JP5792465B2 - 関節鏡による半月板修復システムおよび修復方法 - Google Patents
関節鏡による半月板修復システムおよび修復方法 Download PDFInfo
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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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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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
- A61B17/0482—Needle or suture guides
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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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
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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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
- A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
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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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
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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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0474—Knot pushers
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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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
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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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
-
- 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
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
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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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/06095—Needles, e.g. needle tip configurations pliable
-
- 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
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular
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- Surgical Instruments (AREA)
Description
16 転移針
18 キャッチ針
20 縫合糸ハウジング
32 半月板
34 半月板断裂
36 縫合糸
42 縫合糸針
46 縫合糸針フック
48 予め結ばれたノット
54 ノットプッシャ
56 拡張チップ
Claims (8)
- 近位側アクチュエータ部分と、
該近位側アクチュエータ部分から遠位側に延びておりかつ組織を穿刺する遠位側チップを備えた転移針と、
近位側アクチュエータ部分から遠位側に延びておりかつ組織を穿刺する遠位側チップを備えたキャッチ針と、
前記転移針内に配置された縫合糸針とを有し、該縫合糸針は、前記近位側アクチュエータ部分により操作されるときに、前記転移針から前記キャッチ針に向かって延びかつ該キャッチ針から前記転移針に向かって後退でき、
一定長さの縫合糸を保持するための、前記縫合糸針のフックと、
前記縫合糸針がキャッチ針から転移針に向かって引き戻されるときに、縫合糸をキャッチ針内に保持するための、キャッチ針のリテーナと、を有し、前記リテーナは前記キャッチ針内に永久的に配置されたプランジャを有し、該プランジャは、前記縫合糸針がキャッチ針から後退されるときに、縫合糸をキャッチ針内にクランプすることにより縫合糸を保持すべく、遠位側方向に延びるようにばねによって付勢され、前記縫合糸は、前記ばねによる付勢により前記プランジャが前記縫合糸針および該縫合糸に衝突することによって保持され、
該キャッチ針の側方に配置された第1窓を更に有し、該第1窓を通って前記縫合糸針が伸長されまたは後退され、前記第1窓は前縁を有し、
第1窓が配置されている側とは反対側で前記キャッチ針に配置された第2窓を更に有し、縫合糸針がキャッチ針内に完全に進入するとき、縫合糸針の遠位端が前記第2窓を通って延び、前記第2窓は、前記第1窓の前縁の遠位側に配置された前縁を有することを特徴とする組織の一部の断裂を修復する器具。 - 前記近位側アクチュエータ部分は縫合糸針前進レバーが配置されたハンドルを有し、前記縫合糸針は前記レバーが作動されまたは解放されると、前進されまたは後退されることを特徴とする請求項1記載の器具。
- 前記転移針はこの側方に配置された窓を有し、該窓を通って前記縫合糸針が伸長されまたは後退されることを特徴とする請求項1記載の器具。
- 前記フックは、縫合糸針がキャッチ針から転移針内に戻る方向に後退されるときには、縫合糸針に保持された縫合糸が解放されるように構成されていることを特徴とする請求項1記載の器具。
- 前記縫合糸針は、転移針内に収容されるときは真直形状を達成しかつ縫合糸針の遠位端が転移針から出るときは該遠位端をキャッチ針の方向に向ける補助をする曲りが得られる充分なフレキシビリティを有することを特徴とする請求項1記載の器具。
- 前記転移針は、縫合糸針が転移針からキャッチ針の方向に向かって延びるときに、縫合糸針をキャッチ針に向けて方向転換することを補助する方向転換カーブを有していることを特徴とする請求項5記載の器具。
- 前記転移針内に配置された縫合糸リリーフスロットを更に有することを特徴とする請求項1記載の器具。
- 器具により組織の断裂に通された縫合糸を固定するための、器具に沿って遠位側に移動可能な予め結ばれたノットと、
予め結ばれたノットを、修復すべき組織に固定するノットプッシャとを更に有し、該ノットプッシャは、その遠位端に設けられた、縫合糸孔を拡張しかつ前記予め結ばれたノットを前記孔内に遠位側に通すことを促進するための拡張チップを備えていることを特徴とする請求項1記載の器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US3363908P | 2008-03-04 | 2008-03-04 | |
US61/033,639 | 2008-03-04 | ||
PCT/US2009/036072 WO2009111591A2 (en) | 2008-03-04 | 2009-03-04 | Arthroscopic meniscal repair systems and methods |
Publications (3)
Publication Number | Publication Date |
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JP2011514205A JP2011514205A (ja) | 2011-05-06 |
JP2011514205A5 JP2011514205A5 (ja) | 2012-04-26 |
JP5792465B2 true JP5792465B2 (ja) | 2015-10-14 |
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Application Number | Title | Priority Date | Filing Date |
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JP2010549862A Active JP5792465B2 (ja) | 2008-03-04 | 2009-03-04 | 関節鏡による半月板修復システムおよび修復方法 |
Country Status (5)
Country | Link |
---|---|
US (2) | US8814885B2 (ja) |
EP (1) | EP2259729B1 (ja) |
JP (1) | JP5792465B2 (ja) |
AU (1) | AU2009221903B2 (ja) |
WO (1) | WO2009111591A2 (ja) |
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2009
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- 2009-03-04 JP JP2010549862A patent/JP5792465B2/ja active Active
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EP2259729A4 (en) | 2014-03-26 |
JP2011514205A (ja) | 2011-05-06 |
AU2009221903A1 (en) | 2009-09-11 |
US9724088B2 (en) | 2017-08-08 |
AU2009221903B2 (en) | 2015-07-02 |
WO2009111591A2 (en) | 2009-09-11 |
US20150051622A1 (en) | 2015-02-19 |
EP2259729B1 (en) | 2016-01-06 |
US20090228041A1 (en) | 2009-09-10 |
US8814885B2 (en) | 2014-08-26 |
EP2259729A2 (en) | 2010-12-15 |
WO2009111591A3 (en) | 2010-04-22 |
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