JP2015513974A5 - - Google Patents

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JP2015513974A5
JP2015513974A5 JP2015504617A JP2015504617A JP2015513974A5 JP 2015513974 A5 JP2015513974 A5 JP 2015513974A5 JP 2015504617 A JP2015504617 A JP 2015504617A JP 2015504617 A JP2015504617 A JP 2015504617A JP 2015513974 A5 JP2015513974 A5 JP 2015513974A5
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suture
anchor
anchor body
section
bone
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Claims (18)

  1. 軟組織を骨に対して少なくとも一本の縫合糸により固着する縫合糸用アンカであって、
    当該縫合糸用アンカは、前記縫合糸の自由肢部に対して張力を付与することにより前記組織は当該縫合糸用アンカに向けて引き寄せられ得るという第1の未展開形態、及び、当該縫合糸用アンカは前記骨内に固定され且つ前記縫合糸は当該縫合糸用アンカ内に繋止されることにより前記組織を前記骨に対して固着するという第2の展開形態を備え、
    当該縫合糸用アンカは、
    基端区画と、長寸中間区画と、末端区画とを有するアンカ本体と、
    少なくとも部分的に前記長寸中間区画の回りに配設された骨繋止部材であって、当該骨繋止部材の内側面と前記長寸中間区画の外側面との間にキャビティを形成するという骨繋止部材と、
    前記アンカ本体及び前記骨繋止部材と移動可能に協働して前記長寸中間区画に沿い前記キャビティ内へと摺動することにより、前記骨繋止部材を拡開させ、且つ、前記少なくとも一本の縫合糸を前記長寸中間区画の前記外側面と当該スリーブ部材の内側面との間に圧縮するスリーブ部材と、
    を備える、
    縫合糸用アンカ。
  2. 前記骨繋止部材は複数の異なるサイズへと拡開可能である、請求項1に記載の縫合糸用アンカ。
  3. 前記骨繋止部材は、前記スリーブ部材が前記キャビティ内へと付勢されたときに前記アンカ本体から外方に撓曲する複数の撓曲区画を備える、請求項1に記載の縫合糸用アンカ。
  4. 前記複数の撓曲区画は少なくとも3つの個別的な翼部を備える、請求項3に記載の縫合糸用アンカ。
  5. 前記末端区画は骨穿刺先端を備える、請求項1に記載の縫合糸用アンカ。
  6. 前記骨穿刺先端は基端基部から末端までテーパ付けされ、前記基部は少なくとも4mmの外径を有する、請求項5に記載の縫合糸用アンカ。
  7. 前記アンカ本体は生体適合性ポリマである、請求項1に記載の縫合糸用アンカ。
  8. 前記骨繋止部材及びスリーブの少なくとも一方は、外側隆起部を備える、請求項1に記載の縫合糸用アンカ。
  9. 前記アンカ本体の前記末端区画は隆起部を備える、請求項8に記載の縫合糸用アンカ。
  10. 前記アンカ本体の前記末端区画は、該アンカ本体の一側から該アンカ本体の他側まで前記縫合糸を案内する縫合糸案内部を備える、請求項1に記載の縫合糸用アンカ。
  11. 前記縫合糸案内部は、前記アンカ本体の前記末端区画を貫通して延在する開孔である、請求項10に記載の縫合糸用アンカ。
  12. 前記キャビティは環状空間である、請求項1に記載の縫合糸用アンカ。
  13. 所定長さの縫合糸を骨に関して投錨する、無結節で縫合糸を投錨するシステムであって、
    取手と、該取手から末端方向に延在する長寸の堅固なシャフトとを備えるアンカ挿入器具であって、前記シャフトは末端区画を備えるというアンカ挿入器具と、
    前記長寸の堅固なシャフトの前記末端区画に取り外し可能に接続されたアンカ本体であって、当該アンカ本体は、基端区画と、長寸中間区画と、末端区画とを備え、前記末端区画は、当該アンカ本体の第1側面から該アンカ本体の反対側まで前記縫合糸が通過することを許容する縫合糸担持部分を備える、というアンカ本体と、
    前記アンカ本体上に配設された骨繋止部材であって、
    前記アンカ本体の前記末端区画と協働して当該基礎部を前記アンカ本体に保持する基礎部と、
    前記アンカ本体の外側面と当該骨投錨構造の内側面との間にキャビティが画成される如く、前記基礎部から延在し且つ前記アンカ本体の前記中間区画からは径方向に離間された骨投錨構造であって、前記キャビティは、前記所定長の縫合糸が該キャビティを通して前記縫合糸担持部分まで引き寄せられることを許容するに十分なサイズである、という骨投錨構造と、
    を備える、という骨繋止部材と、
    前記アンカ本体の基端方向にて前記器具の前記シャフト末端区画上に摺動可能に配設されたスリーブ部材であって、該スリーブ部材は、前記シャフト末端区画に沿い且つ前記キャビティ内へと押し進められたときに前記投錨構造を径方向に拡開するに十分なサイズ及び形状の外径を有し、且つ、該スリーブ部材は、所定長の縫合糸を前記アンカ本体と該スリーブの内側面との間に圧縮するに十分なサイズ及び形状の内径を有する、というスリーブ部材と、
    を備える、無結節で縫合糸を投錨するシステム。
  14. 当該スネアの末端部分が前記縫合糸に対して固着されたときに、該スネアを引き戻すと、前記縫合糸は、前記アンカ本体の前記縫合糸担持部分と前記挿入器具の前記末端部分とを貫通して引き寄せられる如く、前記挿入器具の少なくとも一部分と前記アンカ本体の前記縫合糸担持部分とを貫通して延在するスネアを更に備える、請求項13に記載のシステム。
  15. 前記アンカの前記末端区画は、尖鋭状の先端を備える、請求項13に記載のシステム。
  16. 前記器具シャフトに沿った張力脆弱区画であって、該シャフトに対する基端方向の所定張力の付与時に該シャフトが前記アンカ本体の基端から分離することを許容するという張力脆弱区画を更に含む、請求項13に記載のシステム。
  17. 前記骨投錨構造は複数の撓曲可能な翼部を有し、且つ、各翼部は複数の外側隆起部を備える、請求項13に記載のシステム。
  18. 前記キャビティは環状空間である、請求項13に記載のシステム。
JP2015504617A 2012-04-06 2013-03-25 組織を骨に対して取付ける多重縫合糸式無結節アンカ及び関連方法 Active JP6286416B2 (ja)

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US13/441,055 2012-04-06
US13/441,055 US9855028B2 (en) 2012-04-06 2012-04-06 Multi-suture knotless anchor for attaching tissue to bone and related method
PCT/US2013/033664 WO2013151817A1 (en) 2012-04-06 2013-03-25 Multi-suture knotless anchor for attaching tissue to bone and related method

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