JPH08505549A - 骨に移植靭帯を固定するためのピン - Google Patents
骨に移植靭帯を固定するためのピンInfo
- Publication number
- JPH08505549A JPH08505549A JP6516365A JP51636594A JPH08505549A JP H08505549 A JPH08505549 A JP H08505549A JP 6516365 A JP6516365 A JP 6516365A JP 51636594 A JP51636594 A JP 51636594A JP H08505549 A JPH08505549 A JP H08505549A
- Authority
- JP
- Japan
- Prior art keywords
- pin
- bone
- head
- tunnel
- graft ligament
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
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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
- A61B17/56—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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
-
- 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
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
-
- 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
- A61F2002/0829—Modular anchors comprising a plurality of separate parts without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
-
- 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
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
- A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Rheumatology (AREA)
- Rehabilitation Therapy (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.受け入れ側の骨のトンネルの内部に移植靭帯を固定するためのピンであって 、 前記受け入れ側の骨と係合して、前記受け入れ側の骨に前記ピンを固定するた めのねじ切りした部分を含み、更に前記移植靭帯と係合して、前記移植靭帯を前 記トンネルの側壁に対して圧接することで、前記移植靭帯をトンネル内部に固定 し前記靭帯の治癒を促進するための手段を含む本体部分と、 前記ねじ切りした部分に接する前記本体部分の端部に結合し、前記ピンを前記 受け入れ側の骨に打ち込むための頭部と を含むことを特徴とするピン。 2.前記係合手段は前記ねじ切りした部分に隣接して位置するテーパー状の軸を 含み、前記テーパー状の軸は、前記移植靭帯に形成した所定の直径を有する穿孔 した孔に挿入されて、前記移植靭帯を前記トンネルの前記壁に対して圧接するよ うに構成されていることを特徴とする請求の範囲第1項に記載のピン。 3.前記テーパー状の軸は、前記ねじ切りした部分に対向する前記テーパー状の 軸の第1の端部で前記穿孔した孔の前記所定の直径より小さな第1の直径と、前 記ねじ切りした部分に隣接し前記所定の直径より大きな第2の直径とを有して、 前記移植靭帯内の穿孔した孔を通して前記ピンを挿入したときに、前記テーパー 状の軸が前記トンネル内で前記移植靭帯と係合し、前記トンネルの側壁に対して 前記移植靭帯を圧接することで、前記受け入れ側の骨の内部で前記移植靭帯の治 癒を促進するようにしてあることを特徴とする請求の範囲第2項に記載のピン。 4.前記先端から対向する前記本体部分の一端に配置した一般に円錐形の尖端部 を更に含むことを特徴とする請求の範囲第1項に記載のピン。 5.前記一般に円錐形の尖端部は約30゜の角度に角度づけしていることを特徴 とする請求の範囲第4項に記載のピン。 6.前記先端と前記本体部分の前記ねじ切りした部分の間に位置する一般に平滑 な頸部を更に含むことを特徴とする請求の範囲第1項に記載のピン。 7.前記頭部を外部が六角形の頭部とすることにより、前記ピンを前記受け入れ 側の骨に装着した場合に、前記受け入れ側の骨に前記頭部が埋没する危険性を減 少させることを特徴とする請求の範囲第1項に記載のピン。 8.前記頭部から対向する前記本体部分の第2の端部に形成して、前記頭部に対 向する前記トンネルの側面において前記受け入れ側の骨の一部に刺入するように した鋭利な尖端部を更に含むことを特徴とする請求の範囲第1項に記載のピン。 9.受け入れ側の骨に形成したトンネル内に移植靭帯を保定するためのピンであ って、前記ピンは前記受け入れ側の骨と、前記トンネルと、前記トンネル内に配 置した前記移植靭帯と、前記トンネルの対向する側面において前記受け入れ側の 骨の一部とを貫通して穿孔した横断方向の孔に挿入され、前記穿孔した孔は所定 の直径を有し、前記ピンは本体部分と、前記ピンを前記受け入れ側の骨に打ち込 むために前記本体部分の一端に形成した頭部とを含み、前記本体部分は前記頭部 に対向して前記本体部分の端部に位置する尖端部と、前記尖端部に接して配置さ れた一般に平滑な軸と、前記ピンを前記受け入れ側の骨の内部に保定するために 前記受け入れ側の骨と係合させる前記軸と前記頭部の間に配置されたねじ切り部 分とを含み、前記テーパー状の軸は前記横断方向の孔の前記所定の直径より小さ く前記尖端部に隣接した第1の直径と、前記所定の直径より大きい前記ねじ切り 部分に隣接した第2の直径とを有して前記ピンを前記移植靭帯内の前記孔を通し て挿入したときに前記テーパー状の軸が前記トンネル内の前記移植靭帯に係合し て、前記トンネルの側壁に対して前記移植靭帯を圧接し、前記受け入れ側の骨の 内部で前記移植靭帯の治癒を促進するようにしてあることを特徴とするピン。 10.前記本体部分の前記尖端部は一般に円錐形の形状を有することを特徴とす る請求の範囲第9項に記載のピン。 11.前記一般に円錐形の尖端部は約30゜の角度に角度づけしていることを特 徴とする請求の範囲第10項に記載のピン。 12.前記頭部と前記本体部分のねじ切りした部分の間に配置した一般に平滑な 頸部を更に含むことを特徴とする請求の範囲第9項に記載のピン。 13.前記頭部を外部が六角形の頭部とすることにより、前記ピンを前記受け入 れ側の骨に装着したときに、前記頭部が前記受け入れ側の骨に埋没する危険性を 減じるようにしてあることを特徴とする請求の範囲第9項に記載のピン。 14.前記尖端部は前記頭部に対向する前記トンネルの側面において前記受け入 れ側の骨の一部に刺入するように尖らせてあることを特徴とする請求の範囲第1 項に記載のピン。 15.受け入れ側の骨の開口部内に骨又は組織移植片を保定するためのピンであ って、前記ピンは前記受け入れ側の骨の外部を貫通し、前記開口部及び前記移植 片を貫通する延在部を挿入するために提供され、前記ピンは前記受け入れ側の骨 の外部に位置させる近心端と、前記受け入れ側の骨の内部に配置する遠心端と、 中間の本体部分とを有し、前記ピンは打ち込み工具により係合させる前記近心端 に配置した頭部と、前記受け入れ側の骨と係合させるため前記近心端に隣接した ねじ切り部分とを有し、前記中間の部分は前記ねじ切りした部分に隣接する一点 から前記遠心端に隣接する一点まで直径が小さくなるテーパー状にしてあること を特徴とするピン。 16.前記ピンは前記ねじ切りした部分と前記頭部との間に直径の小さい部分を 含むことを特徴とする請求の範囲第15項に記載のピン。 17.前記ピンの前記遠心端は一般に円錐形の形状を有することを特徴とする請 求の範囲第15項に記載のピン。 18.前記一般に円錐形の遠心端は約30°の角度に角度づけしていることを特 徴とする請求の範囲第17項に記載のピン。 19.前記頭部を外部が六角形の頭部とすることにより、前記ピンを前記受け入 れ側の骨に装着した時に前記受け入れ側の骨に前記頭部が埋没する危険性を減じ るようにしてあることを特徴とする請求の範囲第15項に記載のピン。 20.前記ピンの前記遠心端に形成して前記頭部に対向する前記トンネルの側面 において前記受け入れ側の骨の一部に刺入させるための尖らせた尖端部を更に含 むことを特徴とする請求の範囲第15項に記載のピン。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/005,242 US5397356A (en) | 1993-01-15 | 1993-01-15 | Pin for securing a replacement ligament to a bone |
US08/005,242 | 1993-01-15 | ||
PCT/US1994/000634 WO1994015552A1 (en) | 1993-01-15 | 1994-01-13 | Pin for securing a replacement ligament to a bone |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH08505549A true JPH08505549A (ja) | 1996-06-18 |
JP3637369B2 JP3637369B2 (ja) | 2005-04-13 |
Family
ID=21714901
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP51636594A Expired - Fee Related JP3637369B2 (ja) | 1993-01-15 | 1994-01-13 | 骨に移植靭帯を固定するためのピン |
Country Status (8)
Country | Link |
---|---|
US (2) | US5397356A (ja) |
EP (1) | EP0695155B1 (ja) |
JP (1) | JP3637369B2 (ja) |
AT (1) | ATE195241T1 (ja) |
AU (2) | AU670677B2 (ja) |
CA (1) | CA2153594C (ja) |
DE (1) | DE69425491T2 (ja) |
WO (1) | WO1994015552A1 (ja) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2009240442A (ja) * | 2008-03-29 | 2009-10-22 | Osaka City Univ | 骨接合用スクリュー |
JP2014514019A (ja) * | 2011-03-10 | 2014-06-19 | シンセス・ゲーエムベーハー | 突き錐ねじ固定部材、及び関連するシステム |
KR101500116B1 (ko) * | 2013-07-30 | 2015-03-09 | 신건성 | 수술용 임플란트 및 그것이 포함된 인공인대고정용 수술용구 |
WO2020161944A1 (ja) * | 2019-02-07 | 2020-08-13 | オリンパステルモバイオマテリアル株式会社 | 椎弓用スクリュおよび椎弓スペーサキット |
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US5891150A (en) * | 1996-12-04 | 1999-04-06 | Chan; Kwan-Ho | Apparatus and method for fixing a ligament in a bone tunnel |
US8080058B2 (en) * | 2003-04-01 | 2011-12-20 | Depuy Mitek, Inc. | Method and apparatus for fixing a graft in a bone tunnel |
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US5849013A (en) * | 1997-01-14 | 1998-12-15 | Whittaker; Gregory R. | Method and apparatus for fixing a bone block in a bone tunnel |
US5918604A (en) * | 1997-02-12 | 1999-07-06 | Arthrex, Inc. | Method of loading tendons into the knee |
US7066956B2 (en) * | 1997-02-12 | 2006-06-27 | Arthrex, Inc. | Transverse fixation technique for ACL reconstruction using bone-tendon-bone graft |
US7077863B2 (en) * | 1997-02-12 | 2006-07-18 | Arthrex, Inc. | Transverse fixation technique for ACL reconstruction using bone-tendon-bone graft with loop at end |
US5885293A (en) * | 1997-03-03 | 1999-03-23 | Innovasive Devices, Inc. | Apparatus and method for cutting a surface at a repeatable angle |
US6342051B1 (en) * | 1997-06-12 | 2002-01-29 | Gholam A. Peyman | Treatment of anoxic tissue with angiogenesis-inducing implants |
EP1024763B1 (en) | 1997-09-24 | 2004-03-03 | Ethicon Inc. | Acl fixation pin |
US5871504A (en) * | 1997-10-21 | 1999-02-16 | Eaton; Katulle Koco | Anchor assembly and method for securing ligaments to bone |
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US6146406A (en) | 1998-02-12 | 2000-11-14 | Smith & Nephew, Inc. | Bone anchor |
US6387129B2 (en) * | 1998-03-18 | 2002-05-14 | Arthrex, Inc. | Bicortical tibial fixation of ACL grafts |
US6395011B1 (en) | 1998-07-17 | 2002-05-28 | Johnson & Johnson | Method and apparatus for harvesting and implanting bone plugs |
US6482210B1 (en) | 1998-11-12 | 2002-11-19 | Orthopaedic Biosystems, Ltd., Inc. | Soft tissue/ligament to bone fixation device with inserter |
US6497726B1 (en) | 2000-01-11 | 2002-12-24 | Regeneration Technologies, Inc. | Materials and methods for improved bone tendon bone transplantation |
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US6733506B1 (en) | 2000-11-16 | 2004-05-11 | Ethicon, Inc. | Apparatus and method for attaching soft tissue to bone |
US7195642B2 (en) * | 2001-03-13 | 2007-03-27 | Mckernan Daniel J | Method and apparatus for fixing a graft in a bone tunnel |
US6517546B2 (en) * | 2001-03-13 | 2003-02-11 | Gregory R. Whittaker | Method and apparatus for fixing a graft in a bone tunnel |
US7594917B2 (en) | 2001-03-13 | 2009-09-29 | Ethicon, Inc. | Method and apparatus for fixing a graft in a bone tunnel |
US7344539B2 (en) * | 2001-03-30 | 2008-03-18 | Depuy Acromed, Inc. | Intervertebral connection system |
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- 1994-01-13 CA CA002153594A patent/CA2153594C/en not_active Expired - Fee Related
- 1994-01-13 AT AT94906674T patent/ATE195241T1/de not_active IP Right Cessation
- 1994-01-13 EP EP94906674A patent/EP0695155B1/en not_active Expired - Lifetime
- 1994-01-13 WO PCT/US1994/000634 patent/WO1994015552A1/en active IP Right Grant
- 1994-01-13 JP JP51636594A patent/JP3637369B2/ja not_active Expired - Fee Related
- 1994-01-13 AU AU60305/94A patent/AU670677B2/en not_active Ceased
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JP2009240442A (ja) * | 2008-03-29 | 2009-10-22 | Osaka City Univ | 骨接合用スクリュー |
JP2014514019A (ja) * | 2011-03-10 | 2014-06-19 | シンセス・ゲーエムベーハー | 突き錐ねじ固定部材、及び関連するシステム |
KR101500116B1 (ko) * | 2013-07-30 | 2015-03-09 | 신건성 | 수술용 임플란트 및 그것이 포함된 인공인대고정용 수술용구 |
WO2020161944A1 (ja) * | 2019-02-07 | 2020-08-13 | オリンパステルモバイオマテリアル株式会社 | 椎弓用スクリュおよび椎弓スペーサキット |
KR20210110686A (ko) * | 2019-02-07 | 2021-09-08 | 올림푸스 테루모 바이오머티리얼 가부시키가이샤 | 추궁용 스크류 및 추궁 스페이서 키트 |
JPWO2020161944A1 (ja) * | 2019-02-07 | 2021-12-02 | オリンパステルモバイオマテリアル株式会社 | 椎弓用スクリュおよび椎弓スペーサキット |
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Publication number | Publication date |
---|---|
EP0695155A4 (en) | 1996-12-04 |
CA2153594C (en) | 1998-12-15 |
WO1994015552A1 (en) | 1994-07-21 |
AU7037796A (en) | 1997-01-16 |
AU670677B2 (en) | 1996-07-25 |
US5397356A (en) | 1995-03-14 |
AU6030594A (en) | 1994-08-15 |
CA2153594A1 (en) | 1994-07-21 |
DE69425491T2 (de) | 2001-02-08 |
DE69425491D1 (de) | 2000-09-14 |
ATE195241T1 (de) | 2000-08-15 |
EP0695155A1 (en) | 1996-02-07 |
EP0695155B1 (en) | 2000-08-09 |
US5562671A (en) | 1996-10-08 |
JP3637369B2 (ja) | 2005-04-13 |
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