JP5833654B2 - 軟組織を骨に取り付けるための方法及び装置 - Google Patents
軟組織を骨に取り付けるための方法及び装置 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
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
- A61B17/8635—Tips of screws
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- 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
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- A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
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- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
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- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
- A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
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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
- A61B2017/0414—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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- A—HUMAN NECESSITIES
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- 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
- A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
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- 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
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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
- A61B2017/0448—Additional elements on or within the anchor
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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
- A61B2017/0448—Additional elements on or within the anchor
- A61B2017/045—Additional elements on or within the anchor snug fit within the anchor
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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
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
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- 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
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- 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
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- 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
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- A61F2002/0876—Position of anchor in respect to the bone
- A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
Description
少なくとも一つの縫合糸が縫合糸取り付けエレメントに引っ掛かることによって少なくとも一つの縫合糸を少なくとも一つのアンカーに取り付けるように、少なくとも一つの縫合糸を少なくとも一つのアンカーに臨ませる工程と、を有する。
10 パイロットドリル
15 アンカー
20 ドライバー
25 縫合糸通し器
30 縫合糸
35 シャフト
40 遠位尖端
45 本体
50 遠位端
55 近位端
60 ねじ山
65 ボア
70 中空ノーズコーン
75 ベース
80 チップ
85 スリット
90 フィンガ
95 拡大開口部
100 周囲表面溝
105 シャフト
110 シャフト
120 近位端
125 内腔
Claims (12)
- 修復システムにおいて、該修復システムは、
少なくとも一つのプレートを含み、前記プレートは、本体と、該プレートに少なくとも一つの縫合糸を取り付けるために前記本体に形成された縫合糸捕捉エレメントとを含み、前記縫合糸捕捉エレメントは、前記プレートを骨に取り付けた後、縫合糸を該縫合糸捕捉エレメントに引っ掛けることができるように形成されており、
前記縫合糸捕捉エレメントは、前記本体に形成されたウィンドウと、前記ウィンドウ内に内方に延びる剛性突出部と、を含む、修復システム。 - 請求項1に記載の修復システムにおいて、
前記突出部は、前記本体の縁部近くの位置から延びており、前記本体に取り付けられた固定端と、自由端とを有する、修復システム。 - 請求項2に記載の修復システムにおいて、
前記突出部は、前記本体の長さ方向軸線に対して角度をなして延びている、修復システム。 - 請求項2に記載の修復システムにおいて、
前記突出部は、該突出部から縫合糸が抜けないように制限するために該突出部の下側にフックエレメントを有する、修復システム。 - 請求項1に記載の修復システムにおいて、
前記縫合糸捕捉エレメントは、前記突出部の下側に位置決めされた自由端を有するように前記本体から前記ウィンドウ内に延びる少なくとも一つの可撓性横バーを更に含む、修復システム。 - 骨プレートにおいて、該骨プレートは、
上側と、下側と、長さと、幅と、を有する本体を含み、前記長さは、前記幅よりも大きく、前記本体は、骨ねじを受け入れるために、前記上側から前記下側まで前記本体を通して延びる複数の穴を有し、
前記本体は、前記骨プレートに少なくとも一つの縫合糸を取り付けるために前記本体に形成された縫合糸捕捉エレメントを有し、前記縫合糸捕捉エレメントは、前記本体に形成されたウィンドウと、前記ウィンドウ内に内方に延びる剛性突出部と、を含む、骨プレート。 - 請求項6に記載の骨プレートにおいて、
前記ウィンドウは、前記上側から前記下側まで前記本体を通して延びる、骨プレート。 - 請求項7に記載の骨プレートにおいて、
前記突出部は、前記本体の縁部近くの位置から延びている、骨プレート。 - 請求項8に記載の骨プレートにおいて、
前記突出部は、前記下側から前記上側まで角度をなして延びている、骨プレート。 - 請求項7に記載の骨プレートにおいて、
前記突出部は、該突出部から縫合糸が抜けないように制限するために該突出部の下側にフックエレメントを有する、骨プレート。 - 請求項7に記載の骨プレートにおいて、
前記縫合糸捕捉エレメントは、前記突出部の下側に位置決めされた自由端を有するように前記本体から前記ウィンドウ内に延びる少なくとも一つのフィンガをさらに含む、骨プレート。 - 骨プレートにおいて、該骨プレートは、
上側と、下側と、長さと、幅と、を有する本体を含み、前記長さは、前記幅よりも大きく、前記本体は、骨ねじを受け入れるために、前記上側から前記下側まで前記本体を通して延びる複数の穴を有し、
前記本体は、前記骨プレートに少なくとも一つの縫合糸を取り付けるために前記本体に形成された縫合糸捕捉エレメントを有し、前記縫合糸捕捉エレメントは、前記本体に形成されたウィンドウと、前記ウィンドウ内に位置決めされた自由端を有するように前記本体から前記ウィンドウ内に延びる少なくとも一つの可撓性横バーと、を含み、
前記可撓性横バーは遠位方向下方に延びており、前記可撓性横バーは、前記自由端が前記本体の部分と係合できるような長さを有している、骨プレート。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37453610P | 2010-08-17 | 2010-08-17 | |
US61/374,536 | 2010-08-17 | ||
US201161443129P | 2011-02-15 | 2011-02-15 | |
US61/443,129 | 2011-02-15 | ||
PCT/US2011/048149 WO2012024446A2 (en) | 2010-08-17 | 2011-08-17 | Method and apparatus for attaching soft tissue to bone |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013535310A JP2013535310A (ja) | 2013-09-12 |
JP5833654B2 true JP5833654B2 (ja) | 2015-12-16 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013525995A Expired - Fee Related JP5833654B2 (ja) | 2010-08-17 | 2011-08-17 | 軟組織を骨に取り付けるための方法及び装置 |
Country Status (8)
Country | Link |
---|---|
US (1) | US9763719B2 (ja) |
EP (1) | EP2605712A4 (ja) |
JP (1) | JP5833654B2 (ja) |
KR (1) | KR101858277B1 (ja) |
CN (1) | CN103079481B (ja) |
BR (1) | BR112013003543A2 (ja) |
CA (1) | CA2808650C (ja) |
WO (1) | WO2012024446A2 (ja) |
Families Citing this family (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2712564B1 (en) * | 2010-02-26 | 2017-04-05 | Biedermann Technologies GmbH & Co. KG | Bone screw |
US9259217B2 (en) * | 2012-01-03 | 2016-02-16 | Biomet Manufacturing, Llc | Suture Button |
US9480475B2 (en) * | 2012-08-15 | 2016-11-01 | DePuy Synthes Products, Inc. | Bone plate suture anchor |
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CN103079481B (zh) | 2015-11-25 |
EP2605712A2 (en) | 2013-06-26 |
EP2605712A4 (en) | 2017-08-09 |
KR20130096708A (ko) | 2013-08-30 |
KR101858277B1 (ko) | 2018-05-15 |
CN103079481A (zh) | 2013-05-01 |
WO2012024446A3 (en) | 2012-06-14 |
JP2013535310A (ja) | 2013-09-12 |
CA2808650C (en) | 2018-10-30 |
US20120150235A1 (en) | 2012-06-14 |
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