摘要:
A suture passer comprising: a shaft having an axis; a first jaw mounted to the shaft in alignment with the axis, the first jaw being configured to releasably support a length of suture thereon; a second jaw movably mounted to the shaft; and a needle movably mounted to the shaft, the needle having a hook and being configured to reciprocate in alignment with the axis so that the hook can selectively pass by the second jaw and engage suture releasably supported on the first jaw; wherein the first jaw comprises a spring for selectively binding the suture to the first jaw, and further wherein the spring comprises a recess for receiving the suture therein.
摘要:
A delivery mechanism for delivering tissue holding implants through tissues to be held in approximation includes a shaft having a tip at its distal end, and which is loaded with one or more implants. A wire channel which contains a driving wire is also located within the shaft. When the mechanism is actuated, the driving wire exhibits a proportional longitudinal displacement in the wire channel, such that the wire engages an implant, conveys it along the shaft's longitudinal axis towards the tip, and forces it through the tip. The implants are oriented such that they lie along or nearly along the shaft's longitudinal axis when being conveyed along the axis. The mechanism may optionally include an opposing jaw arranged such that, when actuated, the distal end of the jaw is moved towards the tip, such that tissues placed between the jaw and tip are pinned between them.
摘要:
A collapsible bone screw for healing bone fragments across a bone fracture includes an externally threaded inner screw member and an externally threaded outer screw member. The inner screw member is initially screwed into an inner bone portion. An unthreaded portion of the outer screw member is movably joined to the inner screw member. The outer screw member is screwed until it gains purchase in an outer bone portion. As impaction occurs over time, the collapsible bone screw apparatus may shorten in length as the two screw members slide, telescope or otherwise axially move toward each other to shorten the overall length, thereby preventing any portion of the screw apparatus from protruding out of the bone. A bone screw kit of multiple inner and outer screw members are provided as well as a method of surgically fastening bone fragments.