Abstract:
The present invention relates to a suture which is firmly maintained and fixed to an operation site to stably sustain suturing or lifting effects for a long time. More specifically, the present invention provides a suture having a conic or pyramidal shape with a cut top, wherein a suture supporter comprising a communication hole penetrating the both ends is provided at one end. The suture support can have one or more portions which are cut vertically from a lower end at a lower end portion having a larger diameter between the both ends, or a part of the lower end can be removed so as to form one or more gaps formed from the end at a wall of the end portion.

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
     This application is a national phase application of PCT Application No. PCT/KR2012/011361, filed on Dec. 24, 2012, which claims the benefit and priority to Korean Patent Application No. 10-2011-0143929, filed Dec. 27, 2011. The entire disclosures of the applications identified in this paragraph are incorporated herein by references. 
     FIELD 
     The present invention relates to a suture used for a surgical operation, and more particularly, to a suture that does not require a knot tying operation and is able to be firmly and stably sutured or to tightly support and fix tissues. 
     BACKGROUND 
     A suture has been used for a long time to be used to connect and suture damaged muscles, blood vessels, nerves, or tissues and injuries or parts incised due to a surgical operation. In addition, a suture is used for a double eyelid surgery and a medical operation for removing tissues, which are generated due to aging, a decrease in skin elasticity, injuries, overdose, necrosis, or the like, a flabby skin, wrinkles, or the like. A lifting medical operation using a suture is a technology to lift up a flabby skin or tissue such as a face, a chin, a neck, an abdomen, a vagina, a breast, or a hip by using needles and threads instead of using a knife. The lifting medical operation using a suture has attracted much attention because the lifting medical operation does not excessively incise a skin, minimizes generation of scars, and generates less bleeding and swelling due to an operation. 
     Recently, a suture in which barbs are formed on an external surface thereof has been developed and used. Such a suture is not slipped due to the barbs, and thus the suture is not easily untied after a sutura. 
     One of points to be considered in an operation using a suture that is firmly maintained and fixed at a part where a surgical operation has been performed, in order to stably maintain suturing and tight adhesion, supporting, and fixing of tissues. In addition, a firm knotting device for allowing a suture not to be untied is required, and also it is necessary to minimize time and efforts on knotting for a rapid and safe operation. 
     The inventors of the present invention applied for Korean Patent Application Nos. 10-2011-0019895 and 10-2011-0064084 for a suture including a suture supporter not requiring a knotting process, and the contents thereof are introduced in the present specification. The inventors of the present invention have conducted the study in order to invent a more convenient and useful suture. 
     DETAILED DESCRIPTION 
     Technical Problem 
     The present invention provides a suture that may be more firmly maintained and fixed at a part where a surgical operation has been performed, may stably maintain suturing and tight adhesion, supporting, and fixing of tissues by effectively holding the tissues. The present invention also provides a suture not requiring a knotting process. The present invention also provides a kit including a suture. 
     Technical Solution 
     According to an aspect of the present invention, there is provided a suture including first and second ends, and a suture supporter that is disposed at the first end of the suture and has a truncated conical shape or a truncated pyramid shape. In detail, the suture may be provided with the suture supporter having a truncated conical shape or a truncated pyramid shape and including a communication hole through which upper and lower end portions communicate with each other. The suture supporter may be coupled to the suture through the communication hole so that the upper end portion having a relatively smaller diameter from among the upper and lower end portions faces the first end of the suture. The suture supporter may include one or more cut portions that are cut in a longitudinal direction from a lower end portion face of the lower end portion having a relatively larger diameter from among the upper and lower end portions, wherein a part of the lower end portion may be removed so as to form one or more gaps formed from the lower end portion in a wall of the lower end portion. As such, if the suture supporter includes cut portions or gaps, an area contacting tissues is increased, and also fibrin or supporting tissues enter the gaps. Thus, when pulling the suture, a fixation ability may further be increased. 
     In addition, in the suture including the first and second ends, the suture supporter may be disposed at the first end of the suture. The suture supporter may have a truncated conical shape or a truncated pyramid shape and may include a communication hole through which upper and lower end portions communicate with each other. The suture supporter may have cut portions or gaps at a lower portion thereof. The suture supporter may be coupled to the suture through the communication hole so that the upper end portion having a relatively smaller diameter from among the upper and lower end portions faces the first end. Also, barbs may be formed on a surface of the suture. 
     There may be one or two or more suture supporters. The suture supporter may be disposed at the first end of the suture and may have a truncated conical shape or a truncated pyramid shape. The suture supporter may have cut portions or gaps at a lower end portion thereof. 
     In addition, there may be a single or two or more sutures. The suture may include the suture supporter that is disposed at the first end of the suture and has a truncated conical shape or a truncated pyramid shape. The suture supporter may have cut portions or gaps at a lower portion thereof. A needle may be disposed at the second end of the suture. The suture may include barbs and the barbs of the suture may be formed on a surface of the suture to be inclined toward the second end of the suture so that an angle (θ) formed by a longitudinal axis of the suture and the barbs inclined toward the second end of the suture is an acute angle. According to another aspect of the present invention, there is provided a method of manufacturing a suture including a suture supporter. The suture supporter may have a truncated conical shape or a truncated pyramid shape and may include a communication hole through which upper and lower end portions communicate with each other. Furthermore, there is provided a method of manufacturing a suture including a suture supporter. The suture supporter may have a truncated conical shape or a truncated pyramid shape, may include a communication hole through which upper and lower end portions communicate with each other, and may include cut portions or gaps at a lower end portion thereof. 
     According to another aspect of the present invention, there are provided a method of using the suture provided in the present invention, a kit including the suture provided in the present invention, and an operation device including the suture provided in the present invention. 
     Advantageous Effects 
     The suture provided in the present invention may be used to safely perform an operation without making a knot when tightly adhering, supporting and fixing tissues to be sutured. The suture may be firmly maintained and fixed in a part to be sutured and may effectively holding tissues. In addition, when the kit provided in the present invention is used, an operation may be easily, simply, and effectively performed regardless of a skill of a doctor. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  is a view showing a suture supporter according to an embodiment of the present invention; 
         FIG. 2  is a view showing a suture including a suture supporter and a needle according to an embodiment of the present invention; 
         FIG. 3  is a view showing a suture including a suture supporter according to an embodiment of the present invention; 
         FIG. 4  is a view showing a kit including a suture according to an embodiment of the present invention; and 
         FIG. 5  is a view showing a kit including a suture according to an embodiment of the present invention. 
     
    
    
     LIST OF MAJOR REFERENCE NUMERALS 
     
         
         
           
               10 : suture 
               11 : end connected with suture supporter (first end) 
               12 : end not connected with suture supporter (second end) 
               20 : suture supporter 
               21 : upper end portion of suture supporter 
               22 : lower end portion of suture supporter 
               23 : cut portion formed at suture supporter 
               24 : gap formed at suture supporter 
               25 : communication hole of suture supporter 
               30 : needle 
               40 : barb 
               50 : knot 
               70 : long pipe of kit A 
               80 : long pipe of kit B 
               90 : rod of kit B 
               100 : kit for surgical operation 
               101 : tip ( 101   a ,  101   b  separable tip) 
               102 : suture accommodation portion accommodating suture supporter 
               103 : handle ( 103   a ,  103   b : separable handle) 
               104 : hollow pipe ( 104   a ,  104   b : separable hollow pipe) 
               105 : convex portion 
               106 : concave portion 
           
         
       
    
     DETAILED DESCRIPTION OF THE INVENTION 
     The present invention will now be described more fully with reference to the accompanying drawings, in which exemplary embodiments of the invention are shown. The invention may, however, be embodied in many different forms, and should not be construed as being limited to the embodiments set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of the invention to one of ordinary skill in the art. In the drawings, the parts of the needle, suture supporter and barbs are exaggerated for clarity. 
       FIG. 1  is a view showing a suture supporter  20  according to an embodiment of the present invention. The suture supporter  20  has a truncated conical shape or a truncated pyramid shape. The suture supporter  20  includes a communication hole  25  through which upper and lower end portions communicate with each other, and a diameter of the communication hole  25  is larger than that of a suture (see  FIG. 1(A) ). 
     The suture supporter  20  according to an embodiment of the present invention may include one or more cut portions  23  that are cut in a longitudinal direction from a lower end portion  22  of the lower portion having a relatively larger diameter from among the upper and lower end portions (see  FIG. 1(B) ). Alternatively, a part of the lower portion is removed so as to form one or more gaps  24  formed from the lower end portion in a wall of the lower end portion (see  FIGS. 1(C) and 1(D) ). A length of the cut portion  23  and a size or shape of the gap  24  may be appropriately adjusted according to parts and purposes to use a suture. 
     The suture supporter  20  according to an embodiment of the present invention may be formed of a material not absorbed into a body or an absorbable material according to purposes. For example, the suture supporter  20  may be formed of nylon, polypropylene (for example, MESH), polyvinyliden fluoride, polyester, stainless steel, gold, titanium, silicon, medpore, gore-tex, mesh, polylactic acid, polydioxanone (PDO, PDS), or copolymer of lactic acid and glycolic acid, but the present invention is not limited thereto. If the suture supporter  20  is formed of an absorbable material, it is not necessary to remove the suture supporter  20  after performing a sutura of an inner part of the body. 
     The length of the suture supporter  20  according to an embodiment of the present invention may be, for example, about 1 to about 10 mm. However, the present invention is not limited thereto, and thus the length of the suture supporter  20  may be adjusted according to parts and purposes to use the suture supporter  20 . From among holes of both ends portions of the suture supporter  20 , a diameter of a relatively smaller hole is, for example, about 0.1 to about 2 mm, and a diameter of a relatively larger hole is, for example, about 0.5 to 5 mm. However, the present invention is not limited thereto, and the diameters of the holes may be adjusted according to thicknesses of a suture and purposes to use the suture. 
     As an embodiment of the present invention, when the suture supporter  20  has a truncated conical shape or a truncated pyramid shape and includes the communication hole  25  and when a suture has first and second ends, the suture supporter  20  is connected to the first end, and the suture may have barbs. The suture supporter  20  may include one or more cut portions  23  that are cut in a longitudinal direction from the lower end portion  22  of the lower portion having a relatively larger diameter from among the upper and lower end portions (see  FIG. 1(B) ), or a part of the lower portion is removed so as to form one or more gaps  24  formed from the lower end portion in a wall of the lower portion  22  (see  FIGS. 1(C) and 1(D) ). 
     The method includes a step of coupling the suture to the suture supporter  20  through the communication hole  25  so that an upper end portion  21  of the upper end having a relatively smaller diameter from among both the upper and lower ends of the suture supporter  20  faces the first end  11 , and a step of forming a knot  50 , which has a diameter larger than that of a hole of the upper end portion  21  of the suture supporter  20 , between the first end  11  of the suture and the upper end portion  21  of the suture supporter  20  and forming an agglomerated portion of the suture by applying heat thereto, so that the suture supporter  20  is not separated from the suture. However, the present invention is not limited thereto. 
     According to an embodiment of the present invention, in the suture of the present invention, the other end portion not connected to the suture supporter  20 , that is, the second end  12 , may be used in a state coupled or uncoupled to a needle. Here, the needle used is manufactured of an non-absorbable material such as a metal material, or an absorbable material (for example, polylactic acid). The needle for a sutura may be formed in the shape of a straight line or a curve, and a point of the needle may have a shape that is widely used such as a rounded shape, a cut shape, or an extended shape. 
     Examples of a method of coupling a suture to a needle may include a method of inserting the suture into a hollow needle body and pressing the needle, a method of forming a hole (needle&#39;s eye) in the needle and inserting the suture into the hole, and the like. However, the present invention is not limited thereto, and various other methods may be used. 
       FIG. 2  is a view showing the suture including the first and second ends  11  and  12 . In the suture, the suture supporter  20  has a truncated conical shape or a truncated pyramid shape and includes the communication hole  25  through which upper and lower end portions communicate with each other. The suture supporter  20  having cut portions or gaps at the lower end portion thereof is disposed at the first end  11  so that an upper end portion of the suture supporter  20  (the upper end portion  21  having a relatively smaller diameter from among the upper and lower end portions  21  and  22 ) faces the first end  11  of the suture connected to the suture supporter  20 , and a needle  30  is disposed at the second end. 
     Barbs are formed on a surface of the suture so that angles between a longitudinal axis of the suture and the barbs are inclined in the same direction. The barbs are formed on the surface of the suture to be inclined so that an angle θ formed by the longitudinal axis of the suture and the barbs disposed at the second end of the suture is an acute angle. As such, if the barbs are formed so that the angle between the barbs and the suture has a pointed shape toward the second end of the suture not including the suture supporter  20 , the suture may smoothly pass through a tissue when performing a sutura using the needle coupled to the second end of the suture. However, even if the needle is removed from the second end of the suture after the sutura, if the suture intends to move in a direction opposite to a direction of the sutura, the barbs may serve as a support to prevent the movement of the suture. Even though the needle is cut after the sutura, the suture is not pulled out, and thus it is not necessary to make a knot. In addition, the suture supporter  20  disposed at one end of the suture may serve as a knot that allows the suture not to be untied and may tightly fix the suture supporter  20  so that the suture supporter  20  does not move due to the cut portions or the gaps formed in the lower portion of the suture supporter  20  when pulling the suture while performing a sutura or lifting. Accordingly, the suture supporter  20  may stably maintain a lifting effect for a long time. 
     According to an embodiment of the present invention, one or more sutures including barbs may be used, and a number of sutures may be appropriately adjusted according to thicknesses of the sutures or purposes to use the sutures. Each suture may be a single suture or a multi suture that is twisted or woven. Here, the first end of each suture including barbs may be coupled to one suture supporter  20  (see  FIGS. 2(B), 2(C), 2(E) , and  2 (F)), or alternatively, the first end of each suture may include a separate suture supporter (see  FIG. 2(D) ). In addition, second ends of two sutures may be coupled to one needle (see  FIGS. 2(B), 2(C), 2(D) , and  2 (E)), or alternatively, different needles may be coupled to the seconds of two sutures, respectively (see  FIG. 2(F) ). 
       FIG. 2(B)  shows two or more sutures in which front barbs and rear barbs are formed to be inclined in the same direction. In  FIG. 2(B) , one end parts of the suture are coupled to a needle and the other end parts thereof are coupled to the suture supporter  20 . Here, the barbs are disposed to be inclined so that the angle θ formed by the longitudinal axis of the suture and the barbs disposed at the end part of the suture coupled to the needle is an acute angle.  FIG. 2(C)  shows another embodiment in which one or more sutures are folded in half and then both ends are coupled to the suture supporter  20  and the needle. In  FIG. 2(C) , the suture is formed so that front barbs and rear barbs formed in the suture are inclined in an opposite direction (for example, so that an angle between the front barbs and the longitudinal axis of the suture is less than 90° and the front barbs are inclined toward a front end of the suture and so that an angle between the rear barbs and the longitudinal axis of the suture is less than less than 90° and the rear barbs are inclined toward a rear end of the suture). 
       FIG. 3  shows a suture to which the suture supporter  20  is coupled which includes a communication hole through which upper and lower end portions communicate with each other and has a truncated conical shape or a truncated pyramid shape or the suture supporter  20  is coupled which includes a communication hole through which upper and lower end portions communicate with each other, has a truncated conical shape or a truncated pyramid shape, and has cut portions or gaps at a lower end portion of the suture supporter  20 . The suture supporter  20  is coupled to the suture via the communication hole to be disposed at the first end  11  so that the upper end portion  21  (end portion having a relatively smaller diameter from upper and lower end portions) of the suture supporter  20  faces the first end  11  of the suture, and the needle is not disposed at the second end  12 . The suture may include barbs on a surface thereof, and the barbs may be formed to be inclined toward the second end of the suture so that an angle θ formed by the longitudinal axis of the suture and the barbs is an acute angle. 
     According to an embodiment of the present invention, one or more sutures including barbs may be used, and a number of sutures may be appropriately adjusted according to thicknesses of the sutures or purposes to use the sutures. When two or more sutures are used, the sutures may pass through a communication hole of one suture supporter  20  to make a knot (see  FIGS. 3(B) and 3(C) ), or alternatively, one suture is coupled to the suture supporter  20  to pass through the communication hole of the suture supporter  20  (see  FIG. 3(D) ).  FIGS. 3(C), 3(D) , and  3 (E) show an example in which one or more sutures, which are formed so that front barbs and rear barbs are inclined in an opposite direction, are folded in half and then one end of the suture is coupled to the suture supporter  20 . 
     A suture including barbs is disclosed in Korean Patent Publication Nos. 10-2008-0039345 and 10-2005-0108494, Korean Utility Model No. 20-320005, U.S. Pat. No. 5,931,855, and the like, and the contents are introduced in the present specification. Barbs may be arranged on a fiber according to any necessary configurations, and may be formed by using any appropriate methods including methods well-known in the art. Those methods may include injection molding using a knife, a laser, or press molding, stamping, and cutting. A necessary number of portions cut at an acute angle are formed in a suture. A size of barb may be appropriately adjusted according to purposes within the bounds of a common sense in the art. For example, a depth of the barb formed in the suture may be about 30 to 100 micron and may be adjusted according to a diameter of the suture. An interval between barbs formed on a surface of the suture may be about 100 micron to 1 mm or more. 
     The suture used in the present invention may be formed of, for example, a polymeric material, a metal material, a biological material, or the like. The suture may be formed of a non-absorbable material, for example, polypropylene, gold, stainless steel, titanium, nylon, polyvinyliden fluoride, polyester, or braided silk, or an absorbable material, for example, polydioxanone (PDO, PDS). However, the present invention is not limited thereto. In addition, the suture used in the present invention may be formed into a short fiber shape or a twisted shape. 
     Hereinafter, description will be given of a method of using a suture  10  including the suture supporter  20  at one end thereof, wherein the suture supporter  20  may include a communication hole through which upper and lower end portions communicate with each other and has a truncated conical shape or a truncated pyramid shape or may include cut portions or gaps at a lower end portion thereof and has a truncated conical shape or a truncated pyramid shape. The method may include the following processes.
         1) a step of piercing a skin or a tissue using a needle so that a suture supporter is located in a predetermined position of the skin or the tissue and pushing a hollow pipe in the predetermined position of the skin or the tissue,   2) a step of inserting the suture  10  including the suture supporter  20  according to an embodiment of the present invention into the pipe so that the suture supporter  20  reaches the predetermined position,   3) a step pressing the suture supporter  20  having passed through the pipe inside the skin or the tissue from the outside, fixing the suture supporter  20  using a thin bar so as not to move, and removing only the pipe, and   4) a step of pushing the skin or the tissue while pressing the suture supporter  20  and pulling the suture.       

     Here, one or a plurality of sutures may be used in which a line of barbs are formed and includes the suture supporter  20  at one end thereof. Alternatively, the suture used here may be a suture in which two or more lines of barbs are formed may be coupled to one suture supporter  20 . In the above-described method, the suture supporter  20  may serve as a knot that allows the suture not to be untied and may also allow the suture not to move and be fixed when pulling the suture while performing a sutura or lifting. The suture supporter  20  having the cut portions or the gaps formed at the lower end portion thereof may further firmly fix the suture, and thus the suture supporter  20  may stably maintain a lifting effect for a long time. 
     When the barbs are formed to be inclined toward the second end so that the angle θ formed by the longitudinal axis of the suture and the barbs disposed at the second end of the suture is an acute angle, the formed barbs may prevent the suture from being pulled out in a direction opposite to the lifting by an angle between the barbs and a surface of the suture and may maintain a tissue in a pulled state. When inserting the suture into a long pipe, resistance against the tissue does not exist, and thus the suture may easily pass through the long pipe. In addition, even when removing the long pipe and pushing the tissue while pressing the suture supporter  20  and pulling the suture, the barbs formed such that an angle between the barbs and the suture is an acute angle do not greatly affect movement of the tissue, but if the tissue intends to return in an opposite direction, the barbs resist. 
     An embodiment of the present invention provides a device capable of easily performing an operation by using the suture provided in the present invention. The device provided in the present invention includes a kit (kit A) equipped with a suture and a suture positioning kit (kit B) for allowing a suture to be accurately positioned in a tissue. 
     The kit (kit A) equipped with a suture includes a hollow pipe  70  in which a hole through which both end portions communicate with each other is formed, and the suture installed in the hollow pipe  70 . The suture has first and second ends, and the suture supporter  20  is disposed at the first end of the suture. The suture supporter  20  may have a truncated conical shape or a truncated pyramid shape and may have a communication hole through which upper and lower end portions communicate with each other. Alternatively, the suture supporter  20  may have a truncated conical shape or a truncated pyramid shape, may have a communication hole through which upper and lower end portions communicate with each other, and cut portions or gaps may be formed at the lower end portion thereof. The suture supporter  20  is coupled to the suture via the communication hole to be disposed at the first end of the suture so that the upper end portion of the suture supporter  20  faces the first end of the suture. The suture may include barbs on a surface thereof, and the barbs may be formed to be inclined toward the second end of the suture so that an angle θ formed by the longitudinal axis of the suture and the barbs disposed at the second end of the suture is an acute angle. In the kit A, the suture supporter  20  provided in the present invention is disposed in the hollow pipe  70  in which both end parts communicate with each other, and a suture including barbs on a surface thereof is inserted into the hollow pipe  70 . Here, the suture supporter  20  is positioned at an end of the suture pierced into a tissue from among the both ends of the suture (see  FIG. 4(A) ). The suture supporter  20  may be positioned inside the hollow pipe  70  or outside of the end part of the hollow pipe  70 , or may be positioned across the inside and the outside of the hollow pipe  70 , when necessary. In the kit A, the communication hole of the hollow pipe  70  may have a diameter capable of accommodating the suture, and the diameter may be adjusted according to purposes. 
     The suture positioning kit (kit B) for allowing a suture to be accurately positioned in a tissue includes a hollow pipe  80  in which a communication hole through which both end portions communicate with each other is formed, and a rod  90  that is inserted into the communication hole of the hollow pipe  80 , is formed to be longer than the hollow pipe  80 , and has a pointed tip capable of being inserted into a body an one side thereof (see  FIG. 4(B) ). The rod  90  is formed of a material having strength to be pierced into a skin or a tissue, and if the pointed tip of the rod  90  has a blunt shape or a rounded shape, the damages of the tissue may be minimized. 
     The hollow pipe  80  of the kit B is shorter than the hollow pipe  70  of the kit A, and may have a diameter of the communication hole larger than that of the kit A so as to accommodate the kit A. The hollow pipe and the rod may be formed of any material that has a high hardness to be pierced into a metal or a tissue and is harmless to humans, for example, urethane or plastic. The hollow pipe  70  of the kit A and the hollow pipe  80  of the kit B may be provided with a handle at an end part thereof for convenience of an operation. 
     The device shown in  FIG. 4  may be used by using a method including the following processes: 
     1) a step of pushing the kit B into a portion or a tissue to be sutured or lifted, 
     2) a step of removing only the rod  90  and leaving the hollow pipe  80 , 
     3) a step of pushing the kit A into the hollow pipe  80  remaining in a tissue (here, a portion at which the suture supporter  20  is positioned is allowed to face the inside of the tissue), 
     4) a step of removing the hollow pipe  80  of the kit B and leaving the kit A in the tissue. 
     5) a step of pushing the suture supporter  20  using a thin bar into the tissue outside of the hollow pipe  70  of the kit A, 
     6) a step of removing the hollow pipe  70  of the kit A and the thin bar, and 
     7) a step pushing a skin (or outside of tissue) toward the suture supporter  20  while pulling a suture. If necessary, it is possible to allow the suture supporter  20  not to move by pushing the suture supporter  20  from the outside (for example, skin). 
     The present invention also provides a kit that facilitates an operation using the suture provided in the present invention (see  FIG. 5 ). The kit includes: i) a hollow pipe  104  including a front end provided with a tip  FIG. 4   
     that is formed to be tapered, a rear end provided with a handle  103 , and an accommodation portion  102  accommodating the suture supporter  20  disposed in a suture around the front end and capable of being separated in a direction of a longitudinal axis connecting the front end and the rear end; and ii) the suture including the suture supporter  20  that is installed in the hollow pipe  104  and is provided in the present invention.  FIG. 5(A)  shows the hollow pipe  104  in which the suture including the suture supporter  20  is disposed. 
     Here, a tip of the front end of the hollow pipe  104  may be closed, or alternatively, a hole may be formed in the front end of the hollow pipe  104  to communicate with the rear end. The tip may be formed of a material having strength to pierce a tissue. If the tip is formed to be rounded, the damage of the tissue may be reduced. The accommodation portion  102  formed in the hollow pipe  104  is formed to extend from the front end portion and is a space capable of accommodating the suture supporter  20  disposed in the suture. A size and shape of the accommodation portion  102  may be appropriately adjusted according to a size and a number of the suture supporter  20  accommodated in the accommodation portion  102  (see  FIG. 5(B) ). 
     The hollow pipe  104  may be separated in a direction along a longitudinal axis connecting the front end and the rear end as shown in  FIG. 5C . The hollow pipe  104  may be formed by placing the suture including the suture supporter  20  on one half portion  104   b  of the separated hollow pipe  104  and covering the other half portion  104   a  on the suture. Here, for example, a convex portion  105  may be formed in one of a half handle  103   a  and a half handle  103   b  at the junction of the half handle  103   a  and the half handle  103   b , and a concave portion  106  may be formed in the other one of the half handle  103   a  and the half handle  103   b  at the junction of the half handle  103   a  and the half handle  103   b , so that the half handle  103   a  and the half handle  103   b  may be stably fixed when coupling the half handle  103   a  and the half handle  103   b  to each other, thereby stably maintaining the hollow pipe  104  accommodating the suture (see  FIG. 5(D)  which is a top view of the handle  103 ). In addition, various methods may be performed of allowing the hollow pipe  104  formed by coupling separated two parts to each other to stably maintain its shape until a necessary time during an operation. 
     An operation may also be performed by using a method of pushing the hollow pipe  104  accommodating the suture into a part to be sutured or lifted from the tip  101 , inserting a thin bar through a space of the hollow pipe  104  so as not to move the suture supporter  20 , separating the hollow pipe  104  to sequentially remove the separated half portions  104   a  and  104   b , and pushing a skin (or outside of tissue) toward the suture supporter  20  while pulling the suture. 
     The suture provided in the present invention may be used to safely perform an operation without making a knot when tightly adhering, supporting and fixing tissues to be sutured. The suture may be firmly maintained and fixed in a part to be sutured and may effectively holding tissues. In addition, when the kit provided in the present invention is used, an operation may be easily, simply, and effectively performed regardless of a skill of a doctor. While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it will be understood by those of ordinary skill in the art that various changes in form and details may be made therein without departing from the spirit and scope of the present invention as defined by the following claims. 
     INDUSTRIAL APPLICABILITY 
     The present invention may be useful for the technical field related to the suture.