JP4677433B2 - 縫糸留具 - Google Patents
縫糸留具 Download PDFInfo
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- JP4677433B2 JP4677433B2 JP2007261139A JP2007261139A JP4677433B2 JP 4677433 B2 JP4677433 B2 JP 4677433B2 JP 2007261139 A JP2007261139 A JP 2007261139A JP 2007261139 A JP2007261139 A JP 2007261139A JP 4677433 B2 JP4677433 B2 JP 4677433B2
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- Prior art keywords
- bone
- hole
- suture
- tip
- suture clasp
- Prior art date
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- Expired - Lifetime
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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
- 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
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- 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
- A61B2017/0414—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
-
- 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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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Rheumatology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
- Prostheses (AREA)
Description
バートレットに付与された特許文献1、特許文献2、特許文献3および特許文献4およびルスコム等に付与された特許文献5は参考文献として全文が添付されている。
12 本体
14 骨穴当接面
16 先端把持縁
18 先端面
20 骨穴閉鎖面
20a 円弧部
20b 略直線部
22 後端面
24 後端把持縁
26 挿入穴
28 縫糸穴
30 縫糸
50 挿入具
52 先端部
Claims (21)
- 骨に形成された穴に楔状に押し込み、縫糸を骨に固着するための移植可能な縫糸留具において、
当該縫糸留具は略四辺形の本体からなり、
前記本体は、
対向する両端を有し、当該縫糸留具を骨の穴に挿入する際に前記骨の穴を画定している壁に当接するようになっている骨穴当接面と、
前記骨の穴に最後に入るような前記骨穴当接面の端に位置しており、先端面と前記骨穴当接面が鋭角に交差することによって形成されている先端把持縁と、
前記骨の穴に最初に入るような前記骨穴当接面の端に位置しており、後端面と前記骨穴当接面が鋭角に交差することによって形成されている後端把持縁と、
円弧部と実質的な直線部を有しており、前記円弧部は前記先端面と係合し、前記実質的な直線部は前記後端面と係合し、骨内での前記先端把持縁を中心とする前記本体の回転を容易にするために前記骨穴当接面と略反対側に配置されている骨穴閉鎖面と、
を備え、
前記本体は、さらに、
前記後端把持縁に隣接する位置において前記本体を横方向に貫通するように設けられた縫糸穴と、
挿入具を受けるように設けられた非円形形状の挿入穴であって、該挿入穴は、前記骨穴当接面に向かって延びる軸に沿って延び、かつ前記先端面を通って前記本体の内部へ延びており、前記挿入穴が、前記先端面に対して非直交に配置されるとともに、前記先端把持縁と前記縫糸穴との間に延びている、挿入穴と
を備えたことを特徴とする縫糸留具。 - 前記挿入穴は、前記骨穴当接面に対して傾斜するように前記先端面から内部に延在していることを特徴とする請求項1に記載の縫糸留具。
- 前記本体は生物学的適合性を有する材料からなることを特徴とする請求項1に記載の縫糸留具。
- 前記本体は生物学的吸収性を有する材料からなることを特徴とする請求項3に記載の縫糸留具。
- 前記本体はポリ乳酸、ポリジオキサン、およびポリグリコール酸の少なくとも1つからなることを特徴とする請求項4に記載の縫糸留具。
- 前記本体はポリ乳酸からなることを特徴とする請求項1に記載の縫糸留具。
- 前記挿入穴はその長さの全体にわたって均一な形状に形成されることを特徴とする請求項1に記載の縫糸留具。
- 前記挿入穴は非円形であることを特徴とする請求項7に記載の縫糸留具。
- 前記挿入穴は略正方形であることを特徴とする請求項8に記載の縫糸留具。
- 縫糸を骨の穴に係留させる留具セットにおいて、
前記留具セットは、
略四辺形の本体を備え、前記骨の穴の中において楔として使用されるような少なくとも1つの縫糸留具であって、前記本体は、対向する両端を有する骨穴当接面と、先端把持縁と、後端把持縁とを有し、前記骨穴当接面は、前記縫糸留具を前記骨の穴に挿入する際に前記骨の穴を画定している壁に当接するようになっており、前記先端把持縁は、前記骨の穴に最後に入るような前記骨穴当接面の端に位置しており、前記先端把持縁は、先端面と前記骨穴当接面が鋭角に交差することによって形成されており、前記後端把持縁は、前記骨の穴に最初に入るような前記骨穴当接面の端に位置しており、前記後端把持縁は、後端面と前記骨穴当接面が鋭角に交差することによって形成されており、さらに前記本体は、横方向に貫通する縫糸穴を有し、前記本体は、挿入具を受けるように設けられた非円形形状の挿入穴を有し、該挿入穴が、前記骨穴当接面に向かって延びる軸に沿って延び、かつ前記先端面を通って前記本体の内部へ延びており、前記挿入穴が、前記先端面に対して非直交に配置されるとともに、前記先端把持縁と前記縫糸穴との間に延びている、縫糸留具と、
前記縫糸穴と操作可能に係合する少なくとも1つの縫糸であって、前記縫糸穴を通って骨に固着される身体組織と係合するような縫糸と、
前記縫糸留具を骨の穴に挿入させる少なくとも1つの挿入装置であって、対向する両端を有する剛直な軸と前記軸の一端に設けられた先端部からなり、前記先端部は形状記憶材料からなり、前記軸と操作可能に係合される近位端と前記挿入穴に係合される自由遠位端を有し、前記先端部の前記遠位端は前記挿入穴の非円形形状の断面に対応する非円形断面を有して前記先端部の前記遠位端が前記挿入穴に係合されるとき前記先端部の軸心回りの前記縫糸留具の回転を可能な限り小さくする挿入装置と
からなることを特徴とする留具セット。 - 先端把持縁を形成するように、前記骨の穴に最後に入るような前記骨穴当接面の端において鋭角に交差している先端面をさらに備えたことを特徴とする請求項10に記載の留具セット。
- 後端把持縁を形成するように、前記骨の穴に最初に入るような前記骨穴当接面の端において鋭角に交差している後端面をさらに備えたことを特徴とする請求項11に記載の留具セット。
- 円弧部と実質的な直線部とを有する骨穴閉鎖面をさらに含み、前記円弧部は前記先端面と係合するとともに前記実質的な直線部は前記後端面と係合し、それによって前記本体は略四辺形をなし、前記骨穴閉鎖面は骨内での前記先端把持縁を中心とする前記本体の回転を容易にするために前記骨穴当接面と略反対側に配置されている、ことを特徴とする請求項12に記載の留具セット。
- 前記挿入穴は、前記骨穴当接面に対して傾斜するように前記先端面から内部に延長して形成されたことを特徴とする請求項11に記載の留具セット。
- 骨に円形穴を形成するための少なくとも1つの穴あけ刃をさらに含むことを特徴とする請求項10に記載の留具セット。
- 前記本体はポリ乳酸からなることを特徴とする請求項10に記載の留具セット。
- 前記挿入穴はその長さの全体にわたって均一に形成されることを特徴とする請求項10に記載の留具セット。
- 前記挿入穴は略正方形であることを特徴とする請求項10に記載の留具セット。
- 前記先端部はニッケル−チタン合金からなることを特徴とする請求項10に記載の留具セット。
- 前記先端部はその長さの全体にわたって均一に形成されることを特徴とする請求項10に記載の留具セット。
- 前記先端部は略正方形であることを特徴とする請求項10に記載の留具セット。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12235599P | 1999-03-02 | 1999-03-02 | |
US09/390,715 US6306158B1 (en) | 1999-03-02 | 1999-09-07 | Suture anchor and associated method of implantation |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2000601972A Division JP4106190B2 (ja) | 1999-03-02 | 1999-12-15 | 縫糸留具 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010276971A Division JP2011078816A (ja) | 1999-03-02 | 2010-12-13 | 縫糸留具を骨の穴に移植するための挿入装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008068104A JP2008068104A (ja) | 2008-03-27 |
JP4677433B2 true JP4677433B2 (ja) | 2011-04-27 |
Family
ID=26820442
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2000601972A Expired - Lifetime JP4106190B2 (ja) | 1999-03-02 | 1999-12-15 | 縫糸留具 |
JP2007261139A Expired - Lifetime JP4677433B2 (ja) | 1999-03-02 | 2007-10-04 | 縫糸留具 |
JP2010276971A Pending JP2011078816A (ja) | 1999-03-02 | 2010-12-13 | 縫糸留具を骨の穴に移植するための挿入装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2000601972A Expired - Lifetime JP4106190B2 (ja) | 1999-03-02 | 1999-12-15 | 縫糸留具 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010276971A Pending JP2011078816A (ja) | 1999-03-02 | 2010-12-13 | 縫糸留具を骨の穴に移植するための挿入装置 |
Country Status (8)
Country | Link |
---|---|
US (4) | US6306158B1 (ja) |
EP (3) | EP1862126A1 (ja) |
JP (3) | JP4106190B2 (ja) |
AT (2) | ATE447367T1 (ja) |
AU (1) | AU764885B2 (ja) |
CA (2) | CA2520411C (ja) |
DE (2) | DE69942283D1 (ja) |
WO (1) | WO2000051497A1 (ja) |
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CA2520411C (en) | 2008-09-02 |
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AU2055100A (en) | 2000-09-21 |
JP2002537886A (ja) | 2002-11-12 |
US20020004668A1 (en) | 2002-01-10 |
ATE464844T1 (de) | 2010-05-15 |
JP2008068104A (ja) | 2008-03-27 |
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EP1862126A1 (en) | 2007-12-05 |
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US6306158B1 (en) | 2001-10-23 |
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US20020007196A1 (en) | 2002-01-17 |
JP2011078816A (ja) | 2011-04-21 |
CA2362952A1 (en) | 2000-09-08 |
CA2520411A1 (en) | 2000-09-08 |
EP1862127A1 (en) | 2007-12-05 |
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