JP2011528270A - 手術用デバイス - Google Patents
手術用デバイス Download PDFInfo
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- JP2011528270A JP2011528270A JP2011518863A JP2011518863A JP2011528270A JP 2011528270 A JP2011528270 A JP 2011528270A JP 2011518863 A JP2011518863 A JP 2011518863A JP 2011518863 A JP2011518863 A JP 2011518863A JP 2011528270 A JP2011528270 A JP 2011528270A
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- 238000000034 method Methods 0.000 claims abstract description 27
- 238000003780 insertion Methods 0.000 claims description 34
- 230000037431 insertion Effects 0.000 claims description 34
- 210000001519 tissue Anatomy 0.000 claims description 26
- 210000000988 bone and bone Anatomy 0.000 claims description 20
- 239000007769 metal material Substances 0.000 description 6
- 210000004872 soft tissue Anatomy 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 2
- 229910052755 nonmetal Inorganic materials 0.000 description 2
- 210000000513 rotator cuff Anatomy 0.000 description 2
- 230000017423 tissue regeneration Effects 0.000 description 2
- 230000004308 accommodation Effects 0.000 description 1
- 210000002758 humerus Anatomy 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
- 238000003754 machining Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000010079 rubber tapping Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
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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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- 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
- 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
- A61B17/04—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
- A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
-
- 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
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0448—Additional elements on or within the anchor
- A61B2017/0451—Cams or wedges holding the suture by friction
-
- 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
-
- 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
Abstract
Description
11 シャフト
11a 外側部材
11a'' 遠位部分
11a''' プロング
11b 内側部材
11b' 近位部分
11b'' 遠位部分
11b''' プロング
11c レーザーマーク
11d 窪み
11e レーザーマーク
12 ハンドル
12a ボディ
12b 溝
12c 突出部
12d 外面
12e 開口
13 内側部材に対して動作を付与するための手段
13a ボディ
13a' 遠位端部
13a'' 近位端部
13b キャビティ
13b' 上端部
13b'' 中間部
13b''' 下端部
13c ギア
13d プラグ
13d' 上端部
13d'' 下端部
13e 第1の部分
13e' ギア
13f 第2の部分
13f' 溝
13g スプリング
13h チャネル
14 アンカーアセンブリ
15 縫合糸スレッダー
15a クリップ
15b 縫合糸のループ
16 アンカー
16a キャビティ
16b 近位部分
16b' 溝
16c 遠位部分
16d 横断貫通孔
16d',16d'' 開口
16e スロット
17 挿入部材
17a ヘッド
40 骨
50 フレキシブルな部材
60 軟組織
Claims (18)
- 手術用デバイスであって、
外側部材と、この外側部材内にスライド可能に収容された内側部材と、を含むシャフトと、
前記シャフトに連結されたハンドルと、
前記内側部材に対して連結された、前記内側部材に対して動作を付与するための手段と、
を具備してなることを特徴とする手術用デバイス。 - 前記デバイスに対して連結されたアンカーアセンブリをさらに具備してなり、前記アンカーアセンブリは、キャビティを備えたアンカーと、前記キャビティ内に収容された挿入部材と、を具備してなることを特徴とする請求項1に記載の手術用デバイス。
- 前記外側部材は、前記アンカーと係合するよう構成された遠位部を備え、かつ、前記内側部材は、前記挿入部材と係合するよう構成された遠位部を備えることを特徴とする請求項2に記載の手術用デバイス。
- 前記シャフトに対して連結された縫合糸スレッダーをさらに具備してなり、前記スレッダーは、クリップと、このクリップに接続された縫合糸のループと、を含むことを特徴とする請求項1に記載の手術用デバイス。
- 前記縫合糸のループは、前記アンカーを貫通して延在する横断貫通孔内に配置されていることを特徴とする請求項4に記載の手術用デバイス。
- 前記内側部材に対して動作を付与するための前記手段は、
遠位端部および近位端部を有するカニューレ状ボディと、
前記ボディの前記近位端部との係合のための形状とされた上端部と、この上端部に対して連結された下端部と、を含むプラグと、
前記プラグの前記下端部上に配置された第1の部分と、
前記プラグの前記下端部上に配置された第2の部分と、
前記第1および第2の部分間に位置させられたスプリングと、
を具備してなることを特徴とする請求項1に記載の手術用デバイス。 - 前記ボディの前記近位端部はギアを含むことを特徴とする請求項6に記載の手術用デバイス。
- 前記第1の部分は、前記ボディの前記近位端部の前記ギアとの係合のための形状とされたギアを含むことを特徴とする請求項7に記載の手術用デバイス。
- 前記外側部材は前記内側部材よりも短いことを特徴とする請求項1に記載の手術用デバイス。
- 組織を修復するための方法であって、
骨の中に第1のアンカーを挿入するステップであって、前記第1のアンカーは、それに対して連結されたフレキシブルな部材を有するものであるステップと、
前記組織を経て前記フレキシブルな部材の端部を通過させるステップと、
手術用デバイスを提供するステップであって、この手術用デバイスは、外側部材とこの外側部材内にスライド可能に収容された内側部材とを含むシャフトと、前記シャフトに連結されたハンドルと、前記内側部材に対して連結された、前記内側部材に対して動作を付与するための手段と、前記シャフトに対して連結されたアンカーアセンブリであって、キャビティおよび横断貫通孔を備えたアンカーと、前記キャビティ内に収容された挿入部材とを具備してなるアンカーアセンブリと、を具備してなるものであるステップと、
前記アンカーアセンブリの前記貫通孔を経て前記フレキシブルな部材の少なくとも一端を通過させるステップと、
前記アンカーアセンブリを骨内に配置するステップと、
前記フレキシブルな部材を前記貫通孔内で、かつ、前記組織を骨に対して固定するために、前記フレキシブルな部材の少なくとも一端に向かって前記挿入部材を前進させるステップと、
を具備することを特徴とする、組織を修復するための方法。 - 前記挿入部材の前進の前に、前記フレキシブルな部材を緊張させることを、さらに具備することを特徴とする請求項10に記載の組織を修復するための方法。
- 前記挿入部材の前進は前記内側部材に対して動作を付与するための前記手段の回転を伴う請求項10に記載の組織を修復するための方法であって、
前記手段は、
遠位端部および近位端部を有するカニューレ状ボディと、
前記ボディの前記近位端部との係合のための形状とされた上端部およびこの上端部に対して連結された下端部を含むプラグと、
前記プラグの前記下端部上に配置された第1の部分と、
前記プラグの前記下端部上に配置された第2の部分と、
前記第1および第2の部分間に位置させられたスプリングと、
を具備してなるものである、組織を修復するための方法。 - 前記ボディの前記近位端部はギアを含むことを特徴とする請求項12に記載の組織を修復するための方法。
- 前記第1の部分は、前記ボディの前記近位端部の前記ギアとの係合のための形状とされたギアを含み、前記手段は、前記第1の部分の前記ギアと前記近位端部の前記ギアとがもはや直接係合状態ではなくなるまで、前記挿入部材を前進させるために回転させられることを特徴とする請求項13に記載の組織を修復するための方法。
- 外側部材とこの外側部材内にスライド可能に収容された内側部材とを含むシャフトと、前記シャフトに連結されたハンドルと、前記内側部材に対して連結された、前記内側部材に対して動作を付与するための手段と、を具備してなる手術用デバイスを提供するステップであって、前記外側部材は前記内側部材よりも短いものであるステップと、
前記内側部材が前記挿入部材と係合すると共に前記外側部材が前記アンカーと係合するように、前記手術用デバイスを前記アンカーアセンブリと係合状態に置くステップと、
前記フレキシブルな部材の少なくとも一端から離れるように前記挿入部材を移動させるステップと、
前記フレキシブルな部材を緊張させるステップと、
前記フレキシブルな部材を再固定するために前記挿入部材を前記フレキシブルな部材に向かって戻るように前進させるステップと、
をさらに具備することを特徴とする請求項11に記載の組織を修復するための方法。 - 請求項15に記載の組織を修復するための方法であって、前記フレキシブルな部材に向かう前記挿入部材の前進は、前記内側部材に対して動作を付与するための前記手段の回転を伴い、
前記手段は、
遠位端部および近位端部を有するカニューレ状ボディと、
前記ボディの前記近位端部との係合のための形状とされた上端部およびこの上端部に対して連結された下端部を含むプラグと、
前記プラグの前記下端部上に配置された第1の部分と、
前記プラグの前記下端部上に配置された第2の部分と、
前記第1および第2の部分間に位置させられたスプリングと、
を具備してなるものであることを特徴とする、組織を修復するための方法。 - 前記ボディの前記近位端部はギアを含むことを特徴とする請求項16に記載の組織を修復するための方法。
- 前記第1の部分は、前記ボディの前記近位端部の前記ギアとの係合のための形状とされたギアを含み、前記手段は、前記第1の部分の前記ギアと前記近位端部の前記ギアとがもはや直接係合状態ではなくなるまで、前記挿入部材を前進させるために回転させられることを特徴とする請求項16に記載の組織を修復するための方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US8146208P | 2008-07-17 | 2008-07-17 | |
US61/081,462 | 2008-07-17 | ||
PCT/US2009/050620 WO2010009184A1 (en) | 2008-07-17 | 2009-07-15 | Surgical devices |
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JP2015023946A Division JP5996686B2 (ja) | 2008-07-17 | 2015-02-10 | 手術用デバイス |
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JP2011528270A true JP2011528270A (ja) | 2011-11-17 |
JP5698130B2 JP5698130B2 (ja) | 2015-04-08 |
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JP2011518863A Active JP5698130B2 (ja) | 2008-07-17 | 2009-07-15 | 手術用デバイス |
JP2015023946A Expired - Fee Related JP5996686B2 (ja) | 2008-07-17 | 2015-02-10 | 手術用デバイス |
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JP2015023946A Expired - Fee Related JP5996686B2 (ja) | 2008-07-17 | 2015-02-10 | 手術用デバイス |
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US (3) | US8974494B2 (ja) |
EP (1) | EP2303143A1 (ja) |
JP (2) | JP5698130B2 (ja) |
CN (2) | CN102098969B (ja) |
AU (1) | AU2009270960B2 (ja) |
WO (1) | WO2010009184A1 (ja) |
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JP2016083362A (ja) * | 2014-10-23 | 2016-05-19 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 上腕二頭筋腱固定術インプラント及び送達ツール |
JP2016083363A (ja) * | 2014-10-23 | 2016-05-19 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 上腕二頭筋腱固定術インプラント及び送達ツール |
JP2017209497A (ja) * | 2016-05-25 | 2017-11-30 | メドス・インターナショナル・エスエイアールエルMedos International SARL | 拡張可能なアンカーの打ち込み過ぎの防止 |
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US8679159B2 (en) | 2010-08-30 | 2014-03-25 | Depuy Mitek, Llc | Anchor driver with suture clutch |
US8469998B2 (en) | 2010-08-30 | 2013-06-25 | Depuy Mitek, Llc | Knotless suture anchor |
US8435264B2 (en) | 2010-08-30 | 2013-05-07 | Depuy Mitek, Llc | Knotless suture anchor and driver |
RU2741462C2 (ru) | 2010-09-24 | 2021-01-26 | СпортУэлдинг ГмбХ | Шовный фиксатор, способ и набор для закрепления шовного материала относительно твердой ткани |
JP2014512867A (ja) | 2011-02-09 | 2014-05-29 | シー・アール・バード・インコーポレーテッド | Tファスナー縫合糸送りシステム |
JP5989759B2 (ja) * | 2011-03-22 | 2016-09-07 | スミス アンド ネフュー インコーポレーテッド | 係留システム、及び当該係留システムと共に利用するための送り装置 |
US8591545B2 (en) | 2011-03-25 | 2013-11-26 | Smith & Nephew, Inc. | Flat suture anchor |
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2009
- 2009-07-15 CN CN2009801278581A patent/CN102098969B/zh active Active
- 2009-07-15 EP EP09790428A patent/EP2303143A1/en not_active Withdrawn
- 2009-07-15 WO PCT/US2009/050620 patent/WO2010009184A1/en active Application Filing
- 2009-07-15 CN CN201310240147.3A patent/CN103381098B/zh not_active Expired - Fee Related
- 2009-07-15 US US12/503,180 patent/US8974494B2/en active Active
- 2009-07-15 JP JP2011518863A patent/JP5698130B2/ja active Active
- 2009-07-15 AU AU2009270960A patent/AU2009270960B2/en not_active Ceased
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2015
- 2015-02-02 US US14/611,808 patent/US9486205B2/en active Active
- 2015-02-10 JP JP2015023946A patent/JP5996686B2/ja not_active Expired - Fee Related
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2016
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US11576769B2 (en) | 2014-10-23 | 2023-02-14 | Medos International Sarl | Method for anchoring biceps tenodesis |
JP2016083362A (ja) * | 2014-10-23 | 2016-05-19 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 上腕二頭筋腱固定術インプラント及び送達ツール |
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JP2017209497A (ja) * | 2016-05-25 | 2017-11-30 | メドス・インターナショナル・エスエイアールエルMedos International SARL | 拡張可能なアンカーの打ち込み過ぎの防止 |
JP7123529B2 (ja) | 2016-05-25 | 2022-08-23 | メドス・インターナショナル・エスエイアールエル | 拡張可能なアンカーの打ち込み過ぎの防止 |
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Also Published As
Publication number | Publication date |
---|---|
AU2009270960A1 (en) | 2010-01-21 |
JP5698130B2 (ja) | 2015-04-08 |
US20100016869A1 (en) | 2010-01-21 |
CN103381098A (zh) | 2013-11-06 |
US20170020514A1 (en) | 2017-01-26 |
CN102098969A (zh) | 2011-06-15 |
US20150150551A1 (en) | 2015-06-04 |
CN103381098B (zh) | 2016-08-10 |
CN102098969B (zh) | 2013-07-17 |
JP5996686B2 (ja) | 2016-09-21 |
WO2010009184A1 (en) | 2010-01-21 |
EP2303143A1 (en) | 2011-04-06 |
US8974494B2 (en) | 2015-03-10 |
US9486205B2 (en) | 2016-11-08 |
AU2009270960B2 (en) | 2015-09-03 |
JP2015128607A (ja) | 2015-07-16 |
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