WO1998011838A1 - Surgical fixation system - Google Patents

Surgical fixation system Download PDF

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Publication number
WO1998011838A1
WO1998011838A1 PCT/GB1997/002516 GB9702516W WO9811838A1 WO 1998011838 A1 WO1998011838 A1 WO 1998011838A1 GB 9702516 W GB9702516 W GB 9702516W WO 9811838 A1 WO9811838 A1 WO 9811838A1
Authority
WO
WIPO (PCT)
Prior art keywords
bone
load
filamentary material
hole
spreading
Prior art date
Application number
PCT/GB1997/002516
Other languages
French (fr)
Inventor
Donald Sammut
Original Assignee
Surgicraft Limited
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Surgicraft Limited filed Critical Surgicraft Limited
Priority to AU43086/97A priority Critical patent/AU4308697A/en
Publication of WO1998011838A1 publication Critical patent/WO1998011838A1/en

Links

Classifications

    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A—HUMAN NECESSITIES
    • 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
    • A61B2017/0406—Pledgets
    • 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
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • 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
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
    • 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
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Definitions

  • This invention relates to a surgical fixation system for securing a part such as a bone fragment or a ligament to a bone.
  • a surgical fixation system for securing a part to a bone, said system comprising a pair of biocompatible load-spreading members and a length of biocompatible flexible filamentary material, the load-spreading members being adapted to be disposed against said part and said bone respectively at opposite ends of a hole formed through said part and said bone, and the length of flexible filamentary material, in use, being engaged with said members and passing through said hole and being tensioned to secure the part to the bone, with the opposite end regions of the members being urged against the part and the bone respectively by virtue of tensioning of the looped flexible filamentary material.
  • a method of securing a part to a bone using a surgical fixation system comprising the steps of (a) forming a hole through said part and said bone; (b) introducing said length of biocompatible flexible filamentary material into said hole such that said filamentary material extends beyond the bone on one side and the part to be secured on the other; (c) engaging one load-spreading member against the bone and another against the part to be secured; and (d) tensioning the filamentary material whilst the load-spreading members are engaged whereby to urge the load-spreading members against said part and the bone, respectively.
  • the filamentary material is inserted into one end of the hole such that a loop of said filamentary material projects from an opposite end of the hole and the ends of said filamentary material project from said one end, one of the load-spreading members is introduced into the loop, and the other of the load-spreading members is introduced between said ends of said filamentary material before the tensioning step is effected.
  • said filamentary material is introduced into one end of the hole with one of the load-spreading members already attached so that ends of the filamentary material project from an opposite end of the hole, and the other of the load-spreading members is introduced between said ends of said filamentary material before the tensioning step is effected.
  • Said part to be secured to the bone may be a bone fragment which has fractured from the bone, or it may be a piece of soft tissue, e.g. a ligament (autologous, donated or prosthetic) which is to be secured to the bone in a ligament repair procedure.
  • a ligament autologous, donated or prosthetic
  • At least one of the load-spreading members has a waist region and a pair of opposite end regions.
  • a waist region can not only assist in correct positioning of the filamentary material on the load-spreading member, but it can also enable the plate to flex in use so that it can be closely adjacent the surface against which it engages.
  • Such an arrangement may be defined by an appropriately shaped plate or a cruciform-shaped element.
  • At least one of the load-spreading elements may take the form of a plate having a pair of holes therethrough to receive the filamentary material.
  • load-spreading members may be used in combination with any other.
  • the load-spreading members and the flexible filamentary material are formed of the same biocompatible metal to avoid the risk of electrolytic action causing bone resorption.
  • the flexible filamentary material will normally be formed of a biocompatible wire, although it is within the scope of the present invention to use a suture material.
  • the present invention reduces the risk of damage to bone fragments being fixed and avoids the need to provide more than one hole through the bone and part to be secured thereto.
  • more than one hole to be provided for the repair of long splinters, in which case it is convenient to use elongated load-spreading members which may have more than one waist region or other anchoring formation to permit anchoring more than one length of filamentary material.
  • Figs 1 to 4 are perspective views showing various stages in a bone fragment fixation procedure using one embodiment of a surgical fixation system according to the present invention
  • Figs 5 to 10 are illustrations of different load-spreading members that may be used in such a fixation procedure.
  • the surgical fixation system comprises a pair of identical, butterfly (or figure-of-eight) shaped, load-spreading plates 10 (see Fig 3) formed of biocompatible stainless steel, and a length of wire 12 also formed of biocompatible stainless steel.
  • each load-spreading plate 10 comprises a pair of relatively large area opposite end regions 10a integrally united by an intermediate waist region 10b.
  • Figs 1 to 4 the surgical fixation system is shown in use for securing a bone fragment 14 to a damaged phalangeal bone 16 from which the fragment 14 has become detached.
  • a single hole 18 is drilled through the bone fragment 14 and the bone 16 after the surgeon has ensured that the bone fragment 14 is located in the correct position against the bone 16, although this is not actually shown in Fig 1.
  • a loop of the wire 12 is passed through the hole 18 so that the looped end 12a of the wire 12 projects from one end of the hole 18 whilst the free ends 12b of the wire 12 project from the other end of the hole 18.
  • One of the load-spreading plates 10 is then introduced into the looped end 12a of the wire 12 which is then withdrawn through the hole 18 until the plate 10 is drawn into abutment with the bone fragment 14. The surgeon ensures that the wire 12 is engaged snugly in the waist 10b and that the opposite end regions 10a of the plate 10 abut against the surface of the bone fragment 16 on opposite sides of the hole 18 therethrough.
  • the other load-spreading plate 10 is then introduced between the free ends 12b of the wire 12 at the opposite end of the hole 18 so that such plate 10 abuts against the bone 16.
  • the free ends 12b of the wire 12 are then twisted together by the surgeon in order to tension the wire 10 and thereby cause the bone fragment 16 to be secured to the bone 18 with the opposite end regions 10a of the plates 10 acting to spread the load and thereby reduce the risk of damage to the parts 14 and 16 being secured together.
  • load-spreading plate 10 has a plurality of integral spikes 20 extending from each end region 10a, essentially perpendicularly from the plane of plate 10, in order to provide additional anchorage of the plate to the bone and to prevent twisting of the plate 10 when the wire 12 is twisted. If the plate 10 is to be used for soft-tissue repair, rather longer spikes 20 may be employed.
  • a cruciform load-spreading plate 10 is provided with spikes 20.
  • load-spreading plate 10 has a multiplicity of (three in this embodiment) waist regions 10b interlinking end regions 10a and intermediate regions 10c.
  • spikes 20 are provided at each region 10a, 10c. This design is useful for the fixation of long or multiple fragments when multiple, individually orientated wires 12 are required. (Fig 8)
  • the load-spreading plate 10 has no waist region 10b but is pre- attached to the wire 12 by for example crimping or welding. However, it is possible to include a waist region to facilitate contouring of the plate 10 so that it is a close fit against the bone.
  • load-spreading plate 10 is provided with two through-holes for securement of wire loop 12a.
  • the plate may be oval (as shown) or it may be circular and may have added wings to increase the load- spreading area.
  • the load-spreading plates 10 may be used in pairs of the same type or pairs of different plates may be used, dependent upon the exact nature of the fracture to be repaired. It is also within the scope of the present invention for only one of such plates to be used, provided of course that this is acceptable for the type of repair being performed.

Abstract

A surgical fixation system for securing a part (14) to a bone (16) comprises a pair of biocompatible load-spreading members (10) and a length of biocompatible flexible filamentary material (12). The load-spreading members (10) are adapted to be disposed against the part (14) and the bone (16) respectively at opposite ends of a hole formed through said part (14) and said bone (16). The length of flexible filamentary material (12), in use, is engaged with said members (10) and passes through said hole (18) and is tensioned so as to secure the part (14) to the bone (16). The opposite end regions (10a) of the members (10) are urged against the part (14) and the bone (16) respectively by virtue of tensioning of the looped flexible filamentary material (12).

Description

SURGICAL FIXATION SYSTEM
This invention relates to a surgical fixation system for securing a part such as a bone fragment or a ligament to a bone.
In the reduction and fixation of fractures in the hand, the surgeon is frequently faced with the difficult task of securing a small fragment of bone without devitalising or shattering it during fixation. When a bone fracture fragment involves a joint, accurate and secure fixation is essential. In one known method, the bone fracture fragment is secured to the bone from whence it came using a screw. However, even the smallest screw available to the surgeon is often too large for use without further cracking of the bone fragment. It is also known to secure a bone fragment in place by drilling two holes through the bone fragment and the bone and securing the bone fragments using a loop of wire passed through the holes and tightened by twisting the ends of the wire together. However, as the wire loop is tightened, there is a risk of the wire cutting through the fragment. Generally, these fractures require a high degree of skill and ingenuity to repair and poor results are not infrequent, particularly in relatively inexperienced hands.
It is an object of the present invention to obviate or mitigate the above disadvantages of existing fixation systems.
According to one aspect of the present invention, there is provided a surgical fixation system for securing a part to a bone, said system comprising a pair of biocompatible load-spreading members and a length of biocompatible flexible filamentary material, the load-spreading members being adapted to be disposed against said part and said bone respectively at opposite ends of a hole formed through said part and said bone, and the length of flexible filamentary material, in use, being engaged with said members and passing through said hole and being tensioned to secure the part to the bone, with the opposite end regions of the members being urged against the part and the bone respectively by virtue of tensioning of the looped flexible filamentary material.
According to a second aspect of the present invention, there is provided a method of securing a part to a bone using a surgical fixation system as defined in the last preceding paragraph, said method comprising the steps of (a) forming a hole through said part and said bone; (b) introducing said length of biocompatible flexible filamentary material into said hole such that said filamentary material extends beyond the bone on one side and the part to be secured on the other; (c) engaging one load-spreading member against the bone and another against the part to be secured; and (d) tensioning the filamentary material whilst the load-spreading members are engaged whereby to urge the load-spreading members against said part and the bone, respectively.
In one method, the filamentary material is inserted into one end of the hole such that a loop of said filamentary material projects from an opposite end of the hole and the ends of said filamentary material project from said one end, one of the load-spreading members is introduced into the loop, and the other of the load-spreading members is introduced between said ends of said filamentary material before the tensioning step is effected.
In another method, said filamentary material is introduced into one end of the hole with one of the load-spreading members already attached so that ends of the filamentary material project from an opposite end of the hole, and the other of the load-spreading members is introduced between said ends of said filamentary material before the tensioning step is effected.
Said part to be secured to the bone may be a bone fragment which has fractured from the bone, or it may be a piece of soft tissue, e.g. a ligament (autologous, donated or prosthetic) which is to be secured to the bone in a ligament repair procedure.
In a preferred embodiment, at least one of the load-spreading members has a waist region and a pair of opposite end regions. Such a waist region can not only assist in correct positioning of the filamentary material on the load-spreading member, but it can also enable the plate to flex in use so that it can be closely adjacent the surface against which it engages. Such an arrangement may be defined by an appropriately shaped plate or a cruciform-shaped element.
As an alternative, at least one of the load-spreading elements may take the form of a plate having a pair of holes therethrough to receive the filamentary material.
Each of the above-described types of load-spreading members may be used in combination with any other.
Most conveniently, the load-spreading members and the flexible filamentary material are formed of the same biocompatible metal to avoid the risk of electrolytic action causing bone resorption. The flexible filamentary material will normally be formed of a biocompatible wire, although it is within the scope of the present invention to use a suture material.
The present invention reduces the risk of damage to bone fragments being fixed and avoids the need to provide more than one hole through the bone and part to be secured thereto. However, it is within the scope of the present invention for more than one hole to be provided for the repair of long splinters, in which case it is convenient to use elongated load-spreading members which may have more than one waist region or other anchoring formation to permit anchoring more than one length of filamentary material.
In the above description, reference is made to the use of a pair of biocompatible load-spreading members which are adapted to be disposed against said part and said bone, respectively. However, it is also within the scope of the present invention to employ more than two load-spreading members for a repair procedure. Thus, for example, it is possible to use an elongated load-spreading member having more than one waist region or other anchoring formation in conjunction with two or more appropriately located other load-spreading members, with filamentary material extending between the elongated load-spreading member and the other load-spreading members. Alternatively, in a modification of the above-described arrangement, repair may be effected using only a single load-spreading member provided that the filamentary material can be suitably tensioned. For example, in the case of a tendon repair, one load-spreading member can be used at a far end of a hole drilled through the bore and the attachment to the tendon itself at the rear end of the hole could be effected by suturing without the use of another load-spreading member. Embodiments of the present invention will be described, by way of example, with reference to the accompanying drawings, in which:- Figs 1 to 4 are perspective views showing various stages in a bone fragment fixation procedure using one embodiment of a surgical fixation system according to the present invention, and Figs 5 to 10 are illustrations of different load-spreading members that may be used in such a fixation procedure.
In the various illustrated embodiments, similar parts are accorded the same reference numerals.
In Figs 1 to 4, the surgical fixation system comprises a pair of identical, butterfly (or figure-of-eight) shaped, load-spreading plates 10 (see Fig 3) formed of biocompatible stainless steel, and a length of wire 12 also formed of biocompatible stainless steel. Thus, each load-spreading plate 10 comprises a pair of relatively large area opposite end regions 10a integrally united by an intermediate waist region 10b.
In Figs 1 to 4, the surgical fixation system is shown in use for securing a bone fragment 14 to a damaged phalangeal bone 16 from which the fragment 14 has become detached. . A single hole 18 is drilled through the bone fragment 14 and the bone 16 after the surgeon has ensured that the bone fragment 14 is located in the correct position against the bone 16, although this is not actually shown in Fig 1.
Then, a loop of the wire 12 is passed through the hole 18 so that the looped end 12a of the wire 12 projects from one end of the hole 18 whilst the free ends 12b of the wire 12 project from the other end of the hole 18. (Fig 2). One of the load-spreading plates 10 is then introduced into the looped end 12a of the wire 12 which is then withdrawn through the hole 18 until the plate 10 is drawn into abutment with the bone fragment 14. The surgeon ensures that the wire 12 is engaged snugly in the waist 10b and that the opposite end regions 10a of the plate 10 abut against the surface of the bone fragment 16 on opposite sides of the hole 18 therethrough. The other load-spreading plate 10 is then introduced between the free ends 12b of the wire 12 at the opposite end of the hole 18 so that such plate 10 abuts against the bone 16. The free ends 12b of the wire 12 are then twisted together by the surgeon in order to tension the wire 10 and thereby cause the bone fragment 16 to be secured to the bone 18 with the opposite end regions 10a of the plates 10 acting to spread the load and thereby reduce the risk of damage to the parts 14 and 16 being secured together.
In Fig 5, load-spreading plate 10 has a plurality of integral spikes 20 extending from each end region 10a, essentially perpendicularly from the plane of plate 10, in order to provide additional anchorage of the plate to the bone and to prevent twisting of the plate 10 when the wire 12 is twisted. If the plate 10 is to be used for soft-tissue repair, rather longer spikes 20 may be employed.
In Fig 6, a cruciform load-spreading plate 10 is provided with spikes 20.
In Fig 7, load-spreading plate 10 has a multiplicity of (three in this embodiment) waist regions 10b interlinking end regions 10a and intermediate regions 10c. In this embodiment, spikes 20 are provided at each region 10a, 10c. This design is useful for the fixation of long or multiple fragments when multiple, individually orientated wires 12 are required. (Fig 8)
In Fig 9, the load-spreading plate 10 has no waist region 10b but is pre- attached to the wire 12 by for example crimping or welding. However, it is possible to include a waist region to facilitate contouring of the plate 10 so that it is a close fit against the bone.
In Fig 10, load-spreading plate 10 is provided with two through-holes for securement of wire loop 12a. The plate may be oval (as shown) or it may be circular and may have added wings to increase the load- spreading area.
The load-spreading plates 10 may be used in pairs of the same type or pairs of different plates may be used, dependent upon the exact nature of the fracture to be repaired. It is also within the scope of the present invention for only one of such plates to be used, provided of course that this is acceptable for the type of repair being performed.

Claims

1. A surgical fixation system for securing a part (14) to a bone (16), said system comprising a pair of biocompatible load-spreading members (10) and a length of biocompatible flexible filamentary material (12), the load-spreading members (10) being adapted to be disposed against said part (14) and said bone (16) respectively at opposite ends of a hole (18) formed through said part (14) and said bone (16), and the length of flexible filamentary material (12), in use, being engaged with said members (10) and passing through said hole (18) and being tensioned to secure the part (14) to the bone (16), with the opposite end regions (10a) of the members (10) being urged against the part (14) and the bone (16) respectively by virtue of tensioning of the looped flexible filamentary material (12).
2. A surgical fixation system according to claim 1 , adapted to secure to the bone (16) (i) a bone fragment (14) which has fractured from the bone (16), or (ii) a piece of soft tissue.
3. A surgical fixation system according to claim 2, adapted to secure to the bone (16) an autologous, donated or prosthetic ligament.
4. A surgical fixation system according to any preceding claim, wherein at least one of the load-spreading members (10) has a waist region (10b) and a pair of opposite end regions (10a).
5. A surgical fixation system according to claim 4, wherein the at least one load-spreading member (10) having a waist region (10b) and a pair of opposite end regions (10a) is a shaped plate or a cruciform- shaped element.
6. A surgical fixation system according to any preceding claim, wherein at least one of the load-spreading members (10) is in the form of a plate having a pair of holes therethrough.
7. A surgical fixation system according to any preceding claim, wherein the flexible filamentary material (12) is formed of a biocompatible wire.
8. A surgical fixation system according to claim 7, wherein the load-spreading members (10) and the flexible filamentary material (12) are formed of the same biocompatible metal.
9. A surgical fixation system according to any preceding claim, wherein more than one hole (18) is provided and wherein, in use, separate lengths of filamentary material (12) pass through each hole (18).
10. A modification of the surgical fixation device according to any preceding claim, wherein only one of said load spreading members (10) is provided and the flexible filamentary material (12) is adapted to be tensioned by other means.
1 1. A method of securing a part (14) to a bone (16) using a surgical fixation system in accordance with any one of claims 1 to 9, said method comprising the steps of (a) forming a hole (18) through said part (14) and said bone (16); (b) introducing said length of biocompatible flexible filamentary material (12) into said hole (18) such that said filamentary material (12) extends beyond the bone (16) on one side and the part (14) to be secured on the other; (c) engaging one load-spreading member (10) against the bone (16) and another against the part (14) to be secured; and (d) tensioning the filamentary material (12) whilst the load-spreading members (10) are engaged whereby to urge the load-spreading members (10) against said part (14) and the bone (16), respectively.
12. A method as claimed in claim 1 1 , wherein in step (b) the filamentary material (12) is inserted into one end of the hole (18) such that a loop of said filamentary material (12) projects from an opposite end of the hole (18) and the ends of said filamentary material (12) project from said one end, and wherein an additional step of introducing one of the load-spreading members (10) into the loop, and introducing the other of the load-spreading members (10) between said ends of said filamentary material (12) is provided, before the tensioning of step (d) is effected.
13. A method as claimed in claim 1 1 wherein, in step (b) said filamentary material (12) is introduced into one end of the hole (18) with one of the load-spreading members (10) already attached so that ends of the filamentary material (12) project from an opposite end of the hole (18), and the other of the load-spreading members (10) is introduced between said ends of said filamentary material (12) before the tensioning of step (d) is effected.
14. A method as claimed in any one of claims 1 1 to 13, wherein in step (a) at least one additional hole (18) is formed through said part (14) and said bone (16), in step (b) an additional length of biocompatible flexible filamentary material (12) is introduced into each additional hole (18), and in step (c) at least one additional load-spreading member (10) is engaged against either the bone (16) or the part (14) to be secured.
15. A method of securing a part (14) to a bone (16) using a modified surgical fixation system in accordance with claim 10, said method comprising the steps of (a) forming a hole (18) through said bone (16); (b) introducing said length of biocompatible flexible filamentary material (12) into said hole (18) such that said filamentary material (12) extends beyond both sides of the bone (16); (c) engaging the load- spreading member (10) against one of the bone (16) and the part (14) to be secured; and (d) securing the part (14) to the bone (16) by means of the filiamentary material (12) which is engaged with the load spreading member (10).
PCT/GB1997/002516 1996-09-20 1997-09-18 Surgical fixation system WO1998011838A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU43086/97A AU4308697A (en) 1996-09-20 1997-09-18 Surgical fixation system

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB9619787.6 1996-09-20
GBGB9619787.6A GB9619787D0 (en) 1996-09-20 1996-09-20 Surgical fixation system

Publications (1)

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WO1998011838A1 true WO1998011838A1 (en) 1998-03-26

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PCT/GB1997/002516 WO1998011838A1 (en) 1996-09-20 1997-09-18 Surgical fixation system

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AU (1) AU4308697A (en)
GB (1) GB9619787D0 (en)
WO (1) WO1998011838A1 (en)

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* Cited by examiner, † Cited by third party
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WO2000018313A1 (en) * 1998-09-28 2000-04-06 Daos Limited Internal cord fixation device
DE102004033633A1 (en) * 2004-07-12 2006-02-16 Stryker Leibinger Gmbh & Co. Kg Surgical instrument for handling a bent wire
US7410489B2 (en) 1998-09-28 2008-08-12 Daos Limited Internal cord fixation device
US7833225B2 (en) * 2003-04-24 2010-11-16 Orthohelix Surgical Designs, Inc. Method and device for bone stabilization using a threaded compression wire
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9067362B2 (en) 2000-03-13 2015-06-30 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US9149281B2 (en) 2002-03-20 2015-10-06 P Tech, Llc Robotic system for engaging a fastener with body tissue
US9173650B2 (en) 2006-02-07 2015-11-03 P Tech, Llc Methods and devices for trauma welding
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9226828B2 (en) 2004-10-26 2016-01-05 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9265600B2 (en) 2013-02-27 2016-02-23 Orthopediatrics Corp. Graft fixation
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9402668B2 (en) 2007-02-13 2016-08-02 P Tech, Llc Tissue fixation system and method
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
JP2016198446A (en) * 2015-04-14 2016-12-01 裕昭 坂野 Surgical instrument
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US11129645B2 (en) 2006-02-07 2021-09-28 P Tech, Llc Methods of securing a fastener
US11246638B2 (en) 2006-05-03 2022-02-15 P Tech, Llc Methods and devices for utilizing bondable materials
US11253296B2 (en) 2006-02-07 2022-02-22 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US11278331B2 (en) 2006-02-07 2022-03-22 P Tech Llc Method and devices for intracorporeal bonding of implants with thermal energy

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4146022A (en) * 1977-11-16 1979-03-27 Ronald A. Johnson Fracture fixation by cerclage utilizing cortical bone tack and pull-out tension device
DE3146634A1 (en) * 1981-11-25 1983-06-01 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Element set for osteosynthesis
DE3211682A1 (en) * 1982-03-30 1983-10-13 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Device for fixing a wire end to a bone
US4473068A (en) * 1982-01-18 1984-09-25 Indong Oh Trochanteric basket
US4512346A (en) * 1983-04-25 1985-04-23 Lemole Gerald M Sternal closure method and means
EP0201905A2 (en) * 1985-05-13 1986-11-20 Gerald Dr. Hauer Self-retaining permanently tensionable synthetic tie
DE3803435C1 (en) * 1988-02-05 1989-09-21 Ethicon Gmbh & Co Kg, 2000 Norderstedt, De Implanted splint for rib fractures
FR2721818A1 (en) * 1994-07-01 1996-01-05 Dambreville Alain Elastic osteosynthesis element for connecting two bone fragments

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4146022A (en) * 1977-11-16 1979-03-27 Ronald A. Johnson Fracture fixation by cerclage utilizing cortical bone tack and pull-out tension device
DE3146634A1 (en) * 1981-11-25 1983-06-01 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Element set for osteosynthesis
US4473068A (en) * 1982-01-18 1984-09-25 Indong Oh Trochanteric basket
DE3211682A1 (en) * 1982-03-30 1983-10-13 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Device for fixing a wire end to a bone
US4512346A (en) * 1983-04-25 1985-04-23 Lemole Gerald M Sternal closure method and means
EP0201905A2 (en) * 1985-05-13 1986-11-20 Gerald Dr. Hauer Self-retaining permanently tensionable synthetic tie
DE3803435C1 (en) * 1988-02-05 1989-09-21 Ethicon Gmbh & Co Kg, 2000 Norderstedt, De Implanted splint for rib fractures
FR2721818A1 (en) * 1994-07-01 1996-01-05 Dambreville Alain Elastic osteosynthesis element for connecting two bone fragments

Cited By (73)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US6368326B1 (en) 1998-09-28 2002-04-09 Daos Limited Internal cord fixation device
US7410489B2 (en) 1998-09-28 2008-08-12 Daos Limited Internal cord fixation device
WO2000018313A1 (en) * 1998-09-28 2000-04-06 Daos Limited Internal cord fixation device
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US9067362B2 (en) 2000-03-13 2015-06-30 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
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US9149281B2 (en) 2002-03-20 2015-10-06 P Tech, Llc Robotic system for engaging a fastener with body tissue
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US10932869B2 (en) 2002-03-20 2021-03-02 P Tech, Llc Robotic surgery
US9629687B2 (en) 2002-03-20 2017-04-25 P Tech, Llc Robotic arthroplasty system
US9192395B2 (en) 2002-03-20 2015-11-24 P Tech, Llc Robotic fastening system
US9808318B2 (en) 2002-03-20 2017-11-07 P Tech, Llc Robotic arthroplasty system
US10368953B2 (en) 2002-03-20 2019-08-06 P Tech, Llc Robotic system for fastening layers of body tissue together and method thereof
US10265128B2 (en) 2002-03-20 2019-04-23 P Tech, Llc Methods of using a robotic spine system
US10959791B2 (en) 2002-03-20 2021-03-30 P Tech, Llc Robotic surgery
US9271779B2 (en) 2002-03-20 2016-03-01 P Tech, Llc Methods of using a robotic spine system
US9877793B2 (en) 2002-03-20 2018-01-30 P Tech, Llc Robotic arthroplasty system
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US7833225B2 (en) * 2003-04-24 2010-11-16 Orthohelix Surgical Designs, Inc. Method and device for bone stabilization using a threaded compression wire
US9962162B2 (en) 2003-04-30 2018-05-08 P Tech, Llc Tissue fastener and methods for using same
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
DE102004033633B4 (en) * 2004-07-12 2006-08-03 Stryker Leibinger Gmbh & Co. Kg Surgical instrument for handling a bent wire and surgical system
US7670357B2 (en) 2004-07-12 2010-03-02 Stryker Leibinger Gmbh & Co. Kg Surgical instrument for manipulating a bent wire
DE102004033633A1 (en) * 2004-07-12 2006-02-16 Stryker Leibinger Gmbh & Co. Kg Surgical instrument for handling a bent wire
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