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CN108784764B - Power pressurizing type suture anchor - Google Patents

Power pressurizing type suture anchor Download PDF

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Publication number
CN108784764B
CN108784764B CN201810316224.1A CN201810316224A CN108784764B CN 108784764 B CN108784764 B CN 108784764B CN 201810316224 A CN201810316224 A CN 201810316224A CN 108784764 B CN108784764 B CN 108784764B
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Prior art keywords
anchor
power
power pressurizing
suture
height
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CN108784764A (en
Inventor
柴益民
陈道运
何耀华
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Shanghai Sixth Peoples Hospital
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Shanghai Sixth Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0408Rivets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044Suture 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

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  • 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

The invention discloses a dynamic pressurization type suture anchor, which comprises an anchor body and a dynamic pressurization bolt. The anchor main body part comprises an anchor head part, a body part, a tail part, a power pressurizing groove and a thread part; the power pressurizing bolt comprises a power pressurizing bolt main body and a suture fixing hole. The power pressurizing anchor disclosed by the invention slides from the distal end to the proximal end through the power pressurizing bolt when the tendon is sutured and fixed, so that the anchor main body is pressurized laterally, the fixing strength of the anchor in bones is enhanced, and when the joint moves, the tensile stress of the tendon is converted into the compressive stress of the anchor on bone tissues, and adverse events such as loosening and pulling out can be effectively prevented when the anchor is fixed. The dynamic pressure anchor is suitable for suture fixation of bone tissues damaged by all tendons, and is particularly suitable for suture fixation of tendons of patients with osteoporosis.

Description

Power pressurizing type suture anchor
Technical Field
The invention belongs to the technical field of orthopedic medical instruments, and particularly relates to a minimally invasive suture anchor for repairing tendon injury, which is particularly suitable for repairing and fixing tendons of patients with reduced bone mass or osteoporosis.
Background
Tendon and ligament injuries around joints are common injuries of orthopaedics, and suture anchors are commonly used clinically to fix damaged tendon stumps to bone tissues so as to restore normal structures and joint functions of the tendons, and the purpose of final fixation is achieved through tendon bone healing.
The process of healing of the tendinous bone requires a certain contact area of the tendon with the rough surface of the bone end and firm contact stability. Thus, the fixation strength of the anchor in the bone is the key and basis for the success of the procedure.
Most of the current suture anchors in the current market are provided with a thread structure on the main body of the anchor, and the aim of fixation is achieved by pre-drilling a channel with the diameter slightly smaller than the diameter of the anchor and then screwing in or directly beating into bone through rotation. However, most of the anchors are micro anchors with a diameter of 3.5mm or less, and compression stability generated by threads and bone tissues is limited. The phenomena of anchor loosening and pulling out after the anchor is fixed clinically often occur, such as fixation failure and operation failure, particularly in cases of bone mass reduction or osteoporosis, and joint positions such as large joint movement range, strong tendon force, shoulder and elbow and the like are more likely to occur.
Disclosure of Invention
Aiming at the problem that no reliable and stable technology exists at present, the suture anchor is prevented from loosening and pulling out in bones, and the fixation failure is caused. The main purpose of the invention is as follows: the dynamic pressurizing suture anchor nail with a brand new fixing mode is provided, and the initial stability of the anchor nail in bones is achieved through sliding pressurization of the dynamic pressurizing bolt when the suture is tightened in the initial fixing stage. When the joint moves, the tensile stress of tendon and ligament contraction is converted into the compressive stress of the anchor main body on surrounding bones, so that the stability of the anchor in the bones is further enhanced, and the healing of tendon bones is promoted.
In order to achieve the above purpose, the present invention provides the following technical solutions:
The power pressurization type suture anchor comprises an anchor body and an anchor power pressurization bolt, wherein the anchor body is of an integrated structure and comprises an anchor head part, an anchor body part, an anchor tail part, an anchor power pressurization groove and a thread part; the anchor body part is positioned between the anchor head part and the anchor tail part, the bottom edge of the anchor head part is of a round corner structure, the anchor tail part is of a polygonal structure, an anchor power pressurizing groove extending to the anchor head part is formed in the radial direction of the anchor body from the center of the upper surface of the anchor tail part, and the area of the cross section of the anchor power pressurizing groove is gradually increased from the anchor tail part to the anchor head part;
the anchor power pressurizing bolt is of an integrated structure and comprises a power pressurizing bolt main body and a suture fixing hole, the structure of the anchor power pressurizing bolt is matched with that of the anchor power pressurizing groove, the height of the anchor power pressurizing bolt is smaller than that of the anchor power pressurizing groove and is contained in the anchor power pressurizing groove to slide, the suture fixing hole is a circular through hole arranged at one end of the power pressurizing bolt main body close to the head of an anchor, a pair of cuts communicated with the anchor power pressurizing groove are formed in the outer surface of the anchor main body opposite to the suture fixing hole along the radial direction, the shapes of the cuts are consistent with those of the power pressurizing bolt and expose the suture fixing hole, and the pair of cuts are communicated with the suture fixing hole to form a suture penetrating channel; the screw thread portion is symmetrically disposed on an outer side surface of the anchor body with a plane communicating the pair of slits as a symmetry plane.
Further, the height of the anchor head accounts for 1/5-1/3 of the height of the anchor body, and the long diameter of the cross section of the anchor head is smaller than the long diameter of the cross section of the anchor body containing the thread part; the height of the anchor body accounts for 1/3-3/5 of the height of the anchor body; the height of the tail part of the anchor is 1/5-1/3 of the height of the anchor main body, and the tail part of the anchor is of an equilateral multi-sided structure with 4-6 sides.
Preferably, the height of the anchor head part accounts for 1/4 of the height of the anchor body, the height of the anchor body part accounts for 1/2 of the height of the anchor body, the height of the anchor tail part accounts for 1/4 of the height of the anchor body, and the anchor tail part is of a 6-edge structure.
A technical scheme comprises: rectangular power pressurizing type suture anchor
The anchor body and the anchor body are rectangular structures, the anchor power pressurizing groove is of a trapezoid structure with the cross section area gradually increased from the anchor tail to the anchor head, and a slotted hole formed in the center of the upper surface of the anchor tail of the trapezoid anchor power pressurizing groove is of a rectangular structure; the anchor power pressurizing bolt is of a trapezoid structure matched with the trapezoid anchor power pressurizing groove, the pair of notches are of a trapezoid structure consistent with the trapezoid anchor power pressurizing bolt in shape, and single threads of the threaded portion are of a triangle structure and extend outwards along the rectangular anchor body.
Further, the height of the rectangular anchor main body is larger than the maximum diameter of the cross section of the rectangular anchor main body, the height of the rectangular anchor main body is 8-12mm, and the maximum diameter of the cross section of the rectangular anchor main body is 1.8-3.5mm; the length of the cross section of the rectangular anchor body is larger than that of the cross section, and the length of the short diameter of the cross section of the rectangular anchor body is 1.2-2.5mm.
Preferably, the height of the rectangular anchor body is 10mm, the maximum diameter of the cross section of the rectangular anchor body is 2.5mm, and the short diameter length of the cross section of the rectangular anchor body is 2.0mm.
Another technical proposal is as follows: cylindrical power pressurizing suture anchor
The anchor body and the anchor body are of cylindrical structures, the anchor power pressurizing groove is of a cylindrical structure with the cross section area gradually increased from the anchor tail to the anchor head, and a slotted hole formed in the center of the upper surface of the anchor tail of the cylindrical anchor power pressurizing groove is of a circular structure; the anchor power pressurizing bolt is of a cylindrical structure matched with the cylindrical anchor power pressurizing groove, the pair of notches are of a cylindrical structure consistent with the form of the cylindrical anchor power pressurizing bolt, and the threaded portion is of an external threaded structure extending from the cylindrical anchor body to the periphery.
Further, the diameter of the cylindrical anchor body is 1.8-3.5mm, and the height of the cylindrical anchor body is 8-12mm.
Preferably, the diameter of the cylindrical anchor body is 2.5mm and the height of the cylindrical anchor body is 10mm.
The beneficial effects are that: the invention provides a brand-new fixation mode of tendon suture anchors, which can effectively prevent the anchors from loosening and slipping by enhancing the contact stress between the anchor body and bone tissues through sliding pressurization when suture lines are tightened. When the joint moves, the tensile stress of tendon contraction is converted into the compressive stress of the anchor to bone tissues through the power pressurizing bolt and the anchor main body, and the stability of the anchor in bones is further enhanced through power pressurizing, so that the tendon bone healing is facilitated. The invention has simple structure, can effectively prevent the phenomena of loosening and pulling out of the anchor in the anchor fixing process, is particularly suitable for tendon suture fixation of patients with reduced bone mass or osteoporosis, and is worthy of clinical popularization and application.
Drawings
FIG. 1 is an isometric view of a rectangular powered compression suture anchor of the present invention.
Fig. 2 is a front view of a rectangular powered compression suture anchor of the present invention.
Fig. 3 is a top view of a rectangular powered compression suture anchor of the present invention.
Fig. 4 is an isometric view of a cylindrical powered compression suture anchor of the present invention.
Fig. 5 is a front view of a cylindrical powered compression suture anchor of the present invention.
FIG. 6 is a top view of a cylindrical powered compression suture anchor of the present invention.
In the figure: 1. a rectangular anchor body; 11. a rectangular anchor tail; 12. a rectangular anchor body; 13. a rectangular anchor head; 14. rectangular anchor screw thread portion; 15. a rectangular power pressurizing tank; 2. rectangular power pressurizing bolt; 21. a rectangular power compression bolt body; 22. rectangular dynamic pressurizing bolt suture fixing holes; 3. a cylindrical anchor body; 31. a cylindrical anchor head; 32. a cylindrical anchor body; 33. a cylindrical anchor tail; 34. a cylindrical power pressurizing tank; 35. a cylindrical anchor threaded portion; 4. a cylindrical power pressurizing bolt; 41. a cylindrical power compression pin body; 42 cylindrical dynamic compression bolt suture fixation hole.
Detailed description of the preferred embodiments
The invention is further described below in connection with specific embodiments, which are exemplary only and do not limit the scope of the invention in any way. It will be understood by those skilled in the art that various changes and substitutions of details and forms of the technical solution of the present invention may be made without departing from the spirit and scope of the present invention, but these changes and substitutions fall within the scope of the present invention.
The material used for the nail body and the power pressurizing bolt of the power pressurizing type suture anchor can be medical metal materials such as titanium and titanium-based alloy, and can also be absorbable polymer materials such as PLA and the like. The present invention provides two forms of embodiments of a dynamic pressurized suture anchor according to the dynamic pressurized fixation principle.
Example 1 rectangular dynamic compression suture Anchor
As shown in fig. 1, the rectangular power-pressurized suture anchor comprises two parts, a rectangular anchor body 1 and a rectangular power-pressurized bolt 2. The rectangular anchor main body 1 is of an integral structure, and both the front view and the top view are of rectangular structures. As shown in fig. 2, the rectangular anchor body height a > the major diameter b of the rectangular anchor body cross section, the rectangular anchor body height being 8-12mm, preferably 10mm; the rectangular anchor body has a transverse cross-sectional major dimension of 1.8-3.5mm, preferably 2.5mm. As shown in FIG. 3, the major diameter b of the cross section of the rectangular anchor body is greater than the minor diameter c of the cross section in plan view, and the minor diameter length of the cross section is 1.2-2.5mm, preferably 2.0mm. The rectangular shape of the cross section is convenient for the anchor to be placed into the bone on one hand, and on the other hand, the suture can slide freely in the bone when being sutured, and the suture cannot be broken due to cutting of bone tissues.
The rectangular anchor body 1 comprises: a rectangular anchor head 13, a rectangular anchor body 12, a rectangular anchor tail 11, a rectangular anchor thread 14 and a rectangular power pressing groove 15. In fig. 1, the rectangular anchor head 13 is located below the rectangular anchor body 1, and has a height 1/5-1/3, preferably 1/4, of the height of the rectangular anchor body 1, and the major diameter of the cross section is smaller than that of the cross section of the rectangular anchor body including the rectangular anchor thread 14, and the end rounded corner structure is beneficial to placement and fixation of the anchor. The rectangular anchor body 12 is located in the middle of the rectangular anchor body 1 and has a height of 1/3-3/5, preferably 1/2, of the height of the rectangular anchor body 1. The rectangular anchor tail 11 is located above the rectangular anchor main body 1, the height of the rectangular anchor tail 11 is 1/5-1/3, preferably 1/4, of the height of the rectangular anchor main body 1, the rectangular anchor tail 11 is of an equilateral 4-6 edge body structure, preferably 6 edges, and can be connected with an external anchor placing handle, so that the placement of anchors is facilitated. The rectangular anchor screw portion 14 has a plurality of triangular structures, extends laterally from the rectangular anchor body 12, and has an acute distal angle (d angle) for facilitating smooth insertion of the anchor. The proximal angle (e angle) is greater than or equal to 90 DEG, and the distance that the triangle extends sideways is 0.2-0.5mm, preferably 0.4mm. The rectangular power pressurizing groove 15 is formed by firstly taking the central point of the upper surface of the rectangular anchor tail 11 as the center, the width is 0.5-1mm, then taking the central point of the cross section of the rectangular anchor main body 1 as the center, radially forming a trapezoid groove along the rectangular anchor main body 1, the upper area of the trapezoid groove is smaller than the lower area, and the trapezoid groove is consistent with the shape of the rectangular power pressurizing bolt 2 and accommodates the rectangular power pressurizing bolt 2.
The rectangular power pressurizing bolt 2 is of an integrated structure and comprises a rectangular power pressurizing bolt main body 21 and rectangular power pressurizing bolt suture fixing holes 22. The rectangular power pressurizing bolt body 21 has a trapezoid structure with an upper bottom edge area smaller than a lower bottom edge area, and the shape of the trapezoid structure is consistent with that of the rectangular power pressurizing groove 15. The rectangular power pressurizing bolt suture fixing hole 22 is arranged at the lower part of the rectangular power pressurizing bolt main body 21, a pair of incisions communicated with the rectangular power pressurizing groove 15 are formed in the center of the transverse long diameter of the rectangular power pressurizing bolt main body 1 along the radial direction of the rectangular anchor main body, the shape of the pair of incisions is consistent with that of the power pressurizing bolt and the rectangular power pressurizing bolt suture fixing hole 22 is exposed, and the pair of incisions are communicated with the rectangular power pressurizing bolt suture fixing hole 22 to form a suture penetrating channel for fixing a suture of an anchor.
Example 2 cylindrical dynamic pressurized suture Anchor
As shown in fig. 4, the cylindrical powered pressurized suture anchor comprises: a cylindrical anchor body 3 and a cylindrical power-operated compression bolt 4.
The cylindrical anchor body 3 is of an integrated structure and comprises a cylindrical anchor head 31, a cylindrical anchor body 32, a cylindrical anchor tail 33, a cylindrical power pressurizing groove 34 and a cylindrical anchor thread part 35. The shank diameter of the cylindrical anchor body 3 is 1.8-3.5mm, preferably 2.5mm, and the height is 8-12mm, preferably 10mm.
As shown in FIG. 4, the cylindrical anchor head 31 is positioned below the cylindrical anchor body 3, and occupies 1/5 to 1/3, preferably 1/4, of the height of the cylindrical power pressurized suture anchor body. The cylindrical anchor body 32 is located between the head and tail of the cylindrical anchor and has a height of 1/3-3/5, preferably 1/2, of the height of the cylindrical anchor body 3. The cylindrical anchor tail 33 is located above the cylindrical anchor body 3, and the height of the cylindrical anchor tail is 1/3-1/5, preferably 1/4 of the height of the cylindrical anchor body 3, and the cylindrical anchor tail is of an equilateral polygonal structure, which can be 4-6 sides, preferably 6 sides.
The cylindrical power pressurizing groove 34 is positioned at the center of the cylindrical anchor body 3, and the cylindrical power pressurizing groove is formed from the cylindrical anchor tail 33 to the cylindrical anchor head 31, and the upper area of the cylindrical power pressurizing groove 34 is smaller than the lower area. The form of the cylindrical power pressurizing groove 34 is identical to that of the cylindrical power pressurizing bolt 4.
The cylindrical anchor screw portion 35 is an external screw structure extending from the cylindrical anchor body 32 to the outer periphery, the external screw diameter is 1.8-3.5mm, and the pitch is not particularly limited.
The cylindrical power pressurizing bolt 4 is of an integrated structure and comprises a cylindrical power pressurizing bolt main body 41 and a cylindrical power pressurizing bolt suture fixing hole 42. The cylindrical power pressurizing bolt body 41 is a cylindrical structure with the upper bottom edge area smaller than the lower bottom edge area, is consistent with the form of the cylindrical power pressurizing groove 34, and the cylindrical power pressurizing bolt 4 is positioned in the cylindrical power pressurizing groove 34. The suture fixing hole 42 of the cylindrical power pressurizing bolt is positioned at the lower part of the cylindrical power pressurizing bolt 4, and a channel penetrating from the central position is a channel for fixing a suture, and the diameter of the channel is 0.5-1mm, preferably 0.8mm. After the anchor is placed in the bone, when the suture is tightened, the power pressurizing bolt slides along the power pressurizing groove to the tail part of the anchor, and the anchor main body pressurizes surrounding bone tissues, so that the initial stability of anchor fixation is increased. When the joint moves, the tensile stress generated by contraction of tendons and ligaments can be converted into the compressive stress of the anchor main body on bone tissues, so that the dynamic stability of the bone and tendon tissues is further enhanced, and the healing of the tendon bones is promoted.

Claims (5)

1. The power pressurization type suture anchor is characterized by comprising an anchor main body and an anchor power pressurization bolt, wherein the anchor main body is of an integrated structure and comprises an anchor head part, an anchor body part, an anchor tail part, an anchor power pressurization groove and a thread part; the anchor body part is positioned between the anchor head part and the anchor tail part, the bottom edge of the anchor head part is of a round corner structure, the anchor tail part is of a polygonal structure, an anchor power pressurizing groove extending to the anchor head part is formed in the radial direction of the anchor body from the center of the upper surface of the anchor tail part, and the area of the cross section of the anchor power pressurizing groove is gradually increased from the anchor tail part to the anchor head part; the anchor power pressurizing bolt is of an integrated structure and comprises a power pressurizing bolt main body and a suture fixing hole, the structure of the anchor power pressurizing bolt is matched with that of the anchor power pressurizing groove, the height of the anchor power pressurizing bolt is smaller than that of the anchor power pressurizing groove and is contained in the anchor power pressurizing groove to slide, the suture fixing hole is a circular through hole arranged at one end of the power pressurizing bolt main body close to the head of an anchor, a pair of cuts communicated with the anchor power pressurizing groove are formed in the outer surface of the anchor main body opposite to the suture fixing hole along the radial direction, the shapes of the cuts are consistent with those of the power pressurizing bolt and expose the suture fixing hole, and the pair of cuts are communicated with the suture fixing hole to form a suture penetrating channel; the thread parts are symmetrically arranged on the outer side surface of the anchor main body, and the plane for connecting a pair of notches is used as a symmetrical plane;
The anchor body is of a cylindrical structure, the cross section of the anchor power pressurizing groove from the anchor tail to the anchor head is of a circular shape, and a slotted hole formed in the center of the upper surface of the anchor tail of the anchor power pressurizing groove is of a circular structure; the anchor power pressurizing bolt is of a shape structure matched with the anchor power pressurizing groove, a pair of notches are of a structure consistent with the shape of the anchor power pressurizing bolt, the threaded portion is of an external thread structure extending from the anchor body to the periphery, and the diameter of the external thread structure is 1.8-3.5mm.
2. A powered compression suture anchor as claimed in claim 1, wherein the height of the anchor head is 1/5-1/3 of the height of the anchor body, the major diameter of the cross section of the anchor head being less than the major diameter of the cross section of the anchor body including the threaded portion; the height of the anchor body accounts for 1/3-3/5 of the height of the anchor body; the height of the tail part of the anchor is 1/5-1/3 of the height of the anchor main body, and the tail part of the anchor is of an equilateral multi-sided structure with 4-6 sides.
3. A powered compression suture anchor as claimed in claim 2, wherein the anchor head has a height of 1/4 of the anchor body, the anchor body has a height of 1/2 of the anchor body, the anchor tail has a height of 1/4 of the anchor body, and the anchor tail has a 6-sided body configuration.
4. A powered compression suture anchor as claimed in claim 1, wherein the diameter of the cylindrical anchor body is 1.8-3.5mm and the height of the cylindrical anchor body is 8-12mm.
5. A powered compression suture anchor as claimed in claim 4, wherein the diameter of the cylindrical anchor body is 2.5mm and the height of the cylindrical anchor body is 10mm.
CN201810316224.1A 2018-04-10 2018-04-10 Power pressurizing type suture anchor Active CN108784764B (en)

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CN108784764B true CN108784764B (en) 2024-06-28

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Publication number Priority date Publication date Assignee Title
CN111134749A (en) * 2020-02-14 2020-05-12 长春圣博玛生物材料有限公司 Knotless anchor
CN113693654A (en) * 2021-07-07 2021-11-26 上海市第六人民医院 Anchor with wire
CN114869378A (en) * 2022-05-24 2022-08-09 北京天星博迈迪医疗器械有限公司 Interface nail

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Publication number Priority date Publication date Assignee Title
CN208926473U (en) * 2018-04-10 2019-06-04 上海市第六人民医院 Dynamic pressurized suture anchor

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US8267966B2 (en) * 2008-06-06 2012-09-18 Providence Medical Technology, Inc. Facet joint implants and delivery tools
US8523902B2 (en) * 2009-01-30 2013-09-03 Kfx Medical Corporation System and method for attaching soft tissue to bone
US10034742B2 (en) * 2014-10-23 2018-07-31 Medos International Sarl Biceps tenodesis implants and delivery tools
US10231823B2 (en) * 2016-04-08 2019-03-19 Medos International Sarl Tenodesis implants and tools

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Publication number Priority date Publication date Assignee Title
CN208926473U (en) * 2018-04-10 2019-06-04 上海市第六人民医院 Dynamic pressurized suture anchor

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