WO2002034166A1 - Dispositif de fixation a usage chirurgical - Google Patents

Dispositif de fixation a usage chirurgical Download PDF

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Publication number
WO2002034166A1
WO2002034166A1 PCT/GB2001/004638 GB0104638W WO0234166A1 WO 2002034166 A1 WO2002034166 A1 WO 2002034166A1 GB 0104638 W GB0104638 W GB 0104638W WO 0234166 A1 WO0234166 A1 WO 0234166A1
Authority
WO
WIPO (PCT)
Prior art keywords
shank
bone
washer
head
fixation device
Prior art date
Application number
PCT/GB2001/004638
Other languages
English (en)
Inventor
David John Beevers
Original Assignee
Xiros Plc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Xiros Plc filed Critical Xiros Plc
Priority to AU2002210684A priority Critical patent/AU2002210684A1/en
Publication of WO2002034166A1 publication Critical patent/WO2002034166A1/fr

Links

Classifications

    • 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
    • A61B2017/044—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
    • 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
    • A61F2002/0841—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
    • A61F2002/0852—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
    • A61F2002/0847—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

Definitions

  • This invention relates generally to fixation devices for use in surgery, and particular, though not exclusively, for use in implant surgery.
  • fixation device for use in surgery, and which usually comprise devices which can be driven into bone in order to act as an anchorage, either by being hammered into position e.g. a nail or bone staple, or by being screwed into an undersized hole or passage.
  • a fixation device is used to anchor one end of an elongate connecting element, such as a suture, or prosthetic ligament, and there are three important requirements for an acceptable fixation device.
  • the attached device must be capable of forming a reliable anchorage in the bone to which it is fixed, and over an extended period of time while boney or other tissue ingrowth further anchors the attached device (when the latter is a prosthetic ligament).
  • the attached device must remain firmly attached to the fixation device, both during anchoring of the fixation device and also subsequently.
  • the present invention seeks to provide a number of different types of fixation device, having improved solutions to at least one of the three requirements set out above.
  • an implantable fixation device for use in surgery and comprising: a nail device having a shank to which an elongate connecting element is connectable; a point at one end of the shank for insertion into bone during implantation; a head at an opposite end of the shank; and. a threaded portion provided on the shank intermediate the ends thereof and operative to anchor the device to the bone.
  • Figure 1 is a perspective illustration of a first embodiment of the invention, in the form of a nail device
  • Figure la is an illustration of the attachment of an elongate element to the nail device, in a tibial or femoral fixation
  • Figure 2 is a view, similar to Figure 1, of the modification of the first embodiment, and incorporating a washer element slidably engageable with the nail device, and serving for attachment of a looped attachment device thereto;
  • Figure 2a is a detailed view of the washer element shown in Figure 2;
  • Figures 3a, b, c and d are side views of alternative designs for the nail device of Figure 1;
  • Figure 4 is a detailed view of the head end of a nail device according to the invention, and showing means by which driving rotation may be applied to the nail device for insertion into and anchoring in bone;
  • Figure 5 illustrates the manner by which a rotary driving instrument may be used in order to implant the nail device of Figure 4;
  • Figure 6 is a view of an alternative means of driving a nail device into an anchored location in bone, to that as shown in Figure 5;
  • Figure 7 is an exploded view showing a further modified embodiment within the scope of the invention.
  • Figure 8 is a schematic illustration of a further means of anchoring a fixing device according to the invention.
  • Figure 9 shows further means of attachment of different types of elongate element to bone
  • Figure 11 illustrates another embodiment of fixation device according to the invention, which is shorter in length than the other embodiments.
  • the first embodiment of fixation device according to the invention takes the form of a nail device, designated generally by reference 10, and having a shank 11, a point 12 at one end of the shank 1 1, a head 13 at the opposite end of the shank and below which an elongate element (not shown) can be attached to the shank, and a threaded portion 14 provided on the shank 1 1 intermediate to the ends thereof.
  • the head 13 is joined to the shank 11 via a smooth-surfaced cylindrical portion 15, preferably of larger diameter than the remainder of the shank 11, and around which the elongate element e.g. a suture or prosthetic ligament, may be looped.
  • a smooth-surfaced cylindrical portion 15 preferably of larger diameter than the remainder of the shank 11, and around which the elongate element e.g. a suture or prosthetic ligament, may be looped.
  • Figure la is an illustration of use of the nail device 10 which is anchored in bone 20 and which can be used to attach a two, three or four strand semitendinosus 21 (or gracilis graft) for a tibial or femoral fixation, using a looped elongate connector 22.
  • FIG. 2 and 2a An alternative means of attaching an elongate connector element to the shank of a nail device is shown in Figure 2 and 2a.
  • a washer 16 fits loosely around the cylindrical portion 15, and has at least one aperture 17 through which the elongate element 18 can be taken. In the illustrated arrangement, there is a pair of apertures 17, allowing connector loop 18 to be attached thereto.
  • the nail device 10 will be made from any suitable implantable material, and including a polymer, a bioabsorbable or metallic material.
  • the screw thread portion 14 may be of a standard bone screw variety.
  • the head may be as shown in Figures 1 and 2, or may have a low profile design or a large flat appearance, as shown in the variants of Figures 3a to d.
  • FIG 4 this is an enlarged detail of a head design which may be provided for a nail device according to the invention, showing how driving engagement with the head may allow insertion and anchoring in position of the nail device in bone.
  • the head 13 has an axial bore 23 for mating with a cylindrical projection 24 of an insertion instrument 25, as shown in Figure 5.
  • the proximal end of the bore 23 has a hexagonal socket 26 engaged by a hexagonal nose 27 of the instrument 25, whereby torque can be transferred from the instrument 25 to the nail device.
  • the insertion instrument 25 can engage drivingly with the head 13 of the nail device 10, and the cylindrical shaped projection 24 of the instrument 25 may have a ridge that protrudes from the cylindrical nose to enhance contact with the cylindrical bore 23 of the fixation device 10.
  • Adjacent to the nose portion is the preferred hexagonal shaped shank that locates in the hexagonal shaped opening in the fixation device. Adjacent to the hexagonal shaped shank is preferably a shaped surface which contacts with the head of the fixation device to provide transfer of impact load from the instrument 25 to the fixation device 10.
  • Figure 5 also shows attachment of an elongate element 28 via a washer 29 engaging with the conical outer surface of the head 13.
  • Figure 6 shows an alternative means of driving a nail device into an anchored position in bone, and which may be used when the fixation device is manufactured from a softer polymer, or bioabsorbable material.
  • the insertion instrument 25a has an elongated nose portion 24a, which passes through the fixation device thereby to provide the nail portion of the fixation device.
  • the fixation device is designated by reference 30, and is hollow, to allow passage of the nose portion 24a therethrough, and which then forms the nail portion of the composite device. Operation of the instrument 25a drives the nail portion 24a and also the hollow fixation portion 30 into anchored engagement in the bone.
  • the head of the device 30 serves for attachment of an elongate connector element, generally in similar way to that shown in Figure 5.
  • the fixation device may be of various lengths, to enable it to be used with different sizes of bone. When used, a size would be chosen to maintain its distal end inside the bone.
  • Figure 7 shows use of different types of washer. Parts corresponding with those already described are given the same reference numerals, and will not be described in detail again.
  • Figure 7 shows possible use of washer 16, already described with reference to Figure 2. It also shows alternative types of washer which might be used, designated by references 16a, 16b.
  • the washer used may be flat, as shown at 16b, for attachment of sutures, alternatively, as shown at 16a, the washer may be spiked for direct attachment of soft tissue.
  • the washer may incorporate holes for the attachment of sutures, loops of sutures or tapes or continuous loops.
  • Each design of washer may be manufactured from a polymer, a bioabsorbable or a metallic material.
  • this shows another preferred aspect of the invention, and in particular a method of securing a graft, soft tissue, bone fragment, prosthesis or similar object to bone.
  • This includes the steps of placing the fixation device through a washer, as shown.
  • the washer is positioned so that tension is applied to the graft.
  • the fixation device plus washer is then placed in position adjacent to the bone and the fixation device is inserted into the bone using an impact force, until the screw threaded portion of the device engages into the bone.
  • the fixation device then screws itself into the bone.
  • the fixation device is therefore self-tapping into the bone.
  • the fixation device is of limited length, such that placement of the fixation device into the bone results in the distal end of the fixation device being maintained within the bone.
  • the final positioning is by screwing the fixation device so as to be flush with the washer.
  • the fixation device When used for attaching grafts or prostheses for anterior cruciate ligament surgery, the fixation device may be placed inside the bone tunnel mouth in a direction perpendicular to the axis of the bone tunnel. This eliminates any protrusion of the fixation device from the bone surface. If a soft tissue graft, such as a hamstring graft, is to be used for anterior cruciate ligament reconstruction surgery, then the graft may be looped and stitched together such that a continuous loop that is attached to the fixation device may be used, at each end of the loop, to attach the graft to the femur and tibia.
  • a soft tissue graft such as a hamstring graft
  • a loop may be used at one end and a standard method of attachment at the other, for instance an interference screw, as shown in Figure 9.
  • a loop may also be used in a similar method when a bone-patellar tendon-bone graft is used, as shown in Figure 10.
  • Advantages in carrying out the invention include no requirement to carry out pre- drilling of a hole, or pre-tapping of a hole. Also, additional tension may be applied to the elongate connecting element (and also of the device to which it is attached), via increased mandrel diameter, and low profile washer configuration. The use of a continuous loop attached to the washer further reduces the protrusion height of the device, making it even lower profile.
  • the fixation device of Figure 11 is short in length, and incorporate holes or similar method for attaching sutures, and may be used as a method of anchoring sutures to bone.

Abstract

L'invention concerne plusieurs formes de réalisation d'un dispositif de fixation implantable convenant pour les opérations de mise en place d'implants. Ce dispositif comprend un dispositif (10) en forme de clou comprenant une tige (11) sur laquelle un élément (18) de connexion allongé peut être monté, une pointe (12) située à une extrémité de la tige (11) et destinée à être introduite dans l'os lors d'une implantation, une tête (13) placée à l'extrémité opposée de la tige, cette tête étant connectée avec un instrument (25) d'insertion et sollicitée par ce dernier, et une partie (14) filetée située sur la tige (11) entre les deux extrémités, permettant d'ancrer le dispositif dans l'os.
PCT/GB2001/004638 2000-10-25 2001-10-17 Dispositif de fixation a usage chirurgical WO2002034166A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2002210684A AU2002210684A1 (en) 2000-10-25 2001-10-17 Fixation device for use in surgery

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0026024.0 2000-10-25
GBGB0026024.0A GB0026024D0 (en) 2000-10-25 2000-10-25 Fixation device for use in surgery

Publications (1)

Publication Number Publication Date
WO2002034166A1 true WO2002034166A1 (fr) 2002-05-02

Family

ID=9901885

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2001/004638 WO2002034166A1 (fr) 2000-10-25 2001-10-17 Dispositif de fixation a usage chirurgical

Country Status (3)

Country Link
AU (1) AU2002210684A1 (fr)
GB (1) GB0026024D0 (fr)
WO (1) WO2002034166A1 (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1814463A2 (fr) * 2004-11-15 2007-08-08 Scandius Biomedical, Inc. Procede et appareil de reparation de tendon ou de ligament d'une coiffe des rotateurs
DE102012004070A1 (de) * 2012-03-02 2013-09-05 Marius von Knoch Unterlegscheibe mit Fadenöse zur vereinfachten Durchführung von Sehnennähten
US9526496B2 (en) 2011-09-26 2016-12-27 Atex Technologies, Inc. Loop
US9974643B2 (en) 2013-03-11 2018-05-22 Medos International Sàrl Implant having adjustable filament coils
US10052094B2 (en) 2013-03-11 2018-08-21 Medos International Sàrl Implant having adjustable filament coils
EP3184078B1 (fr) * 2015-12-23 2020-10-07 INOVEDIS GmbH Plaque de fixation de tendons

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2732211A1 (fr) * 1995-03-28 1996-10-04 Boyer Thierry Systeme de reinsertion de la coiffe des rotateurs
EP0908143A1 (fr) * 1997-10-06 1999-04-14 Arthrex Inc Ancrage de suture et élément de retenue associé pour fixer des tissus
WO2000018309A1 (fr) * 1998-09-30 2000-04-06 Bionx Implants Oy Ensemble rondelle et vis chirurgicale bioabsorbable
EP1018321A2 (fr) * 1998-12-25 2000-07-12 Meira Corporation Dispositif de fixation d'un implant ligamentaire
WO2000056252A1 (fr) * 1999-03-25 2000-09-28 Smith & Nephew, Inc. Element de serrage de greffe

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2732211A1 (fr) * 1995-03-28 1996-10-04 Boyer Thierry Systeme de reinsertion de la coiffe des rotateurs
EP0908143A1 (fr) * 1997-10-06 1999-04-14 Arthrex Inc Ancrage de suture et élément de retenue associé pour fixer des tissus
WO2000018309A1 (fr) * 1998-09-30 2000-04-06 Bionx Implants Oy Ensemble rondelle et vis chirurgicale bioabsorbable
EP1018321A2 (fr) * 1998-12-25 2000-07-12 Meira Corporation Dispositif de fixation d'un implant ligamentaire
WO2000056252A1 (fr) * 1999-03-25 2000-09-28 Smith & Nephew, Inc. Element de serrage de greffe

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1814463A2 (fr) * 2004-11-15 2007-08-08 Scandius Biomedical, Inc. Procede et appareil de reparation de tendon ou de ligament d'une coiffe des rotateurs
EP1814463A4 (fr) * 2004-11-15 2013-10-02 Scandius Biomedical Inc Procede et appareil de reparation de tendon ou de ligament d'une coiffe des rotateurs
US9526496B2 (en) 2011-09-26 2016-12-27 Atex Technologies, Inc. Loop
US10413398B2 (en) 2011-09-26 2019-09-17 Atex Technologies, Inc. Loop
DE102012004070A1 (de) * 2012-03-02 2013-09-05 Marius von Knoch Unterlegscheibe mit Fadenöse zur vereinfachten Durchführung von Sehnennähten
DE102012004070B4 (de) * 2012-03-02 2015-05-13 Marius von Knoch Chirurgische Befestigungsvorrichtung
US9974643B2 (en) 2013-03-11 2018-05-22 Medos International Sàrl Implant having adjustable filament coils
US10052094B2 (en) 2013-03-11 2018-08-21 Medos International Sàrl Implant having adjustable filament coils
US10856967B2 (en) 2013-03-11 2020-12-08 Medos International Sàrl Implant having adjustable filament coils
US10898178B2 (en) 2013-03-11 2021-01-26 Medos International Sàrl Implant having adjustable filament coils
US11896475B2 (en) 2013-03-11 2024-02-13 Medos International Sarl Implant having adjustable filament coils
EP3184078B1 (fr) * 2015-12-23 2020-10-07 INOVEDIS GmbH Plaque de fixation de tendons

Also Published As

Publication number Publication date
AU2002210684A1 (en) 2002-05-06
GB0026024D0 (en) 2000-12-13

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