CN102958458B - 用于锚固组件的插入仪器 - Google Patents

用于锚固组件的插入仪器 Download PDF

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Publication number
CN102958458B
CN102958458B CN201180032189.7A CN201180032189A CN102958458B CN 102958458 B CN102958458 B CN 102958458B CN 201180032189 A CN201180032189 A CN 201180032189A CN 102958458 B CN102958458 B CN 102958458B
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CN
China
Prior art keywords
insertion instrument
plunger
housing
anchor
pusher
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.)
Active
Application number
CN201180032189.7A
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English (en)
Chinese (zh)
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CN102958458A (zh
Inventor
T·奥韦雷斯
J·塔尔博特
D·文纳尔德
K·亨里希森
J·马诺斯
S·拉尔森
W·辛哈塔特
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Synthes USA LLC
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Synthes USA LLC
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Filing date
Publication date
Priority claimed from US13/095,192 external-priority patent/US9173645B2/en
Application filed by Synthes USA LLC filed Critical Synthes USA LLC
Publication of CN102958458A publication Critical patent/CN102958458A/zh
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Publication of CN102958458B publication Critical patent/CN102958458B/zh
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0467—Instruments for cutting sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483—Hand-held instruments for holding sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0406—Pledgets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419—H-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06042—Means for attaching suture to needle located close to needle tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
    • A61B2017/2917—Handles transmission of forces to actuating rod or piston cams or guiding means with flexible part
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Cardiology (AREA)
  • Rheumatology (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
CN201180032189.7A 2010-06-29 2011-06-29 用于锚固组件的插入仪器 Active CN102958458B (zh)

Applications Claiming Priority (11)

Application Number Priority Date Filing Date Title
US39869910P 2010-06-29 2010-06-29
US61/398,699 2010-06-29
US201161432755P 2011-01-14 2011-01-14
US61/432,755 2011-01-14
US201161461490P 2011-01-18 2011-01-18
US61/461,490 2011-01-18
US201161443142P 2011-02-15 2011-02-15
US61/443,142 2011-02-15
US13/095,192 2011-04-27
US13/095,192 US9173645B2 (en) 2010-04-27 2011-04-27 Anchor assembly including expandable anchor
PCT/US2011/042384 WO2012006161A2 (en) 2010-06-29 2011-06-29 Insertion instrument for anchor assembly

Publications (2)

Publication Number Publication Date
CN102958458A CN102958458A (zh) 2013-03-06
CN102958458B true CN102958458B (zh) 2015-05-13

Family

ID=44583530

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201180032189.7A Active CN102958458B (zh) 2010-06-29 2011-06-29 用于锚固组件的插入仪器

Country Status (8)

Country Link
EP (2) EP2588007B1 (enExample)
JP (2) JP5960131B2 (enExample)
KR (1) KR20130122932A (enExample)
CN (1) CN102958458B (enExample)
AU (1) AU2011276457B2 (enExample)
CA (1) CA2801935A1 (enExample)
TW (1) TW201221107A (enExample)
WO (1) WO2012006161A2 (enExample)

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US8828053B2 (en) 2009-07-24 2014-09-09 Depuy Mitek, Llc Methods and devices for repairing and anchoring damaged tissue
US8814903B2 (en) 2009-07-24 2014-08-26 Depuy Mitek, Llc Methods and devices for repairing meniscal tissue
WO2011137159A1 (en) 2010-04-27 2011-11-03 Synthes Usa, Llc Anchor assembly including expandable anchor
US9451938B2 (en) 2010-04-27 2016-09-27 DePuy Synthes Products, Inc. Insertion instrument for anchor assembly
US9597064B2 (en) 2010-04-27 2017-03-21 DePuy Synthes Products, Inc. Methods for approximating a tissue defect using an anchor assembly
US9743919B2 (en) 2010-04-27 2017-08-29 DePuy Synthes Products, Inc. Stitch lock for attaching two or more structures
CA3060970C (en) 2010-09-24 2021-10-19 Sportwelding Gmbh Suture anchor and method for fixating a suture relative to hard tissue
EP2618746B1 (en) 2010-09-24 2020-01-15 Sportwelding GmbH Suture anchor for fixating a suture relative to hard tissue
CN103347452B (zh) * 2011-01-14 2016-12-21 新特斯有限责任公司 用于锚定件组件的插入器械
RU2725095C2 (ru) 2011-01-28 2020-06-29 СпортУэлдинг ГмбХ Фиксатор шовного материала, устройство для закрепления шовного материала в твердой ткани и хирургическое устройство, содержащее фиксатор шовного материала
EP2667789B1 (en) 2011-01-28 2020-01-01 Sportwelding GmbH Device for fixating a suture anchor with a suture or a headed anchor in hard tissue
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US10238444B2 (en) * 2016-05-10 2019-03-26 DePuy Synthes Products, Inc. Insertion tool for flip anchor cable system insertion
US10695073B2 (en) * 2017-08-22 2020-06-30 Arthrex, Inc. Control system for retrograde drill medical device
CN107822743A (zh) 2017-10-20 2018-03-23 北京迈迪顶峰医疗科技有限公司 一种用于微创手术进行瓣叶修复的系统
WO2020187944A1 (en) * 2019-03-19 2020-09-24 Coremedic Gmbh Instrument for repairing an atrioventricular heart valve
US12383246B2 (en) 2020-10-12 2025-08-12 Abbott Cardiovascular Systems, Inc. Vessel closure device with improved safety and tract hemostasis
EP4231924A1 (en) * 2020-12-21 2023-08-30 Boston Scientific Scimed, Inc. Devices, systems, and methods for anchoring tissue
US20240238093A1 (en) * 2021-05-21 2024-07-18 Shanghai Shape Memory Alloy Co., Ltd. Ring contraction apparatus for mitral valve annulus
KR20250087605A (ko) * 2022-10-07 2025-06-16 보스톤 싸이엔티픽 싸이메드 인코포레이티드 해부학적 구조체를 병렬로 이동 및/또는 유지하기 위한 디바이스, 시스템 및 방법

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US20040153074A1 (en) * 2003-02-05 2004-08-05 Bojarski Raymond A. Tissue anchor and insertion tool
CN1988851A (zh) * 2004-03-18 2007-06-27 华沙整形外科股份有限公司 缝合线锚固系统和方法
WO2006039296A2 (en) * 2004-09-29 2006-04-13 Usgi Medical Inc. Methods and apparatus for grasping and cinching tissue anchors
CN101056587A (zh) * 2004-11-16 2007-10-17 安斯波成就公司 医疗手术用的锚/缝线
CN101252887A (zh) * 2005-07-05 2008-08-27 米特拉利根公司 组织锚及其使用方法
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Publication number Publication date
JP2016185360A (ja) 2016-10-27
JP5960131B2 (ja) 2016-08-02
KR20130122932A (ko) 2013-11-11
EP2588007B1 (en) 2015-08-26
EP2977013B1 (en) 2019-08-07
EP2588007A2 (en) 2013-05-08
AU2011276457A1 (en) 2013-01-10
JP2013530772A (ja) 2013-08-01
JP6150929B2 (ja) 2017-06-21
WO2012006161A9 (en) 2012-07-19
CA2801935A1 (en) 2012-01-12
CN102958458A (zh) 2013-03-06
AU2011276457B2 (en) 2014-12-11
TW201221107A (en) 2012-06-01
WO2012006161A3 (en) 2012-03-22
WO2012006161A2 (en) 2012-01-12
EP2977013A1 (en) 2016-01-27

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