JP4881872B2 - 医療処置に使用されるアンカー/縫合糸 - Google Patents
医療処置に使用されるアンカー/縫合糸 Download PDFInfo
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- 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
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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
- A61B2017/0412—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 anchoring barbs or pins extending outwardly from suture anchor body
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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
- 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
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- 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
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
- A61B2017/0437—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 anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
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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
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
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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
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0456—Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
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- 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
- A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel
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Description
Claims (9)
- 縫合糸(24)の両端を固定しロックするアンカーと縫合糸ロック装置との組合せであって、前記縫合糸ロック装置(10)が、上端壁部分(33)と下端壁部分(32)と側面部分(34)とを有する円筒形の中空の本体(28)を有し、
前記側面部分(34)内に、直径方向に対向するスロット(40)が形成され、
両端を有するピン(42)が、前記本体(28)内に配設され、前記両端が、前記直径方向に配設されたスロット(40)内に延び、一対の直径方向に配設された開口部(44,46)が、前記本体(28)における前記直径方向に対向するスロット(40)に対して90度の位置に形成され、
前記上端壁部分(33)が、前記本体に形成されるとともに前記ピン(42)と軸方向に位置合わせされた陥凹部を画成する内側壁(61)を有し、
前記アンカー(12)が、環状下端部分(18)および環状上端部分(20)と、その間に取り付けられた外向きに屈曲するウィング(26)と、を含むタイプのものであり、
軸方向に折り取り可能なシャフト(14)が、前記縫合糸ロック装置(10)および前記アンカー(12)を貫通して延びるとともに、尖った先端部分(16)を有し、
前記ピン(42)が、前記軸方向に折り取り可能なシャフト(14)に形成された孔を貫通して延び、前記ピン(42)の両端部が、前記軸方向に折り取り可能なシャフト(14)を越えて突出して前記直径方向に対向するスロット(40)と係合し、
縫合糸ロック装置(10)が、組織を結合させるようにこの組織の一部分から延びる縫合糸の一方の部分と、前記組織の別の部分から延びる縫合糸の他方の部分とを前記縫合糸ロック装置(10)に通すことによって、前記組織へ通した前記縫合糸(24)の両側を受け入れ、前記両部分が、前記ピン(42)に掛かるように前記直径方向に対向する開口部(44,46)の中に通され、
前記先端部分(16)および前記下端部分(18)が、前記アンカー(12)が展開されたときに前記上端壁部分(33)の方へと進み、前記シャフト(14)が、前記シャフト内に形成された環状溝(58)を露出させるように前記上端壁部分(33)の上に進み、それにより、前記シャフトの、前記上端壁部分(33)より上の部分が、前記シャフトの、前記上端壁部分(33)より下の部分から切断され、
前記アンカー(12)を展開したとき、前記ピン(42)が前記直径方向に対向するスロット(40)内で並進されることにより、前記縫合糸(24)の両部分を、前記陥凹部(60)を形成する前記壁(61)と前記ピン(42)の間で拘束させるように、前記ピン(42)が前記陥凹部(60)内で並進し、
それにより、前記陥凹部の壁(61)と前記ピン(42)の間で前記縫合糸の両部分を締め付けることによって、前記縫合糸(24)が定位置にロックされることを特徴とする縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せ。 - 前記ピン(42)が、多角形の形状であることを特徴とする請求項1に記載の縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置(10)との組合せ。
- 前記陥凹部壁(61)が、鋸歯状であることを特徴とする請求項2に記載の縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せ。
- 組織を患者の骨に結合する縫合糸(24)の両端を固定しロックするアンカーと縫合糸ロック装置(10)との組合せであって、
前記縫合糸ロック装置(10)が、医療目的で前記骨に固定されるタイプのアンカー(12)に取り付けられるとともに、円筒形の中空の本体(28)を含み、前記円筒形の中空の本体(28)が、上端壁部分(33)と下端壁部分(32)と側面部分(34)とを有し、直径方向に対向するスロット(40)およびそこから周方向に隔置された一対の直径方向に配設された開口部(44,46)を備え、
多角形のピン(42)が、前記本体(28)内に配設されるとともに前記直径方向に配設されたスロット(40)内に延びる両端部分を有し、
前記一対の直径方向に配設された開口部が、前記本体の壁における前記直径方向に対向するスロット(40)に対して90度の位置に形成され、
前記本体に形成された陥凹部(60)が、前記ピン(42)と軸方向で位置合わせされた鋸歯状部分(61)を有し、ロックされることを意図する縫合糸(24)が、組織を患者の骨に結合する縫合部分を有し、
前記縫合糸(24)の一方の部分が前記組織の一方の側から延び、前記縫合糸の他方の部分が前記組織の別の側から延び、両部分とも、前記ピン(42)に掛かるように前記直径方向に対向する開口部(44,46)を通り、
前記アンカー(12)が展開されたとき、前記ピン(42)が、前記陥凹部(60)の前記鋸歯状部分(61)と前記ピン(42)の間で前記縫合糸を拘束させるように、前記陥凹部(60)内に並進され、
前記アンカー(12)が、環状下端部分(18)と、環状上端部分(20)と、それらの間に取り付けられた外向きに屈曲するウィング(26)と、を有し、
軸方向に折り取り可能なシャフト(14)が、前記縫合糸ロック装置(10)および前記アンカー(12)を貫通して延びるとともに前記下端部分を越えて突出する尖った先端部分(16)を有し、
前記ピン(42)が、前記軸方向に折り取り可能なシャフト(14)内に形成された孔(52)を貫通して延びるとともに前記ピン(42)の両端が、前記軸方向に折り取り可能なシャフト(14)を越えて突出して前記直径方向に対向するスロット(40)と係合し、
前記先端部分(16)および前記下端部分(18)が、前記アンカー(12)が展開されたときに前記上端壁部分(33)の方に進み、前記軸方向に折り取り可能なシャフト(14)が、このシャフト(14)内に形成された環状溝(58)を露出させるように前記上端壁部分(33)の上に進み、これにより、前記シャフトの前記上端壁部分(33)より上の部分が、前記シャフトの前記上端壁部分(33)より下の部分から切断できることを特徴とする組織を患者の骨に結合する縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せ。 - 前記多角形ピン(42)の一つの側面が、この多角形の頂点が前記陥凹部(60)の前記鋸歯状部分(61)に面するように配向され、前記ピンのその他の側面が、前記縫合糸の片側の一部が前記側面部分(34)と前記その他の側面との間に位置するように前記側面部分と平行に配設されることを特徴とする請求項4に記載の組織を患者の骨に結合する縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置(10)との組合せ。
- 前記直径方向に配設された開口部(42,44)に隣接する前記円筒形の壁(28)の側面部分(34)が平坦であることを特徴とする請求項5に記載の組織を患者の骨に結合する縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せ。
- 組織を患者の骨に結合する縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せであって、
前記縫合糸ロック装置が、医療目的で前記骨に固定されるタイプのアンカー(12)に取り付けられ、前記縫合糸ロック装置(10)が、円筒形の中空の本体(28)を有し、前記円筒形の中空の本体(28)が、上端壁部分(33)と下端壁部分(32)と側面部分(34)とを有し、かつ直径方向に対向するスロット(40)およびそこから周方向に隔置された直径方向に配設された開口部(44,46)を備え、
多角形のピン(42)が、前記本体(28)内に配設されるとともに前記直径方向に配設されたスロット(40)内に延びる両端部分を有し、
前記本体に形成された陥凹部が、前記ピンと軸方向で位置合わせされた鋸歯状壁部分を有し、
ロックされることが意図された縫合糸(24)が、組織を患者の骨に結合する縫合部分を有し、
前記縫合糸の一方の部分が前記組織の一方の側から延び、前記縫合糸の他方の部分が前記組織の別の側から延び、両部分とも、前記ピン(42)に掛かるように前記直径方向に対向する開口部(44,46)を通り、
前記アンカー(12)が展開されたとき、前記多角形のピン(42)が、前記陥凹部(60)の前記鋸歯状壁部分(61)と前記ピン(42)の間で前記縫合糸(24)を拘束させるように、前記陥凹部内に並進し、
前記アンカー(12)が、環状下端部分(18)と、環状上端部分(20)と、それらの間に取り付けられた外向きに屈曲するウィング(26)と、を有し、
軸方向に折り取り可能なシャフト(14)が、前記縫合糸ロック装置(10)および前記アンカー(12)を貫通して延びるとともに前記環状下端部分(18)を越えて突出する尖った先端部分(16)を有し、この尖った先端部分(16)が、前記尖った先端を患者の骨内に挿入する配置ツールによって配置されるように適合され、
前記多角形のピン(42)が、前記軸方向に折り取り可能なシャフト(14)に形成された孔(52)を貫通して延びるとともに前記ピンの両端が、前記軸方向に折り取り可能なシャフト(14)を越えて突出して前記直径方向に対向するスロット(40)と係合し、
前記先端部分(16)および前記環状下端部分(18)が、前記アンカー(12)が前記ツールの動作によって展開されたときに前記上端壁部分(33)の方に進み、前記軸方向に折り取り可能なシャフト(14)が、このシャフト(14)内に形成された環状溝(58)を露出させるように前記上端壁部分(33)の上に進み、これにより前記シャフトの前記上端壁部分(33)より上の部分が、前記シャフトの前記上端壁部分(33)より下の部分から切断できることを特徴とする組織を患者の骨に結合する縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せ。 - 前記多角形ピン(42)の一つの側面が、この多角形の頂点が前記陥凹部(60)の鋸歯状壁部分(61)に面するように配向され、前記ピンのその他の側面が、前記縫合糸の片側の一部が前記側面部分(34)と前記その他の側面との間に位置するように前記側面部分と平行に配設されることを特徴とする請求項7に記載の組織を患者の骨に結合する縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せ。
- 前記直径方向に配設された開口部に隣接する前記円筒形の壁の側面部分(34)が、平坦であることを特徴とする請求項7に記載の組織を患者の骨に結合する縫合糸の両端を固定しロックするアンカーと縫合糸ロック装置との組合せ。
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Application Number | Priority Date | Filing Date | Title |
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US10/989,786 US7144415B2 (en) | 2004-11-16 | 2004-11-16 | Anchor/suture used for medical procedures |
US10/989,786 | 2004-11-16 | ||
PCT/US2005/026091 WO2006055057A1 (en) | 2004-11-16 | 2005-07-25 | Anchor/suture used for medical procedures |
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JP2008520270A JP2008520270A (ja) | 2008-06-19 |
JP4881872B2 true JP4881872B2 (ja) | 2012-02-22 |
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EP (1) | EP1814462A4 (ja) |
JP (1) | JP4881872B2 (ja) |
CN (1) | CN101056587A (ja) |
AU (1) | AU2005307057B2 (ja) |
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Families Citing this family (144)
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2005
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- 2005-07-25 WO PCT/US2005/026091 patent/WO2006055057A1/en active Application Filing
- 2005-07-25 EP EP05773320A patent/EP1814462A4/en not_active Withdrawn
- 2005-07-25 CN CNA2005800390016A patent/CN101056587A/zh active Pending
- 2005-07-25 JP JP2007541170A patent/JP4881872B2/ja not_active Expired - Fee Related
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2006
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US20070032793A1 (en) | 2007-02-08 |
AU2005307057A1 (en) | 2006-05-26 |
US20060106422A1 (en) | 2006-05-18 |
US7144415B2 (en) | 2006-12-05 |
AU2005307057A2 (en) | 2006-05-26 |
US20140288596A1 (en) | 2014-09-25 |
EP1814462A1 (en) | 2007-08-08 |
JP2008520270A (ja) | 2008-06-19 |
CN101056587A (zh) | 2007-10-17 |
WO2006055057A1 (en) | 2006-05-26 |
US8696703B2 (en) | 2014-04-15 |
US9566058B2 (en) | 2017-02-14 |
AU2005307057B2 (en) | 2012-02-02 |
EP1814462A4 (en) | 2010-12-08 |
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