JP6338858B2 - 組織修復 - Google Patents
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- JP6338858B2 JP6338858B2 JP2013551405A JP2013551405A JP6338858B2 JP 6338858 B2 JP6338858 B2 JP 6338858B2 JP 2013551405 A JP2013551405 A JP 2013551405A JP 2013551405 A JP2013551405 A JP 2013551405A JP 6338858 B2 JP6338858 B2 JP 6338858B2
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- 210000001519 tissue Anatomy 0.000 claims description 36
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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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
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- A61B17/0482—Needle or suture guides
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- D—TEXTILES; PAPER
- D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
- D04G—MAKING NETS BY KNOTTING OF FILAMENTARY MATERIAL; MAKING KNOTTED CARPETS OR TAPESTRIES; KNOTTING NOT OTHERWISE PROVIDED FOR
- D04G5/00—Knotting not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00663—Type of implements the implement being a suture
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0464—Suture 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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (AREA)
- Cardiology (AREA)
- Textile Engineering (AREA)
- Surgical Instruments (AREA)
Description
本願は、参照によりその全体が本明細書に組み込まれる、米国特許出願第13/016389号の優先権を主張するPCT国際特許出願である。
12 編組ボディ
14 開口部
20 可撓性部材、縫合糸
20a、20b 自由末端部
22 テールセクション
24 テールセクション
30 湾曲部分
40 縫合糸
40a、40b 自由末端部
100 組織修復装置
200 組織修復装置
210 固定部材、アンカー
215 結び目
220、226、232 本結び
222、224、228、230 フリーアルターネーティングポストハーフヒッチノット
300 送達デバイス
302 挿入管、カニューレ
302b 遠位端
304 ドリルガイド
306 孔
310 表層
312 海綿骨組織
320 スライド部材
330 管
Claims (15)
- 第1の自由末端部及び第2の自由末端部、並びに、前記第1の自由末端部と前記第2の自由末端部との間の中間部を備える、組織を骨に結び付けるための縫合糸と、
前記縫合糸の前記中間部を前記骨の手術部位内に固定させるための可撓性のある固定部材であって、長手方向の長さおよび幅があると共に前記長手方向の両端に第1の自由末端部及び第2の自由末端部を有するボディを備え、前記ボディが前記ボディを通る複数の開口部を画定し、前記複数の開口部の各々が前記ボディを前記幅の方向に実質的に横断するように形成されている固定部材と、
を備える装置であって、
前記縫合糸の前記中間部が前記固定部材の前記ボディにおける前記複数の開口部の各々に編み込まれて、前記固定部材の複数の部分が前記縫合糸に対してスライド可能につながれており、それによって、前記縫合糸の前記第1の自由末端部及び前記第2の自由末端部のうちの少なくとも一方が引っ張られたときに、前記固定部材の複数の部分が、前記縫合糸に対してスライドしてクラスターを形成し、該クラスターは、前記手術部位に係合可能であって、前記固定部材につながれた前記縫合糸の前記中間部が前記手術部位内に固定されることを可能にし、
伸張状態において、前記固定部材の前記第1の自由末端部が、前記固定部材の前記第2の自由末端部に比べて、前記縫合糸の前記第1の自由末端部の近くにあり、
伸張状態において、前記固定部材の前記第2の自由末端部が、前記固定部材の前記第1の自由末端部に比べて、前記縫合糸の前記第2の自由末端部の近くにある、装置。 - 前記固定部材は、縫合糸、テープ、編組、または、メッシュの1つからなる、請求項1に記載の装置。
- 前記固定部材は、非管状である、請求項1に記載の装置。
- 送達デバイスをさらに備え、前記送達デバイスは、前記固定部材が中に入るように構成されたカニューレを備える、請求項1に記載の装置。
- 前記固定部材の前記部分は、前記縫合糸に対してスライドして、一群の折り目からなるクラスターを手術部位内に形成するように構成されている、請求項1に記載の装置。
- 前記縫合糸は、前記固定部材における前記複数の開口部に編み込まれて縫合糸の実質的に平行な2つのテールセクションを形成する、請求項1に記載の装置。
- 前記固定部材は少なくとも1つの湾曲部分を備え、前記少なくとも1つの湾曲部分は、前記湾曲部分に沿った順で、前記平行な2つのテールセクションの一方の部分が入っている第1の開口部と、前記平行な2つのテールセクションの他方の部分が入っている第2および第3の開口部と、前記平行な2つのテールセクションの前記一方の別の部分が入っている第4の開口部分とを備えている、請求項6に記載の装置。
- 前記固定部材および前記縫合糸は、患者の体内で吸収可能な材料から形成されている、請求項1に記載の装置。
- 前記固定部材は、生体成長材料を含んでいる、請求項1に記載の装置。
- 2つの末端部を備える第2の縫合糸をさらに備え、前記第2の縫合糸は、前記固定部材の部分が前記縫合糸にスライド可能につながれるように前記固定部材の前記ボディにおける前記複数の開口部の各々に編み込まれている、請求項1に記載の装置。
- 第1の自由末端部及び第2の自由末端部、並びに、前記第1の自由末端部と前記第2の自由末端部との間の中間部を備える、組織を骨に結び付けるための縫合糸と、
前記縫合糸の前記中間部を前記骨の手術部位に係留するための非管状のアンカーであって、縫合糸、メッシュ、編組、または、テープの1つから形成され、長手方向の長さおよび幅があると共に前記長手方向の両端に第1の自由末端部及び第2の自由末端部を有するボディを備え、前記ボディが、前記ボディの長手方向の長さに沿って、前記ボディを前記幅の方向に貫通する複数の開口部を画定している非管状のアンカーと、
前記アンカーが中に入るように構成されたカニューレを備えた送達デバイスと、
を備えるアセンブリであって、
前記縫合糸の前記中間部が前記アンカーの前記ボディにおける前記複数の開口部の各々に編み込まれて、前記アンカーの複数の部分が前記縫合糸に対してスライド可能につながれており、それによって、前記アンカーが前記手術部位に位置した状態で前記縫合糸の前記第1の自由末端部及び前記第2の自由末端部のうちの少なくとも一方が引っ張られたときに、前記アンカーの複数の部分が、前記縫合糸に対してスライドしてクラスターを形成し、該クラスターは、前記手術部位に係合し、前記アンカーにつながれた前記縫合糸の前記中間部が前記手術部位に係留されることを可能とし、
伸張状態において、前記アンカーの前記第1の自由末端部が、前記アンカーの前記第2の自由末端部に比べて、前記縫合糸の前記第1の自由末端部の近くにあり、
伸張状態において、前記アンカーの前記第2の自由末端部が、前記アンカーの前記第1の自由末端部に比べて、前記縫合糸の前記第2の自由末端部の近くにある、アセンブリ。 - 前記アンカーの部分は、前記縫合糸に対してスライドして、一群の折り目からなるクラスターを手術部位内に形成するように構成されている、請求項11に記載のアセンブリ。
- 前記縫合糸は、前記アンカーにおける前記複数の開口部の各々に編み込まれて、縫合糸の実質的に平行な2つの糸テールセクションを形成する、請求項11に記載のアセンブリ。
- 前記アンカーおよび前記縫合糸は、患者の体内で吸収可能な材料から形成されている、請求項11に記載のアセンブリ。
- 前記アンカーは、生体成長材料を含む、請求項11に記載のアセンブリ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/016,389 US8795334B2 (en) | 2011-01-28 | 2011-01-28 | Tissue repair |
US13/016,389 | 2011-01-28 | ||
PCT/US2012/023056 WO2012103536A1 (en) | 2011-01-28 | 2012-01-29 | Tissue repair |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016228862A Division JP6685883B2 (ja) | 2011-01-28 | 2016-11-25 | 組織修復 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2014511204A JP2014511204A (ja) | 2014-05-15 |
JP6338858B2 true JP6338858B2 (ja) | 2018-06-06 |
Family
ID=45563616
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013551405A Active JP6338858B2 (ja) | 2011-01-28 | 2012-01-29 | 組織修復 |
JP2016228862A Active JP6685883B2 (ja) | 2011-01-28 | 2016-11-25 | 組織修復 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2016228862A Active JP6685883B2 (ja) | 2011-01-28 | 2016-11-25 | 組織修復 |
Country Status (9)
Country | Link |
---|---|
US (8) | US8795334B2 (ja) |
EP (2) | EP3753499B1 (ja) |
JP (2) | JP6338858B2 (ja) |
KR (1) | KR20130140835A (ja) |
CN (1) | CN103491883B (ja) |
BR (1) | BR112013018641A2 (ja) |
MX (1) | MX339600B (ja) |
RU (1) | RU2600222C2 (ja) |
WO (1) | WO2012103536A1 (ja) |
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US8303604B2 (en) | 2004-11-05 | 2012-11-06 | Biomet Sports Medicine, Llc | Soft tissue repair device and method |
US8137382B2 (en) | 2004-11-05 | 2012-03-20 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US8298262B2 (en) | 2006-02-03 | 2012-10-30 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US8118836B2 (en) | 2004-11-05 | 2012-02-21 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US20060189993A1 (en) | 2004-11-09 | 2006-08-24 | Arthrotek, Inc. | Soft tissue conduit device |
US8361113B2 (en) | 2006-02-03 | 2013-01-29 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US7658751B2 (en) | 2006-09-29 | 2010-02-09 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
US9801708B2 (en) | 2004-11-05 | 2017-10-31 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8088130B2 (en) | 2006-02-03 | 2012-01-03 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US7749250B2 (en) | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
US8128658B2 (en) | 2004-11-05 | 2012-03-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US8840645B2 (en) | 2004-11-05 | 2014-09-23 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8998949B2 (en) | 2004-11-09 | 2015-04-07 | Biomet Sports Medicine, Llc | Soft tissue conduit device |
US8801783B2 (en) | 2006-09-29 | 2014-08-12 | Biomet Sports Medicine, Llc | Prosthetic ligament system for knee joint |
US8562645B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US10517587B2 (en) | 2006-02-03 | 2019-12-31 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
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JP2014511204A (ja) | 2014-05-15 |
WO2012103536A1 (en) | 2012-08-02 |
US10588617B2 (en) | 2020-03-17 |
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US11857176B2 (en) | 2024-01-02 |
US9370352B2 (en) | 2016-06-21 |
JP2017060823A (ja) | 2017-03-30 |
US20160220243A1 (en) | 2016-08-04 |
BR112013018641A2 (pt) | 2016-10-18 |
RU2600222C2 (ru) | 2016-10-20 |
EP3753499A1 (en) | 2020-12-23 |
MX2013008734A (es) | 2014-03-05 |
CN103491883A (zh) | 2014-01-01 |
EP2667787A1 (en) | 2013-12-04 |
US20140296883A1 (en) | 2014-10-02 |
US20150223800A1 (en) | 2015-08-13 |
KR20130140835A (ko) | 2013-12-24 |
EP2667787B1 (en) | 2020-11-04 |
EP3753499B1 (en) | 2024-03-13 |
CN103491883B (zh) | 2016-11-23 |
US10631844B2 (en) | 2020-04-28 |
JP6685883B2 (ja) | 2020-04-22 |
US20190261975A1 (en) | 2019-08-29 |
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