JP2008529601A - インプラント装着及び軟組織修復の完全に体内の縫合固着のためのシステム及び方法 - Google Patents
インプラント装着及び軟組織修復の完全に体内の縫合固着のためのシステム及び方法 Download PDFInfo
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Abstract
Description
Claims (32)
- 第1のアンカー、第2のアンカー、及び前記第1のアンカーと前記第2のアンカーを接続する可撓性部分を含み、前記可撓性部分が前記第1のアンカーと前記第2のアンカーの間に自己ロック式すべり結び目を含む縫合糸と、
長手方向に延在する孔及び開口端を有し、前記孔が前記第1のアンカー及び前記第2のアンカーを収容するように構成される針と、
前記針の前記孔の中で可動であるように構成され、(1)前記第1のアンカー及び前記第2のアンカーを発射する、及び(2)前記第2のアンカーの発射後前記自己ロック式すべり結び目を押すように構成されるプッシャと
を備える半月板修復システム。 - さらに前記縫合糸の前記可撓性部分を切断するための切断面を備える、請求項1に記載のシステム。
- 前記針が前記開口端に前記切断面を備え、前記プッシャが前記縫合糸の前記可撓性部分を前記切断面と位置合わせし、前記縫合糸の前記可撓性部分を切断するために、前記切断面に対して移動するように構成される、請求項2に記載のシステム。
- 前記切断面が前記針を少なくとも部分的に囲繞する切断シースの上に配置され、前記切断シースが前記縫合糸の前記可撓性部分を切断するために、前記針に対して移動するように構成される、請求項2に記載のシステム。
- 前記プッシャが一組のスロットを備える中空のロッドを備え、前記スロットが、露出部分が前記切断面に対して切断されるように前記縫合糸の前記可撓性部分の一部を露出するように構成される、請求項2に記載のシステム。
- 前記針が前記開口端に隣接するくぼみを含み、前記くぼみが、前記針から発射される前に第1のアンカー及び第2のアンカーを配置するように構成される、請求項1に記載のシステム。
- さらに前記針に対して前記プッシャを配置するためのスペーサを備え、前記スペーサが、前記第1のアンカーが発射される際の前記プッシャの移動を制限するように構成される、請求項1に記載のシステム。
- (i)第1のアンカー、第2のアンカー、及び前記第1のアンカーと前記第2のアンカーを接続する可撓性部分を含み、前記可撓性部分が前記第1のアンカーと前記第2のアンカーの間に自己ロック式すべり結び目を含む縫合糸と、
(ii)長手方向に延在する孔及び開口端を有し、前記孔が前記第1のアンカー及び前記第2のアンカーを収容するように構成される針と、
(iii)前記針の前記孔の中で可動であるように構成され、(1)前記第1のアンカー及び前記第2のアンカーを発射する、及び(2)前記第2のアンカーの発射後前記自己ロック式すべり結び目を押すように構成されるプッシャと
を備える半月板修復システムを提供することと、
インプラントを提供することと、
第1の位置に前記インプラント及び前記半月板を貫通して前記システムの前記針を通し、前記第1のアンカーを前記半月板の反対側に送達することと、
前記半月板及び前記インプラントから前記針を引っ込めることと、
前記第2の位置に前記インプラント及び前記半月板を貫通して前記システムの前記針を通し、前記第2のアンカーを前記半月板の反対側に送達することと、
前記自己ロック式すべり結び目を前記インプラントの表面に押すことと
を含む半月板修復方法。 - 前記半月板の反対側が半月板の縁である、請求項8に記載の方法。
- 前記送達された第1のアンカーが前記半月板内に埋め込まれずに前記半月板縁に接して置かれ、前記送達された第2のアンカーが前記半月板内に埋め込まれずに前記半月板縁に接して置かれる、請求項9に記載の方法。
- 前記第2のアンカーが前記半月板縁に接して置かれるように、前記可撓性部分の長さが最小にされる、請求項10に記載の方法。
- 前記押すことが前記プッシャの遠位端を前記針の前記開口端を越えて進めることを含む、請求項8に記載の方法。
- 前記インプラントがコラーゲンを含む、請求項8に記載の方法。
- 前記インプラントがコラーゲンベースの半月板インプラントを含む、請求項8に記載の方法。
- 前記システムがさらに切断面を備え、前記方法がさらに前記切断面に対して前記縫合糸の前記可撓性部分を切断することを含む、請求項8に記載の方法。
- 前記針が前記切断面を備え、前記プッシャが前記縫合糸の前記可撓性部分を前記切断面と位置合わせするように構成され、前記切断することが、前記切断面に対して前記縫合糸の前記可撓性部分を剪断するために前記切断面に対して前記プッシャを移動させることを含む、請求項15に記載の方法。
- 前記システムがさらに、少なくとも部分的に前記針を囲繞する切断面を備える切断シースを備え、前記切断することが、前記切断面に対して前記縫合糸の前記可撓性部分を剪断するために前記針に対して前記切断シースを移動させることを含む、請求項15に記載の方法。
- 前記押すこと及び前記切断することが、前記押すことと前記切断することの間に身体から前記針又は前記プッシャを除去することなく完了する、請求項15に記載の方法。
- インプラント及び縫合糸を使用して体内で半月板を修復する方法であって、
第1の位置に前記インプラント及び前記半月板を貫通して針を挿入することと、
前記縫合糸の第1のアンカーを前記半月板の反対側に送達することと、
前記半月板及び前記インプラントから前記針を引っ込めることと、
第2の位置に前記インプラント及び前記半月板を貫通して前記針を挿入することと、
前記縫合糸の前記可撓性部分で前記第1のアンカーに接続されている前記縫合糸の第2のアンカーを前記半月板の反対側に送達することと、
前記第1のアンカーと前記第2のアンカーの間の前記可撓性部分に沿って配置される自己ロック式すべり結び目を前記インプラントの表面に押すことと
を含み、
前記第2のアンカーを前記送達すること及び前記自己ロック式すべり結び目を前記押すことは、身体から前記針を除去することなく完了する方法。 - さらに前記自己ロック式すべり結び目に隣接する位置で前記縫合糸の前記可撓性部分を切断することを含む、請求項19に記載の方法。
- 前記押すこと及び前記切断することが、前記押すことと前記切断することの間に身体から前記針を除去することなく完了する、請求項20に記載の方法。
- 前記切断することが前記針に配置される切断面に対して前記縫合糸の前記可撓性部分を剪断することを含む、請求項20に記載の方法。
- 前記切断することが、前記針を少なくとも部分的に囲繞する切断シースを移動させることと、前記切断シースに配置される切断面に対して前記縫合糸の前記可撓性部分を剪断することとを含む、請求項20に記載の方法。
- 縫合糸を使用して体内で半月板の裂傷を修復する方法であって、
第1の位置に前記半月板を貫通して針を挿入することと、
前記縫合糸の第1のアンカーを前記半月板の反対側に送達することと、
前記半月板から前記針を引っ込めることと、
第1の位置としての裂傷の反対側の第2の位置に前記半月板を貫通して前記針を挿入することと、
前記縫合糸の可撓性部分で前記第1のアンカーに接続されている前記縫合糸の第2のアンカーを前記半月板の反対側に送達し、
前記第1のアンカーと前記第2のアンカーの間の前記可撓性部分に沿って配置される自己ロック式すべり結び目を前記半月板の表面に押すことと
を含み、
前記第2のアンカーを前記送達すること及び前記自己ロック式すべり結び目を前記押すことが、身体から前記針を除去することなく完了する方法。 - さらに前記自己ロック式すべり結び目に隣接する位置で前記縫合糸の前記可撓性部分を切断することを含む、請求項24に記載の方法。
- 前記押すこと及び前記切断することが、前記押すことと前記切断することの間に身体から前記針を除去することなく完了する、請求項25に記載の方法。
- 前記切断することが、前記針に配置される切断面に対して前記縫合糸の前記可撓性部分を剪断することを含む、請求項25に記載の方法。
- 前記切断することが、前記針を少なくとも部分的に囲繞する切断シースを移動させることと、前記切断シースに配置される切断面に対して前記縫合糸の前記可撓性部分を剪断することとを含む、請求項25に記載の方法。
- 第1のアンカー、第2のアンカー、及び前記第1のアンカーを前記第2のアンカーに接続する可撓性部分を含む縫合糸を体内で半月板を修復するために送達するためのアプリケータであって、
長手方向の孔を有し、前記長手方向の孔が前記第1のアンカー及び前記第2のアンカーを収容するように構成される針と、
前記針の前記長手方向の孔から前記第1のアンカー及び前記第2のアンカーを押し、中に前記可撓性部分を収容し前記縫合糸の前記可撓性部分の一部を露出するように構成されるプッシャと、
前記縫合糸を切断するように構成される切断面と
を備えるアプリケータ。 - 前記アプリケータが前記切断面に対して前記縫合糸の前記露出部を剪断するように構成される、請求項29に記載のアプリケータ。
- 前記切断面が前記針に配置され、前記プッシャが前記切断面に対して前記縫合糸の前記露出部を剪断するように構成される、請求項30に記載のアプリケータ。
- さらに前記針を少なくとも部分的に囲繞する切断シースを備え、前記切断面が前記切断シースに配置され、前記切断シースが前記切断面に対して前記縫合糸の前記露出部を剪断するように構成される、請求項30に記載のアプリケータ。
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JP2012510829A (ja) * | 2008-11-26 | 2012-05-17 | スミス アンド ネフュー インコーポレーテッド | 組織修復機器 |
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EP3097865A3 (en) | 2017-02-15 |
US20150190129A1 (en) | 2015-07-09 |
JP5030797B2 (ja) | 2012-09-19 |
US8808309B2 (en) | 2014-08-19 |
US9949732B2 (en) | 2018-04-24 |
AU2006212876A2 (en) | 2006-08-17 |
CA2595630C (en) | 2016-04-12 |
AU2006212876A1 (en) | 2006-08-17 |
ES2590252T3 (es) | 2016-11-21 |
US20060178680A1 (en) | 2006-08-10 |
CA2595630A1 (en) | 2006-08-17 |
EP1855599A2 (en) | 2007-11-21 |
WO2006086275A2 (en) | 2006-08-17 |
EP3097865A2 (en) | 2016-11-30 |
EP1855599A4 (en) | 2013-05-22 |
WO2006086275A3 (en) | 2007-11-15 |
EP1855599B1 (en) | 2016-06-08 |
EP3097865B1 (en) | 2020-01-08 |
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