DK2987458T3 - Mikrofrakturapparatur - Google Patents
Mikrofrakturapparatur Download PDFInfo
- Publication number
- DK2987458T3 DK2987458T3 DK15185091.4T DK15185091T DK2987458T3 DK 2987458 T3 DK2987458 T3 DK 2987458T3 DK 15185091 T DK15185091 T DK 15185091T DK 2987458 T3 DK2987458 T3 DK 2987458T3
- Authority
- DK
- Denmark
- Prior art keywords
- penetrator
- transverse dimension
- cannula
- penetration
- distal end
- Prior art date
Links
- 208000013201 Stress fracture Diseases 0.000 title claims description 34
- 230000035515 penetration Effects 0.000 claims description 115
- 210000000988 bone and bone Anatomy 0.000 claims description 36
- 210000005065 subchondral bone plate Anatomy 0.000 claims description 27
- 238000000576 coating method Methods 0.000 claims description 14
- 239000011248 coating agent Substances 0.000 claims description 11
- 239000010935 stainless steel Substances 0.000 claims description 8
- 229910001220 stainless steel Inorganic materials 0.000 claims description 8
- 229910052751 metal Inorganic materials 0.000 claims description 5
- 239000002184 metal Substances 0.000 claims description 5
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 4
- 229910000619 316 stainless steel Inorganic materials 0.000 claims description 3
- 229910052709 silver Inorganic materials 0.000 claims description 3
- 239000004332 silver Substances 0.000 claims description 3
- -1 silver ions Chemical class 0.000 claims description 3
- 230000000149 penetrating effect Effects 0.000 claims 11
- 230000001154 acute effect Effects 0.000 claims 2
- 238000000034 method Methods 0.000 description 24
- 241001631457 Cannula Species 0.000 description 12
- 210000003127 knee Anatomy 0.000 description 11
- 238000011282 treatment Methods 0.000 description 7
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 210000000845 cartilage Anatomy 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 239000011159 matrix material Substances 0.000 description 3
- 239000004033 plastic Substances 0.000 description 3
- 206010061762 Chondropathy Diseases 0.000 description 2
- 201000009859 Osteochondrosis Diseases 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 210000001185 bone marrow Anatomy 0.000 description 2
- 230000022159 cartilage development Effects 0.000 description 2
- 238000012512 characterization method Methods 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 210000000629 knee joint Anatomy 0.000 description 2
- 210000002901 mesenchymal stem cell Anatomy 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 238000000554 physical therapy Methods 0.000 description 2
- 210000000323 shoulder joint Anatomy 0.000 description 2
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 206010017076 Fracture Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 238000001467 acupuncture Methods 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 229940127219 anticoagulant drug Drugs 0.000 description 1
- 230000008512 biological response Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 239000003102 growth factor Substances 0.000 description 1
- 230000003116 impacting effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000002991 molded plastic Substances 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 210000004285 patellofemoral joint Anatomy 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 229910000811 surgical stainless steel Inorganic materials 0.000 description 1
- 239000010966 surgical stainless steel Substances 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
Classifications
-
- 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
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
-
- 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
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Instruments for performing osteoclasis; 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
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
-
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/041—Controlled or regulated
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Dentistry (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Claims (17)
1. Apparatur (10) omfattende: en kanyle (18) med en første ende, en anden ende, og en kanal (34), som strækker sig imellem den første ende (26) og den anden ende (30); en penetrator (14) med en distal ende (66) og en første tværgående dimension, hvilken penetrator (14) er konfigureret til at være placeret i kanalen (34) i kanylen (18) således, at penetratoren (14) er bevægelig imellem en tilbagetrukket position og en udskudt position, i hvilken den distale ende (66) strækker sig forbi den anden ende (30) af kanylen (18) med en penetreringsafstand (82) på i det mindste 5 millimeter; hvor penetratoren (14) er konfigureret til at blive bevæget fra den tilbagetrukne position til den udskudte position i det væsentlige uden drejning af penetratoren (14), for i subkondral knogle at danne en mikrofraktur med en dybde på i det mindste 5 millimeter; hvor penetratoren (14) eventuelt omfatter i det mindste én af et biokompatibelt metal, nikkel-titaniumlegering, rustfrit stål og 316L rustfrit stål; kendetegnet ved, at den første tværgående dimension er mindre end 1,2 millimeter (mm).
2. Apparatur ifølge krav 1, kendetegnet ved, at det yderligere omfatter: en penetratorfjernelseslaske (500) som er forbundet med penetratoren (14) og konfigureret til at tilbagetrække penetratoren (14) i forhold til kanylen (18).
3. Apparatur ifølge krav 2, kendetegnet ved, at: kanylen (18) omfatter et håndtag (22), penetratoren (14) omfatter en flange, penetratorfjernelseslasken (500) omfatter en åbning, som har i det mindste én tværgående dimension, som er mindre end en tværgående dimension på flangen; og penetratorfjernelseslasken (500) er konfigureret til at være placeret imellem håndtaget (22) og flangen med penetratoren (14) forløbende igennem åbningen.
4. Apparatur ifølge krav 3, kendetegnet ved, at penetratorfjernelseslasken (500) omfatter et fremspring (524), som er konfigureret til at strække sig imod den anden ende af kanylen og kontakte håndtaget (22) til at fungere som et omdrejningspunkt for vipning af penetratorfjernelseslasken (500).
5. Apparatur ifølge ethvert af kravene 1-4, kendetegnet ved, at den første tværgående dimension for penetratoren er mindre end 1,1 millimeter og/eller at penetratoren (14) er konfigureret til at blive manuelt bevæget fra den tilbagetrukne position til den udskudte position.
6. Apparatur ifølge ethvert af kravene 1-5, kendetegnet ved, at penetratoren (14) har et forstørret hoved (58), og penetreringsafstanden (82) er begrænset ved at det forstørrede hoved (58) kontakter kanylen (18) og eventuelt at penetratoren omfatter et aflangt legeme og det forstørrede hoved (58) er forbundet med det aflange legeme og eventuelt yderligere at det forstørrede hoved er udformet i ét stykke med det aflange legeme.
7. Apparatur ifølge krav 6, kendetegnet ved, at kanylen (18) omfatter en udsparet del (86) og en anlægsflade (90), idet den udsparede del (86) strækker sig fra den første ende (26) af kanylen (18) imod den anden ende (30) af kanylen (18), idet anlægsfladen (90) er placeret imellem den udsparede del (86) og den anden ende (30) af kanylen (18), således at penetreringsafstanden (82) er begrænset ved at det forstørrede hoved kommer i kontakt med anlægsfladen (90) og eventuelt at den udsparede del (86) har en dybde, som er i det mindste lige så stor som penetreringsafstanden (82) og eventuelt yderligere at det forstørrede hoved (58) har en cylindrisk form med en længde og en tværdimension, som er mindre end længden og eventuelt yderligere at det forstørrede hoved (58) har en tværdimension, som er i det mindste 90% af en tilsvarende tværdimension af den udsparede del.
8. Apparatur ifølge ethvert af kravene 1-7, kendetegnet ved, at den distale ende af penetratoren er spids.
9. Apparatur ifølge ethvert af kravene 1-8, kendetegnet ved, at en belægning er anbragt på i det mindste en penetreringsdel (70) af penetratoren (14), eller at en hydrofil belægning er placeret på i det mindste penetreringsdelen (66) af penetratoren (14), eller at en hydrofil belægning omfattende sølvioner er placeret på i det mindste penetreringsdelen (66) af penetratoren (14).
10. Apparatur ifølge ethvert af kravene 1-9, kendetegnet ved, at penetratoren (14) omfatter en primær del (62) og en penetreringsdel (70), idet den primære del (62) har et cirkulært tværsnit, idet penetreringsdelen (70) er placeret imellem den primære del (62) og den distale ende (66), hvilken penetreringsdel (70) har et cirkulært tværsnit, som er mindre end det cirkulære tværsnit for den primære del (62).
11. Apparatur ifølge krav 10, kendetegnet ved, at den første tværgående dimension er i penetreringsdelen (70) og en anden tværgående dimension, mindre end den første dimension, er imellem den første tværgående dimension og den primære del, eller at den første tværgående dimension er i penetreringsdelen, med en længde, og en anden tværgående dimension, mindre end den første dimension, er imellem den første tværgående dimension og den primære del, og i det væsentlige konstant langs en del af længden af penetreringsdelen.
12. Apparatur ifølge ethvert af kravene 1-11, kendetegnet ved, at penetreringsdelen (66) omfatter en smal del med i det mindste én tværgående dimension, som er mindre end en tilstødende tværgående dimension for penetreringsdelen (70), således at den smalle del er konfigureret til at reducere kontakt imellem penetratoren (14) og en knogle hvis penetreringsdelen (70) er indsat i knoglen, eller at penetratoren (14) omfatter en primær del (62) og en penetreringsdel (70) placeret imellem den primære del (62) og den distale ende (66), idet den første tværgående dimension er i penetreringsdelen (70) og den anden tværgående dimension er imellem den første tværgående dimension og den primære del (62).
13. Apparatur ifølge krav 12, kendetegnet ved, at den anden tværgående dimension er mindre end den første tværgående dimension, eller at den anden tværgående dimension er mindre end den første tværgående dimension, hvor penetreringsdelen (66) har en længde, og den anden tværgående dimension er i det væsentlige konstant langs en del af længden af penetreringsdelen (66).
14. Apparatur ifølge krav 13, kendetegnet ved, at den første tværgående dimension er tættere på den distale ende end på den primære del (62), eller at den første tværgående dimension er tættere på den distale ende (66) end på den primære del (62) og hvor penetratoren (14) har et første eventuelt cirkulært tværsnitsareal ved den første tværgående dimension, idet penetratoren (14) har et andet eventuelt cirkulært tværsnitsareal ved den anden tværgående dimension, og det første tværsnitsareal er større end det andet tværsnitsareal.
15. Apparatur ifølge ethvert af kravene 1-14, kendetegnet ved, at den distale ende omfatter en tilspidset spids med en tværsnitsform defineret ved en spidsvinkel på 60 grader eller større, eller at den distale ende omfatter en tilspidset spids med en tværsform defineret ved en spidsvinkel på 60 grader eller større, idet spidsvinklen er halveret af en central langsgående akse for penetreringsdelen (66).
16. Apparatur ifølge krav 15, kendetegnet ved, at spidsvinklen er større end 90 grader, eller at spidsvinklen er større end 120 grader.
17. Sæt omfattende: apparaturet (10) ifølge ethvert af kravene 1-16; en genbrugelig, steriliserbar bakke; og en emballage, i hvilken kanylen og bakken er forseglede.
Applications Claiming Priority (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201261609053P | 2012-03-09 | 2012-03-09 | |
| US201261665084P | 2012-06-27 | 2012-06-27 | |
| US201261720778P | 2012-10-31 | 2012-10-31 | |
| US201261736913P | 2012-12-13 | 2012-12-13 | |
| US201361755783P | 2013-01-23 | 2013-01-23 | |
| EP13714735.1A EP2822483B1 (en) | 2012-03-09 | 2013-03-07 | Microfracture apparatuses |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DK2987458T3 true DK2987458T3 (da) | 2019-02-11 |
Family
ID=48050242
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DK15185091.4T DK2987458T3 (da) | 2012-03-09 | 2013-03-07 | Mikrofrakturapparatur |
| DK13714735.1T DK2822483T3 (da) | 2012-03-09 | 2013-03-07 | Mikrofrakturapparatur |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DK13714735.1T DK2822483T3 (da) | 2012-03-09 | 2013-03-07 | Mikrofrakturapparatur |
Country Status (6)
| Country | Link |
|---|---|
| US (11) | US9211126B2 (da) |
| EP (2) | EP2987458B1 (da) |
| AU (1) | AU2013230914B2 (da) |
| DK (2) | DK2987458T3 (da) |
| PL (1) | PL2822483T3 (da) |
| WO (1) | WO2013134500A1 (da) |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US20150359586A1 (en) * | 2000-02-03 | 2015-12-17 | Michael Heggeness | Device and method for alleviation of pain |
| US8361159B2 (en) | 2002-12-03 | 2013-01-29 | Arthrosurface, Inc. | System for articular surface replacement |
| US8388624B2 (en) | 2003-02-24 | 2013-03-05 | Arthrosurface Incorporated | Trochlear resurfacing system and method |
| US9358029B2 (en) | 2006-12-11 | 2016-06-07 | Arthrosurface Incorporated | Retrograde resection apparatus and method |
| US10172626B2 (en) | 2008-04-15 | 2019-01-08 | The Lonnie and Shannon Paulos Trust | Tissue microfracture apparatus and methods of use |
| WO2010121250A1 (en) | 2009-04-17 | 2010-10-21 | Arthrosurface Incorporated | Glenoid resurfacing system and method |
| US10945743B2 (en) | 2009-04-17 | 2021-03-16 | Arthrosurface Incorporated | Glenoid repair system and methods of use thereof |
| EP2542165A4 (en) | 2010-03-05 | 2015-10-07 | Arthrosurface Inc | SYSTEM AND METHOD FOR TIBIAL RESURFACING |
| EP2804565B1 (en) | 2011-12-22 | 2018-03-07 | Arthrosurface Incorporated | System for bone fixation |
| DK2987458T3 (da) * | 2012-03-09 | 2019-02-11 | George J Sikora | Mikrofrakturapparatur |
| DE112013003358T5 (de) | 2012-07-03 | 2015-03-19 | Arthrosurface, Inc. | System und Verfahren für Gelenkoberflächenersatz und -reparatur |
| US9386997B2 (en) * | 2013-03-29 | 2016-07-12 | Smith & Nephew, Inc. | Tunnel gage |
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| ES2684083T3 (es) * | 2013-08-26 | 2018-10-01 | Elos Medtech Timmersdala Ab | Dispositivo de cirugía dental |
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| US9861492B2 (en) | 2014-03-07 | 2018-01-09 | Arthrosurface Incorporated | Anchor for an implant assembly |
| US10624748B2 (en) | 2014-03-07 | 2020-04-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
| US11607319B2 (en) | 2014-03-07 | 2023-03-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
| WO2016053730A1 (en) | 2014-10-01 | 2016-04-07 | Steven Ek | Apparatus for applying a membrane |
| KR101825270B1 (ko) | 2015-10-26 | 2018-02-02 | 아주대학교산학협력단 | 미세골절술용 천공기구 |
| US10702289B2 (en) * | 2016-09-26 | 2020-07-07 | Klsmc Instruments, Llc | Arthroscopic drill blade and arthroscopic drill access system made therefrom |
| US10874406B2 (en) | 2017-02-28 | 2020-12-29 | MFr Technologies, Inc. | Handheld surgical instrument |
| US12539126B2 (en) | 2017-02-28 | 2026-02-03 | MFr Technologies, Inc. | Handheld surgical instrument |
| CA3108761A1 (en) | 2017-08-04 | 2019-02-07 | Arthrosurface Incorporated | Multicomponent articular surface implant |
| CN111787886A (zh) | 2018-01-02 | 2020-10-16 | 卡尔蒂希尔(2009)公司 | 用于促进细胞和组织生长的优化固体基质的植入工具和方案 |
| KR101842419B1 (ko) | 2018-01-25 | 2018-05-14 | 아주대학교산학협력단 | 미세골절술용 천공기구 |
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| GB2609338B (en) | 2019-03-12 | 2023-06-14 | Arthrosurface Inc | Humeral and glenoid articular surface implant systems and methods |
| USD929586S1 (en) * | 2019-06-03 | 2021-08-31 | West Gen Technologies, L.L.C. | Guide tool |
| TW202444313A (zh) | 2023-03-03 | 2024-11-16 | 日商持田製藥股份有限公司 | 手術用裝置 |
| CN119791913A (zh) * | 2025-03-17 | 2025-04-11 | 苏州星悦智慧医疗科技有限公司 | 骨髓刺激锥系统 |
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| EP2987458A1 (en) | 2016-02-24 |
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