CN105208970A - Scaffold for spring ligament repair - Google Patents

Scaffold for spring ligament repair Download PDF

Info

Publication number
CN105208970A
CN105208970A CN201480027708.4A CN201480027708A CN105208970A CN 105208970 A CN105208970 A CN 105208970A CN 201480027708 A CN201480027708 A CN 201480027708A CN 105208970 A CN105208970 A CN 105208970A
Authority
CN
China
Prior art keywords
construct
hole
stitching thread
ligament
bone
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
Application number
CN201480027708.4A
Other languages
Chinese (zh)
Other versions
CN105208970B (en
Inventor
B·K·贝雷勒斯曼
M·S·迈尔森
K·T·斯托内
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.)
Biomet Sports Medicine LLC
Original Assignee
Biomet Sports Medicine LLC
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 US14/095,614 external-priority patent/US9918826B2/en
Priority claimed from US14/095,639 external-priority patent/US9918827B2/en
Application filed by Biomet Sports Medicine LLC filed Critical Biomet Sports Medicine LLC
Publication of CN105208970A publication Critical patent/CN105208970A/en
Application granted granted Critical
Publication of CN105208970B publication Critical patent/CN105208970B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A61B2017/06185—Sutures hollow or tubular
    • 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
    • A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • 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

Abstract

A construct is disclosed that may be used to repair or replace a natural ligament. The construct may be formed of materials for biocompatibility and/or resorption. The construct may be provided or connected to a soft anchor for connection to a bone portion.

Description

For the support that spring ligament is repaired
Technical field
The disclosure relates in general to ligament repair and/or reinforcement, particularly relates to the reinforcement construct being configured to substitute or strengthen the spring ligament in foot.
Background technology
This part provides the background information relevant with the disclosure, not necessarily prior art.
Spring ligament is the dissection ligament interconnected by each several part of foot.Usually, spring ligament can by least nut bone and calcaneus interconnection.But each branch of spring ligament can also extend be connected with first cuneiform bone by calcaneus or interconnect.
Damage for spring ligament can cause various problem, such as flatfoot deformity.Damage for spring ligament generally can not be diagnosed out or repair before various subsidiary issue presents self, such as flatfoot deformity.Therefore, the defect of repairing in spring ligament can the various slight illness of enable prevention.
Summary of the invention
This part provides the general introduction of disclosure, is not that its gamut or the comprehensive of its whole feature disclose.
Ligament construct can manufacture repairs or substitutes selected ligament.Such as, spring ligament replacing part or reinforcement can comprise synthesis support, and this synthesis support can be formed or manufacture and usually substitute spring ligament.Synthesis support can by polyester, polyethylene, absorbable material or its be combined to form.Synthesis support can be formed by the polyester weaved or weave or polythene material, and this material is formed as selected structure or the shape of alternative spring ligament.
Selected suture archon assembly can be used to ligament reinforcement to be fixedly connected with described anatomical structure with clamping system.Such as, Juggerknot tMflexible anchor locking member or stitching thread anchor log can be used to provide the anchor log in adjacent bone parts or osteogenic section.Alternatively, ToggleLoc can be used tMhard stitching thread anchor log.Such as Ziploop tMthe stitching thread clamping system of stitching thread clamping system can be used to support to be drawn in bone, relative to bone tensioning reinforcement, and Juggerknot tManchoring system is used for grappling construct.But, should be appreciated that clamping system can combine with any applicable anchor log and use, such as interference screw or other bone anchor fixed systems.
Support can be used to alternative spring ligament.Such as, user can confirm to tear from bone parts or remove spring ligament and confirm the needs that substitute for reinforcement or ligament.Spring ligament construct can be fixed relative to bone subsequently, such as by means of suitable anchor log and clamping system.Anchor log can comprise Juggerknot tMflexible anchor locking member system.Then, this construct can be kept relative to bone so that the remainder carrying out operation technique and/or be fixed to spring ligament is with remaining spring ligament part of assistant reinforcement.
By explanation provided herein, other applications will become obvious.Explanation in this overview section and concrete example are only intended to the object that example illustrates, and are not intended to limit the scope of the present disclosure.
Accompanying drawing explanation
Accompanying drawing described herein is only the object in order to carry out example explanation to selected embodiment instead of all possible realization, is not intended to limit the scope of the present disclosure.
Figure 1A is the plan view from above of the ligament construct be connected with stitching thread according to each embodiment;
Figure 1B is the side plan view of the ligament construct of the Figure 1A be connected with stitching thread;
Fig. 2 A is the plan view from above of the ligament construct according to each embodiment;
Fig. 2 B is the side plan view of the ligament construct of Fig. 2 A be connected with stitching thread;
Fig. 3 is the plan view from above of the ligament construct according to each embodiment;
Fig. 4 is the part of ligament construct be connected with stitching thread according to each embodiment and the detailed view of anchor log;
Fig. 5 is the side plan view of people's foot bone, illustrates that ligament construct part is implanted in nut bone;
Fig. 6 is the side plan view of people's foot bone, illustrates that ligament construct part is implanted in nut bone and calcaneus;
Fig. 7 A is the side plan view of people's foot bone, illustrates that ligament construct to be implanted in nut bone and calcaneus and tensioning;
Fig. 7 B is the face upwarding view of people's foot bone, shows ligament construct and to implant in nut bone and calcaneus and tensioning;
Fig. 8 is the side plan view of the people's foot bone according to each embodiment, illustrates that ligament construct to be implanted in wedge bone, nut bone and calcaneus and tensioning;
Fig. 9 is the plan view from above of the ligament construct be connected with stitching thread according to each embodiment;
Figure 10 is the side plan view of the people's foot bone according to each embodiment, shows ligament construct and to implant in nut bone, astragalus and calcaneus and tensioning;
Figure 11 is the side plan view of the ligament construct of the Figure 1A be connected with stitching thread;
Figure 12 is the plan view from above of the ligament construct be connected with stitching thread according to each embodiment;
Figure 13 is the plan view from above of the ligament construct be connected with stitching thread according to each embodiment; And
Figure 14 is the side plan view of the ligament construct of the Figure 1A be connected with stitching thread.
In several figure in the accompanying drawings, corresponding Reference numeral refers to corresponding parts.
Detailed description of the invention
More fully exemplary embodiment is described referring now to accompanying drawing.
With reference to Figure 1A and Figure 1B, show ligament and strengthen or alternative constructions body 20.Ligament construct 20 can be formed by the selected material of the polyester such as weaved or weave or polythene material.In addition, can comprise or use various absorbable material to form construct 20, such as polylactic acid or other selected materials.Construct 20 can be formed by weaving material and/or be formed by the solid material of selection type.According to each embodiment, construct 20 can have minimum resilience, or does not have elasticity.Therefore, during implanting, can select and maintain the length of construct 20.And therefore construct 20 can be tensioned and keep tension force after the implants.
Construct 20 can be included in the designated length 22 extended between first end 24 and the second end 26.Two ends 24,26 can by folding and formed towards the central authorities of construct 20 by stub area 28 and 30.End 28,30 can fold on the main part 36 of construct 20.End 28,30 can be sewed up by mechanism 32,34, sonic welded or be otherwise fixed on the main part 36 of construct.Passage near the folding end 24,26 that can be formed in construct 20 of end 28,30, also referred to as eyelet, ring or open area 40 and 42.As discussed herein, passage can engage with stitching thread and/or anchoring members or combine.
The main part of construct 20 or selected part can have the thickness 44 of each characteristic such as such as intensity, rigidity, elasticity based on construct 20.And, should be appreciated that if construct 20 is formed by braided material, weaving material or other selected materials, then can reduce under the load of thickness 44 between two eyelet portions 40,42.But thickness 44 can be limited by a branch of or multi beam weaving material.
According to each embodiment, eyelet 40,42 can be formed as around stitching thread and the one or more stitching thread constructs comprising the first stitching thread construct 50 and the second stitching thread construct 52; And/or stitching thread construct 50,52 can be formed in eyelet 40,42 and around construct 20.Stitching thread construct 50 can be separated with 52, but substantially identical and interconnect with the eyelet 40,42 be separated, for fixing construct 20 relative to selected anatomical structure, as discussed further herein.Stitching thread construct 50,52 can be similar to the stitching thread construct disclosed in such as Publication about Document: the U.S. Patent No. 8,118,836 that on February 21st, 2012 authorizes; U.S. Patent Application Publication No.2011/0098727 disclosed in 28 days April in 2011; Or U.S. Patent Application Publication No.2012/0095470 disclosed in 19 days April in 2012; These documents are all herein incorporated by reference.
Usually, stitching thread construct can comprise the corresponding anchor log that can be formed as pipe 54,56, and stitching thread or selected filament 58,60 are through this pipe.When user operates, construct 20 remains on select location by the anchorage block that stitching thread 58,60 can make pipe 54,56 be formed as knot or flexible anchor locking member.On the outer surface that anchorage block can be formed in bone or be formed in bone surface, as discussed further herein.Stitching thread anchor log can comprise Ziploop tMconstruct, it allows the slippage tensioning of the part relative to Ziploop stitching thread construct location, and Juggerknot tManchor portion, it can be formed by corresponding pipe 54,56.Ziploop tMstitching thread construct and Juggerknot tMeach in flexible anchor certain portions is by Biomet sold.
Stitching thread 58,60 can further pass through main body or channel part 70,72, and wherein the stitching thread two ends of each stitching thread construct 50,52 are extended from corresponding channel part 70,72.Each in stitching thread 50,52 all has corresponding channel part 70,72 and each corresponding through channel being all defined through channel part 70,72.Each stitching thread construct 50,52 has two ends 76,78 and 80,82 further.For each stitching thread construct, first end 76,80 penetrates through channel by the first aperture and forms first ring and leave through channel by the second aperture, and the second end 78,82 penetrates through channel by the 3rd aperture and forms the second ring and leave through channel by the 4th aperture.According to each embodiment, should be appreciated that the first aperture can for the aperture identical with the 4th aperture with the second aperture with the 3rd aperture.Therefore, each channel part can comprise the aperture of 2,3 of the through channel in admission passage portion or 4 or selected quantity.User can operate in stitching thread two ends 76,78 and 80,82 each with collapse corresponding anchor log 54,56 and form flexible anchorage block and between two points of anchor log 54 and 56 tensioning construct 20, as discussed herein further.
Comprise the anchor elements 50,52 of the anchor log 54,56 also referred to as pipe, usually can comprise pipe of can collapsing, this pipe of can collapsing is the closed loop of suture material, is formed as tubulose.According to each embodiment, pipe assembly 54,56 can slide relative to suture loop or filament 58,60.In brief, although the U.S. Patent No. 8,118 be incorporated herein by reference, have disclosure in 836, suture assemblies 50,52 can comprise the suture portion 58,60 of the opening 55,57 through corresponding pipe 54,56.Alternatively, suture portion can pass the aperture not being positioned at opening 55,57 place, makes the one or both ends of pipe 54,56 form relax end or free end.
Usually, suture portion 58,60 can be the single or continuous print stitching thread filament of the respective tube 50,56 extended through in the corresponding knitted body 70,72 of suture assemblies 50,52.Therefore, suture assemblies 50,52 can be handled with by collapsing corresponding pipe 50,56 and produce flexible anchor locking member as described herein relative to the selection area tensioning construct 20 of curee relative to the respective anchors locking member tensioning construct 20 formed by pipe 54,56 by mobile end 76-82 by user.Anchor log 54,56 is collapsed under by corresponding suture portion 58,60 or the power of such as tension force that provided by corresponding suture portion 58,60 and in corresponding region, forms flexible block or anchorage block, as discussed further herein.By pipe 54,56 of collapsing relative to the front of pipe 54,56 or adjacent surface, pipe 54,56 can form anchor log.
With reference to figure 2A and Fig. 2 B, show construct 100.The total structure of this construct 100 can be similar to construct 20.Such as, construct 100 can be formed by woven selected material, such as polyester or polyethylene.In addition, construct 100 can be formed by the selected material comprising bioabsorbable material, and these materials can be passed in time and to absorb in selected anatomical structure and to allow the part of each tissue ingrowth and alternative constructions body 100.
But construct 100 can also be formed as roughly elongated, rectangle construct, it comprises the length 102 from first end 100a to the second end 100b, and about 4 centimetres (cm), to about 10cm, comprises 4cm to about 8cm further.In addition, construct 100 can comprise the width 104 of about 0.5cm to about 4cm, comprises about 1-3cm, comprises about 1cm to about 2cm further.As shown in Figure 2 B, construct 100 may further include about 0.5 millimeter (mm) thickness 106 to about 4mm, comprises about 1mm to about 3mm further.
Construct 100 can comprise one or more holes 110 that the thickness 106 through construct 100 is formed from the first side to the second side.Formation of structure can be selected in hole 110, such as near the periphery of construct 100.Hole 110 be usually formed in construct 100 100a, 100b place, two ends or near.Therefore, end 100a, 100b of construct 100 can engage and tensioning relative to selected anchor region, as discussed herein.Hole 110 can allow the anchor elements selected to pass through, such as anchor elements 120, as discussed further herein.But, any suitable anchor elements can also be used, such as construct 50.
Anchor elements 120 can pass one or more through hole 110, and allows to fix construct 100 relative to selected object.Hole 110 can be by such as puncturing, boring, the various technology of ultra-sonic welded or puncture or other through constructs 100 of mechanism be applicable to and the through hole that formed.And, between the braiding that through hole 110 can be formed in construct 100 or weaving fiber.However, hole 110 can be the whole thickness 106 of through construct 100 and be formed with the through hole allowing anchor elements 120 to pass through.
Anchor elements 120 can be following anchor elements, that is, it comprises the United States Patent (USP) 8,118 as being herein incorporated by reference, the anchor elements disclosed in 836.Anchor elements 120 can comprise each several part being similar to above-mentioned anchor elements 50,52.Usually, anchor elements 120 can comprise the first anchor log 122 (being also called pipe) and second of can collapsing and can to collapse anchor log 124 (being also called pipe), they around or arrange around the corresponding suture loop 126 and 128 of the single elongated sutural part as anchor elements 120.Along with tension force is applied in corresponding suture loop 126,128, anchor log 122,124 is collapsed and can be formed anchorage block relative to the selected part of curee, is similar to above-mentioned anchor log 54,56.Should be appreciated that selected by user and/or desired by user, corresponding stitching thread anchor log 122,124 can be collapsed simultaneously and/or collapses in the time of staggering.
Suture loop 126,128 is parts of stitching thread 130, and it comprises suture end 132 and 134 further.Suture end can be grasped by user or handle to collapse pipe 122,124 and form flexible anchor locking member.In addition, stitching thread 130 can through the channel part 140 with through channel, the United States Patent (USP) 8,118 as discussed above and as being herein incorporated by reference, disclosed in 836.Suture end 132,134 can by handling relative to pipe 122,124 movable passageway portion 140.As mentioned above, when pipe 122,124 is collapsed against the corresponding drum surface (positivesurface) of such as bone surface, channel part 140 can relative to pipe 122,124 tensioning construct 100 relative to the movement of pipe 122,124.Correspondingly, by drawing the end 132,134 of suture loop 130, construct 100 relative to bone surface tensioning, can be discussed as further herein.
With reference to figure 3, show the construct 170 according to each embodiment.Construct 170 can comprise various sizes, such as length 172, and length 172 can be about 3cm to about 10cm, comprises about 4cm to about 8cm.Construct 170 may further include height 174, comprises the selected height of about 1cm to about 4cm, comprises about 2-3cm.Height 174 can comprise height or the length of the arm 176 and 178 extended from the main part 180 of construct 170.But main part 180 can comprise end 182, this end can comprise the height 184 of the size with about 0.5cm to about 2cm, comprises the height of about 1cm further.
Construct 170 structurally can be similar to construct 20 and 100 as above.Therefore, construct 170 can comprise the selected arbitrarily part interconnected with stitching thread and/or anchor elements.Such as, eyelet can be formed in construct end near and/or through hole can through construct 170 and being formed.Such as, comprise anchor log 56a stitching thread construct 52a can with by longitudinal folded ends and by fixing for its fixed structure near first end 182 183 and eyelet that is that formed is combined.Stitching thread construct can be similar to or be equal to stitching thread construct 521.Should be understood that, according to each embodiment, the stitching thread construct that each arm-piece 176,178 can comprise the folding and eyelet that formed and one or more through hole and combine separately.
But, two arm-piece 176 and 178 that construct 170 can comprise single end 182 and extend from the region of the second end of construct 170.As discussed herein, first end 182 can engage the first osteogenic section or part, and two arm-piece 176 and 178 can engage independent osteogenic section or construct as described here.Therefore, at each arm 176,178 and first end 182 place, the stitching thread construct comprising anchor portion can be connected.Construct 172 can comprise various stitching thread anchor log as above and assembly 50,52 and 120 with the fixing of selected bone parts.Therefore, construct 170 relative to the selected partial fixing of curee, can be similar to fixing or anchor mechanism as above.
With reference to above-mentioned Figure 1A-1B, in addition reference diagram 4, construct 20 or the construct according to each embodiment as above can engage with anchor elements 190 or associate.Anchor elements 190 can comprise the fixed part 192 of rigidity, such as the Toggleloc of Biomet sold tManchor log.The fixed part 192 of rigidity can be included in U.S. Patent Application Publication No.2012/0116452 and U.S. Patent No. 7,695, and the fixed part of diagram and disclosure in 503, these two documents are incorporated herein by reference.In addition, anchor log 192 can be interconnected with suture assemblies 202 or be associated, and is similar to above-mentioned suture assemblies 50,52.Suture assemblies 202 can comprise channel part 204, and continuous print stitching thread 206 is through channel part 204.Continuous print stitching thread 206 can comprise the continuous suture loop through channel part 204.Channel part 204 can through anchor log 192 and being formed, as shown in Figure 4.
Construct 20 can also be formed with relative to anchor log 192 engagement build body 20 around the filament of suture portion 208 or ring portion.Construct 20 can have the eyelet 42 by utilizing suture portion 34 to be sewed up or be interconnected and formed in the end 30 of construct 20.Therefore, construct 20 is kept relative to anchor log 192 by suture assemblies 202.Usually, anchor log 192 can comprise elongate arm 220 and for the eyelet that engages suture assemblies 202 or interconnection 222.
Therefore, should be understood that, construct (comprising construct 20, construct 100 and construct 170 according to each embodiment) can interconnect with selected anchor log or connecting portion.Connecting portion can comprise flexible anchor locking member, such as by suture assemblies 50 or the flexible anchor locking member illustrated in stitching thread anchor elements 120.In addition, fixed part that is hard or rigidity can comprise the fixed part 192 shown in Fig. 4.
Ligament construct according to each embodiment as above can relative to the selected position of curee, and the foot 300 of such as curee is arranged, as shown in Figure 5.The foot 300 of curee can comprise various dissection bone parts, as generally known in the art all.Such as, foot 300 can comprise phalanx parts 302, metatarsal parts 304, inner side (tarsal bone,first) cubitale 306, nut bone 308, astragalus 310 and calcaneus 312.Foot 300 can be connected with other bone parts such as tibia and fibula or form joint and connect, as this area is understood usually.
Reference diagram 5 in addition, each bone parts of foot 300 can interconnect with construct, and construct comprises each embodiment of construct as above.In order to the object of example, illustrate and discuss construct 20.But should be understood that, construct 100 can use relative to foot 300, comprises suture assemblies 50,52 and/or anchor log suture assemblies 120, as above.However, in order to example substitutes the selected operation of spring ligament in foot 300 or reinforcement spring ligament, construct 20 does further discussion herein.
As shown in Figure 5, nut bone 308 can be configured to comprise through hole 320, and anchor log 54 can pass through hole 320 and collapses on the bone outer surface of nut bone 308 and form anchorage block or anchor portion 54 ' relative to nut bone 308, such as flexible anchor locking member.Anchor portion 54 ' can be defined as and be formed in large block near bone surface or anchorage block.The locking profile of pipe 54 can allow by applying tension force by stitching thread 58 and form anchorage block.Hole 320 can be formed as allowing passing through at least partially and receiving in the part in hole 320 of construct 20.Can by suture assemblies 52 by tractive or tensioning suture end 76,78 and construct 20 is pulled in hole 320 realizes construct 20 tractive or be tensioned in hole 320.The formation in hole 320 and construct 20 do further discussion by combining the calcaneus 312 wherein forming porose 340, as discussed further herein to the tensioning in hole 320.
Continue with reference to figure 5, calcaneus 312 can be formed with the hole 340 comprising multiple diameter wherein.Such as, first or bradawl/pin 342 can through or drill-through calcaneus 312 and form aperture or the first hole path 344.The drill bit 349 of second or larger (larger drill bit 349 can in a tubular form) can cross little drill bit 342 through and form second or comparatively macropore 352.Therefore, the hole 340 that through calcaneus 312 is formed can comprise the first diametric hole 344 and second diameter bore 352.The hole 320 be formed in nut bone 308 can comprise similar large diameter hole portion and small diameter bore portion.Large diameter hole portion can receive a part for construct 20, and small diameter bore portion can allow stitching thread construct 50,52 to pass through and allow corresponding pipe 54,56 move to the Part II of corresponding bone and form flexible anchor locking member relative to it.And due to different diameters, shoulder or lug 320a, 340a are formed in corresponding hole 320,340.
With reference to figure 6, anchor elements, comprises the stitching thread anchor elements 52 be connected with the end of construct 20, can through the hole 340 being formed into calcaneus 312 or selected bone parts.Suture assemblies 52 and/or only anchor log 56 can pass hole 340.Suitable insertion member can interconnect with anchor log 56 and/or suture end 80,82 and promotes or pull suture assemblies to pass through to be formed into the hole 340 of calcaneus 312.But the construct 20 interconnected with stitching thread anchor elements 52 can move relative to calcaneus 312 and allow the hole 340 that stitching thread anchor elements 52 is formed through through calcaneus 312.
As shown in Figure 6, construct 20 can be drawn in the hole 320 be formed in nut bone 308, and passes through relative to nut bone 308 tensioning anchor log 54, and anchor portion 54 ' can be formed relative to nut bone 308, and this is that this area is usually understood.Then, suture assemblies 52 can move the hole 340 formed by through calcaneus 312, as shown in Figure 6.But should be understood that, first suture assemblies 52 can pass through calcaneus 312 in suture assemblies 50 through before nut bone 308.The order placing anchor log relative to each bone parts is exemplary, is not intended to limit.After the hole 340 forming through calcaneus 312, suture assemblies 52 can pass calcaneus 312.According to each embodiment, the anchor log comprising flexible anchor locking member can be formed on the surface of bone parts at all selected anchor points.Then, the often end of construct can be alternately fastening and substantially guarantee the even tensioning of construct 20.
Suture assemblies 52 usually can on the direction of arrow 313 by calcaneus 212.Suture assemblies 52 by according to suitable mechanism, such as suture assemblies 52 can being pulled through hole 340 or suture assemblies 52 is pushed through hole 340.But usually, anchor log 56 can through Distal cortex bone parts 391a as shown in Figure 7 A and the second cortical bone section 391b equally as shown in Figure 7 A.Hole 340 can be formed as through cortical bone section 391a and 391b further, and further by the cancellous bone portion 389 between them.
Therefore, flexible anchor locking member can be formed by anchor log 56 in the distal exterior surface of the cortical bone section of calcaneus 312.Anchor log 56 can be formed by being drawn in macropore portion 352 by construct 20, forms flexible anchor locking member 56 ' by handling the end of stitching thread filament 80,82.Construct 20 subsequently can tensioning and being drawn in hole 340.
Continue with reference to figure 5 and Fig. 6, reference diagram 7A and Fig. 7 B in addition, construct 20 can be tensioned in the hole 320 be formed in nut bone 308 and the hole 340 be formed in calcaneus 312.Hole 320 in nut bone 308 can comprise macropore portion 320a and aperture portion 320b, be similar to through calcaneus 312 and formed macropore portion 352 and aperture portion 344.Nut bone 308 and the macropore portion both calcaneus 312 can comprise the diameter 352a of all 4mm according to appointment to about 6mm.Calcaneus 312 and the aperture portion both nut bone 308 can comprise the diameter 344a of about 2mm to about 4mm.But should be understood that, through corresponding bone parts and the hole that formed can be any applicable diameters to receive the construct that is positioned in corresponding bore portion and to interact with the anchoring members of locating relative to bone parts.
The anchor portion 54 ' formed by pipe 54 and can be formed on the outer surface of bone parts 308,312 by the anchor portion 56 ' that pipe 56 is formed, on the outer surface of such as its cortical bone.Anchor portion 54 ', 56 ' can be fixed relative to bone parts or grappling construct 20.Anchor portion 54 ', 56 ' can be defined as and be formed in large block near bone surface or anchorage block.The locking profile of pipe 54,56 can allow by applying tension force by stitching thread 58,60 and form anchorage block.Then, construct 20 can be tensioned relative to anchor portion 54 ', 56 ' and the construct 20 that formed relative to nut bone 308 and this two bone selectivitys tensioning of calcaneus 212 thus strengthen or alternative spring ligament.
But flexible anchor locking member 54 ', 56 ' can be formed in corresponding bone parts 308 and 312 relative to cancellous bone portion 389 to engage the nearside cortical bone section 391b and 369 of corresponding osteogenic section 308 and 312.Therefore, flexible anchor locking member 54 ', 56 ' without the need to be formed in corresponding osteogenic section 308 and 312 outer surface on relative to corresponding bone parts 308 and 312 grappling construct 20.On the contrary, bone anchor locking member or construct anchor log can be formed in bone surface fixing with what provide construct 20 relative to corresponding osteogenic section 308 and 312.In osteogenic section, form anchor elements to be formed as mentioned above and be formed by the anchor elements disclosed in U.S. Patent application 2011/0098727 disclosed in 28 days April in 2011 being such as herein incorporated with way of reference.The formation of flexible anchor locking member 54 ', 56 ' can basic simlarity, and just flexible anchor locking member is formed in the raceway groove 340 and 320 of corresponding osteogenic section.
Construct 20 can be located relative to corresponding bone parts, such as calcaneus 312 and nut bone 308, as discussed above and in the various figures illustratedly to illustrate, comprises Fig. 6-7B.Construct 100 can be positioned between two selected bone parts similarly, such as calcaneus 312 and nut bone 308.According to each embodiment, construct 170 can interconnect with two or more bone parts of foot 300, as shown in Figure 8.Construct 170, comprises main part 180, arm member 178 and arm member 176, can be connected with first cuneiform bone 306 relative to nut bone 308 or locate.In addition, the end 182 of main body 180 can be located relative to the calcaneus 312 of foot 300.
Construct 170 can by means of stitching thread anchor log construct, such as stitching thread anchor log construct 52 relative to the fixing of corresponding bone parts.Therefore, construct 170 each end can by means of stitching thread anchor log (such as relative to first cuneiform bone stitching thread anchor log 56a, the stitching thread anchor log 56b relative to the nut bone 308 and stitching thread anchor log 56c relative to calcaneus 312) be combined with each bone parts.But should be understood that, each anchor log of fixed part can be located relative to corresponding osteogenic section, comprises first cuneiform bone 306, nut bone 308 and calcaneus 312, thus is fixed relative to each osteogenic section by construct 170.Such as, except anchor log fixed part 190, stitching thread anchor elements 120 can interconnect with relative to selected bone parts grappling with construct 170, as shown in Figure 4.
Therefore, the ligament construct of reinforcement and/or alternative spring ligament can be provided.Therefore, each several part of foot 300 can interconnect by ligament construct, comprises calcaneus 312 and nut bone 308.In various embodiments, first cuneiform bone 306 can also interconnect relative to nut bone 308 and calcaneus 312.The interconnection of each bone parts of foot 300 can be provided to the spring ligament of reinforcement or alternative foot 300.The spring ligament of foot 300 is strengthened further by the corresponding construct of such as construct 170 or construct 20 and spring ligament being interconnected.By construct is sewn onto spring ligament further, construct can be provided relative to the interconnection of spring ligament.Such as, construct can be sewn directly on spring ligament by usually known suturing skill, such as by a part of threading of spring ligament remaining in suitable construct and foot 300 or knotting.Such as, spring ligament can be interconnected by the part of nut bone 308, and reinforcement can be sewn onto and still be connected on the spring ligament of bone parts.Therefore, should be appreciated that construct as above can be provided to the spring ligament substituting or strengthen in foot 300.And according to each embodiment, this construct can interconnect with each bone parts of foot 300, comprises those bone parts above-mentioned.The construct of such as construct 20, construct 100 or construct 170 can be formed to provide the suitable construct substituting or strengthen the spring ligament in foot 300 with forming technique by various weaving.
With reference to figure 9 and Figure 10, tibia 321 can interconnect relative to foot 300 by the deltoid ligament in foot 300.Tibia 321 can interconnect relative to calcaneus 312, nut bone 308 and astragalus 322 by deltoid ligament.Tibia 321, astragalus 322, nut bone 308 and calcaneus 312 can interconnect with construct 350, as shown in Figure 9.Ligament construct 350 can comprise be similar to ligament construct 20 as above and formed construct main body 350a and 350b.Therefore, construct main body 350a and 350b can be formed as the roughly elongated member extended between the first respective end and the second respective end, and can be formed by nonwoven polymer material and/or solid material.
According to each embodiment, first construct main body 350a can extend from first end 360, first end 360 has by being folded and first eyelet of fixing (such as, via sewing up or sonic welded) formation to the interior location of main body 350a by the end of this main body by fixed part or system 362.Through first end 360 place eyelet location can be the first stitching thread construct 364.First stitching thread construct 364 can be similar to above-mentioned stitching thread construct 50, and is not described in detail herein.However, stitching thread construct 364 can comprise around through channel part 370 stitching thread 368 and formed collapsed pipe 366, the first suture end 372 and the second suture end 374 extend from channel part 370.As mentioned above, stitching thread construct 364 can be located relative to bone parts, as discussed further herein, with by drawing or pulling suture end 372 and 374 pipe 366 that allows to collapse to form anchorage block.
First construct main body 350a can extend to the second end 380, second end 380 from first end 360 and also have the eyelet that can pass through to be formed in second end 380 place's fixation ends by fixed part 382.Second stitching thread construct 390 also can pass this eyelet, and the second stitching thread construct comprises the collapsed pipe 394 formed around stitching thread 396.Stitching thread 396 can have this channel part 398 passed the suture through and the first end 400 that extends from channel part 398 and the second end 402.And stitching thread construct 390 can be used for relative to selected bone parts tensioning and grappling first main body 350a, as discussed further herein.
In addition, through the eyelet at the second end 380 place or that formed by the eyelet at the second end 380 place can be the second construct main body 350b.Second construct main body 350b can extend from first end 420, and first end 420 forms eyelet by being positioned to have certain distance apart from end by terminal part by fixed mechanism 422.Through be formed in first end 420 place eyelet can be the 3rd stitching thread construct 430, be similar to stitching thread construct 364 and 390.Therefore, stitching thread construct 430 can comprise the collapsed pipe 432 formed around stitching thread 434, and stitching thread 434 passes channel body or channel part 436, first end 438 and the second end 440 and extends from channel body or channel part 436.Further, by pulling suture ends 438 and 440, pipe 432 of can collapsing is formed as anchorage block, and stitching thread construct 430 can be used for fixing or grappling second main part 350b.
Second construct main body 350b can extend to the second end 450, second end 450 from first end 420 also can comprise the second eyelet, and the second eyelet is formed by being fixed into end apart from end certain distance by fixed part 452.4th stitching thread construct 460 also can through the eyelet being formed in the second end 450 place.4th stitching thread construct 460 can comprise the collapsed pipe 462 be formed on stitching thread 464.Stitching thread 464 can comprise channel part 466, and stitching thread first end 468 and stitching thread second end 470 extend from channel part 466.Therefore, by drawing suture ends 468 and 470 as mentioned above, the 4th stitching thread construct 460 also can be used for forming anchorage block.
By being positioned in the bone raceway groove be formed in corresponding bone parts by corresponding stitching thread construct 390,430,460 and 364, reinforcement or alternative constructions body 350 can be used at least tibia 321, astragalus 322, nut bone 308 and calcaneus 312 interconnect.Be not recycled and reused for the aforesaid operations forming bone raceway groove, bone raceway groove can be formed in each in bone parts and/or each bone parts through and being formed, and is similar to aforesaid way.Therefore, the first raceway groove 500 can be formed in tibia 321, and pipe 394 of can collapsing can be formed as the anchorage block 394 ' on the outer surface of tibia 321.Then, a part for construct 350 can be tensioned or be drawn in raceway groove 500, as mentioned above.Second raceway groove 520 can through astragalus 322 and being formed, and pipe 432 of can collapsing can be formed as the anchorage block 432 ' on the outer surface of astragalus 322.A part for construct 350 can be tensioned in raceway groove 520, as mentioned above.Triple channel 530 can be formed in calcaneus 312, and anchorage block 366 ' can be formed by pipe 366 of can collapsing, and construct can be tensioned in calcaneus 312 or on calcaneus 312, as mentioned above.
4th raceway groove 540 can be formed in interior astragalus, or alternately, is formed in nut bone 308 and (shows with dotted line 540 ').But, should be appreciated that then raceway groove 540 also can be formed in the front portion of astragalus 322 if optional raceway groove 540 ' is formed in nut bone 308, thus allow nut bone 308 to be connected with astragalus 322.Stitching thread construct can be similar to the anchor log 120 shown in Fig. 2 B, thus allows to interconnect with the raceway groove be formed in the front portion of astragalus 322.Therefore, should be appreciated that construct 350 can be provided to, by multiple bone parts interconnection of foot 300, comprise the interconnection with the thigh bone part of such as tibia 321.And, should be appreciated that the stitching thread construct that various structure can be provided, thus allow ligament or tendon construct 350 to be fixed on corresponding bone parts.
With reference to Figure 11 and Figure 12, illustrate ligament and strengthen or alternative constructions body 600.Ligament construct 600 can be similar to those constructs above-mentioned substantially, all constructs 20 as shown in FIG. 1A and 1B.Such as, ligament construct 600 can be formed by various material, such as polylactic acid and/or other absorbable materials.Construct 600 can be formed as weaving, weaving or solid material.And one or more ends 602 of ligament construct 600 or can fold in the mediad of ligament construct 600 to the inside.Therefore, end 602 folds on construct 600 and forms one or more folded part or region 603.Therefore, construct 600 can have the part of doubling, as in fold domain 603.Fold domain 603 can comprise first ring region or eyelet 610 and overlapping region 612.
Folded part or its at least partially can by pad 604 and 606 and/or bookbinding or sew up and be attached on appropriate location.The main body that end 602 folds into ligament construct 600 can form first ring region or eyelet 610.Be formed in the overlapping region 612 in the end 602 on ligament construct 600 is hole 614.Hole 614 can the major part 618 of through ligament construct and the lap 620 that extends from end 602 and formed.Therefore, hole 614 can through ligament construct 600 two-layer and being formed.
As shown in figure 12, the second end 630 also can fold into the second overlapping region 632 ligament construct being formed and is similar to the first overlapping region 612.Second through hole 634 also can through overlapping region 632 and being formed, such as by sonic welded or boring.Therefore, the two ends of construct 600 can have wherein through and formed hole.
Stitching thread construct or its at least partially, such as stitching thread construct 50, can be formed through the first hole 614 or through first hole 614.Second stitching thread construct 52 can pass the second hole 634.Therefore, ligament construct 600 can arrange the operation for being similar to above-mentioned construct 20.But, the hole 614 and 634 that stitching thread construct 50 and 52 can be formed through through overlapping region 612 and 632 instead of the eyelet 610 passing through construct end 602,630 or formed by the overlap of stitching thread ligament construct 600.
By providing the hole 614 and 634 of through overlapping region, being improved by the larger quality and width providing ligament construct 600 to be pulled through and exiting or pull off strength.Hole 614 and 634 can be formed in select location suitable arbitrarily relative to ligament construct 600 and folding eyelet 610, and without the need to being formed in the end of overlapping ligament construct 600.
With reference to Figure 13 and Figure 14, show ligament construct 650.Ligament construct 650 can extend to the second end from first end, is similar to above-mentioned ligament construct, comprises those ligament constructs shown in Figure 1A and Figure 1B.Each end of ligament construct can comprise at least one eyelet 652 of the eyelet 40 and 42 being similar to ligament construct 20.Eyelet 652 can be similar to eyelet as above and be formed, such as that the end 654 of stitching thread construct 650 is overlapping or folding, and utilizes welding or suture element 656 to be fixed.The eyelet 652 of ligament construct 650 can be circular or curved relative to the width 650w of ligament construct 650.
First edge 660 can fold towards the longitudinal center line of ligament construct 650 or longitudinal axis 662 or roll.Second edge 664 also can fold towards centrage 662 or roll.First edge 660 and the second edge 664 can be outer transverse edge and longitudinal edge.Each in edge 660,664 can fold towards longitudinal center's axis 662 of construct 650, as further described herein.Therefore, relative to rolling folding width 650w folding at region place or rolling size and can be less than width 650w and width 670 can be comprised.Width 670 can be less than the folding width 650w as limited in dotted line 672 in fig. 13.
Stitching thread construct 50 can be formed through eyelet 652 or through eyelet 652, is similar to above about the stitching thread construct 50,52 described in Figure 1A.Further understanding, ligament construct 650 can comprise the second end and can have similar eyelet 652 or be similar to the eyelet of those eyelets above-mentioned.Second stitching thread construct can with above about second eyelet of the similar mode of the mode described by construct 350 through ligament construct 650.
Hole can be passed, the hole in such as bone in the end comprising eyelet 652 of ligament construct 650, as illustrated explanation in figure 6 above.The width of eyelet area 652 can be decreased to the width 650w being less than ligament construct 650 by the eyelet 652 formed by folded edge 660 and 664.Therefore, eye portion 652 can insert in the hole be formed in bone efficiently.In addition, volume or folded edge can provide edge that is more level and smooth and/or one-tenth profile and minimize with the contact in hole and make easily through hole.The edge rolled and fold can by fixed part, such as stitching thread 680 or other binding agents be applicable to and remain in its structure rolled and fold.Therefore, eyelet 652 can be formed together with ligament construct 650, so that relative to the location, hole be formed in bone parts and/or through the hole be formed in bone parts.
Should be appreciated that each embodiment of construct, comprise above-mentioned eyelet, can be formed with above-mentioned similar fashion and exchange because of various object.This construct can be used in various object, comprises ligament and/or tendon reparation, reinforcement or substitutes.And selected eyelet can be formed for the appropriate ways of selected operation, as understood by those skilled in the art.And, form eyelet in every way and can be used in production, efficiency and/or cost and specific operation.
In order to the object of example and description, provide the aforementioned explanation of embodiment.Be not intended to limit or the restriction disclosure.Each element of specific embodiment or feature are not limited to this specific embodiment usually, but in the appropriate case, can exchange and may be used for selected embodiment, even if illustrating particularly or describing.Each element of specific embodiment or feature can carry out modification by various mode.These modified examples are not considered as departing from the disclosure, and all improvement are like this intended to be contained in the scope of the present disclosure.In the object that term used herein is only to describe certain exemplary embodiments, be not intended to limit.As used herein, unless context clear stipulaties, otherwise referring to of not modifying with numeral-classifier compound or modify with " described " can be intended to comprise plural form equally.

Claims (52)

1., for being connected to a curee's system, comprising:
Strengthen construct, it has the first end, and wherein said reinforcement construct has fold domain, and described in described fold domain, the first end folds to extend a length towards the central authorities of described reinforcement construct;
Connection features, it connects a part for described fold domain, makes described first end inwardly be fixed on described reinforcement construct in fixed position; And
First passage, it is formed as the hole of through described fold domain;
Wherein said hole is formed through at least two-layer of described reinforcement construct material owing to being formed as the folding terminal part of through described reinforcement construct and medial part.
2. system according to claim 1, comprises further:
Be arranged in the second channel of described fold domain, closer to described first end and between the second surface relative with described first surface of its first surface being limited to the inside bound fraction of described reinforcement construct and described reinforcement construct.
3. system according to claim 1, wherein said connection features at least comprises stitching thread.
4. system according to claim 1, wherein said connection features is at least included in the ultra-sonic welded of the first end described in the place of described fixed position.
5. system according to claim 1, comprises further:
First stitching thread construct, it is combined with described reinforcement construct by described first passage;
First anchor log, it is combined with described first stitching thread construct.
6. system according to claim 5, wherein said first anchor log is the flexible anchor locking member be combined with described first stitching thread construct;
Wherein said first stitching thread construct has the channel part limiting through channel, the first end of wherein said first stitching thread construct is threaded into described through channel to form first ring and to leave described through channel by the second aperture by the first aperture, and the second end of described stitching thread construct is threaded into described through channel to form the second ring and to leave described through channel by the 4th aperture by the 3rd aperture.
7. system according to claim 6, wherein said first flexible anchor locking member first can be collapsed pipe, and it is configured to form the first anchorage block combined around described first stitching thread construct.
8. system according to claim 5, wherein said first anchor log comprises elongated member, and described elongated member has the join domain between the first anchor log end and the second anchor log end;
Wherein said elongated member is configured to first surface and the second surface in the hole engaging contiguous curee.
9. strengthen a construct, comprising:
Have the construct of first end, wherein said construct has the fold domain at folded part and between internally dividing, and wherein said first end is folding and described inside part towards described construct extends in the mediad of described construct;
Fixed part, wherein said first end is fixed to the described internally office of described construct;
First passage, its described folded part and described internally divide between be formed as the hole of through described fold domain, it is at least two-layer that wherein said hole shape becomes through the structure material of described construct in described fold domain;
Link, it is connected to described construct at described first passage place.
10. reinforcement construct according to claim 9, comprises further:
Anchor log, it is connected to described connecting portion, and wherein said anchor log is configured to described construct to anchor to curee.
11. reinforcement constructs according to claim 10, wherein said anchor log is the rigid anchorage part being connected to described link.
12. reinforcement constructs according to claim 10, wherein said anchor log is the flexible anchor locking member be combined with described connecting portion;
Wherein said connecting portion has the channel part limiting through channel, the first end of wherein said connecting portion penetrates through channel by the first aperture and forms first ring and leave described through channel by the second aperture, and the second end of described connecting portion penetrates described through channel by the 3rd aperture and forms the second ring and leave described through channel by the 4th aperture.
13. reinforcement constructs according to claim 9, comprise further:
The second channel limited by described construct, it is formed as the second hole of through described construct, described second hole make at least one cross side of described construct towards described construct the vertical central axis coil of wire around.
14. reinforcement constructs according to claim 9, wherein said construct is formed by bioabsorbable material.
15. 1 kinds form the method strengthening construct, comprising:
Make the first end of construct in the mediad of described construct folding and extend to described construct inside part thus folded part and described internally divide between form fold domain;
Described first end to be fixed on described in described construct internally office;
Described folded part and described internally divide between form the first passage of through described fold domain, wherein said first passage is formed as at least two-layer hole through the structure material of described construct in described fold domain;
At described first passage place, link is connected with described construct; And
The anchor log with described link is provided.
16. methods according to claim 15, comprise further:
The hole be formed in curee is penetrated to fold domain described in major general; And
By by next relative to the hole grappling be formed in described curee for provided anchor log relative to construct described in curee's grappling.
17. methods according to claim 16, comprise further:
Make provided anchor log through the hole be formed in curee;
Making provided anchor log through after described hole, by the location, outside of contiguous for described anchor log curee; And
Construct described in tensioning is carried out relative to the described anchor log of the location, outside of contiguous curee.
18. methods according to claim 17, wherein comprise the location, outside of contiguous for described anchor log curee: locate the central body region that at least one arm-piece of extending from anchor log middle section extends with the central axis towards described hole contacting described outside and described anchor log.
19. methods according to claim 17, wherein comprise the location, outside of contiguous for described anchor log curee: the pipe that makes to collapse is collapsed into the anchorage block on curee outside.
20. methods according to claim 16, comprise further:
Longitudinal outward flange of described construct is moved towards the central axis of described construct; And
Keep the longitudinal edge of movement near described central axis to form area of reduced width.
21. 1 kinds of methods strengthening ligament, comprising:
The first hole is formed in the first bone;
In the second bone, form the second hole, wherein said second bone is with described first osteodiastasis and be naturally connected with natural ligament;
The first anchorage block is located relative to described first bone via described first hole;
The second anchorage block is located relative to described second bone via described second hole; And
Make the tensioning between described first anchorage block and described second anchorage block anchor log of ligament construct.
22. methods according to claim 21, wherein form described first hole and are included in nut bone and form described first hole in described first bone;
In described second bone, wherein form described second hole be included in calcaneus and form described second hole.
23. methods according to claim 21, wherein comprise relative to described first described first anchorage block in bone location via described first hole: make the first anchor log through described first bone, and described first anchor log is positioned on the outer surface contrary with the on position of described ligament construct of described first bone.
24. methods according to claim 23, comprise further:
At described first anchor log through after described first hole, tension load is applied to described first anchor log, the part comprised to stitching thread construct applies tension load to form the first anchorage block that wherein said first anchor log has the locking profile of the outer surface engaging described first bone, and wherein applying tension load makes described first anchor log be collapsed into from the first profile to have larger-diameter second profile and form anchorage block.
25. methods according to claim 21, wherein locate the first anchorage block via described first hole relative to the first bone to comprise: make the first anchor log penetrate the first hole and penetrate described first bone, and described first anchor log is positioned on the outer surface deviating from the on position of described ligament construct of described first bone.
26. methods according to claim 25, comprise further:
Penetrate the rear of described first hole making the first anchor log and apply tension load to described first anchor log, the part comprised to stitching thread construct applies tension load and form the first anchorage block that wherein the first anchor log has the locking profile of the inside of joint first bone, wherein applies tension load and the first anchor log is collapsed into from the first profile have larger-diameter second profile and form the first anchorage block.
27. methods according to claim 21, wherein ligament construct described in tensioning comprises and applies tension force to the first end of suture portion and the second end;
At least one and ligament construct in wherein said suture portion and the first anchor log and the second anchor log interconnect;
Wherein said suture portion has the channel part limiting through channel, suture portion is continuous loop, wherein said first end enters the through channel of the described channel part limited by described stitching thread through the first aperture limited by stitching thread and passes from the second aperture limited by stitching thread thus described first end be placed in the outside of described channel part and form the first suture loop, described sutural second end enters the through channel of described channel part through the 3rd aperture and passes from the 4th aperture thus the second end be placed in the outside of described channel part and form the second suture loop.
28. methods according to claim 21, wherein form described first hole and in described second bone, form described second hole and comprise respectively in described first bone:
The first through hole of through nearside cortical bone layer and Distal cortex osteoplaque is got out by the first diameter;
The through described nearside cortical bone layer of outdrill and do not arrive the second hole of described Distal cortex osteoplaque;
Each in wherein said first hole and described second hole all limits interior shoulder.
29. methods according to claim 21, comprise further:
By described ligament construct and ligament be configured to described first bone and the second bone to interconnect be connected at least partially.
30. methods according to claim 21, comprise further:
Relative to the 3rd bone location the 3rd anchor log; And
Relative to ligament construct described in each tensioning in described first bone, described second bone and described 3rd bone;
In wherein said first bone, described second bone and described 3rd bone all in foot.
31. methods according to claim 21, comprise further:
Relative to described 3rd bone or the 4th bone location the 4th anchor log; And
Relative to ligament construct described in each tensioning in described first bone, described second bone, described 3rd bone and described 4th bone;
Wherein said first bone, described second bone, described 3rd bone and described 4th bone are all in foot or form joint with described foot and be connected;
Wherein locating described 4th anchor log can in described 3rd bone.
32. methods according to claim 21, form described first hole and in described second bone, form described second hole and comprise respectively in described first bone:
Form each in described first hole and described second hole to limit interior shoulder.
33. 1 kinds of methods strengthening ligament, comprising:
The first hole is formed in tibia;
In calcaneus, form the second hole, wherein said calcaneus is separated with described tibia;
The ligament construct be connected with the first stitching thread construct and the second stitching thread construct is provided, each in described first stitching thread and described second stitching thread all has and limits the channel part of through channel and at least one suture loop relative to described channel part, and first end and the second end;
First can collapsing flexible anchor locking member of being connected with described first stitching thread construct is provided;
Second can collapsing flexible anchor locking member of being connected with the second stitching thread construct is provided;
Can to collapse flexible anchor locking member pipe relative to described tibia location described first via described first hole;
Can to collapse flexible anchor locking member relative to described calcaneus location second via described second hole;
Apply the first power by described first stitching thread construct and form the first anchorage block to the described first flexible anchor locking member of can collapsing to utilize the described first flexible anchor locking member of can collapsing;
Apply the second power by described second stitching thread construct and form the second anchorage block to the described second flexible anchor locking member of can collapsing to utilize the described second flexible anchor locking member of can collapsing; And
Ligament construct described in tensioning between described first anchorage block and described second anchorage block.
34. methods according to claim 33, wherein can to collapse flexible anchor locking member and comprising relative to described calcaneus location described second flexible anchor locking member of can collapsing via described second hole relative to described tibia location described first via described first hole: make the corresponding first flexible anchor locking member and second flexible anchor locking member of can collapsing of can collapsing be placed in flexible anchor locking member of can collapsing described first flexible anchor locking member of can collapsing on the outer surface of described tibia and by described second through corresponding first hole and the second hole and be placed on the outer surface of described calcaneus.
35. methods according to claim 33, wherein described in tensioning, ligament comprises: be formed as at least towards after ligament construct described in described tibia tractive at described first anchorage block, applies power to the first end of described first stitching thread construct and the second end.
36. methods according to claim 33, wherein described in tensioning, ligament comprises: be formed as at least towards after ligament construct described in described calcaneus tractive at described second anchorage block, applies power to the first end of described second stitching thread construct and the second end.
37. methods according to claim 33, the ligament construct be connected with the first stitching thread construct and the second stitching thread construct is wherein provided to comprise: to provide the elongated construct with the first end and the second end, described first end folded and on described first end central authorities attachment and form the first eyelet, by the described first described first stitching thread construct in eyelet location, described second end folded and on described second end central authorities attachment and form the second eyelet, by described second eyelet location described second stitching thread construct.
38., according to method according to claim 37, comprise further:
The ligament formed by braided polymer material construct is provided.
39. methods according to claim 33, the ligament construct be connected with the first stitching thread construct and the second stitching thread construct is wherein provided to comprise: to provide the elongated construct with the first hole and the second hole, the first through first end in hole and being formed, by the described first described first stitching thread construct in location, hole, through second end in second hole and being formed, by the described second described second stitching thread construct in location, hole.
40. methods according to claim 33, comprise further:
The 3rd hole is formed in calcaneus;
The 4th hole is formed in described calcaneus;
Can to collapse flexible anchor locking member relative to described calcaneus location the 3rd via described 3rd hole; And
Can to collapse flexible anchor locking member relative to described calcaneus location the 4th via described 4th hole.
41. 1 kinds form the method strengthening construct, comprising:
Form the ligament construct extending to the second end from the first end;
Described first end near described ligament construct forms first passage;
Described second end near described ligament construct forms second channel;
By described first passage, the first stitching thread construct is connected with described ligament construct;
By described second channel, the second stitching thread construct is connected with described ligament construct;
Each making in described first stitching thread construct and described second stitching thread construct has the channel part limiting through channel, wherein each sutural first end penetrates described through channel by the first aperture and forms first ring and leave described through channel by the second aperture, and each sutural second end penetrates described through channel by the 3rd aperture and forms the second ring and leave described through channel by the 4th aperture; And
First flexible anchor locking member is combined with described first stitching thread construct and the second flexible anchor locking member is combined with described second stitching thread construct.
42. methods according to claim 41, wherein form described first passage near described first end of described ligament construct to comprise: described first end is inwardly folded into primary importance by the central authorities towards described ligament construct, and is fixed in described primary importance by described first end; And
Wherein form described second channel near described second end of described ligament construct to comprise: described second end is inwardly folded into the second position by the central authorities towards described ligament construct, and is fixed in the described second position by described second end.
43. methods according to claim 41, wherein form described first passage near described first end of described ligament construct and form described second channel near the second end of described ligament construct and comprise and being formed from the first side to the through hole of the second through described ligament construct in side.
44. methods according to claim 41, wherein described first flexible anchor locking member is combined with described first stitching thread construct and comprises: can to collapse in conjunction with first around described first stitching thread construct and manage, and described second flexible anchor locking member is combined with described second stitching thread construct comprises: can to collapse in conjunction with second around described second stitching thread construct and manage.
45. methods according to claim 44, comprise further:
When applying tension force by corresponding first stitching thread or the second stitching thread, the described first pipe of can collapsing is made to collapse and the described second pipe of can collapsing is collapsed.
46. methods according to claim 41, wherein form the ligament construct extending to described second end from described first end to comprise: formed near described second end transverse to the first arm-piece of the vertical axis extension of described ligament construct and the second arm-piece, described longitudinal axis is limited between described first end and described second end.
Strengthen ligament, comprising for 47. 1 kinds:
Ligament construct, it extends to the second end from the first end, has the first passage of described first end near described ligament construct, and the second channel of described second end of close described ligament construct;
First stitching thread construct, it is combined with described ligament construct by described first passage;
Second stitching thread construct, it is combined with described ligament construct by described second channel;
First flexible anchor locking member, it is combined with described first stitching thread construct; And
Second flexible anchor locking member, it is combined with described second stitching thread construct;
Each in wherein said first stitching thread construct and described second stitching thread construct has the channel part limiting through channel, wherein the first end of each stitching thread construct penetrates described through channel by the first aperture and forms first ring and leave described through channel by the second aperture, and the second end of each stitching thread construct penetrates described through channel by the 3rd aperture and forms the second ring and leave described through channel by the 4th aperture.
48. reinforcement ligaments according to claim 47, are wherein inwardly folded into primary importance and are fixed on described primary importance by the central authorities towards described ligament construct by described first end near the described first passage of described first end of described ligament construct and limit; And
Wherein by the central authorities towards described ligament construct near the described second channel of described second end of described ligament construct described second end inwardly folded into the second position and be fixed on the described second position and limit.
49. reinforcement ligaments according to claim 47, the described second channel wherein near the described first passage of described first end of described ligament construct and described second end of close described ligament construct is by limiting from the first side to the through hole of the second through described ligament construct in side.
50. reinforcement ligaments according to claim 47, wherein said first flexible anchor locking member is configured to form first of the first anchorage block combined around described first stitching thread construct can to collapse pipe, and described second flexible anchor locking member is configured to form second can the collapsing pipe of the second anchorage block around described second stitching thread construct combination.
51. reinforcement ligaments according to claim 47, wherein said ligament construct comprises near described second end transverse to the first arm-piece of the vertical axis extension of described ligament construct and the second arm-piece, and described longitudinal axis is limited between described first end and described second end.
52. reinforcement ligaments according to claim 45, wherein said ligament construct comprises the first ligament construct and the second ligament construct;
Wherein said first ligament construct forms crisscross configuration through described first passage.
CN201480027708.4A 2013-03-14 2014-03-13 For the stent of spring ligament reparation Active CN105208970B (en)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201361783976P 2013-03-14 2013-03-14
US61/783,976 2013-03-14
US14/095,614 US9918826B2 (en) 2006-09-29 2013-12-03 Scaffold for spring ligament repair
US14/095,639 US9918827B2 (en) 2013-03-14 2013-12-03 Scaffold for spring ligament repair
US14/095,639 2013-12-03
US14/095,614 2013-12-03
PCT/US2014/026413 WO2014151766A1 (en) 2013-03-14 2014-03-13 Scaffold for spring ligament repair

Publications (2)

Publication Number Publication Date
CN105208970A true CN105208970A (en) 2015-12-30
CN105208970B CN105208970B (en) 2018-06-05

Family

ID=54258945

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201480027708.4A Active CN105208970B (en) 2013-03-14 2014-03-13 For the stent of spring ligament reparation

Country Status (5)

Country Link
EP (1) EP2967831A1 (en)
CN (1) CN105208970B (en)
AU (1) AU2014236885B2 (en)
CA (1) CA2906596C (en)
WO (1) WO2014151766A1 (en)

Cited By (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
CN108738302A (en) * 2016-02-01 2018-11-02 美多斯国际有限公司 The tissue enhancing holder that repair system is used together with method is fixed with soft tissue
US10251637B2 (en) 2006-02-03 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10265159B2 (en) 2011-11-03 2019-04-23 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
CN109689121A (en) * 2016-07-06 2019-04-26 儿童医学中心公司 The indirect method of joint tissue reparation
US10363028B2 (en) 2011-11-10 2019-07-30 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US10368856B2 (en) 2011-11-10 2019-08-06 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US11484401B2 (en) 2016-02-01 2022-11-01 Medos International Sarl Tissue augmentation scaffolds for use in soft tissue fixation repair

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US20100305710A1 (en) 2009-05-28 2010-12-02 Biomet Manufacturing Corp. Knee Prosthesis
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US9622738B2 (en) 2014-09-11 2017-04-18 Arthrex, Inc. Soft anchor assembly with non-sliding flexible strand and techniques for use
FR3031894B1 (en) * 2015-01-26 2019-12-13 Fournitures Hospitalieres Industrie DEVICE FOR FIXING A LIGAMENTARY TRANSPLANT
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9974534B2 (en) 2015-03-31 2018-05-22 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
WO2017075608A1 (en) 2015-10-30 2017-05-04 New York Society For The Relief Of The Ruptured And Crippled, Maintaining The Hospital For Special Surgery Suture sleeve patch and methods of delivery within an existing arphroscopic workflow

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5026398A (en) * 1988-07-01 1991-06-25 The Minnesota Mining And Manufacturing Company Abrasion resistant prosthetic device
US6174324B1 (en) * 1998-07-13 2001-01-16 Axya Medical, Inc. Suture guide and fastener
US20040044351A1 (en) * 2002-08-27 2004-03-04 Gary Searle Mechanical occluding device
US20040147958A1 (en) * 2002-12-11 2004-07-29 Usgi Medical Apparatus and methods for forming and securing gastrointestinal tissue folds
WO2005122954A1 (en) * 2004-06-14 2005-12-29 Boston Scientific Scimed, Inc. Systems, methods and devices relating to implantable supportive slings
CN1720872A (en) * 2004-07-14 2006-01-18 奥林巴斯株式会社 Tissue stapling method and tissue stapler
CN1777450A (en) * 2003-01-17 2006-05-24 拉思公司-科学研究与应用试验室 Biomimetic prosthetic ligament and production method thereof
CN101083954A (en) * 2004-03-23 2007-12-05 米尼穆斯外科系统公司 Devices and methods to treat a patient
US20080188935A1 (en) * 2006-08-16 2008-08-07 James Saylor Drill pin for fixation of ligaments using button/loop construct
CN101584592A (en) * 2007-10-31 2009-11-25 拉迪医疗系统公司 Device for sealing a puncture hole in a bodily organ

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5108433A (en) * 1989-08-18 1992-04-28 Minnesota Mining And Manufacturing Company Tensioning means for prosthetic devices
US7229453B2 (en) * 2001-01-23 2007-06-12 Ams Research Corporation Pelvic floor implant system and method of assembly
US7695503B1 (en) 2004-06-09 2010-04-13 Biomet Sports Medicine, Llc Method and apparatus for soft tissue attachment
US8109965B2 (en) 2004-06-09 2012-02-07 Biomet Sports Medicine, LLP Method and apparatus for soft tissue fixation
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7749250B2 (en) * 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9408599B2 (en) 2006-02-03 2016-08-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5026398A (en) * 1988-07-01 1991-06-25 The Minnesota Mining And Manufacturing Company Abrasion resistant prosthetic device
US6174324B1 (en) * 1998-07-13 2001-01-16 Axya Medical, Inc. Suture guide and fastener
US20040044351A1 (en) * 2002-08-27 2004-03-04 Gary Searle Mechanical occluding device
US20040147958A1 (en) * 2002-12-11 2004-07-29 Usgi Medical Apparatus and methods for forming and securing gastrointestinal tissue folds
CN1777450A (en) * 2003-01-17 2006-05-24 拉思公司-科学研究与应用试验室 Biomimetic prosthetic ligament and production method thereof
CN101083954A (en) * 2004-03-23 2007-12-05 米尼穆斯外科系统公司 Devices and methods to treat a patient
WO2005122954A1 (en) * 2004-06-14 2005-12-29 Boston Scientific Scimed, Inc. Systems, methods and devices relating to implantable supportive slings
CN1720872A (en) * 2004-07-14 2006-01-18 奥林巴斯株式会社 Tissue stapling method and tissue stapler
US20080188935A1 (en) * 2006-08-16 2008-08-07 James Saylor Drill pin for fixation of ligaments using button/loop construct
CN101584592A (en) * 2007-10-31 2009-11-25 拉迪医疗系统公司 Device for sealing a puncture hole in a bodily organ

Cited By (99)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US11109857B2 (en) 2004-11-05 2021-09-07 Biomet Sports Medicine, Llc Soft tissue repair device and method
US10265064B2 (en) 2004-11-05 2019-04-23 Biomet Sports Medicine, Llc Soft tissue repair device and method
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11116495B2 (en) 2006-02-03 2021-09-14 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9510821B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US11896210B2 (en) 2006-02-03 2024-02-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9561025B2 (en) 2006-02-03 2017-02-07 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US11819205B2 (en) 2006-02-03 2023-11-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10603029B2 (en) 2006-02-03 2020-03-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US11730464B2 (en) 2006-02-03 2023-08-22 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US11723648B2 (en) 2006-02-03 2023-08-15 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US11617572B2 (en) 2006-02-03 2023-04-04 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11589859B2 (en) 2006-02-03 2023-02-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US11471147B2 (en) 2006-02-03 2022-10-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11446019B2 (en) 2006-02-03 2022-09-20 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US11317907B2 (en) 2006-02-03 2022-05-03 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10004489B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10675073B2 (en) 2006-02-03 2020-06-09 Biomet Sports Medicine, Llc Method and apparatus for sternal closure
US10098629B2 (en) 2006-02-03 2018-10-16 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US10154837B2 (en) 2006-02-03 2018-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10251637B2 (en) 2006-02-03 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11284884B2 (en) 2006-02-03 2022-03-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10321906B2 (en) 2006-02-03 2019-06-18 Biomet Sports Medicine, Llc Method for tissue fixation
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US11065103B2 (en) 2006-02-03 2021-07-20 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US11039826B2 (en) 2006-02-03 2021-06-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10398428B2 (en) 2006-02-03 2019-09-03 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10441264B2 (en) 2006-02-03 2019-10-15 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10987099B2 (en) 2006-02-03 2021-04-27 Biomet Sports Medicine, Llc Method for tissue fixation
US10542967B2 (en) 2006-02-03 2020-01-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10595851B2 (en) 2006-02-03 2020-03-24 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11786236B2 (en) 2006-02-03 2023-10-17 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10973507B2 (en) 2006-02-03 2021-04-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10687803B2 (en) 2006-02-03 2020-06-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10932770B2 (en) 2006-02-03 2021-03-02 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10695052B2 (en) 2006-02-03 2020-06-30 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10702259B2 (en) 2006-02-03 2020-07-07 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10716557B2 (en) 2006-02-03 2020-07-21 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10729421B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US10729430B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11376115B2 (en) 2006-09-29 2022-07-05 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US10835232B2 (en) 2006-09-29 2020-11-17 Biomet Sports Medicine, Llc Fracture fixation device
US10695045B2 (en) 2006-09-29 2020-06-30 Biomet Sports Medicine, Llc Method and apparatus for attaching soft tissue to bone
US10610217B2 (en) 2006-09-29 2020-04-07 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10517714B2 (en) 2006-09-29 2019-12-31 Biomet Sports Medicine, Llc Ligament system for knee joint
US10398430B2 (en) 2006-09-29 2019-09-03 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US11096684B2 (en) 2006-09-29 2021-08-24 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10743925B2 (en) 2006-09-29 2020-08-18 Biomet Sports Medicine, Llc Fracture fixation device
US10349931B2 (en) 2006-09-29 2019-07-16 Biomet Sports Medicine, Llc Fracture fixation device
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11672527B2 (en) 2006-09-29 2023-06-13 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11612391B2 (en) 2007-01-16 2023-03-28 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10729423B2 (en) 2007-04-10 2020-08-04 Biomet Sports Medicine, Llc Adjustable knotless loops
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US11185320B2 (en) 2007-04-10 2021-11-30 Biomet Sports Medicine, Llc Adjustable knotless loops
US11534159B2 (en) 2008-08-22 2022-12-27 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10265159B2 (en) 2011-11-03 2019-04-23 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US11241305B2 (en) 2011-11-03 2022-02-08 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US10363028B2 (en) 2011-11-10 2019-07-30 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US11534157B2 (en) 2011-11-10 2022-12-27 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US10368856B2 (en) 2011-11-10 2019-08-06 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10758221B2 (en) 2013-03-14 2020-09-01 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US11523812B2 (en) 2016-02-01 2022-12-13 Medos International Sarl Soft tissue fixation repair methods using tissue augmentation constructs
US11484401B2 (en) 2016-02-01 2022-11-01 Medos International Sarl Tissue augmentation scaffolds for use in soft tissue fixation repair
CN108738302A (en) * 2016-02-01 2018-11-02 美多斯国际有限公司 The tissue enhancing holder that repair system is used together with method is fixed with soft tissue
US11937803B2 (en) 2016-02-01 2024-03-26 Medos International Sarl Soft tissue fixation repair methods using tissue augmentation constructs
US11357495B2 (en) 2016-02-01 2022-06-14 Medos International Sarl Tissue augmentation scaffolds for use with soft tissue fixation repair systems and methods
US11938017B2 (en) 2016-02-01 2024-03-26 Medos International Srl Tissue augmentation scaffolds for use in soft tissue fixation repair
CN109689121A (en) * 2016-07-06 2019-04-26 儿童医学中心公司 The indirect method of joint tissue reparation

Also Published As

Publication number Publication date
CN105208970B (en) 2018-06-05
AU2014236885B2 (en) 2018-03-15
CA2906596A1 (en) 2014-09-25
WO2014151766A1 (en) 2014-09-25
CA2906596C (en) 2018-11-20
EP2967831A1 (en) 2016-01-20
AU2014236885A1 (en) 2015-11-05

Similar Documents

Publication Publication Date Title
CN105208970A (en) Scaffold for spring ligament repair
US10758221B2 (en) Scaffold for spring ligament repair
US9918826B2 (en) Scaffold for spring ligament repair
US20210315683A1 (en) Reinforced biological construct and method of reinforcing biological construct
US11241305B2 (en) Method and apparatus for stitching tendons
CN104337590B (en) Adjustable graft fixation device
JP6537768B2 (en) Systems, devices, and methods for securing tissue using rigid anchors
US20140039551A1 (en) Suture Anchor Device and Methods of Use
US11918454B2 (en) Tissue fixation device
US20230092231A1 (en) Systems and methods for preparing reinforced graft constructs
CN107361806B (en) Devices, systems, and methods for delivering tissue fixation devices
AU2021250955A1 (en) Multi-density all suture anchor

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant