CA2428348A1 - Graft fixation device - Google Patents

Graft fixation device Download PDF

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Publication number
CA2428348A1
CA2428348A1 CA002428348A CA2428348A CA2428348A1 CA 2428348 A1 CA2428348 A1 CA 2428348A1 CA 002428348 A CA002428348 A CA 002428348A CA 2428348 A CA2428348 A CA 2428348A CA 2428348 A1 CA2428348 A1 CA 2428348A1
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Canada
Prior art keywords
implantation
members
extending
distal
longitudinal passage
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Granted
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CA002428348A
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French (fr)
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CA2428348C (en
Inventor
Steven M. Bowman
Daniel F. Justin
Kevor Shane Tenhuisen
Victor F. Janas
Nathan S. Cauldwell
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DePuy Mitek LLC
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Ethicon Inc
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Publication of CA2428348A1 publication Critical patent/CA2428348A1/en
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Publication of CA2428348C publication Critical patent/CA2428348C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A—HUMAN NECESSITIES
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    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • A—HUMAN NECESSITIES
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    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A—HUMAN NECESSITIES
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    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
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    • A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
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    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
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    • A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
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    • 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
    • A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06057—Double-armed sutures, i.e. sutures having a needle attached to each end
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0608—J-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0646—Surgical staples, i.e. penetrating the tissue for insertion into cartillege, e.g. meniscus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • 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
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • 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
    • 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
    • A61F2/28—Bones
    • A61F2/2846—Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects

Abstract

A graft fixation device combination. The device is useful for affixing a tissue graft to a bone or other body surface. The fixation device has two implantation members connected by a graft retention member. The retention member optionally has at least one lateral wing member extending therefrom. The implantation members have longitudinal passageways therethrough. The graft fixation device also has an insertion member extending from the distal end of each implantation member, the insertion member having a longitudinal passage having a distal blind wall. The passages of the implantation members and the insertion members are in communication with each other, and may be mounted onto insertion members.

Claims (40)

1. A graft fixation device, comprising:
a first implantation member, said implantation member having a longitudinal axis, a proximal end, a distal end, an outer surface, a longitudinal passage therethrough, a proximal opening and a distal opening, wherein both openings are in communication with the passage;
a second implantation member, said implantation member having a longitudinal axis, a proximal end, a distal end, an outer surface, a longitudinal passage therethrough, a proximal opening and a distal opening, wherein both openings are in communication with the passage:
a retention member connecting the first and second implantation members, the retention member having a central section, a first end section extending from the first implantation member and a second end section extending from the second implantation member; and, an insertion member extending from the distal end of each implantation member, wherein the insertion member has a proximal end, a distal end, an outer surface, a proximal opening, and a longitudinal passage in communication with the proximal opening, wherein said longitudinal passage has a distal blind end, and wherein the longitudinal passage of each insertion member is in communication with the longitudinal passage of the respective implantation members.
2. The device of claim 1 additionally comprising at least one wing member extending from the retention member.
3. The device of claim 1, wherein the implantation members have a series of ridges extending from the outer surfaces thereof.
4. The device of claim 1, wherein the retention member comprises a semicircular configuration.
5. The device of claim 1, wherein the implantation members have a substantially cylindrical configuration.
6. The device of claim 1 wherein the insertion member comprises a bioabsorbable material selected from the group consisting of polylactic acid, polyglycolic acid, tricalcium phosphate, calcium phosphate, tetracalcium phosphate and hydroxyapatite, and copolymers, mixtures and blends thereof.
7. The device of claim 1 wherein the insertion member comprises a biocompatible material selected from the group consisting of titanium, stainless steel, ceramic, polysulfone, acetal, and Nitinol.
8. The device of claim 1 wherein the fixation device comprises a bioabsorbable polymer.
9. The device of claim 1 wherein the fixation device comprises two opposed wing members extending from the retention member.
10. The device of claim 1 wherein the implantation members comprise a cylindrical shape having a distally extending frustoconical end.
11. The device of claim 1, wherein the insertion members have a conical configuration with a distally extending tip portion.
12. A method of mounting a matrix to a bone, the method comprising:
providing a graft fixation device comprising:
a first implantation member, said implantation member having a longitudinal axis, a proximal end, a distal end, an outer surface, a longitudinal passage therethrough, a proximal opening and a distal opening, wherein both openings are in communication with the passage;
a second implantation member, said implantation member having a longitudinal axis, a proximal end, a distal end, an outer surface, a longitudinal passage therethrough, a proximal opening and a distal opening, wherein both openings are in communication with the passage;
a retention member connecting the first and second implantation members, the retention member having a central section, a first end section extending from the first implantation member and a second end section extending from the second implantation member; and, an insertion member extending from the distal end of each implantation member, wherein the insertion member has a proximal end, a distal end, an outer surface, a proximal opening and a longitudinal passage in communication with the proximal opening, wherein said longitudinal passage has a distal blind end, and wherein the longitudinal passage of each insertion member is in communication with the longitudinal passage of the respective implantation members;
accessing a bone;

positioning a matrix member to the surface of the bone, said matrix member having a top surface and a bottom surface;
mounting the graft fixation device to an instrument having a shaft having a distal end, a proximal end, and distal mounting pins extending from the distal end of the shaft, wherein the pins are engaged in the longitudinal passages of the implantation members and insertion members and, manipulating the shaft such that the insertion members are caused to penetrate the matrix and the bone, thereby causing the implantation members to engage the bone, and the retention member to engage the matrix such that at least a section of matrix is maintained substantially in contact with the bone.
13. The method of claim 12 wherein the device additionally comprises at least one wing member extending from the retention member.
14. The method of claim 12 wherein the implantation members have a series of ridges extending from the outer surfaces thereof.
15. The method of claim 12, wherein the retention member comprises a semicircular configuration.
16. The method of claim 12, wherein the implantation members comprise a substantially cylindrical configuration.
17. The method of claim 12 wherein the insertion member comprises a bioabsorbable material selected from the group consisting of polylactic acid, polyglycolic acid, tricalcium phosphate, calcium phosphate, tetracalcium phosphate and hydroxyapatite, and copolymers, mixtures and blends thereof.
18. The method of claim 12 wherein the insertion member comprises a biocompatible material selected from the group consisting of titanium, stainless steel, ceramic, and Nitinol.
19. The method of claim 12 wherein the fixation device comprises a bioabsorbable polymer.
20. The method of claim 12 wherein the fixation device comprises two opposed wing members extending from the retention member.
21. The method of claim 12, wherein the implantation members comprise a cylindrical shape having a distally extending frustoconical end.
22. The method of claim 12, wherein the insertion members have a conical configuration with a distally extending tip portion.
23. The method of claim 1, wherein the retention member comprises an elliptical configuration.
24. The method of claim 12, wherein the retention member comprises an elliptical configuration.
25. The device of claim 1 wherein the implantation member comprises a bioabsorbable polymer selected from the group consisting of polylactic acid, polydioxanone, polycaprolactone, polygalactic acid, polyglycolic acid, and combinations thereof.
26. The method of claim 12 wherein the implantation member comprises a bioabsorbable polymer selected from the group consisting of polylactic acid, polydioxanone, polycaprolactone, polygalactic acid, polyglycolic acid, and combinations thereof.
27. The use of a graft fixation device for mounting a matrix to a bone:
wherein the graft fixation device comprises:
a first implantation member, said implantation member having a longitudinal axis, a proximal end, a distal end, an outer surface, a longitudinal passage therethrough, a proximal opening and a distal opening, wherein both openings are in communication with the passage;
a second implantation member, said implantation member having a longitudinal axis, a proximal end, a distal end, an outer surface, a longitudinal passage therethrough, a proximal opening and a distal opening, wherein both openings are in communication with the passage;
a retention member connecting the first and second implantation members, the retention member having a central section, a first end section extending from the first implantation member and a second end section extending from the second implantation member; and, an insertion member extending from the distal end of each implantation member, wherein the insertion member has a proximal end, a distal end, an outer surface, a proximal opening and a longitudinal passage in communication with the proximal opening, wherein said longitudinal passage has a distal blind end, and wherein the longitudinal passage of each insertion member is in communication with the longitudinal passage of the respective implantation members;

and the use involves, accessing a bone;
positioning a matrix member to the surface of the bone, said matrix member having a top surface and a bottom surface;
mounting the graft fixation device to an instrument having a shaft having a distal end, a proximal end, and distal mounting pins extending from the distal end of the shaft, wherein the pins are engaged in the longitudinal passages of the implantation members and insertion members;
and, manipulating the shaft such that the insertion members are caused to penetrate the matrix and the bone, thereby causing the implantation members to engage the bone, and the retention member to engage the matrix such that at least a section of matrix is maintained substantially in contact with the bone.
28. The use of claim 27 wherein the device additionally comprises at least one wing member extending from the retention member.
29. The use of claim 27 wherein the implantation members have a series of ridges extending from the outer surfaces thereof.
30. The use of claim 27, wherein the retention member comprises a semicircular configuration.
31. The use of claim 27, wherein the implantation members comprise a substantially cylindrical configuration.
32. The use of claim 27 wherein the insertion member comprises a bioabsorbable material selected from the group consisting of polylactic acid, polyglycolic acid, tricalcium phosphate, calcium phosphate, tetracalcium phosphate and hydroxyapatite, and copolymers, mixtures and blends thereof.
33. The use of claim 27 wherein the insertion member comprises a biocompatible material selected from the group consisting of titanium, stainless steel, ceramic, and Nitinol.
34. The use of claim 27 wherein the fixation device comprises a bioabsorbable polymer.
35. The use of claim 27 wherein the fixation device comprises two opposed wing members extending from 25 the retention member.
36. The use of claim 27, wherein the implantation members comprise a cylindrical shape having a distally extending frustoconical end.
37. The use of claim 27, wherein the insertion members have a conical configuration with a distally extending tip portion.
38. The use of claim 27, wherein the retention member comprises an elliptical configuration.
39. The use of claim 27, wherein the retention member comprises an elliptical configuration.
40. The use of claim 27 wherein the implantation member comprises a bioabsorbable polymer selected from the group consisting of polylactic acid, polydioxanone, polycaprolactone, polygalactic acid, polyglycolic acid, and combinations thereof.
CA2428348A 2002-05-09 2003-05-09 Graft fixation device Expired - Fee Related CA2428348C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/142,399 US7214232B2 (en) 1999-07-23 2002-05-09 Graft fixation device
US10/142,399 2002-05-09

Publications (2)

Publication Number Publication Date
CA2428348A1 true CA2428348A1 (en) 2003-11-09
CA2428348C CA2428348C (en) 2011-07-05

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US (1) US7214232B2 (en)
EP (1) EP1360936B1 (en)
JP (2) JP4397622B2 (en)
AU (1) AU2003204120B2 (en)
CA (1) CA2428348C (en)
DE (1) DE60316862T2 (en)

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EP1360936A2 (en) 2003-11-12
EP1360936B1 (en) 2007-10-17
JP4397622B2 (en) 2010-01-13
US20020169465A1 (en) 2002-11-14
EP1360936A3 (en) 2004-01-02
AU2003204120A1 (en) 2003-11-27
JP2004000603A (en) 2004-01-08
DE60316862T2 (en) 2008-07-24
DE60316862D1 (en) 2007-11-29
CA2428348C (en) 2011-07-05
AU2003204120B2 (en) 2009-04-02
JP2009195749A (en) 2009-09-03
US7214232B2 (en) 2007-05-08
JP5323588B2 (en) 2013-10-23

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