摘要:
A suture anchor installation system includes a body portion having a distal end and a proximal end, an elongated shaft extending distally from the distal end of the body portion, the shaft having a distal end with an annular region disposed at the distal end of the shaft. A suture anchor is attachable within the annular region and comprising a setting portion and an engagement portion, the suture anchor having at least one suture associated therewith. A suture retaining member is positioned on the body portion, the suture retaining member including tabs to grip the at least one suture extending from the suture anchor to maintain the setting portion within the engagement portion. A loading unit for use with a suturing apparatus is mountable on the body portion including a mounting member positioned on the body portion and configured to releasably hold at least one suture needle, the at least one suture needle being associated with the at least one suture extending from the suture anchor. The loading unit further includes a receiving structure formed in the body portion for receiving a distal end portion of the suturing apparatus in operative alignment with mounting member to facilitate mounting of the at least one surgical needle in the suturing apparatus. A method for applying a suture anchor comprises the steps of providing a suture anchor installation system, implanting the suture anchor into a bone, securing the suture anchor within the bone, mounting the suture apparatus into the receiving structure of the loading unit, loading the at least one suture needle into the suturing apparatus, and suturing the suture anchor to soft tissue with the at least one suture needle.
摘要:
A suture cutting device is provided, the device suitable for cutting high strength suture materials used in arthroscopic surgeries. The device includes a distal blade portion movable within a distal suture guide, the distal suture guide including a lateral suture guide slot. The distal blade portion includes a dorsal recess that, in combination with an upper wall of an enclosed blade guide slot, controls an amount of dorsal movement of a cutting edge during a longitudinal movement of the cutting edge. The combined dorsal movement and longitudinal movement of the cutting edge creating a sliding/slicing movement of the cutting edge against a suture in the suture guide slot. At least a proximal blade portion and an extension blade portion are made of a single blade, those portions defining a spring, contacting a trigger, and effectuating a movement from a first position to a second position.
摘要:
A dual pump irrigation/aspiration pump system capable of operating in a plurality of different modes suitable for a variety of different endoscopic surgical procedures. The system monitors actual or calculated intra-articular pressure and adjusts flow to maintain surgeon requested pressure at the surgical site while controlling outflow. The irrigation/aspiration pump system has an inflow pump and tubing dedicated to communicating fluid to the surgical work site and an outflow pump and tubing dedicated to removing fluid from the work site at a controlled rate. The system further has different size inflow and outflow pumps and tubing cassettes, means for altering the outflow fluid flow rate to accommodate a surgical tool and a means for declogging the surgical tool in the event of blockage. In a preferred embodiment a pressure control system provides inferred pressure information representative of the pressure at the work site.
摘要:
A packaged residential fire pump system for sprinkler protection of one- and two-family dwellings. The system independently provides sufficient water pressure, and volume, for a two sprinkler flow for a period of time. An existing domestic water supply is supplemented with a dead water storage tank. The system can be combined with hydraulically sized, or scheduled, system piping and sprinkler heads.
摘要:
An inserter for simultaneously creating a bone tunnel and delivering an all-suture anchor. The inserter is capable of inserting into the bone tunnel a soft, non-rigid suture anchor by forming a bone tunnel (to serve as an anchor receiving area) and simultaneously, in one motion, delivering the soft suture anchor to the anchor receiving area. The soft suture anchor is made entirely of non-rigid materials including, but not limited to, filaments of soft, malleable materials such as those commonly used to make sutures. The inserter is able to not only carry or deliver the all-suture anchor into a bony substrate, but is able to do so without having to preform a hole in the bone.
摘要:
A meniscal repair system including a pair of elongate needles with a suture filament attached between respective proximal ends of the needles. Two implants are attached to the suture (e.g., molded thereon) between the needles so as to form a suture bridge between the implants. One implant may comprise a barbed shaft aligned with the suture, while the other may be in the form of a T-bar that can be deployed so as to be perpendicular to a portion of the suture filament. The system may further include one or more dilators (e.g., one or more suture knots or molded beads) disposed along the length of the suture filament to aid in passage of the implant after the associated needle.
摘要:
A cannula and cannula driver system comprises a tubular cannula and a driver, the driver comprising an elongated obturator shaft and a handle. A noncircular recess is formed on one of the of the cannula and the obturator shaft which receives a correspondingly-shaped projection formed about the other of the cannula and obturator shaft, so that when the obturator shaft is inserted into the tubular cannula, the projection fits into the recess, whereby torque applied to the handle of the driver is transferred to the cannula.
摘要:
There is described a suture anchor with anchor members moveable as between a suture-unlocked configuration and suture-locked configuration. In one embodiment, the anchor members include an outer anchor member with features, e.g., flexible barbs, configured to secure the suture anchor in the suture-locked configuration to material proximate a pre-formed hole in bone material. The outer anchor member is also configured with a bore to receive suture material, and which is sized and shaped to receive an inner anchor member therein. The inner anchor member includes securing features such as projections that compress the suture material against the surface of the bore when the suture anchor is actuated from the suture-unlocked configuration to the suture-locked configuration.
摘要:
This invention pertains to the percutaneous insertion of a soft, non-rigid suture anchor construct preloaded onto an inserter which is “self-punching”. The preferred embodiment of soft suture anchor disclosed herein is a suture anchor which is entirely comprised of filaments of compressible, distendable, soft materials such as commonly used suture materials. The inserter is adapted to not only carry the all-suture anchor into a bony substrate, but is also capable of forming a hole in the bone, to receive the anchor, in the same step.
摘要:
A suspensory graft ligament fixation device is shown to be particularly suitable for maximizing the contact between a soft tissue graft and the bone tunnel prepared to receive the graft. The suspensory fixation device has an elongated anchor member adapted to be transversely situated at the exit of the bone tunnel. A loop member is suspended transversely from the anchor member and has a loop length which is adjustable. When a graft ligament is attached to the saddle end of the loop, the length of the loop member may be shortened to pull the graft member into the bone tunnel until it bottoms out at the floor of the bone tunnel.