JP2015510789A - 縫合に基づくノットレス修復 - Google Patents
縫合に基づくノットレス修復 Download PDFInfo
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- JP2015510789A JP2015510789A JP2014561043A JP2014561043A JP2015510789A JP 2015510789 A JP2015510789 A JP 2015510789A JP 2014561043 A JP2014561043 A JP 2014561043A JP 2014561043 A JP2014561043 A JP 2014561043A JP 2015510789 A JP2015510789 A JP 2015510789A
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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
-
- 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
- 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
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- 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
- A61B2017/0474—Knot pushers
-
- 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
- A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
Abstract
Description
110、210、310、510、610、710、810、910、1010、1110、1111、1210 可撓性部材、縫合糸
114、1014 スリップノット
115、215、515、615、715、1015、1115 (単一/閉/可閉)ループ
116、516、616、1016、1116 (縫合糸の)固終端部
118、518、618、1018、1118、1216、1218 (縫合糸の)摺動終端部
122、124、222、224、315、522、524、622、624、722、724、725、728、822、824、922、924、1022、1023、1026、1122、1124、1125、1128、1222、1223、1227 アンカー、固定部材
300a、300b、300c、300d、400 送達デバイス
330a、330b、330c、330d、410、415、544、546、644、646、744、746、844 挿入装置針
340a、340b、340c、450、460 (挿入装置針の遠位端の)切欠き
340d (挿入装置針の遠位端の)穴部
350、370 (挿入装置針の)収束先鋭化先端、遠位端
360、380 (挿入装置針の)丸く扁平な先端、遠位端
420 ハンドル
430、881、940 外管、カニューレ
440a、440b 作動スライダ
471a、471b (作動スライダの)スロット
475a (ハンドル内の)長手方向スロット
530、630 肩領域
532、632 関節窩皮質骨
534、634 海綿骨組織
536、636 被膜
538、638、938 関節唇、関節唇組織
540、640 ガイド
542、642 ドリル
550、650、652 穴部
632a (関節窩皮質骨の)第1の側
632b (関節窩皮質骨の)他方の側
716、718 (縫合糸の)端部
760 上腕頭
765 棘上筋腱
820 トロカール先端部
882 (トロカール先端部の遠位端の)スロット
940a 先鋭化された角度付き遠位先端
944 プッシャ
1017 ノット
1213、1214、1219 摺動ノット
Claims (24)
- 2つの終端部を有する可撓性部材であり、単一可閉ループを形成している、可撓性部材と、
第1の固定部材と、
第2の固定部材と
を含み、
前記第1の固定部材および前記第2の固定部材は、前記可撓性部材により形成されている前記単一可閉ループ上で摺動可能に受けられている、
装置。 - 前記可撓性部材の前記終端部の一方に張力がかけられると、前記単一可閉ループの長さが短くなる、請求項1に記載の装置。
- 前記可撓性部材は縫合糸を含む、請求項1に記載の装置。
- 前記第1の固定部材および前記第2の固定部材は可撓性である、請求項1に記載の装置。
- 前記第1の固定部材および前記第2の固定部材は縫合糸である、請求項4に記載の装置。
- 前記第1の固定部材および前記第2の固定部材は剛性である、請求項1に記載の装置。
- 前記第1の固定部材は可撓性であり、前記第2の固定部材は剛性である、請求項1に記載の装置。
- 第3の固定部材が前記可撓性部材の一方の終端部に連結されている、請求項1に記載の装置。
- 送達デバイスと、手術デバイスと、を含む手術アセンブリであって、
前記送達デバイスが、
ハンドルと、
外管であり、前記ハンドルに連結されておりかつ前記ハンドルから延出している、外管と、
前記外管の内部に少なくとも部分的に摺動可能に配設されている第1の挿入針と、
前記外管の内部に少なくとも部分的に摺動可能に配設されている第2の挿入針と
を含み、
前記手術デバイスが、
2つの終端部を有する可撓性部材であり、単一可閉ループを形成している、可撓性部材と、
第1の固定部材と、
第2の固定部材と
を含み、
前記第1の固定部材および前記第2の固定部材は、前記可撓性部材の終端部を引っ張ることにより、前記第1の固定部材と前記第2の固定部材との間における前記可撓性部材の長さがを短くなるように、前記可撓性部材により形成されている前記単一可閉ループ上で摺動可能に受けられており、
前記第1の固定部材は前記第1の挿入針に解放可能に固定されており、前記第2の固定部材は前記第2の挿入針に解放可能に固定されている、
手術アセンブリ。 - 前記第1の固定部材および前記第2の固定部材は可撓性固定部材である、請求項9に記載の手術アセンブリ。
- 前記第1の固定部材および前記第2の固定部材は縫合糸である、請求項10に記載の手術アセンブリ。
- 前記第1の挿入針には、前記第1の固定部材を受け止めるように構成された切欠きが形成されており、前記第2の挿入針には、前記第2の固定部材を受け止めるように構成された切欠きが形成されており、
前記第1の固定部材は、前記第1の固定部材の一部分を、前記第1の挿入針に形成された前記切欠き内に差し込むことによって、前記第1の挿入針に解放可能に固定され、前記第2の固定部材は、前記第2の固定部材の一部分を、前記第2の挿入針に形成された前記切欠き内に差し込むことによって、前記第2の挿入針に解放可能に固定される、
請求項9に記載の手術アセンブリ。 - 前記ハンドルの内部に摺動可能に配置されておりかつ前記第1の挿入針に連結されている第1のスイッチと、
前記ハンドルの内部に摺動可能に配置されておりかつ前記第2の挿入針に連結されている第2のスイッチと
をさらに含む、請求項9に記載の手術アセンブリ。 - 送達デバイスと、手術デバイスと、を含む手術アセンブリであって、
前記送達デバイスが、
ハンドルと、
前記ハンドルから延出している筒形針であって、
長手方向チャネル、および、
トロカール先端部
を画定している、筒形針と、
前記筒形針の内部に少なくとも部分的に配設されているプッシャと
を含み、
前記手術デバイスが、
2つの終端部を有する可撓性部材であり、単一可閉ループを形成している、可撓性部材と、
第1の固定部材と、
第2の固定部材と
を含み、
前記第1の固定部材および前記第2の固定部材は、前記可撓性部材の終端部を引っ張ることにより、前記第1の固定部材と前記第2の固定部材との間における前記可撓性部材の長さが短くなるように、前記単一可閉ループ上で摺動可能に受けられており、
前記第1の固定部材は前記プッシャに固定されており、
前記第2の固定部材は前記筒形針の外面に隣接して配置されており、前記可撓性部材は前記長手方向チャネルを通過する、
手術アセンブリ。 - 前記プッシャには、前記第1の固定部材を受け止めるように構成された切欠きが形成されており、前記第1の固定部材は、前記プッシャに形成された前記切欠き内に前記第1の固定部材の一部分を差し込むことによって、前記プッシャに固定される、請求項14に記載の手術アセンブリ。
- 前記ハンドルの内部に摺動可能に配置されているスイッチをさらに含む、請求項14に記載の手術アセンブリ。
- 前記スイッチは前記プッシャの近位端に連結されている、請求項16に記載の手術アセンブリ。
- 前記第1の固定部材および前記第2の固定部材は剛性固定部材である、請求項14に記載の手術アセンブリ。
- 前記第1の固定部材は縫合糸である、請求項14に記載の手術アセンブリ。
- 前記プッシャは挿入装置針である、請求項14に記載の手術アセンブリ。
- 関節唇組織を修復する方法であって、
第1の位置で第1の固定部材を組織内に埋め込むステップと、
創傷を横断して可撓性部材を通過させるステップと、
第2の位置で第2の固定部材を組織内に埋め込むステップであり、前記第1の固定部材および前記第2の固定部材が、前記可撓性部材により形成されている単一可閉ループ上で摺動可能に受けられている、埋め込むステップと、
前記可撓性部材の終端部を引っ張って、前記単一可閉ループの長さを短くする、引っ張るステップと
を含む、方法。 - 前記第1の位置の前記組織は軟組織であり、前記第2の位置の前記組織は骨組織である、請求項21に記載の方法。
- 前記第1の位置の前記組織は軟組織であり、前記第2の位置の前記組織は軟組織である、請求項21に記載の方法。
- 前記第1の位置の前記組織は骨組織であり、前記第2の位置の前記組織は骨組織である、請求項21に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/416,584 US9084597B2 (en) | 2012-03-09 | 2012-03-09 | Suture-based knotless repair |
US13/416,584 | 2012-03-09 | ||
PCT/US2013/029143 WO2013134277A1 (en) | 2012-03-09 | 2013-03-05 | Suture-based knotless repair |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2015510789A true JP2015510789A (ja) | 2015-04-13 |
Family
ID=47997802
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014561043A Ceased JP2015510789A (ja) | 2012-03-09 | 2013-03-05 | 縫合に基づくノットレス修復 |
Country Status (11)
Country | Link |
---|---|
US (2) | US9084597B2 (ja) |
EP (1) | EP2822477A1 (ja) |
JP (1) | JP2015510789A (ja) |
KR (1) | KR20150022748A (ja) |
CN (1) | CN104394778B (ja) |
AU (1) | AU2013230095B2 (ja) |
BR (1) | BR112014022178A2 (ja) |
IN (1) | IN2014DN08321A (ja) |
RU (1) | RU2014136769A (ja) |
WO (1) | WO2013134277A1 (ja) |
ZA (1) | ZA201406440B (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2019042507A (ja) * | 2017-08-31 | 2019-03-22 | メドス・インターナショナル・エスエイアールエルMedos International SARL | 組織修復のための装置及び方法 |
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CN104394778B (zh) | 2017-07-14 |
ZA201406440B (en) | 2015-06-24 |
US20150272566A1 (en) | 2015-10-01 |
IN2014DN08321A (ja) | 2015-05-15 |
BR112014022178A2 (pt) | 2017-07-04 |
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