JP4914291B2 - 外科用器具のための複数部材相互接続および吸収性ねじファスナー - Google Patents
外科用器具のための複数部材相互接続および吸収性ねじファスナー Download PDFInfo
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- JP4914291B2 JP4914291B2 JP2007136038A JP2007136038A JP4914291B2 JP 4914291 B2 JP4914291 B2 JP 4914291B2 JP 2007136038 A JP2007136038 A JP 2007136038A JP 2007136038 A JP2007136038 A JP 2007136038A JP 4914291 B2 JP4914291 B2 JP 4914291B2
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- screw fastener
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- outer tube
- absorbent
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Description
本願は、2003年6月13日に出願された米国仮特許出願番号第60/478,352号の利益およびそれに対する優先権を主張し、その開示は、本明細書によって、本明細書中に参考として援用される。
(1.技術分野)
本開示は、一般に、外科用ファスナー、外科用ファスナーアプライヤおよび身体組織を連結するための方法に関し、そしてより詳細には、生体吸収性ねじファスナー、ねじファスナーアプライヤ、および標的手術部位へ複数の吸収性ねじファスナーを発射するためにこのねじファスナーアプライヤを用いる方法に関する。
外科用ファスナーは、しばしば時間を浪費しかつ不便である縫合の必要性をなくするために用いられる。外科用ファスナーは、縫合によって達成するには多数の分を要するであろうことを複数秒で達成し、それ故、手術時間および患者への外傷を低減する。ヘルニア修復手順では、例えば、腹腔壁の弱くなった領域は、合成メッシュで、または腹腔組織を縫合することにより強化され得る。このような事例では、吸収性ファスナーの形態の外科用ファスナーが、外科用縫合糸に代えて、またはそれに加えて用いられ得、メッシュを固定する。
(項目1)
吸収性ねじファスナーであって:
長軸方向軸を規定し、かつ近位端および遠位端を有する本体部分であって、その上に形成されたらせん状ねじ山を有し、そのらせん状ねじ山が第1の距離を有する、本体部分;および
その本体部分の近位端に配置されたヘッド部分であって、その本体部分に直線運動および回転運動の両方を伝達するために、その中に形成されたドライバー受容構造を有し、そのらせん状ねじ山の第1の距離に実質的に等しい外径を有する、ヘッド部分、を備える、吸収性ねじファスナー。
(項目2)
中心シャフトが、狭い遠位端からより大きな近位部分までテーパー状である、項目1に記載の吸収性ねじファスナー。
(項目3)
上記ドライバー受容構造が、上記ヘッド部分の外側半径方向表面に形成された実質的に平坦な表面をさらに規定する、項目1に記載の吸収性ねじファスナー。
(項目4)
上記実質的に平坦な表面が、上記ねじ山の外側半径方向表面の少なくとも一部分まで延びる、項目3に記載の吸収性ねじファスナー。
(項目5)
上記吸収性ねじファナスーが、L1、L4、PGA、PGB、およびPLAからなる群から選択される少なくとも1つの材料から形成される、項目1に記載の吸収性ねじファスナー。
(項目6)
上記本体部分の遠位端が、平滑である、項目1に記載の吸収性ねじファスナー。
(項目7)
上記ねじ山のランドが、上記長軸方向軸に対して実質的に垂直である、項目1に記載の吸収性ねじファスナー。
(項目8)
上記ねじ山の距離が、実質的に拡大される、項目1に記載の吸収性ねじファスナー。
(項目9)
上記ヘッド部分の距離が、約3.8mmである、項目1に記載の吸収性ねじファスナー。
(項目10)
上記ヘッド部分の高さが、約1.5mmである、項目1に記載の吸収性ねじファスナー。
(項目11)
上記本体部分の長さが、約5mm長さである、項目1に記載の吸収性ねじファスナー。
(項目12)
その全長を通じて延びる管腔をさらに含む、項目1に記載の吸収性ねじファスナー。
(項目13)
上記本体部分が、円形断面を有する、項目12に記載の吸収性ねじファスナー。
(項目14)
項目1に記載の吸収性ねじファスナーを挿入する方法であって、
パイロットで標的組織を開く工程、および
上記ヘッド部分上に直線方向力および回転力を付与することによりその吸収性ねじファスナーを設置する工程、を包含する、方法。
(項目15)
吸収性ねじファスナーを挿入するための器具であって:
細長い外側チューブを有する遠位部分;
トリガー機構を有する近位部分;および
その外側チューブ内に配置され、かつその外側チューブに対して移動可能であるドライバー/トルクサブアセンブリ、を備える、器具。
(項目16)
上記外側チューブが、隙間のついた先端部を形成する、項目15に記載の器具。
(項目17)
上記トリガー機構が、ラチェット機構を備える、項目15に記載の器具。
(項目18)
上記ドライバー/トルクサブアセンブリが、そのサブアセンブリの遠位端で2つの可撓性タブを規定する、項目15に記載の器具。
(項目19)
上記外側チューブが、遠位方向に進行された位置に付勢される、項目15に記載の器具。
(項目20)
上記外側チューブ内に配置されたパイロットをさらに備え、そのパイロットがその遠位端上にテーパー状の表面を有する、項目15に記載の器具。
(項目21)
ファスナーを受容するような寸法のファスナー保持具をさらに備える、項目15に記載の器具。
(項目22)
吸収性ねじファスナーおよびその吸収性ねじファスナーを挿入するための器具であって:
遠位端上の外側チューブおよびその近位端上のトリガー機構を有する器具;および
本体部分およびその本体部分の近位端に配置されたヘッド部分を有する吸収性ねじファスナーであって、そのファスナーが、その器具の遠位端に挿入され、その吸収性ねじファスナーのヘッドが、その本体部分に直線運動および回転運動の両方を伝達するために、その中に形成されたドライバー受容形態を有する、吸収性ねじファスナーを備える、吸収性ねじファスナーおよび器具。
(項目23)
吸収性ねじファスナーであって:
長軸方向軸を規定し、かつ近位端および遠位端を有する本体部分であって、その上に形成されたらせん状ねじ山を有し、そのらせん状のねじ山が第1の距離を有する、本体部分;および
その本体部分の近位端に配置されたヘッド部分であって、その本体部分に回転運動を伝達するために、その中に形成されたドライバー受容構造を有し、そのらせん状ねじ山の第1の距離に実質的に等しい外径を有する、ヘッド部分、を備える、吸収性ねじファスナー。
(項目24)
上記ドライバー受容構造が、上記ヘッド部分の外側半径方向表面中に形成されたスロットをさらに規定する、項目23に記載の吸収性ねじファスナー。
(項目25)
上記スロットが、上記ねじファスナーの全長に延びる、項目24に記載の吸収性ねじファスナー。
(項目26)
上記吸収性ねじファスナーが、L1、L4、PGA、およびPGBからなる群から選択される材料から形成される、項目25に記載の吸収性ねじファスナー。
(項目27)
上記本体部分の遠位端が、上記長軸方向軸に対して角度をなす遠位表面を規定する、項目23に記載の吸収性ねじファスナー。
(項目28)
上記本体部分の遠位端の遠位表面が、上記長軸方向軸に垂直である軸に対して約5゜〜約15゜の角度をなす、項目27に記載の吸収性ねじファスナー。
(項目29)
上記ヘッド部分が、上記長軸方向軸に対して角度をなす遠位表面を規定する、項目23に記載の吸収性ねじファスナー。
(項目30)
上記ヘッド部分の遠位表面が、上記長軸方向軸に垂直である軸に対して約5゜〜約15゜の角度をなす、項目29に記載の吸収性ねじファスナー。
(項目31)
上記本体部分の遠位端の遠位表面が、上記長軸方向軸に垂直である軸に対して約5゜〜約15゜の角度をなす、項目30に記載の吸収性ねじファスナー。
(項目32)
各ねじ山に形成された各スロットが、半径方向先導エッジおよび半径方向後続エッジの少なくとも1つを含む、項目31に記載の吸収性ねじファスナー。
従って、本開示は、組織連結を形成するための吸収性ねじファスナーに関し、この吸収性ねじファスナーは、挿入を容易にするために組み合わされた回転力と直線方向力との使用を許容するヘッド形態を有する。この吸収性ねじファスナーは、身体組織中に留められ、組織にメッシュ材料のような目的物を固定するための組織連結を形成する。
ここで、制限によるのではなく例示の目的のために含まれる図面を詳細に参照して、本開示の吸収性ねじファスナーが図1〜4に示され、そして、一般に、吸収性ねじファスナー10として指定される。
Claims (6)
- 吸収性ねじファスナーを挿入するための器具であって:
細長い外側チューブを有する遠位部分;
トリガー機構を有する近位部分;および
該外側チューブ内に配置され、かつ該外側チューブに対して移動可能であるドライバー/トルクサブアセンブリ、を備え、該ドライバー/トルクサブアセンブリが、該サブアセンブリの遠位端で正反対に対向する2対のタブを規定し、該ねじファスナーを保持するために、1対のタブのみが可撓性であって、各々のタブが該外側チューブの長軸方向軸に向かって配向された部分を有し、そして該長軸方向軸が該外側チューブの断面中心に配置される、器具。 - 前記外側チューブが、隙間のついた先端部を形成する、請求項1に記載の器具。
- 前記トリガー機構が、ラチェット機構を備える、請求項1に記載の器具。
- 前記外側チューブ内に配置されたパイロットをさらに備え、該パイロットがその遠位端上にテーパー状の表面を有する、請求項1に記載の器具。
- ファスナーを受容するような寸法のファスナー保持具をさらに備える、請求項1に記載の器具。
- 吸収性ねじファスナーおよび該吸収性ねじファスナーを挿入するための器具であって:
遠位端上の外側チューブ、その近位端上のトリガー機構、および該外側チューブ内に配置され、そして該外側チューブに対して移動可能であるドライバー/トルクサブアセンブリであって、該サブアセンブリの遠位端で正反対に対向する2対のタブを規定するドライバー/トルクサブアセンブリを有し、該ねじファスナーを保持するために、1対のタブのみが可撓性であって、各々のタブが該外側チューブの長軸方向軸に向かって配向された部分を有し、そして該長軸方向軸が該外側チューブの断面中心に配置される器具;および
本体部分および該本体部分の近位端に配置されたヘッド部分を有する吸収性ねじファスナーであって、該ファスナーが、該器具の遠位端に挿入され、該吸収性ねじファスナーのヘッドが、該本体部分に直線運動および回転運動の両方を伝達するために、その中に形成されたドライバー受容形態を有する、吸収性ねじファスナーを備える、吸収性ねじファスナーおよび器具。
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JP2006116189A Pending JP2006305348A (ja) | 2003-06-13 | 2006-04-19 | 所定の吸収速度を有する外科用固定具 |
JP2007136038A Active JP4914291B2 (ja) | 2003-06-13 | 2007-05-22 | 外科用器具のための複数部材相互接続および吸収性ねじファスナー |
JP2011013505A Withdrawn JP2011101814A (ja) | 2003-06-13 | 2011-01-25 | 外科用器具のための複数部材相互接続および吸収性ねじファスナー |
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