JP2022538915A - 組織修復装置 - Google Patents
組織修復装置 Download PDFInfo
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- JP2022538915A JP2022538915A JP2022500100A JP2022500100A JP2022538915A JP 2022538915 A JP2022538915 A JP 2022538915A JP 2022500100 A JP2022500100 A JP 2022500100A JP 2022500100 A JP2022500100 A JP 2022500100A JP 2022538915 A JP2022538915 A JP 2022538915A
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- outer cannula
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- 230000017423 tissue regeneration Effects 0.000 title claims abstract description 29
- 239000007943 implant Substances 0.000 claims abstract description 60
- 238000000034 method Methods 0.000 claims abstract description 18
- 230000007246 mechanism Effects 0.000 claims description 13
- 230000000149 penetrating effect Effects 0.000 claims description 8
- 238000003780 insertion Methods 0.000 claims description 4
- 230000037431 insertion Effects 0.000 claims description 4
- 210000001519 tissue Anatomy 0.000 description 35
- 239000000463 material Substances 0.000 description 4
- 210000000845 cartilage Anatomy 0.000 description 3
- 230000008439 repair process Effects 0.000 description 3
- 239000007779 soft material Substances 0.000 description 3
- 210000003813 thumb Anatomy 0.000 description 3
- 230000006378 damage Effects 0.000 description 2
- JTIGKVIOEQASGT-UHFFFAOYSA-N proquazone Chemical compound N=1C(=O)N(C(C)C)C2=CC(C)=CC=C2C=1C1=CC=CC=C1 JTIGKVIOEQASGT-UHFFFAOYSA-N 0.000 description 2
- 206010073713 Musculoskeletal injury Diseases 0.000 description 1
- 239000004696 Poly ether ether ketone Substances 0.000 description 1
- JUPQTSLXMOCDHR-UHFFFAOYSA-N benzene-1,4-diol;bis(4-fluorophenyl)methanone Chemical compound OC1=CC=C(O)C=C1.C1=CC(F)=CC=C1C(=O)C1=CC=C(F)C=C1 JUPQTSLXMOCDHR-UHFFFAOYSA-N 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 230000005499 meniscus Effects 0.000 description 1
- 238000000386 microscopy Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 229920002530 polyetherether ketone Polymers 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- -1 threads Substances 0.000 description 1
Images
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
- A61B17/0401—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
- A61F2/0805—Implements for inserting 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
- A61B17/0466—Suture bridges
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
-
- 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
- A61B2017/0406—Pledgets
-
- 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
- A61B2017/0417—T-fasteners
-
- 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
- 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
- A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Rheumatology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Rehabilitation Therapy (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Description
本出願は、主題が参照により本明細書に組み込まれている、2019年7月2日に出願された「Tissue Repair Device」と題する米国仮出願第62/869,806号の優先権を主張する。
12 ハンドル
13 トリガ
14 固定外側カニューレ
16 可動挿入具
18 アクチュエータ
20 近位端
22 遠位端
24 端面
26 先端
30 深さ限界選択機構
32 回転深さ選択部
34 把持部
36 ハウジング部
38 ばね荷重保持部
40 縫合糸のストランド
42 インプラント
44 ループ
45 深さ選択ノッチ
46 穿刺端
48 スロット
50、52 側壁
54 遠位端
80 組織
82 断裂
99 縫合インプラント構造体
L 固定長
Claims (16)
- 遠位端、前記遠位端と反対側の近位端、および深さ止めを規定する固定長を有する固定外側カニューレと、
前記固定外側カニューレの内部に受け入れられた可動挿入具と、
を備え、
前記可動挿入具が前記固定外側カニューレに対して摺動可能であり、前記可動挿入具が、展開するために位置決めされた縫合インプラント構造体を支持するように構成されている、組織修復装置。 - 前記可動挿入具を前記固定カニューレに対して摺動させるために、前記固定外側カニューレに受け入れられているアクチュエータをさらに備える、請求項1に記載の装置。
- 前記固定外側カニューレの前記固定長に対応する深さ限界選択機構をさらに備える、請求項1に記載の装置。
- 前記深さ限界選択機構が、前記固定外側カニューレの前記近位端においてハンドルに関連付けられている、請求項3に記載の装置。
- 前記深さ限界選択機構が、前記固定外側カニューレの前記近位端に結合された回転深さ選択部である、請求項3に記載の装置。
- 前記可動挿入具が、前記可動挿入具の内部にアクセスできるようにする長手方向スロットを含む、請求項1に記載の装置。
- 前記長手方向スロットの幅が、前記縫合インプラント構造体の1本以上の縫合糸を収容するように設定されている、請求項5に記載の装置。
- 前記縫合インプラント構造体が、少なくとも第1のインプラントおよび第2のインプラントを含む、請求項1に記載の装置。
- 前記可動挿入具が穿刺端を有する針である、請求項1に記載の装置。
- 組織修復装置の固定外側カニューレの遠位端の端面が損傷した組織においてまたはその近くで組織に当接するまで、前記組織修復装置を組織腔に挿入するステップと、
前記固定外側カニューレに受け入れられた前記組織修復装置の可動挿入具を、前記固定外側カニューレの前記遠位端に向かって摺動させるステップと、
前記挿入具の穿刺端により前記組織に貫入するステップと、
前記可動挿入具に存在する縫合インプラント構造体を展開するステップと、
を含む、組織修復方法。 - 前記固定外側カニューレの固定長に対応する深さ限界を選択するステップをさらに含む、請求項10に記載の方法。
- 前記深さ限界を選択する前記ステップが、前記固定外側カニューレの近位端に結合された深さ選択部を、選択した深さまで回転させるステップを含む、請求項11に記載の方法。
- 前記可動挿入具が、前記固定外側カニューレの前記端面が前記組織に当接するまで、前記固定外側カニューレの内部に留まる、請求項10に記載の方法。
- 前記固定外側カニューレの前記遠位端の前記端面により前記組織を圧縮するステップをさらに含む、請求項10に記載の方法。
- 前記縫合インプラント構造体を展開する前記ステップが、前記可動挿入具によって支持された複数のインプラントのうちの第1のインプラントを展開するステップを含む、請求項10に記載の方法。
- 前記固定外側カニューレが、前記挿入具が前記組織に貫入している間、静止して前記組織に接触したままである、請求項10に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201962869806P | 2019-07-02 | 2019-07-02 | |
US62/869,806 | 2019-07-02 | ||
PCT/US2020/040517 WO2021003281A1 (en) | 2019-07-02 | 2020-07-01 | Tissue repair device |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2022538915A true JP2022538915A (ja) | 2022-09-06 |
Family
ID=74100297
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2022500100A Pending JP2022538915A (ja) | 2019-07-02 | 2020-07-01 | 組織修復装置 |
Country Status (8)
Country | Link |
---|---|
US (1) | US20220249085A1 (ja) |
EP (1) | EP3993714A4 (ja) |
JP (1) | JP2022538915A (ja) |
KR (1) | KR20220031004A (ja) |
CN (1) | CN114340512A (ja) |
AU (1) | AU2020298533A1 (ja) |
CA (1) | CA3145655A1 (ja) |
WO (1) | WO2021003281A1 (ja) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP4427680A1 (en) * | 2021-11-02 | 2024-09-11 | Osteonic Co.,Ltd. | Implant deployment device |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP4166632B2 (ja) * | 2003-06-06 | 2008-10-15 | オリンパス株式会社 | 縫合器 |
US6923813B2 (en) * | 2003-09-03 | 2005-08-02 | Kyphon Inc. | Devices for creating voids in interior body regions and related methods |
US7658750B2 (en) * | 2004-03-18 | 2010-02-09 | Warsaw Orthopedic, Inc. | Suture anchoring system and method |
US7909851B2 (en) * | 2006-02-03 | 2011-03-22 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US7905904B2 (en) * | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US8128640B2 (en) * | 2005-02-07 | 2012-03-06 | Ivy Sports Medicine LLC | System and method for all-inside suture fixation for implant attachment and soft tissue repair |
US20100023024A1 (en) * | 2008-07-25 | 2010-01-28 | Zeiner Mark S | Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure |
CN103705280B (zh) * | 2008-11-26 | 2017-11-14 | 史密夫和内修有限公司 | 组织修复装置 |
AU2017249136B2 (en) * | 2016-04-11 | 2019-03-14 | Biomet Sports Medicine, Llc | Repair device and method for deploying anchors |
EP3648680B1 (en) * | 2017-07-07 | 2021-03-10 | Arthrex, Inc. | Suture-implant constructs and surgical device for delivering same |
-
2020
- 2020-07-01 AU AU2020298533A patent/AU2020298533A1/en active Pending
- 2020-07-01 JP JP2022500100A patent/JP2022538915A/ja active Pending
- 2020-07-01 EP EP20835345.8A patent/EP3993714A4/en active Pending
- 2020-07-01 CA CA3145655A patent/CA3145655A1/en active Pending
- 2020-07-01 CN CN202080061677.XA patent/CN114340512A/zh active Pending
- 2020-07-01 US US17/623,733 patent/US20220249085A1/en active Pending
- 2020-07-01 KR KR1020227000794A patent/KR20220031004A/ko unknown
- 2020-07-01 WO PCT/US2020/040517 patent/WO2021003281A1/en unknown
Also Published As
Publication number | Publication date |
---|---|
AU2020298533A1 (en) | 2022-02-24 |
EP3993714A4 (en) | 2023-06-28 |
US20220249085A1 (en) | 2022-08-11 |
CN114340512A (zh) | 2022-04-12 |
CA3145655A1 (en) | 2021-01-07 |
KR20220031004A (ko) | 2022-03-11 |
EP3993714A1 (en) | 2022-05-11 |
WO2021003281A1 (en) | 2021-01-07 |
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