JPH08510933A - 外科用ねじ及び座金 - Google Patents
外科用ねじ及び座金Info
- Publication number
- JPH08510933A JPH08510933A JP7501102A JP50110295A JPH08510933A JP H08510933 A JPH08510933 A JP H08510933A JP 7501102 A JP7501102 A JP 7501102A JP 50110295 A JP50110295 A JP 50110295A JP H08510933 A JPH08510933 A JP H08510933A
- Authority
- JP
- Japan
- Prior art keywords
- bone
- washer
- tendon
- surgical
- head
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
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
- 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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B17/8695—Washers
-
- 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
- A61B2017/0403—Dowels
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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
- A61B2017/0414—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
-
- 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
- A61B2017/044—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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
- A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
-
- 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
- A61F2/0805—Implements for inserting tendons or ligaments
-
- 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
- A61F2002/0817—Structure of the anchor
- A61F2002/0823—Modular anchors comprising a plurality of separate parts
- A61F2002/0829—Modular anchors comprising a plurality of separate parts without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
-
- 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
- A61F2002/0817—Structure of the anchor
- A61F2002/0823—Modular anchors comprising a plurality of separate parts
- A61F2002/0835—Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw
-
- 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
- A61F2002/0817—Structure of the anchor
- A61F2002/0841—Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
-
- 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
- A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
-
- 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
- A61F2002/0864—Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
-
- 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
- A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
-
- 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
- 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
- A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S606/00—Surgery
- Y10S606/916—Tool for installing or removing orthopedic fastener
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Rheumatology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Rehabilitation Therapy (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.外科用緊締具を受入れるために形成された孔をもつ骨に移植腱の一端を取付 けるための外科用緊締具において、前記外科用緊締具がヘッドと、ネックと、ヘ ッドから遠位の一端をもつシャンクとをもつねじであり、前記シャンクはその全 長の少なくとも一部に沿って形成されたねじ山をもち、前記ヘッドはほぼ半球形 でかつ前記シャンクより大きい直径をもち、環状座金がヘッドとシャンクの中間 でねじのシャンクの回りに配置され、座金が、手術に際して腱の一端を前記座金 に取付けることができかつ実質上ヘッドと孔内部の間に固定することができるよ う配置されることを特徴とする外科用緊締具。 2.ねじ山が前記ねじ山の全体に沿う長手方向セクションに最外側の切断ライン を欠くことを特徴とする請求項1に記載の外科用緊締具。 3.ねじがシャンクをもち、前記シャンクはシャンク全体に沿って形成されかつ 最外側の切断ラインを欠いた滑らかなねじ山を提供するよう長手方向セクション で概略又は完全に正弦曲線状をなすねじ山をもつことを特徴とする請求項2に記 載の外科用緊締具。 4.ねじはヘッドと同心のねじ回しソケットと、シャンクと同心の長手方向のカ ニューレ挿入管路をもつことを特徴とする請求項1から3の何れか1項に記載の 外科用緊締具。 5.環状座金が環状部分をもち、ねじのヘッドに隣接して置かれそしてその環状 部分に少なくとも1つの孔をもつことを特徴とする請求項1から4の何れか1項 に記載の外科用緊締具。 6.座金がその環状部分に4個の孔をもち、前記4個の孔は環状部分の半分内に 閉じ込められることを特徴とする請求項5に記載の外科用緊締具。 7.請求項1乃至6の何れか1項に記載の外科用緊締具を用いて鍵の一端を骨に 取付ける方法において、下記の工程即ち: (a)骨に孔を形成し、前記孔は第1端と、第2端をもちかつ2つの部分を含 み、第1端に隣接した第1の部分は第1端に対して遠位にある第2部分の直径よ り大きな直径をもち、これによって前記孔内に環状受台部を形成するよう になしており; (b)腱の一端を座金に取付け; (c)取付けた腱と共に座金を前記孔内に引き入れ、これによって座金が環状 受台部に接近して置かれるようになし; (d)外科用ねじを前記孔内にねじ込み、これによって座金が環状受台部に衝 合しそして腱を押圧して孔の第1部分内の骨と衝合させるねじのヘッドで腱が固 定されること; の工程を含むことを特徴とする方法。 8.腱がその一端に定着された縫線をもち、前記縫線は座金の環状部分中の1つ 又はそれ以上の孔に結び付けられることを特徴とする請求項7に記載の方法。 9.外科用ねじが、シャンクの一端が、ねじが骨にねじ込まれるとき骨の外皮質 に達するような長さをもつことを特徴とする請求項7又は8に記載の方法。 10.骨が大腿骨であり、骨内の孔はドリルビットによって大腿関節丘に形成され ることを特徴とする請求項7から9の何れか1項に記載の方法。 11.ねじが、関節鏡を使用したねじの精密案内を可能ならしめる大直径のキルシ ュネル針金又は類似物を受入れるようカニューレ挿入されることを特徴とする請 求項7から10の何れか1項に記載の方法。 12.骨ならなる環状プラグが環状座金とヘッド間でねじのネックの回りに配置さ れ、ねじのネックが、ねじが使用されるとき骨プラグが横に圧縮されるよう適用 されることを特徴とする請求項1から6の何れか1項に記載の外科用緊締具。 13.請求項12の外科用緊締具を用いて腱の一端を骨に取付ける方法において、 下記の工程即ち: (a)骨に孔を形成し; (b)腱の一端を環状座金に取付け; (c)座金を環状骨プラグの一端に同心的にかつそれに接近して位置定めし; (d)座金と骨プラグを、座金が孔の入口に対して遠位となるよう前記孔に挿 入手段を用いて挿入し; (e)骨プラグが横に圧縮されて骨の壁と骨プラグ全長の実質的部分との間に 腱を固定するよう外科用ねじを前記孔にねじ込むこと; の工程を含むことを特徴とする方法。 14.環状骨プラグが骨孔への挿入に先立ってホルダーに据え付けられ、前記ホル ダーが第1と第2の端をもちそして骨プラグを取り囲むことを特徴とする請求項 13に記載の方法。 15.座金と骨プラグが両方ともホルダーに据え付けられ、座金に取付けられた腱 が骨プラグの全長に沿って実質上長手方向に横たわることを特徴とする請求項1 4に記載の方法。 16.ホルダーが腱を収容するために座金と骨プラグに接近して膨らみ部をもつこ とを特徴とする請求項15に記載の方法。 17.挿入手段がホルダーの第2端に位置したプランジヤを含み、前記プランジヤ は骨プラグと座金をホルダーから骨孔内に放出するよう適用されることを特徴と する請求項14から16の何れか1項に記載の方法。 18.環状座金、骨プラグ、ホルダー及び外科用ねじは前記孔内の中心に置かれた 案内ワイヤ上に配置されることを特徴とする請求項14から17の何れか1項に 記載の方法。 19.外科用緊締具において、該緊締具が移植腱を骨に取付けるためのステープル であり、前記外科用ステープルは横ヘッド部材によって相互連結された2つの実 質上平行な脚部を含み、各脚部は実質上同じ長さをもちかつ前記ヘッド部材が自 由端部分から横に変位させられるようヘッド部分に実質上直角をなして連結され た自由端部分をもち、更に、ヘッド部分との直角連結部に接近して前記自由端部 分の回りに配置された座金を含むことを特徴とする外科用緊締具。 20.外科用ステープルは2つの平行な脚部をもち、各脚部は同じ長さをもち、か つヘッド部分に直角をなして連結された自由端部分をもつことを特徴とする請求 項19に記載の外科用緊締具。 21.2つのヘッド部分を相互連結する横ヘッド部材はヘッド部分の平面から下方 へ傾斜していることを特徴とする請求項19又は20に記載の外科用緊締具。 22.外科用ステープルは所望形状に折り曲げられる1つの直線部材からなること を特徴とする請求項19から21の何れか1項に記載の外科用緊締具。 23.直線部材は自由端部分をもつワイヤであり、前記自由端部分はステープルの 骨への挿入を容易ならしめるために鋭い矢形尖端をもち、そして腱と接触しそう なワイヤ部分は腱に損傷を与えないよう丸み付けされていることを特徴とする請 求項22に記載の外科用緊締具。 24.座金は移植腱の損傷を防止するために丸み付けされた縁をもつ楕円形状をな し、そして各脚部につき横に変位させられた2つの孔をもつことを特徴とする請 求項19から23の何れか1項に記載の外科用緊締具。 25.請求項19から24の何れか1項に記載の外科用緊締具を用いて腱のループ を骨に取付けるための方法において、下記の工程即ち: (a)腱のループを通して座金を配置し; (b)腱ループをステープル内に配置させるよう座金を通してステープル脚部 の自由端部分を挿入し; (c)座金と横に変位させられたヘッド部材の両方の下で、腱が骨にしっかり 定着されるようステープルを骨内に挿入し、負荷の下でのステープルのすべての 傾斜がヘッド部材を更にしっかりと腱上に押圧する働きをなしそれによって腱と ステープルの骨からの弛みを改善するようになすことを特徴とする方法。 26.ステープルが適当なハンマー又は類似物を用いて所望部位で骨に挿入される ことを特徴とする請求項25に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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AUPL920093 | 1993-06-04 | ||
AU9200 | 1993-06-04 | ||
PCT/AU1994/000296 WO1994028811A1 (en) | 1993-06-04 | 1994-06-03 | Surgical screw and washer |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2004022254A Division JP2004160250A (ja) | 1993-06-04 | 2004-01-29 | 外科用緊締具 |
Publications (2)
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JPH08510933A true JPH08510933A (ja) | 1996-11-19 |
JP3549206B2 JP3549206B2 (ja) | 2004-08-04 |
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP50110295A Expired - Lifetime JP3549206B2 (ja) | 1993-06-04 | 1994-06-03 | 外科用ねじ及び座金 |
JP2004022254A Pending JP2004160250A (ja) | 1993-06-04 | 2004-01-29 | 外科用緊締具 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2004022254A Pending JP2004160250A (ja) | 1993-06-04 | 2004-01-29 | 外科用緊締具 |
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US (2) | US5718706A (ja) |
EP (2) | EP0703758B1 (ja) |
JP (2) | JP3549206B2 (ja) |
CA (1) | CA2164215A1 (ja) |
DE (2) | DE69433101T2 (ja) |
ES (2) | ES2204408T3 (ja) |
WO (1) | WO1994028811A1 (ja) |
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FR2704140B3 (fr) * | 1992-11-02 | 1995-04-21 | Hubin Claude | Vis à ligament, destiné à fixer un transplant en fibres souples dans un tunnel osseux. |
US5443509A (en) * | 1992-12-10 | 1995-08-22 | Linvatec Corporation | Interference bone-fixation screw with multiple interleaved threads |
US5632748A (en) * | 1993-06-14 | 1997-05-27 | Linvatec Corporation | Endosteal anchoring device for urging a ligament against a bone surface |
US5454811A (en) * | 1993-11-08 | 1995-10-03 | Smith & Nephew Dyonics, Inc. | Cam lock orthopedic fixation screw and method |
US5443468A (en) * | 1994-02-04 | 1995-08-22 | Johnson; Lanny L. | Method for drilling a bore in bone using a compaction drill |
US5456685A (en) * | 1994-02-14 | 1995-10-10 | Smith & Nephew Dyonics, Inc. | Interference screw having a tapered back root |
US5674224A (en) * | 1994-11-18 | 1997-10-07 | Howell; Stephen M. | Bone mulch screw assembly for endosteal fixation of soft tissue grafts and method for using same |
US5628766A (en) * | 1995-06-29 | 1997-05-13 | Johnson; Lanny L. | Method of using a mini-screw to anchor a suture |
-
1994
- 1994-06-03 WO PCT/AU1994/000296 patent/WO1994028811A1/en active IP Right Grant
- 1994-06-03 US US08/553,718 patent/US5718706A/en not_active Expired - Lifetime
- 1994-06-03 CA CA002164215A patent/CA2164215A1/en not_active Abandoned
- 1994-06-03 JP JP50110295A patent/JP3549206B2/ja not_active Expired - Lifetime
- 1994-06-03 ES ES00113280T patent/ES2204408T3/es not_active Expired - Lifetime
- 1994-06-03 ES ES94916849T patent/ES2185651T3/es not_active Expired - Lifetime
- 1994-06-03 EP EP94916849A patent/EP0703758B1/en not_active Expired - Lifetime
- 1994-06-03 DE DE69433101T patent/DE69433101T2/de not_active Expired - Fee Related
- 1994-06-03 DE DE69431597T patent/DE69431597T2/de not_active Expired - Fee Related
- 1994-06-03 EP EP00113280A patent/EP1038503B1/en not_active Expired - Lifetime
-
1998
- 1998-02-13 US US09/023,343 patent/US5961521A/en not_active Expired - Fee Related
-
2004
- 2004-01-29 JP JP2004022254A patent/JP2004160250A/ja active Pending
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2017500150A (ja) * | 2013-12-23 | 2017-01-05 | エシコン・エンド−サージェリィ・エルエルシーEthicon Endo−Surgery, LLC | 外科用ステープル及びステープルカートリッジ |
Also Published As
Publication number | Publication date |
---|---|
ES2185651T3 (es) | 2003-05-01 |
ES2204408T3 (es) | 2004-05-01 |
US5961521A (en) | 1999-10-05 |
US5718706A (en) | 1998-02-17 |
JP2004160250A (ja) | 2004-06-10 |
DE69433101D1 (de) | 2003-10-02 |
JP3549206B2 (ja) | 2004-08-04 |
DE69431597D1 (de) | 2002-11-28 |
EP0703758A4 (en) | 1997-07-23 |
EP1038503A2 (en) | 2000-09-27 |
EP1038503A3 (en) | 2000-10-11 |
EP0703758B1 (en) | 2002-10-23 |
WO1994028811A1 (en) | 1994-12-22 |
DE69431597T2 (de) | 2003-06-18 |
EP0703758A1 (en) | 1996-04-03 |
CA2164215A1 (en) | 1994-12-22 |
DE69433101T2 (de) | 2004-06-03 |
EP1038503B1 (en) | 2003-08-27 |
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