JP2014510548A - 調整可能なアンカーシステム及び方法 - Google Patents
調整可能なアンカーシステム及び方法 Download PDFInfo
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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
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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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06114—Packages or dispensers for needles or sutures
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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
- A61B2017/0404—Buttons
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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
- 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
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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
- 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
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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
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
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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
- 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
Abstract
Description
本出願は、2010年12月23日に出願された米国特許出願第(12/977,146)の一部継続出願であり、これらの内容全体は、参照により本明細書に組み込まれる。
本発明は、組織を骨に固定するためのシステム及び方法に関し、より具体的には、ユーザーによる糸結びの必要性を排除する、組織への調整可能な張力付加に関する。
(1) 縫合糸アンカーシステムであって、
縫合糸アンカーと、
前記アンカーに取り付けられた収縮式縫合糸ループと、
前記収縮式縫合糸ループに取り付けられた組織縫合糸と、を備える、縫合糸アンカーシステム。
(2) 前記組織縫合糸が、前記収縮式ループを通してループ形成された、実施態様1に記載の縫合糸アンカーシステム。
(3) 前記組織縫合糸が、前記収縮式ループとは別の縫合糸片から形成された、実施態様2に記載の縫合糸アンカーシステム。
(4) 前記組織縫合糸が、材料、構造、サイズ及び被覆のリストから選択された特徴を有し、前記特徴が、前記収縮式ループのこのような同じ特徴とは異なる、実施態様3に記載の縫合糸アンカーシステム。
(5) 前記収縮式縫合糸ループが、摺動結び目を備え、前記摺動結び目を通して前記縫合糸ループの一部分を引っ張って前記ループを収縮させることができる、実施態様1に記載の縫合糸アンカーシステム。
(7) 前記アンカー上の取付け部材が、前記収縮式縫合糸ループを通って前記収縮式ループを前記アンカーに取り付ける、実施態様5に記載の縫合糸アンカーシステム。
(8) 前記アンカーが、中心軸方向カニュレーション(central axial cannulation)を有し、
前記収縮式ループが、摺動結び目を備え、前記摺動結び目から延在するポストリム部を有し、前記ポストリム部上の張力が前記ループを収縮させ、
前記収縮式ループと前記ポストリム部が、前記カニュレーションから近位方向に延在する、実施態様1に記載の縫合糸アンカーシステム。
(9) 前記アンカーにおけるポストが、前記収縮式ループを通り、前記収縮式ループを前記アンカーに取り付ける、実施態様8に記載の縫合糸アンカーシステム。
(10) 前記摺動結び目が、ポストの遠位に配置された、実施態様8に記載の縫合糸アンカーシステム。
(12) 前記摺動結び目が、前記ポストの近位に配置された、実施態様8に記載の縫合糸アンカーシステム。
(13) 前記組織縫合糸が、前記固定テール部を備える、実施態様12に記載の縫合糸アンカーシステム。
(14) 前記縫合糸アンカーのまわりに骨係合突起を更に備える、実施態様1に記載の縫合糸アンカーシステム。
(15) 前記縫合糸アンカー、収縮式ループ及び組織縫合糸が、無菌であり、耐細菌性筐体内に包まれた、実施態様1に記載の縫合糸アンカーシステム。
(17) 前記収縮式縫合糸ループが、前記組織縫合糸より低い摩擦係数を有する、実施態様1に記載の縫合糸アンカーシステム。
(18) 前記縫合糸アンカー上に、前記組織縫合糸を収容する縫合糸収容部を更に備える、実施態様1に記載の縫合糸アンカーシステム。
(19) 前記縫合糸収容部が、前記縫合糸アンカーの遠位端にアイレットを備える、実施態様18に記載の縫合糸アンカーシステム。
(20) 前記アイレットが、重複アームから形成され、それにより、前記縫合糸を前記アーム間の前記アイレット内に装着することができる、実施態様19に記載の縫合糸アンカーシステム。
(22) 前記縫合糸収容部が、前記アンカーの前記遠位端に切欠きを備え、前記切欠きは、前記切欠き内の組織縫合糸が前記収縮式ループの可動部分に当たらないように、前記収縮式ループと離れている、実施態様18に記載の縫合糸アンカーシステム。
(23) 前記アンカーが、中心軸方向カニュレーションを有し、
縫合糸把持具が、前記カニュレーションを介して収容され、それにより、前記組織縫合糸を軟組織内に装着した後で前記カニュレーションに通すことが容易になる、実施態様1に記載の縫合糸アンカーシステム。
(24) 前記縫合糸把持具が、前記縫合糸アンカーの遠位の縫合糸捕捉機構と共に前記カニュレーション内を通る細長い本体を有する、実施態様23に記載の縫合糸アンカーシステム。
(25) 前記縫合糸捕捉機構が、前記組織縫合糸を通すことができる柔軟性材料のループである、実施態様24に記載の縫合糸アンカーシステム。
前記軟組織片に組織縫合糸を通す工程と、
前記縫合糸アンカーを前記骨に埋め込む工程と、
前記アンカーに取り付けられ前記組織縫合糸に接続された収縮式縫合糸ループを収縮させ、それにより前記組織縫合糸に張力をかける工程と、を含む、方法。
(27) 前記縫合糸アンカーと前記骨との間に前記組織縫合糸の第1の部分を閉じ込める工程を更に含む、実施態様26に記載の方法。
(28) 前記アンカーを前記骨に埋め込む前に、前記組織縫合糸の前記第1の部分の近くの前記組織縫合糸の第2の部分を、前記縫合糸アンカーを通る軸方向カニュレーション内に通す工程を更に含む、実施態様27に記載の方法。
(29) 前記第2の部分を、前記アンカーの遠位にある縫合糸把持具の縫合糸捕捉機構内に装着し、次に前記縫合糸捕捉機構を含む前記縫合糸把持具を前記カニュレーション内で近位方向に引っ張ることによって、前記カニュレーションに通された前記縫合糸把持具によって、前記第2の部分を前記カニュレーションに通す工程を更に含む、実施態様28に記載の方法。
(30) 前記縫合糸が、前記縫合糸アンカーと前記骨との間に閉じ込められたときに、前記軟組織が、前記組織縫合糸上の、前記第1の部分と前記組織縫合糸が前記収縮式ループに繋がる位置との間に配置される、実施態様27に記載の方法。
(32) 前記アンカーの前記遠位端に前記組織縫合糸を係合させる工程が、前記アンカーの前記遠位端にあるアイレット内に前記組織縫合糸を装着する工程を含む、実施態様31に記載の方法。
(33) 前記縫合糸アンカーに取り付けられたポストによって前記収縮式ループを拘束し、前記収縮式ループに通す工程を更に含む、実施態様26に記載の方法。
(34) 前記収縮式ループが、ループ部分を有する引き結び部、前記ループ部分を閉じる摺動結び目、及び前記摺動結び目から延在するポストリム部を備え、前記収縮式ループを収縮させる前記工程が、前記ポストリム部に張力をかける工程を含む、実施態様26に記載の方法。
(35) 前記アンカーが、前記ループ部分と前記ポストリム部が近位方向に出る中心軸方向カニュレーションを備え、前記ループを収縮させる工程が、前記ループを前記カニュレーション内に遠位方向に引っ張る、実施態様34に記載の方法。
(37) 前記アンカーが、前記摺動結び目の固定テール部と前記ポストリム部が近位方向に出る中心軸方向カニュレーションを有し、前記固定テール部が、前記軟組織に通されて前記組織縫合糸になる、実施態様34に記載の方法。
(38) 前記縫合糸アンカーを前記骨に埋め込む工程の前に前記組織縫合糸からたるみを除去する工程を更に含む、実施態様26に記載の方法。
Claims (25)
- 縫合糸アンカーシステムであって、
縫合糸アンカーと、
前記アンカーに取り付けられた収縮式縫合糸ループと、
前記収縮式縫合糸ループに取り付けられた組織縫合糸と、を備える、縫合糸アンカーシステム。 - 前記組織縫合糸が、前記収縮式ループを通してループ形成された、請求項1に記載の縫合糸アンカーシステム。
- 前記組織縫合糸が、前記収縮式ループとは別の縫合糸片から形成された、請求項2に記載の縫合糸アンカーシステム。
- 前記組織縫合糸が、材料、構造、サイズ及び被覆のリストから選択された特徴を有し、前記特徴が、前記収縮式ループのこのような同じ特徴とは異なる、請求項3に記載の縫合糸アンカーシステム。
- 前記収縮式縫合糸ループが、摺動結び目を備え、前記摺動結び目を通して前記縫合糸ループの一部分を引っ張って前記ループを収縮させることができる、請求項1に記載の縫合糸アンカーシステム。
- 前記摺動結び目が、固定テール部とポストリム部を有し、前記組織縫合糸が、前記固定テール部を備える、請求項5に記載の縫合糸アンカーシステム。
- 前記アンカー上の取付け部材が、前記収縮式縫合糸ループを通って前記収縮式ループを前記アンカーに取り付ける、請求項5に記載の縫合糸アンカーシステム。
- 前記アンカーが、中心軸方向カニュレーションを有し、
前記収縮式ループが、摺動結び目を備え、前記摺動結び目から延在するポストリム部を有し、前記ポストリム部上の張力が前記ループを収縮させ、
前記収縮式ループと前記ポストリム部が、前記カニュレーションから近位方向に延在する、請求項1に記載の縫合糸アンカーシステム。 - 前記アンカーにおけるポストが、前記収縮式ループを通り、前記収縮式ループを前記アンカーに取り付ける、請求項8に記載の縫合糸アンカーシステム。
- 前記摺動結び目が、ポストの遠位に配置された、請求項8に記載の縫合糸アンカーシステム。
- 前記ポストリム部が、前記ポストが前記収縮式ループを通る場所の近くで保持面のまわりを通り、次に前記カニュレーションから近位に通る、請求項10に記載の縫合糸アンカーシステム。
- 前記摺動結び目が、前記ポストの近位に配置された、請求項8に記載の縫合糸アンカーシステム。
- 前記組織縫合糸が、前記固定テール部を備える、請求項12に記載の縫合糸アンカーシステム。
- 前記縫合糸アンカーのまわりに骨係合突起を更に備える、請求項1に記載の縫合糸アンカーシステム。
- 前記縫合糸アンカー、収縮式ループ及び組織縫合糸が、無菌であり、耐細菌性筐体内に包まれた、請求項1に記載の縫合糸アンカーシステム。
- 前記アンカーが、細長い円筒形状を有し、それにより骨に開けられた穴内に固定して収容される、請求項1に記載の縫合糸アンカーシステム。
- 前記収縮式縫合糸ループが、前記組織縫合糸より低い摩擦係数を有する、請求項1に記載の縫合糸アンカーシステム。
- 前記縫合糸アンカー上に、前記組織縫合糸を収容する縫合糸収容部を更に備える、請求項1に記載の縫合糸アンカーシステム。
- 前記縫合糸収容部が、前記縫合糸アンカーの遠位端にアイレットを備える、請求項18に記載の縫合糸アンカーシステム。
- 前記アイレットが、重複アームから形成され、それにより、前記縫合糸を前記アーム間の前記アイレット内に装着することができる、請求項19に記載の縫合糸アンカーシステム。
- 前記アイレットが、側壁から形成され、漏斗状スロットが前記側壁を通り、それにより、前記縫合糸を前記スロットを通して前記アイレット内に装着することができる、請求項19に記載の縫合糸アンカーシステム。
- 前記縫合糸収容部が、前記アンカーの前記遠位端に切欠きを備え、前記切欠きは、前記切欠き内の組織縫合糸が前記収縮式ループの可動部分に当たらないように、前記収縮式ループと離れている、請求項18に記載の縫合糸アンカーシステム。
- 前記アンカーが、中心軸方向カニュレーションを有し、
縫合糸把持具が、前記カニュレーションを介して収容され、それにより、前記組織縫合糸を軟組織内に装着した後で前記カニュレーションに通すことが容易になる、請求項1に記載の縫合糸アンカーシステム。 - 前記縫合糸把持具が、前記縫合糸アンカーの遠位の縫合糸捕捉機構と共に前記カニュレーション内を通る細長い本体を有する、請求項23に記載の縫合糸アンカーシステム。
- 前記縫合糸捕捉機構が、前記組織縫合糸を通すことができる柔軟性材料のループである、請求項24に記載の縫合糸アンカーシステム。
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Application Number | Priority Date | Filing Date | Title |
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US12/977,146 US8821543B2 (en) | 2010-12-23 | 2010-12-23 | Adjustable anchor systems and methods |
US12/977,146 | 2010-12-23 | ||
PCT/US2011/067119 WO2012088496A2 (en) | 2010-12-23 | 2011-12-23 | Adjustable anchor systems and methods |
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JP2014510548A true JP2014510548A (ja) | 2014-05-01 |
JP6147671B2 JP6147671B2 (ja) | 2017-06-14 |
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JP2013546447A Active JP6147671B2 (ja) | 2010-12-23 | 2011-12-23 | 調整可能なアンカーシステム |
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EP (2) | EP2468194B1 (ja) |
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CN (2) | CN102525583B (ja) |
AU (2) | AU2011254063B2 (ja) |
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CN102525583B (zh) | 2016-02-03 |
CN102525583A (zh) | 2012-07-04 |
EP2468194A3 (en) | 2012-11-14 |
BRPI1106765A2 (pt) | 2015-07-28 |
US20120165864A1 (en) | 2012-06-28 |
AU2011348045B2 (en) | 2016-07-28 |
CN103269647A (zh) | 2013-08-28 |
AU2011348045A1 (en) | 2013-07-18 |
US20140343606A1 (en) | 2014-11-20 |
EP2654576B8 (en) | 2020-11-18 |
US8974495B2 (en) | 2015-03-10 |
JP6147671B2 (ja) | 2017-06-14 |
JP2012130705A (ja) | 2012-07-12 |
EP2468194B1 (en) | 2019-02-13 |
CA2822861A1 (en) | 2012-06-28 |
EP2654576B1 (en) | 2020-08-12 |
CN103269647B (zh) | 2017-09-12 |
US8821543B2 (en) | 2014-09-02 |
BR112013018333A2 (pt) | 2018-09-04 |
BR112013018333B1 (pt) | 2020-10-06 |
BRPI1106765B1 (pt) | 2020-09-24 |
EP2654576A2 (en) | 2013-10-30 |
EP2468194A2 (en) | 2012-06-27 |
CA2762250A1 (en) | 2012-06-23 |
JP6045789B2 (ja) | 2016-12-14 |
AU2011254063A1 (en) | 2012-07-12 |
AU2011254063B2 (en) | 2016-08-11 |
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