EP3212093A1 - Modular tissue repair kit and devices and method related thereto - Google Patents

Modular tissue repair kit and devices and method related thereto

Info

Publication number
EP3212093A1
EP3212093A1 EP14802239.5A EP14802239A EP3212093A1 EP 3212093 A1 EP3212093 A1 EP 3212093A1 EP 14802239 A EP14802239 A EP 14802239A EP 3212093 A1 EP3212093 A1 EP 3212093A1
Authority
EP
European Patent Office
Prior art keywords
end portion
anchor
surgical device
implant
distal end
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.)
Withdrawn
Application number
EP14802239.5A
Other languages
German (de)
English (en)
French (fr)
Inventor
Michael C. Ferragamo
William R. Davis
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Smith and Nephew Inc
Original Assignee
Smith and Nephew Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Smith and Nephew Inc filed Critical Smith and Nephew Inc
Publication of EP3212093A1 publication Critical patent/EP3212093A1/en
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0416—Packages or dispensers for suture anchors or for anchor applicators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue

Definitions

  • the present invention features a modular kit concept in which an implant deployment device/module is configured and arranged to hold the
  • the present invention features an implant/anchor deployment device/module, a modular kit concept embodying such an implant/anchor deployment device/module, a system for deploying an implant/anchor into tissue, and a method for treating damaged tissue using such an implant/anchor such as for example, a method for deploying one or more anchors/implants during a meniscal repair procedure.
  • the implant/anchor deployment device/module is operably coupled to a surgical device whose functionalities are utilized to cause the deployment of an anchor/implant from the implant/anchor deployment device/module.
  • such a modular implant/anchor deployment device further includes one or more implants/anchors that are movably disposed on the body member proximal end portion. Additionally, movement of the second member along the long axis in one direction moves each of the at least one implants/anchors to a pre-deployment position.
  • a tip of the body member distal end portion is configured for insertion into tissue.
  • the movement of the second member along the long axis in one direction moves each of the at least one implants/anchors to a pre-deployment position (e.g. , from a stored, initial or intermediate position to a pre-deployment position).
  • a pre-deployment position e.g. , from a stored, initial or intermediate position to a pre-deployment position.
  • the connector, mechanism or structure removably engaging the complimentary feature forms a securing mechanism, structure or connector that is secured, coupled, attached or integrally formed with the holding member proximal end portion and which is arranged so that a portion of the securing mechanism removably engages the complementary feature of the inner member.
  • the securing mechanism forms a latching type of mechanism that latches to or removably engages the surgical device distal end or suture cutter inner member so as to restrain axial movement in the direction of withdrawal.
  • the securing mechanism includes a cantilevered structure that is coupled, attached or otherwise formed integral with the holding member proximal end portion.
  • Such a cantilevered structure also includes a protrusion or prong like element that extends outwardly therefrom and into the lumen to engage the complimentary feature.
  • the implant deployment device/module is used in combination with the surgical device.
  • the surgical device can be a suture cutter.
  • such a modular implant/anchor deployment device further includes a plurality of implants/anchors that are movably disposed on the body member distal end portion and movement of the surgical device second member along the long axis in the one direction causes the second implant/anchor to be moved to a pre- deployment position after deployment of the first implant/anchor.
  • implant/anchor such methods further include de-connecting the body member proximal end portion from the first end portion of the surgical device, thereby allowing the surgical device to be thereafter used in the intended manner.
  • such methods include withdrawing the coupled deployment device and surgical device from the body before performing such de-connecting.
  • the body member proximal end portion is further configured so as to include a connector, mechanism or structure that is configured so as to removably engage a complimentary feature, mechanism, sub-structure or the like provided in the opposing structure of the surgical device first member.
  • the provided surgical device includes a first member including the first end portion of the surgical device and the body member proximal end portion is further configured so as to be removably attached to opposing structure of the first member of the surgical device including the first end portion. Additionally, such removably securing includes removably securing the body member proximal end portion to the opposing structure of the first member.
  • the body member includes a lumen extending along the long axis in at least the distal end portion and a slotted opening in communication with the lumen also extending along the long axis.
  • a modular implant/anchor deployment device further includes one or more implants/anchors that are movably disposed on the body member proximal end portion. More particularly, each of the at least one implant/anchor is movably disposed in the slotted opening such that a portion of the implant/anchor extends above an outer surface of the body member distal portion.
  • such methods further include de-connecting the coupled suture cutter from the modular implant/anchor deployment device and thereafter using the de-coupled suture cutter to cut the suture (e.g. , excess length of suture).
  • a suture cutter may be particularly suitable for use with the implant/anchor deployment device/module of the present invention, this shall not be considered as limiting the present invention to this specific surgical device as it is within the scope of the present invention for the implant/anchor deployment device/module to be used with other surgical devices which can be adapted for such use or for which the device/module can be adapted for use with functionalities of such other surgical devices. Because of the modular concept embodied in the implant/anchor deployment device/module of the present invention, the surgical device can be used with any of a number of such implant/anchor deployment devices/modules so that any number of implants/anchors can be deployed at desired targeted tissue locations to treat the damaged tissue.
  • the modularity embodied in the present invention also allows the surgeon or other surgical personnel to de-couple or de-connect the implant/anchor deployment device/module from the surgical device so that the surgeon can thereafter use the de-coupled surgical device in the intended manner.
  • a unique device need not be made or manufactured solely for the purpose of delivering and deploying an implant/anchor to a targeted tissue location.
  • the suture(s) 130 is/are pre-tied and arranged such that when the surgeon applies a longitudinal force to an end of a suture this shortens the suture and tightens the knot. While two suture anchors 120 are illustrated, it should be recognized that the distal end portion 112 can be arranged so as to have any number of implants/anchors thereon, for example, one such suture anchor, one or more such suture anchors, a plurality of such suture anchors or a multiplicity (e.g. , 3-6 or more) of such suture anchors.
  • the modularity of such anchor deployment devices 100 also allows one to create surgical kits that have some level of customization.
  • the surgical device kit can be arranged so as to include a plurality or a multiplicity (e.g. , 3-6 or more) of anchor deployment devices having similar or the same geometry that would be appropriate for the surgical procedure (e.g. , all straight geometries).
  • the surgeon could select a device kit having anchor deployment devices with the desired geometry and thereafter during the procedure connect and de-connect the individual anchor deployment devices as needed to/from the surgical device so that the desired number of suture anchors can be deployed.
  • the present invention also features methods for deploying suture anchors 120 using the anchor deployment device of the present invention.
  • Such methods include selecting a suitable anchor deployment device 100, lOOa-c from the surgical device kit 300 for use during a given surgical procedure.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rheumatology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
EP14802239.5A 2014-10-29 2014-10-29 Modular tissue repair kit and devices and method related thereto Withdrawn EP3212093A1 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2014/062797 WO2016068896A1 (en) 2014-10-29 2014-10-29 Modular tissue repair kit and devices and method related thereto

Publications (1)

Publication Number Publication Date
EP3212093A1 true EP3212093A1 (en) 2017-09-06

Family

ID=51946000

Family Applications (1)

Application Number Title Priority Date Filing Date
EP14802239.5A Withdrawn EP3212093A1 (en) 2014-10-29 2014-10-29 Modular tissue repair kit and devices and method related thereto

Country Status (9)

Country Link
EP (1) EP3212093A1 (pt)
JP (1) JP6461336B2 (pt)
KR (1) KR20170077136A (pt)
CN (1) CN107072655A (pt)
AU (1) AU2014410231A1 (pt)
BR (1) BR112017008364A2 (pt)
MX (1) MX2017005529A (pt)
RU (1) RU2017117640A (pt)
WO (1) WO2016068896A1 (pt)

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US11006944B2 (en) 2017-07-07 2021-05-18 Arthrex, Inc. Surgical device and methods of delivering implants
US10799231B2 (en) 2018-01-08 2020-10-13 Arthrex, Inc. Suture-implant construct and method of deploying the same
WO2019010380A1 (en) * 2017-07-07 2019-01-10 Arthrex, Inc. SUTURE IMPLANT STRUCTURES AND SURGICAL DEVICE FOR PUTTING THEM INTO PLACE
KR101944977B1 (ko) * 2018-08-13 2019-02-01 김종환 탈모치료용 금실 삽입용 봉합침
KR102620927B1 (ko) 2018-10-16 2024-01-05 (주)티디엠 반월상 연골판 봉합장치
TWI676457B (zh) 2018-11-15 2019-11-11 財團法人金屬工業研究發展中心 纖維軟骨縫合器
CN118201557A (zh) * 2021-11-02 2024-06-14 欧斯特奥尼克有限公司 植入物展开装置
CN114366203B (zh) * 2022-01-12 2022-07-15 北京天星博迈迪医疗器械有限公司 一种新型全缝线锚钉植入器
CN115177314B (zh) * 2022-08-11 2023-12-22 杭州锐健马斯汀医疗器材有限公司 缝合器
CN116421241B (zh) * 2023-06-08 2023-08-22 北京万洁天元医疗器械股份有限公司 一种半月板损伤修复装置

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US6972027B2 (en) 2002-06-26 2005-12-06 Stryker Endoscopy Soft tissue repair system
US7632284B2 (en) 2004-07-06 2009-12-15 Tyco Healthcare Group Lp Instrument kit and method for performing meniscal repair
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
JP5030797B2 (ja) * 2005-02-07 2012-09-19 アイビー スポーツ メディシン、エルエルシー インプラント装着及び軟組織修復の完全に体内の縫合固着のためのシステム及び方法
US7918868B2 (en) 2006-05-22 2011-04-05 Scandius Biomendical, Inc. Method and apparatus for meniscal repair
JP5792465B2 (ja) 2008-03-04 2015-10-14 カイエン メディカル インコーポレイテッド 関節鏡による半月板修復システムおよび修復方法
EP2369999B1 (en) * 2008-11-26 2022-04-13 Smith & Nephew, Inc. Tissue repair device
EP2588007B1 (en) * 2010-06-29 2015-08-26 Synthes GmbH Insertion instrument for anchor assembly
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Also Published As

Publication number Publication date
JP6461336B2 (ja) 2019-01-30
JP2017536878A (ja) 2017-12-14
WO2016068896A1 (en) 2016-05-06
RU2017117640A (ru) 2018-11-29
AU2014410231A1 (en) 2017-04-20
CN107072655A (zh) 2017-08-18
MX2017005529A (es) 2017-06-20
RU2017117640A3 (pt) 2018-11-29
KR20170077136A (ko) 2017-07-05
BR112017008364A2 (pt) 2017-12-19

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