JP5117399B2 - 組織移植片の固定 - Google Patents
組織移植片の固定 Download PDFInfo
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- JP5117399B2 JP5117399B2 JP2008547764A JP2008547764A JP5117399B2 JP 5117399 B2 JP5117399 B2 JP 5117399B2 JP 2008547764 A JP2008547764 A JP 2008547764A JP 2008547764 A JP2008547764 A JP 2008547764A JP 5117399 B2 JP5117399 B2 JP 5117399B2
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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
- 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
- A61F2002/0817—Structure of the anchor
-
- 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
- A61F2002/0817—Structure of the anchor
- A61F2002/0823—Modular anchors comprising a plurality of separate parts
Description
12 大腿骨
13 頸骨
14 大腿骨通路、第1通過チャネル、骨穴
17 開口、大腿骨穴
20 組織移植片
22 骨ブロック
30 可撓性部材、縫合糸
40 ドリル
45 縫合糸
50 通過ピン
90 外科的デバイス、固定部材
100 ボタン、組織固定デバイス、第2部材
105a、105b ボタン穴
110 ワッシャー、第1部材、マウント
111 中間部
112 固定ピン、端部
114 第1面
115 第2面、ワッシャー面
116、716、816、1016 凹面部
120 フレーム、穴
125a、125b、720、725b、820、825b、920、925b、1020、1025a、1025b 穴
710、810、1010 ワッシャー
712、1012 端部
722、724 開口
Claims (31)
- 組織移植片を固定するための外科的デバイス(90)であって、
反対側に置かれた第1面(114)および第2面(115)を有する第1部材(110, 710, 810, 910, 1010)であって、当該第1部材(110, 710, 810, 910, 1010)が、前記第1面(114)が凹面部(116, 716, 816, 1016)を有する中間部(111)を有し、前記中間部(111)が前記凹面部(116, 716, 816, 1016)から前記第2面(115)まで延在する穴(120, 720, 820, 920, 1020)を形成する第1部材(110, 710, 810, 910, 1010)と、
穴(105a)を形成する第2部材(100)であって、前記第1部材(110, 710, 810, 910, 1010)の前記凹面部(116, 716, 816, 1016)内に受けられるように構成された第2部材(100)と、
を備え、
端部(112, 712, 1012)が前記第1部材の前記中間部(111)から延在し、当該端部(112, 712, 1012)それぞれが、前記第1面(114)から前記第2面(115)まで延在する穴(125b, 725b, 825b, 925b, 1025b)を形成する、ことを特徴とする外科的デバイス(90)。 - 前記第2部材(100)が前記凹面部(116, 716, 816, 1016)内に受けられる際、前記中間部(111)および前記第2部材(100)の前記穴(120, 720, 820, 920, 1020, 105a)が軸方向に整列されて配置される、請求項1に記載の外科的デバイス(90)。
- 前記穴(120, 720, 820, 920, 1020, 105a)を通って延在する縫合糸(30)をさらに備える、請求項1又は2に記載の外科的デバイス(90)。
- 前記中間部(111)が、前記凹面部(116, 1016)から前記第2面(115)まで延在する2つの補助穴(125a, 925a, 1025a)を形成する、請求項1〜3の何れか一項に記載の外科的デバイス(90)。
- 前記第1部材(110, 910, 1010)が、5つの穴を形成する、請求項4に記載の外科的デバイス(90)。
- 前記中間部の穴(820)が、細長い穴を含む、請求項1〜3の何れか一項に記載の外科的デバイス(90)。
- 前記第1部材(110, 710, 810, 910, 1010)が、該第1部材の前記第2面(115)の上にテーパ状の表面部をさらに備える、請求項1〜6の何れか一項に記載の外科的デバイス(90)。
- 前記凹面部(116, 716, 816, 1016)が、前記第2部材(100)とスナップ嵌合を形成するように構成される、請求項1〜7の何れか一項に記載の外科的デバイス(90)。
- 前記凹面部(116, 716, 816, 1016)が、前記第2部材(100)と締り嵌めを形成するように構成される、請求項1〜7の何れか一項に記載の外科的デバイス(90)。
- 前記第2部材(100)が、3つの補助穴(105a, 105b)を形成する、請求項1〜9の何れか一項に記載の外科的デバイス(90)。
- 前記外科的デバイス(90)が、組織移植片(20)を大腿骨通路(14)内で固定するのに使用される、請求項1〜10の何れか一項に記載の外科的デバイス(90)。
- 前記大腿骨通路(14)が、均一の直径を有する、請求項11に記載の外科的デバイス(90)。
- 前記均一の直径が約6mmから約10mmである、請求項12に記載の外科的デバイス(90)。
- 前記凹面部(116, 716, 816, 1016)が、異なる形状およびサイズを有する、請求項1〜13の何れか一項に記載の外科的デバイス(90)。
- 前記外科的デバイス(90)が、第1の直径の第1通過チャネル(14)と第2の直径の第2通過チャネルとを有する大腿骨通路(14)内に組織移植片(20)を固定するのに使用される、請求項1〜11の何れか一項に記載の外科的デバイス(90)。
- 前記第2の直径が前記第1の直径より小さい、請求項15に記載の外科的デバイス(90)。
- 少なくとも1つの組織移植片を固定するための外科的デバイス(90)を備えるキットであって、
前記外科的デバイスが、
反対側に置かれた第1面(114)および第2面(115)を有し、前記第1面(114)が凹面部(116)を有する中間部(111)を有する第1部材(110)であって、当該第1部材(110)が前記凹面部(116)から前記第2面(115)まで延在する穴(120)を形成する第1部材(110)と、
穴(105a)を形成する第2部材(100)であって、当該第2部材(100)が前記第1部材(110)の前記凹面部(116)内に受けられるように構成された第2部材(100)と、を備え、
端部(112, 712, 1012)が前記第1部材の前記中間部(111)から延在し、当該端部(112, 712, 1012)それぞれが、前記第1面(114)から前記第2面(115)まで延在する穴(125b, 725b, 825b, 925b, 1025b)を形成する、キット。 - 前記第2部材(100)が前記凹部面(116)内に受けられる際、前記穴(105a、120)が軸方向に整列されて配置される、請求項17に記載のキット。
- 前記凹部面(116)が、前記第2部材(100)とスナップ嵌合を形成するように構成される、請求項17に記載のキット。
- 前記凹面部(116)が、前記第2部材(100)と締り嵌めを形成するように構成される、請求項17に記載のキット。
- 前記穴(105a、120)を通って延在する縫合糸(30)をさらに備える、請求項17に記載のキット。
- 前記第1部材(110)が、2つの補助穴(125a)を形成する、請求項17に記載のキット。
- 前記第1部材(110)が、5つの穴(120、125a、125b)を形成する、請求項17に記載のキット。
- 前記第2部材(100)が、3つの補助穴(105a、105b)を形成する、請求項17に記載のキット。
- 前記第1部材(110)が、前記部材(110)の前記第2面(115)の上にテーパ状の表面部をさらに備える、請求項17に記載のキット。
- 前記外科的デバイス(90)が、組織移植片(20)を大腿骨通路(14)内に固定するのに使用される、請求項17に記載のキット。
- 前記大腿骨通路(14)が、均一の直径を有する、請求項26に記載のキット。
- 前記均一の直径が約6mmから約10mmである、請求項27に記載のキット。
- 前記凹面部(116)が、異なる形状およびサイズを有する、請求項17に記載のキット。
- 前記外科的デバイス(90)が、第1の直径の第1通過チャネル(14)と第2の直径の第2通過チャネルとを有する大腿骨通路(14)内に組織移植片20を固定するのに使用される、請求項17に記載のキット。
- 前記第2の直径が前記第1の直径より小さい、請求項30に記載のキット。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/313,716 | 2005-12-22 | ||
US11/313,716 US8323338B2 (en) | 2005-12-22 | 2005-12-22 | Tissue graft fixation |
PCT/US2006/062456 WO2007073563A2 (en) | 2005-12-22 | 2006-12-21 | Tissue graft fixation |
Publications (2)
Publication Number | Publication Date |
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JP2009521289A JP2009521289A (ja) | 2009-06-04 |
JP5117399B2 true JP5117399B2 (ja) | 2013-01-16 |
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Application Number | Title | Priority Date | Filing Date |
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JP2008547764A Active JP5117399B2 (ja) | 2005-12-22 | 2006-12-21 | 組織移植片の固定 |
Country Status (7)
Country | Link |
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US (3) | US8323338B2 (ja) |
EP (1) | EP1962723B1 (ja) |
JP (1) | JP5117399B2 (ja) |
AT (1) | ATE502602T1 (ja) |
AU (1) | AU2006327083B2 (ja) |
DE (1) | DE602006020916D1 (ja) |
WO (1) | WO2007073563A2 (ja) |
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FR2726461A1 (fr) * | 1994-11-07 | 1996-05-10 | Hardy Jean Marie | Plaque autocompressive pour osteosynthese des os longs notamment |
GB9620046D0 (en) * | 1996-09-26 | 1996-11-13 | Neoligaments | Attachment device for use in the implantation of prosthetic ligament |
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DE19941574A1 (de) * | 1999-09-01 | 2001-03-08 | Storz Karl Gmbh & Co Kg | Instrumentarium zum Implantieren eines Sehnenersatzes |
US20050070906A1 (en) * | 1999-11-30 | 2005-03-31 | Ron Clark | Endosteal tibial ligament fixation with adjustable tensioning |
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DE10039767B4 (de) * | 2000-01-20 | 2014-08-21 | Biedermann Technologies Gmbh & Co. Kg | Befestigungsanordnung |
FR2804598B1 (fr) | 2000-02-07 | 2002-04-26 | Jacques Afriat | Dispositif de fixation d'un implant ou d'un transplant formant ligament prothetique sur un os |
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US8323338B2 (en) | 2005-12-22 | 2012-12-04 | Smith & Nephew, Inc. | Tissue graft fixation |
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2005
- 2005-12-22 US US11/313,716 patent/US8323338B2/en active Active
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2006
- 2006-12-21 JP JP2008547764A patent/JP5117399B2/ja active Active
- 2006-12-21 EP EP06848667A patent/EP1962723B1/en active Active
- 2006-12-21 AT AT06848667T patent/ATE502602T1/de not_active IP Right Cessation
- 2006-12-21 DE DE602006020916T patent/DE602006020916D1/de active Active
- 2006-12-21 WO PCT/US2006/062456 patent/WO2007073563A2/en active Application Filing
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AU2006327083A1 (en) | 2007-06-28 |
US20130090687A1 (en) | 2013-04-11 |
US9681865B2 (en) | 2017-06-20 |
JP2009521289A (ja) | 2009-06-04 |
US8323338B2 (en) | 2012-12-04 |
AU2006327083B2 (en) | 2013-08-15 |
US20070162125A1 (en) | 2007-07-12 |
WO2007073563A2 (en) | 2007-06-28 |
DE602006020916D1 (de) | 2011-05-05 |
WO2007073563A3 (en) | 2007-11-01 |
US9028547B2 (en) | 2015-05-12 |
WO2007073563A9 (en) | 2007-09-13 |
EP1962723B1 (en) | 2011-03-23 |
US20150150552A1 (en) | 2015-06-04 |
ATE502602T1 (de) | 2011-04-15 |
EP1962723A2 (en) | 2008-09-03 |
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