JPH0938094A - 縫合糸一方向保持装置およびその使用方法 - Google Patents

縫合糸一方向保持装置およびその使用方法

Info

Publication number
JPH0938094A
JPH0938094A JP8214037A JP21403796A JPH0938094A JP H0938094 A JPH0938094 A JP H0938094A JP 8214037 A JP8214037 A JP 8214037A JP 21403796 A JP21403796 A JP 21403796A JP H0938094 A JPH0938094 A JP H0938094A
Authority
JP
Japan
Prior art keywords
base
suture
end part
slits
tissue
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.)
Pending
Application number
JP8214037A
Other languages
English (en)
Inventor
Daniel C Rosenman
ダニエル・シー・ローゼンマン
Donald G Hill
ドナルド・ジー・ヒル
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.)
Ethicon Inc
Original Assignee
Ethicon 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
Application filed by Ethicon Inc filed Critical Ethicon Inc
Publication of JPH0938094A publication Critical patent/JPH0938094A/ja
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448—Additional elements on or within the anchor
    • A61B2017/0451—Cams or wedges holding the suture by friction
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/3052—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts unrestrained in only one direction, e.g. moving unidirectionally
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)

Abstract

(57)【要約】 【課題】 関節鏡手術手順で縫合糸結節に代わる装置お
よびその使用方法を提供すること。 【解決手段】 編組縫合糸を固定する関節鏡手術で使用
するのに適当な滅菌した調節可能な縫合糸一方向保持装
置であって、一端とベースを有する錐台を具備し、通路
が前記端部からベースの方に伸び、前記端部が、前記端
部からベースへ伸びて少なくとも一つの柔軟なフィンガ
ーを区画する複数のスリットを有する滅菌した調節可能
な縫合糸一方向保持装置と、縫合糸の少なくとも一端に
固定するために上記縫合糸保持装置を使用する方法を提
供する。

Description

【発明の詳細な説明】
【０００１】
【発明の属する技術分野】本発明は編組縫合糸を保持す
るための手術用装置（器具）に関し、より詳しくは、本
発明は、関節鏡手術で使用するために適当な調節可能な
縫合糸一方向保持装置およびその使用方法に関する。
【０００２】
【従来の技術】外科医は、関節鏡手術においてしばしば
靭帯を骨に、軟組織を骨に付けたり、あるいは靭帯破断
を修復しなければならない。そのために外科医は、その
細さと十分な強さから縫合糸をよく使用する。外科医
は、何か所も結節を作ることによって縫合糸を適所に固
定する。しかしながら、関節鏡で結節を作ることは、ア
クセスが足らず、よく眼に見えないためにしばしば困難
である。これらの手順の多くは、これらの困難を回避す
るため体外結節に依存する。望ましくないことに体外結
節は時間がかかり、しかも難しい。結節プッシャーと縫
合糸つかみができても外科医が関節鏡による結節を素早
く作ることはまだ困難である。従って、関節鏡手術手順
で縫合糸結節に代わる装置を提供することは当技術に有
意な貢献を与えるだろう。
【０００３】
【発明が解決しようとする課題】そこで本発明は関節鏡
手術手順で縫合糸結節に代わる装置およびその使用方法
を提供することを目的とする。
【０００４】
【課題を解決するための手段】我々は、編組縫合糸を固
定する関節鏡手術で使用するのに適当な滅菌した調節可
能な縫合糸一方向保持装置であって、一端とベースを有
する錐台を具備し、通路が前記端部からベースの方に伸
び、前記端部が、前記端部からベースへ伸びて少なくと
も一つの柔軟なフィンガーを区画する複数のスリットを
有する滅菌した調節可能な縫合糸一方向保持装置および
その使用方法を発明した。
【０００５】
【発明の実施の形態】本発明を添付図面を参照して詳細
に説明する。図１を説明する。図１において、調節可能
な縫合糸一方向保持装置は端部４とベース６を有する錐
台から成る。その端部４をベース６に連結することは、
ベース６の中心から端部４に伸びる中心線１０の周りに
略同心の通路８で行う。端部４は少なくとも２個のスリ
ット１２と１４を有している。そのスリットは一般に端
部４からベース６の方へ伸びている。端部４は好適に４
個のスリット１２，１４，１６および１８を有し、それ
らのスリットは、図２に示されるように、フィンガー
（指状突起）２０，２２，２４および２６をそれぞれ区
画している。フィンガー２０，２２，２４および２６は
部位２０ａ，２２ａ，２４ａおよび２６ａを有し、それ
らの部位は、編組縫合糸２８が端部４からベース６の方
へ進めないが、フィンガー２０，２２，２４および２６
の柔軟性から、ベース６から端部４の方へ進むことがで
きるように編組縫合糸２８を取付けるようにしている。
縫合糸保持装置は、編組縫合糸２８が容易に通路８を通
ることができるのに十分であるが、通路８内の縫合糸が
ベース６の方へ移動する際に柔軟なフィンガー２０，２
２，２４および２６を編組縫合糸２８に噛み合うことが
できるのに十分小さな直径の通路８を有する必要があ
る。
【０００６】一手順を説明すれば、縫合糸の一端を固定
させるには縫合糸を固定すべき組織の一部に通し、次
に、その縫合糸を縫合糸保持装置の通路８に通す。縫合
糸保持装置は、ベース６が縫合糸伝いに組織の方へ進ん
だ時に組織に接触するように向けられている。ベース６
が組織に接触するまで縫合糸保持装置を縫合糸上を滑り
下ろす。次に、外科医は縫合糸をピンと引っ張って組織
の端を接合する。外科医は進捗状況に併せて、別の縫合
糸保持装置を用いて縫合糸の他の一端を固定して縫合糸
の両端を固定する。縫合糸結節保持装置に付けた縫合糸
の両端がその部位で結ばれた唯一の結節を有し縫合糸が
解けるのを好適に防止し、それによって縫合糸結節保持
装置のグリップを外す。
【０００７】本発明の保持装置は、従来の製造方法を用
いる拒絶反応を起こさない全ての材料から作ることがで
きる。その保持装置は例えば、チタン、ステンレス鋼、
およびタンタルそしてポリマー材料などの拒絶反応を起
こさない様々な材料から構成することができる。生化学
的に吸収されやすいポリマー材料を有することが好まし
いが、エプシロン（ε）カプロラクトン、グリコリド、
ラクチド（d ，1 ，d1およびメソを含む）およびパラ
（ｐ）ジオキサノン（ホモポリマー）およびそれらの少
なくとも二つのコポリマー（コポリマー）からなる群か
ら選択された脂肪族ポリエステルに限定されない。好ま
しい吸収されないポリマーはナイロン、ポリエステルお
よびポリロピレンからなる群から選択された材料を有す
るが、その材料には限定されない。これらの全ての材料
は、縫合糸あるいは埋め込むことができる別の医療ジグ
として用いた場合、生物学的に適合することがわかっ
た。
【０００８】ポリマー材料から保持装置を製造する好ま
しい方法は、そのようなポリマー系を射出成形するため
に従来用いた条件でポリマーメルトを、適当に設計した
金型に射出することである。ポリマーメルトを冷却した
後、成形された保持装置を容易に金型から取出し、検査
し、包装し、そして滅菌することができる。
【０００９】この保持装置は、よく知られた全ての滅菌
技術によって滅菌することができる。選択された滅菌技
術は、ほとんど保持装置を製造するのに使用された材料
に依存する。適当な滅菌技術は、熱または蒸気滅菌、放
射線滅菌（コバルト照射あるいは電子線）、酸化エチレ
ン、および他の滅菌技術が当業界でよく知られている。
【００１０】本発明とその具体的な態様を説明してきた
が、当業者には本発明の精神と範囲を逸脱することなく
本発明に関して改造と改良がなされることが容易に明ら
かである。
【００１１】なお本発明の具体的な実施態様は、以下の
通りである。 （１）前記保持装置は４個の柔軟なフィンガーを有する
請求項１記載の滅菌した調節可能な縫合糸一方向保持装
置。 （２）滅菌した編組縫合糸が通路内にある請求項１記載
の滅菌した調節可能な縫合糸一方向保持装置。 （３）前記縫合糸保持装置は、チタン、タンタル、ε−
カプロラクトンのホモポリマー、グリコリドのホモポリ
マー、ラクチドのホモポリマー、ｐ−ジオキサノンのホ
モポリマー、ε−カプロラクトンのコポリマー、グリコ
リドのコポリマー、ラクチドのコポリマーおよびｐ−ジ
オキサノンのコポリマーからなる群から選択された拒絶
反応を起こさない材料から作られる請求項１記載の滅菌
した調節可能な縫合糸一方向保持装置。
【００１２】
【発明の効果】以上のように、本発明によれば、関節鏡
手術手順で縫合糸結節に代わる装置およびその使用方法
を提供することができる。
【図面の簡単な説明】
【図１】編組縫合糸の周りに取付けられた本発明の縫合
糸保持装置の斜視図である。
【図２】上記本発明縫合糸保持装置の正面図である。
───────────────────────────────────────────────────── フロントページの続き (72)発明者 ドナルド・ジー・ヒル アメリカ合衆国、07843 ニュージャージ ィ州、ホパットコン、アトノ・アヴェニュ ー １

Claims (2)

    【特許請求の範囲】
  1. 【請求項１】 編組縫合糸を固定する関節鏡手術で使用
    するのに適当な滅菌した調節可能な縫合糸一方向保持装
    置であって、一端とベースを有する錐台を具備し、通路
    が前記端部からベースの方に伸び、前記端部が、前記端
    部からベースへ伸びて少なくとも一つの柔軟なフィンガ
    ーを区画する複数のスリットを有する滅菌した調節可能
    な縫合糸一方向保持装置。
  2. 【請求項２】 組織を通過した縫合糸の一端をその組織
    に対して固定する方法であって、一端とベースを有する
    錐台を具備し、通路が前記端部からベースの方に伸び、
    前記端部が、前記端部からベースの方へ伸び、前記端部
    が、前記端部からベースへ伸びて少なくとも二つの柔軟
    なフィンガーを組織の方に向いたベースを備えて縫合糸
    上で区画する複数のスリットを有する滅菌した調節可能
    な縫合糸一方向保持装置を配置し、前記ベースが前記組
    織に接触するまで前記縫合糸を前記ベースから前記端部
    に前記通路を介して通すことによって前記縫合糸保持装
    置を前記縫合糸に対して進める縫合糸の一端を固定する
    方法。
JP8214037A 1995-07-28 1996-07-26 縫合糸一方向保持装置およびその使用方法 Pending JPH0938094A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US508600 1974-09-23
US08/508,600 US5669935A (en) 1995-07-28 1995-07-28 One-way suture retaining device for braided sutures

Publications (1)

Publication Number Publication Date
JPH0938094A true JPH0938094A (ja) 1997-02-10

Family

ID=24023370

Family Applications (1)

Application Number Title Priority Date Filing Date
JP8214037A Pending JPH0938094A (ja) 1995-07-28 1996-07-26 縫合糸一方向保持装置およびその使用方法

Country Status (9)

Country Link
US (1) US5669935A (ja)
EP (1) EP0755656B1 (ja)
JP (1) JPH0938094A (ja)
CN (1) CN1151859A (ja)
AU (1) AU6058796A (ja)
CA (1) CA2182077A1 (ja)
DE (1) DE69631096T2 (ja)
MX (1) MX9603057A (ja)
ZA (1) ZA966405B (ja)

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JP2011528949A (ja) * 2008-07-22 2011-12-01 スピルクス クロージャー，エルエルシー 組織に縫合糸を送出するための方法及び器具
KR20170025401A (ko) 2015-08-28 2017-03-08 재단법인 아산사회복지재단 봉합사 고정기구
KR20180006012A (ko) * 2016-07-08 2018-01-17 김정권 리프팅용 봉합사 및 그 제조방법
KR20180101312A (ko) * 2018-09-05 2018-09-12 김근식 리프팅용 봉합사 및 그 제조방법

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US5669935A (en) 1997-09-23
ZA966405B (en) 1998-01-26
CA2182077A1 (en) 1997-01-29
MX9603057A (es) 1998-04-30
EP0755656A2 (en) 1997-01-29
EP0755656A3 (en) 1997-09-10
EP0755656B1 (en) 2003-12-17
DE69631096D1 (de) 2004-01-29
AU6058796A (en) 1997-02-06
DE69631096T2 (de) 2004-08-19

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