2019-12-10 | Jason P. Adams | Single strand bi-directional barb suture with coating shield |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3665927A (en) * | 1968-05-29 | 1972-05-30 | Sutures Inc | Impregnation of polyfilamentous sutures with synthetic polymer particles |
| US3896814A (en) * | 1972-10-31 | 1975-07-29 | Daniel Vivien | Collagen based threads |
| US4105034A (en) * | 1977-06-10 | 1978-08-08 | Ethicon, Inc. | Poly(alkylene oxalate) absorbable coating for sutures |
-
1986
- 1986-01-30 US US06/824,348 patent/US4649920A/en not_active Expired - Fee Related
-
1987
- 1987-01-28 JP JP62018125A patent/JPS62183767A/en active Granted
- 1987-01-28 CA CA000528355A patent/CA1282343C/en not_active Expired - Lifetime
- 1987-01-29 AU AU68096/87A patent/AU575268B2/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| AU6809687A (en) | 1987-08-20 |
| AU575268B2 (en) | 1988-07-21 |
| JPH0233262B2 (en) | 1990-07-26 |
| JPS62183767A (en) | 1987-08-12 |
| US4649920A (en) | 1987-03-17 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CA1282343C (en) | Coated suture | |
| US5728135A (en) | Stiffened suture for use in a suturing device | |
| EP0170966B1 (en) | Dry coating of surgical filaments | |
| US5662682A (en) | Spiroid braided suture | |
| CA2238387C (en) | Absorbable mixture and coatings for surgical articles fabricated therefrom | |
| US5306289A (en) | Braided suture of improved characteristics | |
| US5261886A (en) | Cabled core and braided suture made therefrom | |
| US5468252A (en) | Packaged synthetic absorbable surgical elements | |
| US5226912A (en) | Combined surgical needle-braided suture device | |
| CA2037023C (en) | Spiroid braided suture | |
| CA1298159C (en) | Coated sutures exhibiting improved knot security | |
| US5383904A (en) | Stiffened surgical device | |
| Swanson et al. | Suture materials, 1980s: properties, uses, and abuses | |
| EP0214861A1 (en) | Surgical sutures | |
| JPS63119746A (en) | Biologically absorbing coating to surgical utensil | |
| EP0486305B1 (en) | Suture coated with a polyetheramide | |
| EP1581121B1 (en) | Oil coated sutures | |
| US5383903A (en) | Dimethylsiloxane-alkylene oxide copolymer coatings for filaments | |
| HU180417B (en) | Catgut strings having improved knotting characteristics and pulling the live tissues just slightly | |
| AU657725B2 (en) | Cabled core and braided suture made therefrom | |
| JP3362218B2 (en) | Coating agent to improve knot strength of absorbable monofilament suture | |
| AU648292B2 (en) | Braided suture of improved characteristics |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| MKLA | Lapsed |