摘要:
Systems and methods for repairing annulus defects include at least one blocking member positionable in or adjacent to the annulus defect, at least one attachment portion for securing the blocking member to adjacent tissue, and instruments for placing and engaging the blocking member in and/or adjacent to the annulus defect. The blocking member extends at least partially across the annulus defect for repair of the defect and/or retention of nucleus material, one or more implants, bio-compatible materials or device, and/or other objects positioned in the disc space.
摘要:
A multiple component cartridge includes a barrel defining a chamber and a longitudinal axis. A first plunger is disposed within the chamber and in sealing engagement with the barrel. The first plunger includes at least one member and is movable relative to the barrel such that the at least one member is configured for movement relative to the first plunger to facilitate passage of at least a first component through the first plunger. A second plunger is disposed within the chamber and in sealing engagement with the barrel. The second plunger includes at least one member and is movable relative to the barrel such that the at least one member of the second plunger is configured for movement relative to the second plunger to facilitate passage of at least a second component through the second plunger.
摘要:
A method for securing first and second tissues with a suture anchor comprising the steps of forming a borehole in the first tissue; threading a suture through the second tissue forming a loop in the suture with the tissue thereby secured in the loop, the loop defining two suture portions; attaching the two suture portions to the anchor whereby the two suture portions are threaded through the anchor and initially movable with respect to the anchor; and providing a force to a shaft of the anchor, the force causing clamping of the two suture portions in the anchor and deformation of a deformable portion of the anchor to cause the deformable portion to engage a wall of the borehole thereby to secure the suture anchor in the first tissue and the loop holding the second tissue to the suture anchor.
摘要:
A prosthetic nucleus for implantation in a chamber of an intervertebral disc after removal of at least a portion of a damaged or degenerated nucleus from the chamber, comprising a wafer of biologically compatible, thin, flexible, and expandable material in a selected first configuration. The wafer is adapted to be re-shaped mechanically into a compact second configuration of cross-section sufficiently small to permit travel of the wafer through a cannula and into the disc chamber. The wafer is further adapted to substantially regain the first configuration thereof by memory upon entry into the disc chamber, and the wafer is adapted to react to an expansion-inducing agent in the disc chamber to expand to an enlarged and selected third configuration.
摘要:
An insertion tool for a rotor blade anchor. The anchor is pivotably coupled to a handle so that the anchor can assume a first position in alignment with the longitudinal axis of the handle. The tool is designed to be rotated about the longitudinal axis so that the anchor, when placed in a bore hole in biological tissue, can attain a second position substantially perpendicular to the longitudinal axis. The anchor itself includes a cutting surface thereon. A deploy spring is disposed on the handle and biases the anchor toward the second position. In use, when the rotor blade is inserted into an object such as a bone, the object moves the anchor toward alignment with the longitudinal axis. When the anchor is inserted far enough into the object, a user rotates the handle and the anchor. The deploy spring biases the cutting surface so that is engages with the sidewall of the borehole. The rotation of the handle causes the cutting surface to cut into the object. The rotation imparted by the user and the biasing produced by the deploy spring causes the anchor to undergo a screwing type motion as it is being inserted into the object. Eventually the anchor attains a position substantially perpendicular to the longitudinal axis.
摘要:
A fastener comprising a longitudinally extending member having a hub region and at least two arms extending in a longitudinal direction from the hub region, the member defining a plane and having a length and a width less than the length, the arms each being provided with a sharp edge, the hub region being provided with an engaging member for receiving a rotational force about an axis perpendicular to the plane of the member for rotating the member in the plane of the member, the fastener adapted to be inserted in a longitudinally extending groove in an object to which the fastener is to be secured, the groove being at least coextensive with the length of the longitudinally extending member and having a width at least as large as the width of the member, the fastener being adapted to be rotated via the rotational force once inserted in the groove so that the sharp edges of the arms cut into sides of the grooves thereby forming undercuts securing the fastener in the object.
摘要:
A cartridge for holding a generally cylindrical surgical fastener in position for ease of handling, comprising a holder having a surface for grasping by a user, the holder having a cup-shaped surface for engagement with the surgical fastener and for fixing the fastener in position on the holder and a threading loop extending from the holder for extending through an aperture in the surgical fastener. A combination, preferably provided as a sterile packaged unit includes the cartridge and the surgical fastener and may also include the suture and a surgical fastener emplacement tool.
摘要:
Apparatus and method for anchoring a ligament or ligament replacement into a bone comprising an expandable member for insertion into a borehole formed in the bone, the expandable member having an exterior gripping surface for engaging with the borehole and a central longitudinally extending channel, the expandable member connecting to the ligament or ligament replacement, an expanding member for disposition in the channel of the expandable member for movement in the channel to expand the expandable member in the borehole; the expanding member having a passageway therein aligned with the channel, a cable slidably traversing the passageway and the channel and extending proximally from the expanding member for gripping by an installation tool, a stop member disposed on the cable for engaging a distal surface of the expandable member for preventing further proximal slidable movement of the cable in the passageway and channel, the expanding member having a proximal surface for engagement by the installation tool, the cable grasped by the installation tool with the stop member abutting the expandable member and the installation tool abutting the proximal surface of the expanding member, the installation tool applying a force to the cable to move the expanding member relatively with respect to the expandable member to expand the expandable member so that the gripping surface of the expandable member grips the sidewall of the borehole to secure the expandable member in the borehole and secure the ligament or ligament replacement to the bone.
摘要:
Apparatus for reattaching a ligament or implanting a ligament replacement in bone comprising a first ligament attaching element for coupling to a first end of the ligament or ligament replacement, a second ligament attaching element for coupling to a second end of the ligament or ligament replacement, a first engaging element slidably disposed on the first ligament attaching element and having at least one longitudinally extending finger, a second engaging element slidably disposed on the second ligament attaching element and having at least one longitudinal extending finger. The finger of each engaging element is directed toward the other. The first attaching element and first engaging element are adapted to be inserted in a first bore in a first bone member. The second attaching element and second engaging element are adapted to be inserted in a second bore in a second bone member aligned with the first bore, with the ligament or ligament replacement disposed between the attaching elements and in general alignment with the bores. The first and second attaching elements each having cam surfaces thereon for engaging the at least one finger of the respective engaging element. The finger of each engaging element is adapted to be moved into engagement with the cam surface thereby to force the finger to move outwardly into engagement with the wall of the bore in the respective bone member, thereby securing the engaging element into the respective bone member with the ligament or ligament replacement attached between the first and second attaching elements.
摘要:
An anchor for attaching an object within a tunnel extending through a workpiece such as a bone or a bone-like structure, and a method for using the same. The anchor includes a body and a plurality of barbs located in circumferentially spaced relation about the body. The barbs are formed of a material which may be elastically deformed from a normal configuration wherein the outer ends of the barbs extend radially outwardly of the body toward a configuration wherein the barbs are located generally parallel to the longitudinal axis of the body. A diametrical opening in the front portion of the anchor is provided for engagement by a length of cord-like material such that the anchor may be pulled into a bone tunnel, and an opening in the rear portion of the anchor is provided for attaching either a ligament, tendon or the like to the anchor, or for grasping a bone plug or similar rigid object attached to a free end of the ligament, tendon or the like.