JP5904991B2 - 靭帯再建術の際に利用するための装置及び方法 - Google Patents
靭帯再建術の際に利用するための装置及び方法 Download PDFInfo
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- JP5904991B2 JP5904991B2 JP2013500209A JP2013500209A JP5904991B2 JP 5904991 B2 JP5904991 B2 JP 5904991B2 JP 2013500209 A JP2013500209 A JP 2013500209A JP 2013500209 A JP2013500209 A JP 2013500209A JP 5904991 B2 JP5904991 B2 JP 5904991B2
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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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8869—Tensioning devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
- A61B5/1076—Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
-
- 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
- A61F2/0805—Implements for inserting tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- 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
- A61F2002/0876—Position of anchor in respect to the bone
- A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0097—Visible markings, e.g. indicia
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Dentistry (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Rehabilitation Therapy (AREA)
- Rheumatology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
本出願は、米国特許出願第61/315228号明細書に基づく優先権を主張するPCT国際特許出願である。米国特許出願第61/315228号明細書の開示内容全体が本出願に組み込まれている。
11 ハンドル
11a 第1のシャフト
11a′ 開口部
11b 第2のシャフト
11b′ 開口部
11b″ 内面
11c 第3のシャフト
11d 第1の窓
11e 第2の窓
11f 溝
11g 第1の数字セット
11h 第2の数字セット
11i 外面
11j ネジ部
11k シャフト
11l ハッシュマーク
12 ノブ組立体
12a ノブ
12b シャフト
12c ネジ部
13 インサート
13a 第1の数字セット
13b 第2の数字セット
13c チャネル
13d 開口部
13e ネジ部
13f 内面
13g ニップル
14 ノブ組立体
14a ノブ
14b シャフト
14c ネジ部
14e ネジ部
20 案内ワイヤ
21 第1の端部分
22 第2の端部分
23 開口部
24 溝
25 レーザーリング
26 レーザーライン
40 脛骨
41 脛骨トンネル
50 大腿骨
51 大腿骨トンネル経路
52 大腿骨ソケット
53 貫通穴
54 トンネル
60 軟組織移植片
70 Endobutton CL
71 閉ループ縫合線
72 縫合ストランド
73 Endobutton装置
Claims (10)
- 靭帯再建術の際に利用するための装置(10)であって、ハンドル(11)と、前記ハンドル(11)の遠位端に結合されているシャフト(11k)とを備えている前記装置において、
前記ハンドル(11)が、インサートを収容するための第1のチャネル(11a)と、第2のチャネル(11b)と、前記シャフト(11k)を収容するための第3のチャネル(11c)と、第1の窓(11d)と、第2の窓(11e)と、溝(11f)とを含んでおり、
前記インサート(13)が、長手方向において前記ハンドル(11)及び前記シャフト(11k)に対して相対的に移動するように構成されており、
前記インサートが、前記第1の窓を通じて表示するための第1の数字セット(13a)と、前記第2の窓を通じて表示するための第2の数字セット(13b)とを含んでおり、
前記ハンドルの外面が、第1の数字セット(11g)を含んでおり、
前記ハンドルの前記外面が、第2の数字セット(11h)を含んでいることを特徴とする装置。 - 前記インサートが、前記溝(11f)内に配置されていると共に前記溝(11f)の長さ方向に沿って滑動するように構成されているノブ組立体(14)を含んでいることを特徴とする請求項1に記載の装置。
- 前記インサートが、前記インサートの端部から延在しているニップル(13g)を含んでいることを特徴とする請求項2に記載の装置。
- 前記溝が、長手方向において前記ハンドルの外面に沿って延在していることを特徴とする請求項1〜3のいずれか一項に記載の装置。
- 前記第2のチャネル(11b)が、前記第1のチャネル(11a)及び前記第3のチャネル(11c)に対して垂直に延在していることを特徴とする請求項1〜4のいずれか一項に記載の装置。
- 前記装置が、前記第2のチャネル(11b)の内部に配置されるように、且つ、前記シャフトを貫通している案内ワイヤと係合するように構成されていることを特徴とする請求項5に記載の装置。
- 前記装置が、第1の端部を有している案内ワイヤを含んでおり、
前記案内ワイヤが、前記シャフト及び前記ハンドルを貫通するように、且つ、前記インサートに接触するように構成されていることを特徴とする請求項1〜6のいずれか一項に記載の装置。 - 前記インサートが、前記インサートの端部から延在しているニップルを含んでおり、
前記案内ワイヤの前記第1の端部が、前記ニップルと接触するように、且つ、前記インサートを移動させるように構成されていることを特徴とする請求項7に記載の装置。 - 前記第1の数字セットが、大腿骨の長さに対応していることを特徴とする請求項2〜8のいずれか一項に記載の装置。
- 前記第2の数字セットが、閉ループ構造体の長さに対応していることを特徴とする請求項2〜9のいずれか一項に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US31522810P | 2010-03-18 | 2010-03-18 | |
US61/315,228 | 2010-03-18 | ||
PCT/US2011/028844 WO2011116208A1 (en) | 2010-03-18 | 2011-03-17 | A device for use during ligament reconstruction surgery |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013521950A JP2013521950A (ja) | 2013-06-13 |
JP5904991B2 true JP5904991B2 (ja) | 2016-04-20 |
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Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013500209A Expired - Fee Related JP5904991B2 (ja) | 2010-03-18 | 2011-03-17 | 靭帯再建術の際に利用するための装置及び方法 |
Country Status (6)
Country | Link |
---|---|
US (2) | US9883899B2 (ja) |
EP (1) | EP2547279A1 (ja) |
JP (1) | JP5904991B2 (ja) |
CN (1) | CN102791219B (ja) |
AU (1) | AU2011227190B2 (ja) |
WO (1) | WO2011116208A1 (ja) |
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WO2011116208A1 (en) | 2010-03-18 | 2011-09-22 | Smith & Nephew, Inc. | A device for use during ligament reconstruction surgery |
AU2011229984A1 (en) | 2010-03-23 | 2012-10-04 | Geisinger Clinic | Diagnostic device for determining mechanical integrity of bone |
US8870891B2 (en) | 2011-06-24 | 2014-10-28 | Depuy Mitek, Llc | ACL reconstruction tunnel gauge and method |
US9271801B2 (en) | 2013-03-13 | 2016-03-01 | Medos International Sarl | Methods, systems, and devices for gauging a bone tunnel |
US9386997B2 (en) | 2013-03-29 | 2016-07-12 | Smith & Nephew, Inc. | Tunnel gage |
-
2011
- 2011-03-17 WO PCT/US2011/028844 patent/WO2011116208A1/en active Application Filing
- 2011-03-17 AU AU2011227190A patent/AU2011227190B2/en not_active Ceased
- 2011-03-17 US US13/050,520 patent/US9883899B2/en not_active Expired - Fee Related
- 2011-03-17 JP JP2013500209A patent/JP5904991B2/ja not_active Expired - Fee Related
- 2011-03-17 CN CN201180014483.5A patent/CN102791219B/zh not_active Expired - Fee Related
- 2011-03-17 EP EP11710640A patent/EP2547279A1/en not_active Withdrawn
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2014
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US9883899B2 (en) | 2018-02-06 |
AU2011227190B2 (en) | 2016-04-14 |
US20120109132A1 (en) | 2012-05-03 |
CN102791219A (zh) | 2012-11-21 |
US9839464B2 (en) | 2017-12-12 |
US20140316422A1 (en) | 2014-10-23 |
CN102791219B (zh) | 2015-04-01 |
EP2547279A1 (en) | 2013-01-23 |
WO2011116208A1 (en) | 2011-09-22 |
AU2011227190A1 (en) | 2012-09-27 |
JP2013521950A (ja) | 2013-06-13 |
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