CN106659527B - 用于将软组织附接或者再附接至骨的方法和装置 - Google Patents
用于将软组织附接或者再附接至骨的方法和装置 Download PDFInfo
- Publication number
- CN106659527B CN106659527B CN201580037080.0A CN201580037080A CN106659527B CN 106659527 B CN106659527 B CN 106659527B CN 201580037080 A CN201580037080 A CN 201580037080A CN 106659527 B CN106659527 B CN 106659527B
- Authority
- CN
- China
- Prior art keywords
- tunnel
- instrument
- suture
- mark
- guide part
- 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
Links
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 69
- 238000000034 method Methods 0.000 title abstract description 80
- 210000004872 soft tissue Anatomy 0.000 title abstract description 71
- 241001074085 Scophthalmus aquosus Species 0.000 claims description 75
- 239000000463 material Substances 0.000 abstract description 8
- 238000002513 implantation Methods 0.000 abstract description 5
- 210000002303 tibia Anatomy 0.000 description 45
- 210000004353 tibial menisci Anatomy 0.000 description 28
- 238000004873 anchoring Methods 0.000 description 22
- 230000005499 meniscus Effects 0.000 description 17
- 230000007246 mechanism Effects 0.000 description 15
- 238000005259 measurement Methods 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
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- 210000000845 cartilage Anatomy 0.000 description 2
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- 229920001652 poly(etherketoneketone) Polymers 0.000 description 2
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 2
- 229920002530 polyetherether ketone Polymers 0.000 description 2
- 239000004926 polymethyl methacrylate Substances 0.000 description 2
- 238000012800 visualization Methods 0.000 description 2
- OMIGHNLMNHATMP-UHFFFAOYSA-N 2-hydroxyethyl prop-2-enoate Chemical compound OCCOC(=O)C=C OMIGHNLMNHATMP-UHFFFAOYSA-N 0.000 description 1
- 229910000851 Alloy steel Inorganic materials 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- WOBHKFSMXKNTIM-UHFFFAOYSA-N Hydroxyethyl methacrylate Chemical compound CC(=C)C(=O)OCCO WOBHKFSMXKNTIM-UHFFFAOYSA-N 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 229910004337 Ti-Ni Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 229910011209 Ti—Ni Inorganic materials 0.000 description 1
- QCWXUUIWCKQGHC-UHFFFAOYSA-N Zirconium Chemical compound [Zr] QCWXUUIWCKQGHC-UHFFFAOYSA-N 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
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- 239000011248 coating agent Substances 0.000 description 1
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- 239000011521 glass Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000002758 humerus Anatomy 0.000 description 1
- KHYBPSFKEHXSLX-UHFFFAOYSA-N iminotitanium Chemical compound [Ti]=N KHYBPSFKEHXSLX-UHFFFAOYSA-N 0.000 description 1
- JEIPFZHSYJVQDO-UHFFFAOYSA-N iron(III) oxide Inorganic materials O=[Fe]O[Fe]=O JEIPFZHSYJVQDO-UHFFFAOYSA-N 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 1
- 210000004417 patella Anatomy 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 229920002338 polyhydroxyethylmethacrylate Polymers 0.000 description 1
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- 238000012827 research and development Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000007779 soft material Substances 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 229910052715 tantalum Inorganic materials 0.000 description 1
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 239000013598 vector Substances 0.000 description 1
- 229910052726 zirconium Inorganic materials 0.000 description 1
- 229910001928 zirconium oxide Inorganic materials 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
-
- 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
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0805—Implements for inserting tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1637—Hollow drills or saws producing a curved cut, e.g. cylindrical
-
- 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
- A61B2017/0404—Buttons
-
- 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
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
- A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0876—Position of anchor in respect to the bone
- A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2240/001—Designing or manufacturing processes
- A61F2240/005—Templates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0097—Visible markings, e.g. indicia
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Rheumatology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Rehabilitation Therapy (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201461990329P | 2014-05-08 | 2014-05-08 | |
| US61/990329 | 2014-05-08 | ||
| PCT/US2015/029465 WO2015171761A1 (en) | 2014-05-08 | 2015-05-06 | Methods and devices for attaching or reattaching soft tissue to bone |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106659527A CN106659527A (zh) | 2017-05-10 |
| CN106659527B true CN106659527B (zh) | 2019-11-12 |
Family
ID=54392953
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201580037080.0A Active CN106659527B (zh) | 2014-05-08 | 2015-05-06 | 用于将软组织附接或者再附接至骨的方法和装置 |
Country Status (9)
| Country | Link |
|---|---|
| US (3) | US10383643B2 (enExample) |
| EP (1) | EP3139850B1 (enExample) |
| JP (1) | JP6612780B2 (enExample) |
| KR (1) | KR20170007770A (enExample) |
| CN (1) | CN106659527B (enExample) |
| AU (1) | AU2015256066B2 (enExample) |
| MX (1) | MX2016014569A (enExample) |
| RU (1) | RU2016147399A (enExample) |
| WO (1) | WO2015171761A1 (enExample) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11357517B1 (en) * | 2019-04-25 | 2022-06-14 | Nirav H. Amin | System and method for creating graft tunnels in bone |
| CN114375180A (zh) * | 2019-07-10 | 2022-04-19 | 阿斯克勒庇俄斯公司 | 用于骨缝合线附接和支承的系统、设备以及方法 |
| US12279945B2 (en) | 2020-10-30 | 2025-04-22 | Ins Ortho, Inc. | Dynamic ligament repair device |
| WO2025015203A1 (en) | 2023-07-12 | 2025-01-16 | Integrity Medical Services Inc. | Tissue repair surgical devices, systems, and methods |
| US20250366850A1 (en) | 2024-05-31 | 2025-12-04 | Integrity Medical Services Inc. | Systems and methods for surgical tissue repair |
Family Cites Families (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5385567A (en) * | 1990-09-07 | 1995-01-31 | Goble; E. Marlowe | Sight barrel arthroscopic instrument |
| US5324295A (en) * | 1992-04-24 | 1994-06-28 | Shapiro Michael R | Drill guide for surgical pins |
| US5372604A (en) * | 1993-06-18 | 1994-12-13 | Linvatec Corporation | Suture anchor for soft tissue fixation |
| US6030391A (en) * | 1998-10-26 | 2000-02-29 | Micropure Medical, Inc. | Alignment gauge for metatarsophalangeal fusion surgery |
| EP1185200B1 (en) * | 1999-06-05 | 2008-01-09 | Wilson-Cook Medical Inc. | Indicia for an endoscopic medical device |
| DE10146452B4 (de) * | 2001-09-20 | 2004-01-15 | Richard Wolf Gmbh | Zielgerät |
| US7270666B2 (en) * | 2002-05-15 | 2007-09-18 | Linvatec Corporation | Cross-pin graft fixation, instruments, and methods |
| DE20309481U1 (de) * | 2003-06-20 | 2003-09-04 | stryker Trauma GmbH, 24232 Schönkirchen | Vorrichtung zum lagerichtigen Einbringen eines Führungsdrahtes für ein Bohrwerkzeug in einen Knochen |
| US8298235B2 (en) | 2004-09-30 | 2012-10-30 | Depuy Spine, Inc. | Instrument and method for the insertion and alignment of an intervertebral implant |
| US7572283B1 (en) | 2004-12-07 | 2009-08-11 | Biomet Sports Medicine, Llc | Soft tissue rivet and method of use |
| US8491595B2 (en) * | 2006-10-30 | 2013-07-23 | Depuy Mitek, Llc | Methods and devices for ligament repair |
| GB201102699D0 (en) * | 2011-02-16 | 2011-03-30 | Finsbury Dev Ltd | A surgical instrument |
| WO2012135161A1 (en) * | 2011-03-28 | 2012-10-04 | Amendia Inc | A pedicle drill guide for spinal surgery |
| US8888849B2 (en) * | 2011-07-08 | 2014-11-18 | Smith & Nephew, Inc. | Soft tissue repair |
| US20130177938A1 (en) | 2012-01-05 | 2013-07-11 | N. Robert Ward | Collection broths for microorganisms |
| CN202619723U (zh) * | 2012-05-31 | 2012-12-26 | 东南大学 | 膝关节后交叉韧带重建定位器 |
| CN104619270B (zh) * | 2012-09-14 | 2017-10-20 | 新特斯有限责任公司 | 具有保护套管的多孔钻套 |
| CN102940530B (zh) * | 2012-11-16 | 2014-09-24 | 昆明医科大学第一附属医院 | 一种虚拟构建前交叉韧带在股骨和胫骨隧道的方法 |
-
2015
- 2015-05-06 JP JP2016566882A patent/JP6612780B2/ja active Active
- 2015-05-06 KR KR1020167034047A patent/KR20170007770A/ko not_active Withdrawn
- 2015-05-06 EP EP15789150.8A patent/EP3139850B1/en active Active
- 2015-05-06 CN CN201580037080.0A patent/CN106659527B/zh active Active
- 2015-05-06 US US15/303,880 patent/US10383643B2/en active Active
- 2015-05-06 RU RU2016147399A patent/RU2016147399A/ru not_active Application Discontinuation
- 2015-05-06 MX MX2016014569A patent/MX2016014569A/es unknown
- 2015-05-06 AU AU2015256066A patent/AU2015256066B2/en not_active Ceased
- 2015-05-06 WO PCT/US2015/029465 patent/WO2015171761A1/en not_active Ceased
-
2019
- 2019-07-02 US US16/460,150 patent/US11229444B2/en active Active
-
2021
- 2021-12-16 US US17/552,740 patent/US12127751B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| RU2016147399A (ru) | 2018-06-13 |
| US20190321057A1 (en) | 2019-10-24 |
| US20170042556A1 (en) | 2017-02-16 |
| EP3139850A4 (en) | 2018-01-24 |
| AU2015256066A1 (en) | 2016-11-24 |
| US11229444B2 (en) | 2022-01-25 |
| JP6612780B2 (ja) | 2019-11-27 |
| MX2016014569A (es) | 2017-05-25 |
| JP2017514627A (ja) | 2017-06-08 |
| EP3139850A1 (en) | 2017-03-15 |
| AU2015256066B2 (en) | 2020-02-20 |
| US12127751B2 (en) | 2024-10-29 |
| US10383643B2 (en) | 2019-08-20 |
| US20220104836A1 (en) | 2022-04-07 |
| EP3139850B1 (en) | 2019-12-18 |
| KR20170007770A (ko) | 2017-01-20 |
| WO2015171761A1 (en) | 2015-11-12 |
| CN106659527A (zh) | 2017-05-10 |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |