FR2622430A1 - Surgical staple for immediate fixation of artificial ligaments and accessory instrument for its implantation in the bone - Google Patents

Surgical staple for immediate fixation of artificial ligaments and accessory instrument for its implantation in the bone Download PDF

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Publication number
FR2622430A1
FR2622430A1 FR8715100A FR8715100A FR2622430A1 FR 2622430 A1 FR2622430 A1 FR 2622430A1 FR 8715100 A FR8715100 A FR 8715100A FR 8715100 A FR8715100 A FR 8715100A FR 2622430 A1 FR2622430 A1 FR 2622430A1
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Prior art keywords
staple
hand
piece
immediate
fixation
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FR8715100A
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French (fr)
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FR2622430B1 (en )
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LABOUREAU JACQUES
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LABOUREAU JACQUES
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/686Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS, WEDGES, JOINTS OR JOINTING
    • F16B13/00Dowels or other devices fastened in walls or the like by inserting them in holes made therein for that purpose
    • F16B13/12Separate metal or non-separate or non-metal dowel sleeves fastened by inserting the screw, nail or the like
    • F16B13/124Separate metal or non-separate or non-metal dowel sleeves fastened by inserting the screw, nail or the like fastened by inserting a threaded element, e.g. screw or bolt
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor
    • A61F2002/0823Modular anchors comprising a plurality of separate parts
    • A61F2002/0835Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • A61F2002/0852Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0876Position of anchor in respect to the bone
    • A61F2002/0888Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

The present invention relates to a novel surgical staple for immediate fixation of artificial ligaments. This staple is characterised in that, on the one hand, the body 2 of the staple comprises over its entire height and along its axis a bore 3 of diameter substantially equal to the spacing of the two arms 4, whose internal opposite faces each have an identical protrusion 8 in the form of bosses, and, on the other hand, a cylindrical piece 9, one of whose bases is plane and comprises hollowed-out gripping means 11 for an adapted accessory system, has a diameter and a height such that the said piece 9 can penetrate the bore 3 of the staple body by its rounded base which thus comes, in contact with the bosses 8, progressively to separate the two arms 4, making the staple irremovable when it is implanted. <IMAGE>

Description

La présente invention concerne une nouvelle agrafe chirurgicale pour la fixation immédiate de ligaments artificiels ainsi qu'un instrument ancillaire pour son implantation dans l'os, notamment sous arthroscopie. The present invention relates to a novel surgical fastener for immediate fixation of artificial ligaments and an ancillary instrument for implantation into bone, in particular in arthroscopy.

On connaît déjà de nombreuses exécutions d'agrafes chirurgicales destinées à l'ostéosynthèse et à la fixation des ligaments artificiels, toutes ces agrafes bloquent les extrémités libres des ligaments implantés dans l'os assurant ainsi une tenue mécanique minimale de l'articulation dans l'attente d'une fixation biologique du ligament sur l'os ou dans l'os. There are already known many executions surgical clip for osteosynthesis and attachment of artificial ligaments, all these clips block the free ends of the ligaments implanted into the bone thus ensuring a minimum mechanical strength of the joint in the waiting for a biological attachment of the ligament to the bone or in bone.

Cette réhabitation du ligament par l'os nécessite, pour ces raisons, une rééducation lente et, pour le moins, une période de repos suffisante pour un ancrage sûr et définitif du ligament nouvellement implanté. This ingrowth of ligament by bone requires, for these reasons, a slow rehabilitation and, at the least, an adequate rest period for safe and permanent anchoring of newly implanted ligament.

Pour réduire ces inconvénients, il a été imaginé un nouveau type d'agrafe chirurgicale dont l'implantation s'effectue sur le ligament artificiel à l'entrée d'un tunnel perforé dans l'échancrure de l'os pour recevoir l'implant To reduce these drawbacks, it was designed a new type of surgical staple whose implementation is carried out on the artificial ligament at the entrance of a tunnel drilled into the indentation of the bone to receive the implant
De cette façon, le ligament est mécaniquement bloqué dans l'os auquel il est solidarisé dès son entrée dans 1 'échan- crure, son extrémité libre, traversant ledit tunnel, étant classiquement fixée à la sortie. In this manner, the ligament is mechanically blocked in the bone which it is fastened upon entry into one 'exchanged mandibular notch, its free end, through said tunnel, being conventionally secured to the output.

On comprend alors tout l'avantage d'une telle solution qui exclut pratiquement toute la période de convalescence dans l'attente d'une réhabitation du ligament par l'os, qui, en l'espèce. We now understand the advantage of such a solution, which virtually precludes any recovery period pending a ligament ingrowth of the bone, which, in this case. s'effectue normalement dans le tunnel d'implantation sans être perturbée par les efforts sux- quels est soumis ledit ligament. is normally carried out in the implantation tunnel without being disturbed by the efforts sux- which is subjected said ligament. engendrant des micro-vibrations qui retardent, pour le moins, l'ostéosynthèse. generating micro-vibrations which retard, at least, osteosynthesis.

Obtenir un tel résultat nécessite une agrafe particulière, bloquant, à coup sûr, le ligament dans l'échancrure de l'os ; Obtain such a result requires special clip, blocking, for sure, the ligament in the opening of the bone; on a donc imaginé une agrafe dont l'action s'apparente à un étau qui vient par serrage écraser le ligament contre la paroi du tunnel de l'os jusqu'à obtenir une déformation de ladite paroi rendant impossible tout recul du ligament. a clip was therefore devised whose action is similar to a vise which has clamping overwrite the ligament against the tunnel wall of the bone until a deformation of said wall making it impossible to decrease the ligament.

A cet effet cette agrafe chirurgicale comprenant un corps de forme préférentiellement cylindrique dont sont issues deux jambes latérales sensiblement parallèles, disposées en vis à vis selon un écartement supérieur au diamètre du ligament en s'étendant colinéairement à l'axe du corps, leurs faces latérales externes venant dans le prolongement de la face latérale externe du corps, est caractérisée en ce que, d'une part, le corps de l'agrafe comporte sur todte sa hauteur et suivant son axe un alésage de diamètre sensiblement égal à l'écartement des deux jambes dont les faces internes en vis à vis présentent chacune une excroissance identique en forme de bossages sensiblement hémisphériques, disposés en regard, aux deux tiers environ de la longueur desdites jambes à compter de leurs extrémités. To this end the surgical fastener comprising a preferably cylindrical body of which are from two substantially parallel side legs disposed opposite at a spacing greater than the diameter of the ligament extending collinearly with the axis of the body, their lateral faces external coming into the extension of the outer lateral face of the body, is characterized in that, firstly, the body of the clip comprises on todte its height and along its axis a bore of diameter substantially equal to the spacing of the two legs whose inner sides facing each have the same protrusion shape substantially hemispherical bosses, arranged opposite to the two thirds of the length of said legs from their ends. bossages qui sont tels que la distance entre leurs sommets soit inférieure au diamètre de l'alésage et d'autre part, une pièce cylindrique dont une des bases est plane et comporte en creux des moyens de préhension pour un système ancillaire adapté, l'autre base étant arrondie en forme préférentiellement hémisphérique, a un diamètre et une hauteur tels que ladite pièce puisse pénétrer dans l'alésage du corps d'agrafe par sa base arrondie qui vient ainsi. bosses which are such that the distance between their peaks is less than the diameter of the bore and on the other hand, a cylindrical part of which one of the bases is planar and comprises hollow gripping means to an ancillary system adapted, the other base being preferably rounded hemispherical shape, has a diameter and a height such that said part may enter the bore of the clamp body with its rounded base which thus. au contact des bossages, écarter progressivement les deux jambes, rendant l'agrafe inarrachable lorsqu'elle est implantée, et contrebloquer le ligament dans son tunnel d'accueil pratiqué dans l'os, jusqu'à ce que la face supérieure de la pièce affleure le corps de l'agrafe à laquelle elle est solidari sé e par des moyens appropriés.Ainsi décrite, l'agrafe suivant l'invention assure deux fonctions techniques d'une part, sa pénétration dans l'os. in contact with the bosses, progressively separate the two legs, making inarrachable clip when implanted, and contrebloquer the ligament in the host tunnel formed in the bone, until the upper face of the part is flush the body of the clip to which it is solidari sé e appropriés.Ainsi by means described, the clip according to the invention provides two technical functions on the one hand, its penetration into the bone. à cheval sur le tunnel recevant le ligament, est rendue irréversible puisque le# deux jambes. astride the tunnel receiving the ligament, is made irreversible since the # two legs. après avoir traversé le corticale de l'os, sont écartées par la mise en place de la pièce cylindro-ogivale qui vient d'autre part perforer radialement le tunnel poui bloquer le ligament artificiel préalablement implanté dane le même tunnel. after passing through the cortical bone, are separated by the introduction of the cylindro-ogival part which has other perforate radially tunnel poui block artificial ligament previously implanted dane the same tunnel.

La progression de la pièce cylindro-ogivale dans le corps de l'agrafe est avantageusement assurée par vissage de ladite pièce à l'intérieur de l'alésage axial de l'agrafe taraudé à cet effet Accessoirement, les extrémités de l'agrafe sont biseautées de telle manière que les arêtes tranchantes déterminées par les biseaux soient dans le prolongement des faces latérales externes des jambes ; The progress of the cylindro-ogival part in the body of the clip is advantageously provided by screwing of said part within the axial bore of the threaded fastener for this purpose Incidentally, the ends of the clip are chamfered such that the cutting edges are defined by the bevels in the extension of the legs of the outer side faces; ainsi le plan de coupe des biseaux s'incline-t-'il depuis les arêtes tranchantes vers l'axe de l'agrafe, ce qui tend à ouvrir les deux jambes au moment de l'enfoncement de l'agrafe dans l'échancrure convexe de l'os de manière à chevaucher sûrement le ligament et à assurer un pré-écartement des mêmes jambes. and the bevels of the cutting plane tilts does it`s from the cutting edges to the axis of the clip, which tends to open the two legs at the time of driving of the staple into the notch convex bone so as to surely overlap the ligament and ensure a pre-separation of the same legs.

Un avantage complémentaire de l'agrafe suivant l'invention tient à sa forme préférentiellement cylindrique, facilement miniaturisable permettant d'opérer sous arthroscopie, et donc de réduire l'importance des incisions. An additional advantage of the clip according to the invention is its preferably cylindrical shape, easily miniaturized to operate arthroscopically, thus reducing the importance of the incisions. On observera, à cet égard, que la forme cylindrique de l'agrafe s accommode parfaitement d'un instrument ancillaire lui-même cylindrique et de même section dont une extrémité comporte un rétreint avantageusement fileté au pas de l'alésage axial de l'agrafe tandis que l'autre extrémité est classiquement aménagée pour la frappe d'un marteau lors de l'implantation de l'agrafe dans l'os. It will be observed, in this regard, that the cylindrical shape of the staple and perfectly adapts of an ancillary instrument itself cylindrical and of the same section of which one end comprises a threaded advantageously shrink the pitch of the axial bore of the fastener while the other end is conventionally fitted to the striking of a hammer during implantation of the staple into the bone.

De cette façon, l'agrafe vissée en bout du porteagrafe ainsi réalisé, se trouve dans son prolongement et peut être introduite et guidée, sous arthroscopie par exemple, jusqu'à l'échancrure de l'os dans lequel on a préalablement perforé le tunnel d'accueil du ligament artificiel ; In this way, the clip screwed end of porteagrafe thus produced, is in its extension and can be inserted and guided arthroscopically for example up to the indentation of the bone in which the tunnel has been previously perforated Home artificial ligament; les deux jambes de l'agrafe sont alors disposées de part et d'autre du ligament juste au-dessus de l'entrée du tunnel, et introduites dans l'os en frappant sur la tête du porte-agrafe. the two legs of the clip are then placed on either side of the ligament just above the entrance of the tunnel, and inserted into the bone by tapping the head of the clip holder.

Lorsque le corps de l'agrafe est totalement introduit dans la corticale de l'os, le porte-sgrafe est dévissé, retiré et remplacé par la pièce cylindro-ogivale qui est introduite dans l'alésage de l'agrafe, guidée grâce à une clef alêne disposée dans la tête de la pièce cylindro-ogivale comportant des pans creux. When the body of the clip is fully inserted in the cortical bone, the holder sgrafe is unscrewed, removed and replaced with the cylindro-ogival part which is inserted into the bore of the clip, guided through a awl key disposed in the head piece of the cylindro-ogival having hollow sections.

On décrira ci-après,à titre d'exemple non limitatif, une forme d'exécution de la présente invention,en référence su dessin annexé sur lequel hereinafter be described, by way of nonlimiting example, an embodiment of the present invention, with reference su appended drawing in which
La figure 1 représente une vue en élévation d'une agrafe suivant l'invention avec sa pièce cylindro-ogivale en position non montée. 1 shows an elevational view of a staple according to the invention with its cylindrical-ogival part unassembled position.

La figure 2 représente une vue de dessous de l'agrafe suivant l'invention sans sa pièce cylindro-ogivale. 2 shows a bottom view of the clip according to the invention without its part cylindro-ogival.

La figure 3 est une vue en élévation de l'instrument ancillaire, ou porte-agrafe, associé à l'agrafe suivant l'invention, destiné à l'implantation de ladite agrafe et accessoirement au montage de la pièce cylindro-ogivale dans le corps de la même agrafe. Figure 3 is an elevational view of the ancillary instrument or staple holder associated with the clip according to the invention for the implantation of said staple and ancillary mounting the cylindro-ogival part in the body the same clip.

La figure 4 est une vue en coupe verticale de l'agrafe suivant l'invention en une première position représentant en trait mixte l'implantation dans l'os avant montage de la pièce cylindro-ogivale, et une seconde position représentant en trait continu l'implantation dans l'os après montage de la pièce cylindro-ogivale venant écarter les jambes de l'agrafe et comprimer le ligament dans son tunnel. Figure 4 is a vertical sectional view of the clip according to the invention in a first position in phantom representing implantation in the bone before fitting of the part-cylindrical ogival, and a second solid line position representing the implantation in the bone after assembly of the cylindro-ogival piece from spreading their legs of the staple and compress the ligament in the tunnel.

La figure 5 est une vue en perspective de l'ensemble agrafe et ligament tel qu'il est monté dans l'échancrure de l'os en fin d'intervention. 5 is a perspective view of the whole clip and ligament as mounted in the indentation of the bone after surgery.

L'agrafe 1 suivant l'invention qui est représentée sur les figures 1 et 2, comprend un corps cylindrique 2 moulé en un matériau biocompatible, comportant axialement un alésage traversant 3 de diamètre "D" taraudé sur toute la hauteur du corps 2. Disposées en vis à vis, de part et d'autre de l'axe du corps 2, perpendiculairement à celui-ci, deux jambes 4 s'étendent sur une hauteur d'environ trois fois la hauteur du corps 2 ; The clip 1 according to the invention shown in Figures 1 and 2, comprises a cylindrical body 2 molded from a biocompatible material, having an axially through bore 3 of diameter "D" threaded over the entire height of the body 2. Arranged opposite, on either side of the axis of the body 2 perpendicularly thereto, two legs 4 extend over a height of approximately three times the height of the body 2; Les jambes 4, de section sensiblement elliptique, ont des faces latérales externes 5 qui viennent dans le prolongement de la surface latérale externe du corps 2. L'épaisseur des jambes 4 est telle que la distance entre leurs faces latérales internes 6 soit supérieure su diamètre "D".Sur chaque face interne 6, aux 2/3 environ de la hauteur de chaque jambe 4 à partir de son extrémité 7, deux excroissances en forme de bossages 8 sensiblement hémisphériques sont disposées en vis à vis de telle manière que la distance d'entre leurs sommets soit inférieure au diamètre "D" de l'alésage 3.L'alésage taraudé 3 peut recevoir une pièce 9 en matériau similaire à celui de l'agrafe 1, de forme cylindrique comportant sur une hauteur d'environ deux fois celle du corps 2 un filetage du même pas que celui de l'alésage ; The legs 4, of substantially elliptical cross-section, have outer side faces 5 which are in the extension of the outer lateral surface of the body 2. The thickness of the legs 4 is such that the distance between their inner side faces 6 is greater diameter su "D" .On each inner face 6, to about 2/3 of the height of each leg 4 from its end 7, two protuberances in the form of substantially hemispherical projections 8 are arranged opposite in such a way that the distance of their tops is smaller than the diameter "D" of the bore 3.L'alésage tapped 3 can receive a part 9 in material similar to that of the clip 1, of cylindrical shape having a height of about two times that of the body 2 a thread of the same pitch as that of the bore; la pièce 9 comporte, d'un côté, une extrémité hémisphérique 10 et, de l'autre, une face plane présentant un puits central 11 à six pans creux destiné à recevoir un embout de clef alêne pour le vissage de la pièce 9 dans l'alésage 3 du corps 2 de l'agrafe 1, lorsque celle-ci a été implantée dans une échancrure 12 d'un os 13, à cheval sur un ligament 14 prédisposé dans un tunnel 15 conformément à la figure 5. the part 9 comprises, on one side, a hemispherical end 10 and, on the other, a flat face having a central well 11 with hexagon socket for receiving an allen key tip for screwing the part 9 in bore 3 of the body 2 of the staple 1 when the latter has been implanted in a notch 12 of a bone 13, riding on a predisposed ligament 14 in a tunnel 15 according to Figure 5.

Pour l'implantation de l'agrafe 1 dans l'os 13, un porte-agrafe 16. tel que représenté sur la figure 3, peut être utilisé ; For implantation of the staple 1 into the bone 13, a staple holder 16 as shown in Figure 3, may be used; le porte-agrafe 16 comprend un manche 17, cylindrique, de section identique à celle du corps 2 de l'agrafe 1 et de longueur suffisante pour atteindre l'échancrure 12 de l'articulation depuis l'extérieur du membre. the staple holder 16 includes a handle 17, cylindrical, of section identical to that of the body 2 of the staple 1 and of sufficient length to reach the notch 12 of the joint from outside the member.

Le porte-agrafe 16 comporte, à l'une de ses extrémités, une vis 18 de même diamètre et de même pas que la pièce 9, s'étendant suivant l'axe du porte-agrafe sur une hauteur sensiblement égale à celle du corps 2 de l'agrafe 1; The staple holder 16 includes at one of its ends, a screw 18 of the same diameter and same pitch as the part 9, extending along the axis of the staple holder to a height substantially equal to that of the body 2 of the staple 1; l'autre extrémité 19 du porte-agrafe 16 présente un applatissement destiné au coup de marteau nécessaire pour enfoncer l'agrafe 1. De cette manière on peut solidariser l'agrafe 1 au porte-agrafe 16 par vissage de la vis 18 dans l'alésage 3 de l'agrafe 1 qui vient ainsi dans le prolongement du porte-agrafe 16. the other end 19 of the staple holder 16 has a flattening for the stroke necessary hammer to drive the staple 1. In this way one can fasten the clip 1 to the staple holder 16 by screwing the screws 18 in the bore 3 of the clip 1 which comes through the extension of the clip holder 16.

L'agrafe 1 est alors implantée, comme représenté en trait mixte sur la figure 4, dans la partie spongieuse 131 de l'os 13 jusqu'à affleurer la corticale 132 de l'os 13, les jambes 5 chevauchant le tunnel 15 comportant le ligament artificiel 14. Les extrémités 7 des jambes 5 de l'agrafe 1 sont taillées en biseau de telle manière que pendant la pénétration dans l'os 13, les jambes 4 aient tendance à s'écarter, c'est-à-dire que les plans obliques 71 des extrémités 7 sont issus des parois internes 6 pour rejoindre les faces latérales externes 5 et former dans leur prolongement une partie tranchante 72. The clip 1 is then implanted, as shown in phantom in Figure 4, the cancellous portion 131 of the bone 13 until flush with the cortical bone 132 of 13, the legs 5 overlapping the tunnel 15 having the artificial ligament 14. the ends 7 5 of the staple legs 1 are bevelled so that during the penetration into the bone 13, the legs 4 have a tendency to diverge, that is to say the oblique planes 71 of the ends 7 are from the inner walls 6 to join the outer side faces 5 and form in their extension a cutting portion 72.

Le porte-sgrafe 16 est ensuite dévissé du corps 2 de l'agrafe 1 et la pièce 9 est alors introduite et vissée dans l'alésage 3 par exemple au moyen du même porte-agrafe 16 muni d'un embout 20 à six pans avantageusement prévu dans le prolongement de la vis 18. Sgrafe holder 16 is then unscrewed from the body 2 of the staple 1 and the piece 9 is then inserted and screwed into the bore 3, for example using the same staple holder 16 provided with a nozzle 20 hex advantageously provided in the extension of the screw 18.

Lorsque l'extrémité arrondie 10 de la pièce 9 rencontre les bossages 8 sur les jambes 5 de l'agrafe 1, celles-ci s'écartent dans la partie spongieuse 131 de l'os 13 rendant l'agrafe totalement inarrachable ; When the rounded end 10 of the piece 9 encounter the projections 8 of the legs 5 of the fastener 1, they differ in the cancellous portion 131 of the bone 13 rendering totally inarrachable the clip; la progression de la pièce 9 vient enfin écraser le ligament 14 dans le fond du tunnel 15 jusqu'à un blocage total dudit ligament 14 dans l'os 13. the progress of the piece 9 comes finally crushing the ligament 14 in the bottom of the tunnel 15 to a total blocking of said ligament 14 in the bone 13.

Le ligament artificiel 14 bloqué fermement à l'entrée du tunnel 15 dans l'échancrure 12 de l'os 13, peut être réhabitué par l'os à l'intérieur dudit tunnel 15 où il peut résider sans contrainte le temps nécessaire pour 1 'ostéo- synthèse sans pour autant maintenir l'articulation au repos. The artificial ligament 14 firmly blocked to the tunnel entrance 15 into the recess 12 of the bone 13 can be réhabitué by the bone within said tunnel 15 where it may reside freely the time required for 1 ' osteo synthesis without maintaining the joint at rest.

Claims (6)

    REVENDICATIONS
  1. 1.- Agrafe chirurgicale comprenant un corps de forme préférentiellement cylindrique dont sont issues deux jambes latérales sensiblement parallèles, disposées en vis à vis selon un écartement supérieur au diamètre du ligament en s'étendant colinéairement à l'axe du corps, leurs faces latérales externes venant dans le prolongement de la face latérale externe du corps, caractérisée en ce que, d'une part, le corps (2) de l'agrafe comporte sur toute sa hauteur et suivant son axe un alésage (3) de diamètre sensiblement égal à l'écartement des deux jambes (4) dont les faces internes en vis à vis présentent chacune une excroissanve identique (8) en forme de bossages sensiblement hémisphériques, disposés en regard, aux deux tiers environ de la longueur desdites jambes (4) à compter de leurs extrémités, bossages (8) qui sont tels que la distance entre leurs sommets soit inférieure au diamètre de l'alésage et d'autre part, une pièce cylindrique (9) dont une des ba 1.- surgical fastener comprising a preferably cylindrical body of which are from two substantially parallel side legs disposed opposite at a spacing greater than the diameter of the ligament extending collinearly with the axis of the body, their external lateral faces coming into the extension of the outer lateral face of the body, characterized in that, firstly, the body (2) of the clip comprises over its entire height and a bore along its axis (3) of diameter substantially equal to the spacing of the two legs (4) whose internal faces facing each have an identical excroissanve (8) in the form of substantially hemispherical projections, disposed opposite to the two thirds of the length of said legs (4) from their ends projections (8) which are such that the distance between their peaks is less than the diameter of the bore and on the other hand, a cylindrical part (9) having one ba ses est plane et comporte en creux des moyens de préhension (11) pour un système ancillaire adapté, l'autre base étant arrondie en forme préférentiellement hémisphérique (10), a un diamètre et une hauteur tels que ladite pièce (9) puisse pénétrer dans l'alésage (3) du corps d'agrafe par se base arrondie (10) qui vient ainsi, au contact des bossages (8), écarter progressivement les deux jambes (4), rendant l'agrafe inarrachable lorsqu'elle est implantée, et contrebloquer le ligament (14) dans son tunnel d'accueil (15) pratiqué dans l'os, jusqu'à ce que la face supérieure de la pièce (9) affleure le corps (2) de l'agrafe à laquelle elle est solidarisée par des moyens appropriés. his is planar and comprises hollow gripping means (11) for an ancillary system adapted, the other base being preferably rounded hemispherical shape (10) has a diameter and a height such that said part (9) can penetrate into the bore (3) of the clip body is rounded base (10) thus comes in contact with the bosses (8) progressively separate the two legs (4), making the clip inarrachable when implanted, and contrebloquer the ligament (14) in the host tunnel (15) formed in the bone, until the upper face of the workpiece (9) is flush with the body (2) of the clip to which it is secured by appropriate means.
  2. 2.- Agrafe chirurgicale suivant la revendication 1 caractérisée en ce que d'une part l'alésage (3) du corps (2) de l'agrafe (1) est taraudé et, d'autre part, la pièce (9) est filetée su même pas que l'alésage (3) sur toute sa partie cylindrique de façon que ladite pièce (9), par vissage dans l'alésage (3), vienne écarter d'abord les jambes (4) de l'agrafe 1 pré-installée dans l'os (13) à cheval sur le tunnel (15) le rendant ainsi inarrachable et écraser ensuite le ligament (14) pour le bloquer contre la paroi dudit tunnel (15). 2. A surgical clip according to claim 1 characterized in that on the one hand the bore (3) of the body (2) of the clip (1) is threaded and the other, the workpiece (9) is su not threaded along the bore (3) along its cylindrical portion so that said piece (9) by screwing into the bore (3), come aside first legs (4) of the clip 1 pre-installed in the bone (13) riding on the tunnel (15) thus making the inarrachable and then overwrite the ligament (14) to lock it against the wall of said tunnel (15).
  3. 3.- Agrafe chirurgicale suivant l'une quelconque des revendications précédentes caractérisée en ce que les extrémités (7) des deux jambes (4) de l'agrafe (1) sont taillées en biseau par un amoindrissement progressif (71,72) desdites extrémités (7) à partir de leurs faces internes (6), les arêtes tranchantes (72) qui en résultent se trouvant dans le prolongement des faces latérales externes (5) des jambes 4. 3. A surgical clip according to any one of the preceding claims, characterized in that the ends (7) of the two legs (4) of the clip (1) are bevelled by a gradual process (71,72) of said ends (7) from their inner faces (6), the cutting edges (72) which result in being in line with the outer side faces (5) of the legs 4.
  4. 4.- Agrafe chirurgicale suivant l'une quelconque des revendications précédentes caractérisée en ce que la pièce (9) comporte, du côté de sa face plane, un puits central (11) à quatre ou six pans creux de manière à recevoir une clef alêne destinée au montage de ladite pièce (9). 4. A surgical clip according to any preceding claim characterized in that the part (9) has, on the side of the planar face, a central shaft (11) or four hexagon socket for receiving a key awl for mounting said workpiece (9).
  5. 5.- Instrument ancillaire associé à l'agrafe selon l'une quelconque des revendications précédentes caractérisé en ce qu'il est constitué d'une partie cylindrique (17) de même diamètre que le corps (2) de l'agrafe (1), d'une hauteur suffisante pour un accès et une manipulation aisés, comportant, d'un côté une vis (18) au pas de l'alésage (3) du corps (2) de l'agrafe (1) et de même hauteur que celui-ci de manière à pouvoir les assembler, et de l'autre côté, un aplatissement (19) convenable pour la frappe d'un marteau prévue pour implanter l'agrafe (1) dans l'os (13). 5.- ancillary instrument associated with the clip according to any one of the preceding claims characterized in that it consists of a cylindrical portion (17) of the same diameter as the body (2) of the clip (1) of sufficient height for easy access and manipulation, comprising on one side a screw (18) the pitch of the bore (3) of the body (2) of the clip (1) and of same height the latter so as to assemble them, and on the other hand, a flattening (19) suitable for striking with a hammer intended to implant the staple (1) in the bone (13).
  6. 6.- Instrument ancillaire suivant la revendication 5 caractérisé en ce que dans le prolongement axial de la vis (18) s'étend un embout (20) à quatre ou six pans réguliers correspondant aux pans creux du puit (11) de la pièce (9) permettant le transport, le guidage et le vissage de ladite pièce (9) dans l'agrafe (1). 6.- Ancillary instrument according to claim 5 characterized in that in the axial extension of the screw (18) extends a mouthpiece (20) with four or six regular sections corresponding to the hollow parts of the well (11) of the workpiece ( 9) for transporting, guiding and screwing said workpiece (9) in the clip (1).
FR8715100A 1987-10-30 1987-10-30 Surgical clip for immediate fixation of artificial ligaments and ancillary instrument for implantation into the bone Expired - Fee Related FR2622430B1 (en)

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FR8715100A FR2622430B1 (en) 1987-10-30 1987-10-30 Surgical clip for immediate fixation of artificial ligaments and ancillary instrument for implantation into the bone

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FR8715100A FR2622430B1 (en) 1987-10-30 1987-10-30 Surgical clip for immediate fixation of artificial ligaments and ancillary instrument for implantation into the bone

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FR2622430A1 true true FR2622430A1 (en) 1989-05-05
FR2622430B1 FR2622430B1 (en) 1997-04-25

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EP0450776A1 (en) * 1990-03-29 1991-10-09 Kabushiki Kaisha Dairiseki Kohgeisha Joint structure for fixing panel blocks on side wall of building
EP0504915A1 (en) * 1991-03-22 1992-09-23 United States Surgical Corporation Orthopaedic fastener
FR2676356A1 (en) * 1991-05-13 1992-11-20 Cendis Medical Fixation element for ligaments
FR2682587A1 (en) * 1991-10-21 1993-04-23 Laboureau Jacques Philippe Surgical ligamentary nail and associated ancillary instrumentation
EP0546340A1 (en) * 1991-12-09 1993-06-16 A. Raymond &amp; Cie Plastic dowel
EP0557306A1 (en) * 1990-09-25 1993-09-01 Innovasive Devices, Inc. Bone fastener
EP0611557A2 (en) * 1993-02-17 1994-08-24 SMITH &amp; NEPHEW DYONICS INC Surgical implant & surgical kit
US5354298A (en) * 1991-03-22 1994-10-11 United States Surgical Corporation Suture anchor installation system
EP0624350A2 (en) * 1993-05-12 1994-11-17 E. Marlowe Goble Arbor press staple and washer and method for its use
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
WO1996014798A1 (en) * 1994-11-10 1996-05-23 Innovasive Devices, Inc. Suture anchor assembly and methods
US5643321A (en) * 1994-11-10 1997-07-01 Innovasive Devices Suture anchor assembly and methods
US5645589A (en) * 1994-08-22 1997-07-08 Li Medical Technologies, Inc. Anchor and method for securement into a bore
US5725529A (en) * 1990-09-25 1998-03-10 Innovasive Devices, Inc. Bone fastener
US5814071A (en) * 1994-11-10 1998-09-29 Innovasive Devices, Inc. Suture anchor assembly and methods
US5860978A (en) * 1990-09-25 1999-01-19 Innovasive Devices, Inc. Methods and apparatus for preventing migration of sutures through transosseous tunnels
US5944739A (en) * 1998-03-12 1999-08-31 Surgical Dynamics, Inc. Suture anchor installation system
US5948001A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
EP0955894A1 (en) * 1995-08-25 1999-11-17 R. Thomas Grotz Stabilizer for human joints
US6102934A (en) * 1998-06-02 2000-08-15 Li; Lehmann K. Anchor tool and method and apparatus for emplacing anchor in a borehole
US6117161A (en) * 1995-06-06 2000-09-12 Li Medical Tecnologies, Inc. Fastener and fastening method, particularly for fastening sutures to bone
US6221107B1 (en) 1998-08-03 2001-04-24 Mark E. Steiner Ligament fixation device and method
US6451030B2 (en) 2000-06-30 2002-09-17 Li Medical Technologies, Inc. Rotor blade anchor and tool for installing same particularlly for arthroscopic installation
US6527794B1 (en) 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
WO2003105700A1 (en) * 2002-06-12 2003-12-24 Blue Planet Medical, Ltd. Device and method for attaching soft tissue to bone
US6736829B1 (en) 1999-11-11 2004-05-18 Linvatec Corporation Toggle anchor and tool for insertion thereof
WO2005051205A1 (en) * 2003-11-21 2005-06-09 Blue Planet Medical, Inc. Device and method for attaching soft tissue to bone
US7037324B2 (en) 2000-09-15 2006-05-02 United States Surgical Corporation Knotless tissue anchor
WO2008145984A1 (en) 2007-05-25 2008-12-04 University Hospital Of South Manchester Nhs Foundation Trust Graft fixation device
US20090287259A1 (en) * 2008-05-14 2009-11-19 Smith & Nephew, Inc. Arthroscopic Biceps Tenodesis Repair
US7867264B2 (en) 2000-11-16 2011-01-11 Ethicon, Inc. Apparatus and method for attaching soft tissue to bone
US8491600B2 (en) 1999-07-23 2013-07-23 Depuy Mitek, Llc System and method for attaching soft tissue to bone
US8496705B2 (en) 1996-11-21 2013-07-30 DePuy Mitek, LLCR Method of anchoring autologous or artificial tendon grafts in bone
US9179907B2 (en) 2000-06-22 2015-11-10 Arthrex, Inc. Knotless graft fixation assembly
US9259307B2 (en) 2008-12-09 2016-02-16 Smith & Nephew, Inc. Tissue repair assembly
US9408690B2 (en) 2008-12-09 2016-08-09 Smith & Nephew, Inc. Tissue repair assembly
US9622739B2 (en) 2004-04-06 2017-04-18 Arthrex, Inc. Suture anchor
US9675395B2 (en) 2011-11-07 2017-06-13 Adsm Osteosynthesis clip
US9750492B2 (en) 2006-08-04 2017-09-05 Depuy Mitek, Llc Suture anchor system with tension relief mechanism

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5720753A (en) 1991-03-22 1998-02-24 United States Surgical Corporation Orthopedic fastener
US5643266A (en) 1995-06-05 1997-07-01 Li Medical Technologies, Inc. Method and apparatus for securing ligaments
US5702215A (en) 1995-06-05 1997-12-30 Li Medical Technologies, Inc. Retractable fixation device
US5690649A (en) 1995-12-05 1997-11-25 Li Medical Technologies, Inc. Anchor and anchor installation tool and method
US5741300A (en) 1996-09-10 1998-04-21 Li Medical Technologies, Inc. Surgical anchor and package and cartridge for surgical anchor
US5948000A (en) 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
CA2217406C (en) 1996-10-04 2006-05-30 United States Surgical Corporation Suture anchor installation system with disposable loading unit
EP0834280B1 (en) 1996-10-04 2004-01-02 United States Surgical Corporation Tissue fastener implantation apparatus
CA2272251C (en) 1996-11-21 2009-07-07 Innovasive Devices, Inc. Apparatus and methods for anchoring autologous or artificial tendon grafts in bone
US5707395A (en) 1997-01-16 1998-01-13 Li Medical Technologies, Inc. Surgical fastener and method and apparatus for ligament repair
US6146406A (en) 1998-02-12 2000-11-14 Smith & Nephew, Inc. Bone anchor
US6482210B1 (en) 1998-11-12 2002-11-19 Orthopaedic Biosystems, Ltd., Inc. Soft tissue/ligament to bone fixation device with inserter
US6689153B1 (en) 1999-04-16 2004-02-10 Orthopaedic Biosystems Ltd, Inc. Methods and apparatus for a coated anchoring device and/or suture
US6743233B1 (en) 2000-08-02 2004-06-01 Orthopaedic Biosystems, Ltd., Inc. Medical screw and method of installation
DE602006020094D1 (en) 2005-09-12 2011-03-31 Arthrex Inc Ösennahtanker
US9521999B2 (en) 2005-09-13 2016-12-20 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
WO2008008511A3 (en) 2006-07-14 2008-06-05 Laszlo Garamszegi Pedicle screw assembly with inclined surface seat

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3550499A (en) * 1969-02-28 1970-12-29 Stanley D Eilenberger Screw anchor
GB2084468A (en) * 1980-09-25 1982-04-15 South African Inventions Surgical implant
EP0194409A2 (en) * 1985-03-11 1986-09-17 fischerwerke Artur Fischer GmbH &amp; Co. KG Attachment element for osteosynthesis
DE3509417A1 (en) * 1985-03-15 1986-09-25 Ewers Geb Goos Hildegund Dr Device for promoting osteosynthesis in bone surgery
DE8701123U1 (en) * 1986-01-24 1987-04-02 Pfizer Hospital Products Group, Inc., New York, N.Y., Us

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3550499A (en) * 1969-02-28 1970-12-29 Stanley D Eilenberger Screw anchor
GB2084468A (en) * 1980-09-25 1982-04-15 South African Inventions Surgical implant
EP0194409A2 (en) * 1985-03-11 1986-09-17 fischerwerke Artur Fischer GmbH &amp; Co. KG Attachment element for osteosynthesis
DE3509417A1 (en) * 1985-03-15 1986-09-25 Ewers Geb Goos Hildegund Dr Device for promoting osteosynthesis in bone surgery
DE8701123U1 (en) * 1986-01-24 1987-04-02 Pfizer Hospital Products Group, Inc., New York, N.Y., Us

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EP0450776A1 (en) * 1990-03-29 1991-10-09 Kabushiki Kaisha Dairiseki Kohgeisha Joint structure for fixing panel blocks on side wall of building
US6302886B1 (en) 1990-09-24 2001-10-16 Innovasive Devices, Inc. Method and apparatus for preventing migration of sutures through transosseous tunnels
US5911721A (en) * 1990-09-25 1999-06-15 Innovasive Devices, Inc. Bone fastener
US5860978A (en) * 1990-09-25 1999-01-19 Innovasive Devices, Inc. Methods and apparatus for preventing migration of sutures through transosseous tunnels
US5725529A (en) * 1990-09-25 1998-03-10 Innovasive Devices, Inc. Bone fastener
EP0557306A1 (en) * 1990-09-25 1993-09-01 Innovasive Devices, Inc. Bone fastener
EP0557306A4 (en) * 1990-09-25 1994-06-15 Innovasive Devices Inc Bone fastener
US5968044A (en) * 1990-09-25 1999-10-19 Innovasive Devices, Inc. Bone fastener
EP0504915A1 (en) * 1991-03-22 1992-09-23 United States Surgical Corporation Orthopaedic fastener
US5354298A (en) * 1991-03-22 1994-10-11 United States Surgical Corporation Suture anchor installation system
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
FR2676356A1 (en) * 1991-05-13 1992-11-20 Cendis Medical Fixation element for ligaments
US5356435A (en) * 1991-05-13 1994-10-18 Cendis Medical Element for fixing ligaments
FR2682587A1 (en) * 1991-10-21 1993-04-23 Laboureau Jacques Philippe Surgical ligamentary nail and associated ancillary instrumentation
EP0546340A1 (en) * 1991-12-09 1993-06-16 A. Raymond &amp; Cie Plastic dowel
EP0611557A2 (en) * 1993-02-17 1994-08-24 SMITH &amp; NEPHEW DYONICS INC Surgical implant & surgical kit
EP0611557A3 (en) * 1993-02-17 1995-07-05 Smith & Nephew Dyonics Surgical implant & surgical kit.
EP0624350A2 (en) * 1993-05-12 1994-11-17 E. Marlowe Goble Arbor press staple and washer and method for its use
EP0624350A3 (en) * 1993-05-12 1995-11-29 E Marlowe Goble Arbor press staple and washer and method for its use.
US5645589A (en) * 1994-08-22 1997-07-08 Li Medical Technologies, Inc. Anchor and method for securement into a bore
US5797963A (en) * 1994-11-10 1998-08-25 Innovasive Devices, Inc. Suture anchor assembly and methods
US5814071A (en) * 1994-11-10 1998-09-29 Innovasive Devices, Inc. Suture anchor assembly and methods
US5649963A (en) * 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
US5643321A (en) * 1994-11-10 1997-07-01 Innovasive Devices Suture anchor assembly and methods
WO1996014798A1 (en) * 1994-11-10 1996-05-23 Innovasive Devices, Inc. Suture anchor assembly and methods
US6117161A (en) * 1995-06-06 2000-09-12 Li Medical Tecnologies, Inc. Fastener and fastening method, particularly for fastening sutures to bone
EP0955894A1 (en) * 1995-08-25 1999-11-17 R. Thomas Grotz Stabilizer for human joints
EP0955894A4 (en) * 1995-08-25 2001-02-28 R Thomas Grotz Stabilizer for human joints
US5948001A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
US8496705B2 (en) 1996-11-21 2013-07-30 DePuy Mitek, LLCR Method of anchoring autologous or artificial tendon grafts in bone
US5944739A (en) * 1998-03-12 1999-08-31 Surgical Dynamics, Inc. Suture anchor installation system
US6102934A (en) * 1998-06-02 2000-08-15 Li; Lehmann K. Anchor tool and method and apparatus for emplacing anchor in a borehole
US6221107B1 (en) 1998-08-03 2001-04-24 Mark E. Steiner Ligament fixation device and method
US8491600B2 (en) 1999-07-23 2013-07-23 Depuy Mitek, Llc System and method for attaching soft tissue to bone
US6660023B2 (en) 1999-08-10 2003-12-09 Ethicon, Inc. Self-locking suture anchor
US6527794B1 (en) 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
US6736829B1 (en) 1999-11-11 2004-05-18 Linvatec Corporation Toggle anchor and tool for insertion thereof
US9775599B2 (en) 2000-06-22 2017-10-03 Arthrex, Inc. Knotless tissue fixation assembly
US9179907B2 (en) 2000-06-22 2015-11-10 Arthrex, Inc. Knotless graft fixation assembly
US9706986B2 (en) 2000-06-22 2017-07-18 Arthrex, Inc. Knotless suture and tissue securing method
US6451030B2 (en) 2000-06-30 2002-09-17 Li Medical Technologies, Inc. Rotor blade anchor and tool for installing same particularlly for arthroscopic installation
US7037324B2 (en) 2000-09-15 2006-05-02 United States Surgical Corporation Knotless tissue anchor
US7309346B2 (en) 2000-09-15 2007-12-18 United States Surgical Corporation Knotless tissue anchor
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US9757114B2 (en) 2000-11-16 2017-09-12 Depuy Mitek, Llc Apparatus and method for attaching soft tissue to bone
US7867264B2 (en) 2000-11-16 2011-01-11 Ethicon, Inc. Apparatus and method for attaching soft tissue to bone
US8834543B2 (en) 2000-11-16 2014-09-16 Depuy Mitek, Llc Apparatus and method for attaching soft tissue to bone
WO2003105700A1 (en) * 2002-06-12 2003-12-24 Blue Planet Medical, Ltd. Device and method for attaching soft tissue to bone
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US9622739B2 (en) 2004-04-06 2017-04-18 Arthrex, Inc. Suture anchor
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WO2008145984A1 (en) 2007-05-25 2008-12-04 University Hospital Of South Manchester Nhs Foundation Trust Graft fixation device
US8870877B2 (en) 2007-05-25 2014-10-28 Arthrex, Inc. Graft fixation device
US8747469B2 (en) 2007-05-25 2014-06-10 University Hospital Of South Manchester Nhs Foundation Trust Graft fixation device
US20160095693A1 (en) * 2008-05-14 2016-04-07 Smith & Nephew, Inc. Arthroscopic biceps tenodesis repair
US9241783B2 (en) 2008-05-14 2016-01-26 Smith & Nephew, Inc. Arthroscopic biceps tenodesis repair
US20090287259A1 (en) * 2008-05-14 2009-11-19 Smith & Nephew, Inc. Arthroscopic Biceps Tenodesis Repair
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US9770324B2 (en) * 2008-05-14 2017-09-26 Smith & Nephew, Inc. Arthroscopic biceps tenodesis repair
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