A FIXING IMPLANT AND APPARATUS

Abstract

This invention relates to the fixation implant and apparatus (1) used especially in shoulder surgeries and enabling the fixation of tendons to bone.

Description

1 TARIFF A FIXING IMPLANT AND APPARATUS Technical Area 5 This invention is used particularly in shoulder surgeries, where tendons are attached to the bone. It relates to the fixation implant and device that enables stabilization. Previous Tech 10 The shoulder is the most mobile joint in the body, providing a wide range of motion. It plays a critical role in daily activities. Anatomically, the shoulder has three main... It is made of bone. These bones come together to form the shoulder joint, and The joint is supported by the muscles, tendons, and ligaments surrounding it. The shoulder is a complex 15 It has a joint structure. The shoulder joint, located between the arm and the torso, is quite active throughout the day. It is one of the most highly mobile and dynamic joints. Therefore... deformation, injury and disability, especially in certain professions 20 It can be unavoidable in their arms and lifestyles. Ball bearing structure Because the joint socket is a very shallow structure, the shoulder joint is different from other joints. It can be dislodged much more easily than other areas and is located in this region. Muscle and tendon tears are common. These tears range from minor injuries to... These injuries can range in severity, up to and including complete tendon ruptures. 25 Muscle tendon tears cause pain, discomfort, and limited range of motion. This also brings with it problems. Symptoms include shoulder pain, weakness, limited mobility, restlessness while sleeping, and difficulty with daily activities This situation significantly reduces the quality of life and 30 2 Shoulder problems that are not treated properly can lead to various joint diseases. This can also be the reason. Treatment for muscle tendon tears depends on the size of the tear and the patient's condition. Treatment varies. Physical therapy, medications, corticosteroid injections, and surgery are some of the options. Interventions are among the treatment options. Early diagnosis and appropriate The treatment aims to both relieve pain and restore shoulder function. This is of critical importance. With the current technique, open or closed surgery is performed for muscle and tendon tears requiring surgical intervention. The appropriate surgical technique will be chosen by a specialist orthopedic surgeon to assess the situation. It intervenes. The damaged tissue is sutured to the affected area, completing the procedure. It is being completed. The invention in question concerns surgical intervention procedures for muscle-tendon ruptures. A fixation implant and apparatus have been developed for use in this regard. This invention greatly simplifies the specialist's work. This involves fixing the damaged tissue. With this invention, the procedure is performed safely and comfortably, and the surgical intervention is completed in a short time. It can be completed. Purposes of the Invention The aim of this invention is to create a fixation implant and device that ensures safe use. to accomplish. Another purpose of this invention is to enable the process to be completed in a short time. The goal is to create a fixation implant and apparatus. Another aim of this invention is to create a fixation implant that facilitates application. and to build the apparatus. 30 3 Brief Description of the Invention The initial requirement and the steps taken to achieve the purpose of this invention, and dependent on that requirement... fixation implant and apparatus as described in other requests; fixation implant and It consists of 5 devices. The fixation implant is placed inside the bone and the sutures to which the tendons are attached. by compressing the sutures to ensure they are maintained in their positioned position. And it also fixes itself within the bone, preventing it from coming out again. The fixation implant is placed in the bone and the sutures are tightened. 10 Maintaining its position is achieved with the help of a device. Detailed Description of the Invention The fixation implant and apparatus developed to achieve the purpose of this invention, 15 These are shown in the attached figures; Figure 1. Perspective view of the fixation implant and apparatus. Figure 2. Fixation implant and apparatus without attachment aid. perspective view. 20 Figure 3. A partial perspective view of the apparatus. Figure 4. Partial cross-sectional view of the apparatus. Figure 5. Perspective view of the fixation implant. Figure 6. Cross-sectional view of the fixation implant. Figure 7. Perspective view of the stabilizer. 25 Figure 8. Perspective view of the compactor. Figure 9. Cross-sectional view of the stabilizer. Figure 10. Partial cross-sectional view of the stabilizer. The parts in the figures are individually numbered, and each number corresponds to 30. It is given below. 4 1. Fixation implant and apparatus 2. Fixation implant 2.1. Stabilizer 2.1.1. Orientation end 5 2.1.1.1. Connection female 2.1.2. Connection gap 2.1.3. Compression gap 2.1.4. Expansion extension 2.1.5. Expansion range 10 Level 2.1.6 2.2. Compressor 2.2.1. Compression form 2.2.2. Expansion form 2.2.3. Passage clearance 15 3. Device 3.1. Mounting shaft 3.1.1. Drill bit 3.1.1.1. Toothed form 3.2. Holding form 20 3.2.1. Sap 3.2.2. Trigger 3.2.2.1. Pin 3.3. Stretcher 3.4. Connection assistant 25 3.4.1. Clip 3.4.2. Flexible form It is used especially in shoulder surgeries and involves fixing tendons to the bone. The fixation implant and apparatus (1) providing the most basic form, 30 - after the tendons are connected with sutures, the sutures are not attached to the tendons the shoulder bone by securing the other ends so that the suture remains taut placed inside,  It has a cylindrical geometric form with sutures stretched tautly on its interior. 5  opened so that the sutures can be directed into the compression space (2.1.3) having more than one connection space (2.1.2),  When applying pressure to compress the sutures, the pressure should be applied from the center. Multiple expansions created in a structure that can expand outwards. at least one stabilizer (2.1) with extension (2.1.4), 10 - compression gap (2.1.3) passing through the expansion extensions (2.1.4) will proceed in that direction and the extensions of that progress process (2.1.4) by widening from the center outwards, both the compression of the sutures and so that the stabilizer (2.1) is compressed within the bone adapted, 15  compression of sutures when placed inside the compression space (2.1.3) at least one form of compression that provides (2.2.1),  will apply pressure from the center outwards to the expansion extensions (2.1.4) as it is in a conical form as shown, as it is advanced in the direction of the compression gap (2.1.3) at least 20 that open the expansion extensions (2.1.4) so ​​that they move away from each other fastening with a compressor (2.2) which has an expansion form (2.2.2). implant (2), - at least one that enables the fixation implant (2) to be placed into the bone It includes apparatus (3). The fixation implant and apparatus (1) included in an application of the invention, in particular It is used in the treatment of tendon ruptures occurring in the shoulder region. It is used to stabilize tendons after they have been tied with sutures. In this application of the invention, the fixation implant and apparatus (1) has at least one There is a fixation implant (2). The fixation implant (2) in question is 30 bone by compressing the sutures to which the tendons are attached, 6 bone that allows it to be maintained in the position it is positioned an expanding device that is secured inside and prevents it from coming out again It is structured. In this application of the invention, the fixation implant (2) has at least one There is a stabilizer (2.1). This stabilizer (2.1) is cylindrical. It is in geometric form and has a conical geometric endpoint at one end. 5 (2.1.1) is located. The orientation end (2.1.1) is the first part to enter the bone. in a conical geometric form to facilitate progress It has been formed. The central part of the orientation end (2.1.1) is empty and inside it is a There is a connecting thread (2.1.1.1). The connecting thread (2.1.1.1) is the fastener's (2.1) has been opened so that it can interact with apparatus (3). In the stabilizer (2.1) 10 Besides the orientation end (2.1.1), there is also a connection gap (2.1.2). The connection space (2.1.2) is for taking the sutures into the stabilizer (2.1). These are the gaps that have been opened. In the stabilizer (2.1) there is also a compression gap (2.1.3) The mentioned compression gap (2.1.3) is located in the stabilizer (2.1) It is located in the central part and the connection of the sutures into the stabilizer (2.1) 15 After the gap is removed via (2.1.2) inside the stabilizer (2.1) It is designed to be compressed. The guide end (2.1.1) of the stabilizer (2.1) On the other side, where there is no stabilizer (2.1), the fixator is tightened to the bone. It has an expandable structure and extends outwards from the center of the stabilizer (2.1). at least one expansion that can move and expand when force is applied 20 There is an extension (2.1.4). Between both extensions (2.1.4) each has an expansion range (2.1.5) and the expansion extensions (2.1.4) inside If the compressor (2.2) is placed in part of it, it will expand outwards and It is adapted to be embedded in bone. This application of the invention is included. 25 near the center of the stabilizer (2.1) extension (2.1.4) in the stabilizer (2.1) In the section mentioned, a level (2.1.6) has been opened. This level (2.1.6) is... If the compressor (2.2) is placed inside the stabilizer (2.1), then it will return It is opened to prevent it from coming out. The clamp (2.2) is inside the stabilizer (2.1). is settling and the last part of the compactor (2.2) is coming to stage (2.1.6) and After that, stage (2.1.6) causes the compressor (2.2) to come out again 30 It prevents. 7 In this application of the invention, the fixator (2) in the fixation implant (2.1) the sutures are compressed and fixed within the bone, and at the same time, the sutures are compressed. a compressor that maintains its position by being compressed within the gap (2.1.3) (2.2) is provided through. The compressor included in this application of the invention has 5 (2.2) at least one compression form (2.2.1), at least one expansion form (2.2.2) and at most There is a small gap between the insertions (2.2.3). In this application of the invention The compression form (2.2.1) is a cylindrical geometric form with a beveled end. The diameter of the compression form (2.2.1) is slightly less than the diameter of the compression gap (2.1.3). It is small and its compression form (2.2.1) fits into the compression gap (2.1.3) 10 They are placed and in this way the sutures are compressed and secured. It is carried out. The expansion form (2.2.2) in the compressor (2.2) is It is located at one end of the compression form (2.2.1) and has a conical geometric form. It is created. The conical geometric form of the expansion form (2.2.2) is thus formed. Thanks to its creation in the form of a compressor (2.2), the stabilizer (2.1) can be placed inside 15 expansion in case of placement and advancement within the stabilizer (2.1) form (2.2.2) multiple expansion extension (2.1.4) stabilizer (2.1) It applies a compressive force from the center outwards, thereby creating multiple The extension appendage (2.1.4) opens outwards and becomes embedded in the bone. The compressor (2.2) also has a pass-through gap (2.2.3) and the aforementioned 20 This passage gap (2.2.3) is opened in the central part of the compressor (2.2) It has been opened so that the apparatus (3) can be mounted. In the fixation implant and apparatus included in an application of the invention (1) Placement of the fixation implant (2) into the bone and tightening of the sutures 25 fixation implant (2) to maintain its position and afterwards There is at least one apparatus (3) that places the compressor (2.2). This invention The apparatus included in the application has at least one mounting shaft (3.1) (3). It includes: mounting shaft (3.1), stabilizer (2.1) and clamping (2.2) adapted to pass through the center and at least one drilling bit (3.1.1), at least 30 It has a toothed form (3.1.1.1) and at least one retaining form (3.2). Placement 8 The drilling bit (3.1.1) located on the spindle (3.1) exits from the guiding end (2.1.1) to complete the conical form of the guiding end (2.1.1) and the stabilizer (2.1) During the process of placing the fixator into the bone, a path is created in the bone, allowing the fixator (2.1) to be placed in the bone. It ensures that it is directed inwards. Located in the insertion shaft (3.1) The threaded form (3.1.1.1) interacts with the connecting thread (2.1.1.1) and placement 5 to ensure the connection of the shaft (3.1) with the stabilizer (2.1) and the mounting shaft (3.1) only moving back and forth without rotating around its own axis In this case, the stabilizer (2.1) moves synchronously with the mounting shaft (3.1). This ensures that the retaining form (3.2) is inserted into the bone by the stabilizer (2.1). By providing support to the orientation end (2.1.1) during the orientation process, the stabilizer 10 (2.1) helps to advance. In the apparatus (3) from the mounting shaft (3.1) There is also another form of retention (3.2). This form of retention (3.2) It consists of at least one handle (3.2.1) and at least one trigger (3.2.2). User grip grasping the apparatus (3) by the handle part (3.2.1) located in the form (3.2) and guiding, then placing the stabilizer (2.1) into the bone 15 then apply pressure to the trigger (3.2.2) part to fix the compressor (2.2). It enables the implant (2) to be placed inside. There is also a pin in the trigger (3.2.2). (3.2.2.1) is located and this pin (3.2.2.1) is the first of the trigger (3.2.2). to prevent it from being pressed in this situation and after the pin (3.2.2.1) is removed It has been adapted to enable the trigger (3.2.2) to be pressed. In this application of the invention, 20 The apparatus (3) included also contains a tensioner (3.3). The tensioner (3.3) is the preferred tension before the sutures are tightened. It has been adapted for bringing it in and then ensuring it is secured. After passing the suture to which the tendon is attached through the attachment space (2.1.2) wrapping around the tensioner (3.3) and then the tensioner (3.3) itself 25 By rotating it around its axis, the suture is tensioned and then secured. is provided. In one application of the invention, the fixation implant and apparatus (1) has at least one There is a connection assistant (3.4). This connection assistant (3.4) mentioned above is 30 before the use of the fixation implant and apparatus (1) the insertion shaft 9 (3.1) is attached to the end via a clip (3.4.1) and used It is kept here until before. In the connection aid (3.4) at There is a small flexible form (3.4.2) and this flexible form (3.4.2) is the first In this case, the connection gap (2.1.2) is located through which the flexible connection passes. form (3.4.2), suture easy by user from connection gap (2.1.2) 5 The suture connects the user's tendon to allow passage. When choosing to pass it through the gap (2.1.2), first of all the flexible form (3.4.2) passing through and then the flexible form (3.4.2) connection gap (2.1.2) When pulled through by passing it through, the suture also passes through the connection gap (2.1.2). This is the case. In this way, 10 within the suture attachment space (2.1.2). The process is made much easier.

Claims

REQUESTS 1. Used especially in shoulder surgeries, and connecting tendons to bone. In its most basic form, it ensures that it is fixed in place. - after the tendons are connected with sutures, the sutures are not attached to the tendons. 5 the shoulder bone by securing the other ends so that the suture remains taut placed inside,  It has a cylindrical geometric form with sutures stretched tautly on its interior. having a compression space (2.1.3) in which it is kept,  10 opened so that the sutures can be directed into the compression space (2.1.3) having more than one connection space (2.1.2),  When applying pressure to compress the sutures, the pressure should be applied from the center. Multiple expansions created in a structure that can expand outwards. at least one stabilizer (2.1) with extension (2.1.4), - passing through the expansion extensions (2.1.4) and the compression gap (2.1.3) 15 will proceed in that direction and the extensions of that progress process (2.1.4) by widening from the center outwards, both the compression of the sutures and so that the stabilizer (2.1) is compressed within the bone adapted,  When placed inside the compression gap (2.1.3), the sutures are compressed 20 at least one form of compression that provides (2.2.1),  will apply pressure from the center outwards to the expansion extensions (2.1.4) as it is in a conical form as shown, as it is advanced in the direction of the compression gap (2.1.3) at least opening the extensions (2.1.4) so ​​that they move away from each other Fixing with a compressor (2.2) which has an expansion form (2.2.2) 25 implant (2), - at least one that enables the fixation implant (2) to be placed into the bone Fixation implant and apparatus (1) characterized by apparatus (3).

2. By compressing the sutures that are embedded in the bone and to which the tendons are attached, 30 ensuring that the sutures are maintained in the way they are positioned, the same 11 in a way that will be fixed inside the bone over time, preventing it from coming out again the request characterized by a fixation implant (2) which has an expanding structure Fixation implant and apparatus as in 1 (1).

3. It has a cylindrical geometric form and a conical geometric form at one end. 5 Fixation implant (2) with fixator (2.1) with orientation end (2.1.1) fixation implant and apparatus as in claim 1, characterized by (1).

4. This is the first part to enter the bone, allowing for easier progression. The guide end (2.1.1) formed in a conical geometric shape is attached to the stabilizer 10 (2.1) as in claim 1 characterized by having a fixation implant (2). fixation implant and apparatus (1).

5. The central part is empty and the stabilizer (2.1) is inside with the apparatus (3). orientation 15 which has a female connector (2.1.1.1) that can be opened for interaction. fixation implant as in claim 1 characterized by its tip (2.1.1) and apparatus (1).

6. Connection gap opened for inserting the sutures into the stabilizer (2.1) Fixation implant and apparatus as in claim 1 characterized by (2.1.2) 20 (1).

7. The stabilizer is located in the central part of the (2.1) and the sutures are stabilized. (2.1) after being taken into the connection gap (2.1.2) The compression gap created so that it can be compressed inside the stabilizer (2.1) is 25 Fixation implant and apparatus as in claim 1 characterized by (2.1.3) (1).

8. On the other side of the stabilizer (2.1) that does not have the directional end (2.1.1) of the stabilizer (2.1) expandable structure for compression to the bone and the stabilizer 30 (2.1) motion when a force is applied outwards from the center characterized by having at least one extensional extension (2.1.4) that can expand by extending Fixation implant and apparatus as in request 1 (1). 12 9. With an expansion gap (2.1.5) between each of them and inside If the compressive device (2.2) is installed, it will expand outwards and cause damage to the bone. Characterized by the expansion extension (2.1.4) adapted to be inserted Fixation implant and apparatus as in request 1 (1). 5 10. In the part of the extension (2.1.4) near the center of the stabilizer (2.1) located and the clamping (2.2) being placed inside the stabilizer (2.1) with the step (2.1.6) that is opened to prevent it from coming back in case of emergency. Fixation implant and apparatus as described in claim 1 (1). 10 11. The fixator (2.1) is secured by being compressed into the bone and at the same time The sutures are compressed within the compression space (2.1.3) to maintain their position. as in claim 1 characterized by the compressor (2.2) which enables it to be made fixation implant and apparatus (1). 15 12. At least one compression form (2.2.1), at least one expansion form (2.2.2) and at least characterized by a compressor (2.2) with a transition gap (2.2.3) Fixation implant and apparatus as in request 1 (1).

13. Compression mold with a cylindrical geometric form with a beveled end. as in claim 1 characterized by the compressor (2.2) located in (2.2.1) fixation implant and apparatus (1).

14. The diameter is slightly smaller than the diameter of the compression gap (2.1.3) and the compression is 25 by placing the sutures into the gap (2.1.3) and compressing them and with the compressor (2.2) which has a compression form (2.2.1) that enables it to be fixed Fixation implant and apparatus as described in claim 1 (1).

15. Located at one end of the compression form (2.2.1) and having a conical geometric form 30 created, placed into the stabilizer (2.1) and stabilizer (2.1) If advanced within it, it can have multiple extension extensions (2.1.4) By applying a pressure force outwards from the center of the stabilizer (2.1) suddenly 13 the excessive extension (2.1.4) opening outwards and becoming embedded in the bone Characterized by the compressor (2.2) which has an expansion form (2.2.2) providing fixation implant and apparatus as in request 1 (1).

16. Located in the center of the compressor (2.2) so that the apparatus (3) can be mounted 5 as in claim 1 characterized by the opening of the passage gap (2.2.3) fixation implant and apparatus (1).

17. Placement of the fixation implant (2) into the bone and tightening of the sutures to maintain its position, fixation implant (2) and then 10 The demand characterized by at least one apparatus (3) that places the compressor (2.2). Fixation implant and apparatus as in 1 (1).

18. Adapted to pass through the center of the stabilizer (2.1) and the compactor (2.2) and at least one drill bit (3.1.1), at least one threaded form (3.1.1.1) and at least one 15 with apparatus (3) which has a mounting shaft (3.1) with a holding form (3.2) Fixation implant and apparatus as described in claim 1 (1).

19. Emerging from the orientation end (2.1.1) to form the conical shape of the orientation end (2.1.1). 20 in the bone during the process of completing and placing the stabilizer (2.1) into the bone by creating a pathway that allows the stabilizer (2.1) to move into the bone with the apparatus (3) having a mounting spindle (3.1) with a drilling bit (3.1.1) Fixation implant and apparatus as described in claim 1 (1).

20. Interacting with the connecting tooth (2.1.1.1) and the mounting shaft (3.1) 25 connecting the stabilizer (2.1) and the mounting shaft (3.1) itself if it only moves back and forth without rotating around its axis the stabilizer (2.1) moves synchronously with the mounting shaft (3.1) Insertion containing a drill bit (3.1.1) with a toothed form (3.1.1.1) Fixing as in claim 1 characterized by the apparatus (3) with the shaft (3.1) 30 implant and apparatus (1). 14 21. During the process of guiding the stabilizer (2.1) into the bone, the guiding end (2.1.1) by providing support and helping to advance the stabilizer (2.1). as in claim 1 characterized by the apparatus (3) with the holding form (3.2). fixation implant and apparatus (1).

22. After inserting at least one stalk (3.2.1) and a stabilizer (2.1) into the bone By applying pressure, the clamp (2.2) is inserted into the fixation implant (2) holding form (3.2) consisting of at least one trigger (3.2.2) that enables its placement fixation implant as in claim 1 characterized by having apparatus (3) and apparatus (1). 10 23. Prevents the trigger (3.2.2) from being pressed in the first instance and after it is removed. with the pin (3.2.2.1) adapted to enable the trigger (3.2.2) to be pressed. Fixation implant and apparatus as described in claim 1 (1).

24. Bringing the sutures to the preferred tension before compression and then... apparatus with tensioner (3.3) adapted to ensure it is fixed then Fixation implant and apparatus as in claim 1 characterized by (3) (1).

25. After passing the suture attached to the tendon through the attachment space (2.1.2) 20 wrapping around it and then rotating it around its own axis with apparatus (3) which has a tensioner (3.3) that enables the tensioning of the suture. Fixation implant and apparatus as described in claim 1 (1).

26. The 25 is attached to the end of the mounting shaft (3.1) via a clip (3.4.1). and the connection aid kept here until use. (3.4) Fixing as in claim 1 characterized by the apparatus (3). implant and apparatus (1).

27. At least one flexible form (3.4.2) is present and the connection gap is 30 in the initial state. (2.1.2) the suture that has passed through, connected by the user flexible form adapted to allow easy passage through the gap (2.1.2) Characterized by the apparatus (3) with the connection aid (3.4) located in (3.4.2). fixation implant and apparatus as in request 1 (1).

28. Passing the suture to which the user attaches the tendon through the attachment space (2.1.2). when it prefers, it first passes through the flexible form (3.4.2) which is 5 The request characterized by the apparatus (3) with connection assistant (3.4) Fixation implant and apparatus as in 1 (1).

29. Through the attachment space (2.1.2) when a tendon is present. When pulled through, the suture must pass through the connection gap (2.1.2) 10 apparatus with connection aid (3.4) which provides flexible form (3.4.2) Fixation implant and apparatus as in claim 1 characterized by (3) (1).