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RU2015137618A - Захватывающий ткань костный крепежный элемент - Google Patents

Захватывающий ткань костный крепежный элемент Download PDF

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Publication number
RU2015137618A
RU2015137618A RU2015137618A RU2015137618A RU2015137618A RU 2015137618 A RU2015137618 A RU 2015137618A RU 2015137618 A RU2015137618 A RU 2015137618A RU 2015137618 A RU2015137618 A RU 2015137618A RU 2015137618 A RU2015137618 A RU 2015137618A
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RU
Russia
Prior art keywords
suture
expander
fastener
hole
suture thread
Prior art date
Application number
RU2015137618A
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English (en)
Inventor
Джонатан Б. ТИКЕР
Original Assignee
Конмед Корпорэйшн
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Application filed by Конмед Корпорэйшн filed Critical Конмед Корпорэйшн
Publication of RU2015137618A publication Critical patent/RU2015137618A/ru

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483—Hand-held instruments for holding sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0429—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state
    • A61B2017/043—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state by insertion of a separate spreading member into the anchor
    • A61B2017/0432—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state by insertion of a separate spreading member into the anchor the separate member staying in the anchor after placement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0438—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0456—Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0823—Modular anchors comprising a plurality of separate parts
    • A61F2002/0835—Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw

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

Claims (38)

1. Костный крепежный элемент, содержащий:
расширяемый корпус крепежного элемента,
расширитель, содержащий:
по меньшей мере одну часть расширения и
первое отверстие в дистальном конце расширителя,
причем расширитель выполнен с возможностью перемещения между первым положением относительно корпуса крепежного элемента и вторым положением относительно корпуса крепежного элемента, а часть расширения выполнена с возможностью расширения корпуса крепежного элемента при нахождении расширителя во втором положении,
при этом костный крепежный элемент содержит выполненные с возможностью отведения средства захвата шовной нити, проходящие через первое отверстие.
2. Костный крепежный элемент по п. 1, в котором выполненные с возможностью отведения средства захвата шовной нити содержат проволочную петлю.
3. Костный крепежный элемент по п. 2, в котором две концевые части проволочной петли проходят через расширитель и выходят из его проксимального конца.
4. Костный крепежный элемент по п. 1, в котором расширитель содержит второе отверстие на своем дистальном конце, причем шовная нить проходит через второе отверстие.
5. Костный крепежный элемент по п. 4, в котором шовная нить проходит через расширитель и выходит из его проксимального конца.
6. Костный крепежный элемент по п. 1, также содержащий шовную нить, проходящую через первое отверстие.
7. Костный крепежный элемент по п. 6, в котором шовная нить проходит через расширитель и выходит из его проксимального конца.
8. Костный крепежный элемент по п. 1, в котором по меньшей мере одно из отверстий выровнено вдоль оси расширителя.
9. Костный крепежный элемент по п. 1, в котором по меньшей мере одно из отверстий смещено по отношению к оси расширителя.
10. Узел крепежного элемента и устройства ввода, содержащий:
костный крепежный элемент по п. 1 и
инструмент для введения, соединенный с костным крепежным элементом.
11. Узел крепежного элемента и устройства ввода по п. 10, в котором выполненные с возможностью отведения средства захвата шовной нити содержат проволочную петлю, две концевые части которой проходят через расширитель, выходят из проксимального конца этого расширителя и проходят через осевой канал в инструменте для введения.
12. Узел крепежного элемента и устройства ввода по п. 10, в котором расширитель содержит второе отверстие на своем дистальном конце, а шовная нить проходит через второе отверстие, причем первая концевая часть шовной нити проходит через расширитель, выходит из проксимального конца этого расширителя и проходит через осевой канал в инструменте для введения.
13. Узел крепежного элемента и устройства ввода по п. 12, в котором вторая концевая часть шовной нити проходит вдоль боковой стороны инструмента для введения.
14. Узел крепежного элемента и устройства ввода по п. 13, в котором вторая концевая часть шовной нити прикреплена к ручке устройства ввода.
15. Способ крепления мягкой ткани к костному крепежному элементу, включающий:
введение костного крепежного элемента по п. 1 в тело пациента через первое артроскопическое отверстие,
вытягивание средств захвата шовной нити из тела пациента через второе артроскопическое отверстие,
пропускание шовной нити вокруг мягкой ткани,
вытягивание по меньшей мере первой концевой части шовной нити из тела пациента через второе артроскопическое отверстие,
приведение шовной нити во взаимодействие со средствами захвата шовной нити и
отведение средств захвата шовной нити через первое отверстие в дистальном конце расширителя, что обеспечивает протягивание первой концевой части шовной нити через первое отверстие.
16. Способ по п. 15, в котором средства захвата шовной нити содержат проволочную петлю, а приведение шовной нити во взаимодействие со средствами захвата шовной нити включает пропускание шовной нити через проволочную петлю.
17. Способ по п. 15, в котором вторая концевая часть шовной нити проходит через первое отверстие в дистальном конце расширителя до введения костного крепежного элемента.
18. Способ по п. 15, в котором вторая концевая часть шовной нити проходит через второе отверстие в дистальном конце расширителя до введения костного крепежного элемента.
19. Способ по п. 15, также включающий введение первой концевой части шовной нити через второе артроскопическое отверстие до пропускания этой шовной нити вокруг мягкой ткани.
20. Способ по п. 19, в котором первую концевую часть и вторую концевую часть шовной нити приводят во взаимодействие со средствами захвата шовной нити и протягивают через первое отверстие при отведении средств захвата шовной нити.
21. Способ по п. 15, также включающий создание отверстия в кости.
22. Способ по п. 21, в котором отверстие создают посредством дрели.
23. Способ по п. 21, также включающий очищение кости от любой мягкой ткани, расположенной вблизи отверстия.
24. Способ по п. 16, также включающий введение крепежного элемента в кость после отведения средств захвата шовной нити.
RU2015137618A 2013-03-14 2014-03-07 Захватывающий ткань костный крепежный элемент RU2015137618A (ru)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361786168P 2013-03-14 2013-03-14
US61/786,168 2013-03-14
PCT/US2014/021774 WO2014159058A1 (en) 2013-03-14 2014-03-07 Tissue capturing bone anchor

Publications (1)

Publication Number Publication Date
RU2015137618A true RU2015137618A (ru) 2017-04-18

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RU2015137618A RU2015137618A (ru) 2013-03-14 2014-03-07 Захватывающий ткань костный крепежный элемент

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US (3) US10149751B2 (ru)
EP (1) EP2967552B8 (ru)
JP (3) JP2016515005A (ru)
KR (2) KR102257312B1 (ru)
AU (1) AU2014241394B2 (ru)
BR (1) BR112015022457B1 (ru)
CA (1) CA2904702C (ru)
ES (1) ES2959496T3 (ru)
MX (1) MX366652B (ru)
RU (1) RU2015137618A (ru)
WO (1) WO2014159058A1 (ru)

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