WO1999052414B1 - Bondable expansion plug for soft tissue fixation - Google Patents

Bondable expansion plug for soft tissue fixation

Info

Publication number
WO1999052414B1
WO1999052414B1 PCT/US1999/008045 US9908045W WO9952414B1 WO 1999052414 B1 WO1999052414 B1 WO 1999052414B1 US 9908045 W US9908045 W US 9908045W WO 9952414 B1 WO9952414 B1 WO 9952414B1
Authority
WO
WIPO (PCT)
Prior art keywords
flange
anchor
ofthe
soft tissue
tube portion
Prior art date
Application number
PCT/US1999/008045
Other languages
French (fr)
Other versions
WO1999052414A2 (en
WO1999052414A3 (en
WO1999052414A8 (en
Inventor
Thomas D Egan
Original Assignee
Axya Medical Inc
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 Axya Medical Inc filed Critical Axya Medical Inc
Priority to JP2000543031A priority Critical patent/JP4092078B2/en
Priority to DE69934306T priority patent/DE69934306T2/en
Priority to EP99917447A priority patent/EP1071372B1/en
Priority to CA002328237A priority patent/CA2328237A1/en
Priority to AU35568/99A priority patent/AU765424B2/en
Publication of WO1999052414A2 publication Critical patent/WO1999052414A2/en
Publication of WO1999052414A3 publication Critical patent/WO1999052414A3/en
Publication of WO1999052414B1 publication Critical patent/WO1999052414B1/en
Publication of WO1999052414A8 publication Critical patent/WO1999052414A8/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
    • A61B17/04—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
    • 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
    • A61B2017/0408—Rivets
    • 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
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
    • 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
    • A61F2/0805—Implements for inserting 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0823—Modular anchors comprising a plurality of separate parts
    • A61F2002/0835—Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw
    • 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
    • A61F2002/0864—Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
    • 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
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0071—Additional features; Implant or prostheses properties not otherwise provided for breakable or frangible
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Rheumatology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Rehabilitation Therapy (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Dowels (AREA)

Abstract

This invention is an expandable soft tissue fixation assembly (10) for use in anchoring soft tissue to bone. The assembly includes a tab (16) connected to an anchor (18), a sleeve (20) adapted to surround the anchor (18), and a flange (19) adapted to hold a soft tissue segment next to a bone. The sleeve (20) is inserted into a blind hole (12) in a bone, and a section of soft tissue is placed over the hole (12) next to the bone. Energy is applied to the flange (19) while a predetermined axial tension is applied to the tab (16) to compress a flared portion of the anchor against the sleeve (20). An upper tube portion of the anchor and the flange (19) are bonded together. The applied axial force on the tab separates it from the anchor, leaving the assembly anchored in the bone, the soft tissue section anchored in place between the flange (19), and the bone.

Claims

AMENDED CLAIMS[received by the International Bureau on 13 April 2000 (13.04.00); original claims 1-3 replaced by amended claims 1-3 (1 page)]
1. An expandable soft tissue fixation assembly, comprising: a tab extending along an axis and connected, via a connecting region, to an anchor having a tube portion and a flared portion, the tube portion having a diameter D; a sleeve adapted to surround the anchor and including multiple sections which can be expanded radially outward upon application of a force thereto; and a tubular flange having an inner bore of a diameter which is smaller than D; wherein the flange is adapted to hold and distribute pressure over a section of soft tissue between the flange and a bone surface, wherein the walls ofthe bore ofthe tubular flange interferingly engage with the walls ofthe tube portion ofthe anchor, so that the bore walls and tube portion walls form a shear weld upon application of sufficient energy to the tubular flange, wherein concurrent application of a predetermined tensile force to the tab along the axis ofthe tab compresses the flared portion ofthe anchor against the sleeve, thereby radially extending the multiple sections ofthe sleeve, anchoring the flared portion and the sleeve in the bone, holding the soft tissue section between the flange and the bone, and causing the tab to separate from the tube portion of the anchor.
2. An assembly according to claim 1 , wherein at least the flange and the tube portion ofthe anchor are made of a bondable thermoplastic material.
3. An assembly according to claim 2, wherein ultrasonic energy is applied to the flange to bond the flange to the tube portion ofthe anchor. STATEMENT UNDER ARTICLE 19 (1)
In claims 1, 2 and 3 on Substitute Sheet 6, the word "flared" in line 17 of claim 1, line 1 of claim 2, and line 2 of claim 3 has been deleted and replaced with - tube-.
Substitute Sheet 6 contains the amendments to claims 1, 2 and 3.
The amendments are made to more clearly define the invention. No new matter is added. The amendments do not affect the disclosure or the drawings.
PCT/US1999/008045 1998-04-16 1999-04-13 Bondable expansion plug for soft tissue fixation WO1999052414A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2000543031A JP4092078B2 (en) 1998-04-16 1999-04-13 Adhesive expansion plug for soft tissue fixation
DE69934306T DE69934306T2 (en) 1998-04-16 1999-04-13 CONNECTABLE SPRINKLE FOR FIXING SOFT TISSUE
EP99917447A EP1071372B1 (en) 1998-04-16 1999-04-13 Bondable expansion plug for soft tissue fixation
CA002328237A CA2328237A1 (en) 1998-04-16 1999-04-13 Bondable expansion plug for soft tissue fixation
AU35568/99A AU765424B2 (en) 1998-04-16 1999-04-13 Bondable expansion plug for soft tissue fixation

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/061,604 US5941901A (en) 1998-04-16 1998-04-16 Bondable expansion plug for soft tissue fixation
US09/061,604 1998-04-16

Publications (4)

Publication Number Publication Date
WO1999052414A2 WO1999052414A2 (en) 1999-10-21
WO1999052414A3 WO1999052414A3 (en) 2000-04-20
WO1999052414B1 true WO1999052414B1 (en) 2000-06-02
WO1999052414A8 WO1999052414A8 (en) 2000-10-12

Family

ID=22036875

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/008045 WO1999052414A2 (en) 1998-04-16 1999-04-13 Bondable expansion plug for soft tissue fixation

Country Status (9)

Country Link
US (1) US5941901A (en)
EP (1) EP1071372B1 (en)
JP (1) JP4092078B2 (en)
AT (1) ATE347314T1 (en)
AU (1) AU765424B2 (en)
CA (1) CA2328237A1 (en)
DE (1) DE69934306T2 (en)
ES (1) ES2278442T3 (en)
WO (1) WO1999052414A2 (en)

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AU3556899A (en) 1999-11-01
AU765424B2 (en) 2003-09-18
EP1071372A4 (en) 2004-07-07
EP1071372A2 (en) 2001-01-31
WO1999052414A2 (en) 1999-10-21
WO1999052414A3 (en) 2000-04-20
CA2328237A1 (en) 1999-10-21
ES2278442T3 (en) 2007-08-01
DE69934306T2 (en) 2007-07-12
JP4092078B2 (en) 2008-05-28
US5941901A (en) 1999-08-24
DE69934306D1 (en) 2007-01-18
JP2002511289A (en) 2002-04-16
WO1999052414A8 (en) 2000-10-12
ATE347314T1 (en) 2006-12-15
EP1071372B1 (en) 2006-12-06

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