WO2004062507A2 - Dispositif de fixation a utiliser en chirurgie - Google Patents

Dispositif de fixation a utiliser en chirurgie Download PDF

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Publication number
WO2004062507A2
WO2004062507A2 PCT/GB2004/000034 GB2004000034W WO2004062507A2 WO 2004062507 A2 WO2004062507 A2 WO 2004062507A2 GB 2004000034 W GB2004000034 W GB 2004000034W WO 2004062507 A2 WO2004062507 A2 WO 2004062507A2
Authority
WO
WIPO (PCT)
Prior art keywords
fixation device
suture
fixation
insertion instrument
shank
Prior art date
Application number
PCT/GB2004/000034
Other languages
English (en)
Other versions
WO2004062507A3 (fr
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
Publication of WO2004062507A2 publication Critical patent/WO2004062507A2/fr
Publication of WO2004062507A3 publication Critical patent/WO2004062507A3/fr

Links

Classifications

    • 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
    • A61B17/56—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
    • A61B17/8605—Heads, i.e. proximal ends projecting from bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—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
    • 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
    • A61B17/8625—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
    • 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
    • A61B2017/0409—Instruments for applying 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
    • A61B2017/0414—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
    • A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied

Definitions

  • This invention relates generally to fixation devices and insertion instruments for use
  • Fixation devices are presently used, amongst other things, to anchor suture which is
  • the suture will securely hold the soft tissue adjacent to the bone so that the
  • fixation devices and insertion instruments exist.
  • the present invention seeks to provide a fixation device and insertion instrument that
  • the invention seeks preferably to achieve one or more of the following objectives:
  • fixation device thus allowing an improved technique for anchoring soft tissue to
  • fixation device for use as an anchor on a bone site, said fixation device comprising: a shank having a core
  • said insertion device comprising: an
  • a first section of said elongate nose has a polygonal, star or turbine profile section that is fixed
  • gripping portion forms a point which may be used to piece a hole in soft tissue through which
  • At least one strand of suture may be passed through; between said first and said second
  • a middle section is formed and is generally cylindrical with a diameter less than the
  • Figure 1 is an axial view of a first embodiment of the fixation device according to the
  • Figure 2(a) illustrates a schematic axial cross-section of the first embodiment of the
  • Figure 2(b) illustrates a schematic axial cross-section of an alternative embodiment
  • Figure 3 illustrates a schematic perspective view of the first embodiment of the
  • Figure 4 illustrates an enlarged detail of the first embodiment of the fixation device
  • Figure 5 illustrates another perspective view of the first embodiment of the fixation
  • Figure 6 illustrates the manner in which the fixation device may be inserted into the
  • Figure 7 illustrates a schematic perspective view of a second embodiment of the
  • Figure 8 shows a schematic axial cross-section of the second embodiment of the
  • Figure 9 illustrates two axial views of the second embodiment of the fixation device
  • the fixation device 10 has a smooth
  • 11a helps cut the nose and thread of the fixation device into the bone, so providing a self
  • recess (not shown) similar to recess 18 exists on the opposite side of fixation device 10, starting from transverse hole 17 and extending parallel to the axis to flat end 13.
  • thread diameter 19a is also constant along the length of the fixation device.
  • a bore 19 is formed in the fixation device 10 which
  • Bore 19 and block 22 may be of any shape that allows block 22 to interlock with
  • bore 19 has a hexagonal profile
  • Elongate nose 21 of the insertion instrument 20 contains a transverse
  • transverse hole 23 through which a suture 30 is able to pass through.
  • suture 30 is able to pass through the fixation
  • Insertion instrument 20 couples with the
  • transverse hole 23 for which its use is described below in relation to Figure 3.
  • nose 21 or 21 ' may or may not contain gap 26 above transverse hole 23.
  • fixation device 10
  • insertion instrument 20 can be detached from suture 30.
  • loop 31 can be un-hooked through gap 26 in elongate nose 21 , leaving a loop of suture 31 as
  • FIG. 4 shows an enlarged cut-away detail of fixation device 10, once insertion instrument 20 has been removed.
  • transverse hole
  • gap 26 may not exist. In this instance the suture may then be removed
  • FIG. 5 illustrates an alternative perspective view of the fixation device 10, suture
  • fixation device 10 into bone 40 using the
  • Fixation device 10 is pre-loaded on
  • fixation device is then screwed into the bone as shown by arrow Y in Figure 6(b) until it is
  • the insertion instrument 20 may be used to pierce a hole in soft tissue 50 that is to be attached
  • Loop 31, created by the removal of insertion instrument 20, maybe released from the insertion instrument by unhooking it through gap 26 as described
  • fixation devices it is possible to link the loops of sutures together from adjacent fixation devices.
  • fixation device 70 is shown, designated generally by 70.
  • the properties of fixation device 70 can be taken
  • the inner core diameter of the shank 11 is required to be increased at the rear of the fixation
  • the diameter of the threaded portion 14 of the shank 11 is smaller towards
  • Figure 8 shows a schematic axial cross-section of fixation device 70 coupled with
  • shank 11 of fixation device 70 towards point 12 is less than the inner core diameter of the fixation device 70
  • diameter 73 is smaller than diameter 74, where diameter 74 is of sufficient measurement to enable a
  • Figure 9 illustrates an axial profile of the stepped profile as described above and
  • inventions include allowing the thread of the fixation device to extend to the end of the fixation
  • a stepped profile is needed to accommodate the insertion

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Rheumatology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un dispositif de fixation (10) à utiliser comme système d'ancrage sur un site d'os, qui comprend une tige (11) présentant un diamètre central et qui présente une première extrémité (12) et une seconde extrémité (13), un filetage externe (14) situé sur la tige (11), entre la première (12) et la seconde extrémité (13), une douille (19) située dans la tige (11), ainsi qu'une ouverture conçue pour recevoir au moins un fil de suture qui s'étend transversalement d'une première ouverture située sur l'extérieur de la tige (11), traversant la douille, jusqu'à une seconde ouverture située sur le côté opposé de la tige. La présente invention concerne également un instrument d'insertion (20) à utiliser avec ledit dispositif de fixation.
PCT/GB2004/000034 2003-01-09 2004-01-09 Dispositif de fixation a utiliser en chirurgie WO2004062507A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0300450.4 2003-01-09
GB0300450A GB0300450D0 (en) 2003-01-09 2003-01-09 Fixation device for use in surgery

Publications (2)

Publication Number Publication Date
WO2004062507A2 true WO2004062507A2 (fr) 2004-07-29
WO2004062507A3 WO2004062507A3 (fr) 2004-10-07

Family

ID=9950868

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2004/000034 WO2004062507A2 (fr) 2003-01-09 2004-01-09 Dispositif de fixation a utiliser en chirurgie

Country Status (2)

Country Link
GB (1) GB0300450D0 (fr)
WO (1) WO2004062507A2 (fr)

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1719450A1 (fr) * 2005-05-04 2006-11-08 Karl Storz GmbH & Co. KG Dispositif pour introduire un élément d'ancrage avec un fil dans un os
EP1787591A1 (fr) * 2005-11-21 2007-05-23 IST Innovative Shoulder Technology AG Ancre pour os
WO2007063285A1 (fr) 2005-11-30 2007-06-07 Biocomposites Ltd Ancre pour suture
EP1834592A1 (fr) * 2006-03-15 2007-09-19 DePuy Mitek, Inc. Procédé et appareil pour chirurgie arthroscopique utilisant des ancrages de suture
EP1935350A1 (fr) 2006-12-21 2008-06-25 Karl Storz GmbH & Co. KG Dispositif destiné à introduire un élément d'ancrage dans un os
EP1993449A1 (fr) * 2006-03-09 2008-11-26 Tyco Healthcare Group, LP Système d'ancrage de suture canulé
US8403957B2 (en) 2006-03-09 2013-03-26 Covidien Lp Cannulated suture anchor system
CN103099667A (zh) * 2013-02-22 2013-05-15 常州市斯博特医疗器械有限公司 可植骨型锚钉
CN104958102A (zh) * 2015-06-11 2015-10-07 苏州瑞华医院有限公司 一种带尾孔空心加压螺钉
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
AU2017219040B2 (en) * 2006-03-15 2019-02-21 Depuy Mitek, Inc. Method and apparatus for arthroscopic surgery using suture anchors
CN111529034A (zh) * 2020-05-20 2020-08-14 重庆市中医院 一种髌骨下极骨折内固定装置及螺钉固定方法

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0582857A1 (fr) * 1992-08-12 1994-02-16 Synthes AG, Chur Elément de fixation du rachis
US6027523A (en) * 1997-10-06 2000-02-22 Arthrex, Inc. Suture anchor with attached disk
WO2000069352A1 (fr) * 1999-05-18 2000-11-23 Merete Management Gmbh Vis pour fixation de fractures osseuses
US6290711B1 (en) * 1999-08-13 2001-09-18 Innovasive Devices, Inc. Connector device and method for surgically joining and securing flexible tissue repair members

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0582857A1 (fr) * 1992-08-12 1994-02-16 Synthes AG, Chur Elément de fixation du rachis
US6027523A (en) * 1997-10-06 2000-02-22 Arthrex, Inc. Suture anchor with attached disk
WO2000069352A1 (fr) * 1999-05-18 2000-11-23 Merete Management Gmbh Vis pour fixation de fractures osseuses
US6290711B1 (en) * 1999-08-13 2001-09-18 Innovasive Devices, Inc. Connector device and method for surgically joining and securing flexible tissue repair members

Cited By (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1719450A1 (fr) * 2005-05-04 2006-11-08 Karl Storz GmbH & Co. KG Dispositif pour introduire un élément d'ancrage avec un fil dans un os
EP1787591A1 (fr) * 2005-11-21 2007-05-23 IST Innovative Shoulder Technology AG Ancre pour os
US8409251B2 (en) 2005-11-30 2013-04-02 Biocomposites Limited Suture anchor and driver
WO2007063285A1 (fr) 2005-11-30 2007-06-07 Biocomposites Ltd Ancre pour suture
EP1993449A1 (fr) * 2006-03-09 2008-11-26 Tyco Healthcare Group, LP Système d'ancrage de suture canulé
AU2006339575B2 (en) * 2006-03-09 2013-07-18 Covidien Lp Cannulated suture anchor system
EP1993449A4 (fr) * 2006-03-09 2012-03-07 Tyco Healthcare Système d'ancrage de suture canulé
US8403957B2 (en) 2006-03-09 2013-03-26 Covidien Lp Cannulated suture anchor system
EP1834592A1 (fr) * 2006-03-15 2007-09-19 DePuy Mitek, Inc. Procédé et appareil pour chirurgie arthroscopique utilisant des ancrages de suture
AU2017219040B2 (en) * 2006-03-15 2019-02-21 Depuy Mitek, Inc. Method and apparatus for arthroscopic surgery using suture anchors
DE102006062401A1 (de) * 2006-12-21 2008-06-26 Karl Storz Gmbh & Co. Kg Vorrichtung zum Einbringen eines Ankerelements in einen Knochen
US8114094B2 (en) 2006-12-21 2012-02-14 Karl Storz Gmbh & Co. Kg Device for introducing an anchor element into a bone
EP1935350A1 (fr) 2006-12-21 2008-06-25 Karl Storz GmbH & Co. KG Dispositif destiné à introduire un élément d'ancrage dans un os
US9526496B2 (en) 2011-09-26 2016-12-27 Atex Technologies, Inc. Loop
US10413398B2 (en) 2011-09-26 2019-09-17 Atex Technologies, Inc. Loop
CN103099667A (zh) * 2013-02-22 2013-05-15 常州市斯博特医疗器械有限公司 可植骨型锚钉
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
CN104958102A (zh) * 2015-06-11 2015-10-07 苏州瑞华医院有限公司 一种带尾孔空心加压螺钉
CN111529034A (zh) * 2020-05-20 2020-08-14 重庆市中医院 一种髌骨下极骨折内固定装置及螺钉固定方法

Also Published As

Publication number Publication date
WO2004062507A3 (fr) 2004-10-07
GB0300450D0 (en) 2003-02-12

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