JP4879166B2 - 靱帯を再構成するための装置及び方法 - Google Patents
靱帯を再構成するための装置及び方法 Download PDFInfo
- Publication number
- JP4879166B2 JP4879166B2 JP2007509656A JP2007509656A JP4879166B2 JP 4879166 B2 JP4879166 B2 JP 4879166B2 JP 2007509656 A JP2007509656 A JP 2007509656A JP 2007509656 A JP2007509656 A JP 2007509656A JP 4879166 B2 JP4879166 B2 JP 4879166B2
- Authority
- JP
- Japan
- Prior art keywords
- graft ligament
- transverse
- tunnel
- support block
- graft
- 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
Links
- 210000003041 ligament Anatomy 0.000 title claims description 382
- 238000000034 method Methods 0.000 title description 108
- 210000000988 bone and bone Anatomy 0.000 claims description 206
- 238000009434 installation Methods 0.000 claims description 36
- 239000003550 marker Substances 0.000 claims description 34
- 239000000463 material Substances 0.000 claims description 9
- 239000002131 composite material Substances 0.000 claims description 6
- 235000014653 Carica parviflora Nutrition 0.000 claims description 3
- 239000000919 ceramic Substances 0.000 claims description 3
- 239000000835 fiber Substances 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 3
- 229910052751 metal Inorganic materials 0.000 claims description 3
- 229920000642 polymer Polymers 0.000 claims description 3
- 230000000472 traumatic effect Effects 0.000 claims description 3
- 241000242757 Anthozoa Species 0.000 claims 1
- -1 allograft bones Substances 0.000 claims 1
- 150000002739 metals Chemical class 0.000 claims 1
- 238000010586 diagram Methods 0.000 description 37
- 210000000689 upper leg Anatomy 0.000 description 28
- 210000000629 knee joint Anatomy 0.000 description 13
- 210000002303 tibia Anatomy 0.000 description 11
- 238000005553 drilling Methods 0.000 description 7
- 238000002513 implantation Methods 0.000 description 7
- 230000009471 action Effects 0.000 description 5
- 210000001519 tissue Anatomy 0.000 description 5
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 238000009412 basement excavation Methods 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 239000007943 implant Substances 0.000 description 4
- 210000003127 knee Anatomy 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 210000004872 soft tissue Anatomy 0.000 description 4
- 210000002435 tendon Anatomy 0.000 description 4
- 208000032005 Spinocerebellar ataxia with axonal neuropathy type 2 Diseases 0.000 description 3
- 208000033361 autosomal recessive with axonal neuropathy 2 spinocerebellar ataxia Diseases 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 210000000426 patellar ligament Anatomy 0.000 description 3
- 230000008439 repair process Effects 0.000 description 3
- 241000243321 Cnidaria Species 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 208000005137 Joint instability Diseases 0.000 description 1
- 210000001264 anterior cruciate ligament Anatomy 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000009429 distress Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000010079 rubber tapping Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
Images
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)
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 (en) | 2001-10-01 | 2005-04-22 | Apparatus and method for reconstructing a ligament |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2011091841A Division JP5325257B2 (ja) | 2004-04-22 | 2011-04-18 | 靱帯を再構成するための装置及び方法 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2007534380A JP2007534380A (ja) | 2007-11-29 |
| JP4879166B2 true JP4879166B2 (ja) | 2012-02-22 |
Family
ID=37461288
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2007509656A Expired - Fee Related JP4879166B2 (ja) | 2004-04-22 | 2005-04-22 | 靱帯を再構成するための装置及び方法 |
| JP2011091841A Expired - Fee Related JP5325257B2 (ja) | 2004-04-22 | 2011-04-18 | 靱帯を再構成するための装置及び方法 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2011091841A Expired - Fee Related JP5325257B2 (ja) | 2004-04-22 | 2011-04-18 | 靱帯を再構成するための装置及び方法 |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP1746955A4 (de) |
| JP (2) | JP4879166B2 (de) |
| CN (2) | CN1988859B (de) |
| AU (1) | AU2005253927B2 (de) |
| CA (1) | CA2564775C (de) |
Families Citing this family (30)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7722644B2 (en) | 2003-06-11 | 2010-05-25 | Medicine Lodge, Inc. | Compact line locks and methods |
| BRPI0820149B8 (pt) | 2008-02-28 | 2021-06-22 | Tag Medical Devices Agriculture Coop Ltd | instrumento médico para formar um furo em um osso e kit médico de instrumentos para formar um furo em um osso |
| IN2012DN00325A (de) * | 2009-07-02 | 2015-05-08 | Imds Corp | |
| WO2011081922A1 (en) * | 2009-12-14 | 2011-07-07 | Smith & Nephew, Inc. | Visualization guided acl localization system |
| US8721539B2 (en) | 2010-01-20 | 2014-05-13 | EON Surgical Ltd. | Rapid laparoscopy exchange system and method of use thereof |
| EP2525720A1 (de) * | 2010-01-20 | 2012-11-28 | EON Surgical Ltd. | System für den einsatz eines länglichen elements in einer körperhöhle |
| 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 (de) | 2011-04-06 | 2017-03-01 | DePuy Synthes Products, LLC | Distale Reibahle |
| 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 (en) * | 2018-08-28 | 2020-03-05 | Smith & Nephew, Inc. | Robotic assisted ligament graft placement and tensioning |
| 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 |
Family Cites Families (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3622676A1 (de) * | 1985-08-28 | 1987-03-12 | Werner Scholz | Chirurgisches bohrgeraet |
| US6254604B1 (en) * | 1990-07-16 | 2001-07-03 | Arthrotek, Inc. | Tibial guide |
| US5356413A (en) * | 1993-03-12 | 1994-10-18 | Mitek Surgical Products, Inc. | Surgical anchor and method for deploying the same |
| US5505735A (en) * | 1993-06-10 | 1996-04-09 | Mitek Surgical Products, Inc. | Surgical anchor and method for using the same |
| US5549613A (en) * | 1993-09-15 | 1996-08-27 | Mitek Surgical Products, Inc. | Modular surgical drill |
| US5466243A (en) * | 1994-02-17 | 1995-11-14 | Arthrex, Inc. | Method and apparatus for installing a suture anchor through a hollow cannulated grasper |
| US5918604A (en) * | 1997-02-12 | 1999-07-06 | Arthrex, Inc. | Method of loading tendons into the knee |
| IT1310423B1 (it) * | 1999-07-29 | 2002-02-13 | Giovanni Zaccherotti | Mezzo di fissazione femorale dei tendini di semitendinoso e delgragile per la ricostruzione del legamento crociato anteriore. |
| US6517546B2 (en) * | 2001-03-13 | 2003-02-11 | Gregory R. Whittaker | Method and apparatus for fixing a graft in a bone tunnel |
| US6699252B2 (en) * | 2001-04-17 | 2004-03-02 | Regeneration Technologies, Inc. | Methods and instruments for improved meniscus transplantation |
| US6712849B2 (en) * | 2001-10-01 | 2004-03-30 | Scandius Biomedical, Inc. | Apparatus and method for reconstructing a ligament |
| US20030105465A1 (en) * | 2001-11-13 | 2003-06-05 | Reinhold Schmieding | Implant screw and washer assembly and method of fixation |
-
2005
- 2005-04-22 EP EP05738407A patent/EP1746955A4/de not_active Withdrawn
- 2005-04-22 CN CN2005800201993A patent/CN1988859B/zh not_active Expired - Fee Related
- 2005-04-22 CN CN201010159516A patent/CN101816584A/zh active Pending
- 2005-04-22 CA CA2564775A patent/CA2564775C/en not_active Expired - Fee Related
- 2005-04-22 AU AU2005253927A patent/AU2005253927B2/en not_active Ceased
- 2005-04-22 JP JP2007509656A patent/JP4879166B2/ja not_active Expired - Fee Related
-
2011
- 2011-04-18 JP JP2011091841A patent/JP5325257B2/ja not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| AU2005253927B2 (en) | 2010-11-25 |
| CN1988859A (zh) | 2007-06-27 |
| JP2011177524A (ja) | 2011-09-15 |
| JP5325257B2 (ja) | 2013-10-23 |
| AU2005253927A1 (en) | 2005-12-29 |
| JP2007534380A (ja) | 2007-11-29 |
| EP1746955A2 (de) | 2007-01-31 |
| CN1988859B (zh) | 2010-06-16 |
| CN101816584A (zh) | 2010-09-01 |
| CA2564775C (en) | 2013-06-18 |
| EP1746955A4 (de) | 2008-05-14 |
| CA2564775A1 (en) | 2005-12-29 |
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