摘要:
Herein described are suture-anchoring implanted medical devices formed from a bioresorbable metal alloy that may be used to secure soft tissue to bone. The metallic bioresorbable tissue anchoring devices of the present invention are optimally configured such that all portions of the device are resorbed over a short predetermined period of time while maintaining their tissue anchoring capability and preventing the generation of loose foreign bodies therefrom.
摘要:
In the context of endoscopic electrosurgery, there is a need for a sufficiently robust, rigid, and preferably aspirating electrosurgical device that may be repeatedly flexed in the field to allow access to a wide array of remote tissues using a single device and, more preferably, during a single minimally invasive procedure. The present invention addresses this significant need by providing the distal portion of the elongate tubular member of an electrosurgical device with a bend region having a non-uniform flexural strength along its length, such that one may bend the tubular member at said bend region not only to an initial small radius bend, but subsequently rebend the distal portion to other angles as needed, with all bends occurring in the same distal region. A number of different mechanisms for reducing the flexural strength in the bend region are disclosed herein, including, for example, notching the tube in the bend region, annealing the tube in the bend region, reducing the wall thickness in the bend region, utilizing a material having lower flexular and/or yield strength to form the bend region, utilizing a small diameter elongate conductive element having negligible rigidity, such as a wire, and combinations thereof.
摘要:
Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the placement of small diameter knotless anchors. For example, the implant placement system may include a cannulated tensioning device having disposed therein an elongate member of a suitably elastic metallic or polymeric material, such as nitinol, that includes at its distal end a loop of material suitable for suture retention. The implant placement system may further include high tensile strength knotless anchors provided with internal drive features that coordinate with torque-transmitting features unique to the driver devices of the present invention.
摘要:
Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone while maintaining suture tension and without introducing spin to the suture.
摘要:
In the context of bone surgery and in particular arthroscopic surgery, there is frequently a need for the application of “percussive force” to the distal end component(s) of a surgical device, i.e., repetitive percutient or striking force analogous to that of a hammer driving a nail. Disclosed herein are mechanisms and methods for automating and/or controlling the application of such a percussive force so as to avoid the present need in the art for a “third hand”. The present invention addresses the significant and long felt need by providing a powered percussive driver device that may be controlled directly by the primary surgeon.
摘要:
Described herein are specialized methods and systems that may be utilized to secure a soft tissue graft to a boney surface. The methods and systems of the present invention facilitate the efficient and minimally invasive formation of sockets and/or tunnels in boney surfaces that may then serve as a site for graft placement by aperture and/or suspensory fixation means. The present invention has particular applicability to the surgical repair and reconstruction of torn or ruptured ligaments of the leg, such as anterior and posterior cruciate ligaments.
摘要:
Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture.
摘要:
Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the one-handed operation. To that end, embodiments in which relative axial movement between the inner tensioning device and outer driver device is optionally physically constrained, for example by means of cooperating and/or compressive elements disposed in the respective hub and handle portions, are described herein.
摘要:
Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the one-handed operation. To that end, embodiments in which relative axial movement between the inner tensioning device and outer driver device is optionally physically constrained, for example by means of cooperating and/or compressive elements disposed in the respective hub and handle portions, are described herein.
摘要:
Using the simplified placement system and method for a tissue graft anchor of the present invention, a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments of the present invention relate to multi-anchor constructs. Multi-anchor constructs of the present invention may employ threaded implants exclusively, push-in implants exclusively, or a combination of threaded and push-in implants.