JP6095884B2 - 縫合糸アンカー及び糸通し器 - Google Patents
縫合糸アンカー及び糸通し器 Download PDFInfo
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- JP6095884B2 JP6095884B2 JP2011185855A JP2011185855A JP6095884B2 JP 6095884 B2 JP6095884 B2 JP 6095884B2 JP 2011185855 A JP2011185855 A JP 2011185855A JP 2011185855 A JP2011185855 A JP 2011185855A JP 6095884 B2 JP6095884 B2 JP 6095884B2
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Images
Classifications
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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
- A61B17/0485—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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- 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
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
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- A61B17/04—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
- A61B2017/0409—Instruments for applying suture anchors
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
- A61B2017/044—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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- A—HUMAN NECESSITIES
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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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- 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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- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Description
本出願は、その全体の内容が参照として本明細書に組み込まれる、2010年8月30日出願の、米国仮特許出願第61/378,190号の優先権を主張する。
本出願は縫合糸アンカーに関し、より詳細には、結び目のない縫合糸のアンカーに関する。
(1) 本体を含む縫合糸アンカーであって、前記本体が、縫合糸を通過させて糸通しをするための経路を有する、縫合糸アンカーと、
前記経路を通じて前記本体内部に受容される縫合糸通し器であって、前記縫合糸通し器は、中に縫合糸を受容して保持するように適合された、前記本体の外側の開放第1端部を有する、細長形チューブを含み、前記縫合糸が、前記チューブを介して、前記経路を通過するように引かれて、前記縫合糸を前記本体内に装填することを可能にする、縫合糸通し器と、を含む、縫合糸アンカーアセンブリ。
(2) 前記細長形チューブが、編組構造を含み、前記第1端部が、より開放している前記編組を含む、実施態様1に記載の縫合糸アンカーアセンブリ。
(3) 前記第1端部の前記編組が、前記第1端部上の軸方向の張力が前記編組を収縮させ、前記縫合糸の周囲の前記第1端部を閉鎖するように構成される、実施態様2に記載の縫合糸アンカーアセンブリ。
(4) 1つ又は2つ以上の軸方向のスロットが、前記チューブの前記第1端部内に延びることにより、前記第1端部が、半径方向に拡張して前記縫合糸を受容することを可能にする、実施態様1に記載の縫合糸アンカーアセンブリ。
(5) 前記第1端部の内側に、有刺突起が設けられ、前記第1端部から外への、縫合糸の移動を制限する、実施態様1に記載の縫合糸アンカーアセンブリ。
(6) 前記第1端部を圧縮して、前記縫合糸をその中に保持するための、前記第1端部の周囲のクランプを更に含む、実施態様1に記載の縫合糸アンカーアセンブリ。
(7) 前記クランプがバネ金属のクランプを含む、実施態様6に記載の縫合糸アンカーアセンブリ。
(8) 前記クランプが縫合糸材料のループを含む、実施態様6に記載の縫合糸アンカーアセンブリ。
(9) 前記第1端部が、内側半径方向に弾性的に付勢され、また前記第1端部内部に受容され、それを半径方向に開放させて保持して、その中への前記縫合糸の配置を可能にする開張具を更に含み、また前記開張具を取り外すと、前記第1端部が圧壊して前記縫合糸をその中に保持することを可能にする、実施態様1に記載の縫合糸アンカーアセンブリ。
(10) 前記開張具が、前記縫合糸の通過を可能にするための側方開口部を有する、実施態様9に記載の縫合糸アンカーアセンブリ。
前記経路内部に受容された縫合糸通し器を有する前記縫合糸アンカーを、患者の骨内に植え込む工程であって、前記縫合糸通し器が、前記アンカー本体の外側の開放第1端部を有する、細長形チューブを含む、工程と、
軟組織の区域を貫通させて前記縫合糸を通し、前記縫合糸通し器の前記第1端部内に前記縫合糸を捕獲する工程と、
前記縫合糸通し器を、前記経路に通過させて引き、前記縫合糸を、前記経路に通過させて前記アンカー内に装填する工程と、を含む、方法。
(12) 前記縫合糸通し器の前記第1端部内に前記縫合糸を捕獲する前記工程が、前記患者の身体の外側で行なわれる、実施態様11に記載の方法。
(13) 前記細長形チューブが、編組構造を含み、前記第1端部内に前記縫合糸を捕獲する前記工程が、前記縫合糸の周囲の前記編組を閉鎖することを含む、実施態様11に記載の方法。
(14) 1つ又は2つ以上の軸方向スロットが、前記チューブの前記第1端部内に延び、前記方法が、前記スロットを介して前記第1端部を半径方向に拡張させて、前記縫合糸を受容する工程を更に含む、実施態様11に記載の方法。
(15) 前記第1端部内部の複数個の有刺突起を介して、前記第1端部から外への、前記縫合糸の移動を制限する工程を更に含む、実施態様11に記載の方法。
(16) 前記第1端部をクランプして、前記第1端部を圧縮し、前記縫合糸をその中に保持する工程を更に含む、実施態様11に記載の方法。
(17) 前記第1端部を内側半径方向に弾性的に付勢し、その中に前記縫合糸を保持する工程を更に含む、実施態様11に記載の方法。
(18) 前記第1端部内部に受容された開張具を介して、前記第1端部の内側方向への圧壊に抵抗し、それを半径方向に開放させて保持する一方で、前記縫合糸をその中に配置し、次いで前記開張具を取り外すことにより、前記第1端部が圧壊して、前記縫合糸を前記第1端部内に保持することを可能にする工程を更に含む、実施態様17に記載の方法。
Claims (4)
- 本体を含む縫合糸アンカーであって、前記本体が、縫合糸を通過させて糸通しをするための経路を有する、縫合糸アンカーと、
前記経路を通じて前記本体内部に受容される縫合糸通し器であって、前記縫合糸通し器は、中に縫合糸を受容して保持するように適合された、前記本体の外側の開放第1端部を有する、細長形チューブを含み、前記縫合糸が、前記チューブを介して、前記経路を通過するように引かれて、前記縫合糸を前記本体内に装填することを可能にする、縫合糸通し器と、
前記細長形チューブの前記第1端部の周囲に配置され、前記第1端部を圧縮して縫合糸をその中に保持するための、クランプと、
を含み、
前記細長形チューブが、編組構造を含み、前記第1端部が、より開放している前記編組を含む、縫合糸アンカーアセンブリ。 - 前記第1端部の前記編組が、前記第1端部上の軸方向の張力が前記編組を収縮させ、前記縫合糸の周囲の前記第1端部を閉鎖するように構成される、請求項1に記載の縫合糸アンカーアセンブリ。
- 前記クランプがバネ金属のクランプを含む、請求項1に記載の縫合糸アンカーアセンブリ。
- 前記クランプが縫合糸材料のループを含む、請求項1に記載の縫合糸アンカーアセンブリ。
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WO2015120165A1 (en) | 2014-02-05 | 2015-08-13 | Marino James F | Anchor devices and methods of use |
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 |
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JP6926608B2 (ja) * | 2017-04-05 | 2021-08-25 | ニプロ株式会社 | クランプ |
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