JP2002000019U - 外科用ねじ - Google Patents

外科用ねじ

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Publication number
JP2002000019U
JP2002000019U JP2002000322U JP2002000322U JP2002000019U JP 2002000019 U JP2002000019 U JP 2002000019U JP 2002000322 U JP2002000322 U JP 2002000322U JP 2002000322 U JP2002000322 U JP 2002000322U JP 2002000019 U JP2002000019 U JP 2002000019U
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JP
Japan
Prior art keywords
head
screw
shaft
diameter
surgical screw
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.)
Granted
Application number
JP2002000322U
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English (en)
Other versions
JP2607876Y2 (ja
Inventor
ロジャー，グレゴリィ，ジェームス
ピンクゼウスキー，レオ，アリエ
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
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Smith and Nephew Inc
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Publication date
Application filed by Smith and Nephew Inc filed Critical Smith and Nephew Inc
Publication of JP2002000019U publication Critical patent/JP2002000019U/ja
Application granted granted Critical
Publication of JP2607876Y2 publication Critical patent/JP2607876Y2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8645—Headless screws, e.g. ligament interference screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0841—Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Rehabilitation Therapy (AREA)
  • Rheumatology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Prostheses (AREA)

Abstract

(57)【要約】 【課題】 膝を曲げて移植片が揺動されたときにねじ頭
部が移植物体に係止し、ねじ頭部が移植片の作用点とし
て作用して移植片の繊維組織を傷つけかねない。 【解決手段】 外科用ねじ５は頭部６を有し、頭部は少
なくとも一部を半球形とされる。滑らかな連続結合がね
じ５の頭部５の頭部６と軸部７との間に形成される。ね
じをねじ込むために、駆動ソケット１１が頭部と同心に
備えられて側面１１に開口され、これによりねじ５がワ
イヤー（図示せず）または同様部材に沿ってねじ込める
ようになされる。軸部７は滑らかな柔らかいねじ山を有
し、骨に準備加工した穴の中に靱帯移植片の骨端部を相
互固定して取り付けられるが、両方の骨組織を損傷しな
いようになされる。半球形部分８は、靱帯がその上を疲
労や応力集中を生じることなく曲がり且つ動けるように
する滑らかな連続した湾曲面を形成する。

Description

【考案の詳細な説明】
【０００１】
【考案の属する技術分野】
本考案は前部十字靭帯（Anterior Cruciate ligament）を再構成する間の膝蓋 靭帯移植片（Patellar Tendon Grafts）の固定に特に好適な外科用ねじに関する 。
【０００２】
【従来の技術、考案が解決しようとする課題】
損傷した十字靭帯は、両端が骨組織塊に対して生理的に結合されている膝蓋靭 帯を膝関節内で大腿骨と脛骨との間に移植することで修復できる。この移植片は 準備加工した穴の中に挿入され、最初は移植片の骨に並べてこの穴内に挿入され たねじによって結合される。時間が経過すると移植片は骨実体と癒合する。この 技術は一般に良好な効果を示すが、膝を曲げて移植片が揺動されたときにねじ頭 部が移植物体に係止し、ねじ頭部が移植片の支点として作用して移植片の繊維組 織を傷つけかねないという問題が起こり得る。従来のねじ山は移植片に食い込み 、それ故に損傷させるという他の問題も発生し得る。また、従来のねじは或る種 の方法では膝関節内に失われかねず、必要以外の作動をして更に外傷を与えかね ない。
【０００３】
【課題を解決するための手段】
広義の一態様によれば、本考案は、長手方向軸線を有する軸部と、前記軸部の 一端から該軸部の長さに沿って延在し、該長さを通じてその外周には切り込み線 （すなわち、外科用ねじの前進にあって、靭帯移植片の繊維組織に食い込む（切 り込みを入れながら前進する）ような鋭い縁）がない複数のねじ山と、前記軸部 の一端とは反対側の他端に設けた頭部と、工具を挿入するために前記頭部に形成 した凹所とを有し、前記頭部は、前記軸部の頭部隣接部分から滑らか且つ連続的 に延在する外側表面を有するとともに、少なくとも前記頭部隣接部分の最大直径 に等しい直径を有する半球形端部を含んで成る外科用ねじを提供する。
【０００４】
【考案の実施の形態】
以下、単なる例として、本考案の１好適例を図面を参照しながら説明する。 損傷した十字靭帯を修復するとき、盲穴１が大腿骨２の膝関節部分の内部にド リル加工され、膝裏靭帯移植片４の骨端部３が穴１の中に挿入されて、ねじ５を ねじ込むことで所定位置に固定される。ねじ頭部６は一般に靭帯移植片４の下側 に位置付けられ、従って膝が再び通常の使用状態になされると、靭帯移植片４は ねじ頭部６の上に導かれてそれら両者間に或る程度の相互運動が生じる。
【０００５】 ねじ５は靭帯移植片４の骨端部３に実質的に食い込まないが、骨端部３の大腿 骨２に対する癒合に必要な時間にわたって骨端部３を剛性的に位置決めされた状 態に保持するために、ねじ部分と骨端部３および穴１の内壁面との間を相互固定 する。従って、第２図に見られるように、ねじ５のねじ山形は、長手方向軸線に 沿った断面においてシヌソイド形になされ、その外周にはねじ稜線を螺旋状にた どる切り込み線がない。
【０００６】 ねじ頭部６は、滑らかに延在し且つ全体的に軸部７から半球形端部８へ続く表 面を有する。頭部６の、ねじ５の長手方向軸線と整合した中央には、ねじ５を所 定位置にねじ込むための組み合う６角形駆動部を受け入れるためのソケット１１ を形成した。半球形端部８の半径は概ね４mmであり、この作動に関する典型的な ねじの直径は全長にわたって８mmもしくはそれに近い。
【０００７】 第３図に示されるように、頭部８はねじ軸部７よりも大きな直径にもでき、こ の頭部８は軸部７へ向けて細くなるようにテーパーが付された截頭円錐形の円錐 形カラー部分１０（遷移領域）まで滑らかに続く半球形以上の球形部分になされ ている。
【０００８】 勿論、ねじ５は直径が大きく異なるねじが好ましいとされる別の作動条件の下 でも使用でき、頭部６は軸部７に滑らかに連なるほぼ半球形に維持される。
【０００９】 ねじ５を穴１の中に初めて挿入するときにその導入をおよび整合をいっそう容 易にするために、中央通し穴９をねじ５の長さに沿って形成した。この通し穴９ は、大径キルシェナー（Kirschener）ワイヤーまたは類似物によって取扱いでき るようにするためのものであり、中央通し穴９の径は典型的には約２．４mmにな される。
【図面の簡単な説明】
【図１】本考案による外科用ねじを挿入された大腿骨の
膝関節端部を概略的に示す図。
【図２】本考案による外科用ねじの一実施例の概略断面
図。
【図３】本考案による外科用ねじの別の実施例の図２と
同様な概略断面図。
【図４】図２に示したような外科用ねじを使用して固定
される膝蓋靭帯移植片を示す図。
【符号の説明】
１ 盲穴 ２ 大腿骨 ３ 骨端部 ４ 膝裏移植靭帯片 ５ ねじ ６ ねじ頭部 ７ 軸部 ８ 半球形端部 ９ 中央通し穴 １０ 遷移領域
───────────────────────────────────────────────────── フロントページの続き (72)考案者 ピンクゼウスキー，レオ，アリエ オーストラリア国2065 ニューサウスウェ ールズ，クロウズ ネスト，パシフィック ハイウェイ 286 Ｆターム(参考） 4C060 LL15 4C097 AA07 BB01 CC05 SC09

Claims (6)

    【実用新案登録請求の範囲】
  1. 【請求項１】 長手方向軸線を有する軸部と、 前記軸部の一端から該軸部の長さに沿って延在し、該長
    さを通じてその外周には切り込み線がない複数のねじ山
    と、 前記軸部の一端とは反対側の他端に設けた頭部と、 工具を挿入するために前記頭部に形成した凹所とを有
    し、 前記頭部は、前記軸部の頭部隣接部分から滑らか且つ連
    続的に延在する外側表面を有するとともに、少なくとも
    前記頭部隣接部分の最大直径に等しい直径を有する半球
    形端部を含んで成る外科用ねじ。
  2. 【請求項２】 前記頭部隣接部分にはねじが切られてお
    らず、また前記外側表面の直径が該頭部隣接部分の最大
    直径に等しくなされている、請求項１に記載された外科
    用ねじ。
  3. 【請求項３】 前記外側表面の直径が前記頭部隣接部分
    の最大直径より大きく、前記外側表面が截頭円錐形の遷
    移領域を経て前記軸部に向けて細くなるようにテーパが
    付されている、請求項１に記載された外科用ねじ。
  4. 【請求項４】 前記ねじ山が前記軸部の長手方向軸線を
    通る平面で見てほぼシヌソイド形状をしている、請求項
    １に記載された外科用ねじ。
  5. 【請求項５】 前記軸部の長手方向軸線に沿って前記凹
    所を貫通して延在する通し穴を形成した、請求項１に記
    載された外科用ねじ。
  6. 【請求項６】 前記外側表面の直径が約４ｍｍであるこ
    とを特徴とする、請求項１に記載された外科用ねじ。
JP2002000322U 1990-09-04 2002-01-28 外科用ねじ Expired - Lifetime JP2607876Y2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AUPK211990 1990-09-04
AU2119 1990-09-04

Publications (2)

Publication Number Publication Date
JP2002000019U true JP2002000019U (ja) 2002-07-19
JP2607876Y2 JP2607876Y2 (ja) 2003-07-28

Family

ID=3774933

Family Applications (2)

Application Number Title Priority Date Filing Date
JP3515394A Pending JPH06503732A (ja) 1990-09-04 1991-08-30 外科用ねじ
JP2002000322U Expired - Lifetime JP2607876Y2 (ja) 1990-09-04 2002-01-28 外科用ねじ

Family Applications Before (1)

Application Number Title Priority Date Filing Date
JP3515394A Pending JPH06503732A (ja) 1990-09-04 1991-08-30 外科用ねじ

Country Status (10)

Country Link
US (1) US5383878A (ja)
EP (1) EP0547134B1 (ja)
JP (2) JPH06503732A (ja)
AT (1) ATE159163T1 (ja)
AU (1) AU643833B2 (ja)
DE (1) DE69127977T2 (ja)
DK (1) DK0547134T3 (ja)
ES (1) ES2110448T3 (ja)
GR (1) GR3025891T3 (ja)
WO (1) WO1992003980A1 (ja)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008510517A (ja) * 2004-08-18 2008-04-10 スキャンディウス・バイオメディカル・インコーポレーテッド 靭帯を再構築する方法及び装置

Families Citing this family (150)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5211647A (en) * 1992-02-19 1993-05-18 Arthrex Inc. Interference screw and cannulated sheath for endosteal fixation of ligaments
US5425733A (en) * 1992-02-19 1995-06-20 Arthrex, Inc. Interference screw with rounded back end and cannulated sheath for endosteal fixation of ligaments
CA2164215A1 (en) * 1993-06-04 1994-12-22 Gregory James Roger Surgical screw and washer
AU680258B2 (en) * 1993-06-04 1997-07-24 Smith & Nephew, Inc. Surgical screw and washer
US5632748A (en) * 1993-06-14 1997-05-27 Linvatec Corporation Endosteal anchoring device for urging a ligament against a bone surface
US5454811A (en) * 1993-11-08 1995-10-03 Smith & Nephew Dyonics, Inc. Cam lock orthopedic fixation screw and method
US6802862B1 (en) 1995-01-24 2004-10-12 Smith & Nephew, Inc. Method for soft tissue reconstruction
JPH08196557A (ja) * 1995-01-24 1996-08-06 Gunze Ltd 腱及び靭帯再建固定用ネジ
US6235057B1 (en) 1995-01-24 2001-05-22 Smith & Nephew, Inc. Method for soft tissue reconstruction
AUPN238795A0 (en) * 1995-04-12 1995-05-11 Hip Developments International Pty Ltd Improved process for knee reconstruction
US5817095A (en) * 1996-02-22 1998-10-06 Smith & Nephew, Inc. Undercutting surgical instrument
US6045554A (en) * 1996-07-16 2000-04-04 University Of Florida Tissue Bank, Inc. Cortical bone interference screw
US5899938A (en) 1996-11-27 1999-05-04 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6533816B2 (en) * 1999-02-09 2003-03-18 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6554862B2 (en) 1996-11-27 2003-04-29 Ethicon, Inc. Graft ligament anchor and method for attaching a graft ligament to a bone
US7083647B1 (en) 1996-11-27 2006-08-01 Sklar Joseph H Fixation screw, graft ligament anchor assembly, and method for securing a graft ligament in a bone tunnel
US5707395A (en) 1997-01-16 1998-01-13 Li Medical Technologies, Inc. Surgical fastener and method and apparatus for ligament repair
US6001100A (en) * 1997-08-19 1999-12-14 Bionx Implants Oy Bone block fixation implant
AUPP000797A0 (en) * 1997-10-24 1997-11-20 Cryptych Pty Ltd Fixation of cruciate ligament grafts
US6146406A (en) 1998-02-12 2000-11-14 Smith & Nephew, Inc. Bone anchor
US5984966A (en) * 1998-03-02 1999-11-16 Bionx Implants Oy Bioabsorbable bone block fixation implant
US6562043B1 (en) * 1998-05-21 2003-05-13 Kwan-Ho Chan Apparatus and method for ligament fixation
US6221107B1 (en) 1998-08-03 2001-04-24 Mark E. Steiner Ligament fixation device and method
US6482210B1 (en) 1998-11-12 2002-11-19 Orthopaedic Biosystems, Ltd., Inc. Soft tissue/ligament to bone fixation device with inserter
US6497726B1 (en) 2000-01-11 2002-12-24 Regeneration Technologies, Inc. Materials and methods for improved bone tendon bone transplantation
US6283973B1 (en) 1998-12-30 2001-09-04 Depuy Orthopaedics, Inc. Strength fixation device
WO2000056376A1 (en) 1999-03-25 2000-09-28 Metabolix, Inc. Medical devices and applications of polyhydroxyalkanoate polymers
US6689153B1 (en) 1999-04-16 2004-02-10 Orthopaedic Biosystems Ltd, Inc. Methods and apparatus for a coated anchoring device and/or suture
US6123711A (en) * 1999-06-10 2000-09-26 Winters; Thomas F. Tissue fixation device and method
US6464706B1 (en) 1999-06-10 2002-10-15 Thomas F. Winters Tissue fixation device and method
WO2001008717A1 (en) * 1999-08-03 2001-02-08 Smith & Nephew, Inc. Controlled release implantable devices
DE59901812D1 (de) 1999-10-21 2002-07-25 Storz Karl Gmbh & Co Kg Interferenzschraube
AUPQ366099A0 (en) * 1999-10-26 1999-11-18 Queensland University Of Technology Ortho paedic screw
US20030097179A1 (en) * 2000-01-11 2003-05-22 Carter Kevin C. Materials and methods for improved bone tendon bone transplantation
US6893462B2 (en) * 2000-01-11 2005-05-17 Regeneration Technologies, Inc. Soft and calcified tissue implants
US6599289B1 (en) 2000-03-10 2003-07-29 Smith & Nephew, Inc. Graft anchor
US7279008B2 (en) * 2000-03-16 2007-10-09 Smith & Nephew, Inc. Sheaths for implantable fixation devices
US6746483B1 (en) 2000-03-16 2004-06-08 Smith & Nephew, Inc. Sheaths for implantable fixation devices
WO2002051325A2 (en) * 2000-12-22 2002-07-04 United States Surgical Corporation Suture screw
US20040153153A1 (en) * 2001-05-31 2004-08-05 Elson Robert J. Anterior cruciate ligament reconstruction system and method of implementing same
US20050065533A1 (en) * 2001-05-31 2005-03-24 Magen Hugh E. Apparatus for assembling anterior cruciate ligament reconstruction system
US6887271B2 (en) * 2001-09-28 2005-05-03 Ethicon, Inc. Expanding ligament graft fixation system and method
US6764513B1 (en) 2001-11-07 2004-07-20 Brian T. Dowling Tibia tether
US20040073219A1 (en) * 2002-10-15 2004-04-15 Skiba Jeffry B. Insertion instrument
US7608092B1 (en) * 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
US7500983B1 (en) 2004-06-09 2009-03-10 Biomet Sports Medicine, Llc Apparatus for soft tissue attachment
US7695503B1 (en) 2004-06-09 2010-04-13 Biomet Sports Medicine, Llc Method and apparatus for soft tissue attachment
US8109965B2 (en) * 2004-06-09 2012-02-07 Biomet Sports Medicine, LLP Method and apparatus for soft tissue fixation
US7819898B2 (en) * 2004-06-09 2010-10-26 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US20060190042A1 (en) * 2004-11-05 2006-08-24 Arthrotek, Inc. Tissue repair assembly
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US7857830B2 (en) * 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US7905904B2 (en) * 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7905903B2 (en) * 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20060189993A1 (en) * 2004-11-09 2006-08-24 Arthrotek, Inc. Soft tissue conduit device
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
JP4603047B2 (ja) 2004-11-18 2010-12-22 カイエン メディカル インコーポレイテッド 材料固定装置
US7763072B2 (en) * 2005-03-04 2010-07-27 Rti Biologics, Inc. Intermediate bone block and its use in bone block assemblies and assembled bone-tendon-bone grafts
US7763071B2 (en) * 2005-03-04 2010-07-27 Rti Biologics, Inc. Bone block assemblies and their use in assembled bone-tendon-bone grafts
US7727278B2 (en) * 2005-03-04 2010-06-01 Rti Biologics, Inc. Self fixing assembled bone-tendon-bone graft
US8470038B2 (en) 2005-03-04 2013-06-25 Rti Biologics, Inc. Adjustable and fixed assembled bone-tendon-bone graft
JP2008535544A (ja) * 2005-03-10 2008-09-04 タイコ ヘルスケア グループ リミテッド パートナーシップ 縫合糸固定具
US7648524B2 (en) * 2005-12-23 2010-01-19 Howmedica Osteonics Corp. Porous tendon anchor
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US7959650B2 (en) * 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US20070213730A1 (en) * 2006-03-09 2007-09-13 Jonathan Martinek Cannulated suture anchor system
EP2001405B1 (en) 2006-03-20 2015-11-18 Cayenne Medical, Inc. Systems for tendon fixation
US7828820B2 (en) * 2006-03-21 2010-11-09 Biomet Sports Medicine, Llc Method and apparatuses for securing suture
US8894661B2 (en) * 2007-08-16 2014-11-25 Smith & Nephew, Inc. Helicoil interference fixation system for attaching a graft ligament to a bone
US20080154314A1 (en) * 2006-08-16 2008-06-26 Mcdevitt Dennis M Composite interference screw for attaching a graft ligament to a bone, and other apparatus for making attachments to bone
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8226714B2 (en) 2006-09-29 2012-07-24 Depuy Mitek, Inc. Femoral fixation
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
JP4671307B2 (ja) * 2006-10-24 2011-04-13 カイエン メディカル インコーポレイテッド 物質固定方法および物質固定システム
AU2008232516B2 (en) 2007-03-30 2013-08-22 Smith & Nephew, Inc. Tissue harvesting
US8961571B2 (en) * 2007-11-19 2015-02-24 David Lee Method and apparatus for spinal facet joint fusion using irregularly shaped cortical bone implants
US8858565B1 (en) 2008-05-08 2014-10-14 Cayenne Medical, Inc. Inserter for soft tissue or bone-to-bone fixation device and methods
US8123806B1 (en) 2008-05-09 2012-02-28 Cayenne Medical, Inc Method of tensioning a tissue graft having suture bundles using a cleated bar
US8206446B1 (en) 2009-03-10 2012-06-26 Cayenne Medical, Inc. Method for surgically repairing a damaged ligament
US8343227B2 (en) * 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8574273B2 (en) 2009-09-09 2013-11-05 Innovision, Inc. Bone screws and methods of use thereof
US9579188B2 (en) 2010-03-10 2017-02-28 Smith & Nephew, Inc. Anchor having a controlled driver orientation
US9775702B2 (en) 2010-03-10 2017-10-03 Smith & Nephew, Inc. Composite interference screws and drivers
US9308080B2 (en) 2010-03-10 2016-04-12 Smith & Nephew Inc. Composite interference screws and drivers
CN102781370B (zh) 2010-03-10 2016-03-02 史密夫和内修有限公司 复合界面螺钉和驱动器
MX344606B (es) 2011-03-11 2016-12-20 Smith & Nephew Inc Trepano.
KR20140043768A (ko) 2011-06-07 2014-04-10 스미스 앤드 네퓨, 인크. 외과용 앵커 전달 시스템
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
JP6411446B2 (ja) 2013-03-15 2018-10-24 インノビシオン， インコーポレーティッド 骨ねじ及びその使用方法
US9155531B2 (en) 2013-03-15 2015-10-13 Smith & Nephew, Inc. Miniaturized dual drive open architecture suture anchor
AU2014251015B2 (en) 2013-04-09 2019-01-17 Smith & Nephew, Inc. Open-architecture interference screw
US9936940B2 (en) 2013-06-07 2018-04-10 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US9717491B2 (en) 2014-03-10 2017-08-01 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10856966B2 (en) 2014-10-23 2020-12-08 Medos International Sarl Biceps tenodesis implants and delivery tools
US10076374B2 (en) 2014-10-23 2018-09-18 Medos International Sárl Biceps tenodesis delivery tools
US10729419B2 (en) 2014-10-23 2020-08-04 Medos International Sarl Biceps tenodesis implants and delivery tools
US10751161B2 (en) 2014-10-23 2020-08-25 Medos International Sárl Biceps tenodesis anchor implants
US10034742B2 (en) 2014-10-23 2018-07-31 Medos International Sarl Biceps tenodesis implants and delivery tools
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9974534B2 (en) 2015-03-31 2018-05-22 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US9693856B2 (en) 2015-04-22 2017-07-04 DePuy Synthes Products, LLC Biceps repair device
GB201600263D0 (en) 2016-01-07 2016-02-24 Innovate Orthopaedics Ltd Fixation device and method of manufacture and use
USD812751S1 (en) 2016-02-03 2018-03-13 Karl Storz Gmbh & Co. Kg Interference bone screw
US10231824B2 (en) 2016-04-08 2019-03-19 Medos International Sárl Tenodesis anchoring systems and tools
US10231823B2 (en) 2016-04-08 2019-03-19 Medos International Sarl Tenodesis implants and tools
USD846977S1 (en) 2016-05-12 2019-04-30 Innovate Orthopaedics Limited Screw

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2242003A (en) * 1940-06-13 1941-05-13 Frank A Lorenzo Method and apparatus for reduction of fracture of femur
US2267925A (en) * 1941-02-11 1941-12-30 Herbert A Johnston Fracture securing apparatus
DE2747312A1 (de) * 1977-10-21 1979-04-26 Ullrich Schraube zum verbinden von knochenteilen
DE2818254C3 (de) * 1978-04-26 1980-11-06 Norbert 6309 Cleeberg Link Spreizdübel
US4463753A (en) * 1980-01-04 1984-08-07 Gustilo Ramon B Compression bone screw
US4537185A (en) * 1983-06-10 1985-08-27 Denis P. Stednitz Cannulated fixation screw
DE8418588U1 (de) * 1984-06-15 1984-10-04 Mecron Medizinische Produkte Gmbh, 1000 Berlin Schraube
DE3445738A1 (de) * 1984-12-14 1986-06-19 Draenert Klaus Implantat zur knochenverstaerkung und verankerung von knochenschrauben, implantaten oder implantatteilen
US4744793A (en) * 1985-09-06 1988-05-17 Zimmer, Inc. Prosthetic ligament connection assembly
CH669724A5 (ja) * 1986-04-15 1989-04-14 Sulzer Ag
DE3708638A1 (de) * 1987-03-17 1988-09-29 Grafelmann Hans L Selbstschneidendes einschraubbares knochenimplantat fuer zahnaerztliche zwecke
FR2622790B1 (fr) * 1987-11-09 1990-02-09 Matco Ligaments prothetiques avec systeme de vis a os
FR2623082B1 (fr) * 1987-11-16 1990-03-09 Laboureau Jacques Cheville artificielle par la fixation intra-osseuse de prothese et renforts ligamentaires, ainsi que l'impacteur associe comportant des moyens de maintien de ladite cheville
DE3811345C1 (ja) * 1988-04-02 1989-09-07 Aesculap Ag, 7200 Tuttlingen, De
CH681273A5 (ja) * 1988-12-16 1993-02-26 Sulzer Ag
US4870957A (en) * 1988-12-27 1989-10-03 Marlowe Goble E Ligament anchor system
US4950270A (en) * 1989-02-03 1990-08-21 Boehringer Mannheim Corporation Cannulated self-tapping bone screw
WO1990008510A1 (en) * 1989-02-06 1990-08-09 Acufex Microsurgical, Inc. Screw and driver
US4927421A (en) * 1989-05-15 1990-05-22 Marlowe Goble E Process of endosteal fixation of a ligament
US5002574A (en) * 1989-08-18 1991-03-26 Minnesota Mining And Manufacturing Co. Tensioning means for prosthetic devices
US5129906A (en) * 1989-09-08 1992-07-14 Linvatec Corporation Bioabsorbable tack for joining bodily tissue and in vivo method and apparatus for deploying same
DE4012506A1 (de) * 1990-04-12 1991-10-17 Mecron Med Prod Gmbh Knochenschraube
US5116337A (en) * 1991-06-27 1992-05-26 Johnson Lanny L Fixation screw and method for ligament reconstruction

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008510517A (ja) * 2004-08-18 2008-04-10 スキャンディウス・バイオメディカル・インコーポレーテッド 靭帯を再構築する方法及び装置
JP4850836B2 (ja) * 2004-08-18 2012-01-11 スキャンディウス・バイオメディカル・インコーポレーテッド 靭帯を再構築する方法及び装置

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AU8535091A (en) 1992-03-30
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ATE159163T1 (de) 1997-11-15
US5383878A (en) 1995-01-24
DE69127977D1 (de) 1997-11-20
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EP0547134A4 (ja) 1994-02-02

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