JP4180926B2 - 骨−腱−骨に使用する末端ボタン連続ループ - Google Patents
骨−腱−骨に使用する末端ボタン連続ループ Download PDFInfo
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- JP4180926B2 JP4180926B2 JP2002588880A JP2002588880A JP4180926B2 JP 4180926 B2 JP4180926 B2 JP 4180926B2 JP 2002588880 A JP2002588880 A JP 2002588880A JP 2002588880 A JP2002588880 A JP 2002588880A JP 4180926 B2 JP4180926 B2 JP 4180926B2
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- loop
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- closed loop
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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
- A61B2017/0404—Buttons
-
- 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
- A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
-
- 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
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
- A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
-
- 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
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
- A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
-
- 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
- A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
Description
1つの観点において、本発明は、組織移植体を骨経路(bone passage)内に固定する方法に関する。一対の対向ループ部分を有する閉鎖ループからなる移植体固定部材が準備され、その閉鎖ループの第一ループ部分が前記固定部材内に捕捉(capture)される。上記閉鎖ループの対向する第二ループ部分を、組織移植体の開口に通して、上記固定部材に固定する。
図1を参照すると、前十字靱帯(ACL)を修復再構成する処置が行われる間に、膝10の中に移植されている組織移植体20が示されている。一実施例では、組織移植体20は、大腿骨チャネルと脛骨チャネル内にそれぞれにはまる大きさと形態の骨ブロックを、両末端に有している。より具体的に述べると、組織移植体20の一方の末端は大腿骨12の大腿骨チャネル14と実質的に合致する形態と大きさの骨ブロック22を備え、一方、組織移植体20の他方の末端は脛骨13の脛骨チャネル16と実質的に合致する形態と大きさの骨ブロック24を備えている。一実施例では、閉鎖ループの縫合糸30が骨ブロック22中に挿入されて移植体固定部材100内に捕捉される。閉鎖ループ縫合糸30は、限定されないが、ポリエステル製のSmith & Nephewの連続ループ(ループに結び合わせた一本の縫合糸)又は一本のポリエステルクロージャテープ〔例えば米国オハイオ州シンシナティ所在のEthicon Inc.が市販しているMerselene(商標)〕であってもよい。以下に述べるように、移植体固定部材100は、組織移植体20の配置と固定とを容易に行えるように配置構成されている。
Claims (21)
- 中間部と該中間部から伸びる1対のアームとを有する部材を備え、
前記1対のアームは、該1対のアームの間に、末端部において開放された開放チャネルを形成し、
前記1対のアームのそれぞれのアームの末端部には、前記アームの前記開放チャネルに面する第1側面から前記アームの前記第1側面とは反対側の第2側面へ貫通する開口が開けられ、
前記開口は、縫合糸を収容するような大きさを有しているとともに、前記1対のアームの開口に、前記開放チャネルを横切る形で縫合糸を通したときに、前記開放チャネルの末端部が前記縫合糸によって閉じられるように形成されている、骨の中の経路に組織移植体を固定するための装置。 - 1またはそれ以上の開口が、前記部材の中間部を貫通している請求項1の装置。
- 前記開口が、円筒形である請求項2の装置。
- 前記各アームの中の開口が、円筒形である請求項1の装置。
- 各1対のアームの中の開口が、共通軸の上の異なる位置を占有する請求項1の装置。
- 前記軸が、前記部材に対して直角である請求項5の装置。
- 一対のアームが、前記チャネルの幅に等しい直径を持つチャネル円筒形部を画定する請求項1の装置。
- 一対のアームのそれぞれが、前記チャネルの幅よりも大きな直径を持つチャネル円筒形部を画定する請求項1の装置。
- 前記アームが、骨経路を通るように成形されている請求項1の装置。
- 前記部材が、骨経路を通るような大きさにされている請求項1の装置。
- 前記部材が、生体適合性を有する材料で形成される請求項1の装置。
- 前記部材が、チタンからなる請求項1の装置。
- 前記材料が、生体吸収性の材料からなる請求項1の装置。
- 一対の対向するループ部を持つ閉鎖ループを有する請求項1〜13のいずれか1項に記載の装置を備える移植体固定部材を準備し、
前記固定部材の中に、前記閉鎖ループの第1ループ部を捕捉し、
前記閉鎖ループの対向する第2ループ部を、組織移植体の中の開口に通し、
前記固定部材に、前記閉鎖ループの第2ループ部を固定させることによって形成された、組織移植体と移植体固定部材との結合体。 - 一対の対向するループ部を持つ閉鎖ループを有する請求項1〜13のいずれか1項に記載の装置を備える移植体固定部材を準備し、前記固定部材の中に、前記閉鎖ループの第1ループ部を捕捉し、前記組織移植体の中の開口に、閉鎖ループの対向する第2ループ部を通過させることによって、閉鎖ループの中にバイトを形成し、組織移植体を捕捉するために、閉鎖ループの中のバイトに、固定部材と第1ループ部を通過させることによって形成された、組織移植体と移植体固定部材との結合体。
- 請求項1〜13のいずれか1項に記載の装置を備える第1移植体固定部材と、請求項1〜13のいずれか1項に記載の装置を備える第2移植体固定部材と、一対の対向するループ部を持つ閉鎖ループを準備し、前記閉鎖ループの第1ループ部を、前記第1移植体固定部材の中に捕捉し、組織移植体の中の開口に対向する第2ループ部を通し、前記第2移植体固定部材の中に、縫合の閉鎖ループの第2ループ部を捕捉することによって形成された、組織移植体と移植体固定部材との結合体。
- 前記開口は、組織移植体の中に形成される請求項14の結合体。
- 前記開口が、組織移植体の骨ブロックの中に形成される請求項17の結合体。
- 前記開口が、組織移植体の腱の中に形成される請求項17の結合体。
- 前記第2ループ部が、組織移植体の開口に通される前に、前記第2固定部材の中に捕捉される請求項16の結合体。
- 組織移植体の開口に前記第2ループ部を通過させることが、その開口に第2固定部材を通すことを含む請求項20の結合体。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/859,096 US6533802B2 (en) | 2001-05-16 | 2001-05-16 | Endobutton continuous loop for bone-tendon-bone |
PCT/US2002/015056 WO2002091959A1 (en) | 2001-05-16 | 2002-05-13 | Endobutton continuous loop for bone-tendon-bone |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2004528121A JP2004528121A (ja) | 2004-09-16 |
JP2004528121A5 JP2004528121A5 (ja) | 2005-12-22 |
JP4180926B2 true JP4180926B2 (ja) | 2008-11-12 |
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ID=25330022
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2002588880A Expired - Fee Related JP4180926B2 (ja) | 2001-05-16 | 2002-05-13 | 骨−腱−骨に使用する末端ボタン連続ループ |
Country Status (8)
Country | Link |
---|---|
US (4) | US6533802B2 (ja) |
EP (2) | EP1387650B1 (ja) |
JP (1) | JP4180926B2 (ja) |
AT (1) | ATE502601T1 (ja) |
AU (1) | AU2002303722B2 (ja) |
CA (1) | CA2446999A1 (ja) |
DE (1) | DE60239526D1 (ja) |
WO (1) | WO2002091959A1 (ja) |
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-
2001
- 2001-05-16 US US09/859,096 patent/US6533802B2/en not_active Expired - Lifetime
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2002
- 2002-05-13 EP EP02731771A patent/EP1387650B1/en not_active Expired - Lifetime
- 2002-05-13 AT AT02731771T patent/ATE502601T1/de not_active IP Right Cessation
- 2002-05-13 AU AU2002303722A patent/AU2002303722B2/en not_active Ceased
- 2002-05-13 DE DE60239526T patent/DE60239526D1/de not_active Expired - Lifetime
- 2002-05-13 JP JP2002588880A patent/JP4180926B2/ja not_active Expired - Fee Related
- 2002-05-13 CA CA002446999A patent/CA2446999A1/en not_active Abandoned
- 2002-05-13 EP EP10156809.5A patent/EP2191791B1/en not_active Expired - Lifetime
- 2002-05-13 WO PCT/US2002/015056 patent/WO2002091959A1/en active Application Filing
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2003
- 2003-03-18 US US10/391,457 patent/US20040015171A1/en not_active Abandoned
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2004
- 2004-07-20 US US10/895,266 patent/US7530990B2/en not_active Expired - Fee Related
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Also Published As
Publication number | Publication date |
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EP2191791A3 (en) | 2012-08-22 |
AU2002303722B2 (en) | 2006-11-02 |
WO2002091959A1 (en) | 2002-11-21 |
US7530990B2 (en) | 2009-05-12 |
EP1387650A1 (en) | 2004-02-11 |
CA2446999A1 (en) | 2002-11-21 |
ATE502601T1 (de) | 2011-04-15 |
EP2191791B1 (en) | 2015-06-24 |
US20050038427A1 (en) | 2005-02-17 |
US20020173788A1 (en) | 2002-11-21 |
US20080287991A1 (en) | 2008-11-20 |
US20040015171A1 (en) | 2004-01-22 |
JP2004528121A (ja) | 2004-09-16 |
DE60239526D1 (de) | 2011-05-05 |
EP2191791A2 (en) | 2010-06-02 |
EP1387650B1 (en) | 2011-03-23 |
US6533802B2 (en) | 2003-03-18 |
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