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IL296638B2 - Anchor for stretching stitches - Google Patents
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IL296638B2 - Anchor for stretching stitches - Google Patents

Anchor for stretching stitches

Info

Publication number
IL296638B2
IL296638B2 IL296638A IL29663822A IL296638B2 IL 296638 B2 IL296638 B2 IL 296638B2 IL 296638 A IL296638 A IL 296638A IL 29663822 A IL29663822 A IL 29663822A IL 296638 B2 IL296638 B2 IL 296638B2
Authority
IL
Israel
Prior art keywords
suture
tensioning
tensioning device
suture tensioning
tension
Prior art date
Application number
IL296638A
Other languages
Hebrew (he)
Other versions
IL296638B1 (en
IL296638A (en
Inventor
Oron Amir
Original Assignee
Mor Research Applic Ltd
Oron Amir
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 Mor Research Applic Ltd, Oron Amir filed Critical Mor Research Applic Ltd
Priority to IL296638A priority Critical patent/IL296638B2/en
Publication of IL296638A publication Critical patent/IL296638A/en
Publication of IL296638B1 publication Critical patent/IL296638B1/en
Priority to CN202380066938.0A priority patent/CN119894453A/en
Priority to PCT/IB2023/059227 priority patent/WO2024062366A1/en
Priority to JP2025516226A priority patent/JP2025531298A/en
Priority to EP23867715.7A priority patent/EP4590206A4/en
Publication of IL296638B2 publication Critical patent/IL296638B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407—Ratchet means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
    • A61B2017/00438—Surgical instruments, devices or methods with special provisions for gripping connectable to a finger
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0461—Means for attaching and blocking the suture in the suture anchor with features cooperating with special features on the suture, e.g. protrusions on the suture
    • A61B2017/0462—One way system, i.e. also tensioning the suture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Rheumatology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)

Description

P11092-IL1 | 2022-042 | clean text to RESOA1 mailed 13 DEC 20 SUTURE TENSIONING DEVICE, SYSTEM AND METHOD BACKGROUND id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1" id="p-1"
[0001] Severed or torn tendons as well as other soft tissues including ligaments and tendons and possibly fragments of bone connected to them can cause serious pain and, in some cases, impair movement and cause disabilities. Techniques of repairing severed tendons include suturing to join the two ends of the severed tendon. id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2" id="p-2"
[0002] One suturing method that has established itself as one of the most widely used approaches is the Kessler repair or its modifications in which opposed severed ends of the tendon or ligament are sutured together in a particular configuration.
BRIEF DESCRIPTION OF THE DRAWINGS id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3" id="p-3"
[0003] The figures illustrate generally, by way of example, but not by way of limitation, various embodiments discussed in the present document. id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4" id="p-4"
[0004] For simplicity and clarity of illustration, elements shown in the figures have not necessarily been drawn to scale. For example, the dimensions of some of the elements may be exaggerated relative to other elements for clarity of presentation. Furthermore, reference numerals may be repeated among the figures to indicate corresponding or analogous elements. References to previously presented elements are implied without necessarily further citing the drawing or description in which they appear. The number of elements shown in the Figures should by no means be construed as limiting and is for illustrative purposes only. The figures are listed below. id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5" id="p-5"
[0005] Figures 1A-1Eshow various views of an upper suture tensioning device, according to some embodiments. id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6" id="p-6"
[0006] Figures 2A-2Cshow various views of the upper suture tensioning device operably engaging with a digit, according to some embodiments. id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7" id="p-7"
[0007] Figures 3A-3Dshow various views of a lower suture tensioning device, according to some embodiments. id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8" id="p-8"
[0008] Figure 4 shows a lower suture tensioning device operably engaging with a digit, according to some embodiments.
P11092-IL1 | 2022-042 | clean text to RESOA1 mailed 13 DEC 20

Claims (17)

P11092-IL1 | 2022-042 | Claims (clean) | response to OA1 mailed 13 DEC 20 CLAIMS What is claimed is:
1. A suture tensioning device for tensioning a suture that is operably engaged with a soft tissue repair site, the suture tensioning device comprising: a housing having a wide proximal receiving end, and a narrow distal end, wherein the housing is configured to snugly receive a digit; a suture tensioning mechanism that is configured to fixedly receive one or more suture portions of corresponding suture ends of a suture extending from the tissue repair site within the body extremity to outside the body extremity to terminate at the suture tensioning mechanism; a suture coupling element for fixedly coupling the one or more suture portions with the tensioning mechanism; and an adjustment device configured for controllably adapting tension on the suture.
2. The suture tensioning device of claim 1, wherein the adjustment device comprises an actuator that is operably engageable by a user of the suture tensioning device and which allows to selectively increase or decrease tension that is applied to the suture.
3. The suture tensioning device of any one of the preceding claims, wherein the adjustment device is configured as a ratchet for tensioning of the suture, and to prevent unwanted decrease in suture tensioning.
4. The suture tensioning device of claim 2 or claim 3, wherein tensioning mechanism comprises: a cogged wheel having teeth; and a biased pawl configured to engage with the teeth of the cogged wheel, P11092-IL1 | 2022-042 | Claims (clean) | response to OA1 mailed 13 DEC 20 wherein the wheel and the pawl are configured such that the wheel is only be rotatable, by default, in one direction.
5. The suture tensioning device of any one of the preceding claims, further comprising: a tensiometer that is operably coupled with the suture and/or the adjustment device for providing an output indicative of a tension force applied on the suture.
6. The suture tensioning device of claim 5, further comprising: a communication module that is configured to output signals which encode data relating to suture tension sensed by the tensiometer to one or more computerized platforms.
7. A suture tensioning monitoring and assessment system, comprising: a suture tensioning device according to claim 5 or claim 6; and one or more computerized platforms configured to receive signals encoding data relating to suture tension sensed by the tensiometer.
8. The suture tensioning monitoring and assessment system of claim 7, further comprising an imaging apparatus for imaging the suture repair site for determining one or more characteristics of the soft tissue repair site, and wherein the system is configured to determine, based on the one or more characteristics of the soft tissue repair site, one or more adjustment parameter values of the displacement device.
9. The suture tensioning monitoring and assessment system of claim 8, comprising a motion drive configured for adjusting the one or more actuators of the displacement device based on the adjustment parameter values. P11092-IL1 | 2022-042 | Claims (clean) | response to OA1 mailed 13 DEC 20
10. The suture tensioning monitoring and assessment system of claim 9, wherein the one or more actuators are automatically, semi-automatically or manually adjustable through the motion drive.
11. A suture tensioning device comprising: a suture tensioning mechanism that is configured to fixedly receive one or more suture portions of corresponding suture ends of a suture extending from the tissue repair site within the body extremity to outside the body extremity to terminate at the suture tensioning mechanism; a suture coupling element for fixedly coupling the one or more suture portions with the tensioning mechanism; and an adjustment device configured for controllably adapting tension on the suture for repairing the repair site.
12. The suture tensioning device of claim 11, wherein the adjustment device comprises an actuator that is operably engageable by a user of the suture tensioning device and which allows to selectively increase or decrease tension that is applied to the suture.
13. The suture tensioning device of any one of the claims 11 to 12, wherein the adjustment device is configured as a ratchet for tensioning of the suture, and to prevent unwanted decrease in suture tensioning.
14. The suture tensioning device of any one of the claims 11 to 13, wherein tensioning mechanism comprises: a cogged wheel having teeth; and a biased pawl configured to engage with the teeth of the cogged wheel, wherein the wheel and the pawl are configured such that the wheel is only be rotatable, by default, in one direction. P11092-IL1 | 2022-042 | Claims (clean) | response to OA1 mailed 13 DEC 20
15. The suture tensioning device of any one of the claims 11 to 14, further comprising: a tensiometer that is operably coupled with the suture and/or the adjustment device for providing an output indicative of a tension force applied on the suture.
16. The suture tensioning device of claim 15, further comprising: a communication module that is configured to output signals which encode data relating to suture tension sensed by the tensiometer to one or more computerized platforms.
17. The suture tensioning device of any one of the claims 11 to 16, wherein the tissue repair site includes a fully or partially torn, or severed, tendon or ligament.
IL296638A 2022-09-19 2022-09-19 Anchor for stretching stitches IL296638B2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
IL296638A IL296638B2 (en) 2022-09-19 2022-09-19 Anchor for stretching stitches
CN202380066938.0A CN119894453A (en) 2022-09-19 2023-09-18 Suture tensioning devices, systems, and methods
PCT/IB2023/059227 WO2024062366A1 (en) 2022-09-19 2023-09-18 Suture tensioning device, system and method
JP2025516226A JP2025531298A (en) 2022-09-19 2023-09-18 Suture tensioning devices, systems and methods
EP23867715.7A EP4590206A4 (en) 2022-09-19 2023-09-18 Seam tensioning device, system and method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
IL296638A IL296638B2 (en) 2022-09-19 2022-09-19 Anchor for stretching stitches

Publications (3)

Publication Number Publication Date
IL296638A IL296638A (en) 2022-11-01
IL296638B1 IL296638B1 (en) 2023-08-01
IL296638B2 true IL296638B2 (en) 2023-12-01

Family

ID=87654753

Family Applications (1)

Application Number Title Priority Date Filing Date
IL296638A IL296638B2 (en) 2022-09-19 2022-09-19 Anchor for stretching stitches

Country Status (5)

Country Link
EP (1) EP4590206A4 (en)
JP (1) JP2025531298A (en)
CN (1) CN119894453A (en)
IL (1) IL296638B2 (en)
WO (1) WO2024062366A1 (en)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090326562A1 (en) * 2008-06-30 2009-12-31 White George W Independent suture tensioning and snaring apparatus
US20150201929A1 (en) * 2013-12-18 2015-07-23 Arthex, Inc. Knotless tensionable suture construct for tissue reattachment

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060271060A1 (en) * 2005-05-26 2006-11-30 Arthrocare Corporation Threaded knotless suture anchoring device and method
US8540734B2 (en) * 2006-11-21 2013-09-24 Cayenne Medical, Inc. Suture management and tensioning devices and methods for soft tissue reconstruction or bone-to-bone fixation
EP1987779B1 (en) * 2007-05-02 2016-04-13 Arthrex, Inc. Suture tensioning device
CN104023649A (en) * 2011-06-06 2014-09-03 蓬蒂斯骨科有限责任公司 Method and apparatus for repairing a tendon or ligament
KR101356009B1 (en) * 2012-12-17 2014-01-29 ㈜ 이트리온 Tension controllable apparatus for the fixation of ligament screw
US20140228880A1 (en) * 2013-02-11 2014-08-14 Leslie John Bisson Soft tissue-to-bone suturing and monitoring device
US9402650B2 (en) * 2013-03-15 2016-08-02 Smith & Nephew, Inc. Surgical fastening
US9872760B2 (en) * 2015-04-10 2018-01-23 Board Of Supervisors Of Louisiana State University And Agricultural And Mechanical College Soft tissue tensioning and fixation device
IT201600076352A1 (en) * 2016-07-20 2018-01-20 Leonardo Osti TENDON TENSIONER DEVICE

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090326562A1 (en) * 2008-06-30 2009-12-31 White George W Independent suture tensioning and snaring apparatus
US20150201929A1 (en) * 2013-12-18 2015-07-23 Arthex, Inc. Knotless tensionable suture construct for tissue reattachment

Also Published As

Publication number Publication date
JP2025531298A (en) 2025-09-19
EP4590206A4 (en) 2026-04-01
EP4590206A1 (en) 2025-07-30
IL296638B1 (en) 2023-08-01
CN119894453A (en) 2025-04-25
IL296638A (en) 2022-11-01
WO2024062366A1 (en) 2024-03-28

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