JP5369187B2 - 管状の移植可能なコード - Google Patents
管状の移植可能なコード Download PDFInfo
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- JP5369187B2 JP5369187B2 JP2011533831A JP2011533831A JP5369187B2 JP 5369187 B2 JP5369187 B2 JP 5369187B2 JP 2011533831 A JP2011533831 A JP 2011533831A JP 2011533831 A JP2011533831 A JP 2011533831A JP 5369187 B2 JP5369187 B2 JP 5369187B2
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- Expired - Fee Related
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- 210000003041 ligament Anatomy 0.000 claims description 7
- 210000002435 tendon Anatomy 0.000 claims description 7
- 238000000576 coating method Methods 0.000 claims description 5
- 229920001059 synthetic polymer Polymers 0.000 claims description 2
- 229940088623 biologically active substance Drugs 0.000 claims 1
- 230000003252 repetitive effect Effects 0.000 claims 1
- 210000001519 tissue Anatomy 0.000 description 32
- 210000000988 bone and bone Anatomy 0.000 description 27
- 239000000835 fiber Substances 0.000 description 23
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- 239000011162 core material Substances 0.000 description 7
- 238000010586 diagram Methods 0.000 description 6
- 239000000126 substance Substances 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- 229920000728 polyester Polymers 0.000 description 5
- 210000004872 soft tissue Anatomy 0.000 description 5
- 238000004381 surface treatment Methods 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 239000011248 coating agent Substances 0.000 description 4
- 239000002131 composite material Substances 0.000 description 4
- 238000002513 implantation Methods 0.000 description 4
- -1 polyethylene terephthalate Polymers 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 description 3
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- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 description 3
- 238000009941 weaving Methods 0.000 description 3
- 239000004696 Poly ether ether ketone Substances 0.000 description 2
- 239000004952 Polyamide Substances 0.000 description 2
- 239000004698 Polyethylene Substances 0.000 description 2
- 229920000954 Polyglycolide Polymers 0.000 description 2
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- 238000005520 cutting process Methods 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 230000003278 mimic effect Effects 0.000 description 2
- 229920001778 nylon Polymers 0.000 description 2
- 229920002463 poly(p-dioxanone) polymer Polymers 0.000 description 2
- 229920002647 polyamide Polymers 0.000 description 2
- 239000000622 polydioxanone Substances 0.000 description 2
- 229920002530 polyetherether ketone Polymers 0.000 description 2
- 229920000573 polyethylene Polymers 0.000 description 2
- 229920000139 polyethylene terephthalate Polymers 0.000 description 2
- 239000005020 polyethylene terephthalate Substances 0.000 description 2
- 239000004633 polyglycolic acid Substances 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 229920001155 polypropylene Polymers 0.000 description 2
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 2
- 239000004810 polytetrafluoroethylene Substances 0.000 description 2
- 230000008439 repair process Effects 0.000 description 2
- BVKZGUZCCUSVTD-UHFFFAOYSA-L Carbonate Chemical compound [O-]C([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-L 0.000 description 1
- 229920000742 Cotton Polymers 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 229920010741 Ultra High Molecular Weight Polyethylene (UHMWPE) Polymers 0.000 description 1
- 230000009102 absorption Effects 0.000 description 1
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- 239000000560 biocompatible material Substances 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000008468 bone growth Effects 0.000 description 1
- 239000013590 bulk material Substances 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
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- 229910052588 hydroxylapatite Inorganic materials 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- JJTUDXZGHPGLLC-UHFFFAOYSA-N lactide Chemical compound CC1OC(=O)C(C)OC1=O JJTUDXZGHPGLLC-UHFFFAOYSA-N 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
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- 230000000278 osteoconductive effect Effects 0.000 description 1
- 230000002138 osteoinductive effect Effects 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- 238000009832 plasma treatment Methods 0.000 description 1
- 229920006149 polyester-amide block copolymer Polymers 0.000 description 1
- 239000004626 polylactic acid Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
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- 230000009103 reabsorption Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000009987 spinning Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 239000013589 supplement Substances 0.000 description 1
- 239000004753 textile Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- 229940078499 tricalcium phosphate Drugs 0.000 description 1
- 229910000391 tricalcium phosphate Inorganic materials 0.000 description 1
- 235000019731 tricalcium phosphate Nutrition 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Images
Classifications
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L17/00—Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
-
- D—TEXTILES; PAPER
- D03—WEAVING
- D03D—WOVEN FABRICS; METHODS OF WEAVING; LOOMS
- D03D3/00—Woven fabrics characterised by their shape
- D03D3/02—Tubular fabrics
-
- D—TEXTILES; PAPER
- D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
- D04B—KNITTING
- D04B9/00—Circular knitting machines with independently-movable needles
- D04B9/42—Circular knitting machines with independently-movable needles specially adapted for producing goods of particular configuration
- D04B9/44—Circular knitting machines with independently-movable needles specially adapted for producing goods of particular configuration elongated tubular articles of small diameter, e.g. coverings for cables
-
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
- A61B2017/06185—Sutures hollow or tubular
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Rheumatology (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Transplantation (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Rehabilitation Therapy (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Textile Engineering (AREA)
- Epidemiology (AREA)
- Chemical & Material Sciences (AREA)
- Materials Engineering (AREA)
- Surgery (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Description
本発明の第1の態様によれば、コードの長さにわたって伸びる実質的に管状領域の壁を形成する複数の重なり合うヤーンストランドを備える外科手術用コードが提供される。
Claims (20)
- 人工の靭帯または腱として用いられる外科手術用コードであって、
該コードの長さにわたって伸びる実質的に管状領域の壁を形成する複数の重なり合うヤーンストランドであって、前記コードの長手軸と実質的に平行して伸びる複数の縦糸と該長手軸を横切って配列された横糸とを含んで、織られている、前記重なり合うヤーンストランドを備え;
前記コードは、前記重なり合うヤーンストランドと中心の空洞とによって形成された管状壁を備える実質的に管状で中空の構造である主長さを有し;
前記コードの前記主長さは、各々の端で、両端領域を扁平にすることによって実質的に平坦な断面を備える管状端部領域によって隣接され;
織り密度が前記コードの長さに沿って異なる領域で異なっており、該密度の差は、織られた縦糸及び横糸によって作られる織られた構造間の間隔の変化に依拠することを特徴とする、前記コード。 - 前記ヤーンストランドが、前記コードに沿って異なる材料の区域を形成するための複数の異なる材料を備える請求項1に記載のコード。
- 前記コードが前記管状領域の区域に渡って伸びる、異なる材料の環状バンドを含む請求項2に記載のコード。
- 前記ヤーンストランドが、合成高分子である第1の材料と、生体吸収性である第2の材料とを備える請求項2に記載のコード。
- 生物学的活性物質を含む請求項4に記載のコード。
- 前記ヤーンストランドが第1の材料及び第2の材料を備え、前記第1の材料が前記第2の材料より伸長可能である、請求項2に記載のコード。
- 前記ヤーンストランドが第1の材料と第2の材料とを備え、前記第1の材料が前記第2の材料より大きな磨耗抵抗を有する、請求項2に記載のコード。
- 前記ヤーンストランドが第1の材料と第2の材料とを備え、前記第1の材料が前記第2の材料より大きい剛性を有する、請求項2に記載のコード。
- 前記区域が、前記コードに沿って離れている請求項2に記載のコード。
- 前記ヤーンストランドが異なる厚みを備える、請求項1に記載のコード。
- 前記ヤーンストランドが重ね合わされることによる繰り返しパターンが、前記コードに沿って異なる領域において異なっている、請求項1に記載のコード。
- 前記コードの長さに沿って異なる領域において、異なる数の縦糸を有する、請求項1に記載のコード。
- 前記コードの長さに沿って異なる領域において、異なる数の横糸を有する、請求項1に記載のコード。
- 前記ヤーンストランドが、コードの長さに沿って異なる領域にコーティングを有する、請求項1に記載のコード。
- 前記ヤーンストランドの厚みおよび/または断面形状が、前記コードの長さに沿って異なる領域において、異なっている請求項1に記載のコード。
- 前記ヤーンストランドは、前記コードに沿って異なる領域において、異なる物理的/機械的な特性を有する、請求項1に記載のコード。
- 前記ヤーンストランドがループとして形成され、該ループを連結することによって前記縦糸が形成されている請求項1に記載のコード。
- 前記管状領域に形成された少なくとも一つの開口を有する請求項1に記載のコード。
- 前記管状領域内に配置される生物学的組織を有し、該組織は実質的に細長くて前記少なくとも一つの開口を通って延びる、請求項18に記載のコード。
- 複数の開口を有し、前記生物学的組織が前記管状領域に沿った別々の区域内に収納されるように、前記生物学的組織が前記管状領域に沿った前記開口の少なくともいくつかを通って延びている請求項19に記載のコード。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB0819912.7 | 2008-10-30 | ||
GB0819912A GB2464952A (en) | 2008-10-30 | 2008-10-30 | Surgical cord |
PCT/GB2009/051459 WO2010049737A2 (en) | 2008-10-30 | 2009-10-29 | Tubular implantable cord |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012507319A JP2012507319A (ja) | 2012-03-29 |
JP5369187B2 true JP5369187B2 (ja) | 2013-12-18 |
Family
ID=40138068
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011533831A Expired - Fee Related JP5369187B2 (ja) | 2008-10-30 | 2009-10-29 | 管状の移植可能なコード |
Country Status (7)
Country | Link |
---|---|
US (1) | US20110276137A1 (ja) |
EP (1) | EP2370022A2 (ja) |
JP (1) | JP5369187B2 (ja) |
CN (1) | CN102202609A (ja) |
AU (1) | AU2009309443B2 (ja) |
GB (1) | GB2464952A (ja) |
WO (1) | WO2010049737A2 (ja) |
Families Citing this family (25)
Publication number | Priority date | Publication date | Assignee | Title |
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US8512376B2 (en) | 2002-08-30 | 2013-08-20 | Arthrex, Inc. | Method and apparatus for internal fixation of an acromioclavicular joint dislocation of the shoulder |
US8439976B2 (en) * | 2009-03-31 | 2013-05-14 | Arthrex, Inc. | Integrated adjustable button-suture-graft construct with two fixation devices |
US8460379B2 (en) | 2009-03-31 | 2013-06-11 | Arthrex, Inc. | Adjustable suture button construct and methods of tissue reconstruction |
EP2263608B1 (en) * | 2009-06-19 | 2016-09-07 | Arthrex, Inc. | Bone-tendon-bone suture button construct |
EP2455040B1 (en) | 2010-11-17 | 2015-03-04 | Arthrex, Inc. | Adjustable suture-button construct for knotless stabilization of cranial cruciate deficient ligament stifle |
EP2455001B1 (en) | 2010-11-17 | 2020-07-22 | Arthrex, Inc. | Adjustable suture-button constructs for ligament reconstruction |
EP3527144B1 (en) | 2010-11-17 | 2023-12-13 | Arthrex Inc | Adjustable suture-button construct for ankle syndesmosis repair |
US9301745B2 (en) | 2011-07-21 | 2016-04-05 | Arthrex, Inc. | Knotless suture constructs |
US9332979B2 (en) | 2011-07-22 | 2016-05-10 | Arthrex, Inc. | Tensionable knotless acromioclavicular repairs and constructs |
US9107653B2 (en) | 2011-09-22 | 2015-08-18 | Arthrex, Inc. | Tensionable knotless anchors with splice and methods of tissue repair |
US9526496B2 (en) | 2011-09-26 | 2016-12-27 | Atex Technologies, Inc. | Loop |
US10245016B2 (en) | 2011-10-12 | 2019-04-02 | Arthrex, Inc. | Adjustable self-locking loop constructs for tissue repairs and reconstructions |
EP2601894B1 (en) | 2011-12-09 | 2018-08-29 | Arthrex, Inc. | Tensionable knotless anchor systems |
US10278694B2 (en) | 2012-02-23 | 2019-05-07 | Northwestern University | Indirect attachment of a needle to a mesh suture |
EP3305211B1 (en) | 2012-02-23 | 2021-09-22 | Northwestern University | Improved suture |
US9737292B2 (en) | 2012-06-22 | 2017-08-22 | Arthrex, Inc. | Knotless suture anchors and methods of tissue repair |
US9974643B2 (en) | 2013-03-11 | 2018-05-22 | Medos International Sàrl | Implant having adjustable filament coils |
US10052094B2 (en) | 2013-03-11 | 2018-08-21 | Medos International Sàrl | Implant having adjustable filament coils |
US9757113B2 (en) | 2013-07-31 | 2017-09-12 | Medos International Sàrl | Adjustable graft fixation device |
US10405968B2 (en) | 2013-12-11 | 2019-09-10 | Medos International Sarl | Implant having filament limbs of an adjustable loop disposed in a shuttle suture |
US10265060B2 (en) | 2015-08-20 | 2019-04-23 | Arthrex, Inc. | Tensionable constructs with multi-limb locking mechanism through single splice and methods of tissue repair |
US10335136B2 (en) | 2015-08-20 | 2019-07-02 | Arthrex, Inc. | Tensionable constructs with multi-limb locking mechanism through single splice and methods of tissue repair |
CN106975104A (zh) * | 2016-01-19 | 2017-07-25 | 苏州微创脊柱创伤医疗科技有限公司 | 一种人工韧带编织物及其制备方法和用途 |
AU2018307917B2 (en) | 2017-07-24 | 2021-07-15 | Conmed Corporation | Self-drilling all-suture anchor inserter |
CN107970081B (zh) * | 2017-11-17 | 2023-06-23 | 上海利格泰生物科技股份有限公司 | 混合型人工韧带及制造方法 |
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EP0375729A4 (en) * | 1987-08-19 | 1990-09-26 | E.I. Du Pont De Nemours And Company | Soft tissue prosthesis |
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AU2002230770A1 (en) * | 2000-10-31 | 2002-05-15 | Prodesco, Inc. | Graft having region for biological seal formation |
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US8226715B2 (en) * | 2003-06-30 | 2012-07-24 | Depuy Mitek, Inc. | Scaffold for connective tissue repair |
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CN2860405Y (zh) * | 2005-07-29 | 2007-01-24 | 广东冠昊生物科技有限公司 | 生物型人工韧带 |
JP2010517638A (ja) * | 2007-02-02 | 2010-05-27 | トアニエ, インコーポレイテッド | 腱および靱帯を修復するシステムおよび方法 |
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-
2008
- 2008-10-30 GB GB0819912A patent/GB2464952A/en not_active Withdrawn
-
2009
- 2009-10-29 CN CN2009801438896A patent/CN102202609A/zh active Pending
- 2009-10-29 WO PCT/GB2009/051459 patent/WO2010049737A2/en active Application Filing
- 2009-10-29 EP EP09756045A patent/EP2370022A2/en not_active Withdrawn
- 2009-10-29 AU AU2009309443A patent/AU2009309443B2/en active Active
- 2009-10-29 US US13/126,676 patent/US20110276137A1/en not_active Abandoned
- 2009-10-29 JP JP2011533831A patent/JP5369187B2/ja not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
JP2012507319A (ja) | 2012-03-29 |
EP2370022A2 (en) | 2011-10-05 |
WO2010049737A2 (en) | 2010-05-06 |
GB2464952A (en) | 2010-05-05 |
AU2009309443B2 (en) | 2013-09-19 |
US20110276137A1 (en) | 2011-11-10 |
AU2009309443A1 (en) | 2010-05-06 |
GB0819912D0 (en) | 2008-12-10 |
WO2010049737A3 (en) | 2010-06-24 |
CN102202609A (zh) | 2011-09-28 |
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