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Publication numberCN100560032 C
Publication typeGrant
Application numberCN 200580008659
PCT numberPCT/US2005/008845
Publication date18 Nov 2009
Filing date17 Mar 2005
Priority date18 Mar 2004
Also published asCA2559997A1, CN1988851A, EP1737352A1, US7658750, US20050228448, US20100121376, WO2005089658A1
Publication number200580008659.0, CN 100560032 C, CN 100560032C, CN 200580008659, CN-C-100560032, CN100560032 C, CN100560032C, CN200580008659, CN200580008659.0, PCT/2005/8845, PCT/US/2005/008845, PCT/US/2005/08845, PCT/US/5/008845, PCT/US/5/08845, PCT/US2005/008845, PCT/US2005/08845, PCT/US2005008845, PCT/US200508845, PCT/US5/008845, PCT/US5/08845, PCT/US5008845, PCT/US508845
InventorsLK莱赫曼
Applicant华沙整形外科股份有限公司
Export CitationBiBTeX, EndNote, RefMan
External Links: SIPO, Espacenet
Suture anchoring system
CN 100560032 C
Abstract  translated from Chinese
一种缝合线锚固系统和方法包括多个互连的锚固构件(12a、12b、12c、12d),以形成一带有从中延伸的缝合线(30a、30b、40a、40b、50a、50b、130a、130b、140a、140b)的锚固组合件(10、100)。 One kind of suture anchoring system and method comprising a plurality of interconnected anchor members (12a, 12b, 12c, 12d), having extending therefrom to form a suture (30a, 30b, 40a, 40b, 50a, 50b, 130a, 130b, 140a, 140b) of the anchor assembly (10, 100). 锚固组合件(10、100)具有:一插入形态,在该形态时锚固构件(12a、12b、12c、12d)对齐在一基本上直线性的排列中,以便通过身体组织内的一孔(A)递送;以及一扩展形态,在该形态时锚固构件(12a、12b、12c、12d)变换到一非直线性的排列,以防止锚固组件(10、100)返回通过孔(A)。 The anchor assembly (10, 100) having: an insertion shape when the form anchor members (12a, 12b, 12c, 12d) are aligned in a substantially linear arrangement so that the body tissue through a hole in the (A ) delivery; and an expanded configuration, when the form anchor members (12a, 12b, 12c, 12d) converted to a non-linear arrangement to prevent the anchor assembly (10, 100) back through the aperture (A).
Claims(4)  translated from Chinese
1.一种缝合线锚固系统,包括: 一缝合线; 多个锚固构件,它们互连而形成一带有从中延伸的所述缝合线的锚固组件,所述多个锚固构件至少包括第一和第二外锚固构件,所述锚固组件具有:一插入形态,在该形态中所述锚固构件以一直线的排列对齐,以通过身体组织内的一孔递送;以及一扩展形态,在该形态中所述第一和第二外锚固构件因彼此朝对方曳拉而形成一非直线的排列,以防止所述锚固组件返回通过所述孔;以及一致动元件,它延伸通过与所述第一外锚固构件相连的一第一环结构和通过与所述第二外锚固构件相连的一第二环结构, 所述锚固构件各具有一形成一延伸通过其间的轴向通道的管状结构,所述锚固构件由延伸通过位于各个所述锚固构件内的所述轴向通道的一连接元件串联地互连而形成所述锚固组件,所述连接元件具有环端部,所述环端部形成与所述第一和第二外锚固构件相连的所述第一和第二环结构,其中,通过沿远离所述锚固组件的方向曳拉所述致动元件,使第一和第二外锚固构件彼此朝对方曳拉,以至少部分地将所述锚固组件朝向所述扩展形态进行变换。 1. A suture anchoring system, comprising: a suture; a plurality of anchor members which interconnect to form an anchor assembly with said suture extending therefrom, said plurality of anchor members includes at least a first and second Two outer anchor member, said anchor assembly comprising: an insertion shape, the shape of the anchor members are aligned in a straight line arrangement, an aperture through the body tissue delivery; and an expanded configuration, in the form as said first and second outer anchor members toward each other by pulling to form a non-linear arrangement to prevent the anchor assembly back through the aperture; and an actuating member which extends through said first outer anchor a first member connected to the ring structure, and by a second ring structure and said second outer anchor member, said anchor members each having a tubular structure is formed by an axial passage extending therebetween, said anchor member by a connecting member extending through one located on each of the axial passage of said anchor member within serially interconnected to form said anchor assembly, said connecting member having a ring end portion, formed with said first end portion of the ring said first and second outer anchor members connected to the first and second ring structure, in which, by means of a direction away from said anchor assembly pulling said actuating element, the first and second outer anchor members toward each other pulling, to at least partially the said anchor assembly toward said expanded configuration transformed.
2. 如权利要求1所述的系统,其特征在于,所述多个锚固构件包括至少一个定位在所述第一和第二外锚固构件之间的中间锚固构件,所述锚固组件的所述非直线排列包括一三角形排列,所述至少一个中间锚固构件横向地延伸在所述第一和第二外锚固构件之间。 2. The system according to claim 1, wherein said plurality of anchor members includes at least one positioning between the first and second outer anchor members intermediate anchor member, the anchor of the assembly non-linear arrangement of a delta arrangement comprises at least one intermediate anchor member extending transversely between said first and said second outer anchor members.
3. 如权利要求1所述的系统,其特征在于,所述多个锚固构件包括至少一个定位在所述第一和第二外锚固构件之间的中间锚固构件,所述锚固组件的所述非直线排列包括一并排排列,所述至少一个中间锚固构件横向地延伸在所述第一和第二外锚固构件之间。 3. The system according to claim 1, wherein said plurality of anchor members includes at least one positioning between the first and second outer anchor members intermediate anchor member, the anchor of the assembly comprises a non-linear arrangement arranged side by side, at least one intermediate anchor member extending transversely between said first and said second outer anchor members.
4. 如权利要求1所述的系统,其特征在于,所述连接元件和所述致动元件各包括一缝合线。 4. The system according to claim 1, characterized in that the element and the actuating element each comprise a connection of said suture.
Description  translated from Chinese

缝合线锚固系统 Suture anchoring system

技术领域 Technical Field

本发明总的涉及一种改进的缝合线锚固系统。 The present invention relates generally to an improved suture anchoring system. 背景技术 Background

韧带、腱或其它软组织在体内从其相连的骨头上完全地或部分地分离是一相当普通的损伤,尤其是在运动员和体力活动的个体中。 Ligaments, tendons or other soft tissue completely or partially separated from the bone in the body is connected to a fairly common injury, especially in individual athletes and physical activity in. 这些类型的损伤通常是由于过度的应力作用于软组织上。 These types of injuries are usually due to excessive stress on the soft tissue. 例如,组织分离的损伤可由于跌跤、在与工作相关的活动过程中用力过度、在体育运动过程中,和/或与其它的情形或体力活动相关连地发生。 For example, the separation of tissue injury may be due to fall down, and work-related activities in the process of excessive force in the sports movement, and / or associated with other cases or physical activity even occur.

在部分分离损伤,即通常称之为一般的"扭伤"的情形中,如果给予足够的时间并在康复过程中采取护理使损伤不再暴露在任何不适当的或特别的应力前,则该种损伤往往会自愈。 In some isolated damage, commonly called the general "sprain" of the situation, if given enough time and take care so that injury is no longer exposed to inappropriate or before any particular stress, the kind in the rehabilitation process Damage tends to heal. 然而,如果韧带或腱完全地从其相连的一个或多个骨头上分离,或如果由于外伤性的损伤而被切断,则可造成局部的或永久的残疾。 However, if the ligament or tendon completely from one or more bones connected to separate, or if due to the traumatic injury is cut off, can cause partial or permanent disability. 幸运地是, 医学上有许多外科技术,可重新附连分离的组织和/或完全地更换严重损坏的组织。 Fortunately, there are many surgical techniques in medicine can be re-attached to the organization and / or completely replace the severely damaged tissue and even separation. 一个如此的技术包括使用传统的附连装置重新附连分离的组织,这样的附连装置例如金属、钮上的缝合线和/或网状骨质螺钉。 Such techniques include the use of a conventional attachment means connected reattached tissue separation, such attachment means such as a metal, a suture button on and / or cancellous bone screws. 这些类型传统的附连技术和装置也可用来将腱或韧带替代品(有时由从身体其它部位取得的自体组织形成)附连到要求的一个或多个骨头上。 These types of conventional attachment techniques and devices will also be used to tendon or ligament substitutes (sometimes formed from autologous tissue taken from elsewhere in the body) is attached to the requirements of one or more bones.

尽管医生采用种种努力来提供技术和装置以便对骨头或其它组织形成附连,但在该行业内总的需要提供一种改进的缝合锚固系统和方法。 Although doctors use various efforts to provide technology and equipment in order to bone or other tissue attachment, but in general the industry needs to provide an improved system and method for anchoring suture. 本发明满足这样的需要并以新颖和不明显的方式提供其它的益处和优点。 The present invention satisfies this need and provide novel and not obvious other benefits and advantages.

发明内容 DISCLOSURE

本发明的一个目的是提供一种改进的缝合线锚固系统。 It is an object of the present invention to provide an improved suture anchoring system. 尽管这里涵盖的本发明的实际特性只可参照附后的权利要求予以确定,但下面将简要地描述表征本文所揭示的本发明的某些形式的优选的实施例。 While the actual nature of the invention covered herein can only be referring to the appended claim rights to be determined, but will be briefly described below certain forms characterize the invention disclosed herein are preferred embodiments.

3在本发明的一种形式中提供一种缝合线锚固系统,它包括: 一缝合线;多个锚固构件,它们互连而形成一带有从中延伸的所述缝合线的锚固组件,所述多个锚固构件至少包括第一和第二外锚固构件,所述锚固组件具有: 一插入形态,在该形态中所述锚固构件以一基本上直线的排列对齐,以通过身体组织内的一孔递送;以及一扩展形态,在该形态中所述第一和第二外锚固构件因彼此朝对方曳拉而形成一非直线的排列,以防止所述锚固组件返回通过所述孔;以及一致动元件,它延伸通过 3 provides in one form of the present invention a suture anchoring system, comprising: a suture; a plurality of anchor members, are interconnected to form an anchor assembly with said suture extending therefrom, said multi- an anchor member comprises at least a first and second outer anchor member, said anchor assembly comprising: an insertion shape in the form of the anchor members arranged in a substantially straight aligned, an aperture through the body tissue delivery ; and an expanded configuration, in the form of the first and second outer anchor members toward each other by pulling to form a non-linear arrangement to prevent the anchor assembly back through the aperture; and an actuator member , which extends through the

与所述第一外锚固构件相连的一第一环结构和通过与所述第二外锚固构件相连的一第二环结构,所述锚固构件各具有一形成一延伸通过其间的轴向通道的管状结构,所述锚固构件由延伸通过位于各个所述锚固构件内的所述轴向通道的一连接元件串联地互连而形成所述锚固组件,所述连接元件具有环端部,所述环端部形成与所述第一和第二外锚固构件相连的所述第一和第二环结构,其中,通过沿远离所述锚固组件的方向曳拉所述致动元件,使第一和第二外锚固构件彼此朝对方曳拉,以至少部分地将所述锚固组件朝向所述扩展形态进行变换。 A first ring structure with said first outer anchor member and through a second loop structure associated with said second outer anchor member, said anchor members each having a forming therebetween an axial passage extending through the tubular structure, said anchor member extending through the one located at each of the anchoring element the axial passage of the connecting member within the series interconnection to form said anchor assembly, said connecting member having a ring end portion, said ring said end portion is formed with the first and second outer anchor members connected to a first and a second ring structure, wherein, along a direction away from said anchor assembly pulling said actuating element, the first and second two outer anchor members each pulling toward each other, at least in part, the anchor assembly toward transforming the expanded configuration.

从包含在本说明书的附图和描述中将会明白到本发明其它的目的、特征、优点、 From contained in the accompanying drawings and the description of the specification of the present invention will be apparent to other objects, features, advantages,

益处和方面。 Benefits and respect.

附图说明 Brief Description

图1是根据本发明一种形式的一缝合线锚固系统的立体图。 Figure 1 is a perspective view of the present invention, a suture anchor system.

图2是图1所示缝合线锚固系统的视图,它加载在处于一插入形态中的导管内 Figure 2 is a view of the suture anchoring system shown in Figure 1, it is loaded in the form of a catheter inserted within

以便通过身体组织内的一孔递送。 In order to deliver the body through a hole within the organization.

图3是图2所示缝合线锚固系统的视图,锚固构件通过身体组织内一孔递送。 Figure 3 is a view of FIG. 2, a suture anchoring system anchoring member within the body tissue through a delivery orifice. 图4是图3所示缝合线锚固系统的视图,锚固构件变换到第一锚固形态。 Figure 4 is a view of FIG. 3, the anchor member anchoring the suture anchor system is converted into the first form. 图5是图4所示缝合线锚固系统的视图,锚固构件变换到第二锚固形态。 Figure 5 is a view of the suture anchoring system shown in Figure 4, the anchor member to the second anchoring transformed morphology. 图6是根据本发明另一种形式的一缝合线锚固系统的立体图。 Figure 6 is another form of the invention, a perspective view of a suture anchor system. 图7是图6所示缝合线锚固系统的视图,它加载在处于一插入形态中的一导管内以便通过身体组织内的一孔递送。 Figure 7 is a view in Figure 6 the suture anchor system, it loads in an insert in the form of a catheter through a hole to the body tissue delivery.

图8是图7所示缝合线锚固系统的视图,锚固构件通过身体组织内的一孔递送。 Figure 8 is a view of the suture anchoring system shown in Figure 7, the anchor members through an aperture of the body tissue delivery. 图9是图8所示缝合线锚固系统的视图,锚固构件变换到锚固形态。 Figure 9 is a view shown in FIG. 8, the anchor member anchoring the suture anchor system is converted to the form.

具体实施方式 DETAILED DESCRIPTION

为了便于理解本发明的原理,现参照附图中所示的实施例,并用专门的语言来描述它们。 In order to facilitate understanding of the principles of the present invention, reference is now the embodiment shown in the drawings and specific language used to describe them. 然而,应该理解到:由此没有意图限制本发明的范围,本发明所涉及技术领域内的技术人员通常会想象到对于所示装置的替代和进一步的修改,和/或对如本文所示本发明原理的进一步的应用。 However, it should be understood: thus there is no intention to limit the scope of the present invention, the field of technology in the art of the present invention relates generally to imagine an alternative to the apparatus shown and further modifications, and / or as shown in this article Further applications of the principles of the invention.

参照图1,图中所示的是根据本发明的一种形式的缝合线锚固系统10。 Referring to Figure 1, shown is suture anchoring system in accordance with one form of the invention 10. 该锚固系统10 —般地由多个锚固构件12和多个缝合线元件14组成。 The anchor system 10 - camel from 12 and a plurality of suture anchor member composed of more than 14 elements. 如将在下文中详细地描述的,在本发明的一实施例中,锚固系统IO被构造成用锚固元件14锚固于硬 As will be described in more detail below, in one embodiment of the present invention, the anchoring system is configured IO anchoring element 14 anchored to the hard

的或软的生物组织,锚固元件14用来将另一元件或结构(或是生物的或是非生物 Or soft biological tissue, anchoring element 14 to the other element or structure (either biological or non-biological

的)附连到生物组织上。 ) Is attached to the biological tissue. 如本文中所使用的,术语"缝合线"广义地定义为包括适于附连于生物组织的任何类型的纵向元件,例如,包括线、丝、肠线或本技术领域内技术人员熟知任何其它类型的缝合材料。 As used herein, the term "suture" is defined broadly to include any type of longitudinal member adapted to be attached to the biological tissue, e.g., including wire, wire, catgut in the art, or the art known to any other type of suture material.

在本发明所示的实施例中,锚固构件12各具有一大致管状的构形,包括一圆柱形壁20并形成通过其中延伸的一轴向通道或沟道22。 In the illustrated embodiment of the present invention, the anchor members 12 each having a generally tubular configuration, comprising a cylindrical wall 20 and forms an axial passage extending therethrough or channel 22. 然而,应该认识到:也可构思落入到本发明范围之内的锚固构件12的其它形状和结构,例如包括矩形、三角形、多边形或球形结构或任何其它合适的形状或结构。 However, it should be recognized that: Also contemplated fall into other shapes and structures within the scope of the anchor member 12 of the invention include, for example rectangular, triangular, polygonal or spherical structure, or any other suitable shape or configuration. 锚固构件12较佳地由生物相容性(bio-compatible)材料形成。 Anchor member 12 is preferably formed from a biocompatible (bio-compatible) material. 在一实施例中,锚固构件12由诸如不锈钢或不锈钢合金、钛或钛合金、形状记忆合金之类的金属材料或任何其它合适的金属材料形成。 In one embodiment, the anchor member 12 such as stainless steel or a stainless steel alloy, titanium or a titanium alloy, a shape memory metal alloy material or the like or any other suitable material is formed of metal. 然而,也可考虑使用其它材料,包括聚合物或陶瓷材料、再吸收材料、生物吸收材料或骨头或骨头替代材料(bone substitute material)。 However, other materials are also contemplated, including polymeric or ceramic materials, resorbable materials, bioabsorbable materials, or bone or bone substitute material (bone substitute material).

在本发明所示的实施例中,缝合线锚固系统10包括四个锚固构件12a、 12b、 12c和12d,它们偶联在一起或互连而形成一锚固组件。 In an embodiment of the present invention is shown, the suture anchor system 10 includes four anchor members 12a, 12b, 12c and 12d, which are coupled together or interconnected to form an anchor assembly. 然而,应该理解到:锚固系统10可包括任何数量的锚固构件12,包括两个、三个或五个或更多个锚固构件。 However, it should be understood that: the anchoring system 10 may include any number of anchor members 12, including two, three or five or more anchor members. 在一实施例中,锚固构件12a-12d通过一连接元件30彼此偶联或互连。 In one embodiment, the anchor members 12a-12d coupled or interconnected to each other by 30 a connecting element. 在所示的实施例中,连接元件30包括延伸通过位于各个锚固构件12a-12d内的轴向通道22 的一缝合线,以将锚固构件12a-12d串连地连接在一起。 In the illustrated embodiment, the connecting member 30 includes an axial passage extending through respective anchor members located at 12a-12d within a suture 22 to the anchor members 12a-12d coupled together in series. 通过控制锚固构件12a-12d 彼此的相对位置和/或定向,连接元件30提供对锚固系统10的结构完整性,其细节将在下面讨论。 By controlling the anchor members 12a-12d relative to each other and / or orientation of the connecting element 30 provides structural integrity to the anchoring system 10, details of which will be discussed below. 此外,连接元件30具有一长度,以使锚固构件12a-12d可以非邻接的方式沿轴向分离或彼此间隔开,其目的也将在下面解释。 Further, the connection member 30 has a length such that the anchor members 12a-12d can be non-contiguous manner or separating axially spaced from each other, the aim will be explained below.

在本发明所示的实施例中,连接元件30的端部30a、 30b彼此附连以形成一连续的缝合线环,该环具有一从外锚固构件12a延伸的第一端环32和一从外锚固构件12d延伸的第二端环34。 In an embodiment of the present invention shown, the connection element end 30a 30's, 30b attached to each other to form a continuous suture ring which has an outer anchor member 12a extending from the first end 32 and a ring from outer anchor member 12d extending second end ring 34. 在本发明所示的实施例中,端部30a、 30b系住或打结在一起以形成缝合线环30。 In the illustrated embodiment of the present invention, the ends 30a, 30b tied or knotted together to form a suture ring 30. 然而,应该理解到:缝合线30的端部30a、 30b可用其它的技术而彼此附连,例如通过使用巻边或其它类型的偶联装置、通过将端部 However, it should be understood that: a suture end portion 30a 30 a, 30b to each other can be used other attachment techniques, such as by using Volume edges or other types of coupling means, by the end portions

30a、 30b融合或编结在一起,或通过任何其它合适的附连方法。 30a, 30b fusion or braided together, or by any other suitable method of attachment. 还应该理解到: It should also be understood that:

连接元件必须构造成一环,但也可替代地形成一非环的单股线结构。 Connecting element must be configured as a ring, but may alternatively be formed of a single strand structure acyclic. 还应该理解到: It should also be understood that:

锚固构件12a-12d不需通过一单一的缝合线元件偶联或互连在一起,但可交替地通过多个离散的缝合线元件个别地偶联在一起。 Without anchor members 12a-12d via a single suture element coupled or interconnected together, but may alternatively be individually coupled together by a plurality of discrete suture elements. 此外,应该理解到:锚固构件12a-12d 不必用缝合线材料偶联在一起,但可使用其它元件和技术替代地偶联在一起,例如通过多个销、铰链、配件、孔眼或任何其它合适的偶联装置。 In addition, it should be understood that: anchor members 12a-12d need not be coupled together by suture material, but other elements and techniques may be used alternatively coupled together, such as by a plurality of pins, hinges, fittings, eyelets or any other suitable coupling devices.

在本发明所示的实施例中,锚固系统10还包括一致动元件40,它与连接元件30合作而有选择地操纵一个或多个锚固构件12a-12d的位置和/或定向。 In an embodiment of the present invention shown, the anchoring system 10 further includes an actuating member 40 which cooperate with the connecting member 30 and to selectively manipulate the one or more anchor members 12a-12d of the position and / or orientation. 在所示的实施例中,致动元件40包括一缝合线,该缝合线接合于连接元件30的端部以有选择地操纵一个或多个锚固构件12a-12d的位置和/或定向。 In the embodiment shown, the actuating member 40 comprises a suture, the suture joined to the end portion of the connecting member 30 to selectively manipulate the position of one or more anchor members 12a-12d and / or orientation. 在一特殊实施例中,致动元件40延伸通过连接元件30的端部环32、 34,这样,曳拉致动元件40的端部40a、40b可彼此相对地曳拉外锚固构件12a、12d,并将一个或多个锚固构件12a-12d 变换到不同的位置和/或定向,其细节将在下文中讨论。 In one particular embodiment, the actuating member 40 extends through the connector member ends the ring 30 of 32, 34, so that pulling the actuating member end portion 40a 40 relative to the drag 40b may each pull the outer anchor members 12a, 12d, and one or more anchor members 12a-12d to a different position change and / or orientation, the details of which will be discussed below. 尽管致动元件40显示和描述为与连接构件30的端部环32、 34接合,但应该理解到:致动元件40可通过其它合适的技术替代地偶联于外锚固构件12a、 12d,以便彼此相对地曳拉外锚固构件12a、 12d,并有选择地将一个或多个锚固构件12a-12d变换到不同的位置和/或定向。 Although the actuating element 40 shown and described as the end portion of the connecting member 32 of the ring 30, 34 engage, it is to be understood that: the actuation member 40 may alternatively be coupled via other suitable techniques outer anchor members 12a, 12d, so that pulling opposite each outer anchor members 12a, 12d, and optionally one or more anchor members 12a-12d are converted to a different position and / or orientation. 例如, 一完全的或部分的环元件可直接附连于外锚固构件12a、 12d,致动元件40延伸通过锚固构件12a、 12d。 For example, a ring member may be completely or partially attached directly to the outer anchor members 12a, 12d, the actuating member 40 extends through the anchor members 12a, 12d.

在本发明所示的实施例中,锚固系统10还包括一第二致动元件50,它与连接元件30合作而有选择地操纵一个或多个锚固构件12a-12d的位置和/或定向。 In an embodiment of the present invention shown, the anchoring system 10 further includes a second actuating member 50 which cooperate with the connecting member 30 and to selectively manipulate the one or more anchor members 12a-12d of the position and / or orientation. 在所示实施例中,致动元件50包括一缝合线,它在内锚固构件12b、 12c之间的一部位处接合于连接元件30,以便有选择地操纵一个或多个锚固构件12a-12d的位置和/或定向。 In the illustrated embodiment, the actuating member 50 includes a suture anchor members which included 12b, 12c at a portion between the connecting member 30 engaging in, to selectively manipulate the one or more anchor members 12a-12d The position and / or orientation. 在一实施例中,致动元件50围绕连接元件30成一环,这样,曳拉致动元件50的端部50a、 50b可将内锚固构件12b、 12c曳拉到外锚固构件12a、 12d之间的一部位。 In one embodiment, the actuating member 50 around the connecting member 30 into a ring, so that pulling the actuating member of the end portion 50a 50, 50b may be the anchor member 12b, between 12a, 12d 12c drag to pull the outer anchor members a site. 在一特殊的实施例中,致动元件50穿线在多股缝合线环连接元件(suture loop linking element)30之间。 In one particular embodiment, the actuating element 50 in the multi-threading 30 shares suture loop connecting element (suture loop linking element). 尽管致动元件50显示和描述为围绕连接元件30呈环形,但应该理解到:致动元件50可通过适于曳拉外锚固构件12a、 12d之间的内锚固构件12b、 12c的其它技术偶联于连接元件30。 Although the actuating element 50 is shown and described about the annular connecting member 30, it should be understood that: the actuating member 50 can 12a, 12d between the anchor members within the other techniques even through the outer anchor members adapted for pulling 12b, 12c of Connected to the connecting element 30. 例如,致动元件50的一端部可系住或其它方法固定于连接元件30,而不是使致动元件50围绕连接元件30成环。 For example, one end of the actuating member 50 may be tied or otherwise secured to the connecting member 30, instead of the actuating member 50 around the connecting member 30 to form a ring. 显示和描述了与缝合线锚固系统io相关的各种元件和特征后,现将参照用来 After the show and describe various elements and features and the suture anchor system io-related, reference will now be used

将锚固系统10接合到人体组织的技术。 The anchoring system 10 is joined to the body tissue technology. 如上所述,锚固系统10用来将一缝合线锚固于硬的或软的生物组织。 As described above, the anchoring system 10 is used to anchor a suture in hard or soft biological tissue. 在本发明所示的实施例中,锚固系统10用来将缝合线锚固到人体内的骨头上。 In the illustrated embodiment of the present invention, the anchoring system 10 is used to suture anchor to the body's bones. 在一特殊的实施例中,锚固系统10用来将一缝合线锚固到脊柱内的一个或多个椎骨的一部分。 In one particular embodiment, the anchoring system 10 is used to anchor a suture to a portion of one or more of the spine vertebrae. 然而,应该理解到:也可构思锚固系统10 的其它应用,包括锚固到其它骨头上或人体内的自体结构。 However, it should be understood: the idea of the anchoring system can also be 10 other applications, including anchor to another or autologous bone structure of the human body. 此外,应该理解到:在其它动物中使用的锚固系统10也可认为落入本发明的范围之内。 In addition, it should be understood: the anchoring system used in the other 10 animals may be considered to fall within the scope of the present invention.

参照图2,锚固系统10显示为用于具有相对硬和紧凑的外皮质层L的骨头B 中,该皮质层L包围一较软和更多孔的内网状骨质区域C。 Referring to Figure 2, the anchoring system 10 is shown as having a relatively hard and compact to the outer cortical layer L of the bone B, the cortical layer L enclosing a softer more porous inner cancellous region C. 在本发明的一实施例中, 一具有最大横向尺寸d的轴向隧道或孔A可通过皮质层L预形成到网状骨质区域C内以便接纳锚固系统IO。 In an embodiment of the present invention, having a maximum transverse dimension d axial tunnel or L may be pre-formed apertures A for receiving the anchoring system to IO inner cancellous region C through the cortical layer. 然而,在一替代的实施例中,锚固系统10可直接插入到人体组织内,而不需形成一预形成的隧道或孔,尤其是,在涉及相对软的身体组织的应用中。 However, in an alternative embodiment, the anchoring system 10 can be inserted directly into the tissue, without the formation of a tunnel or a pre-formed hole, especially in applications involving relatively soft body tissue.

在本发明所示的实施例中,锚固系统10通过一沿纵轴线201延伸的递送器械200被递送到手术部位,并通常包括一外套筒或导管件202和一内杆件204。 In an embodiment of the present invention shown, the anchoring system 10 via a line 201 extending along a longitudinal axis 200 of delivery device is delivered to the surgical site, and generally comprises an outer sleeve or tube member 202 and an inner rod member 204. 导管件202形成一轴向通道206,它延伸通过其间并具有一尺寸稍许大于个别锚固构件12的外横截面的内横截面。 Conduit member 202 is formed an axial passage 206 which extends therethrough and having a size slightly larger than the outer cross-section of individual anchor members 12 of the inner cross-section. 内杆件204的尺寸和结构适于可滑动地定位在导管件202的轴向通道206内。 Size and configuration of the inner rod member 204 is adapted to be slidably positioned within the axial passageway 202 of the conduit member 206. 在一实施例中,内杆件204具有一圆形外横截面,其对应于导管件202的内横截面。 In one embodiment, the inner rod member 204 having a circular outer cross-section, the cross-section of the conduit member 202 which corresponds to. 然而,导管件202和/或内杆件204的其它结构也可认为落入本发明的范围之内。 However, the conduit member 202 and / or the inner rod member 204 may also be other structures that fall within the scope of the present invention.

个别锚固构件12的外横截面的尺寸稍许小于导管件202内的轴向通道206的内横截面,以允许锚固构件12自由地沿轴向通道206滑动。 Outer cross-sectional dimensions of the individual anchor members 12 are slightly less than the axial passage 202 within the duct member 206 of the inner cross-section to allow the anchor member 12 is free to slide along the axial passage 206. 此外,锚固构件12 和导管件202之间存在着足够的间隙,以提供缝合线元件40和50通过的间距。 In addition, the presence of the anchor member 12 and the conduit member 202 with a sufficient gap between, in order to provide the suture member 40 and 50 through the spacing. 在所示的实施例中,轴向通道206具有一对应于锚固构件12的圆形外横截面的圆形内横截面。 In the embodiment shown, the axial passage 206 has a circular outer cross-section corresponding to the anchor member 12 within the circular cross-section. 然而,应该理解到:轴向通道206可构造成具有不同的内横截面,例如矩形、三角形或多边形内横截面,或适于接纳和传输通过其间的锚固构件12的任何其它内横截面。 However, it should be understood that: an axial passage 206 may be configured to have different internal cross-section, such as a rectangular cross-section, triangular or polygonal, or adapted to receive and transmit via any other inner cross-section of the anchor member 12 therebetween. 此外,在本发明的一替代的实施例中,锚固构件12的外横截面和轴向通道206的内横截面可构造成彼此不同,以在其间提供一预定的间距而从中通过缝合线元件40和50。 Further, in an alternative embodiment of the present invention, the outer cross-section of the anchor member 12 and the axial inner passage cross section 206 may be configured different from each other, to provide a predetermined spacing therebetween and through which the suture member 40 and 50. 例如,在一替代的实施例中,轴向通道206可构造成具有圆形内横截面,而锚固构件12可构造成具有大致三角形或矩形的外横截面。 For example, in an alternative embodiment, the axial passage 206 may be configured to have a circular inner cross-section, while the anchor members 12 may be configured to have a substantially triangular or rectangular outer cross-section.

锚固构件12a-112d初始定位在处于一轴向对齐或直线性排列中的导管件202的远端部分内,使锚固构件12a-112d的轴线大致沿纵轴线201对齐。 Anchor members 12a-112d initially positioned in axial alignment in a linear arrangement or the catheter distal end portion 202, so that the axis of the anchor members 12a-112d are substantially aligned along a longitudinal axis 201. 缝合线元件40和50的端部40a、 40b和50a、 50b从导管件202的近端(未示出)延伸,以便其后由外科医生操作。 Member 40 and the suture 50 ends 40a, 40b and 50a, 50b from the proximal end of the catheter member 202 (not shown) extending, for subsequent operation by the surgeon. 导管件202的远端部分202a在近端地邻近于骨头B定位, 使轴向通道206大致地与孔A对齐。 The distal end portion 202a of the catheter member 202 proximally positioned adjacent to the bone B, so that the axial passage 206 is substantially aligned with the aperture A. 然而,在本发明的一替代实施例中,导管件202的远端部分202a可定位在孔A内,该孔A通过外皮质层L形成并可部分地延伸到骨头B的网状骨质区域C内。 However, in an alternative embodiment of the present invention, the distal end portion 202a of the catheter member 202 may be positioned within the bore A, A L of the hole is formed and partially extending into the cancellous region of the bone B through the outer cortex layer C inside.

参照图3, 一旦导管件202相对于孔A合适地定位,则内杆件204沿箭头210 的方向沿轴向位移,使远端204a接合于锚固构件12d,锚固构件12d又通过轴向通道206移动锚固构件12a-112d。 Referring to Figure 3, once the catheter member 202 with respect to the aperture A properly positioned, the inner rod member 204 in the arrow 210 direction axially displaced in the distal end 204a engaging the anchor member 12d, 12d and anchor member 206 through the axial passage Mobile anchor members 12a-112d. 内杆件204沿箭头210的方向沿轴向前进,直到锚固构件12a-112d从导管件202展开进入到骨头B的网状骨质区域C内的孔A内。 Inner rod member 204 in the direction of arrow 210 axially forward, until the anchor members 12a-112d from the conduit member 202 to expand into the inner cancellous bone region C within bore B of A. 如图3所示,网状骨质区域C内的孔A的深度较佳地能全部地接纳处于轴向对齐形态中的锚固构件12a-112d。 As shown, the depth of the hole A of the cancellous region C is preferably within 3 can all be accepted in the form of axially aligned anchor members 12a-112d. 然后,内杆件204可从导管件202中移去或可保持在位直到锚固过程完成为止,以防止锚固构件12a-112d返回通过骨头B的骨质层L。 Then, the rod member 204 may be removed from the conduit member 202 or may be held in place until the anchoring process is completed to prevent the anchor members 12a-112d back through the bone the bone B layer L.

参照图4, 一旦锚固构件12a-112d从导管件202展开并合适地定位在骨头B 的网状骨质区域C内的孔A内,则锚固构件12a-112d有选择地变换到一非直线性或扩展形态中。 Referring to the FIG. 4, once the anchor members 12a-112d 202 deployed from the catheter member properly positioned in the bone and the cancellous region C B within the aperture A, the anchor members 12a-112d are selectively converted to a non-linear or in the expanded configuration. 正如所认识到的,锚固构件12a-112d到非直线形态的变换导致抵靠相对软的网状骨质组织向外的压縮,由此,致使骨头B内的孔A放大。 As can be appreciated, the anchor members 12a-112d to form a non-linear transformation resulting in compression against outward relatively soft cancellous bone tissue, thereby causing the bone within bore B A amplification. 然而, 正如所认识到的,对于涉及锚固到较致密或较硬骨头组织的应用,孔A的放大部分必须在骨头B内预形成,以允许锚固构件12a-112d变换到扩展的、非直线性的排列。 However, as appreciated, involving anchored to apply denser or less hard bone tissue, the enlarged portion A must be preformed hole in the bone B, to allow the anchor members 12a-112d to transform the extended, non-linearity arrangement.

锚固构件12a-112d的变换通过以下方式实现,即,沿近端的方向曳拉致动的缝合线元件40的端部40a、 40b,以便对锚固构件12a-112d重新构形,从图3所示的轴向对齐的形态改造到图4所示的扩展形态。 Anchor members 12a-112d achieved by transformation, i.e., in the direction of pulling the proximal end of the actuating element 40 of the suture ends 40a, 40b, in order to anchor members 12a-112d re-configuration, as shown in Figure 3 Transformation of axially aligned to form the expanded configuration shown in FIG. 具体来说,由于缝合线元件40延伸通过连接元件30的端环32、 34,所以,沿近端方向曳拉缝合线元件40可彼此相对地曳拉外锚固构件12a、 12d。 More specifically, since the suture member 40 extends through the connecting member 30 of the end ring 32, 34, so that, in the proximal direction pulling the suture element 40 relative to one another to pull the outer trailing anchor members 12a, 12d. 其结果,锚固构件12a-112d重新定位虔新定向, 以便形成一大致U形的构形,使锚固构件12a、 12b布置成大致侧向地与锚固构件12c、 12d相对。 As a result, the anchor members 12a-112d repositioning Qian new orientation, so as to form a substantially U-shaped configuration, so that the anchor members 12a, 12b are arranged substantially laterally with anchor members 12c, 12d relative.

一旦变换到图4所示的非直线性排列,则通过沿近端方向曳拉致动缝合线元件50的端部50a、 50b,锚固构件12a-112d进一步变换到图5所示的扩展形态。 Once transformed into a non-linear arrangement shown in FIG. 4, the proximal direction by pulling the end portion of the actuating member 50 of the suture 50a, 50b, the anchor members 12a-112d is further transformed to the expanded configuration shown in FIG. 正如所认识到的,沿近端方向曳拉缝合线元件50对锚固构件12a-112d重新构形,从图4所示的U形扩展形态改造到图5所示的较密集的结构。 As can be appreciated, in a proximal direction pulling the suture element 50 pairs of anchor members 12a-112d reconfigured, transforming from a U-shaped expanded configuration shown in FIG. 4 to denser structure shown in Figure 5. 沿近端方向曳拉致动元件50可在外锚固构件12a、 12d之间曳拉内锚固构件12b、 12c。 Proximal direction pulling the actuating element 50 of the outer anchor members 12a, 12d between pulling the inner anchor member 12b, 12c. 具体来说,内锚固构件12b、 12c相对于外锚固构件12a、 12d重新定位和重新定向,以便以侧向邻近的或相对于外锚固构件12a、 12d并排关系地定位内锚固构件12b、 12c。 Specifically, the anchor members 12b, 12c relative to the outer anchor members 12a, 12d and repositioning reoriented so as to laterally adjacent or relative to the outer anchor members 12a, 12d positioned side by side relationship anchor members 12b, 12c. 正如所认识到的,图5所示的锚固构件12a-112d的扩展形态稍许大于延伸通过骨头B的外皮质层L延伸的孔A的横截面。 As can be appreciated, the expanded configuration of the anchor member shown in FIG. 5 12a-112d are slightly larger than the extension extending through the outer cortical layer L of the bone B A cross section of the hole. 因此,锚固构件12a-112d的扩展形态将不通过皮质层L内的孔A,由此,将锚固构件12a-112d和缝合线元件40和50可靠地锚固于骨头B。 Thus, the anchor members 12a-112d expanded configuration will not pass through the cortical layer L within the bore A, whereby the anchor members 12a-112d and the member 40 and the suture 50 securely anchored to the bone B. 然后,缝合线元件40和50可附连于其它元件溜构,以便将如此的元件/ 结构固定于骨头B,其实例将在下面予以阐述。 Then, the suture member 40 and the slide mechanism 50 may be attached to other elements to the element thus / is fixed to the structure of the bone B, which will be described in the following examples.

参照图6,图中示出一根据本发明另一形式的缝合线锚固系统100。 Referring to Figure 6, there is shown one form of the present invention according to another suture anchoring system 100. 该锚固系统100 —般地由多个锚固构件112和多个缝合线元件114组成。 The anchoring system 100-- camel by a plurality of anchor member 112 and a plurality of suture element 114 components. 如将在下文中详细地描述的,在本发明的一实施例中,锚固系统IOO构造成用缝合线元件114锚固到硬的或软的生物组织,缝合线元件114用来将另一元件或结构(或是生物的或是非生物的)附连到生物组织上。 As will be described in detail below, and in one embodiment of the present invention, the anchoring system configured IOO suture anchoring element 114 into hard or soft biological tissue, suture element 114 to the other element or structure (either biological or non-biological) attached to the biological tissue.

在本发明所示的实施例中,锚固构件112被构造成与用于锚固系统IO所图示和描述的锚固构件12完全相同。 In the illustrated embodiment of the present invention, the anchoring member 112 is configured with a system for anchoring IO illustrated and described anchor members 12 are identical. 使各个锚固构件112具有一大致管状的结构,包括一圆柱形壁120并形成通过其中延伸的一轴向通道或沟道122。 So that each anchor member 112 having a generally tubular structure, comprising a cylindrical wall 120 extending therethrough and forming an axial passage or channel 122. 然而,应该认识到:也可构思落入到本发明范围之内的锚固构件112的其它形状和结构,例如,包括矩形、三角形、多边形或球形结构,或任何其它合适的形状或结构。 However, it should be recognized that: Also contemplated fall into other shapes and configurations of the anchor member 112 within the scope of the present invention, for example, includes a rectangular, triangular, polygonal or spherical structure, or any other suitable shape or configuration. 锚固构件112较佳地由生物相容性材料形成。 Anchor member 112 is preferably formed from a biocompatible material. 在一实施例中,锚固构件112由诸如不锈钢或不锈钢合金、钛或钛合金、形状记忆合金之类的金属材料,或任何其它合适的金属材料形成。 In one embodiment, the anchor member 112 is made of an alloy such as stainless steel or stainless steel, titanium or a titanium alloy, a shape memory alloy metal material and the like, or any other suitable metallic material. 然而,也可考虑使用其它材料,包括聚合物或陶瓷材料、再吸收材料、 生物吸收材料,或骨头或骨头替代材料。 However, other materials are also contemplated, including polymeric or ceramic materials, resorbable materials, bioabsorbable materials, or bone or bone substitute materials.

在本发明所示的实施例中,缝合线锚固系统IOO包括三个锚固构件112a、 112b 和112c,它们偶联在一起或互连而形成一锚固组件。 In the illustrated embodiment of the present invention, a suture anchoring system IOO comprises three anchor members 112a, 112b and 112c, are coupled together or interconnected to form an anchor assembly. 然而,应该理解锚固系统100 可包括任何数量的锚固构件112,包括两个或四个或更多个锚固构件。 However, it should be understood that the anchoring system 100 may include any number of anchor members 112, including two or four or more anchor members. 在一实施例中,锚固构件112a-112c通过一连接元件130彼此偶联或互连。 In one embodiment, the anchor members 112a-112c by a connecting member 130 coupled to each other or interconnected. 在所示的实施例中, 连接元件130包括一缝合线,其延伸通过各个锚固构件112a-112c内的轴向通道122,以便串连地将锚固构件112a-112c连接在一起。 In the illustrated embodiment, the connecting member 130 comprises a suture extending through the respective axial passage 122 within the anchor members 112a-112c in order to link to the anchor members 112a-112c are connected together. 通过控制锚固构件112a-112c 彼此的相对位置和/或定向,连接元件130对锚固系统100提供结构的完整性,其细节将在下文中讨论。 By controlling the anchor members 112a-112c each relative position and / or orientation, connecting 100 provides structural integrity of elements 130 anchoring system, details of which will be discussed below. 此外,连接元件130具有一长度r,这样,锚固构件112a-112c 可以非邻接的形式彼此沿轴向地分离或间隔开,其用途将在下面变得明白。 Further, the connection member 130 having a length r, so that the anchor members 112a-112c may form a non-contiguous or separated from each other axially spaced, its use will become apparent below.

9在本发明所示的实施例中,连接元件130的端部130a、 130b彼此附连而形成一连续的缝合线环,该环具有一从外锚固构件112a延伸的一第一端环132和从外锚固构件112c延伸的一第二端环134。 End portion 9 in the embodiment of the present invention is shown, the connecting member 130 130a, 130b attached to each other to form a continuous suture ring which has an outer anchor members 112a extending from a first end ring 132 and 112c extending from the outer anchor member of a second end ring 134. 在本发明所示的实施例中,端部130a、 130b 系住或打结在一起以形成缝合线环130。 In the illustrated embodiment of the present invention, the ends 130a, 130b tied or knotted together to form a suture ring 130. 然而,应该理解到:也可使用其它技术将缝合线环130的端部130a、 130b彼此附连,例如,通过使用夹具或其它类型的偶联装置,通过将切片端部130a、 130b融合或编结在一起,或通过任何其它合适的附连方法。 However, it should be understood that: other techniques can be used to suture the loop end portion 130a 130, 130b attached to one another, e.g., by using a jig or other types of coupling means, by the end sections 130a, 130b braided or fusion together, or by any other suitable method of attachment. 还应该理解到,连接元件130不必构造成一环,但可替代地形成一非环的单股结构。 It should also be understood that, the connecting element 130 need not be configured as a ring, but may alternatively be formed of a single strand structure acyclic. 还应该理解到:锚固构件112a-112c不需偶联在一起,或通过一单一的缝合线元件互连,但可替代地通过多个离散的缝合线元件个别地偶联在一起。 It should also be understood that: the anchor members 112a-112c need not coupled together, or via a single suture element interconnected, but may alternatively be individually coupled together by a plurality of discrete suture elements. 或者,应该理解到:锚固构件112a-112c不必通过缝合线材料偶联到一起,但可替代地使用其它的元件和技术偶联在一起,例如,通过多个销、铰链、配件、眼孔或任何其它合适的偶联装置。 Alternatively, it should be understood that: the anchor members 112a-112c through suture material need not be coupled together, but may alternatively be used other elements and techniques coupled together, e.g., by a plurality of pins, hinges, fittings, eyelets or any other suitable coupling means.

在本发明所示的实施例中,锚固系统100还包括一致动元件140,它与连接元件130合作而有选择地操纵一个或多个锚固构件112a-112c的位置和/或定向。 In the illustrated embodiment of the present invention, the anchoring system 100 further includes an actuating member 140, which cooperate with the connecting member 130 and selectively manipulate the one or more anchor members 112a-112c of the position and / or orientation. 在所示的实施例中,致动元件140包括一缝合线,它接合于连接元件130的端部以便有选择地操纵一个或多个锚固构件112a-112c的位置和/或定向。 In the embodiment shown, the actuating member 140 comprises a suture that engages the end portion of the connecting member 130 to selectively manipulate the one or more anchor members 112a-112c of the position and / or orientation. 在一特定的实施例中,致动元件140延伸通过连接元件130的端部环132、 134,这样,曳拉致动元件140的端部140a、 140b可彼此相对地曳拉外锚固构件112a、 112c,并将一个或多个锚固构件U2a-112c变换到不同的位置和/或定向,其细节将在下面讨论。 In a particular embodiment, the actuating member 140 extends through the connector member ends rings 130, 132, 134, so that pulling the actuating end member 140 140a, 140b may be relatively pulling each outer anchor members 112a, 112c, and conversion of one or more anchor members U2a-112c to a different position and / or orientation, details of which will be discussed below. 尽管致动元件140显示和描述为连接到连接元件130的端环,但应该理解到:致动元件140可通过其它合适的技术偶联到外锚固构件112a、 112c,以便彼此相对地曳拉外锚固构件112a、112c和有选择地将一个或多个锚固构件112a-112c变换到不同的位置和/或定向。 Although the actuating member 140 shown and described as connected to the connection 130 of the end ring element, it should be understood that: the actuation member 140 may be coupled via other suitable techniques to the outer anchor members 112a, 112c, pulling each other relative to the outer anchor member 112a, 112c and optionally one or more anchor members 112a-112c converted to a different position and / or orientation. 例如,一完全的或局部的环元件可直接附连到外锚固构件112a、112c, 致动元件140通过它们而延伸。 For example, a complete or partial ring member may be attached directly to the outer anchor members 112a, 112c, the actuating element 140 and extend through them.

图示和描述了与缝合线锚固系统100相关的各种元件和特征之后,现将参照用来将锚固系统100接合于如骨头B那样的生物组织上的技术。 Illustrated and described various elements and features and the suture anchor system 100 after, reference will now be used for the anchoring system 100 is joined to the bones, such as biological tissue B technology. 然而,如以上对于锚固系统10所作的讨论那样,应该理解也可考虑锚固系统100的其它应用,包括锚固到其它骨头或解剖学上的结构。 However, as discussed above with respect to the anchoring system 10 made it, it should be understood anchoring system may also be considered 100 other applications, including other anchored to the bone structure or anatomy. 参照图7,在本发明的一实施例中,锚固系统100通过以上图示和描述的递送器械200被递送到手术部位。 Referring to FIG. 7, in one embodiment of the present invention, the anchoring system 100 illustrated and above described delivery device 200 is delivered to the surgical site. 锚固构件112a-112c 起初定位在沿轴向对齐或直线性排列的导管构件202的远端部分内,使锚固构件112a-112c的轴线沿纵轴线201大致地对齐。 Anchor members 112a-112c initially positioned within the distal end portion axially aligned or linear arrangement of the catheter member 202, so that the anchor members 112a-112c axis substantially aligned along the longitudinal axis 201 to. 缝合线元件40的端部140a、 140b从导管件202的近端(未示出)延伸,以便其后由外科医生进行操纵。 Suture element ends 140a, 140b from the proximal end of the catheter member 202 (not shown) extends 40 to subsequent manipulation by the surgeon. 导管件202 的远端部分202a近端地靠近骨头B定位,使轴向通道206大致与延伸到皮质层L 内的孔A对齐。 The distal end 202 of the proximal end portion 202a positioned close to the bone B, so that the axial passage 206 extends into the cortical layer substantially within the aperture L A aligned.

参照图8, 一旦导管件202相对于孔A合适地定位,则内杆件204沿箭头210 方向沿轴向移动,使远端202a接合于锚固构件112c,锚固构件112c又使锚固构件112a-112c移动通过轴向通道206。 Referring to Figure 8, once the catheter member 202 with respect to the aperture A properly positioned, the inner rod member 210 in the direction of arrow 204 to move axially, in the distal end 202a engaging the anchor member 112c, 112c and the anchor member so that the anchor members 112a-112c moving through the axial channel 206. 内杆件204沿箭头210方向沿轴向前进,直到锚固构件U2a-112c从导管件202的远端202a展开而进入到骨头B的网状骨质区域C内为止。 210 direction of the inner rod member axially forward direction of arrow 204 until the anchor member from the distal end of the catheter U2a-112c 202a of member 202 to expand so far into the cancellous region C of the bone B. 如图8所示,网状骨质区域C内的孔A的深度尺寸较佳地被定为可接纳轴向对齐的锚固构件112a-112c。 8, the depth dimension of the aperture A in the cancellous region C is preferably set to be axially aligned to receive the anchor members 112a-112c. 内杆件204然后可从导管件202内移去或可保持在位,直到锚固过程完成为止,以防止锚固构件112a-112c向后通过骨头B的皮质层L。 The inner rod member 204 may then be removed from the inner catheter member 202 or may remain in place until the anchoring process is complete, in order to prevent the anchor members 112a-112c back through the cortical layer of bone B L.

参照图9, 一旦锚固构件112a-112c从导管件202的远端展开并合适地定位在骨头B的网状骨质区域C内的孔A内,则锚固构件112a-112c变换到一非直线或扩展形态。 Referring to the FIG. 9, once the anchor members 112a-112c to expand from the distal end of the catheter member 202 and properly positioned in the cancellous region C of the bone B within the bore A, the anchor members 112a-112c to a non-linear transformation or expanded configuration. 通过沿近端方向曳拉致动的缝合线元件140的端部140a、 140b而将锚固构件112a-112c从图8所示的轴向对齐形态改造为如图9所示的扩展形态,则可实现这样的变换。 Suture member through the proximal direction pulling the actuation end 140 of 140a, 140b and axially aligned morphological transformation of the anchor members 112a-112c as shown in Figure 8 expanded configuration as shown in Fig. 9, can be realized Such a transformation. 具体来说,由于缝合线元件140延伸通过连接元件130的端环132、 134,所以,沿近端方向彼此相对地曳拉缝合线元件140可曳拉外锚固构件112a、 112c。 More specifically, since the suture element 140 extends through the end ring 130 connecting member 132, 134, so that, relative to one another in the proximal direction pulling the suture pulling the outer member 140 can anchor members 112a, 112c. 其结果,锚固构件112a-112c重新定位/重新定向,以便形成大致三角形的排列,使外锚固构件112a、 112c彼此朝对方倾斜,而内锚固构件112b侧向地延伸在外锚固构件112a、 112c之间。 As a result, the anchor members 112a-112c repositioned / reoriented so as to form a substantially triangular arrangement, the outer anchor members 112a, 112c inclined toward each other, and the anchoring member 112b extending laterally outer anchor members 112a, 112c between .

正如应该认识到的,图9所示的锚固构件112a-112c的扩展形态大于延伸通过外皮质骨头层L的孔A的内横截面。 As will be appreciated, the expanded configuration of the anchor member shown in FIG. 9 112a-112c is larger than the inner cross-section extending through the outer cortical bone layer L of the aperture A. 因此,锚固构件112a-112c的扩展形态将不通过皮质骨头层L内的孔A,由此,可靠地将锚固构件112a-112c和缝合线元件140 锚固于骨头B。 Thus, anchor members 112a-112c are expanded configuration will not pass through the inner cortical bone layer L hole A, thereby, reliably anchor members 112a-112c and the suture 140 anchoring element in the bone B. 缝合线元件140可附连于其它元件/结构,以便将这样的元件/结构固定于骨头B。 Suture element 140 may be attached to other components / structures to such a component / structure fixed to the bone B.

正如现将要认识到的,以上所示和所述的锚固系统10、 IOO可以锚固到任何硬的或软的生物组织上,使缝合线元件40、 50和140用来将其它的元件或结构附连于生物组织。 As will now be appreciated that, as shown above, and the anchoring system 10, IOO can be anchored to any hard or soft biological tissue, so that the suture element 40, 50 and 140 are used to attach other elements or structures Even in biological tissue. 在本发明的一实施例中,锚固系统IO、 IOO可用来提供用于韧带、腱或其它类型组织的修理和/或更换中的手术用锚固件。 In one embodiment of the present invention, the anchoring system IO, IOO be used to provide for ligaments, tendons, or other type of tissue repair and / or replacement of surgical anchors. 在本发明的另一实施例中, 锚固系统IO、 IOO可用来提供手术用锚固件,它用来在形成在骨头内的隧道中保持一骨头块就位,以使附连在骨头块上的一块软组织在拉力下可连接到骨头上。 In another embodiment of the present invention, the anchoring system IO, IOO be used to provide surgical implement with anchor it in place for holding a bone block in the bone tunnel formed in the so attached to the bone block a soft tissue under tension can be connected to the bone. 在本发明的还有另一实施例中,锚固系统IO、 IOO提供一手术用的锚固件,它避免或减小了与软组织修理或更换相关的切断、扭转或其它损坏材料引起的危险。 In yet another embodiment of the present invention, the anchoring system IO, IOO provide a surgical anchors, which avoid or reduce the risk of soft tissue repair or replacement of cutting, twisting or other material damage caused. 在本发明 In the present invention,

的还有另一实施例中,锚固系统IO、 IOO可用来提供一手术用的锚固件,它可插入 In yet another embodiment, the anchoring system IO, IOO used to provide a surgical anchor, which can be inserted

到一形成在骨头内的隧道中,这可避免或减小严重损坏周围骨头材料的可能性。 To a tunnel formed in the bone, which may avoid or reduce the likelihood of serious damage to the surrounding bone material. In

本发明的还有一实施例中,锚固系统IO、 IOO可用来提供一手术用的锚固件,它适 The present invention is also an embodiment, the anchoring system IO, IOO used to provide a surgical anchor, which is adapted

于将与组织修理或更换有关的使用材料固定到紧靠骨头的附近处,以便促进形成或生长一在其间的永久性连结。 Related to the repair or replacement of the use of material is secured to the close proximity of the bone in order to promote the formation or growth of a permanent link between them and the organization. 在本发明的另一实施例中,通过将所述的组织(或其更换物)的端部偶联于一延伸到骨头或骨头状结构内或通过其中的隧道,锚固系统 In another end portion of the tunnel conjugated embodiment of the present invention, by the tissue (or replacement thereof) in an extension into the bone or bone-like structures, or by one of the anchoring system

10、 100可结合一用于修理和/或更换韧带、腱或其它类型组织的方法使用。 10, 100 can be combined for a repair and / or replacement of ligaments, tendons or other types of organization methods.

尽管在附图和以上的描述中详细地图示和描述了本发明,但在本质上它们应被 Although illustrated and described in detail the present invention in the drawings and the above description, but in essence, they should be

看作是说明性的而不是限制性的,应该理解到,所示和所述的只是优选的实施例, 所有落入本发明精神之内的变化和修改都意欲加以保护。 Regarded as illustrative rather than restrictive, it should be understood that, as shown and described only the preferred embodiment, all within the spirit of the present invention changes and modifications are intended to be protected.

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Classifications
International ClassificationA61B17/04
Cooperative ClassificationA61B2017/0458, A61B2017/0417, A61B17/0401, A61B2017/0496, A61B2017/0454, A61B2017/0409, A61B2017/0408
European ClassificationA61B17/04A
Legal Events
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27 Jun 2007C06Publication
22 Aug 2007C10Request of examination as to substance
18 Nov 2009C14Granted