阅读说明：本技术 ***物保持装置，缝合线保持装置及用于将缝合线连接到用于***骨骼中的***物的方法 (Inserter holding device, suture holding device and method for connecting suture to an inserter for insertion into a bone ) 是由 耶斯·斯内德克 埃利亚斯·巴赫曼 李翔 西尔万·比勒 托拜厄斯·戈奇 于 2018-11-30 设计创作，主要内容包括：本发明涉及插入物保持装置(100),该插入物保持装置包括：被构造成可释放地保持用于插入到骨骼中的插入物(300)的保持结构(110)；用于接收第一缝合线(400)的至少一个第一凹部(120)；以及用于接收环状第二缝合线(500)的至少一个第二凹部(130)；并且涉及缝合线保持装置(200),该缝合线保持装置包括第一凹部(210)和保持结构(220),该第一凹部和保持结构被构造使得：当插入物(300)由保持结构(110)保持时,第一缝合线(400)可以被放置在第二缝合线(500)和插入物(300)周围,从而将第二缝合线(500)连接到插入物(300)。本发明还涉及用于将缝合线(500)连接到用于插入到骨骼中的插入物(300)的配件套件和方法。(The invention relates to an insert holding device (100) comprising: a retaining structure (110) configured to releasably retain an insert (300) for insertion into a bone; at least one first recess (120) for receiving a first suture (400); and at least one second recess (130) for receiving an annular second suture (500); and to a suture retaining device (200) comprising a first recess (210) and a retaining structure (220) configured such that: the first suture (400) may be placed around the second suture (500) and the insert (300) when the insert (300) is held by the holding structure (110), thereby connecting the second suture (500) to the insert (300). The invention also relates to a kit of parts and a method for connecting a suture (500) to an insert (300) for insertion into a bone.)

1. An insert retaining device (100) for connecting a suture (500) to an insert (300) for insertion into a bone, the insert retaining device comprising:

a. a retaining structure (110) configured to releasably retain an insert (300) for insertion into a bone,

b. at least one first recess (120) for receiving a first suture (400),

c. at least one second recess (130) for receiving a looped second suture (500), wherein the at least one first recess (120) and the at least one second recess (130) are configured such that: the first suture (400) is capable of being placed around the second suture (500) and the insert (300) when the insert (300) is held by the holding structure (110), thereby connecting the second suture (500) to the insert (300).

2. The insert retaining device (100) according to claim 1, wherein the retaining structure (110) comprises: a slot (111) for receiving the insert (300); a first wall (112); and a second wall (113) opposite the first wall, wherein the slot (111) is bounded by the first wall (112) and the second wall (113), and wherein the first wall (112) and the second wall (113) are adapted to releasably retain the insert (300) within the slot (111) by stiction.

3. Insert holding device (100) according to claim 1 or 2, comprising a first notch (141) and a second notch (142), wherein

-the first and second notches (141, 142) are adapted to hold the first suture (400) such that the first suture (400) can be arranged from the first notch (141) to the second notch (142) through the at least one first recess (120), or

-the first and second notches (141, 142) are adapted to hold the second suture (500) such that the second suture (500) can be arranged from the first notch (141) to the second notch (142) through the at least one second recess (130).

4. Insert holding device (100) according to one of the preceding claims, wherein the insert holding device (100) comprises: a first surface (101); a second surface (102) facing away from the first surface (101); and a circumferential third surface (103) connecting the first surface (101) and the second surface (102).

5. The insert holding device (100) according to claim 4, wherein the at least one second recess (130) is open towards the third surface (103) such that the second suture (500) is receivable by the at least one second recess (130) from the third surface (103).

6. Insert holding device (100) according to claim 4, wherein the at least one first recess (120) and the at least one second recess (130) are open towards the first surface (101) and closed towards the second surface (102).

7. Insert holding device (100) according to claim 6, wherein the insert holding device (100) comprises a groove (150) for inserting the second suture (500), wherein the groove (150) extends in a circumferential direction along the third surface (103) of the insert holding device (100), and wherein the at least one second recess (130) is connected to the groove (150).

8. Insert retaining device (100) according to one of the preceding claims, characterized in that the insert retaining device (100) is folded from a material sheet.

9. Suture retaining device (200) for connecting a suture (500) to an insert (300) for insertion into a bone, the suture retaining device comprising:

a. a first recess (210) for insertion of a flexible graft (900),

b. a retaining structure (220) for positioning an annular second suture (500) across the first recess (210), wherein

c. The first recess (210) is configured such that: an insert (300) for insertion into a bone held by a holding structure (110) of an insert holding device (100) can be positioned in or adjacent to the first recess (210), and a first suture (400) can be placed around the second suture (500) and the insert (300) to connect the second suture (500) to the insert (300).

10. Suture holding device (200) according to claim 9, characterized in that the holding structure (220) of the suture holding device (200) comprises a first projection (221) and a second projection (222), wherein the first recess (210) of the suture holding device (200) is arranged between the first projection (221) and the second projection (222) such that the second suture (500) can be arranged from the first projection (221), over the first recess (210) of the suture holding device (200) towards the second projection (222).

11. Suture holding device (200) according to claim 9 or 10, characterized in that said suture holding device (200) comprises a first groove (240) adapted to hold a plate member (510) connected to said second suture (500), wherein said plate member (510) is configured to be positioned outside a bore hole (B) in a bone in order to apply tension to said second suture (500) when said second suture (500) extends from said plate member (510) through said bore hole (B).

12. Kit of parts, comprising an insert holding device (100) according to one of claims 1 to 8 and a suture holding device (200) according to one of claims 9 to 11, wherein the first recess (210) of the suture holding device (200) is configured such that: an insert (300) for insertion into a bone held by a holding structure (110) of the insert holding device (100) can be positioned in or adjacent to a first recess (210) of the suture holding device (200), and a first suture (400) can be placed around a second suture (500) and the insert (300) connecting the second suture (500) to the insert (300), wherein the second suture (500) is positioned across the first recess (210) of the suture holding device (200) by the holding structure (220) of the suture holding device (200).

13. Method for connecting a suture (500) to an insert (300) for insertion into a bone, wherein,

a. providing an insert retaining device (100), wherein

b. Receiving an insert (300) for insertion into a bone by a retaining structure (110) of the insert retaining device (100) such that the retaining structure (110) releasably retains the insert (300), and wherein

c. Receiving a first suture (400) through at least one first recess (120) of the insert retaining device (100), and wherein

d. Receiving a looped second suture (500) through at least one second recess (130) of the insert retaining device (100), and wherein

e. The first suture (400) is placed around the second suture (500) and around the insert (300) held by the holding structure (110) of the insert holding device (100), thereby connecting the second suture (500) to the insert (300).

14. The method of claim 13, wherein,

a. holding the second suture (500) by a holding structure (220) of a suture holding device (200), wherein the second suture (500) is positioned across a first recess (210) of the suture holding device (200), and wherein

b. Positioning the insert (300) held by a holding structure (110) of the insert holding device (100) in or adjacent to the first recess (210) of the suture holding device (200), and wherein

c. Placing the first suture (400) around the second suture (500) held by the holding structure (220) of the suture holding device (200) and around the insert (300) held by the holding structure (110) of the insert holding device (100) to thereby connect the second suture (500) to the insert (300).

15. The method of claim 14, wherein the insert retaining device (100) is removed from the suture retaining device (200), and wherein a flexible graft (900) is inserted into the first recess (210) of the suture retaining device (200) after removing the insert retaining device (100) from the suture retaining device (200), and wherein the flexible graft (900) is connected to the second suture (500) thereby connecting the flexible graft (900) to the insert (300).