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KR102105921B1 - Anchor for easily holding tension of suture - Google Patents

Anchor for easily holding tension of suture Download PDF

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Publication number
KR102105921B1
KR102105921B1 KR1020190108629A KR20190108629A KR102105921B1 KR 102105921 B1 KR102105921 B1 KR 102105921B1 KR 1020190108629 A KR1020190108629 A KR 1020190108629A KR 20190108629 A KR20190108629 A KR 20190108629A KR 102105921 B1 KR102105921 B1 KR 102105921B1
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suture
anchor
bone
tension
perforated
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손정완
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손정완
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Priority to PCT/KR2020/009315 priority patent/WO2021045378A1/en
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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
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • 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
    • A61B2017/0414Suture 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
    • 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
    • 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
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0459Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
    • 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
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0461Means for attaching and blocking the suture in the suture anchor with features cooperating with special features on the suture, e.g. protrusions on the suture
    • A61B2017/0462One way system, i.e. also tensioning the suture
    • 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
    • A61B2017/0464Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor

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

Abstract

본 발명은 손상된 연조직을 골에 부착 고정하기 위해서 봉합사가 관통된 앵커를 해당 골에 삽입 고정시에 시술도구에 의해 봉합사의 장력을 유지하지 않고도 해당 앵커를 통해 봉합사의 장력을 유지시키면서 골에 고정할 수 있는 봉합사의 장력 유지가 용이한 앵커에 관한 것으로, 더욱 상세하게는 드라이버 샤프트와 분리 가능하게 결합하되 천공된 골에 봉합사와 함께 삽입되어 손상된 연조직이 상기 봉합사에 의해 해당 골에 고정될 수 있도록 시술에 사용하는 앵커에 있어서, 상기 앵커는 골에 최초 삽입되는 선단과 이어지게 소정길이를 갖되 해당 골의 천공부에 용이하게 상기 앵커가 삽입될 수 있도록 안내하는 삽입부와, 상기 삽입부와 이어지게 상기 앵커 외측 방향으로 등 간격을 갖도록 길이방향으로 다수 돌출형성되어 상기 드라이버 샤프트의 지속적인 당김이 없이도 상기 천공부에 삽입된 상기 봉합사의 장력을 가압에 의해 유지하는 푸싱부 및 상기 푸싱부와 이어지게 상기 앵커 외면에 길이방향으로 형성되되 상기 천공부에 삽입된 상기 봉합사가 골에 고정될 수 있도록 하는 나선부를 포함하는 것을 특징으로 한다.The present invention is to fix the damaged soft tissue to the bone while maintaining the suture tension through the anchor without maintaining the tension of the suture by the surgical tool when the anchor inserted through the suture is fixed to the bone to fix and fix the damaged soft tissue to the bone. It relates to an anchor that is easy to maintain the tension of the suture, and more specifically, it is detachably combined with the driver shaft, but inserted into the perforated bone together with the suture so that the damaged soft tissue can be fixed to the bone by the suture. In the anchor used for, the anchor has a predetermined length to be connected to the tip that is first inserted into the bone, but an insertion portion for guiding the anchor portion to be easily inserted into the perforated portion of the bone, and the anchor to be connected to the insertion portion A plurality of protrusions are formed in the longitudinal direction so as to have an equal spacing in the outer direction, and the anchoring surface is connected to the pushing portion and the pushing portion to maintain the tension of the suture inserted into the perforated portion by pressing without the continuous pulling of the driver shaft. It is characterized in that it comprises a helix formed in the longitudinal direction so that the suture inserted into the perforation can be fixed to the bone.

Description

봉합사의 장력 유지가 용이한 앵커{Anchor for easily holding tension of suture}Anchor for easily holding tension of suture

본 발명은 손상된 연조직을 골에 부착 고정하기 위해서 봉합사가 관통된 앵커를 해당 골에 삽입 고정할 때 시술도구에 의해 봉합사의 장력을 유지하지 않고도 해당 앵커를 통해 봉합사의 장력을 유지시키면서 골에 고정할 수 있는 봉합사의 장력 유지가 용이한 앵커에 관한 것이다.The present invention is to fix the damaged soft tissue to the bone while fixing the suture tension through the anchor without maintaining the tension of the suture by the surgical tool when inserting and fixing the anchor through which the suture is inserted into the bone. It relates to an anchor that can easily maintain the tension of the suture.

일반적으로, 힘줄, 인대나 근육과 같은 연조직에 손상(파열)이 발생하거나 연조직이 끊어진 경우에는 손상된 부분의 연조직을 골(bone)에 부착 및 고정하여 치료하는 수술 방법이 사용된다.In general, when damage (rupture) occurs to soft tissues such as tendons, ligaments, or muscles, or when soft tissues are broken, surgical methods are used to treat soft tissues in the damaged areas by attaching and fixing them to bones.

예컨대 스포츠나 레져 인구의 증가에 따라 회전근개(rotator cuff) 파열로 진단되어 수술을 받는 경우 손상된 부위를 제거한 후 정상인 회전근개를 골에 고정하여 치료한다.For example, if the surgery is diagnosed as a rotator cuff rupture due to an increase in sports or leisure population, the damaged rotator cuff is fixed to the bone and then treated.

이때, 회전근개와 같은 연조직을 골에 고정하도록, 골에 구멍을 뚫어 앵커를 박고, 앵커에 연결된 외측 봉합사를 연조직에 묶음으로써 연조직을 골에 부착 및 고정할 수 있도록 한다.At this time, to fix the soft tissue, such as a rotator cuff, to the bone, a hole is drilled in the bone, the anchor is sutured, and the outer suture connected to the anchor is tied to the soft tissue so that the soft tissue can be attached and fixed to the bone.

이러한 앵커의 종래기술로는 위와 같은 기능을 갖는 봉합사 앵커가 한국공개특허 제10-2013-0067196호, 한국등록특허 제10-1155651호, 한국공개특허 제10-2006-0090775호, 한국공개특허 제10-2010-0121531호 등에 개시되어 있다.As the prior art of such anchors, suture anchors having the above functions are disclosed in Korean Patent Publication No. 10-2013-0067196, Korean Patent Registration No. 10-1155651, Korean Patent Publication No. 10-2006-0090775, Korean Patent Publication 10-2010-0121531 and the like.

그러나 이러한 종래기술은 봉합사와 함께 앵커를 골에 천공형성된 천공부에 삽입하여 연조직과 연결된 해당 봉합사를 골에 고정하기 이전에 그 장력을 유지할 수 있게 시술도구인 드라이버 샤프트 외면에 감아 장력을 유지하여야 하는 번거로움이 있으며, 시술자의 숙달 정도에 따라 봉합사의 장력이 천차만별로 실행되어 원활한 시술이 이루어지지 않는 다는 문제점이 있다.However, in the related art, the anchor should be wound around the outer surface of the driver's shaft as a surgical tool to maintain the tension before fixing the suture connected to the soft tissue to the bone by inserting the anchor together with the suture into the perforated hole formed in the bone. There is a hassle, and there is a problem in that the suture tension is executed thousands of times depending on the degree of mastery of the operator, so that the smooth procedure is not achieved.

본 발명은 상술한 종래의 문제점을 해결하기 위해 제안된 기술로 앵커와 함께 골에 삽입 고정되는 봉합사의 장력을 유지하기 위해 시술도구에 의존하지 않고도 시술자의 숙달과 상관없이 균일하게 장력을 유지시켜 해당 앵커를 골에 고정 삽입할 수 있게 하고자 하는데 그 목적이 있다.The present invention is a technique proposed to solve the above-mentioned conventional problems, and maintains the tension uniformly regardless of the skill of the operator without relying on the surgical tool to maintain the tension of the suture inserted into the bone with the anchor. The purpose of this is to allow anchors to be fixedly inserted into the bone.

상술한 기술적 과제를 해결하기 위해 본 발명에 따른 봉합사의 장력 유지가 용이한 앵커는 드라이버 샤프트와 분리 가능하게 결합하되 천공된 골에 봉합사와 함께 삽입되어 손상된 연조직이 상기 봉합사에 의해 해당 골에 고정될 수 있도록 시술에 사용하는 앵커에 있어서, 상기 앵커는 골에 최초 삽입되는 선단과 이어지게 소정길이를 갖되 해당 골의 천공부에 용이하게 상기 앵커가 삽입될 수 있도록 안내하는 삽입부와, 상기 삽입부와 이어지게 상기 앵커 외측 방향으로 등 간격을 갖도록 길이방향으로 다수 돌출형성되어 상기 드라이버 샤프트의 지속적인 당김이 없이도 상기 천공부에 삽입된 상기 봉합사의 장력을 가압에 의해 유지하는 푸싱부 및 상기 푸싱부와 이어지게 상기 앵커 외면에 길이방향으로 형성되되 상기 천공부에 삽입된 상기 봉합사가 골에 고정될 수 있도록 하는 나선부를 포함하는 것을 특징으로 한다.In order to solve the above-mentioned technical problem, the anchor that is easy to maintain the tension of the suture according to the present invention is detachably coupled with the driver shaft, but is inserted into the perforated bone together with the suture and the damaged soft tissue is fixed to the bone by the suture. In the anchor used in the procedure to enable, the anchor has a predetermined length to be connected to the tip that is first inserted into the bone, but the insertion portion for guiding the anchor portion to be easily inserted into the perforated portion of the bone, and the insertion portion The plurality of protrusions are formed in the longitudinal direction so as to have an equal interval in the outer direction of the anchor, and the pushing portion and the pushing portion that maintain the tension of the suture inserted into the perforation portion by pressing, without continuous pulling of the driver shaft, to be connected to the pushing portion It is characterized in that it comprises a spiral portion formed in the longitudinal direction on the outer surface of the anchor so that the suture inserted into the perforation portion can be fixed to the bone.

또한, 상기 푸싱부는 상기 푸싱부의 외경보다는 크되 상기 나선부의 외경보다는 작게 상기 앵커 외측 방향으로 돌출된 돌기부가 상기 앵커의 길이방향으로 다수 돌출되며, 상기 돌기부 끝단은 상기 천공부 내면 사이에 위치하는 상기 봉합사를 가압하여 장력이 유지될 수 있도록 하는 것이 바람직하다.In addition, the pushing portion is larger than the outer diameter of the pushing portion, but smaller than the outer diameter of the spiral portion, the protruding portion protruding outward of the anchor in the longitudinal direction of the anchor is protruded a plurality of times, and the end of the protruding portion is located between the inner surface of the perforated portion It is preferable to pressurize so that the tension can be maintained.

또한, 상기 나선부는 상기 드라이버 샤프트에 의해 회전하여 상기 천공부 내측으로 삽입되되 상기 푸싱부는 상기 나선부가 상기 천공부 내측으로 삽입시에 연조직에 고정된 상기 봉합사를 상기 천공부 내측 방향으로 밀어내어 해당 연조직이 골에 밀착 고정될 수 있도록 하는 것이 바람직하다.In addition, the spiral portion is rotated by the driver shaft is inserted into the perforated portion, but the pushing portion pushes the suture fixed to the soft tissue when the spiral portion is inserted into the perforated portion in the inner direction of the perforated portion and the corresponding soft tissue It is desirable to be able to be fixed in close contact with the bone.

본 발명에 따르면, 종래와는 차별적으로 시술중에 드라이버 샤프트 등을 이용하여 천공부 내부에 앵커와 함께 삽입된 봉합사의 장력을 유지하기 위해 상기 봉합사를 상기 드라이버 샤프트에 일일이 고정하지 않고, 삽입부에 안내되어 상기 천공부 내부로 삽입된 푸싱부의 가압에 의해 상기 봉합사의 장력이 용이하게 유지될 수 있는 효과를 갖게 된다.According to the present invention, in order to maintain the tension of the suture inserted with the anchor inside the perforation using a driver shaft or the like during the procedure differently from the prior art, the suture is not fixed to the driver shaft individually, and guided to the insertion portion It has the effect that the tension of the suture can be easily maintained by pressing the pushing portion inserted into the perforated portion.

도 1은 본 발명에 따른 봉합사의 장력 유지가 용이한 앵커를 나타낸 도면.
도 2는 도 1에 대한 정면도.
도 3은 본 발명에 따른 봉합사의 장력 유지가 용이한 앵커와 드라이브 샤트크의 결합관계를 나타낸 도면.
도 4는 본 발명에 따른 봉합사의 장력 유지가 용이한 앵커가 봉합사와 함께 골에 삽입되는 모습을 도시한 도면.
도 5 내지 도 7은 본 발명에 따른 봉합사의 장력 유지가 용이한 앵커의 작용관계도.
도 8 및 도 9는 본 발명에 따른 봉합사의 장력 유지가 용이한 앵커에 대한 나선부의 다른 실시예.
1 is a view showing an anchor that is easy to maintain the tension of the suture according to the present invention.
FIG. 2 is a front view of FIG. 1;
Figure 3 is a view showing the coupling relationship between the anchor and the drive shaft is easy to maintain the tension of the suture according to the present invention.
Figure 4 is a view showing a state in which the anchor is easy to maintain the tension of the suture according to the present invention is inserted into the bone with the suture.
5 to 7 is an operational relationship diagram of the anchor is easy to maintain the tension of the suture according to the present invention.
8 and 9 is another embodiment of the spiral portion for the anchor is easy to maintain the tension of the suture according to the present invention.

이하, 첨부된 도면을 참조하여 본 발명의 실시예에 따른 봉합사의 장력 유지가 용이한 앵커(이하, 간략하게 '앵커'라 한다)에 대하여 상세히 설명하도록 한다.Hereinafter, an anchor (hereinafter, simply referred to as 'anchor'), which is easy to maintain tension of a suture according to an embodiment of the present invention, will be described in detail with reference to the accompanying drawings.

설명에 앞서, 본 발명에서의 봉합사(C)는 그 일단이 손상된 연조직(S/T)에 고정된 봉합사(C)를 의미한다는 점에 유의한다(도 4 참조).Prior to the description, note that the suture C in the present invention means a suture C fixed at one end of which is damaged soft tissue (S / T) (see FIG. 4).

먼저, 도 1 및 도 2에 도시한 바와 같이, 본 발명에 따른 앵커(100)는 선단(골에 최초로 삽입되는 부분)을 통해 후단(드라이버 샤프트와 결합하는 부분)으로 봉합사(C)가 관통 삽입될 수 있도록 전체적으로 소정길이를 갖는 관 형상으로 이루어지며, 그 외면에는 서로 다른 기능을 수행하기 위한 삽입부(110), 푸싱부(120) 및 나선부(130)가 형성되어 있다.First, as shown in Figures 1 and 2, the anchor 100 according to the present invention is inserted through the suture (C) through the front end (the part that is first inserted into the bone) to the rear end (the part that engages the driver shaft) It is made of a tubular shape having a predetermined length as a whole, and an inserting portion 110, a pushing portion 120, and a spiral portion 130 for performing different functions are formed on the outer surface thereof.

더욱 상세하게 설명하면, 상기 삽입부(110)는 드라이브 샤프트(200)와 결합하되 본 발명인 앵커(100)가 골(B)에 형성된 천공부(Ba)에 용이하게 삽입될 수 있게 안내하기 위한 구성이다(도 3 참조).In more detail, the insertion part 110 is configured to guide the anchor shaft 100 to be easily inserted into the perforated part Ba formed in the bone B by being coupled with the drive shaft 200. Is (see Figure 3).

삽입부(110)는 앵커(100)의 선단(A) 부분에서 시작하여 후단(B) 방향으로 소정거리를 갖도록 상기 앵커(100)에 형성된다.The insertion portion 110 is formed in the anchor 100 so as to have a predetermined distance in the direction of the rear end B starting from the front end A portion of the anchor 100.

삽입부(110) 외면에는 관 형상으로 이루어진 앵커(100) 내부의 중공부(140)와 연통되게 홀(111)이 더 형성될 수 있으며, 상기 홀(111)에는 필요에 따라 봉합사(C)가 삽입될 수 있는 구조를 갖도록 한다.A hole 111 may be further formed in communication with the hollow portion 140 inside the anchor 100 formed in a tube shape on the outer surface of the insertion portion 110, and the hole 111 may have a suture C as necessary. Have a structure that can be inserted.

삽입부(110)의 외경은 골(B)에 형성된 천공부(Ba)의 지름보다 더 작은 지름으로 형성되어 상기 삽입부(110)가 상기 천공부(Ba)에 용이하게 삽입될 수 있도록 앵커(100)를 안내한다.The outer diameter of the insertion portion 110 is formed with a smaller diameter than the diameter of the perforated portion Ba formed in the bone B, so that the anchor portion 110 can be easily inserted into the perforated portion Ba. 100).

그리고 상기 푸싱부(120)는 천공부(Ba) 본 발명인 앵커(100)가 천공부(Ba) 내측 방향으로 삽입되어 상기 앵커(100)를 골(B)에 완전히 고정하기 이전에 봉합사(C)의 장력을 가압에 의해 유지할 수 있도록 하기 위한 구성이다.And the pushing part 120 is a perforated part (B) before the anchor 100 of the present invention is inserted into the perforated part (Ba), and the anchor 100 is completely fixed to the bone B before the suture C It is configured to maintain the tension of the pressurized.

본 발명에서의 푸싱부(120)는 상술한 삽입부(110) 끝과 이어지게 앵커(100) 외면에 길이방향으로 소정의 거리를 갖도록 형성되며, 상기 삽입부(110)의 외경보다 더 큰 지름을 갖는 돌기부(121)가 등 간격을 갖도록 다수 외측 방향으로 돌출 형성되어 상기 돌기부(121)의 끝단에 의해 봉합사(C)를 가압할 수 있는 구조를 갖는다.The pushing portion 120 in the present invention is formed to have a predetermined distance in the longitudinal direction on the outer surface of the anchor 100 to be connected to the end of the insertion portion 110 described above, the larger diameter than the outer diameter of the insertion portion 110 It has a structure capable of pressing the suture C by the end of the protrusion 121 is formed to protrude in a number of outward direction so that the protrusion 121 has an equal interval.

즉, 도시한 바와 같이, 연조직(S/T)에 고정되되 본 발명인 앵커(100) 내부를 관통한 봉합사(C)는 삽입부(110)의 안내를 통해 골(B)에 형성된 천공부(Ba) 내측으로 삽입된다(도 5 참조).That is, as shown, the suture C fixed to the soft tissue (S / T) but penetrating through the interior of the anchor 100 of the present invention is formed in the bone B through the guide of the insertion portion 110 (Ba) ) Is inserted inward (see FIG. 5).

이 상태에서 시술자는 앵커(100)와 연결된 드라이버 샤프트(200)에 천공부(Ba) 내측 방향으로 외력을 가하게 되며, 이 외력에 의해 푸싱부(120)가 상기 천공부(Ba)에 삽입되고, 이와 동시에 상기 푸싱부(120)를 구성하는 다수의 돌기부(121) 끝단이 상기 천공부(Ba) 내벽과 함께 봉합사(C)를 가압하도록 함으로써, 상기 드라이버 샤프트(200) 측에 상기 봉합사(C)를 고정하지 않고도 상기 봉합사(C)의 장력이 유지될 수 있도록 하는 것이다(도 6 참조).In this state, the operator applies an external force to the driver shaft 200 connected to the anchor 100 in the inner direction of the perforation part Ba, and the pushing part 120 is inserted into the perforation part Ba by the external force, Simultaneously, the ends of the plurality of protrusions 121 constituting the pushing portion 120 press the suture C together with the inner wall of the perforated portion Ba, so that the suture C is on the driver shaft 200 side. It is to maintain the tension of the suture (C) without fixing (see Fig. 6).

이를 위해 푸싱부(120)의 외경 즉, 돌기부(121) 끝단의 지름은 앵커(100)의 재질에 따라 천공부(Ba)의 지름과 동일하거나 좀 더 크게 형성하여 가압력을 극대화할 수 있는데, 지름을 크게 형성하는 경우는 상기 앵커(100)의 재질이 탄성 복원 가능하되 인체에 무해한 실리콘 등의 탄력 재질의 것을 사용시에 가능하며, 상기 앵커(100)의 재질이 금속과 같은 경성의 재질일 경우에는 상기 천공부(Ba)의 지름과 동일하거나 작게 할 수 있다.To this end, the outer diameter of the pushing portion 120, that is, the diameter of the end of the protruding portion 121 is the same as or larger than the diameter of the perforated portion Ba depending on the material of the anchor 100, to maximize the pressing force. In the case of forming largely, the material of the anchor 100 can be elastically restored, but it is possible when using an elastic material such as silicone, which is harmless to the human body. When the material of the anchor 100 is a hard material such as metal, It may be the same as or smaller than the diameter of the perforated portion (Ba).

결국, 본 발명에서의 돌기부(121) 끝단의 지름은 재질에 상관없이 천공부(Ba) 내면에 삽입시에 후술하는 나선부(130)에 의해 앵커(100)가 단단히 고정된다는 것을 전제로 상기 천공부(Ba) 내면과 함께 상기 돌기부(121) 끝단이 그 사이에 놓인 봉합사(C)를 가압하여 고정할 수 있는 정도면 가능한 것이다.After all, the diameter of the end portion of the protrusion 121 in the present invention is assumed to be fixed to the anchor 100 by the spiral portion 130, which will be described later, when inserted into the inner surface of the perforated portion Ba regardless of the material. Study (Ba) is possible as long as it can be fixed by pressing the suture (C) placed between the end of the protrusion 121 together with the inner surface.

그리고 상기 나선부(130)는 상술한 푸싱부(120)에 의해 봉합사(C)의 장력이 유지된 상태에서 본 발명인 앵커(100)가 골(B)에 단단히 고정될 수 있도록 하기 위한 구성이다.In addition, the spiral portion 130 is configured to allow the anchor 100 of the present invention to be securely fixed to the bone B while the tension of the suture C is maintained by the pushing portion 120 described above.

나선부(130)는 푸싱부(120)가 끝나는 지점과 이어지게 앵커(100) 외면에 길이방향으로 상기 앵커(100)의 후단(B)까지 이어지는 거리를 갖도록 형성되며, 전체적으로 스크류(screw) 형상으로 이루어진다.The spiral portion 130 is formed to have a distance extending from the end of the pushing portion 120 to the rear end B of the anchor 100 in the longitudinal direction on the outer surface of the anchor 100 so as to continue, and as a whole, a screw shape Is done.

나선부(130)의 외경은 돌기부(121)의 외경보다 크게 형성되되 천공부(Ba)의 지름과는 동일하게 형성하여 앵커(100)와 연결된 드라이버 샤프트(200)를 시술자가 회전시켜 상기 앵커(100)가 상기 천공부(Ba) 내면과 나사 결합하여 상기 앵커(100)를 골(B)에 고정하도록 한다(도 7 참조).The outer diameter of the spiral portion 130 is formed to be larger than the outer diameter of the protruding portion 121, but is formed to be the same as the diameter of the perforated portion Ba, so that the operator rotates the driver shaft 200 connected to the anchor 100 to the anchor ( 100) is screwed to the inner surface of the perforated portion (Ba) so that the anchor 100 is fixed to the bone B (see FIG. 7).

이때, 푸싱부(120)에 의해 천공부(Ba) 내부에서 장력이 유지된 상태를 갖는 봉합사(C)는 나선부(130)가 삽입되는 길이만큼 상기 천공부(Ba) 내측으로 더 삽입되어 연조직(S/T)이 당겨질 수 있게 해당 장력이 더욱 커지도록 함과 동시에 나선부(130) 외면 역시, 상기 천공부(Ba) 내에서 상기 봉합사(C) 외면을 가압하여 상기 앵커(100)의 고정 및 상기 봉합사(C)의 고정력을 더욱 극대화할 수 있도록 하는 것이 바람직하다(도 7 참조).At this time, the suture C having a state in which tension is maintained inside the perforated portion Ba by the pushing portion 120 is further inserted into the perforated portion Ba as long as the spiral portion 130 is inserted into the soft tissue. Fixing the anchor 100 by pressing the outer surface of the suture C in the perforated portion Ba while simultaneously increasing the tension so that the (S / T) can be pulled. And it is preferable to further maximize the fixing force of the suture (C) (see Fig. 7).

이를 위해 나선부(130)의 끝단은 봉합사(C)와 접촉면적을 최대화할 수 있도록 평탄면(131)이 다수 형성될 수 있으며, 상기 평탄면(131)은 상기 봉합사(C)의 손상이 가해지지 않게 적어도 상술한 돌기부(121)의 끝단과 동일한 폭을 갖도록 한다.To this end, a plurality of flat surfaces 131 may be formed at the end of the spiral 130 to maximize the contact area with the suture C, and the flat surface 131 is damaged by the suture C Not to be supported, at least to have the same width as the end of the above-described protrusion 121.

한편, 본 발명에서의 앵커(100)는 상술한 삽입부(110), 푸싱부(120) 및 나선부(130) 각각의 길이는 상기 앵커(100) 선단(A)에서 후단(B)까지 길이를 기준으로 상기 삽입부(110)의 길이를 1이라 가정시에 상기 푸싱부(120)는 1.5배의 길이, 상기 나선부(130)는 2배의 길이를 갖는 비율로 형성하는 것이 바람직하다.On the other hand, the anchor 100 in the present invention is the length of each of the above-described insertion portion 110, the pushing portion 120 and the spiral portion 130, the length from the front end (A) to the rear end (B) of the anchor 100 Based on the assumption that the length of the insertion portion 110 is 1, the pushing portion 120 is preferably formed at a ratio having a length of 1.5 times, and the spiral portion 130 is twice the length.

나아가 본 발명에서의 앵커(100)는 나선부(130)의 길이방향으로 서로 일정한 간격이 유지될 수 있게 다수 형성된 평탄면(131) 사이에 사선형태의 홀(133)이 형성되어 있고, 상기 홀(133) 역시, 상기 나선부(130)의 길이방향으로 일정한 간격을 갖도록 형성된다(도 8 참조).Furthermore, the anchor 100 in the present invention has a slant-shaped hole 133 formed between a plurality of flat surfaces 131 to maintain a constant distance from each other in the longitudinal direction of the spiral portion 130, and the hole (133) Also, it is formed to have a constant interval in the longitudinal direction of the spiral portion 130 (see Fig. 8).

이때, 홀(133)은 관 형상으로 이루어진 나선부(130) 내부의 중공부(140)와 서로 연통되도록 천공형성되어 있고, 상기 홀(133)은 상기 나선부(130) 외면의 서로 마주보는 면에 대칭되게 형성되어 본 발명인 앵커(100)가 골(B)에 삽입시에 골조직 침투(Bone Ingrowth)의 효과를 극대화할 수 있도록 하는 것이 바람직하다(도 9 참조).At this time, the hole 133 is perforated to communicate with each other with the hollow portion 140 inside the spiral portion 130 formed in a tubular shape, and the hole 133 faces each other on the outer surface of the spiral portion 130 It is preferably formed to be symmetrical to enable the inventors of the present invention to maximize the effect of bone tissue penetration (Bone Ingrowth) when inserted into the bone (B) (see Fig. 9).

이와 같은 구성으로 이루어진 본 발명에 따른 앵커(100)는 종래와는 차별적으 길이가 로 시술중에 드라이버 샤프트(200) 등을 이용하여 천공부(Ba) 내부에 앵커(100)와 함께 삽입된 봉합사(C)의 장력을 유지하기 위해 상기 봉합사(C)를 상기 드라이버 샤프트(200)에 일일이 고정하지 않고, 삽입부(110)에 안내되어 상기 천공부(Ba) 내부로 삽입된 푸싱부(120)의 가압에 의해 상기 봉합사(C)의 장력이 용이하게 유지될 수 있는 효과를 갖게 된다.The anchor 100 according to the present invention made of such a configuration has a length different from that of the prior art, and the suture inserted together with the anchor 100 inside the perforated portion Ba using a driver shaft 200 during the procedure. In order to maintain the tension of C), the suture C is not fixed to the driver shaft 200, but is guided by the insertion portion 110 and pushed by the pushing portion 120 inserted into the perforation portion Ba. By pressing, the tension of the suture C is easily maintained.

이상과 같이 본 발명에서는 구체적인 구성 요소 등과 같은 특정 사항들과 한정된 실시예 및 도면에 의해 설명되었으나 이는 본 발명의 보다 전반적인 이해를 돕기 위해서 제공된 것일 뿐, 본 발명은 상기의 실시예에 한정되는 것은 아니며, 본 발명이 속하는 분야에서 통상적인 지식을 가진 자라면 이러한 기재로부터 다양한 수정 및 변형이 가능하다.As described above, in the present invention, specific matters such as specific components and the like have been described by limited embodiments and drawings, but these are provided only to help the overall understanding of the present invention, and the present invention is not limited to the above embodiments , Anyone having ordinary knowledge in the field to which the present invention pertains can make various modifications and variations from these descriptions.

따라서, 본 발명의 사상은 설명된 실시예에 국한되어 정해져서는 아니 되며, 후술하는 특허청구범위뿐 아니라 이 특허청구범위와 균등하거나 등가적 변형이 있는 모든 것들은 본 발명 사상의 범주에 속한다고 할 것이다.Accordingly, the spirit of the present invention should not be limited to the described embodiments, and should not be determined, and all claims that are equivalent to or equivalent to the scope of the claims as well as the claims described below belong to the scope of the spirit of the present invention. .

100: 본 발명에 따른 봉합사의 장력 유지가 용이한 앵커
110: 삽입부 111: 홀
120: 푸싱부 121: 돌기부
130: 나선부 131: 평탄면
140: 중공부
200: 드라이버 샤프트
골: B 천공부: Ba
연조직: S/T
100: anchor is easy to maintain the tension of the suture according to the present invention
110: insert 111: hole
120: pushing part 121: protrusion
130: spiral 131: flat surface
140: hollow
200: driver shaft
Goal: B Perforation: Ba
Soft tissue: S / T

Claims (3)

드라이버 샤프트(200)와 분리 가능하게 결합하되 천공된 골(B)에 봉합사(C)와 함께 삽입되어 손상된 연조직(S/T)이 상기 봉합사(C)에 의해 해당 골(B)에 고정될 수 있도록 시술에 사용하는 앵커(100)에 있어서,
상기 앵커(100)는 골(B)에 최초 삽입되는 선단(A)과 이어지게 소정길이를 갖되 해당 골(B)의 천공부(Ba)에 용이하게 상기 앵커(100)가 삽입될 수 있도록 안내하는 삽입부(110);와, 상기 삽입부(110)와 이어지게 상기 앵커(100) 외측 방향으로 등 간격을 갖도록 길이방향으로 다수 돌출형성되어 상기 드라이버 샤프트(200)의 지속적인 당김이 없이도 상기 천공부(Ba)에 삽입된 상기 봉합사(C)의 장력을 가압에 의해 유지하는 푸싱부(120); 및 상기 푸싱부(120)와 이어지게 상기 앵커(100) 외면에 길이방향으로 형성되되 상기 천공부(Ba)에 삽입된 상기 봉합사(C)가 골(B)에 고정될 수 있도록 하는 나선부(130);를 포함하며,
상기 푸싱부(120)는 상기 푸싱부(120)의 외경보다는 크되 상기 나선부(130)의 외경보다는 작게 상기 앵커(100) 외측 방향으로 돌출된 돌기부(121)가 상기 앵커(100)의 길이방향으로 다수 돌출되며, 상기 돌기부(121) 끝단은 상기 천공부(Ba) 내면 사이에 위치하는 상기 봉합사(C)를 가압하여 장력이 유지될 수 있도록 하며,
상기 나선부(130)는 상기 드라이버 샤프트(200)에 의해 회전하여 상기 천공부(Ba) 내측으로 삽입되되 상기 푸싱부(120)는 상기 나선부(130)가 상기 천공부(Ba) 내측으로 삽입시에 연조직(S/T)에 고정된 상기 봉합사(C)를 상기 천공부(Ba) 내측 방향으로 밀어내어 해당 연조직(S/T)이 골(B)에 밀착 고정될 수 있도록 하며,
상기 삽입부(110), 상기 푸싱부(120) 및 상기 나선부(130) 각각의 길이는 상기 앵커(100) 선단(A)에서 후단(B)까지 길이를 기준으로 상기 삽입부(110)의 길이를 1이라 가정시에 상기 푸싱부(120)는 1.5배의 길이, 상기 나선부(130)는 2배의 길이를 갖는 비율로 형성하며,
상기 푸싱부(120)에 의해 상기 천공부(Ba) 내부에서 장력이 유지된 상태를 갖는 상기 봉합사(C)는 상기 나선부(130)가 삽입되는 길이만큼 상기 천공부(Ba) 내측으로 더 삽입되어 연조직(S/T)이 당겨질 수 있게 해당 장력이 더욱 커지도록 함과 동시에 상기 나선부(130) 외면이 상기 천공부(Ba) 내에서 상기 봉합사(C) 외면을 가압하여 상기 앵커(100)의 고정과 상기 봉합사(C)의 고정력을 더욱 극대화할 수 있게 상기 나선부(130)의 끝단은 상기 봉합사(C)와 접촉면적을 최대화할 수 있도록 평탄면(131)이 다수 형성될 수 있으며, 상기 평탄면(131)은 상기 봉합사(C)의 손상이 가해지지 않게 적어도 상기 돌기부(121)의 끝단과 동일한 폭을 갖도록 하고,
상기 나선부(130) 외면에는 상기 평탄면(131) 사이에 서로 마주보게 사선형태의 홀(133)이 천공형성되는 것을 특징으로 하는 봉합사의 장력 유지가 용이한 앵커.
Removably coupled with the driver shaft 200, but inserted into the perforated bone (B) together with the suture (C), the damaged soft tissue (S / T) can be fixed to the corresponding bone (B) by the suture (C). In the anchor 100 to be used in the procedure so that,
The anchor 100 has a predetermined length to be connected to the tip (A) which is initially inserted into the bone (B), but guides the anchor 100 to be easily inserted into the perforated portion (Ba) of the bone (B). Insertion part 110; And, the plurality of protrusions are formed in the longitudinal direction so as to have an equal interval in the outer direction of the anchor 100 so as to be connected to the insertion part 110, without the continuous pulling of the driver shaft 200, the perforation part ( A pushing part 120 that maintains the tension of the suture C inserted in Ba) by pressing; And a spiral portion 130 formed in the longitudinal direction on the outer surface of the anchor 100 so as to be connected to the pushing portion 120 so that the suture C inserted in the perforation portion Ba is fixed to the bone B. );
The pushing portion 120 is larger than the outer diameter of the pushing portion 120, but smaller than the outer diameter of the spiral portion 130, the protruding portion 121 protruding outward of the anchor 100 in the longitudinal direction of the anchor 100 With a plurality of protrusions, the end of the protrusion 121 is pressed to the suture (C) located between the inner surface of the perforation (Ba) so that the tension can be maintained,
The spiral portion 130 is rotated by the driver shaft 200 to be inserted into the perforated portion Ba, but the pushing portion 120 is inserted into the spiral portion 130 into the perforated portion Ba. At the time, the suture (C) fixed to the soft tissue (S / T) is pushed toward the inner side of the perforation (Ba) so that the soft tissue (S / T) can be closely fixed to the bone (B),
The length of each of the insertion portion 110, the pushing portion 120, and the spiral portion 130 of the insertion portion 110 based on the length from the front end (A) to the rear end (B) of the anchor 100 Assuming a length of 1, the pushing portion 120 is formed at a ratio having a length of 1.5 times, and the spiral portion 130 has a length of 2 times,
The suture C having a state in which tension is maintained inside the perforated portion Ba by the pushing portion 120 is further inserted into the perforated portion Ba as long as the spiral portion 130 is inserted. The soft tissue (S / T) is pulled so that the corresponding tension is further increased, and at the same time, the outer surface of the spiral portion 130 presses the outer surface of the suture (C) within the perforated portion (Ba) to anchor the 100 In order to further maximize the fixing force of the suture (C) and the suture (C), a plurality of flat surfaces 131 may be formed at the end of the spiral portion 130 to maximize the contact area with the suture (C), The flat surface 131 is to have at least the same width as the end of the projection 121 so that the damage of the suture (C) is not applied,
An anchor that is easy to maintain the tension of the suture, characterized in that holes 133 in a diagonal shape are perforated to face each other between the flat surfaces 131 on the outer surface of the spiral part 130.
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