WO2012096786A1 - Elongated fixation element - Google Patents

Elongated fixation element Download PDF

Info

Publication number
WO2012096786A1
WO2012096786A1 PCT/US2011/067601 US2011067601W WO2012096786A1 WO 2012096786 A1 WO2012096786 A1 WO 2012096786A1 US 2011067601 W US2011067601 W US 2011067601W WO 2012096786 A1 WO2012096786 A1 WO 2012096786A1
Authority
WO
WIPO (PCT)
Prior art keywords
middle section
section
fixation element
electromagnetic radiation
bone
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.)
Ceased
Application number
PCT/US2011/067601
Other languages
English (en)
French (fr)
Other versions
WO2012096786A8 (en
Inventor
Nicolas Bouduban
Dieter Schmidli
Philippe Gedet
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synthes GmbH
Synthes USA LLC
Original Assignee
Synthes GmbH
Synthes USA LLC
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 Synthes GmbH, Synthes USA LLC filed Critical Synthes GmbH
Priority to JP2013549434A priority Critical patent/JP5992441B2/ja
Priority to AU2011354625A priority patent/AU2011354625B2/en
Priority to EP11810971.9A priority patent/EP2663241B1/en
Priority to CA2824881A priority patent/CA2824881C/en
Priority to CN201180064882.2A priority patent/CN103327909B/zh
Publication of WO2012096786A1 publication Critical patent/WO2012096786A1/en
Publication of WO2012096786A8 publication Critical patent/WO2012096786A8/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0404—Buttons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0412—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 anchoring barbs or pins extending outwardly from suture anchor body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity

Definitions

  • the distal section is made of a material that is non- absorbent for electromagnetic radiation.
  • One advantage of the invention lies in the fact that it can be anchored in a bone cavity independent of the quality of the bone material surrounding the cavity.
  • the elongated fixation element is designed as a bone fixation element, preferably in the form of a bone screw, bone rod, bone dowel, pin, plate, dowel, hose, tube, thread, thread in a hose or tube, a bone anchor, a dental implant or a dental root implant.
  • a process for producing an elongated fixation element comprising the steps: a) preparing a convertible mold for injection molding of a first part comprising the distal section and the proximal section connected by the bridge; b) producing the first part comprising the distal section and the proximal section connected by the bridge by injection molding; c) converting the convertible mold for injection molding of the middle section onto the first part produced under step b); and d) producing the middle section onto the first part by injection molding.
  • a method for anchoring a suture to a bone comprising the following steps: a) drilling a hole with a diameter DH into a bone; b) inserting a portion of a suture into the hole in the bone; c) heating an elongated fixation element according to the invention with a diameter slightly larger than or equal to DH by means of radiation energy to thereby soften the middle section of the elongated fixation element; d) pressing the softened elongated fixation element into the hole in the bone; and e) switching off or removing the heat source and allowing cooling off of the elongated fixation element.
  • a method for anchoring a suture to a bone comprising the following steps: a) drilling a hole with a diameter DH into a bone; b) inserting a strand of a suture into a transverse through hole of an elongated fixation element according to the invention with a diameter slightly larger than or equal to DH; c) heating the elongated fixation element via radiation energy to soften the middle section of the elongated fixation element; d) pressing the softened elongated fixation element into the hole in the bone; and e) switching off or removing the heat source, allowing the elongated fixation element to cool.
  • any currently known laser type e.g., swinging mode lasers, pulsating lasers or continuous wave lasers
  • the lasers may be diode lasers of the infrared or visible spectrum.
  • it may be desirable to employ polarized radiation by, for example, including polarization filters in the implant or on the radiating source, or by generating electromagnetic radiation in polarized form.
  • the polarization may be utilized as a way of selecting the targeted warming-up of the implant, especially when employing chromophores that are excitable by polarized light.
  • One exemplary application employs substances that are added to the implant or coated thereon, which do not have chromophore properties. These substances change upon contact with the body, for example, as a result of a reaction to the pH of the tissue, to body salts, body moisture or body temperature, discoloring the substance so that it becomes absorbent to the desired frequency of electromagnetic radiation. Thus, the only areas heated are areas that come into contact with the body since the implant becomes discolored only at that point.
  • Light-absorbing, non-colored polymer Light-absorbing polymers refer to polymers having a property of their own to absorb light of a certain wavelength, without the addition of a chromophore. In one application, the polymer is heated until the polymer spontaneously discolors, becoming capable of absorbing more light. In an extreme case, the polymer is partially carbonized or caramelized and thus becomes light-absorbent.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Rheumatology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Materials For Medical Uses (AREA)
  • Dental Preparations (AREA)
  • Surgical Instruments (AREA)
  • Radiation-Therapy Devices (AREA)
PCT/US2011/067601 2011-01-14 2011-12-28 Elongated fixation element Ceased WO2012096786A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2013549434A JP5992441B2 (ja) 2011-01-14 2011-12-28 細長い固定要素
AU2011354625A AU2011354625B2 (en) 2011-01-14 2011-12-28 Elongated fixation element
EP11810971.9A EP2663241B1 (en) 2011-01-14 2011-12-28 Elongated fixation element
CA2824881A CA2824881C (en) 2011-01-14 2011-12-28 Elongated fixation element
CN201180064882.2A CN103327909B (zh) 2011-01-14 2011-12-28 细长的固定元件

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201161432670P 2011-01-14 2011-01-14
US61/432,670 2011-01-14

Publications (2)

Publication Number Publication Date
WO2012096786A1 true WO2012096786A1 (en) 2012-07-19
WO2012096786A8 WO2012096786A8 (en) 2013-01-31

Family

ID=45507910

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2011/067601 Ceased WO2012096786A1 (en) 2011-01-14 2011-12-28 Elongated fixation element

Country Status (8)

Country Link
US (2) US9259216B2 (https=)
EP (1) EP2663241B1 (https=)
JP (1) JP5992441B2 (https=)
CN (1) CN103327909B (https=)
AU (1) AU2011354625B2 (https=)
CA (1) CA2824881C (https=)
TW (1) TWI494094B (https=)
WO (1) WO2012096786A1 (https=)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10849611B2 (en) 2013-03-13 2020-12-01 DePuy Synthes Products, Inc. Soft tissue fixation system

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6393477B2 (ja) 2010-09-24 2018-09-19 スポートウェルディング・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツングＳｐｏｒｔｗｅｌｄｉｎｇ Ｇｍｂｈ 硬組織に対して縫合糸を固定するための縫合糸アンカーおよび方法
RU2741462C2 (ru) 2010-09-24 2021-01-26 СпортУэлдинг ГмбХ Шовный фиксатор, способ и набор для закрепления шовного материала относительно твердой ткани
CA2824881C (en) 2011-01-14 2020-06-02 DePuy Synthes Products, Inc. Elongated fixation element
RU2725095C2 (ru) 2011-01-28 2020-06-29 СпортУэлдинг ГмбХ Фиксатор шовного материала, устройство для закрепления шовного материала в твердой ткани и хирургическое устройство, содержащее фиксатор шовного материала
JP6120776B2 (ja) 2011-01-28 2017-04-26 スポートウェルディング・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツングＳｐｏｒｔｗｅｌｄｉｎｇ Ｇｍｂｈ 硬組織中に縫合糸付きの縫合糸アンカーまたは頭部付きアンカーを固定するための装置および方法
WO2013119833A1 (en) * 2012-02-07 2013-08-15 Mnr Device Corporation Method and apparatus for treating a bone fracture
US9913637B2 (en) * 2013-03-13 2018-03-13 DePuy Synthes Products, Inc. Soft tissue fixation system
TWI618526B (zh) * 2016-11-08 2018-03-21 高雄醫學大學 一種非侵入式鎖固骨骼之定位系統及方法
US10335225B2 (en) * 2016-11-21 2019-07-02 Arthrex, Inc. Electrosurgical medical device handpiece with insulated aspiration system
CN114403959B (zh) * 2021-10-25 2025-08-19 北京市春立正达医疗器械股份有限公司 一种医用锚钉及医用锚钉和缝线的连接结构
WO2023168314A1 (en) * 2022-03-02 2023-09-07 Sorin Siegler Composite with porous swelling copolymer for bone fixation

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060095138A1 (en) * 2004-06-09 2006-05-04 Csaba Truckai Composites and methods for treating bone
WO2008095327A1 (en) * 2007-02-08 2008-08-14 Woodwelding Ag Implant, method of preparing an implant, implantation method, and kit of parts
WO2008112912A2 (en) * 2007-03-13 2008-09-18 Smith & Nephew, Inc. Internal fixation devices
WO2009036576A1 (de) * 2007-09-17 2009-03-26 Synergy Biosurgical Ag Medizinisches implantat

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8568395B2 (en) * 2004-05-03 2013-10-29 Woodwelding Ag Light diffuser and process for producing the same
CN100577237C (zh) 2004-05-03 2010-01-06 伍德韦尔丁公司 光漫射器及其制造方法
WO2008034276A2 (en) * 2006-09-20 2008-03-27 Woodwelding Ag Device to be implanted in human or animal tissue and method for implanting and assembling the device
US8747976B2 (en) * 2007-04-19 2014-06-10 Smith & Nephew, Inc. Orientated polymeric devices
JP5725538B2 (ja) * 2007-04-20 2015-05-27 ウッドウェルディング・アクチェンゲゼルシャフト インプラントシステムおよび該インプラントシステムを含むキット
CN102014762B (zh) 2007-07-03 2014-06-11 协同生物外科股份公司 医疗植入物
ES2357432T3 (es) * 2007-07-13 2011-04-26 Stryker Trauma Gmbh Dispositivo para la fijación de fracturas óseas.
EP2205185B1 (en) * 2007-10-30 2014-06-18 Woodwelding AG Device for producing an anchorage in human or animal tissue
WO2009120969A2 (en) 2008-03-28 2009-10-01 Osteotech, Inc. Bone anchors for orthopedic applications
EP2498694B1 (en) * 2009-11-09 2015-04-15 Spinewelding AG Medical device, apparatus, and surgical method
US9055987B2 (en) * 2010-12-20 2015-06-16 DePuy Synthes Products, Inc. Kit for implanting heat deformable fixation elements of different sizes
CA2824881C (en) 2011-01-14 2020-06-02 DePuy Synthes Products, Inc. Elongated fixation element

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060095138A1 (en) * 2004-06-09 2006-05-04 Csaba Truckai Composites and methods for treating bone
WO2008095327A1 (en) * 2007-02-08 2008-08-14 Woodwelding Ag Implant, method of preparing an implant, implantation method, and kit of parts
WO2008112912A2 (en) * 2007-03-13 2008-09-18 Smith & Nephew, Inc. Internal fixation devices
WO2009036576A1 (de) * 2007-09-17 2009-03-26 Synergy Biosurgical Ag Medizinisches implantat

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10849611B2 (en) 2013-03-13 2020-12-01 DePuy Synthes Products, Inc. Soft tissue fixation system

Also Published As

Publication number Publication date
US20120191142A1 (en) 2012-07-26
US9498205B2 (en) 2016-11-22
JP5992441B2 (ja) 2016-09-14
CN103327909A (zh) 2013-09-25
AU2011354625B2 (en) 2016-01-07
EP2663241A1 (en) 2013-11-20
TW201240654A (en) 2012-10-16
CA2824881C (en) 2020-06-02
CA2824881A1 (en) 2012-07-19
US20160113646A1 (en) 2016-04-28
CN103327909B (zh) 2017-04-05
WO2012096786A8 (en) 2013-01-31
AU2011354625A1 (en) 2013-07-18
TWI494094B (zh) 2015-08-01
EP2663241B1 (en) 2020-03-04
JP2014509217A (ja) 2014-04-17
US9259216B2 (en) 2016-02-16

Similar Documents

Publication Publication Date Title
AU2011354625B2 (en) Elongated fixation element
US8777618B2 (en) Medical implant II
US20190374273A1 (en) Kit for Implanting Heat Deformable Fixation Elements of Different Sizes
AU2013273776B2 (en) Medical implant

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 11810971

Country of ref document: EP

Kind code of ref document: A1

ENP Entry into the national phase

Ref document number: 2013549434

Country of ref document: JP

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 2011810971

Country of ref document: EP

ENP Entry into the national phase

Ref document number: 2824881

Country of ref document: CA

NENP Non-entry into the national phase

Ref country code: DE

ENP Entry into the national phase

Ref document number: 2011354625

Country of ref document: AU

Date of ref document: 20111228

Kind code of ref document: A