An implantor for simultaneously implanting a bone anchor, a patch and a suture

Abstract

This invention discloses an implanter capable of simultaneously implanting a bone anchor, a patch, and sutures, comprising: a drive rod, one end of which is adapted to and inserted into the head end of the bone anchor; the drive rod wall has a stepped winding shaft section for winding the patch; a sleeve, which is fitted onto the drive rod, one end of which can abut against the head end face of the bone anchor; the patch and the bone anchor are connected by a first suture, and the patch also has a second suture for connecting with tendon soft tissue. This implanter can simultaneously implant the patch, bone anchor, and sutures into the human body, then fix the bone anchor to the hard bone tissue, and finally fix the patch to the soft tissue through the second suture, eliminating the patch fixation step. This allows the implantation of the bone anchor, patch, and sutures to be completed in one procedure with the drive rod, simplifying the surgical procedure and saving the surgeon's surgical time.

Description

Technical Field

[0001] This invention relates to the field of medical device technology, and more specifically to an implanter capable of simultaneously implanting bone anchors, patches, and sutures. Background Technology

[0002] Rotator cuff tears are a common shoulder joint disease, primarily involving injuries to the tendons, soft tissues, and hard bone of the shoulder joint caused by movement. The incidence increases with age. Rotator cuff tears are a common cause of shoulder pain, reduced range of motion, and weakened function, accounting for approximately 60% of shoulder lesions. For rotator cuff tears that do not respond well to conservative treatment, arthroscopic rotator cuff repair has become one of the most effective treatment methods. The rotator cuff patch is mainly placed at the site of a large rotator cuff injury repaired using traditional methods, acting as a scaffold. Through cell recruitment and adhesion, it promotes cell proliferation, tissue regeneration, and tendon-bone interface repair, thereby inducing and promoting rapid healing of the rotator cuff tissue injury site after repair surgery.

[0003] Traditional arthroscopic rotator cuff repair surgery involves several steps: first, using tools to fix sutured bone anchors to the bone tissue; then, fixing the sutures to the soft tissue; finally, using another tool to implant the patch and secure it to the bone and soft tissue. This procedure requires multiple implantation tools, making it cumbersome and time-consuming. Furthermore, in actual surgery, bone anchors are easily pulled out of the bone tissue by the tools. For example, with bone cement anchors used in osteoporosis patients, the initial bone cement does not adequately reinforce the porous bone tissue, resulting in weak anchoring. When the tools are withdrawn, the bone cement anchor is easily pulled out of the bone tissue, affecting its anchoring effectiveness.

[0004] Therefore, how to provide an implanter that can simultaneously implant bone anchors, patches, and sutures, which can simplify surgical procedures, save surgical time, prevent bone anchors from being pulled out of bone tissue, and ensure the anchoring effect of bone anchors, is a problem that urgently needs to be solved by those skilled in the art. Summary of the Invention

[0005] In view of this, the present invention provides an implanter that can simultaneously implant bone anchors, patches and sutures, which can simplify surgical procedures, save surgical time, prevent bone anchors from being pulled out of bone tissue, and ensure the anchoring effect of bone anchors.

[0006] To achieve the above objectives, the present invention adopts the following technical solution:

[0007] A drive rod, one end of which is a drive end that is adapted to be inserted into the head end of the bone anchor, and the rod wall of the drive rod is provided with a stepped winding shaft section for winding the patch;

[0008] A sleeve is fitted onto the drive rod, and one end of the sleeve can abut against the head end face of the bone anchor.

[0009] The patch is connected to the bone anchor via a first suture, and the patch is also provided with a second suture for connection with the tendon soft tissue.

[0010] As can be seen from the above technical solution, compared with the prior art, the present invention discloses an implanter that can simultaneously implant bone anchors, patches, and sutures. In use, the patch and bone anchor are pre-connected using a first suture. Then, the bone anchor is inserted into the drive end, and the patch is laid flat and wrapped around the staged winding shaft. Next, the cannula is moved to the drive end to cover the patch, thus preventing the patch from being exposed and contaminated by external debris during surgery. The cannula also limits the patch to the drive rod, preventing it from detaching. At this time, one end of the cannula abuts against the head of the bone anchor. After the patch and bone anchor are inserted into the body, the other end of the drive rod is rotated. First, screw the bone anchor pin onto the bone tissue. Then, lift the sleeve upwards to expose the patch, and then pull the drive rod outwards. The patch will detach from the drive rod. Note that the above actions are completed inside the body. During this process, on the one hand, the patch is connected to the bone anchor pin through the first suture. Due to the anchor pin anchoring into the bone and the removal of the drive rod, the patch detaches from the drive rod. On the other hand, because the bone anchor pin is always held in place by the sleeve, it effectively prevents the problem of the bone anchor pin being pulled out of the bone tissue when the drive rod is removed, thus ensuring the anchoring effect of the bone anchor pin. Finally, unfold the patch and use the second suture to suture the patch to the soft tissue, so that the patch can promote the healing of bone and soft tissue.

[0011] Therefore, this implanter can simultaneously implant the patch, bone anchor, and suture into the human body, then fix the bone anchor to the hard bone tissue, and finally fix the patch to the soft tissue through the second suture. This eliminates the need for patch implantation and fixation steps, allowing the implantation of the bone anchor, patch, and suture to be completed in one operation. The surgical procedure is simplified, saving the doctor's surgical time.

[0012] Furthermore, the other end of the sleeve is provided with a locking button, the locking part of the locking button contacts and locks the rod wall of the drive rod; the rod wall of the drive rod is provided with a first slot and a second slot spaced apart, and the locking part of the locking button engages with the first slot or the second slot.

[0013] The beneficial effects of adopting the above technical solution are as follows: When the locking part of the locking button engages with the first slot, the sleeve is located at the top of the drive rod, and the patch can be wound around the stepped winding shaft section. When the locking part of the locking button engages with the second slot, the sleeve is located at the bottom of the drive rod, and the sleeve covers the outside of the patch, preventing the patch from protruding from the drive rod. Therefore, by setting the first and second slots on the drive rod, and in conjunction with the locking button, the upward and downward positions of the sleeve can be fixed, facilitating rapid intraoperative operation by the surgeon.

[0014] Furthermore, a button housing is fixed to the other end of the sleeve, and a button hole is provided on one side wall of the button housing. The locking button includes:

[0015] A locking press block is provided with a sleeve hole that fits onto the drive rod. The locking press block is retractably placed inside the button hole. The edge of the sleeve hole is the locking part, which is engaged with the groove wall of the first or second slot. The end of the locking press block that extends out of the button hole is the pressing end.

[0016] A spring is placed inside the button hole, with one end abutting against the bottom of the button hole and the other end abutting against the other side of the locking press block opposite to the pressing end, so as to push the locking press block to move and make the hole edge engage with the groove wall of the first or second groove.

[0017] The beneficial effects of adopting the above technical solution are as follows: When it is necessary to move the cannula, pressing the pressing end of the locking press block disengages the sleeve hole edge on the locking press block from the first or second locking groove. At this time, the spring is compressed, and then the cannula can be moved. When the cannula moves to the position of the first or second locking groove, the locking press block, under the action of the spring, locks the sleeve hole edge back into the first or second locking groove, thereby fixing the cannula to the drive rod. This locking button has a simple structure and is easy for doctors to operate during surgery.

[0018] Furthermore, both the first card slot and the second card slot are annular groove structures.

[0019] The beneficial effect of adopting the above technical solution is that even when the sleeve rotates, the locking part of the locking button can be locked with the first or second slot.

[0020] Furthermore, an operating handle is fixedly connected to the other end of the drive rod.

[0021] The beneficial effect of adopting the above technical solution is that it makes it easier for doctors to operate the drive lever.

[0022] Furthermore, the bone anchor is a bone cement anchor, the drive rod is a hollow rod, and it also includes an inner core rod passing through the drive rod. One end of the inner core rod passes through the bone cement anchor, and the other end of the inner core rod is provided with a pressure cap, which is screwed onto the operating handle.

[0023] The beneficial effects of the above technical solution are as follows: When implanting bone cement anchors, one end of the inner core rod first abuts against the bone tissue, which facilitates the implantation of the bone cement anchor into the bone tissue. After the bone cement anchor is anchored in the bone tissue, the inner core rod is pulled out of the drive rod, and bone cement is poured into the hollow drive rod. The bone cement flows into the bone tissue through the through hole on the bone cement anchor, thus realizing the bone cement infusion operation. At the same time, the insertion of the inner core rod into the drive rod also prevents bone fragments from blocking the hollow channel of the drive rod when tightening the bone cement anchor, avoiding blockage inside the drive rod that would prevent bone cement infusion. In addition, the inner core rod is equipped with a pressure cap for easy gripping, so that the inner core rod can be pulled out of the drive rod; one end of the inner core rod protrudes from the bone cement anchor, which guides the bone cement anchor, making it easier to tighten the bone cement anchor into the bone tissue.

[0024] Furthermore, the drive rod has a groove along its length for accommodating the first suture and the second suture.

[0025] The beneficial effects of adopting the above technical solution are: the first and second sutures can be hidden on the drive rod, which makes the drive end fit better with the bone anchor and facilitates the drive rod from being affected by the scattered sutures entangled in the drive rod when it is turned.

[0026] Furthermore, the patch is a triangular or rectangular shape, or a combination of a rectangle and a triangle.

[0027] The beneficial effects of adopting the above technical solution are: the patch adopts a triangular, rectangular, or a combination of rectangular and triangular shapes, which facilitates the patch to be laid flat in the body.

[0028] Furthermore, when the first suture is an adjustable loop, the adjustable loop is formed by winding a suture and includes an adjustable ring and two tension ends a and b for adjusting the size of the adjustable ring.

[0029] Furthermore, the two ends of the first suture are the tension end a and the tension end b, respectively. The tension end a forms the first coil portion after being wrapped around once. Then, the tension end a enters from point a1 of the loop on the first suture on the side of the tension end a and exits through point a2 of the loop. The tension end b passes through the first coil portion and forms the second coil portion after being wrapped around once. Then, the tension end b enters from point b1 of the loop on the first suture on the side of the tension end b and exits through point b2 of the loop. The first suture between point a2 and point b2 of the loop is the connecting part that connects to the bone anchor. The part where the first coil portion and the second coil portion interlock is connected to the patch. The connecting part, the first coil portion, and the second coil portion form the adjustable ring. Attached Figure Description

[0030] To more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the drawings used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings described below are only embodiments of the present invention. For those skilled in the art, other drawings can be obtained based on the provided drawings without creative effort.

[0031] Figure 1 This is a schematic diagram of the implant device provided by the present invention when the bone anchor is a common bone anchor.

[0032] Figure 2 This is an exploded structural diagram of the drive rod and bone anchor.

[0033] Figure 3 for Figure 2 A magnified schematic diagram of the structure of part A in the middle.

[0034] Figure 4 for Figure 2 A magnified schematic diagram of the structure of part B in the middle.

[0035] Figure 5 This is a schematic diagram of the implant when the bone anchor is a bone cement anchor.

[0036] Figure 6 for Figure 5 A magnified schematic diagram of the structure of part C in the middle.

[0037] Figure 7 This is a schematic diagram showing the exploded structure of the drive end and the bone cement anchor.

[0038] Figure 8 for Figure 7 A magnified schematic diagram of the structure of part D in the middle.

[0039] Figure 9 for Figure 5 A schematic diagram of its decomposed structure.

[0040] Figure 10 This is a schematic diagram of the structure when the locking button is engaged.

[0041] Figure 11 This is a diagram showing the unfolded state of a triangular patch and a standard bone anchor after implantation in the human body.

[0042] Figure 12 This is a diagram showing the unfolded state of the triangular patch and bone cement anchor after implantation in the human body.

[0043] Figure 13 A diagram showing the unfolded state of a rectangular patch and bone anchor after implantation in the human body.

[0044] Figure 14 A diagram showing the unfolded state of a patch composed of rectangles and triangles and a bone anchor after implantation in the human body.

[0045] Figure 15 This is a schematic diagram showing the connection between the triangular patch and the bone anchor via adjustable sutures.

[0046] Figure 16 A schematic diagram showing the connection between a rectangular patch and a bone anchor via adjustable sutures.

[0047] Figure 17 A schematic diagram showing a patch composed of rectangles and triangles connected to a bone anchor via adjustable sutures.

[0048] Figure 18 This is a schematic diagram of the adjustable loop.

[0049] Figure 19 This diagram shows the connection between the adjustable loop, bone anchor, and patch. Detailed Implementation

[0050] The technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are only some embodiments of the present invention, and not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of the present invention.

[0051] like Figures 1-18 As shown, the first embodiment of the present invention discloses an implanter capable of simultaneously implanting a bone anchor, a patch, and sutures. In the first embodiment, the bone anchor is a common anchor, comprising:

[0052] The drive rod 1 has a drive end 101 that is adapted to be inserted into the head end of the bone anchor 2. Specifically, the head end of the bone anchor has a square hole, and the drive end is a square rod inserted into the square hole. The rod wall of the drive rod 1 is provided with a stepped winding shaft section 102 for the patch 3 to be laid and wound.

[0053] Sleeve 4 is sleeved on drive rod 1, and one end of sleeve 4 can abut against the head end face of bone anchor 2;

[0054] The patch 3 is connected to the bone anchor 2 by a first suture 71, and the patch 3 is also provided with a second suture 72 for connection with the tendon soft tissue.

[0055] The other end of the sleeve 4 is provided with a locking button 5. The locking part of the locking button 5 contacts and locks the rod wall of the drive rod 1. The rod wall of the drive rod 1 is provided with a first slot 103 and a second slot 104 spaced apart. The locking part of the locking button 5 engages with the first slot 103 or the second slot 104.

[0056] The other end of the sleeve 4 is fixed with a button housing 41. A button hole 411 is provided on one side wall of the button housing 41. The locking button 5 includes:

[0057] The locking press block 51 has a sleeve hole 511 that fits onto the drive rod 1. The locking press block 51 is telescopically placed inside the button hole 411. The hole edge 5111 of the sleeve hole 511 is the locking part, which is locked onto the groove wall of the first slot 103 or the second slot 104. The end of the locking press block 51 that extends out of the button hole 411 is the pressing end 512.

[0058] Spring 52 is placed inside button hole 411, with one end abutting the bottom of button hole 411 and the other end abutting the other side of locking press block 51 opposite to pressing end 512, so as to push locking press block 51 to move, so that hole edge 5111 is locked on the groove wall of first groove 103 or second groove 104.

[0059] Both the first slot 103 and the second slot 104 are annular groove structures.

[0060] The other end of the drive rod 1 is fixedly connected to the operating handle 6.

[0061] The present invention is based on a second embodiment of the first embodiment. When the bone anchor is a bone cement anchor, the implanter has a drive rod 1 that is a hollow rod and also includes an inner core rod 7 that passes through the drive rod 1. One end of the inner core rod 7 passes through the bone cement anchor, and the other end of the inner core rod 7 is provided with a pressure cap 8, which is screwed onto the operating handle 6.

[0062] In the above embodiment, the drive rod 1 has a groove 105 along its length for accommodating the first suture 71 and the second suture 72.

[0063] In the above embodiments, the patch 3 can be a triangle, a rectangle, or a combination of a rectangle and a triangle.

[0064] In the above embodiments, the first suture 71 is a fixed-length suture or an adjustable loop with adjustable length. When the first suture is an adjustable loop, it is formed by winding a single suture and includes an adjustable ring and two tension ends a and b for adjusting the size of the adjustable ring. The adjustable-length suture is the type currently used by medical professionals, and its length is adjustable. Therefore, the connection distance between the bone anchor and the patch can be adjusted to better meet surgical needs.

[0065] The winding method of the adjustable loop is as follows: The two ends of the first suture 71 are tension end a and tension end b, respectively. After tension end a is wrapped around once, it forms a first coil part 711. Then tension end a enters from point a1 of the loop on the first suture 71 on the side of tension end a and exits through point a2 of the loop. Tension end b passes through the first coil part 711 and is wrapped around once to form a second coil part 712. Then tension end b enters from point b1 of the loop on the first suture 71 on the side of tension end b and exits through point b2 of the loop. The first suture 71 between point a2 of the loop and point b2 of the loop is a connecting part 713 connected to the bone anchor 2. The part where the first coil part 711 and the second coil part 712 interlock is connected to the patch 3. The connecting part 713, the first coil part 711, and the second coil part 712 form an adjustable ring 714. In use, pull the tensioning ends a and b to make the first coil section and the second coil section smaller, which in turn makes the adjustable ring smaller, thereby reducing the distance between the patch and the bone anchor.

[0066] like Figure 19 As shown, the specific connection method between the adjustable loop, the bone anchor, and the patch is as follows: 2. The bone anchor has a crossbeam 21 inside for hanging the adjustable loop. Specifically, the connecting part of the adjustable ring is hung on the crossbeam of the bone anchor. The patch is connected at the interlocking point of the first coil part and the second coil part. When in use, pulling the tension ends a and b makes the coils of the first coil part and the second coil part smaller, thereby making the adjustable ring smaller, which can adjust the distance between the patch and the bone anchor.

[0067] When repairing minor injuries to tendons, soft tissues, and hard bone tissues, the specific procedure for implanting a standard bone anchor is as follows: The patch and bone anchor are pre-connected using a first suture. The bone anchor is then inserted into the drive end, and the patch is laid flat and wrapped around the stage winding axis. Next, the cannula is moved to the drive end to cover the patch, and a locking button is used to lock the cannula to the drive rod. This prevents the patch from being exposed, avoids contamination during surgery, and uses the cannula to confine the patch to the drive rod, preventing it from detaching. At this point, one end of the cannula rests against the tip of the bone anchor. Then, the patch and bone anchor are inserted... After inserting the device into the body, rotate the other end of the drive rod to screw the bone anchor onto the bone tissue. Then press the locking button to release the drive rod from the sleeve. Pull the drive rod outward. During this process, on the one hand, the patch is connected to the bone anchor through the first suture. Due to the bone anchor anchoring within the bone and the removal of the drive rod, the patch detaches from the drive rod. On the other hand, because the bone anchor is constantly held in place by the sleeve, it effectively prevents the bone anchor from being pulled out of the bone tissue when the drive rod is withdrawn, thus ensuring the anchoring effect of the bone anchor. Finally, unfold the patch and use the second suture to suture it onto the soft tissue, thereby enabling the patch to play a role in connecting and repairing the bone and soft tissues.

[0068] When repairing osteoporosis in patients requiring bone cement anchor implantation, the specific procedure is as follows: The patch and bone cement anchor are pre-connected via a first suture. The bone cement anchor is then inserted into the drive end, and the patch is wrapped around the staged winding shaft. Next, the cannula is moved to the drive end to cover the patch, and a locking button is used to lock the cannula to the drive rod. This prevents the patch from being exposed, avoids contamination by external debris during surgery, and uses the cannula to limit the patch's position on the drive rod, preventing it from detaching. At this point, one end of the cannula rests against the head of the bone anchor. After the patch and bone cement anchor are inserted into the body, one end of the inner core rod is placed against the bone tissue. Then, the other end of the drive rod is rotated to screw the bone cement anchor onto the bone tissue. The inner core rod is then removed, and bone cement is injected into the hollow drive rod. The bone cement flows into the bone tissue through the through-hole on the bone cement anchor, thus completing the bone cement infusion operation. Then press the locking button to release the drive rod from the sleeve, and then pull the drive rod outward. During this process, on the one hand, the patch is connected to the bone cement anchor through the first suture. Due to the anchoring of the bone cement anchor into the bone and the removal of the drive rod, the patch is detached from the drive rod. On the other hand, because the bone cement anchor is always held against the sleeve, it effectively prevents the problem of the bone cement anchor being pulled out of the bone tissue when the drive rod is withdrawn, thus ensuring the anchoring effect of the bone cement anchor. Finally, unfold the patch and use the second suture to suture the patch to the soft tissue, so that the patch plays a role in connecting and repairing the bone tissue and soft tissue.

[0069] Therefore, this implanter can integrate the patch, bone anchor, and suture into a single unit and implant it into the human body. The bone anchor is then fixed to the hard bone tissue, and finally, the patch is fixed to the soft tissue through a second suture. This eliminates the need for patch implantation and fixation steps, allowing the drive rod to complete the implantation of the patch, bone anchor, and suture in a single procedure. This simplifies the surgical procedure and saves the surgeon's time.

[0070] This implant is suitable not only for small-scale localized injuries to tendons, soft tissues, and hard bone tissues, but also for the simultaneous use of multiple patches and bone anchors to repair large-scale tissue damage.

[0071] The various embodiments in this specification are described in a progressive manner, with each embodiment focusing on its differences from other embodiments. Similar or identical parts between embodiments can be referred to interchangeably. For the apparatus disclosed in the embodiments, since they correspond to the methods disclosed in the embodiments, the description is relatively simple; relevant parts can be referred to the method section.

[0072] The above description of the disclosed embodiments enables those skilled in the art to make or use the invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Therefore, the invention is not to be limited to the embodiments shown herein, but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims

1. An implantor for simultaneously implanting a bone anchor, a patch and a suture, characterized in that, The utility model relates to a bone cement anchor nail and driving rod for fixing tendon soft tissue, comprising: a driving rod (1), one end of the driving rod (1) is the driving end (101) of the head end adaptation splicing with the bone anchor nail (2), the rod wall of the driving rod (1) is equipped with the stepped winding shaft section (102) for the flat winding of patch (3); a sleeve (4) is sleeved on the driving rod (1), one end of the sleeve (4) can be on the head end surface of the bone anchor nail (2); the patch (3) is connected with the bone anchor nail (2) through the first suture (71), and the patch (3) is further provided with the second suture (72) for connecting with the muscle soft tissue; the other end of the sleeve (4) is provided with a locking button (5);The rod wall of the driving rod (1) is provided with first clamping groove (103) and second clamping groove (104) at intervals, and the locking part of the locking button (5) is clamped with the first clamping groove (103) or the second clamping groove (104); the other end of the sleeve (4) is fixed with a button shell (41), a button hole (411) is formed in one side wall of the button shell (41), and the locking button (5) comprises: locking pressing block (51), the locking pressing block (51) is provided with a sleeve hole (511) on the driving rod (1), the locking pressing block (51) is telescopic in the button hole (411), the hole along (5111) of the sleeve hole (511) is the locking part, which is clamped on the groove wall of the first clamping groove (103) or the second clamping groove (104), and one side end of the locking pressing block (51) extending out of the button hole (411) is a pressing end (512); spring (52), the spring (52) is arranged in the button hole (411), and one end of the spring (52) is in contact with the hole bottom of the button hole (411), and the other end is in contact with the other side end of the locking pressing block (51) opposite to the pressing end (512), so as to push the locking pressing block (51) to move, and the hole along (5111) is clamped on the groove wall of the first clamping groove (103) or the second clamping groove (104).

2. An implantor for simultaneously implanting a bone anchor, a patch and a suture according to claim 1, characterized in that The other end of the driving rod (1) is fixedly connected with an operating handle (6).

3. An implantor for simultaneously implanting a bone anchor, a patch and a suture according to claim 2, characterized in that The bone anchor nail (2) is a bone cement anchor nail, the driving rod (1) is a hollow rod, further comprising an inner core rod (7) arranged in the driving rod (1), one end of the inner core rod (7) penetrates out of the bone cement anchor nail, and the other end of the inner core rod (7) is provided with a pressing cap (8), and the pressing cap (8) is screwed on the operating handle (6).

4. An implant for simultaneously implanting a bone anchor, a patch and a suture according to any one of claims 1-3, characterized in that, The rod wall of the driving rod (1) is provided with a mounting groove (105) along the length direction for accommodating the first suture (71) and the second suture (72).

5. An implantor for simultaneously implanting a bone anchor, a patch and a suture according to any one of claims 1-3, characterized in that, The patch (3) is triangular or rectangular or rectangular and triangular combination shape.

6. An implant for simultaneously implanting a bone anchor, a patch and a suture according to any one of claims 1-3, characterized in that, The first suture (71) is a fixed length suture or a length adjustable adjustable loop.

7. An implantor for simultaneously implanting a bone anchor, a patch and a suture according to claim 6, characterized in that When the first suture (71) is an adjustable loop, the adjustable loop is formed by winding a suture, including an adjustable ring (714) and two tensioning ends a and b for adjusting the size of the adjustable ring (714).

8. An implantor for simultaneously implanting a bone anchor, a patch and a suture according to claim 7, characterized in that The two wire ends of the first suture (71) are the tensioning end a and the tensioning end b respectively, the tensioning end a forms a first coil part (711) after winding a circle, then the tensioning end a is inserted from the a1 point of the loop on the first suture (71) on the side of the tensioning end a and is taken out from the a2 point of the loop, the tensioning end b passes through the first coil part (711) and forms a second coil part (712) after winding a circle, then the tensioning end b is inserted from the b1 point of the loop on the first suture (71) on the side of the tensioning end b and is taken out from the b2 point of the loop, the first suture (71) between the a2 point of the loop and the b2 point of the loop is a connecting part (713) connected with the bone anchor (2), the first coil part (711) and the second coil part (712) are connected with the patch (3) at the buckling part, and the connecting part (713), the first coil part (711) and the second coil part (712) enclose the adjustable ring (714).

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