JP6998973B2 - 拡張アンカー - Google Patents
拡張アンカー Download PDFInfo
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- JP6998973B2 JP6998973B2 JP2019568137A JP2019568137A JP6998973B2 JP 6998973 B2 JP6998973 B2 JP 6998973B2 JP 2019568137 A JP2019568137 A JP 2019568137A JP 2019568137 A JP2019568137 A JP 2019568137A JP 6998973 B2 JP6998973 B2 JP 6998973B2
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- drive member
- anchor system
- tubular body
- handle
- shank
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- 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, 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
- 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
- A61B17/04—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
- A61B2017/0464—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
-
- 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
-
- 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
- A61F2002/0841—Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0067—Three-dimensional shapes conical
-
- 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
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/001—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a diameter
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Rheumatology (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Rehabilitation Therapy (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
本出願は、2017年6月12日に出願された米国仮特許出願第62/518,245号の優先権を主張する。
前部の十字靱帯手術などの、膝の靱帯再建の間、軟組織移植片は多くの場合、骨トンネル内に引き出され、固定される必要がある。移植片を固定する従来的アプローチには、移植片が所定位置に引き出された後に骨トンネル内に挿入される干渉ねじまたはアンカーの使用が関与する。このアプローチは強固なアンカーポイントを提供するが、ねじまたはアンカーの挿入は困難であり、高い失敗率を有する。従って、トンネル内に移植片の安定化のために骨トンネルの壁に対して移植片を圧縮するためにより簡単に使用できるインプラントに対するニーズがある。
Claims (10)
- アンカーシステムであって、
近位端から遠位端に長手方向軸に沿って延在する管状の本体と、
前記管状の本体の前記遠位端に固定された円錐形頭部と、
複数の拡張可能なセグメントと、
前記管状の本体の前記近位端の外側表面上に配置された第一の組のねじ山と、
前記管状の本体の前記近位端上に位置付けられた駆動部材であって、前記駆動部材の前記円錐形頭部に向かう進行が、前記複数の拡張可能なセグメントを配置されていない構成から配置された構成に移動させる、駆動部材と、を含み、
前記複数の拡張可能なセグメントは前記管状の本体の中間部分に沿って互いに長手方向に位置付けられ、前記配置されていない構成と前記配置された構成との間で移動可能であり、前記配置されていない構成は前記複数の拡張可能なセグメントが長手方向に間隔を空けて半径方向に収縮し、前記配置された構成は前記複数の拡張可能なセグメントが前記円錐形頭部に対して一緒に長手方向に圧縮され半径方向に拡張している、アンカーシステム。 - 前記駆動部材が、内側表面を画定するように貫通して形成された穴を有し、前記内側表面の遠位部分が、前記第一の組のねじ山に対応する第二の組のねじ山を含む、請求項1に記載のアンカーシステム。
- 前記円錐形頭部が、組織移植片を受け入れるように寸法決めされた少なくとも一つのスカラップを含む、請求項1に記載のアンカーシステム。
- 前記複数の拡張可能なセグメントのそれぞれが円錐台形である、請求項3に記載のアンカーシステム。
- 前記複数の拡張可能なセグメントのそれぞれが、半径方向外側に延在する少なくとも一つのスロットを含む、請求項4に記載のアンカーシステム。
- 前記駆動部材の前記内側表面の近位部分が、内側非円形形状を含む、請求項5に記載のアンカーシステム。
- 第一の端部および第二の端部を有するハンドルと、前記ハンドルの前記第一の端部から、前記駆動部材の前記内側非円形形状に対応する外側非円形形状を有する自由端まで延在するシャンクと、を有する駆動ツールをさらに含む、請求項6に記載のアンカーシステム。
- 前記駆動ツールが、前記シャンクの前記自由端から前記ハンドルの前記第二の端部まで前記シャンクを貫通する可動シャフトと、前記シャンクの前記自由端に向かって前記可動シャフトに付勢を提供するばねと、をさらに含む、請求項7に記載のアンカーシステム。
- 前記駆動ツールが、前記ストライクプレートが前記ハンドルの前記第二の端部において受け入れられる第一の位置と、前記ストライクプレートが、前記ハンドルの前記第二の端部から延在する第二の位置との間を移動するために、前記可動シャフトに結合されたストライクプレートをさらに含む、請求項8に記載のアンカーシステム。
- 前記シャンクの前記自由端を前記駆動部材に挿入すると、前記管状の本体に沿った第一の方向への前記駆動部材を伴う前記駆動ツールの前進により、前記管状の本体が、前記可動シャフトを前記ばねの前記付勢に対して反対方向に押すように、前記管状の本体の前記近位端が前記駆動ツールの前記可動シャフトと整列する、請求項9に記載のアンカーシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762518245P | 2017-06-12 | 2017-06-12 | |
US62/518,245 | 2017-06-12 | ||
PCT/US2018/036838 WO2018231681A1 (en) | 2017-06-12 | 2018-06-11 | Expanding anchor |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2020523109A JP2020523109A (ja) | 2020-08-06 |
JP6998973B2 true JP6998973B2 (ja) | 2022-01-18 |
Family
ID=62875275
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019568137A Active JP6998973B2 (ja) | 2017-06-12 | 2018-06-11 | 拡張アンカー |
Country Status (9)
Country | Link |
---|---|
US (1) | US20200188087A1 (ja) |
EP (1) | EP3638151B1 (ja) |
JP (1) | JP6998973B2 (ja) |
KR (1) | KR102309780B1 (ja) |
CN (1) | CN111163726B (ja) |
AU (1) | AU2018283948B2 (ja) |
CA (1) | CA3066403C (ja) |
ES (1) | ES2969533T3 (ja) |
WO (1) | WO2018231681A1 (ja) |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2004160177A (ja) | 2002-06-27 | 2004-06-10 | Ethicon Inc | 縫合糸アンカー |
US20090043342A1 (en) | 2006-03-28 | 2009-02-12 | Yosef Freedland | Flat Shaft Fasteners |
US20110319946A1 (en) | 2009-03-12 | 2011-12-29 | Levy Mark M | Bone implantation and stabilization assembly including deployment device |
JP2015518756A (ja) | 2012-05-29 | 2015-07-06 | スミス アンド ネフュー インコーポレーテッドSmith & Nephew,Inc. | 複合型アンカー |
JP2016515005A (ja) | 2013-03-14 | 2016-05-26 | ケーエフエックス・メディカル・エルエルシー | 組織捕捉骨アンカ |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
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DE2247560C2 (de) * | 1972-09-28 | 1974-05-09 | Artur Fischer | Hueftgelenkkopfprothese |
ATE111333T1 (de) * | 1990-07-06 | 1994-09-15 | Sulzer Medizinaltechnik Ag | Bandverankerung. |
FR2728779B1 (fr) * | 1995-01-02 | 1997-07-18 | Caffiniere Jean Yves De | Dispositif d'ancrage par impaction dans l'os spongieux des fils de fixation utilises en chirurgie |
US8002842B2 (en) * | 2005-11-07 | 2011-08-23 | Biomet Manufacturing Corp. | Method and apparatus for reducing rim loading of an acetabular shell |
US8066714B2 (en) * | 2006-03-17 | 2011-11-29 | Warsaw Orthopedic Inc. | Instrumentation for distraction and insertion of implants in a spinal disc space |
US9724140B2 (en) * | 2010-06-02 | 2017-08-08 | Wright Medical Technology, Inc. | Tapered, cylindrical cruciform hammer toe implant and method |
US9044313B2 (en) * | 2010-10-08 | 2015-06-02 | Kfx Medical Corporation | System and method for securing tissue to bone |
US9855028B2 (en) * | 2012-04-06 | 2018-01-02 | Arthrocare Corporation | Multi-suture knotless anchor for attaching tissue to bone and related method |
EP2910210B1 (en) * | 2012-06-18 | 2018-03-07 | Biedermann Technologies GmbH & Co. KG | Bone anchor |
EP2769693A1 (en) * | 2013-02-22 | 2014-08-27 | Mustafa Hilmi Aksamoglu | Lock clamp used in orthopedic surgeries |
CN104905859B (zh) * | 2015-07-01 | 2017-11-24 | 上海凯利泰医疗科技股份有限公司 | 用于交叉韧带重建的固定装置、固定方法和使用方法 |
-
2018
- 2018-06-11 JP JP2019568137A patent/JP6998973B2/ja active Active
- 2018-06-11 WO PCT/US2018/036838 patent/WO2018231681A1/en unknown
- 2018-06-11 CN CN201880052176.8A patent/CN111163726B/zh active Active
- 2018-06-11 EP EP18739977.9A patent/EP3638151B1/en active Active
- 2018-06-11 US US16/621,799 patent/US20200188087A1/en active Pending
- 2018-06-11 CA CA3066403A patent/CA3066403C/en active Active
- 2018-06-11 AU AU2018283948A patent/AU2018283948B2/en active Active
- 2018-06-11 ES ES18739977T patent/ES2969533T3/es active Active
- 2018-06-11 KR KR1020207000682A patent/KR102309780B1/ko active IP Right Grant
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2004160177A (ja) | 2002-06-27 | 2004-06-10 | Ethicon Inc | 縫合糸アンカー |
US20090043342A1 (en) | 2006-03-28 | 2009-02-12 | Yosef Freedland | Flat Shaft Fasteners |
US20110319946A1 (en) | 2009-03-12 | 2011-12-29 | Levy Mark M | Bone implantation and stabilization assembly including deployment device |
JP2015518756A (ja) | 2012-05-29 | 2015-07-06 | スミス アンド ネフュー インコーポレーテッドSmith & Nephew,Inc. | 複合型アンカー |
JP2016515005A (ja) | 2013-03-14 | 2016-05-26 | ケーエフエックス・メディカル・エルエルシー | 組織捕捉骨アンカ |
Also Published As
Publication number | Publication date |
---|---|
CN111163726B (zh) | 2023-04-25 |
US20200188087A1 (en) | 2020-06-18 |
CA3066403C (en) | 2023-10-17 |
CN111163726A (zh) | 2020-05-15 |
AU2018283948A1 (en) | 2020-01-02 |
AU2018283948B2 (en) | 2021-04-01 |
KR102309780B1 (ko) | 2021-10-08 |
WO2018231681A1 (en) | 2018-12-20 |
EP3638151B1 (en) | 2023-11-01 |
CA3066403A1 (en) | 2018-12-20 |
KR20200018591A (ko) | 2020-02-19 |
EP3638151A1 (en) | 2020-04-22 |
ES2969533T3 (es) | 2024-05-21 |
JP2020523109A (ja) | 2020-08-06 |
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