WO2017168609A1 - Outil de fixation à filetage - Google Patents

Outil de fixation à filetage Download PDF

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Publication number
WO2017168609A1
WO2017168609A1 PCT/JP2016/060319 JP2016060319W WO2017168609A1 WO 2017168609 A1 WO2017168609 A1 WO 2017168609A1 JP 2016060319 W JP2016060319 W JP 2016060319W WO 2017168609 A1 WO2017168609 A1 WO 2017168609A1
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WO
WIPO (PCT)
Prior art keywords
thread
clamping surface
fixing member
fixing
bolt
Prior art date
Application number
PCT/JP2016/060319
Other languages
English (en)
Japanese (ja)
Inventor
孝侑 畠中
Original Assignee
オリンパス株式会社
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 オリンパス株式会社 filed Critical オリンパス株式会社
Priority to PCT/JP2016/060319 priority Critical patent/WO2017168609A1/fr
Priority to JP2017541409A priority patent/JPWO2017168609A1/ja
Publication of WO2017168609A1 publication Critical patent/WO2017168609A1/fr

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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

Definitions

  • the present invention relates to a thread fixing tool, and more particularly to a medical thread fixing tool that holds a sutured state of a suture hung on a tissue.
  • suturing One of the difficult treatments is suturing using sutures.
  • a series of procedures called suturing includes an operation of applying a suture to the tissue and an operation of forming a knot on the suture so that the suture applied to the tissue keeps applying a predetermined tension to the tissue. The latter is more difficult, and it is not easy to perform using a treatment instrument.
  • an object of the present invention is to provide a thread fixing device capable of fixing a suture by exhibiting a stable fixing strength with a simple operation.
  • the present invention includes a first fixing member having a screw hole and a first clamping surface, a second fixing member having a second clamping surface and screw-fitted to the first fixing member, the first fixing member, and A flexible tubular insertion in which either one of the first fixing member and the second fixing member is attached to the distal end portion, and a thread locking portion that protrudes from one of the second fixing members
  • An operation member that is inserted through the insertion portion and is connected to one of the first fixing member and the second fixing member, and an operation portion connected to a base end portion of the operation member,
  • the first fixing member and the second fixing member are disposed such that the first clamping surface and the second clamping surface are opposed to each other in the axial direction of the insertion portion, and the insertion portion is operated by operating the operation portion.
  • the operation member relative to each other, the second fixing member And the first clamping surface and the second clamping face is thread fixture is configured to close by the first fixing member and the screw fitting.
  • the thread locking portion may be provided so as to protrude from one of the first clamping surface and the second clamping surface.
  • the yarn fixing device of the present invention may further include a storage portion that is provided on either the first clamping surface or the second clamping surface and can accommodate the yarn locking portion.
  • the thread locking portion may be formed of an elastic body.
  • locking part may be comprised so that it can protrude and retract from any one of said 1st clamping surface and said 2nd clamping surface.
  • the thread fixing tool of the present invention it is possible to fix the suture by exerting a stable fixing strength by a simple operation.
  • FIG. 1 is a view showing a yarn fixing device 1 according to the present embodiment.
  • FIG. 2 is a cross-sectional view of the thread fixing device 1.
  • the thread fixing device 1 includes an insertion portion 10, a fixing portion 30 attached to the distal end portion of the insertion portion 10, and an operation portion 50 provided at the proximal end portion of the insertion portion 10. ing.
  • the side on which the fixing part 30 is provided is referred to as the distal end side of the thread fixing tool 1
  • the side on which the operation part 50 is provided is referred to as the proximal end side of the thread fixing tool 1.
  • the insertion portion 10 is formed in a flexible tubular shape, and can be formed by, for example, a coil sheath.
  • a coil sheath When forming the insertion part 10 with a coil sheath, it is preferable to use a multilayer coil from a viewpoint of torque transmission.
  • the dimensions of each part such as the diameter and length of the insertion part 10 can be set as appropriate. For example, it can be inserted into a treatment instrument channel of an endoscope and protruded from the treatment instrument channel so as to have a usable size. As shown in FIG. 2, an annular tip member 11 is attached to the tip of the insertion portion 10.
  • the fixing part 30 includes a nut part (first fixing member) 31 attached to the distal end part of the insertion part 10 and a bolt part (second fixing member) 36 disposed in front of the nut part 31.
  • the nut portion 31 is formed in an annular shape with metal or the like, and a screw groove (not shown) is formed on the inner surface of the screw hole 32 as shown in FIG.
  • a locking portion 33 extends on the proximal end side of the nut portion 31, and the locking portion 33 is disposed on the locked portion 12 formed on the distal end member 11, so that the nut portion 31 is inserted into the insertion portion 10. Is attached. Due to the engagement of the locking portion 33 and the locked portion 12, the nut portion 31 cannot rotate relative to the distal end member 11 around the axis of the insertion portion 10 and is separated from the distal end member 11. It is attached so that it can.
  • the bolt part 36 includes a substantially disk-shaped disk part 37 and a cylindrical screw part 38 extending from the disk part 37.
  • a screw thread (not shown) that can be screwed into the screw groove of the nut portion 31 is formed.
  • the dimension of the screw portion 38 in the axial direction is longer than that of the screw hole 32.
  • the bolt part 36 is arranged such that the screw part 38 is screwed into the screw hole 32 and the screw part 38 protrudes on both sides in the axial direction of the nut part 31.
  • a plurality of thread locking portions 37b protrude from the periphery of the base end surface (second clamping surface) 37a of the disc portion 37.
  • the thread locking portion 37b of the present embodiment is formed by inserting and fixing a pin 370 into a hole formed in the disk portion 37.
  • An annular groove (accommodating portion) 31b capable of accommodating the thread locking portion 37b is formed on the end surface (first clamping surface) 31a on the distal end side of the nut portion 31.
  • FIG. 3 is an enlarged cross-sectional view of the tip portion of the thread fixture 1.
  • the distal end portion of the screw portion 38 protruding to the proximal end side of the nut portion 31 has a pair of wall portions 39.
  • Each of the pair of wall portions 39 has a convex portion 39a projecting to the inner surface.
  • an operation wire (operation member) 40 for connecting the bolt portion 36 and the operation portion 50 is disposed in the insertion portion 10.
  • a connecting tip 41 connected to the screw portion 38 is connected to the distal end portion of the operation wire 40.
  • a concave portion 41a corresponding to the convex portion 39a is formed on the outer peripheral surface of the connecting chip 41.
  • a tubular control sheath (connection holding member) 45 is disposed between the operation wire 40 and the insertion portion 10.
  • the control sheath 45 can advance and retract relative to the insertion portion 10 and the operation wire 40.
  • the distal end portion of the control sheath 45 covers the engaging portion between the convex portion 39a and the concave portion 41a.
  • the operation unit 50 includes a first knob 51 connected to the insertion unit 10, a second knob 52 attached to the proximal end side of the first knob 51, and a second knob 52. And a third knob 53 attached to the base end side.
  • An engagement hole 51 a is formed on the proximal end side of the first knob 51.
  • a screw groove (not shown) having the same pitch as the screw groove of the screw hole 32 is formed in a partial range of the inner surface of the engagement hole 51a.
  • a thread (not shown) is formed in a partial range of the outer peripheral surface of the tip 52a of the second knob 52.
  • the tip 52a enters the engagement hole 51a while being screwed into the engagement hole 51a.
  • a proximal end portion of the control sheath 45 is connected to the distal end portion 52 a of the second knob 52.
  • the distal end portion 53a of the third knob 53 enters a slide hole 52b formed on the proximal end side of the second knob 52.
  • the cross-sectional shape of the slide hole 52b and the tip end portion 53a perpendicular to the longitudinal direction of the thread fixing tool 1 is a non-circular shape such as a polygon or a D-shape.
  • the third knob 53 can move relative to the second knob 52 in the longitudinal direction and cannot rotate around the longitudinal axis.
  • a proximal end portion of the operation wire 40 is connected to the distal end portion 53 a of the third knob 53.
  • the operation at the time of using the thread fixing device 1 configured as described above will be described.
  • the operator hangs a suture on the tissue of the target site under endoscopic observation.
  • the operation of applying a suture thread to a tissue can be performed using various suture devices that can be used in combination with an endoscope.
  • the thread fixing tool 1 may be introduced via a treatment instrument channel of an endoscope, or may be introduced via an external channel that runs parallel to the endoscope.
  • the thread fixing device 1 may be attached along the insertion portion of the endoscope using a band or the like, and the thread fixing device 1 may be introduced into the body together with the endoscope 70 as shown in FIG. Good.
  • the surgeon enters a portion to be fixed in the suture thread 100 between the bolt portion 36 and the nut portion 31 while applying a desired tension to the suture thread 100. At this time, if the suture thread 100 is applied to the thread locking portion 37 b, the suture thread 100 can easily enter between the bolt portion 36 and the nut portion 31.
  • An operator or a caregiver keeps the first knob 51 and the first knob 51 while maintaining a state in which a part of the suture thread 100 enters between the bolt part 36 and the nut part 31.
  • the two knobs 52 are relatively rotated in a predetermined direction.
  • the operation wire 40 and the control sheath 45 are integrally rotated in the same direction as the second knob 52.
  • the bolt portion 36 moves to the proximal end side and approaches the nut portion 31 while the screw portion 38 is screwed into the screw hole 32 of the nut portion 31. Since the screw thread of the second knob 52 and the screw thread of the screw part 38 have the same pitch, the rotation operation of the second knob 52 and the rotation action of the bolt part 36 are ensured, and the bolt part 36 preferably operates. To do.
  • the nut portion 31 and the tip member 11 cannot rotate relative to each other, and the second knob 52 and the third knob 53 cannot rotate relative to each other, so that the first knob 51 and the second knob 52 rotate relative to each other.
  • the nut portion 31 does not idle with respect to the tip member 11 and the operation wire 40 does not idle with respect to the second knob 52.
  • the bolt part 36 and the nut part 31 are suitably rotated relative to each other, the bolt part 36 moves backward with respect to the nut part 31, and the first clamping surface 31 a of the nut part 31 and the second clamping surface of the bolt 36. 37a approaches.
  • the suture 100 is sandwiched between the first clamping surface 31a and the second clamping surface 37a orthogonal to the axis of the insertion portion 10 as shown in FIG. Tightened.
  • the fixing section 30 fixes the suture thread 100 hung on the tissue so as not to loosen.
  • the thread locking portion 37b enters the groove 31b, so that the thread locking portion 37b does not hinder access.
  • the operator or the like separates the fixing portion 30 from the insertion portion 10.
  • the operator or the like further rotates the second knob 52 with respect to the first knob 51 to release the screw fitting between the first knob 51 and the second knob 52.
  • the second knob 52 is operated to retract with respect to the first knob 51 and the third knob 53, and the control sheath 45 is retracted with respect to the insertion portion 10 and the operation wire 40 as shown in FIG. .
  • the control sheath 45 is retracted, the connection portion between the bolt portion 36 and the operation wire 40 is not covered by the control sheath 45. As a result, the wall portion 39 of the bolt portion 36 can be deformed radially outward.
  • the suture thread 100 is caused to enter between the first clamping surface 31a of the nut portion 31 and the second clamping surface 37a of the bolt portion 36, so that the first The suture thread 100 is fixed by the one clamping surface 31a and the second clamping surface 37a. Since the first clamping surface 31a and the second clamping surface 37a that are opposed to each other at the distal end of the insertion portion 10 are substantially orthogonal to the axis of the insertion portion 10, a suture can be easily entered. Therefore, the suture can be fixed much more easily than the case where the suture is advanced into the screw hole as in the prior art.
  • the suture thread 100 can be easily arranged between the first clamping surface 31a and the second clamping surface 37a, and once arranged. The suture 100 is also prevented from falling off.
  • the thread locking portion 37b is accommodated in the groove 31b when the first clamping surface 31a and the second clamping surface 37a approach each other.
  • the first clamping surface 31a and the second clamping surface 37a can be made sufficiently close while preventing the suture thread 100 from falling off.
  • the groove 31b is formed in an annular shape, the thread locking portion 37b can be reliably accommodated in the groove 31b regardless of the positional relationship between the nut portion 31 and the bolt portion 36 in the rotational direction. it can.
  • the suture locking portion 37b is accommodated in the groove 31b, so that the suture can be reliably prevented from falling off.
  • the connecting portion between the bolt portion 36 and the operation wire 40 is protected by the control sheath 45. Accordingly, the bolts 36 and the operation wire 40 are preferably prevented from being unintentionally disconnected until the suture thread 100 is fixed, and after the fixing, the control sheath 45 is retracted to retract the bolt.
  • the connection between the portion 36 and the operation wire 40 can be easily released, and the fixing portion 30 can be easily separated from the insertion portion 10.
  • the configuration of the thread locking portion is not limited to the one using the pin 370 described above.
  • another example of the structure of the thread locking portion will be described.
  • the second clamping surface 37a is formed so that a part thereof protrudes, thereby forming a thread locking portion 37c made of the same material as the disk portion 37. Also good.
  • a second clamping surface can be formed by, for example, casting a bolt part or cutting the second clamping surface.
  • the thread engaging part 37d made of an elastic body may be formed by attaching an elastic body to the second clamping surface 37a. If it does in this way, when the 1st clamping surface 31a of the nut part 31 and the 2nd clamping surface 37a approach, the thread
  • a spring 361 is attached in the hole 371 of the disk part 37 into which the pin 370 is inserted, and the spring 361 and the pin 370 are connected to form a thread locking part 37e. ing.
  • the thread locking portion 37a is hard, when the first clamping surface and the second clamping surface 37a approach each other, the spring 361 is compressed and the pin 370 enters the hole 371, whereby the second clamping surface 37a. Can sneak up against. Therefore, it is possible to prevent the first clamping surface and the second clamping surface 37 from interfering with each other without providing a storage portion.
  • a thread locking portion 37f may be formed by attaching a pin 370 to the outer peripheral surface of the disk portion 37, as in a bolt portion 360C shown in FIG. 6E.
  • the thread locking portion 37f does not protrude from the second clamping surface 37a, but has substantially the same effect as each of the thread locking portions described above. Further, even if the first clamping surface and the second clamping surface approach, there is no interference with the approach.
  • the configuration of the accommodating portion is not limited to the above-described groove.
  • the accommodating portion 31c may be formed by reducing the outer diameter of the nut portion 31A on the distal end side.
  • the configuration capable of releasing the connection between the second fixing member and the operation member after the suture is fixed is not limited to the one using the control sheath 45 described above.
  • other examples of the structure of the linking site are shown.
  • FIGS. 8A and 8B are diagrams showing a bolt portion 36A and an operation wire 40 in a modification of the present embodiment.
  • the pair of wall portions 390 of the bolt portion 36 does not have the convex portion 39a, and the wall portion 390 can enter the tip chip 410 attached to the operation wire 40 instead of the concave portion 41a.
  • a notch 411 is formed.
  • the distal end of the operation wire 40 is provided with a fragile portion 380 having a smaller radial dimension than either the operation wire 40 or the screw portion 38, and the fragile portion 380 is bonded or welded to the screw portion 38.
  • the bolt portion 36A and the operation wire 40 are connected.
  • the third knob 53 is retracted when releasing the connection between the bolt portion 36A and the operation wire 40 after the suture is fixed.
  • a predetermined amount of force acts on the fragile portion 380 due to the retraction of the operation wire 40, the fragile portion 380 is broken and the bolt portion 36A is separated from the operation wire 40 as shown in FIG. 8B.
  • the shape of the fragile portion can be appropriately set in consideration of the amount of force required for breaking, such as a line shape or a plate shape.
  • FIG. 9A and FIG. 9B show another example of the vulnerable part.
  • the circumferential dimension of the notch 411A formed in the tip tip 410A is set larger than the circumferential dimension of the wall portion 390A of the bolt portion 36B, and the notch 411A is the bottom surface. 412 is formed.
  • the wall portion 390A that has entered the notch 411A is joined to the bottom surface 412 by bonding or the like. That is, in this modification, the joint portion between the wall portion 390A and the bottom surface 412 functions as the fragile portion 380A.
  • the bolt part 36B and the operation wire 40 are connected so as not to rotate relative to each other by the fragile part 380A, when the bolt part 36B and the nut part 31 are accessible, the bolt part 36B and the operation wire 40 are integrated. Rotate to.
  • the operation wire 40 is further rotated after the bolt portion 36B and the nut portion 31 are sufficiently close to each other to be unable to move relative to each other, the force acts on the fragile portion 380A by the rotation operation.
  • the applied force exceeds a predetermined value, the fragile portion 380A is destroyed and the wall portion 390A moves relative to the bottom surface 412 as shown in FIG. 9B, and the connection between the bolt portion 36B and the operation wire 40 is released. .
  • the operation portion 40 is provided with respect to the insertion portion 10 by providing a third knob. There is no need to configure it to be retractable.
  • FIG. 10A to FIG. 10C show still another example of the connection site.
  • the notch 411B of the tip tip 410B is provided with a claw portion 413
  • the wall portion 390B of the bolt portion 36C is provided with an engaging portion 391 that can be engaged with the claw portion 413. It has been.
  • the operation wire 40 and the bolt part 36 ⁇ / b> C are connected by the engagement of the claw part 413 and the engaging part 391.
  • the tip chip 410B is rotated with respect to the bolt part 36C from the initial state, the engagement between the claw part 413 and the engaging part 391 is released as shown in FIG. 10B.
  • the operation wire 40 is retracted in this state, the operation wire 40 and the bolt portion 36C can be separated as shown in FIG. 10C.
  • the operation wire 40 is rotated when releasing the engagement between the claw portion 413 and the engagement portion 391 and the direction in which the operation wire 40 is rotated when the bolt portion 36C is brought close to the nut portion 31. If the directions are the same, there is a possibility that the connection may be released during the thread fixing. Therefore, it is preferable to form the claw portion and the engaging portion so that the rotation directions in the two operations are different.
  • FIG. 11A to FIG. 11D schematically show another example of the shape of the second clamping surface.
  • a large number of fine irregularities 60 may be provided on the second clamping surface 37a. In this way, the sandwiched suture can be firmly fixed by biting into the suture with the irregularities 60 sandwiched therein or by causing friction with the suture.
  • the periphery of the second clamping surface 37a may be formed so as to protrude toward the first clamping surface. If it does in this way, it will become difficult for the clamped suture to fall from between bolt part 36 and nut part 31.
  • the second clamping surface 37a has no portion orthogonal to the axis of the insertion portion 10. However, even with such a shape, the suture can be suitably clamped and fixed.
  • the outer surface of the peripheral edge protruding from the second clamping surface 37a may be formed in a curved surface shape as shown in FIG. 11D. Further, the peripheral edge of the second clamping surface may be projected over the entire circumference, or may be intermittently projected at intervals, for example, by providing a radial groove on the second clamping surface. If the peripheral edge protrudes intermittently, the protruding peripheral edge portion can function as a thread locking portion.
  • 11A to 11D show the example of the shape of the second clamping surface, but the same change may be made on the first clamping surface or on both.
  • the yarn fixing device of the present embodiment and the yarn fixing device 1 of the first embodiment are different in the arrangement of the first member and the second member.
  • components that are the same as those already described are assigned the same reference numerals and redundant description is omitted.
  • FIG. 12 is an enlarged cross-sectional view of the tip of the yarn fixing device 101 of the present embodiment.
  • the fixing part 130 of the thread fixing tool 101 includes a nut part 131 and a bolt part 136.
  • the locking part 139 and the accommodating part 137b are formed in the disk part 137 of the bolt part 136.
  • the bolt portion is attached to the distal end of the insertion portion 10 by the locking portion 139 entering the locked portion 12 with the screw portion 138 facing the distal end side.
  • the nut part 131 includes a bottomed screw hole 132 and a connecting shaft 133 protruding from the bottom surface of the screw hole 132.
  • the connecting shaft 133 has a pair of wall portions 134 at the protruding ends.
  • the connecting shaft 133 enters a hole 138a formed in the screw portion 138, and is connected to the connecting tip 41 in a manner substantially similar to the screw portion 38 of the first embodiment.
  • the first clamping surface 131a is brought close to the first clamping surface 131a and the second clamping surface 137a by screwing the nut portion 131 and the bolt portion 136 together.
  • the suture thread that has entered between the second clamping surfaces 137a can be clamped and fixed.
  • the thread locking portion 131b and the accommodating portion 137b have the same effects as in the first embodiment.
  • the other ends of the first fixing member and the second fixing member connected to the operation member may include three or more wall portions instead of the pair of wall portions.
  • the torque generated by the rotation operation can be suitably transmitted to the other of the first fixing member and the second fixing member connected to the operation member.
  • Similar changes can be made to one of the locking portions of the first fixing member and the second fixing member attached to the distal end of the insertion portion.
  • the rotation operation in the operation unit and the rotation operation in the fixed unit do not necessarily need to be synchronized.
  • one of the first fixing member and the second fixing member attached to the insertion portion is axial with respect to the insertion portion in the process of relatively rotating the first fixing member and the second fixing member.
  • one of the first fixing member and the second fixing member is intended from the insertion portion during clamping and fixing. It can be prevented from falling off.
  • the thread fixing device of the present invention does not necessarily include a mechanism for separating the first fixing member and the second fixing member from the insertion portion after the suture is fixed.
  • the fixing portion can be left in the body and the remaining portion of the thread fixing tool can be removed from the body.
  • the present invention can be applied to a medical thread fixing tool.
  • Thread fixing tool 10 Insertion part 31, 31A, 131 Nut part (1st fixing member) 31a, 131a First clamping surface 31b, 31c, 137b Housing part 32, 132 Screw hole 36, 36A, 36B, 36C, 136, 360, 360A, 360B, 360C Bolt part (second fixing member) 37a, 137a Second clamping surface 37b, 37c, 37d, 37e, 37f, 131b Thread locking portion 40 Operation wire (operation member) 50 Operation unit

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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 outil de fixation à filetage comprenant: un premier élément de fixation qui comporte un trou de vis et une première surface de prise en sandwich; un second élément de fixation qui comporte une seconde surface de prise en sandwich et qui est fixé par vissage au premier élément de fixation; une partie de mise en prise par filetage qui est disposée de façon à faire saillie à partir dudit premier élément de fixation ou dudit second élément de fixation; une partie d'insertion tubulaire flexible, un desdits éléments de fixation étant fixé à une partie d'extrémité de bout de la partie d'insertion; un élément d'actionnement qui est inséré à travers la partie d'insertion et qui est relié à l'autre élément parmi ledit premier élément de fixation et ledit second élément de fixation; et une partie d'actionnement qui est reliée à une partie d'extrémité de base de l'élément d'actionnement. L'outil de fixation à filetage est conçu de telle sorte que: le premier élément de fixation et le second élément de fixation sont agencés de manière à ce que la première surface de prise en sandwich et la seconde surface de prise en sandwich soient opposées l'une à l'autre dans la direction axiale de la partie d'insertion; et, quand la partie d'insertion et l'élément d'actionnement sont mis en rotation l'un par rapport à l'autre par l'actionnement de la partie d'actionnement, le second élément de fixation soit fixé par vissage au premier élément de fixation et, ainsi, la première surface de prise en sandwich et la seconde surface de prise en sandwich se rapprochent l'une de l'autre.
PCT/JP2016/060319 2016-03-30 2016-03-30 Outil de fixation à filetage WO2017168609A1 (fr)

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Application Number Priority Date Filing Date Title
PCT/JP2016/060319 WO2017168609A1 (fr) 2016-03-30 2016-03-30 Outil de fixation à filetage
JP2017541409A JPWO2017168609A1 (ja) 2016-03-30 2016-03-30 糸固定具

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Application Number Priority Date Filing Date Title
PCT/JP2016/060319 WO2017168609A1 (fr) 2016-03-30 2016-03-30 Outil de fixation à filetage

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WO2017168609A1 true WO2017168609A1 (fr) 2017-10-05

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008501428A (ja) * 2004-06-02 2008-01-24 ケイエフエックス メディカル コーポレイション 軟組織を骨に付着させるためのシステム及び方法
US20100318125A1 (en) * 2009-04-15 2010-12-16 Christian Gerber Anchor Device For Knot-Free Attachment Of Tissue To A Bone
JP2011092742A (ja) * 2009-10-30 2011-05-12 Depuy Mitek Inc 結び目のない縫合糸のアンカー
JP2011524238A (ja) * 2008-06-17 2011-09-01 アポロ エンドサージェリー，インコーポレイティド 内視鏡縫合システム
WO2015134872A1 (fr) * 2014-03-06 2015-09-11 Smith & Nephew, Inc. Élément d'ancrage de suture sans noeud en deux parties

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008501428A (ja) * 2004-06-02 2008-01-24 ケイエフエックス メディカル コーポレイション 軟組織を骨に付着させるためのシステム及び方法
JP2011524238A (ja) * 2008-06-17 2011-09-01 アポロ エンドサージェリー，インコーポレイティド 内視鏡縫合システム
US20100318125A1 (en) * 2009-04-15 2010-12-16 Christian Gerber Anchor Device For Knot-Free Attachment Of Tissue To A Bone
JP2011092742A (ja) * 2009-10-30 2011-05-12 Depuy Mitek Inc 結び目のない縫合糸のアンカー
WO2015134872A1 (fr) * 2014-03-06 2015-09-11 Smith & Nephew, Inc. Élément d'ancrage de suture sans noeud en deux parties

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