CN108403175B - A kind of band line holdfast - Google Patents

A kind of band line holdfast Download PDF

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Publication number
CN108403175B
CN108403175B CN201810761638.5A CN201810761638A CN108403175B CN 108403175 B CN108403175 B CN 108403175B CN 201810761638 A CN201810761638 A CN 201810761638A CN 108403175 B CN108403175 B CN 108403175B
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CN
China
Prior art keywords
holdfast
nail
threading hole
groove
braced
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Active
Application number
CN201810761638.5A
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Chinese (zh)
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CN108403175A (en
Inventor
张敬川
顾海军
张劲羽
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Shanghai Kinetic Medical Co Ltd
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Shanghai Kinetic Medical Co Ltd
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Priority to CN201810761638.5A priority Critical patent/CN108403175B/en
Publication of CN108403175A publication Critical patent/CN108403175A/en
Application granted granted Critical
Publication of CN108403175B publication Critical patent/CN108403175B/en
Priority to PCT/CN2019/094691 priority patent/WO2020011097A1/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0642Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A61B2017/0648Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread

Abstract

The invention discloses a kind of band line holdfasts comprising the tail end in the holdfast main body is arranged in holdfast main body and two braced wings, described two braced wings;The holdfast main body is respectively equipped with groove in the position of the described two braced wings of correspondence, the proximal end of each braced wing is articulated in the corresponding groove, and each braced wing can make its distal end stretch out the groove or enter the groove by around the pivot rotation;Each braced wing is equipped with threading hole one;Two braced wings are oppositely arranged.Braced wing is arranged in the band line holdfast of the present invention, which carries out strutting fixation after being implanted into line holdfast under the drawing force effect that operative doctor or movement generate so that pulling capacity obtains better adjusting control.

Description

A kind of band line holdfast
Technical field
The present invention relates to a kind of medical equipments, more particularly to a kind of soft tissue fixation devices for bone surgery, specifically It is a kind of self-supporting open type band line holdfast.
Background technology
Band line holdfast is a kind of very small implantation material, can be used for what any need reconnected soft tissue and bone Place, the mechanism of action with line holdfast are line to be passed through soft tissue by suture needle, and knot and soft tissue is fixed on holdfast, i.e., Bone surface.Therefore, it is different from other kinds of bone fixation mode, the pass that fixation is successful surgery of merging between soft tissue and bone Key, only good fixation could meet early postoperation movement, the requirement of muscular training and heavy burden.
Chinese patent literature CN104997540A provides a kind of soft tissue fixer for bone surgery, using density The design of double sections of screw threads, thin thread segment make the resistance that fixator is subject to when screwing in smaller, and screw-in is lighter, and after screwing in Close thread segment enables to fixator to be secured firmly in cortex bone, keeps pulling capacity larger, so that soft tissue fixer It screws between power and pulling capacity and reaches good balance.But the processing cost of this design is very high, and by close screw thread come It is not ideal to improve pulling capacity effect.
Lateral tails of the Johnson & Johnson Mitek with line holdfast is equipped with double-vane on the market at present, with fixed principle is squeezed, leads to It crosses flank and support force is provided, but implantation process is more difficult, needs to be implanted into using special tool(s), operating procedure is cumbersome, Non-threaded design causes fixed effect bad, and stress is too concentrated, and unbalance stress is easy to cause suture because wearing in the future It disconnects.
Invention content
The present invention provides a kind of band line holdfast, can solve pulling capacity deficiency, stress in the prior art and excessively collect medium scarce It falls into.
Technical scheme is as follows:
A kind of band line holdfast, including holdfast main body and two braced wings, described two braced wings are arranged in the holdfast master The tail end of body;The holdfast main body is respectively equipped with groove in the position of the described two braced wings of correspondence, each braced wing Proximal end is articulated in the corresponding groove, and each braced wing can make its distal end stretch out institute by around the pivot rotation It states groove or enters the groove;Each braced wing is equipped with threading hole one;Two braced wings are oppositely arranged.
In a preferred embodiment, the threading hole one on each braced wing be located at the braced wing distal end it is attached Closely.
In a preferred embodiment, the holdfast main body is longitudinally equipped with the inner cavity for allowing the suture to pass through along it, and Holdfast main body two sides are respectively equipped with the threading hole two each communicated with to the inner cavity and threading hole three, meanwhile, Mei Gesuo The lower section for stating groove is equipped at least one threading hole for being connected to the inner cavity.
In a preferred embodiment, the holdfast main body includes the ailhead, nail body and nail tail of integral type, and the ailhead is certainly Attack nail tip, the nail as the hollow cylindrical body for wrapping around screw thread, the nail tail set there are two the groove and to be hollow Body, the hollow parts followed closely in body and the hollow parts followed closely in tail collectively constitute the inner cavity.
In a preferred embodiment, the hollow parts in the nail body include close to the larger part of the internal diameter of the nail tip The smaller part with the internal diameter far from the nail tip, wherein the centre of the larger part of the internal diameter is kept off equipped with lattice, and described Threading hole two and the part larger with the internal diameter of threading hole three are connected to.
In a preferred embodiment, the smaller part of the internal diameter followed closely in body is T-type chamber, and below the groove The threading hole is connected to the transverse part of the T-type chamber.
In a preferred embodiment, it is included in the suture that both sides are worn, the threading mode of two side seam lines is identical, wherein The threading mode of the suture of side is:It is penetrated from the hollow parts of the nail tail, simultaneously by the hollow parts for following closely body It keeps off around the lattice, is pierced by later from threading hole three, then penetrate the hollow parts of the nail body from threading hole two, then pass through institute The smaller part of the internal diameter of nail body is stated, then is pierced by from the threading hole below the groove, the braced wing of the side is then passed through On threading hole one, then penetrate from the threading hole below the groove, be finally pierced by from the hollow parts of the nail tail.
In a preferred embodiment, the nail tail is hollow cylinder, and internal hollow parts are cuboid.
Compared with prior art, beneficial effects of the present invention are as follows:
The band line holdfast of the first, present invention is provided with braced wing, makes it after band line holdfast implantation in operative doctor or fortune It carries out strutting fixation under the drawing force effect of movable property life so that pulling capacity obtains better adjusting control;And holdfast implantation when It waits, braced wing is located in the groove of holdfast main body, is not stretched out except holdfast main body, thus more deep with the implantation of line holdfast Enter, fixed effect is preferable;
The band line holdfast of the 2nd, present invention designs for double joint suture, so that stress is more disperseed, suture is not easy wear-out failure;
The nail tip with line holdfast of the 3rd, present invention enters structure using self tapping so that precessing force is preferably adjusted Control;
The band line holdfast of the 4th, present invention is equipped with external screw thread, has compared with the double-vane holdfast of non-threaded design more Screw thread, can provide more bone contacts and stronger holdfast is fixed;
The design of the 5th a variety of threading holes of holdfasts, on the one hand penetrates convenient for suture, while can play promotion bone uptake Effect.
Certainly, it implements any of the products of the present invention and does not necessarily require achieving all the advantages described above at the same time.
Description of the drawings
Fig. 1 is the dimensional structure diagram with line holdfast of the embodiment of the present invention 1;
Fig. 2 is the sectional view with line holdfast of the embodiment of the present invention 1;
Fig. 3 is the side view with line holdfast of the embodiment of the present invention 1;
Fig. 4 is the front view with line holdfast of the embodiment of the present invention 1;
Fig. 5 is the schematic diagram of the threading mode of the suture with line holdfast of the embodiment of the present invention 1;
Fig. 6 is the schematic diagram in the hole that several sutures with line holdfast of the embodiment of the present invention 1 pass through.
Specific implementation mode
A kind of band line holdfast provided by the present invention can be referred to as self-supporting open type band line holdfast, including main body, support The wing, braced wing setting carry out welding by braced wing main body and a wire and realize pivot in body distal end both sides, braced wing one end It connects, the other end of braced wing is equipped with trepanning, facilitates suture to penetrate, pivoted is flexibly connected between braced wing and main body;Meanwhile anchor Nail body interior is provided with channel and is passed through convenient for suture, and two side opening are arranged in holdfast proximal, are passed through convenient for suture.
When in use, under braced wing collapsed state, band line holdfast self tapping is implanted into the band line holdfast of the present invention, required herein The resistance very little overcome so that precessing force is larger;
Two braced wings slowly strut under the active force that doctor pulls suture, can provide stronger longitudinal holding power, from And pulling capacity is improved, it realizes and squeezes close effect.
By above-mentioned two point design, the precessing force with line holdfast of the present invention is enable preferably to be adjusted with pulling capacity Control.
Below with specific embodiment, the present invention will be further described.
Embodiment 1
Fig. 1, the band line holdfast of the present embodiment, including holdfast main body 1 and two braced wings 21,22 are referred to, it is described two The tail end in the holdfast main body 1 is arranged in braced wing;The holdfast main body 1 is in the position of the described two braced wings of correspondence 21,22 It is respectively equipped with groove 11,12;Incorporated by reference to referring to Fig. 2, each braced wing 21 or 22 proximally by braced wing main body and one Wire, which carries out welding, makes braced wing be articulated in the corresponding groove 11 or 12, and each braced wing 21 or 22 is logical Crossing around the pivot rotation can make its distal end stretch out the groove 11 or 12 or enter the groove 11 or 12;Also, each institute The proximate distal ends for stating braced wing 21 or 22 are equipped with threading hole one 211 or 221;Two braced wings 21 and 22 are oppositely arranged.
Incorporated by reference to referring to Fig. 1-Fig. 3, the holdfast main body 1 includes ailhead 1a, the nail body 1b and nail tail 1c of integral type, described Ailhead is self tapping nail tip, and as the hollow cylindrical body for wrapping around screw thread, the nail tail is hollow cylinder and is equipped with the nail Two grooves 11,12 and be hollow body, it is described nail body in hollow parts and it is described nail tail in cuboid it is hollow Part 15 collectively constitutes the inner cavity for allowing the suture to pass through, wherein the hollow parts in the nail body include close to the nail The smaller part 17 of the internal diameter of the larger part 16 of sharp internal diameter and the separate nail tip, wherein the larger part of the internal diameter Centre be equipped with lattice and keep off 18, the smaller part 17 of internal diameter in the nail body is T-type chamber.Wherein, the nail body two sides difference Equipped with each communicate with to it is described nail body the larger part of internal diameter threading hole 2 141 and threading hole 3 142, meanwhile, it is described recessed The threading hole or two threading holes 143 for being respectively arranged below with the transverse part for being connected to the T-type chamber 17 of slot 11 and 12.
Incorporated by reference to referring to Fig. 5 and Fig. 6, band line holdfast of the invention is equipped with suture in both sides, is only wherein one shown in Fig. 5 The suture of side, the suture of the other side and shown suture are symmetrical, and the threading mode of two side seam lines is identical.
By taking suture shown in Fig. 5 as an example, the threading mode of the suture is:Medical No. 2 sutures 3 are in ultra-fine NiTi Enter from the holes A under the auxiliary of alloy guidewire, sets from the holes C and be pierced by around middle layout gear by channel B inside holdfast, then through D Hole enters back into channel B, then again passes by channel B and is pierced by from the holes E, and the holes F of support arm are passed through after being pierced by, then is entered by the holes K It is pierced by inside holdfast and from the positions A/G.Similarly, the other side of holdfast, suture are threaded using same procedure.Wherein, the holes A are For cuboid hollow parts 15, channel B is the smaller part 17 of internal diameter, and it is threading hole 3 142, D that middle layout gear, which is the holes 18, C, Hole is threading hole 2 141, and the holes E are threading hole 143, and the holes F are the threading hole 1 on support arm, and the holes K are still threading hole 143, A/ The positions G are the opening of cuboid hollow parts 15.
Therefore, it will appear 4 suture the end of a thread in the positions holdfast A/G, these sutures can be implanted into soft near bone with holdfast Tissue is stitched together.
In the present embodiment, the holes E and the holes K are the same hole, and in other embodiments, the holes E and the holes K can be set respectively It sets, becomes two holes.
Human body is in the case of certain movement, when generating pulling capacity to suture, due to suture pulling capacity (P arrows in Fig. 5 Head shown in direction) effect, support arm (positions F) can longitudinally be strutted to both ends, pulling capacity is bigger, and longitudinal support force is got over Greatly, to which fixation is more secured.
Present invention disclosed above preferred embodiment is only intended to help to illustrate the present invention.There is no detailed for preferred embodiment All details are described, are not limited the invention to the specific embodiments described.Obviously, according to the content of this specification, It can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to preferably explain the present invention Principle and practical application, to enable skilled artisan to be best understood by and utilize the present invention.The present invention is only It is limited by claims and its full scope and equivalent.

Claims (6)

1. a kind of band line holdfast, which is characterized in that including holdfast main body and two braced wings, described two braced wings are arranged in institute State the tail end of holdfast main body;The holdfast main body is respectively equipped with groove in the position of the described two braced wings of correspondence, each described The proximal end of braced wing is articulated in the corresponding groove, and each braced wing can make it remote by around the pivot rotation End stretches out the groove or enters the groove;Each braced wing is equipped with threading hole one;Two braced wing phases To setting;
The threading hole one on each braced wing is located at the proximate distal ends of the braced wing;
The holdfast main body is longitudinally equipped with the inner cavity for allowing suture to pass through along it, and holdfast main body two sides are respectively equipped with It each communicates with to the threading hole two of the inner cavity and threading hole three, meanwhile, the lower section of each groove is described equipped with being connected to At least one threading hole of inner cavity;
It is described to make two braced wings along vertical under the drawing force effect for being threaded through the suture therein with line holdfast It is strutted to both ends.
2. band line holdfast as described in claim 1, which is characterized in that the holdfast main body includes the ailhead of integral type, nail body With nail tail, the ailhead is self tapping nail tip, and the nail is as the hollow cylindrical body for wrapping around screw thread, there are two the nail tail is set The groove and be hollow body, it is described nail body in hollow parts and it is described nail tail in hollow parts collectively constitute it is described in Chamber.
3. band line holdfast as claimed in claim 2, which is characterized in that the hollow parts in the nail body include close to the nail The smaller part of the internal diameter of the larger part of sharp internal diameter and the separate nail tip, wherein in the larger part of the internal diameter Between be equipped with lattice and keep off, and the threading hole two and the part larger with the internal diameter of threading hole three are connected to.
4. band line holdfast as claimed in claim 3, which is characterized in that the smaller part of the internal diameter followed closely in body is T-type chamber, And the threading hole below the groove is connected to the transverse part of the T-type chamber.
5. band line holdfast as claimed in claim 3, which is characterized in that be included in the suture that both sides are worn, two side seam lines Threading mode it is identical, the threading mode of the wherein suture of side is:It is penetrated from the hollow parts of the nail tail, by institute It states the hollow parts of nail body and is kept off around the lattice, is pierced by later from threading hole three, then the nail body is penetrated from threading hole two Hollow parts then by the smaller part of the internal diameter of the nail body, then are pierced by from the threading hole below the groove, then wear The threading hole one on the braced wing of the side is crossed, then is penetrated from the threading hole below the groove, finally from the nail tail Hollow parts are pierced by.
6. band line holdfast as claimed in claim 2, which is characterized in that the nail tail is hollow cylinder, and internal is hollow Part is cuboid.
CN201810761638.5A 2018-07-12 2018-07-12 A kind of band line holdfast Active CN108403175B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201810761638.5A CN108403175B (en) 2018-07-12 2018-07-12 A kind of band line holdfast
PCT/CN2019/094691 WO2020011097A1 (en) 2018-07-12 2019-07-04 Anchor with sutures

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810761638.5A CN108403175B (en) 2018-07-12 2018-07-12 A kind of band line holdfast

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CN108403175A CN108403175A (en) 2018-08-17
CN108403175B true CN108403175B (en) 2018-11-02

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108403175B (en) * 2018-07-12 2018-11-02 上海凯利泰医疗科技股份有限公司 A kind of band line holdfast
CN110507378A (en) * 2019-08-05 2019-11-29 大博医疗科技股份有限公司 A kind of medical holdfast
CN116138824A (en) * 2023-01-10 2023-05-23 北京市春立正达医疗器械股份有限公司 Anchor and self-locking type belt line anchor

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EP0713683A2 (en) * 1994-09-27 1996-05-29 Mitek Surgical Products, Inc. Bone anchor and bone anchor installation tool
US6932834B2 (en) * 2002-06-27 2005-08-23 Ethicon, Inc. Suture anchor
CN102113901A (en) * 2009-10-30 2011-07-06 德普伊米特克公司 Knotless suture anchor
CN103156678A (en) * 2011-12-19 2013-06-19 德普伊米特克有限责任公司 Knotless suture anchor
CN104487020A (en) * 2012-05-29 2015-04-01 史密夫和内修有限公司 Hybrid anchor
CN105188563A (en) * 2013-03-15 2015-12-23 史密夫和内修有限公司 Fenestrated locking suture anchor assembly
CN106456154A (en) * 2014-03-06 2017-02-22 史密夫和内修有限公司 Two-piece knotless suture anchor

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US20060282081A1 (en) * 2004-04-16 2006-12-14 Fanton Gary S Apparatus and method for securing tissue to bone with a suture
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Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
EP0713683A2 (en) * 1994-09-27 1996-05-29 Mitek Surgical Products, Inc. Bone anchor and bone anchor installation tool
US5522845A (en) * 1994-09-27 1996-06-04 Mitek Surgical Products, Inc. Bone anchor and bone anchor installation
US6932834B2 (en) * 2002-06-27 2005-08-23 Ethicon, Inc. Suture anchor
CN102113901A (en) * 2009-10-30 2011-07-06 德普伊米特克公司 Knotless suture anchor
CN103156678A (en) * 2011-12-19 2013-06-19 德普伊米特克有限责任公司 Knotless suture anchor
CN104487020A (en) * 2012-05-29 2015-04-01 史密夫和内修有限公司 Hybrid anchor
CN105188563A (en) * 2013-03-15 2015-12-23 史密夫和内修有限公司 Fenestrated locking suture anchor assembly
CN106456154A (en) * 2014-03-06 2017-02-22 史密夫和内修有限公司 Two-piece knotless suture anchor

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WO2020011097A1 (en) 2020-01-16
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