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WO2018034398A2 - Ancrage de manchon pour intervention médicale - Google Patents

Ancrage de manchon pour intervention médicale Download PDF

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Publication number
WO2018034398A2
WO2018034398A2 PCT/KR2017/001017 KR2017001017W WO2018034398A2 WO 2018034398 A2 WO2018034398 A2 WO 2018034398A2 KR 2017001017 W KR2017001017 W KR 2017001017W WO 2018034398 A2 WO2018034398 A2 WO 2018034398A2
Authority
WO
WIPO (PCT)
Prior art keywords
anchor body
anchor
bone
insertion hole
suture
Prior art date
Application number
PCT/KR2017/001017
Other languages
English (en)
Korean (ko)
Other versions
WO2018034398A3 (fr
Inventor
손정완
손정아
Original Assignee
주식회사 에이알씨코리아
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 주식회사 에이알씨코리아 filed Critical 주식회사 에이알씨코리아
Publication of WO2018034398A2 publication Critical patent/WO2018034398A2/fr
Publication of WO2018034398A3 publication Critical patent/WO2018034398A3/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials

Definitions

  • the present invention relates to a sleeve anchor for securing damaged soft tissue with a bone.
  • a damaged rotator cuff is fixed to the bone after removal of the damaged area.
  • the anchor is drilled into the bone, and the suture connected to the anchor is tied to the soft tissue to attach and fix the soft tissue to the bone.
  • the thread formed on the bone and the thread formed on the anchor do not exactly match, and over time, the anchor is loosened, and the suture is also loosened, so that the soft tissue cannot be firmly held.
  • the applicant of the present invention was to solve the Republic of Korea Patent No. 10-1634796 (announced: 2016.06.29), looking at the configuration of the anchor made of a hollow tube Omega ( ⁇ ) including a circular portion and a linear wing portion by drilling the first and second through holes in the body and inserting the suture inserted into the anchor body to the outside, and inserting the tubular anchor body into the bone and pulling the suture.
  • ⁇ hollow tube Omega
  • such a conventional anchor body has a through hole through which sutures are formed on only one surface of the anchor body, so that the overall omega shape is distorted (especially a circular part) when the suturing operation is executed by pulling the suture, so that the straight wing is not easily caught. There was a problem.
  • the present invention has been proposed to solve the above-described problems, the sleeve anchor that can be maintained in a circular shape is not distorted when the anchor body is formed in the omega shape by pulling the suture to increase the fixing force with the bone
  • the purpose is to provide.
  • the surgical sleeve anchor according to the present invention has a length in the range of 20 ⁇ 4 [mm] from the front end to the rear end, and a hollow part is formed in the longitudinal direction so as to communicate with both sides, and the pull of the suture
  • a plurality of incisions are formed in the front and the rear of the anchor body so as to communicate with the hollow body and the hollow body fixed in the bone by a perforation or formed to have a predetermined diameter, and the suture is repeatedly inserted into the hollow from the outside of the anchor body.
  • by pulling the suture comprises a through portion to be anchored in the bone to the anchor body to form an omega.
  • the through part may be located at the anchor body so as to be positioned between the first insertion hole and the pair of first insertion holes, the pair of which is formed symmetrically with each other adjacent to each other in the range of 2 ⁇ 2 [mm] at both ends of the front surface of the anchor body.
  • a pair is formed symmetrically with each other, the second insertion hole is formed so as to be adjacent to each of the first insertion hole in the range of 2 ⁇ 2 [mm], a pair is formed on the back of the anchor body facing each other with the first insertion hole
  • Each of the anchor body preferably comprises a third insertion hole formed at a position adjacent to each other in the range of 2 ⁇ 2 [mm].
  • the through portion further comprises a pair of fourth insertion hole formed in the front of the anchor body so as to be located between the pair of the second insertion hole, respectively 9 ⁇ 0.5 [mm] or at both ends of the anchor body front It is preferable that the pair be formed symmetrically with each other at a position in the range of 11 ⁇ 0.5 [mm].
  • 1 is a use state diagram showing a conventional sleeve anchor.
  • Figure 2 is a view showing the front and rear and the cross section of the sleeve sleeve for surgery according to the present invention.
  • FIG. 3 is a view showing a state in which the suture is coupled to FIG.
  • FIG. 4 is a view showing a through portion of a sleeve anchor for a procedure according to the present invention having a total length of 20 [mm].
  • FIG. 5 is a view showing a through portion of a sleeve anchor for a procedure according to the present invention having a total length of 24 [mm].
  • Figure 6 is a view showing a surgical sleeve anchor according to the invention having an omega shape in the bone according to Figure 2;
  • FIG. 7 is a use state in which a pair of sutures are penetrated and inserted into the anchor body in another embodiment of a surgical sleeve anchor according to the present invention.
  • anchor sleeve sleeve anchoring
  • the anchor 100 largely includes an anchor body 110 and a through part 120.
  • the through part 120 has been described as an example of being cut to a predetermined length on the outer surface of the anchor body 110, this is only one embodiment, and a through hole having a predetermined diameter as needed (not shown) It is also possible to use perforated or cut in '+', 'X' and '*' shape to have the shape of).
  • the diameter of the through hole is preferably at least the diameter of the suture or less than the outer diameter to prevent the suture 200 inserted in the anchor body 110 to prevent movement regardless of the intention of the operator.
  • the embodiment described in the detailed description of the present invention is the total length from the front end to the rear end of the anchor body 110 is 20 [mm] or the outer diameter is 1.5 [mm] or the total length is 24 [mm] but the outer diameter is Although 2.9 [mm] has been illustrated and illustrated, this is only one embodiment.
  • the anchor body 110 as shown in Figures 2 and 3, is inserted into the bone is formed in the bone through the insertion mechanism with the insertion through the suture 200 is inserted into the bone. It is a configuration for performing the function of an anchor fixing the damaged soft tissue.
  • the anchor body 110 performs the function of the anchor due to the appearance of the omega shape in the interior by pulling the suture 200 by the external force of the operator in the state inserted into the bone.
  • the procedure is performed by inducing the fixation between the damaged soft tissue and the bone through the suture of the anchor body 110 fixed inside the bone when the procedure according to the soft tissue damage, such as ligaments or muscles.
  • the anchor body 110 is molded to have a predetermined length with a material of ductility (including elasticity) that is harmless to the human body, but the hollow body 111 is formed in a tubular shape in which the hollow part 111 is formed in the longitudinal direction.
  • Anchor body 110 is formed in a circular shape bent in an arc shape and the linear blades on both ends of the circular portion, but the linear blade is bent to the outside caught on the inner surface of the anchor body 110 is generally omega ( ⁇ ) )
  • omega omega
  • the through part 120 is perforated to have an incision or a predetermined diameter on the front and rear surfaces of the anchor body 110, so that the suture 200 is outside the anchor body 110.
  • the anchor body 110 is inserted through the hollow portion 111 through the hollow portion 111 is inserted into the bone to be fixed to form an omega shape comprising a first to fourth insertion hole 127 Is done.
  • the overall length of the anchor body 110 will be described based on 20 [mm].
  • the first insertion hole 121 is formed in a pair of incisions symmetrically to each other on the front surface of the anchor body 110 in communication with the hollow portion 111 is formed to be 2 ⁇ 2 [mm] neighboring at both ends of the anchor body 110 Both sides of the anchor body 110 to form a straight blade having a predetermined length for executing the locking operation.
  • the second insertion hole 123 is formed to be located between the pair of the first insertion hole 121 described above, the anchor body (2 ⁇ 2 [mm] adjacent to each of the first insertion hole 121 and adjacent to each other ( 110, a pair is formed to be symmetrically cut in front of each other, so that the suture 200 penetrated through the first insertion hole 121 and exposed to the outside of the anchor body 110 can be inserted into the hollow part 111 again. do.
  • the third insertion hole 125 is opposite to the first insertion hole 121 and horizontally opposite to each other (ie, 2 ⁇ 2 [mm] adjacent at both ends of the anchor body) adjacent to the anchor body 110. Incision is formed in the pair is formed on both sides of the anchor body 110 is symmetrically cut off each other.
  • the anchor body 110 can easily take the omega shape in the soft tissue inside the bone.
  • the hollow portion inside the anchor body 110 may have a shape in which the hollow portion is filled by a pair of sutures 200 and 200 'to perform a function of firmly tightening soft tissue (FIG. 7). Reference).
  • any one of the pair of sutures (200,200 ') is also tied to other muscle tissue (not shown) during the procedure to simultaneously perform the function of preventing the external detachment of the anchor body 110 forming an omega shape in the soft tissue.
  • the fourth insertion hole 127 is formed in the anchor body 110 to be symmetrical with each other so as to be located between the pair of second insertion hole 123, when the anchor body 110 is formed in the bone in the circular portion The shape of the circular portion can be prevented from being distorted.
  • each of the fourth insertion hole 127 is efficiently formed in the anchor body 110 adjacent to 9 ⁇ 0.5 [mm] at the end of the anchor body 110.
  • the pair of fourth insertion holes 127 allows the suture 200 exposed to the outside of the anchor body 110 through the hollow portion 111 to enter the hollow portion 111 again, thereby allowing the external force of the operator.
  • the suture 200 is to be able to press the outer shape of the anchor body 110 forming a circular portion at a predetermined pressure.
  • the suture 200 is formed through the third insertion hole 125 formed at one side of the anchor body 110. It enters into the hollow part 111.
  • the suture 200 entering the hollow part 111 is continuously penetrated through the first insertion hole 121 to the outside of the anchor body 110, and again through the second insertion hole 123. 111) allows the suture 200 to be inserted into the interior.
  • the suture which penetrates through the first to third insertion holes 121, 123, and 125 and is located in the hollow part 111, is inserted through the second insertion hole 123 located at the other end of the anchor body 110 to be anchored to the anchor body 110. Allow exposure to the outside.
  • the exposed suture 200 is penetrated into the anchor body 110 by penetrating into the third insertion hole 125 at the same time as entering the hollow portion 111 again through the first insertion hole 121. To be sewn in a zigzag fashion.
  • the suture 200 is formed to have a predetermined length in the hollow portion 111 in the anchor body 110, that is, the operator suture 200
  • the circular portion can be easily formed when pulling), and the straight blade is caught by the suture of the bone inner surface by the suture 200 exposed to the outside of the anchor body 110 through the pair of third insertion holes 125.
  • the shape can be easily formed and fixed in the bone.
  • the anchor body 110 may be formed to have a total length of 24 [mm], as shown in FIG. 5, wherein the first insertion holes 121 have both ends of the front surface of the anchor body 110.
  • each pair is formed to be symmetrical with each other 2 ⁇ 2 [mm] adjacent
  • the second insertion hole 123 is located between the pair of the first insertion hole 121 described above
  • each of the first insertion hole A pair of two pairs are formed to be symmetrical with each other at 2 ⁇ 2 [mm] at 121
  • the third insertion hole 125 formed at the back of the anchor body 110 faces the first insertion hole 121 in a horizontal direction.
  • a pair is formed symmetrically with each other (ie, 2 ⁇ 2 [mm] neighbors at both ends of the anchor body).
  • each of the fourth insertion hole 127 is 11 ⁇ 0.5 [mm] neighboring at the end of the anchor body 110, the distance between the pair of fourth insertion hole 127 is 2 ⁇ 1 [mm] neighboring anchor body A pair is formed symmetrically on the front surface 110.
  • the fourth insertion hole 127 formed in the anchor body 110 having a length of 24 [mm] can be omitted, as shown in FIGS. 5C and 5D.
  • the anchor 100 according to the present invention having such a configuration has an effect of easily forming an omega shape constituting a circular portion and a straight wing portion of the anchor body 110 inserted into the bone differently from the prior art.

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

Abstract

La présente invention concerne un ancrage de manchon permettant d'ancrer un tissu mou lésé à un os et, plus particulièrement, un ancrage de manchon conçu de sorte que, lorsqu'un corps d'ancrage comprenant une partie circulaire et des parties ailes droites est inséré dans un os, la forme en « Ω » est obtenue facilement en tirant sur une suture, ce qui permet d'augmenter la force d'ancrage du corps d'ancrage à l'intérieur de l'os.
PCT/KR2017/001017 2016-08-16 2017-01-31 Ancrage de manchon pour intervention médicale WO2018034398A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR20-2016-0004712 2016-08-16
KR2020160004712U KR200482023Y1 (ko) 2016-08-16 2016-08-16 시술용 슬리브 앵커

Publications (2)

Publication Number Publication Date
WO2018034398A2 true WO2018034398A2 (fr) 2018-02-22
WO2018034398A3 WO2018034398A3 (fr) 2018-08-02

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WO (1) WO2018034398A2 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200482023Y1 (ko) * 2016-08-16 2016-12-08 주식회사 에이알씨코리아 시술용 슬리브 앵커
KR101914778B1 (ko) * 2017-07-06 2018-11-05 (주)오스테오닉 복합 직조 구조의 전봉합사 앵커
KR102109928B1 (ko) * 2018-04-20 2020-05-12 (주)오스테오닉 열접착형 전봉합사 앵커

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7905903B2 (en) * 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
KR101123100B1 (ko) * 2011-09-05 2012-03-16 주식회사 메타바이오메드 고강도 연조직 고정 도구
US9463011B2 (en) * 2012-08-17 2016-10-11 Arthrex, Inc. Soft anchors with soft eyelets
US9622738B2 (en) * 2014-09-11 2017-04-18 Arthrex, Inc. Soft anchor assembly with non-sliding flexible strand and techniques for use
KR101634796B1 (ko) * 2016-01-19 2016-06-29 주식회사 에이알씨코리아 오메가 노트형 슬리브 앵커
KR200482023Y1 (ko) * 2016-08-16 2016-12-08 주식회사 에이알씨코리아 시술용 슬리브 앵커

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KR200482023Y1 (ko) 2016-12-08
WO2018034398A3 (fr) 2018-08-02

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