JP2014000426A - アンカーアセンブリ - Google Patents
アンカーアセンブリ Download PDFInfo
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- JP2014000426A JP2014000426A JP2013164031A JP2013164031A JP2014000426A JP 2014000426 A JP2014000426 A JP 2014000426A JP 2013164031 A JP2013164031 A JP 2013164031A JP 2013164031 A JP2013164031 A JP 2013164031A JP 2014000426 A JP2014000426 A JP 2014000426A
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- 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
- A61B2017/0403—Dowels
-
- 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
- A61B2017/0412—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 anchoring barbs or pins extending outwardly from suture anchor body
-
- 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
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
-
- 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
- A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
-
- 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
- A61B2017/0453—Additional elements on or within the anchor threaded elements, e.g. set 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
- A61F2002/0823—Modular anchors comprising a plurality of separate parts
- A61F2002/0829—Modular anchors comprising a plurality of separate parts without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
-
- 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)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Rheumatology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Rehabilitation Therapy (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
- Dowels (AREA)
- Insertion Pins And Rivets (AREA)
Abstract
【解決手段】アンカーアセンブリ10は、近位部分21、遠位部分22、キャビティー、及びキャビティーへの開口部24を画定しているアンカー20と、アンカーのキャビティー内に配置するために構成された挿入部材30と、を含み、横断方向貫通孔25は、近位部分と遠位部分との間に配置される。開口部25aは、横断方向貫通孔の各端部に配置される。アンカーは、各開口部で遠位方向に配置された複数の突出部26を含む。複数の突出部は、横断方向貫通孔を通じて縫合糸などのフレキシブル部材の供給を容易にし、アンカーが骨穴内に挿入される場合に、骨穴の壁に経路を生成することを可能にする。挿入部材は、近位端部31a及び平坦な遠位端部31bを有している本体31と、本体の近位端部に結合されたヘッド部32と、を含む。
【選択図】図1
Description
この出願は、2007年10月25日付けで提出された米国特許出願第60/982,521と、2007年11月8日付けで提出された米国特許出願第60/986,342と、のPCT国際出願である。各出願の開示は、それらの全体を参照して本願明細書に組み込まれる。
(2)上記(1)のアンカーアセンブリにおいて、前記アンカーを通じて延在している横断方向貫通孔をさらに備えている。
(3)上記(2)のアンカーアセンブリにおいて、前記アンカーの外側表面に少なくとも2つのスロットをさらに備えている。
(4)上記(3)のアンカーアセンブリにおいて、前記アンカーが前記本体の外側表面に複数のかえしを含む。
(5)上記(2)のアンカーアセンブリにおいて、少なくとも1つのフレキシブル部材は、前記横断方向貫通孔内に配置される。
(6)上記(2)のアンカーアセンブリにおいて、前記キャビティーは、ねじ部を含む。
(7)上記(6)のアンカーアセンブリにおいて、前記挿入部材の前記本体は、ねじ部を含み、該ねじ部は、前記挿入部材が前記キャビティー内に配置される場合に、前記キャビティーの前記ねじ部との係合のために構成される。
(8)上記(2)のアンカーアセンブリにおいて、前記キャビティーは、前記横断方向貫通孔内に延在している。
(9)上記(1)のアンカーアセンブリにおいて、前記ヘッド部は、供給装置との係合のために構成される。
(10)上記(5)のアンカーアセンブリにおいて、前記挿入部材は、前記挿入部材が前記横断方向貫通孔内に前記フレキシブル部材を固定するように、前記アンカーの前記キャビティー内に配置される。
(11)上記(5)のアンカーアセンブリにおいて、複数のフレキシブル部材は、前記横断方向貫通孔内に配置される。
(12)上記(5)のアンカーアセンブリにおいて、前記フレキシブル部材は、縫合糸を含む。
(13)第1のアンカーが該第1のアンカーに結合されたフレキシブル部材を有する状態で、第1のアンカーを骨内に挿入するステップと、組織を通じて前記フレキシブル部材の端部を貫通するステップと、キャビティーと、該キャビティーへの開口部と、第2のアンカーを通じて延在している横断方向貫通孔と、を画定している第2のアンカーを提供するステップと、前記第2のアンカーの前記横断方向貫通孔を通じて、前記フレキシブル部材の少なくとも1つの端部を貫通するステップと、前記骨内に前記第2のアンカーを配置するステップと、近位端部及び平坦な遠位端部を有している本体と、前記本体の前記近位端部に結合されたヘッド部と、を含んでいる挿入部材を提供するステップと、前記横断方向貫通孔に前記フレキシブル部材を固定し、前記骨に前記組織を固定するように、前記第2のアンカーの前記キャビティー内に前記挿入部材を配置するステップと、を備えている、組織修復方法。
(14)上記(13)の組織修復方法において、前記アンカーの前記キャビティー内に前記挿入部材を配置するステップより前に、前記フレキシブル部材を引張るステップをさらに備えている。
(15)上記(13)の組織修復方法において、前記横断方向貫通孔から離れて前記挿入部材を移動するステップと、前記フレキシブル部材を引張るステップと、前記横断方向貫通孔内で前記フレキシブル部材を再固定するために、前記横断方向貫通孔に前記挿入部材を戻すステップと、をさらに備えている。
(16)上記(3)のアンカーアセンブリにおいて、前記複数のスロットは、前記横断方向貫通孔から前記アンカーの近位部分へ延在する。
(17)上記(4)のアンカーアセンブリにおいて、前記複数のかえしは、前記複数のスロットによって交差される。
(18)上記(13)の組織修復方法において、前記第2のアンカーは複数の突出部を含み、該複数の突出部は、前記第2のアンカーが前記骨内に挿入される場合に、前記骨の壁に経路を生成していることをさらに備えている。
(19)上記(18)の組織修復方法において、前記経路は、前記第2のアンカーが前記骨に配置される場合に、前記フレキシブル部材が前記第2のアンカーを通じてスライドすることを可能にする。
(20)近位部分、遠位部分、及び内部キャビティー、を画定しているアンカーと、前記内部キャビティー内への配置のために構成された挿入部材と、を備えているアンカーアセンブリにおいて、前記アンカーは、前記近位部分に配置された複数のかえしと、前記遠位部分に配置された複数の突出部と、を含み、前記複数の突出部は、前記アンカー内へのフレキシブル部材の供給を容易にするために構成される、アンカーアセンブリ。
(21)上記(20)のアンカーアセンブリにおいて、前記挿入部材は、近位端部と、平坦な遠位端部と、を含む。
20 アンカー
21 近位部分
22 遠位部分
23 内部キャビティー
23c ねじ部
24 開口部
25 横断方向貫通孔
25a 開口部
25b 開口部
26 突出部
27 外側表面
28 かえし
29 スロット
30 挿入部材
31 本体
31a 近位端部
31b 遠位端部
31c ねじ部
32 ヘッド部
40 第1のアンカーアセンブリ
50 骨
51 穴
52 壁
60 フレキシブル部材
70 軟部組織
Claims (1)
- 実質的に明細書に記載し、且つ図面に示した通りのアンカーアセンブリ。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US98252107P | 2007-10-25 | 2007-10-25 | |
US60/982,521 | 2007-10-25 | ||
US98634207P | 2007-11-08 | 2007-11-08 | |
US60/986,342 | 2007-11-08 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010531316A Division JP5341901B2 (ja) | 2007-10-25 | 2008-10-27 | アンカーアセンブリ |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015125707A Division JP6192683B2 (ja) | 2007-10-25 | 2015-06-23 | アンカーアセンブリ |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2014000426A true JP2014000426A (ja) | 2014-01-09 |
JP5798600B2 JP5798600B2 (ja) | 2015-10-21 |
Family
ID=40316972
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010531316A Expired - Fee Related JP5341901B2 (ja) | 2007-10-25 | 2008-10-27 | アンカーアセンブリ |
JP2013164031A Expired - Fee Related JP5798600B2 (ja) | 2007-10-25 | 2013-08-07 | アンカーアセンブリ |
JP2015125707A Expired - Fee Related JP6192683B2 (ja) | 2007-10-25 | 2015-06-23 | アンカーアセンブリ |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010531316A Expired - Fee Related JP5341901B2 (ja) | 2007-10-25 | 2008-10-27 | アンカーアセンブリ |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015125707A Expired - Fee Related JP6192683B2 (ja) | 2007-10-25 | 2015-06-23 | アンカーアセンブリ |
Country Status (5)
Country | Link |
---|---|
US (3) | US9345467B2 (ja) |
EP (1) | EP2224858B1 (ja) |
JP (3) | JP5341901B2 (ja) |
AU (1) | AU2008316604B2 (ja) |
WO (1) | WO2009055800A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR101815589B1 (ko) * | 2017-02-09 | 2018-01-05 | (주)오스테오닉 | 측부 개방형 봉합사 앵커 |
Families Citing this family (74)
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US8821541B2 (en) * | 1999-02-02 | 2014-09-02 | Arthrex, Inc. | Suture anchor with insert-molded rigid member |
DE102006010116A1 (de) * | 2006-02-27 | 2007-08-30 | Karl Storz Gmbh & Co.Kg | Ankerelement zum knotenfreien Fixieren von Gewebe an einem Knochen |
US8202295B2 (en) | 2006-07-20 | 2012-06-19 | Kaplan Lee D | Surgical instruments |
AU2007275351B2 (en) * | 2006-07-20 | 2013-10-24 | Lee D. Kaplan | Surgical instruments |
EP2224858B1 (en) | 2007-10-25 | 2016-10-26 | Smith & Nephew, Inc. | Anchor assembly |
JP5576861B2 (ja) | 2008-06-16 | 2014-08-20 | カイエン メディカル インコーポレイテッド | 縫合糸を骨に固定するためのアンカー及び方法 |
AU2009270960B2 (en) * | 2008-07-17 | 2015-09-03 | Smith & Nephew, Inc. | Surgical devices |
EP2375995A1 (en) | 2008-12-15 | 2011-10-19 | Smith & Nephew, Inc. | Composite anchor |
RU2567674C2 (ru) | 2009-11-10 | 2015-11-10 | Смит Энд Нефью, Инк. | Сборный модуль фиксатора замкнутого шва |
CN102711632B (zh) * | 2009-11-10 | 2015-11-25 | 史密夫和内修有限公司 | 组织修复器械 |
WO2011106387A2 (en) * | 2010-02-23 | 2011-09-01 | University Of Connecticut | Natural polymer-based orthopedic fixation screw for bone repair and regeneration |
RU2741462C2 (ru) | 2010-09-24 | 2021-01-26 | СпортУэлдинг ГмбХ | Шовный фиксатор, способ и набор для закрепления шовного материала относительно твердой ткани |
EP2486856B1 (en) * | 2011-02-09 | 2014-07-09 | Arthrex, Inc. | Bone anchor for scapholunate construct |
KR20140014239A (ko) * | 2011-03-22 | 2014-02-05 | 스미스 앤드 네퓨, 인크. | 앵커 시스템 및 그와 함께 사용하기 위한 전달 장치 |
US8591545B2 (en) | 2011-03-25 | 2013-11-26 | Smith & Nephew, Inc. | Flat suture anchor |
JP5956586B2 (ja) * | 2011-10-03 | 2016-07-27 | カイエン メディカル インコーポレイテッド | 縫合糸固定具およびその使用方法 |
US9636100B2 (en) | 2011-10-03 | 2017-05-02 | Smith & Nephew, Inc. | Tissue-to-bone reattachment |
US20130123809A1 (en) | 2011-11-11 | 2013-05-16 | VentureMD Innovations, LLC | Transosseous attachment instruments |
US9131937B2 (en) * | 2011-11-16 | 2015-09-15 | VentureMD Innovations, LLC | Suture anchor |
US10548585B2 (en) | 2011-11-16 | 2020-02-04 | VentureMD Innovations, LLC | Soft tissue attachment |
US10675014B2 (en) * | 2011-11-16 | 2020-06-09 | Crossroads Extremity Systems, Llc | Knotless soft tissue attachment |
US10470756B2 (en) | 2011-11-16 | 2019-11-12 | VentureMD Innovations, LLC | Suture anchor and method |
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AU2008316604B2 (en) | 2014-11-06 |
US10159477B2 (en) | 2018-12-25 |
WO2009055800A1 (en) | 2009-04-30 |
AU2008316604A1 (en) | 2009-04-30 |
US9687224B2 (en) | 2017-06-27 |
JP6192683B2 (ja) | 2017-09-06 |
EP2224858A1 (en) | 2010-09-08 |
JP2011516795A (ja) | 2011-05-26 |
US20090112270A1 (en) | 2009-04-30 |
EP2224858B1 (en) | 2016-10-26 |
JP5341901B2 (ja) | 2013-11-13 |
JP5798600B2 (ja) | 2015-10-21 |
US20160100833A1 (en) | 2016-04-14 |
US9345467B2 (en) | 2016-05-24 |
JP2015211857A (ja) | 2015-11-26 |
US20160235397A1 (en) | 2016-08-18 |
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