DE20207781U1 - implant - Google Patents

implant

Info

Publication number
DE20207781U1
DE20207781U1 DE20207781U DE20207781U DE20207781U1 DE 20207781 U1 DE20207781 U1 DE 20207781U1 DE 20207781 U DE20207781 U DE 20207781U DE 20207781 U DE20207781 U DE 20207781U DE 20207781 U1 DE20207781 U1 DE 20207781U1
Authority
DE
Germany
Prior art keywords
implant according
tendon replacement
longitudinal direction
passage
replacement plastic
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
DE20207781U
Other languages
German (de)
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Aesculap AG
Original Assignee
Aesculap AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Aesculap AG filed Critical Aesculap AG
Priority to DE10222047A priority Critical patent/DE10222047B4/en
Priority to DE20207781U priority patent/DE20207781U1/en
Publication of DE20207781U1 publication Critical patent/DE20207781U1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0823—Modular anchors comprising a plurality of separate parts
    • A61F2002/0829—Modular anchors comprising a plurality of separate parts without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Description

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßtThe description text was not recorded electronically

Claims (22)

1. Implantat zum Festlegen mindestens einer im wesentlichen bandförmigen, sich in einer Längsrichtung erstreckenden Seh­ nenersatzplastik an einem die mindestens eine Sehnenersatz­ plastik aufnehmenden, sich in Längsrichtung erstreckenden Ka­ nal im knienahen Bereich der Tibia und/oder des Femurs, mit mindestens einer Sehnenersatzplastikaufnahme zum Durch­ führen oder Einhängen der mindestens einen Sehnenersatzpla­ stik, dadurch gekennzeichnet, daß das Implantat (10) minde­ stens ein der mindestens einen Sehnenersatzplastikaufnahme (28) zugeordnetes Abstandshalteelement (38; 62) umfaßt zum Halten eines Abstands in einer Richtung quer zur Längsrichtung (19) zwischen einem ersten und einem zweiten, sich jeweils in Längsrichtung erstreckenden Abschnitt (48, 49) der mindestens einen Sehnenersatzplastik (12, 13).1. Implant for fixing at least one substantially band-shaped, longitudinally extending tendon replacement plastic on a channel that accommodates at least one tendon replacement, extending in the longitudinal direction in the region of the tibia and / or the femur near the knee, with at least one tendon replacement plastic receptacle for passage guide or hang the at least one tendon replacement plastic, characterized in that the implant ( 10 ) comprises at least one spacer element ( 38 ; 62 ) assigned to the at least one tendon replacement plastic receptacle ( 28 ) for holding a distance in a direction transverse to the longitudinal direction ( 19 ) between a first and a second section ( 48 , 49 ) of the at least one tendon replacement plastic ( 12 , 13 ) each extending in the longitudinal direction. 2. Implantat nach Anspruch 1, dadurch gekennzeichnet, daß das Implantat (10) und/oder das Abstandshalteelement (38; 62) aus einem starren Körper gebildet ist.2. Implant according to claim 1, characterized in that the implant ( 10 ) and / or the spacer element ( 38 ; 62 ) is formed from a rigid body. 3. Implantat nach einem der Ansprüche 1 oder 2, dadurch ge­ kennzeichnet, daß sich das mindestens eine Abstandshalteele­ ment (38; 62) an die mindestens eine Sehnenersatzplastikauf­ nahme (28) anschließt und sich in Längsrichtung (19) der im Kanal (22; 23) gehaltenen Sehnenersatzplastik (12, 13) er­ streckt.3. Implant according to one of claims 1 or 2, characterized in that the at least one spacer element ( 38 ; 62 ) adjoins the at least one plastic tendon replacement ( 28 ) and extends in the longitudinal direction ( 19 ) of the in the channel ( 22 ; 23 ) held tendon replacement plastic ( 12 , 13 ) he stretches. 4. Implantat nach einem der Ansprüche 1 bis 3, dadurch gekenn­ zeichnet, daß das Implantat (10) ein am Kanal anlegbares An­ lageelement (24) und ein Verbindungselement (26) zum Kop­ peln der mindestens einen Sehnenersatzplastik (12, 13) und des Anlageelements (24) umfaßt und daß die mindestens eine Sehnenersatzplastikaufnahme (28) dem Verbindungselement (26) zugeordnet ist.4. Implant according to one of claims 1 to 3, characterized in that the implant ( 10 ) can be placed on the channel to position element ( 24 ) and a connecting element ( 26 ) for coupling the at least one tendon replacement plastic ( 12 , 13 ) and Contact element ( 24 ) and that the at least one tendon replacement plastic receptacle ( 28 ) is associated with the connecting element ( 26 ). 5. Implantat nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß die mindestens eine Sehnenersatzplastik­ aufnahme (28) mindestens eine eine Durchführungsrichtung definierende Durchführung (44, 45; 72) zum Durchführen der mindestens einen Sehnenersatzplastik (12, 13) umfaßt.5. Implant according to one of the preceding claims, characterized in that the at least one tendon replacement plastic receptacle ( 28 ) comprises at least one passage defining a passage direction ( 44 , 45 ; 72 ) for performing the at least one tendon replacement plastic ( 12 , 13 ). 6. Implantat nach Anspruch 5, dadurch gekennzeichnet, daß die mindestens eine Durchführung (44, 45; 72) eine Breite auf­ weist, die einem ganzzahligen Vielfachen eines Durchmessers der mindestens einen Sehnenersatzplastik (12, 13) entspricht.6. Implant according to claim 5, characterized in that the at least one passage ( 44 , 45 ; 72 ) has a width which corresponds to an integer multiple of a diameter of the at least one tendon replacement plastic ( 12 , 13 ). 7. Implantat nach einem der Ansprüche 5 oder 6, dadurch ge­ kennzeichnet, daß die mindestens eine Durchführung (72) eine Breite aufweist, die im Wesentlichen dem Durchmesser zweier bandförmiger Sehnenersatzplastiken (12, 13) entspricht. 7. Implant according to one of claims 5 or 6, characterized in that the at least one passage ( 72 ) has a width which essentially corresponds to the diameter of two band-shaped tendon replacement plastics ( 12 , 13 ). 8. Implantat nach einem der Ansprüche 5 bis 7, dadurch gekenn­ zeichnet, daß die mindestens eine Durchführung (44, 45; 72) eine Anlagefläche (46, 47; 74) für die Sehnenersatzplastik umfaßt und daß die Anlagefläche (46, 47; 74) konvex ge­ krümmt ist.8. Implant according to one of claims 5 to 7, characterized in that the at least one passage ( 44 , 45 ; 72 ) comprises a contact surface ( 46 , 47 ; 74 ) for the tendon replacement plastic and that the contact surface ( 46 , 47 ; 74 ) is convexly curved. 9. Implantat nach einem der Ansprüche 5 bis 8, dadurch gekenn­ zeichnet, daß mehrere Durchführungen (44, 45) vorgesehen sind und daß die Durchführungsrichtungen der Durchführungen (44, 45) jeweils einen Winkel einschließen, dessen Wert in Grad etwa dem Quotient von 180 und der Anzahl der Durchführun­ gen (44, 45) entspricht.9. Implant according to one of claims 5 to 8, characterized in that a plurality of bushings ( 44 , 45 ) are provided and that the bushing directions of the bushings ( 44 , 45 ) each enclose an angle, the value of which is approximately the quotient of 180 in degrees and the number of implementations ( 44 , 45 ) corresponds. 10. Implantat nach einem der Ansprüche 5 bis 9, dadurch gekenn­ zeichnet, daß mehrere Durchführungen (44, 45) in Längsrich­ tung (19) versetzt angeordnet sind.10. Implant according to one of claims 5 to 9, characterized in that a plurality of bushings ( 44 , 45 ) in the longitudinal direction ( 19 ) are arranged offset. 11. Implantat nach einem der Ansprüche 5 bis 10, dadurch ge­ kennzeichnet, daß das mindestens eine Abstandshalteelement (38; 62) einen Teil der Begrenzung der mindestens einen Durchführung (44, 45; 72) bildet und sich von dieser im We­ sentlichen in Längsrichtung (19) weg erstreckt.11. Implant according to one of claims 5 to 10, characterized in that the at least one spacer element ( 38 ; 62 ) forms part of the boundary of the at least one bushing ( 44 , 45 ; 72 ) and of this essentially in the longitudinal direction ( 19 ) extends away. 12. Implantat nach einem der Ansprüche 5 bis 11, dadurch ge­ kennzeichnet, daß das mindestens eine Abstandshalteelement (38; 62) einen Querschnitt (42) quer zur Längsrichtung (19) aufweist und daß der Querschnitt (42) in Längsrichtung (19) von der mindestens einen Durchführung (44, 45; 72) weg zu­ nimmt.12. Implant according to one of claims 5 to 11, characterized in that the at least one spacer element ( 38 ; 62 ) has a cross section ( 42 ) transverse to the longitudinal direction ( 19 ) and that the cross section ( 42 ) in the longitudinal direction ( 19 ) of which takes away at least one passage ( 44 , 45 ; 72 ). 13. Implantat nach einem der Ansprüche 5 bis 12, dadurch ge­ kennzeichnet, daß das mindestens eine Abstandshalteelement (62) eine Breite (64) quer zur Durchführungsrichtung und quer zur Längsrichtung (19) aufweist.13. Implant according to one of claims 5 to 12, characterized in that the at least one spacer element ( 62 ) has a width ( 64 ) transversely to the feed-through direction and transversely to the longitudinal direction ( 19 ). 14. Implantat nach einem der Ansprüche 5 bis 13, dadurch ge­ kennzeichnet, daß das mindestens eine Abstandshalteelement (62) eine Breite (64) quer zur Durchführungsrichtung aufweist, die etwa einem ungeradzahligen Vielfachen eines halben Durchmessers einer Sehnenersatzplastik (12, 13) entspricht.14. Implant according to one of claims 5 to 13, characterized in that the at least one spacing element ( 62 ) has a width ( 64 ) transverse to the direction of passage, which corresponds approximately to an odd multiple of half a diameter of a tendon replacement plastic ( 12 , 13 ). 15. Implantat nach einem der Ansprüche 5 bis 14, dadurch ge­ kennzeichnet, daß das mindestens eine Abstandselement (62) eine Dicke (76) in Richtung der mindestens einen Durchführung aufweist, die mindestens etwa einem halben Durchmesser einer Sehnenersatzplastik (12, 13) entspricht.15. Implant according to one of claims 5 to 14, characterized in that the at least one spacer element ( 62 ) has a thickness ( 76 ) in the direction of the at least one passage, which corresponds to at least about half a diameter of a tendon replacement plastic ( 12 , 13 ) , 16. Implantat nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß das mindestens eine Abstandselement (62) mit mindestens einer sich in Längsrichtung erstreckenden scharfen Kante (68, 69) versehen ist. 16. Implant according to one of the preceding claims, characterized in that the at least one spacer element ( 62 ) is provided with at least one sharp edge ( 68 , 69 ) extending in the longitudinal direction. 17. Implantat nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß an der mindestens einen Sehnenersatz­ plastikaufnahme (28) mindestens ein quer zur Längsrichtung (19) abstehendes Verankerungselement (52) vorgesehen ist.17. Implant according to one of the preceding claims, characterized in that at least one anchoring element ( 52 ) projecting transversely to the longitudinal direction ( 19 ) is provided on the at least one tendon replacement plastic receptacle ( 28 ). 18. Implantat nach Anspruch 17, dadurch gekennzeichnet, daß das mindestens eine quer abstehende Verankerungselement (52) federnd vorgespannt ist.18. Implant according to claim 17, characterized in that the at least one transversely projecting anchoring element ( 52 ) is resiliently biased. 19. Implantat nach einem der Ansprüche 17 oder 18, dadurch ge­ kennzeichnet, daß das mindestens eine Verankerungselement eine von der Längsrichtung (19) radial nach außen weg ge­ krümmte federnde Zunge (52) umfaßt.19. Implant according to one of claims 17 or 18, characterized in that the at least one anchoring element comprises a resilient tongue ( 52 ) curved radially outward from the longitudinal direction ( 19 ). 20. Implantat nach einem der Ansprüche 17 bis 19, dadurch ge­ kennzeichnet, daß das mindestens eine Verankerungselement durch einen Widerhaken (52) gebildet wird und daß der Wider­ haken (52) in Längsrichtung (19) von der mindestens einen Durchführung (44, 45) weg weisend wirksam ist zum Ver­ hindern einer Bewegung der Sehnenersatzplastikaufnahme (28) in dieser Richtung.20. Implant according to one of claims 17 to 19, characterized in that the at least one anchoring element is formed by a barb ( 52 ) and that the barb ( 52 ) in the longitudinal direction ( 19 ) of the at least one passage ( 44 , 45 ) is effective to prevent movement of the tendon replacement plastic receptacle ( 28 ) in this direction. 21. Implantat nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß die mindestens eine Sehnenersatzplastik­ aufnahme (28), das Verbindungselement (26) und/oder das Anlageelement (24) aus einem körperverträglichen Material hergestellt sind. 21. Implant according to one of the preceding claims, characterized in that the at least one tendon replacement plastic receptacle ( 28 ), the connecting element ( 26 ) and / or the contact element ( 24 ) are made of a body-compatible material. 22. Implantat nach Anspruch 21, dadurch gekennzeichnet, daß das körperverträgliche Material ein resorbierbarer Kunststoff ist.22. Implant according to claim 21, characterized in that the body-compatible material is an absorbable plastic.
DE20207781U 2002-05-13 2002-05-13 implant Expired - Lifetime DE20207781U1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
DE10222047A DE10222047B4 (en) 2002-05-13 2002-05-13 implant
DE20207781U DE20207781U1 (en) 2002-05-13 2002-05-13 implant

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10222047A DE10222047B4 (en) 2002-05-13 2002-05-13 implant
DE20207781U DE20207781U1 (en) 2002-05-13 2002-05-13 implant

Publications (1)

Publication Number Publication Date
DE20207781U1 true DE20207781U1 (en) 2002-08-08

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DE10222047A Expired - Fee Related DE10222047B4 (en) 2002-05-13 2002-05-13 implant

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