JP6990300B2 - 軟組織移植片の固定のための双方向調節可能なループ式懸架装置 - Google Patents
軟組織移植片の固定のための双方向調節可能なループ式懸架装置 Download PDFInfo
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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
- 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
-
- 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
- A61B2017/0406—Pledgets
-
- 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
- A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
-
- 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
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
-
- 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
-
- 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
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
- A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
-
- 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
- A61F2002/0876—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
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0007—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting length
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Rehabilitation Therapy (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
本出願は、2017年9月7日に出願され、「2-Way Adjustable Loop Suspensory Device」と題された、米国仮特許出願第62/555081号の優先権を主張する。
本開示は、軟組織損傷の修復および再建のための外科手術装置に一般的に関し、より具体的には、外科手術部位で軟組織移植片を固定する装置および方法に関する。
多くの一般的な外科手術手順には、引き裂かれまたは損傷した軟組織の修復および再建が関与する。例えば、一般的な関節鏡検査外科手術手順において、置換移植片靭帯は、今は損傷を受けている、元の靭帯部位で固定される。引き裂かれまたは損傷した軟組織の修復および再建は、一般的な外科手術手順である。例えば、置換移植片靭帯は、元の靭帯の部位に固定されうる。手順には、一般的に、元の靭帯の部位に隣接する骨に骨孔をあけること、およびこれらの骨孔内に移植片靱帯を固定することが関与する。膝関節などの多くの用途では、こうした手順は関節鏡で実施されうる。移植片靭帯は、自己移植片、同種移植片、異種移植片、または完全に人工的および合成でありうる。一般的なタイプの前十字靱帯(ACL)移植片は、例えば、自己もしくは同種移植片の骨膝蓋腱骨または軟組織(半腱様筋腱および薄筋腱など)であってもよく、両方のタイプが当業者に周知の技術で得られる。
Claims (10)
- 骨孔内に置換移植片靭帯を固定するための懸架移植片固定装置であって、
上面および底面、並びに、前記上面から前記底面まで延びる隣接した第一および第二の縫合糸受容開口部を備える細長いアンカー部材と、
前記細長いアンカー部材に取り付けられた移植片支持ループ要素であって、前記移植片支持ループ要素が第一のリムおよび第二のリムを含む縫合糸で形成される、移植片支持ループ要素と、を備え、
第一および第二のループが前記縫合糸に形成されかつ前記細長いアンカー部材の前記底面から延びる一方、前記第一および第二のリムが前記上面から延びるように、前記縫合糸が前記第一および第二の縫合糸受容開口部を通って進み、前記細長いアンカー部材の前記上面から延びる縫合糸の前記第二のリムにスプライスが形成され、前記第一のリムが前記スプライスを通って延びる、懸架移植片固定装置。 - 前記第一のリムと前記第二のリムとの間に延びる中央湾曲部分をさらに備え、前記中央湾曲部分が、前記第一および第二の縫合糸受容開口部の間の前記細長いアンカー部材の中央ブリッジ部分の上に延びる、請求項1に記載の懸架移植片固定装置。
- 前記第一のリムが、前記第一の縫合糸受容開口部を通して、前記上面から前記底面に延び、前記第二の縫合糸受容開口部を通して、前記底面から前記上面に延びる、請求項1に記載の懸架移植片固定装置。
- 前記第二のリムが、前記第二の縫合糸受容開口部を通して、前記上面から前記底面に延び、前記第一の縫合糸受容開口部を通して、前記底面から前記上面に延びる、請求項1に記載の懸架移植片固定装置。
- 前記第一のループが、前記第一のリムによって形成される、請求項1に記載の懸架移植片固定装置。
- 前記第二のループが、前記第二のリムによって形成される、請求項1に記載の懸架移植片固定装置。
- 前記細長いアンカー部材がチタンから成る、請求項1に記載の懸架移植片固定装置。
- 前記細長いアンカー部材の前記上面と前記底面とが、前記細長いアンカー部材の第一の端部と第二の端部との間に延び、
前記第一のループは、前記第一のループに張力がかかると前記スプライスを通して前記第一のリムが引っ張られて前記第一のループが長くなるように形成され、
前記第二のループは、前記第二のループに張力がかかると前記第一の縫合糸受容開口部の上に前記スプライスが引っ張られるように形成される、請求項1から7のいずれか一項に記載の懸架移植片固定装置。 - 前記上面から前記底面に延びる前記細長いアンカー部材の前記第一の端部又は前記第二の端部に配置開口部をさらに備え、前記配置開口部がそこを通って配置縫合糸を受容するように構成される、請求項8に記載の懸架移植片固定装置。
- 前記第一のループに接続されたテザーをさらに備える、請求項8に記載の懸架移植片固定装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762555081P | 2017-09-07 | 2017-09-07 | |
US62/555,081 | 2017-09-07 | ||
PCT/US2018/049698 WO2019051050A1 (en) | 2017-09-07 | 2018-09-06 | BIDIRECTIONAL ADJUSTABLE LOOP SUSPENSION DEVICE FOR FIXING A SOFT TISSUE GRAFT |
Publications (2)
Publication Number | Publication Date |
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JP2020533053A JP2020533053A (ja) | 2020-11-19 |
JP6990300B2 true JP6990300B2 (ja) | 2022-01-12 |
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JP2020513277A Active JP6990300B2 (ja) | 2017-09-07 | 2018-09-06 | 軟組織移植片の固定のための双方向調節可能なループ式懸架装置 |
Country Status (8)
Country | Link |
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US (1) | US20200281712A1 (ja) |
EP (1) | EP3678590A1 (ja) |
JP (1) | JP6990300B2 (ja) |
KR (1) | KR102369947B1 (ja) |
CN (1) | CN111246822A (ja) |
AU (1) | AU2018329827B2 (ja) |
CA (1) | CA3072357C (ja) |
WO (1) | WO2019051050A1 (ja) |
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CN110074897A (zh) * | 2019-05-05 | 2019-08-02 | 北京万洁天元医疗器械股份有限公司 | 一种袢可调的软组织悬吊固定系统及其悬吊固定方法 |
CN112315529B (zh) * | 2020-11-30 | 2021-09-21 | 上海傲派医疗科技有限公司 | 袢环及袢环的制造方法 |
CN112754730B (zh) * | 2020-12-31 | 2021-12-14 | 上海傲派医疗科技有限公司 | 医用袢环及其制作方法 |
US11375995B1 (en) * | 2021-04-08 | 2022-07-05 | Integrity Orthopaedics, Inc. | Locking suture construct for tensioned suture to suture stitches in anchor arrays for attaching soft tissue to bone |
Citations (2)
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JP2014171896A (ja) | 2013-03-11 | 2014-09-22 | Medos Internatl Sarl | 調節可能なフィラメント輪を有するインプラント |
US20170189007A1 (en) | 2016-01-06 | 2017-07-06 | Arthrex, Inc. | Point-loading knotless fixation devices and methods of tissue fixation and repair |
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GB9929599D0 (en) | 1999-12-15 | 2000-02-09 | Atlantech Medical Devices Limi | A graft suspension device |
US8852250B2 (en) | 2006-05-18 | 2014-10-07 | Linvatec Corporation | Graft fixation implant |
US8439976B2 (en) * | 2009-03-31 | 2013-05-14 | Arthrex, Inc. | Integrated adjustable button-suture-graft construct with two fixation devices |
US20120290002A1 (en) * | 2011-05-12 | 2012-11-15 | Smith & Nephew, Inc. | Tissue graft anchoring |
FR2980356B1 (fr) | 2011-09-22 | 2013-10-11 | S B M | Suture pour chirurgie orthopedique et procede de formation des boucles de cette derniere |
US9204959B2 (en) * | 2012-02-02 | 2015-12-08 | Smith & Nephew, Inc. | Implantable biologic holder |
US10405968B2 (en) * | 2013-12-11 | 2019-09-10 | Medos International Sarl | Implant having filament limbs of an adjustable loop disposed in a shuttle suture |
US9888998B2 (en) * | 2016-01-19 | 2018-02-13 | DePuy Synthes Products, Inc. | Flexible implant with adjustable coils |
FR3058887B1 (fr) * | 2016-11-21 | 2018-12-14 | Cousin Biotech | Dispositif de fixation implantable pour la solidarisation d'un greffon a au moins un os d'une articulation |
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2018
- 2018-09-06 CN CN201880068230.8A patent/CN111246822A/zh active Pending
- 2018-09-06 EP EP18792571.4A patent/EP3678590A1/en active Pending
- 2018-09-06 US US16/645,760 patent/US20200281712A1/en active Pending
- 2018-09-06 WO PCT/US2018/049698 patent/WO2019051050A1/en unknown
- 2018-09-06 CA CA3072357A patent/CA3072357C/en active Active
- 2018-09-06 AU AU2018329827A patent/AU2018329827B2/en active Active
- 2018-09-06 JP JP2020513277A patent/JP6990300B2/ja active Active
- 2018-09-06 KR KR1020207006585A patent/KR102369947B1/ko active IP Right Grant
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014171896A (ja) | 2013-03-11 | 2014-09-22 | Medos Internatl Sarl | 調節可能なフィラメント輪を有するインプラント |
US20170189007A1 (en) | 2016-01-06 | 2017-07-06 | Arthrex, Inc. | Point-loading knotless fixation devices and methods of tissue fixation and repair |
Also Published As
Publication number | Publication date |
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CA3072357C (en) | 2022-07-26 |
WO2019051050A1 (en) | 2019-03-14 |
EP3678590A1 (en) | 2020-07-15 |
KR20200039724A (ko) | 2020-04-16 |
JP2020533053A (ja) | 2020-11-19 |
KR102369947B1 (ko) | 2022-03-03 |
US20200281712A1 (en) | 2020-09-10 |
CA3072357A1 (en) | 2019-03-14 |
AU2018329827B2 (en) | 2021-05-27 |
CN111246822A (zh) | 2020-06-05 |
AU2018329827A1 (en) | 2020-02-27 |
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