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CN104473669B - Biology is without knot locking nail - Google Patents

Biology is without knot locking nail Download PDF

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Publication number
CN104473669B
CN104473669B CN201410828004.9A CN201410828004A CN104473669B CN 104473669 B CN104473669 B CN 104473669B CN 201410828004 A CN201410828004 A CN 201410828004A CN 104473669 B CN104473669 B CN 104473669B
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Prior art keywords
rivet nut
locking nail
biological
threading hole
bone
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CN201410828004.9A
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Chinese (zh)
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CN104473669A (en
Inventor
刘玉杰
齐玮
李宏亮
曲峰
郭�旗
肇刚
王江涛
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Beijing Kejian Biotechnology Co.,Ltd.
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Beijing Daqing Biotechnology Ltd By Share Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0642Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/005Ingredients of undetermined constitution or reaction products thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00933Material properties bone or bone-like

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rheumatology (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to medical bio internal fixation device technical field, disclose a kind of biological without knot locking nail, including locking nail body (22), the locking nail body (22) includes the ailhead (1), rivet nut (2) and nail tail (3) that are sequentially connected, and the rivet nut (2) is provided with threading hole (11);The locking nail body (2) is made up of cortex bone, biology is had good biocompatibility, osteoacusis and bone-inducting active without knot locking nail, after realizing complete bony union, degradable can absorb.Easy to use, operation is time saving, efficient, and fixation is strong;It is made of cortex bone, the intensity of initial stage fixation can be obtained, and the fixed form of tendon-bone healing can be beneficial to;The prices of raw materials are cheap, and the financial burden of patient is greatly lowered.

Description

Biology is without knot locking nail
Technical field
It is more particularly to a kind of biological without knot locking nail the present invention relates to medical bio internal fixation device technical field.
Background technology
Holdfast suture is fixed to repair Shoulder Joint Injury (such as rupture of the rotator cuff, SLAP, Bankart etc.), ankle and foot ligament or flesh Disinsertion is modus operandi generally acknowledged at present.In recent years suture anchor suture bridge technique for fixing because its fixed form it is easy, fast, Operating time is short, and tendon and attachment region contact area be big and extensive use.The firm degree that holdfast is fixed directly determines operation Curative effect.
At present, more conventional biology mainly has metal anchoring nail, absorbable material holdfast, polyether-ether-ketone without knot locking nail (Peek) material holdfast etc..Metal anchoring nail is expensive, is left permanently in vivo, and sufferers of osteoporosis face is susceptible to holdfast abjection, There is cell reaction, influence postoperative nuclear-magnetism inspection.Absorbable material price is also sufficiently expensive, the intensity meeting of material after implantation human body Decay with the time, postoperative broken nail probability is higher, degradation in vivo needed for 2~3 years, inside-fixture surrounding tissue can be induced scorching Property reaction, cause reactive bone resorption.Polyetheretherketonematerials materials are expensive, do not develop in X-ray, it is postoperative cannot be straight according to X pieces The holdfast for watching implantation seen.
The content of the invention
(1) technical problem to be solved
Easy to use it is an object of the invention to provide one kind, operation is time saving, efficient, and the strong biology of fixation is locked without knot Nail.
(2) technical scheme
In order to solve the above-mentioned technical problem, the present invention provides a kind of biological without knot locking nail, including locking nail body, described Locking nail body includes the ailhead, rivet nut and the nail tail that are sequentially connected, and the rivet nut is provided with threading hole;The locking nail body is by skin Matter bone is made.
Wherein, the ailhead includes sophisticated circle, frustum and cylinder, there is first anti-skidding between the cylinder and rivet nut Groove.
Wherein, the rivet nut includes near-end rivet nut, middle part rivet nut and distal end rivet nut, the near-end rivet nut and middle part rivet nut it Between be provided with the second non-slip groove;The 3rd non-slip groove is provided between the middle part rivet nut and distal end rivet nut;The distal end rivet nut with The 4th non-slip groove is provided between nail tail.
Wherein, the threading hole includes the first threading hole and the second threading hole, and first threading hole is arranged on described near In the rivet nut of end;Second threading hole is arranged in the distal end rivet nut.
Wherein, the first non-slip groove, the second non-slip groove, the 3rd non-slip groove and the 4th non-slip groove and the ailhead, Transition portion between rivet nut and nail tail surface is provided with transition chamfering.
Wherein, the transition portion between the threading hole and the rivet nut surface is provided with transition chamfering.
Wherein, the nail tail is provided with clamp groove.
Wherein, external diameter of the external diameter of the near-end rivet nut slightly larger than the cylinder.
Wherein, the cortex bone is xenogenesis cortex bone or Allogenous cortical bone.
(3) beneficial effect
It is biological without knot locking nail that the present invention is provided, and easy to use, operation is time saving, efficient, and fixation is strong;Using cortex bone It is made, the intensity of initial stage fixation can be obtained, and the fixed form of tendon-bone healing can be beneficial to;The prices of raw materials are cheap, patient's Financial burden is greatly lowered;Biological fixation, with good biocompatibility, with osteoacusis and bone-inducting active, realizes After complete bony union, degradable can absorb.
Brief description of the drawings
Fig. 1 is the biological three-dimensional structure diagram without knot locking nail embodiment of the invention.
In figure, 1:Ailhead;2:Rivet nut;3:Nail tail;22:Locking nail body;4:Sophisticated circle;5:Frustum;6:Cylinder;7: First non-slip groove;8:Second non-slip groove;9:3rd non-slip groove;10:4th non-slip groove;11:Threading hole;12:Clamping Groove;2p:Near-end rivet nut;2m:Middle part rivet nut;2d:Distal end rivet nut;11p:First threading hole;11d:Second threading hole.
Specific embodiment
With reference to the accompanying drawings and examples, specific embodiment of the invention is described in further detail.Following instance For illustrating the present invention, but it is not limited to the scope of the present invention.
In the description of the invention, it is necessary to explanation, term " first ", " second " " the 3rd " " the 4th " are only used for description Purpose, and it is not intended that indicating or implying relative importance.
Shown in reference picture 1, of the invention biological without knot locking nail, including locking nail body 22, locking nail body 22 includes Ailhead 1, rivet nut 2 and the nail tail 3 being sequentially connected, rivet nut 2 are provided with threading hole 11;Nail tail 3 is provided with clamp groove 12.Clamp groove 12 Quantity be arranged as required to, the quantity of clamp groove can be two, three or more than four, and clamp groove 12 is in nail tail It is evenly arranged in 3 circumference, is convenient to clamp locking nail body.Locking nail body 22 is made up of cortex bone, and cortex bone can be selected With the xenogenesis cortex bone such as pig, ox, sheep, it is also possible to select Allogenous cortical bone.
Ailhead 1 includes sophisticated circle 4, frustum 5 and cylinder 6, there is the first non-slip groove 7 between cylinder 6 and rivet nut 2. The surface of whole ailhead 1 is smooth, and transition chamfering is provided with the first non-slip groove 7 and the transition portion on ailhead 1 and the surface of rivet nut 2. Rivet nut 2 includes near-end rivet nut 2p, middle part rivet nut 2m and distal end rivet nut 2d, and preferably near-end rivet nut 2p, middle part rivet nut 2m and distal end are followed closely Body 2d is cylindrical.The external diameter of near-end rivet nut 2p makes between cylinder 6 and near-end rivet nut 2p slightly larger than the external diameter of cylinder 6 Connecting portion be in conical surface transition structure.The second non-slip groove 8 is provided between near-end rivet nut 2p and middle part rivet nut 2m.Second grip Transition portion between groove 8 and near-end rivet nut 2p and middle part rivet nut 2m surfaces is provided with transition chamfering.Middle part rivet nut 2m is followed closely with distal end The 3rd non-slip groove 9 is provided between body 2d;Transition between 3rd non-slip groove 9 and distal end rivet nut 2d and middle part rivet nut 2m surfaces Part is provided with transition chamfering.The 4th non-slip groove 10 is provided between distal end rivet nut 2d and nail tail 3;Second non-slip groove 8 and distal end Transition portion between rivet nut 2d and nail tail 3 surface is provided with transition chamfering.Preferably, transition chamfering uses fillet structure.
Further, threading hole 11 includes that the first threading hole 11p and the second threading hole 11d, the first threading hole 11p are arranged on On near-end rivet nut 2p;Second threading hole 11d is arranged on distal end rivet nut 2d.Transition part between threading hole 11 and the surface of rivet nut 2 It is arranged with transition chamfering.That is the transition portion between the first threading hole 11p and near-end rivet nut 2p surfaces is provided with transition chamfering, second Transition portion between threading hole 11d and distal end rivet nut 2d surfaces is provided with transition chamfering.First threading hole 11p and the second threading hole 11d is slotted hole, can accommodate two lines and pass through.
A kind of biological preparation method without knot locking nail, including:
Step 1, cortex bone sterilization:Take -80 DEG C of freezen protectives cortex bone of more than 6 months key, remove appended soft thereon Tissue, center marrow and cartilage portion, after water for injection is rinsed well, sterilize 1 hour in 1% Peracetic acid, water for injection After rinsing well, remaining Peracetic acid is removed in 75% ethanol 24 hours, rinsed well with water for injection;
Step 2, the cortex bone by key position, cut into square bone piece, Precision Machining shaping;
It is prepared by step 3, the de- albumen in part and surface decalcification:The degreasing 72 hours in 38 DEG C, 30% hydrogen peroxide, every 24 is small When change liquid once;After degreasing with water for injection embathe it is clean after, in 4 DEG C of lower surface decalcifications 8 hours in 0.6M hydrochloric acid, with injection After being cleaned up with water, residual hydrogen peroxide is removed 24 hours in 75% ethanol, after being embathed totally with water for injection, in room temperature Under, through chloroform: partly albumen is taken off 4 hours in 3: 1 solution of methyl alcohol, after being embathed totally with water for injection, most afterwards through the γ of 25kGy Irradiation is sterilized and removes the antigenicity of remaining collagen.
Take out within preoperative 1 hour, rebuild in the operation of shoulder joint shoulder sleeve using suture bridge under arthroscope.Arthroscope is applied first Gap under Glenohumeral joint and acromion is detected comprehensively.Detect rotator cuff injury situation, observation rotator cuff tear shape, shoulder sleeve and week Tissue adhesion's degree is enclosed, rotator cuff injury degree is judged.Greater tubercles of humerus scar and thin layer cortex of bone are ground off to there is uniform oozing of blood Afterwards, close to prefabricated interior row's holdfast bone hole at articular cartilage major tubercle, metal suture holdfast is screwed into bone bed, horizontal mattress suture The tendon broken ends of fractured bone, knots and fixes, and retains suture, after intersecting respectively, is drawn to diagonal and penetrates in bone anchor openings, in major tubercle footmark The prefabricated outer row's holdfast bone hole of area's lateral border, two groups of band line bone anchors is slowly driven into greater tubercles of humerus bone road, before squeezing into Appropriateness tenses suture.Suture after fixation is finished is in the netted tendon of supraspinatus muscle alternate covering that will be torn, and makes it with major tubercle sclerotin It is in close contact, the size selection implantation holdfast quantity according to the tear surface of a wound.
Of the invention biological without knot locking nail, easy to use, operation is time saving, efficient, and fixation is strong;Using cortex bone system Into, the intensity of initial stage fixation can be obtained, and can be beneficial to the fixed form of tendon-knitting;The prices of raw materials are cheap, the warp of patient Ji burden is greatly lowered;Biological fixation, histocompatbility is good, just can complete creeping substitution, complete bone within postoperative 8~12 weeks Healing;Clinical efficacy reliability.
Presently preferred embodiments of the present invention is the foregoing is only, is not intended to limit the invention, it is all in essence of the invention Within god and principle, any modification, equivalent substitution and improvements made etc. should be included within the scope of the present invention.

Claims (8)

1. it is a kind of biological without knot locking nail, including locking nail body (22), it is characterised in that the locking nail body (22) includes Ailhead (1), rivet nut (2) and nail tail (3) being sequentially connected, the rivet nut (2) are provided with threading hole (11);The locking nail body (22) it is made up of cortex bone;The ailhead (1) includes sophisticated circle (4), frustum (5) and cylinder (6), the cylinder (6) There is the first non-slip groove (7) between rivet nut (2).
2. as claimed in claim 1 biological without knot locking nail, it is characterised in that the rivet nut (2) including near-end rivet nut (2p), Middle part rivet nut (2m) and distal end rivet nut (2d), the second non-slip groove is provided between the near-end rivet nut (2p) and middle part rivet nut (2m) (8);The 3rd non-slip groove (9) is provided between the middle part rivet nut (2m) and distal end rivet nut (2d);The distal end rivet nut (2d) with The 4th non-slip groove (10) is provided between nail tail (3).
3. it is as claimed in claim 2 biological without knot locking nail, it is characterised in that the threading hole (11) includes the first threading hole (11p) and the second threading hole (11d), first threading hole (11p) is arranged on the near-end rivet nut (2p);Described second wears String holes (11d) is arranged on the distal end rivet nut (2d).
4. it is as claimed in claim 3 biological without knot locking nail, it is characterised in that the first non-slip groove (7), the second non-slip groove (8), between the 3rd non-slip groove (9) and the 4th non-slip groove (10) and the ailhead (1), rivet nut (2) and nail tail (3) surface Transition portion is provided with transition chamfering.
5. it is as claimed in claim 3 biological without knot locking nail, it is characterised in that the threading hole (11) and the rivet nut (2) Transition portion between surface is provided with transition chamfering.
6. it is as claimed in claim 1 biological without knot locking nail, it is characterised in that the nail tail (3) is provided with clamp groove (12).
7. it is as claimed in claim 3 biological without knot locking nail, it is characterised in that the external diameter of the near-end rivet nut (2p) is slightly larger than The external diameter of the cylinder (6).
8. it is as claimed in claim 1 biological without knot locking nail, it is characterised in that the cortex bone is xenogenesis cortex bone or same Plant allosome cortex bone.
CN201410828004.9A 2014-12-26 2014-12-26 Biology is without knot locking nail Active CN104473669B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN104473669B true CN104473669B (en) 2017-06-20

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104997540A (en) * 2015-08-18 2015-10-28 上海凯利泰医疗科技股份有限公司 Soft tissue fixator for orthopedic operation and soft tissue fixator assembly
CN108420480B (en) * 2018-05-22 2024-05-10 谭洪波 Cartilage and soft tissue fixing device

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8460340B2 (en) * 2010-08-30 2013-06-11 Depuy Mitek, Llc Knotless suture anchor
US9138220B2 (en) * 2011-12-19 2015-09-22 Medos International Sarl Knotless suture anchor
US9855028B2 (en) * 2012-04-06 2018-01-02 Arthrocare Corporation Multi-suture knotless anchor for attaching tissue to bone and related method
CN204468169U (en) * 2014-12-26 2015-07-15 北京大清生物技术有限公司 Biological without knot locking nail

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