CA2564775C - Appareil et procede de reconstruction ligamentaire - Google Patents

Appareil et procede de reconstruction ligamentaire Download PDF

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Publication number
CA2564775C
CA2564775C CA2564775A CA2564775A CA2564775C CA 2564775 C CA2564775 C CA 2564775C CA 2564775 A CA2564775 A CA 2564775A CA 2564775 A CA2564775 A CA 2564775A CA 2564775 C CA2564775 C CA 2564775C
Authority
CA
Canada
Prior art keywords
transverse
proximal end
fixation pin
graft
distal end
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.)
Expired - Fee Related
Application number
CA2564775A
Other languages
English (en)
Other versions
CA2564775A1 (fr
Inventor
Paul Re
Mark A. Johanson
Peter F. Marshall
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Scandius Biomedical Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from US10/829,846 external-priority patent/US7520898B2/en
Application filed by Scandius Biomedical Inc filed Critical Scandius Biomedical Inc
Publication of CA2564775A1 publication Critical patent/CA2564775A1/fr
Application granted granted Critical
Publication of CA2564775C publication Critical patent/CA2564775C/fr
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • 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
    • A61B17/16—Instruments for performing osteoclasis; 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Rheumatology (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Dentistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Transplantation (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

Cette invention se rapporte à un procédé et à un appareil de reconstruction ligamentaire. Dans un de ses modes de réalisation préférés, cette invention utilise un bloc de support de greffe de ligament, qui comprend un corps, un trou pour la greffe et un trou de broche de fixation transversale s'étendant à travers le corps du bloc, le trou pour la greffe et le trou de broche de fixation transversale s'étendant de préférence dans un sens essentiellement perpendiculaire à l'axe longitudinal du corps du bloc. Dans l'un de ses modes de réalisation préférés, cette invention utilise également un instrument d'installation qui sert à insérer le bloc de support de greffe dans le tunnel osseux et qui, tout en maintenant le bloc de support de greffe dans le tunnel osseux, à former un tunnel transversal dans l'os receveur, ce tunnel transversal de l'os receveur étant aligné sur le trou de broche de fixation transversale du bloc de support de greffe. Dans un procédé d'utilisation préféré, on donne à la greffe une forme de boucle que l'on insère dans le trou pour la greffe ménagé dans le bloc de support de greffe, lequel est alors monté sur l'instrument d'installation. L'instrument d'installation est alors utilisé pour faire avancer le bloc de support de greffe dans le tunnel osseux, les deux extrémités de la greffe en forme de boucle ressortant du tunnel osseux. Puis, on forme un tunnel transversal dans l'os receveur, ce tunnel transversal étant aligné sur le trou de broche de fixation transversale du bloc de support de greffe. Le bloc de support de greffe est ensuite fixé par brochage du bloc de support de greffe dans le tunnel, c'est-à-dire en faisant avancer une broche de fixation transversale dans le tunnel transversal de l'os receveur et dans le trou de broche de fixation transversale du bloc de support de greffe. On retire ensuite l'instrument d'installation du bloc de support de greffe et du champ chirurgical.
CA2564775A 2004-04-22 2005-04-22 Appareil et procede de reconstruction ligamentaire Expired - Fee Related CA2564775C (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/829,846 US7520898B2 (en) 2001-10-01 2004-04-22 Apparatus and method for reconstructing a ligament
US10/829,846 2004-04-22
PCT/US2005/013721 WO2005122921A2 (fr) 2001-10-01 2005-04-22 Appareil et procede de reconstruction ligamentaire

Publications (2)

Publication Number Publication Date
CA2564775A1 CA2564775A1 (fr) 2005-12-29
CA2564775C true CA2564775C (fr) 2013-06-18

Family

ID=37461288

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2564775A Expired - Fee Related CA2564775C (fr) 2004-04-22 2005-04-22 Appareil et procede de reconstruction ligamentaire

Country Status (5)

Country Link
EP (1) EP1746955A4 (fr)
JP (2) JP4879166B2 (fr)
CN (2) CN1988859B (fr)
AU (1) AU2005253927B2 (fr)
CA (1) CA2564775C (fr)

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IN2012DN00325A (fr) * 2009-07-02 2015-05-08 Imds Corp
WO2011081922A1 (fr) * 2009-12-14 2011-07-07 Smith & Nephew, Inc. Système de localisation du lca guidé par visualisation
US8721539B2 (en) 2010-01-20 2014-05-13 EON Surgical Ltd. Rapid laparoscopy exchange system and method of use thereof
EP2525720A1 (fr) * 2010-01-20 2012-11-28 EON Surgical Ltd. Système et procédé de déploiement d'une unité allongée dans une cavité corporelle
JP5816287B2 (ja) 2010-09-19 2015-11-18 イーオン サージカル リミテッド マイクロ腹腔鏡デバイス及びその配置
US8690885B2 (en) 2011-01-28 2014-04-08 Smith & Nephew, Inc. Surgical aiming device
AU2012225496B2 (en) * 2011-03-07 2016-09-22 Conventus Orthopaedics, Inc. Apparatus and methods for bone repair preparation
EP2856974B1 (fr) 2011-04-06 2017-03-01 DePuy Synthes Products, LLC Alésoir distal
US8870891B2 (en) * 2011-06-24 2014-10-28 Depuy Mitek, Llc ACL reconstruction tunnel gauge and method
US8617176B2 (en) * 2011-08-24 2013-12-31 Depuy Mitek, Llc Cross pinning guide devices and methods
US8784426B2 (en) * 2011-10-03 2014-07-22 Smith & Nephew, Inc. Double-loop endobutton, ovoid tunnel guide, and method of ACL re-construction using the ovoid tunnel guide and the double-loop endobutton
CN103315798B (zh) * 2013-06-28 2015-02-18 四川大学华西医院 前交叉韧带重建的骨隧道固定器
CN103340702A (zh) * 2013-07-24 2013-10-09 中南大学湘雅医院 用于膝关节交叉韧带重建的内植装置
CN105326560A (zh) * 2014-08-11 2016-02-17 天津康立尔生物科技有限公司 一种钻套
CN104434281B (zh) * 2014-12-27 2017-02-22 雷俊虎 骨科骨隧道横穿钉定位工具
US10085830B2 (en) * 2016-05-13 2018-10-02 Medos International Sarl Device, system, and method for delivery of a tissue fixation device
CN105919631B (zh) * 2016-06-13 2018-06-19 赵春霞 一种用于足底韧带重建的医疗器械及使用方法
CN105997299B (zh) * 2016-06-30 2018-01-02 吕宏升 一种骨科手术专用的胫骨隧道过线牵引推拉装置
US12377193B2 (en) 2016-07-06 2025-08-05 The Children's Medical Center Corporation Indirect method of articular tissue repair
CN108245262A (zh) * 2017-12-07 2018-07-06 复旦大学附属华山医院 韧带重建等长测量装置
CN208725787U (zh) * 2017-12-30 2019-04-12 深圳市立心科学有限公司 骨钉用的装配具
CN109009564B (zh) * 2018-06-15 2020-07-14 中国人民解放军陆军军医大学第一附属医院 一种用于松质骨填充肌腱的金属假体装置
WO2020047051A1 (fr) * 2018-08-28 2020-03-05 Smith & Nephew, Inc. Mise en place et tension de greffe de ligament assisté par robot
CN112869804A (zh) * 2021-03-16 2021-06-01 上海竞微扶生医学科技有限公司 定位器、输送器、隧道式过线系统及其操作方法
CN112869801A (zh) * 2021-03-16 2021-06-01 上海竞微扶生医学科技有限公司 隧道式过线装置、隧道式过线系统及其操作方法
CN112869802A (zh) * 2021-03-16 2021-06-01 上海竞微扶生医学科技有限公司 定位器、输送器及隧道式过线系统
CN115192168B (zh) * 2021-04-08 2024-08-23 苏州微创脊柱创伤医疗科技有限公司 螺钉操作工具
CN118615488B (zh) * 2024-03-13 2025-01-24 上海市养志康复医院（上海市阳光康复中心） 一种纳米发电可吸收材料、制备方法及可吸收纳米发电韧带修复假体

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Also Published As

Publication number Publication date
AU2005253927B2 (en) 2010-11-25
CN1988859A (zh) 2007-06-27
JP2011177524A (ja) 2011-09-15
JP4879166B2 (ja) 2012-02-22
JP5325257B2 (ja) 2013-10-23
AU2005253927A1 (en) 2005-12-29
JP2007534380A (ja) 2007-11-29
EP1746955A2 (fr) 2007-01-31
CN1988859B (zh) 2010-06-16
CN101816584A (zh) 2010-09-01
EP1746955A4 (fr) 2008-05-14
CA2564775A1 (fr) 2005-12-29

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Effective date: 20190423