CN110215245A - Circle sheath suture holdfast and implanted device - Google Patents
Circle sheath suture holdfast and implanted device Download PDFInfo
- Publication number
- CN110215245A CN110215245A CN201910555292.8A CN201910555292A CN110215245A CN 110215245 A CN110215245 A CN 110215245A CN 201910555292 A CN201910555292 A CN 201910555292A CN 110215245 A CN110215245 A CN 110215245A
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- Prior art keywords
- sheath
- suture
- round
- circle
- aperture
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- 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.)
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- 210000000988 bone and bone Anatomy 0.000 claims abstract description 25
- 238000002513 implantation Methods 0.000 claims abstract description 14
- 238000003306 harvesting Methods 0.000 claims abstract description 5
- 238000009954 braiding Methods 0.000 claims description 6
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 claims description 3
- 239000004744 fabric Substances 0.000 claims description 3
- -1 polyethylene terephthalate Polymers 0.000 claims description 3
- 229920000139 polyethylene terephthalate Polymers 0.000 claims description 3
- 239000005020 polyethylene terephthalate Substances 0.000 claims description 3
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 claims description 3
- 150000002148 esters Chemical class 0.000 claims 1
- 239000000463 material Substances 0.000 description 7
- 210000004872 soft tissue Anatomy 0.000 description 5
- 230000006378 damage Effects 0.000 description 4
- 208000021945 Tendon injury Diseases 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 239000004626 polylactic acid Substances 0.000 description 3
- 239000004696 Poly ether ether ketone Substances 0.000 description 2
- 229910001069 Ti alloy Inorganic materials 0.000 description 2
- 238000004090 dissolution Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 229920000747 poly(lactic acid) Polymers 0.000 description 2
- 229920002530 polyetherether ketone Polymers 0.000 description 2
- 239000000047 product Substances 0.000 description 2
- 241001653121 Glenoides Species 0.000 description 1
- 208000024288 Rotator Cuff injury Diseases 0.000 description 1
- 206010039227 Rotator cuff syndrome Diseases 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 239000007857 degradation product Substances 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 201000004595 synovitis Diseases 0.000 description 1
- 210000001694 thigh bone Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 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, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Rheumatology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The present invention provides a kind of round sheath suture holdfast and implanted devices, including suture, circle sheath, the round sheath is hollow structure, aperture is provided in the middle part of the round sheath, the round sheath is at least one, when with multiple round sheaths, suture is pierced by from one end of first round sheath to the other end, second round sheath is pierced into from the intermediate aperture of second round sheath or both ends respectively in two free end of suture positioned at first round sheath both ends, it is pierced by respectively from the both ends of second round sheath or intermediate aperture again, repeats such step and penetrate into suture on multiple round sheaths;By the location hole on the circle sheath implantation bone tissue for putting on suture, round sheath harvest one can be made by tightening suture both ends, be anchored in location hole.The advantages that present invention uses full suture holdfast, has implantation bone road small, and bone removal quantity is few, and it is easy to reprocess, and replaceability is strong, and there is good biocompatibility.The configuration of the present invention is simple, operation are easy, are fixed conveniently, securely, and resisting pull out forces are high.
Description
Technical field
The present invention relates to medical instruments fields, and in particular, to a kind of round sheath suture holdfast and implanted device.
Background technique
In recent years, it is used extensively by the band line holdfast technology of material of titanium alloy, PEEK (polyether-ether-ketone) and poly-lactic acid material
In the reparation of soft tissue and the damage of bone tissue junction, such as: rotator cuff injury, Glenoid labruminjury, near end of thighbone tendon injury, shoulder joint
The damage of upper broad-mouthed receptacle for holding liquid lip front and rear part, collateral ulnar ligament damage are rebuild, the tendon injury of bicipital muscle of arm distal end, ligament reparation between scapholunatum,
Triangular fiber cartilage reparation, extensor tendon injury repair etc..This kind of hard holdfast is threaded onto similar to screw needs fixed position attached
On close bone tissue, the suture preloaded on holdfast, which passes through, needs the soft tissue repaired, by binding tightening suture by soft tissue with
The contact of bone tissue surface is fixed, and the peripheral doses of damaged tissues are completed.
As hard material holdfast technical application is increasingly extensive, there are many defects known to hard material holdfast: titanium alloy metal
It is easy because rejection is inflamed after holdfast implantation, it causes implant site that bone dissolution occurs, causes holdfast and loosen, shift, make
Fail at fixed.PLA (polylactic acid) class can absorb after holdfast implantation may premature breakdown and broken, secondary holdfast displacement causes
The problems such as decline of fix tightly soundness, degradation product may cause synovitis, and bone dissolves.
The patent document of Publication No. CN202313533U discloses a kind of Full-thread strip line ground anchor, comprising: ground anchor body,
Screw thread is arranged in the periphery of ground anchor body in the main structure for constituting product;Threading structure is arranged inside ground anchor body, in anchor
Channel is formed in nail ontology, the threading hole as threading structure both ends open is separately positioned on corresponding to the screw thread of ground anchor body periphery
Position;Suture is arranged inside above-mentioned threading structure, and the both ends of suture respectively correspond different threading holes, inside ground anchor body
Threading structure is the single channel structure being integrally connected to.Threading structure is simpler, and required time is reduced when product is processed, and improves
Working efficiency.Arc groove is set in the screw position for corresponding to threading hole site, is penetrated so as to more convenient suture
In threading hole.In addition suture both ends knot at corresponding arc groove respectively, to make suture can not be with ground anchor body
Separation reduces the hidden danger in operation.But use hard structure holdfast be easy cause rejection or dissolution so as to cause
The problems such as loosening, shifting, and the holdfast is threadedly secured on bone tissue, is installed not easy enough.
Summary of the invention
For the defects in the prior art, the object of the present invention is to provide a kind of round sheath suture holdfast and implanted devices.
According to an aspect of the present invention, a kind of round sheath suture holdfast is provided, including suture, circle sheath, during the round sheath is
Hollow structure is provided with aperture in the middle part of the round sheath, and the round sheath is at least one, and when with multiple round sheaths, suture is from first
One end of a round sheath is pierced by the other end, and two free end of suture positioned at first round sheath both ends is respectively from second round sheath
Between aperture or both ends pierce into second round sheath, then be pierced by respectively from the both ends of second round sheath or intermediate aperture, be located at second
Circle sheath both ends two free end of suture respectively from third circle sheath intermediate aperture or both ends pierce into third justify sheath, then respectively from
The both ends of third circle sheath or intermediate aperture are pierced by, and are repeated such step and are penetrated into suture on multiple round sheaths;
By the location hole on the circle sheath implantation bone tissue for putting on suture, round sheath harvest can be made by tightening suture both ends
One, it is agglomerating after circle sheath volume become larger, circle sheath size be greater than location hole size, be anchored in location hole;
The round sheath is flat or U-shaped before folding.
Preferably, multiple apertures are additionally provided on the wall of the round sheath, the circle sheath internal sutures that are located at are from an aperture
It is pierced by, then is penetrated inside round sheath from adjacent aperture, repetition, which is pierced by, pierces into, and two free ends of final suture are opened from the centre of circle sheath
Hole or both ends are pierced by.
Preferably, the suture is flat suture or circular seam line, and the suture is ultrahigh molecular weight polyethylene yarn braiding
Made of suture.
Preferably, the round sheath is hollow cylindrical structure braided fabric made of polyethylene terephthalate braiding.
Preferably, when the location hole being implanted on bone tissue, the circle sheath for being installed with two free end of suture is located at other circle sheaths
Lower section, that is, be installed with other circle sheaths that the circle sheath of two free end of suture is passed through compared with suture closer to location hole bottom.
Preferably, the spacing between the aperture on the round sheath is 3-5mm, and the aperture positioned at circle sheath both ends is apart from both ends
Distance is 1mm.
Preferably, the aperture on the round sheath is equally spaced, and the number of the aperture is even number.
Preferably, described each circle sheath for putting on suture is axially symmetric structure.
Preferably, the medium position of described first round sheath and suture are fixed or being capable of opposite slidings.
According to another aspect of the present invention, a kind of implanted device is provided, including heading into device and the circle sheath suture anchor
Nail, it is described head into device by circle sheath suture holdfast head into positioning hole.
Compared with prior art, the present invention have it is following the utility model has the advantages that
1, the present invention uses full suture holdfast, has implantation bone road small, bone removal quantity is few, and it is easy to reprocess, and replaceability is strong
The advantages that, and there is good biocompatibility.
2, the configuration of the present invention is simple, operation are easy, are fixed conveniently, securely, and resisting pull out forces are high.
Detailed description of the invention
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention,
Objects and advantages will become more apparent upon:
Fig. 1 is the structural schematic diagram before a kind of implantation of the present invention.
Fig. 2 is the structural schematic diagram after present invention implantation tightening suture.
Fig. 3 is the structural schematic diagram before another implantation of the present invention.
Specific embodiment
The present invention is described in detail combined with specific embodiments below.Following embodiment will be helpful to the technology of this field
Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill of this field
For personnel, without departing from the inventive concept of the premise, several changes and improvements can also be made.These belong to the present invention
Protection scope.
In the description of the present application, it is to be understood that term " on ", "front", "rear", "left", "right", " is erected at "lower"
Directly ", the orientation or positional relationship of the instructions such as "horizontal", "top", "bottom", "inner", "outside" is orientation based on the figure or position
Relationship is set, description the application is merely for convenience of and simplifies description, rather than the device or element of indication or suggestion meaning are necessary
It with specific orientation, is constructed and operated in a specific orientation, therefore should not be understood as the limitation to the application.
The present invention devises round sheath suture holdfast, has implantation bone road small, bone to overcome the defect of hard material material holdfast
The advantages that removal quantity is few, and it is easy to reprocess, and replaceability is outstanding, and have good biocompatibility.The present invention uses multiple circles
Sheath improves fixing intensity of the full suture holdfast in bone road, and it is small to solve full suture holdfast deflection, and fixing intensity is insufficient to be lacked
Point.The present invention uses flat suture as raw material, to the cutting damage of soft tissue when reducing the fixed soft tissue of suture.
According to an aspect of the present invention, a kind of round sheath suture holdfast is provided, as shown in Figure 1-3, including suture, circle sheath,
The round sheath is hollow structure, is provided with aperture in the middle part of the round sheath, the round sheath is at least one, when with multiple round sheaths
When, suture is pierced by from one end of first round sheath to the other end, positioned at first round sheath both ends two free end of suture respectively from
Second round sheath is pierced at the intermediate aperture of second round sheath or both ends, then wears respectively from the both ends of second round sheath or intermediate aperture
Out, positioned at two free end of suture at second round sheath both ends, third is pierced at the intermediate aperture from third circle sheath or both ends respectively
Circle sheath, then be pierced by respectively from the both ends of third circle sheath or intermediate aperture, such step, which is repeated, by suture penetrates into multiple round sheaths
On;By the location hole on the circle sheath implantation bone tissue for putting on suture, round sheath harvest one can be made by tightening suture both ends,
Circle sheath volume after agglomerating becomes larger, and the size of circle sheath is greater than the size of location hole, is anchored in location hole;The round sheath folds it
Preceding is flat or U-shaped.It being capable of opposite sliding between the suture and circle sheath.It preferably, include two round sheaths, such as Fig. 1 or 3
It is shown.
Multiple apertures are additionally provided on the wall of the round sheath, the circle sheath internal sutures that are located at are pierced by from an aperture, then
Penetrated inside round sheath from adjacent aperture, repetition is pierced by and pierces into, two free ends of final suture from the intermediate aperture of circle sheath or
Both ends are pierced by.
The suture is flat suture or circular seam line, and the suture is to stitch made of ultrahigh molecular weight polyethylene yarn braiding
Line.The width of the flat suture is 1mm.The round sheath is hollow cylindrical structure made of polyethylene terephthalate braiding
Braided fabric.The width or diameter of suture are slightly less than the diameter of round sheath, so that being capable of opposite sliding between suture and circle sheath.
When the location hole being implanted on bone tissue, the circle sheath for being installed with two free end of suture is located at the lower section of other circle sheaths,
Other circle sheaths that the circle sheath of two free end of suture is passed through compared with suture are installed with closer to location hole bottom.As shown in Fig. 2, being installed with seam
Second circle sheath of two free end of line is located at the lower section for the first circle sheath (without two free end of suture) that suture passes through, closer to positioning
Hole bottom.
The spacing between aperture on the round sheath is 3-5mm, is positioned at distance of the aperture at sheath both ends apart from both ends is justified
1mm, the number of aperture are 4-8.Aperture spacing is bigger, and number of aperture is fewer.Aperture on the round sheath is equally spaced, described
The number of aperture is even number.Described each circle sheath for putting on suture is axially symmetric structure.The middle part of described first round sheath
Position and suture are fixed or being capable of opposite slidings.
According to another aspect of the present invention, a kind of implanted device is provided, including heading into device and the circle sheath suture anchor
Nail, it is described head into device by circle sheath suture holdfast head into positioning hole.
As shown in Fig. 1 or 3, when implantation, is headed in the location hole for being drilled the second circle sheath interlude implantation, planted with device is headed into
Enter to after the depth of needs, the thimble for heading into device is drawn back, while tightening suture together.As shown in Fig. 2, when sheath suture anchor will be justified
When nail is implanted in bone road, the second circle sheath is located at below the first circle sheath, and the first circle sheath is because length of suture tightening can be pulled downwardly
It is dynamic, and because the first circle sheath both ends and suture are slide constructions, after the first circle sheath knocks downwards the second circle sheath, the first circle sheath exists
Suture continues to be forced to tighten when tightening.Second circle sheath is moved up because of suture tightening by harvest line after the blocking of the first circle sheath
Group.After a second circle sheath ball of string and a first circle sheath ball of string are crowded together, a ball of string bigger than positioning pore size is formed, so that holdfast exists
In location hole.Only second circle sheath is first pulled out, and anchoring can just fail, and a ball of string for the second circle sheath must be extruded into the first circle sheath line
The top of group could be first pulled out, and this is difficult to accomplish in narrow bone road (location hole), therefore, the circle sheath seam formed in this way
Line holdfast can obtain bigger fixing intensity.
As shown in Figure 1-3, the second circle sheath is received below the first circle sheath when that will justify sheath suture holdfast and be implanted in bone road
Suture is drawn, the first circle sheath can be pulled down because length of suture is tightened, when the first circle sheath knocks second in narrow bone road
After circle sheath, the second circle sheath is also because suture tightening will receive upward pulling force.Since suture pulls up the relationship of dragging, second
Circle sheath is preferentially dragged, but because the first circle sheath blocks the way can not be drawn out, continuing tightening suture can allow round sheath to start
Fold, the second circle sheath and the first circle sheath can arrange the bone material of surrounding to form the bigger line in a road Ge Bigu (location hole)
Group, to obtain good fixing intensity.The meaning of double round sheaths is further to increase the fixing intensity of holdfast.First circle sheath exists
Above second circle sheath, and while failing, must allow the second circle sheath to be first pulled out, so location hole must be allowed to go out when holdfast will fail
Existing one can allow 2 round sheaths while the size passed through can just fail.This hole is necessarily much larger than the aperture that single circle sheath passes through,
Therefore, double sheaths can further increase the fixing intensity of holdfast.
When needing replacing holdfast, by the suture on the circle sheath of broken ring location hole top, such as cuts, cut post-tensioning
Dragging two free ends of suture can be so that suture be detached from circle sheath, so that holdfast failure, is replaceable new anchor after failure
Nail.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited to above-mentioned
Particular implementation, those skilled in the art can make a variety of changes or modify within the scope of the claims, this not shadow
Ring substantive content of the invention.In the absence of conflict, the feature in embodiments herein and embodiment can any phase
Mutually combination.
Claims (10)
1. a kind of round sheath suture holdfast, which is characterized in that including suture, circle sheath, the round sheath is hollow structure, in the round sheath
Portion is provided with aperture, and the round sheath is at least one, when with multiple round sheaths, suture from one end of first round sheath be pierced by
The other end, two free end of suture positioned at first round sheath both ends pierce into from the intermediate aperture of second round sheath or both ends respectively
Two round sheaths, then be pierced by respectively from the both ends of second round sheath or intermediate aperture, positioned at second round sheath both ends suture two oneself
By hold respectively from third circle sheath intermediate aperture or both ends pierce into third justify sheath, then respectively from third justify sheath both ends or
Intermediate aperture is pierced by, and is repeated such step and is penetrated into suture on multiple round sheaths;
By the location hole on the circle sheath implantation bone tissue for putting on suture, round sheath harvest one can be made by tightening suture both ends
Group, it is agglomerating after circle sheath volume become larger, circle sheath size be greater than location hole size, be anchored in location hole;
The round sheath is flat or U-shaped before folding.
2. round sheath suture holdfast according to claim 1, which is characterized in that be additionally provided with multiple open on the wall of the round sheath
Hole, the circle sheath internal sutures that are located at are pierced by from an aperture, then are penetrated inside round sheath from adjacent aperture, and repetition is pierced by
Into intermediate aperture or both ends of two free ends of final suture from circle sheath are pierced by.
3. round sheath suture holdfast according to claim 1, which is characterized in that the suture be flat suture or circular seam line,
The suture is suture made of ultrahigh molecular weight polyethylene yarn braiding.
4. round sheath suture holdfast according to claim 1, which is characterized in that the round sheath is polyethylene terephthalate
Hollow cylindrical structure braided fabric made of ester braiding.
5. round sheath suture holdfast according to claim 1, which is characterized in that described when the location hole being implanted on bone tissue
The circle sheath for being installed with two free end of suture is located at the lower section of other circle sheaths, that is, is installed with what the circle sheath of two free end of suture was passed through compared with suture
Other justify sheaths closer to location hole bottom.
6. round sheath suture holdfast according to claim 2, which is characterized in that the spacing between aperture on the round sheath is
3-5mm is 1mm positioned at distance of the aperture at sheath both ends apart from both ends is justified.
7. round sheath suture holdfast according to claim 2, which is characterized in that the aperture on the round sheath is equally spaced, institute
The number for stating aperture is even number.
8. round sheath suture holdfast according to claim 1, which is characterized in that each for putting on suture justifies sheath and is
Axially symmetric structure.
9. round sheath suture holdfast according to claim 1, which is characterized in that the medium position and seam of described first round sheath
Line is fixed or being capable of opposite sliding.
10. a kind of implanted device, which is characterized in that including heading into circle sheath suture described in device and any one of claims 1 to 9
Holdfast, it is described head into device by circle sheath suture holdfast head into positioning hole.
Priority Applications (1)
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CN201910555292.8A CN110215245A (en) | 2019-06-25 | 2019-06-25 | Circle sheath suture holdfast and implanted device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201910555292.8A CN110215245A (en) | 2019-06-25 | 2019-06-25 | Circle sheath suture holdfast and implanted device |
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CN110215245A true CN110215245A (en) | 2019-09-10 |
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ID=67814808
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CN201910555292.8A Pending CN110215245A (en) | 2019-06-25 | 2019-06-25 | Circle sheath suture holdfast and implanted device |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2024099065A1 (en) * | 2022-11-10 | 2024-05-16 | 上海利格泰生物科技股份有限公司 | Bone implant, positioning sleeve, inserter, and implantation system |
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US20110264141A1 (en) * | 2006-02-03 | 2011-10-27 | Biomet Sports Medicine, Llc | Flexible Anchors for Tissue Fixation |
US20140094913A1 (en) * | 2006-09-29 | 2014-04-03 | Biomet Sports Medicine, Llc | Scaffold For Spring Ligament Repair |
US20170055975A1 (en) * | 2015-09-02 | 2017-03-02 | Raymond Thal | Adjustable, locking all-suture anchor assembly and method for repair |
US20170252030A1 (en) * | 2016-03-03 | 2017-09-07 | Raymond Thal | All-suture knotless repair system |
CN109890303A (en) * | 2016-11-03 | 2019-06-14 | 史密夫和内修有限公司 | Tissue repair component and system with soft anchoring implantation material |
CN210962133U (en) * | 2019-06-25 | 2020-07-10 | 上海利格泰生物科技有限公司 | Round sheath suture anchor and implantation device |
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2019
- 2019-06-25 CN CN201910555292.8A patent/CN110215245A/en active Pending
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
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US20110264141A1 (en) * | 2006-02-03 | 2011-10-27 | Biomet Sports Medicine, Llc | Flexible Anchors for Tissue Fixation |
US20110098727A1 (en) * | 2006-09-29 | 2011-04-28 | Biomet Sports Medicine, Llc | Method and Apparatus for Securing Soft Tissue to Bone |
US20110208239A1 (en) * | 2006-09-29 | 2011-08-25 | Biomet Sports Medicine, Llc | Method and Apparatus for Forming a Self-Locking Adjustable Loop |
US20140094913A1 (en) * | 2006-09-29 | 2014-04-03 | Biomet Sports Medicine, Llc | Scaffold For Spring Ligament Repair |
US20170055975A1 (en) * | 2015-09-02 | 2017-03-02 | Raymond Thal | Adjustable, locking all-suture anchor assembly and method for repair |
US20170252030A1 (en) * | 2016-03-03 | 2017-09-07 | Raymond Thal | All-suture knotless repair system |
CN109890303A (en) * | 2016-11-03 | 2019-06-14 | 史密夫和内修有限公司 | Tissue repair component and system with soft anchoring implantation material |
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WO2024099065A1 (en) * | 2022-11-10 | 2024-05-16 | 上海利格泰生物科技股份有限公司 | Bone implant, positioning sleeve, inserter, and implantation system |
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