WO2001054592A1 - Tissue fastener - Google Patents
Tissue fastener Download PDFInfo
- Publication number
- WO2001054592A1 WO2001054592A1 PCT/US2001/002255 US0102255W WO0154592A1 WO 2001054592 A1 WO2001054592 A1 WO 2001054592A1 US 0102255 W US0102255 W US 0102255W WO 0154592 A1 WO0154592 A1 WO 0154592A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- shaft
- tissue
- head
- flexible
- tissue fastener
- Prior art date
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
- A61B17/064—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
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0817—Structure of the anchor
- A61F2002/0841—Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
-
- 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
-
- 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
- Y10S606/908—Bioabsorbable material
-
- 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
- Y10S606/91—Polymer
Definitions
- This invention relates to tissue fasteners, in particular to devices for attaching soft tissue (e.g., tendons, ligaments, or cartilage) to bone or to other soft tissue.
- soft tissue e.g., tendons, ligaments, or cartilage
- One conventional tissue fastener used to re-attach cartilage to bone comprises an elongated shaft with a series of barbs that enable the shaft to be inserted through tissue but resist withdrawal thereafter.
- the distal tip of the shaft is sharp, and the proximal end of the shaft terminates at an enlarged head.
- the fastener is pushed through the soft tissue into a pre-formed hole in the bone until the soft tissue is secured between the head and the bone surface.
- the barbs resist withdrawal from the hole, thereby holding the fastener (and thus the soft tissue) in place.
- a tissue fastener comprising a shaft having a member disposed thereon for lodging the shaft within the tissue, and a tissue engaging head disposed at a proximal end of the shaft, a region of the shaft being relatively flexible to render the head movable with respect to the shaft.
- an apparatus comprising a tissue fastener comprising a shaft having a member disposed thereon for lodging the shaft within the tissue, and a tissue engaging head disposed at a proximal end of the shaft, a region of the shaft being relatively flexible to render the head movable with respect to the shaft, and an insertion tool engageable with the tissue fastener for inserting the tissue fastener into tissue.
- the invention feature methods for tissue attachment using the tissue fastener.
- One such method comprises inserting the tissue fastener through a first tissue and into a second tissue so that the member lodges within the second tissue and the head urges the first tissue against the second tissue.
- the first tissue and the second tissue are regions of a common tissue structure.
- the tissue is cartilage and, prior to the inserting, the first region is separated from the second region by a tear in the cartilage.
- the first tissue is soft tissue and the second tissue is bone.
- Another aspect of the invention features a method for making a tissue fastener comprising providing a shaft having a member disposed thereon for lodging the shaft within the tissue, and a tissue engaging head disposed at a proximal end of the shaft, and making a region of the shaft relatively flexible to render the head movable with respect to the shaft.
- Preferred embodiments include making the tissue fastener so as to have the structural features discussed above.
- the flexibility of the tissue fastener allows the head to move (either from side to side or up and down) in response to loads imposed by the tissue, without compromising the security of the tissue attachment. As a result, healing is promoted even in high stress applications, with little risk of the head digging into, and potentially damaging, the tissue.
- the tissue fastener is particularly (but by no means exclusively) useful in the treatment of shoulder and knee instability, and in small joint repairs. These applications include meniscal repair, rotator cuff repair, Bankhart procedures, and treatment of "slap" lesions.
- Figs. 1 and 2 show a tissue fastener.
- Figs. 3-5 show the tissue fastener of Fig. 1 with an insertion tool.
- Figs. 6A and 6B show the use of the tissue fastener of Fig. 1 to repair a tear in soft tissue.
- Figs. 7A and 7B show the use of the tissue fastener of Fig. 1 to attach soft tissue to bone tissue.
- Figs. 8 and 9 illustrate alternative embodiments of a tissue fastener.
- Figs. 1 and 2 show one embodiment of a flexible tissue fastener 10 that includes a flexible shaft 12 and a generally rigid tip 14 and head 16 mounted at opposite ends of shaft 12. A pair of generally rigid barbs 18 extend from tip 14 for anchoring fastener in place within tissue. Shaft 12, tip 14, and head 16 are hollow and have open-ended passages which are in communication along a longitudinal axis 20 of fastener 10 for purposes to be described.
- Shaft 12 comprises a woven polymeric mesh 20 made from a bioabsorbable polymer, preferably polylactic acid (PLA), that defines an interior passage 22 open at both its proximal and distal ends.
- PPA polylactic acid
- the woven nature of mesh 20 renders shaft 12 flexible both transversely to and along longitudinal axis 20.
- shaft 12 can flex from side to side with respect to axis 20 as the tissue applies shear forces to shaft 12 or head 16, thereby avoiding tearing of the tissue that might otherwise occur if shaft 12 was immobile.
- shaft 12 can flex to allow head 18 to lie flush with the tissue after insertion in applications in which fastener 10 is not inserted perpendicularly to the tissue surface.
- fastener 10 is less obtrusive in vivo than rigid fasteners, and is less prone to damage either the tissue being fastened or surrounding tissue.
- the woven nature of mesh 20 also makes shaft 12 radially compressible, allowing fastener 10 to be even less obtrusive when subject to compressive forces that may be encountered when fastener is used to attached soft tissue to other soft tissue.
- An example of such an application is the use of fastener 10 to repair meniscal tissue (i.e., cartilage) tears.
- Mesh 20 further also provides structure and surface area for insert molding tip 14 and head 16 - which are preferably made from polymeric material - onto shaft 12. Insert molding these features 14, 16 allows the polymeric material to melt around the fibers of the mesh and mechanically lock features 14, 16 to shaft 12 upon cooling.
- a bioabsorbable material such as PLA is preferred for tip 14 (as well as barbs 18) and head 16, because PI.A has a uniform rate of absorbability.
- Features 14, 16 are further integrated with woven mesh 20 by melting them into as well as around mesh 20.
- Tip 14 is generally cylindrical and has an outer surface 24 from which barbs 18 radially extend. Tip 14 terminates at a flat, annular distal surface 26 that defines an open end of a passage 28 which extends through tip 14 and communicates with the hollow interior 22 of shaft 12. Passage 28 is sized to receive a K-wire to assist in guiding fastener 10 to the correct location in the tissue during emplacement (described below).
- Barbs 18 are circumferentially spaced by 180 degrees around tip exterior surface 24 (although two barbs 18 are shown, it will be appreciated that more or fewer barbs 18 may be used, and that barbs 18 may be unevenly spaced around tip 14).
- Each barb 18 has a flat, inclined exterior surface 30 that slopes outwardly as barb 18 extends proximally.
- Barb 18 terminates at a proximal surface 32 oriented generally perpendicularly to axis 20. The junction of surfaces 30, 32 defines a sharp edge 34 which lodges barb 18 within tissue during use, as will be explained.
- Head 16 includes an annular body 36 having a flat, tissue-engaging underside 38 and a rounded upper surface 40.
- a passage 42 extends through body 36, is aligned with the hollow interior 13 of shaft 12 and tip passage 28, and is open at both ends for receiving the K-wire during insertion.
- a pair of diametrically opposed slots 44 extend through body 36 between underside 38 and upper surface 40 for purposes to be described.
- Body 36 is relatively thin to provide fastener 10 with a low profile when the device in place in vivo.
- the outer diameter of body 36 is approximately the same as (or slightly larger than) the maximum radial dimension defined by barbs 18.
- Body 36 has a substantially larger outer diameter than shaft 12, thereby enabling head 16 to capture tissue beneath it in a tac-like fashion when fastener 10 is emplaced, as will be described.
- the corners of body 36 are rounded at underside 38 and upper surface 40 to avoid tissue damage when shaft 12 flexes from side to side in response to movement of the tissue being tacked down by head 16.
- Fastener 10 is manufactured by insert molding. More specifically, a length of woven mesh 20 is cut to a specific length for fastener 10 and is inserted over a core pin. The injection mold then closes on the core pin and polymeric material is then molded onto and around woven mesh 20. Fastener 10 has an overall length of 0.100-0.500 inch (of which approximately 0.060-0.300 inch corresponds to the length of shaft 12 between tip 14 and head 16) and a maximum width (defined by barbs 18 and the diameter of head 16) of 0.040-0.300 inch.
- an insertion tool 50 for emplacing fastener 10 in tissue includes a hollow, elongated rod 52 with a handle 54 at its proximal end and a fastener mount 56 at its distal end.
- Rod 52, handle 54, and mount 56 are hollow to accommodate a K-wire 58 used to guide fastener 10 into place in the body.
- Rod 52 is sufficiently narrow to pass through a conventional cannula to the surgical site, and handle 54 is large enough to fit comfortably in the user's hand.
- Mount 56 includes a pair of diametrically opposed arms 60 which extend from the distal end of rod 52.
- the circumferential spacing between arms 60 corresponds to that between barbs 18 and slots 44 in head 16.
- Arms 60 terminate at flat barb engaging surfaces 62.
- Fastener 10 is loaded onto insertion tool 50 by aligning slots 44 in head 16 with arms 60, and sliding fastener 10 proximally over arms 60 until surfaces 62 abut barb proximal surfaces 32.
- fastener 10 is used to repair torn meniscal tissue 70 (e.g., in the knee) as follows.
- the surgeon determines the proper insertion site (or sites) 74 at which fastener 10 (or a plurality of fasteners 10) are to be emplaced.
- a relatively small tear 72 like that shown in Figs. 6A and 6B may be repaired using only one fastener 10; multiple fasteners 10 may be needed to close larger tears.
- Insertion site 74 is located on the proximal side 76 of tear 72 (but the distal side of the tear may be used instead as the insertion site).
- the surgeon then introduces K-wire 58 to the surgical site through a cannula (not shown), and stabs the tip of K-wire 58 into meniscal tissue at insertion site 74.
- the surgeon urges K-wire 58 distally until its tip spans tear 72 and becomes embedded in meniscal tissue 78 located distally of tear 72.
- the surgeon attaches fastener 10 to mount 56 of insertion tool 50, as described above, slides the assembly over the proximal end of K-wire 58, and feeds the assembly over K- wire 58 to the surgical site.
- Figs. 7A and 7B show the use of fastener 10 to re-attach soft tissue 90 to bone 92 (e.g., during the repair of a torn rotator cuff).
- a hole 94 is formed in bone 92 at the desired attachment site, e.g., by drilling.
- K-wire 58 is introduced to the surgical site, punched through soft tissue 90 at the selected attachment location, and positioned in hole 94 to serve as a guide for fastener 10 and insertion tool 50.
- the assembly is inserted over K-wire 58 and advanced to the surgical site. The surgeon holds K-wire 58 with one hand, and urges insertion tool 50 distally with the other, thereby punching fastener 10 through soft tissue 90 (Fig. 7A).
- insertion tool 50 distally to insert fastener 10 into hole 94 (Fig. 7B).
- Barbs 18 lodge tip 14 securely within hole 9 by digging into the bone tissue (e.g., the cancellous bone) around hole 94.
- underside 38 of fastener head 16 engages the upper surface of soft tissue 90, thereby urging the soft tissue toward and against the upper surface of bone 92.
- the enlarged nature of head 16 prevents fastener 10 from passing completely through soft tissue 90 and enabling fastener 10 to securely re-attach the tissue to the bone in a tack-like manner.
- the surgeon removes insertion tool 50 and K-wire 58.
- Other embodiments are within the scope of the following claims.
- mesh 20 may be used for mesh 20 and the generally rigid features (tip 14, head 16, and barbs 18).
- One alternative material is polyglycolic acid (PGA), which is a bioabsorbable material that degrades more rapidly in the body than PLA.
- PGA polyglycolic acid
- the tissue fastener may alternatively be made from non- bioabsorbable material.
- Barbs 18 may be located elsewhere on fastener 10, for example on shaft 12. Barbs 18 may be blunt, rather than sharp. Tip 14 may be tapered or beveled distally; tip 14 may have a sharpened distal edge to further facilitate insertion.
- the insertion tool may be configured to engage the interior of tip 14 (e.g., a shoulder 29, Fig. 1 , formed in the walls that define the passage through tip 14).
- tip 14 may be solid.
- Shaft 12 may comprise a braided or knitted mesh or comprise a non-mesh or non- polymeric material. Shaft 12 may be solid rather than defining a passage 22.
- Shaft 12 may be rendered flexible in other ways.
- a generally rigid tissue fastener may be modified to render it flexible at one or more places.
- Fig. 8 shows a fastener 100 that has been so modified.
- Fastener 100 is, e.g., a modified version of the Suretacj fastener, manufactured by Smith & Nephew, Inc. and described in U.S. Patent Nos. 5,100,417, 5,258,016, and 5,690,676, all of which are incorporated herein by reference.
- Fastener 100 includes a hollow shaft 102 that extends proximally from a distal end 104 to a radially enlarged head 106.
- An interior passage 107 extends through shaft 102 and is open at distal end 104 and head 106.
- Fastener 100 is formed by molding so that shaft 102 and head 106 define an integral, unitary body.
- a plurality of (e.g., three) axially spaced, circumferential ribs 108 are disposed on shaft between end 104 and head 106. Ribs 108 have beveled leading (i.e., distal) surfaces to facilitate advancement of fastener through tissue, and flat side and proximal surfaces that lodge within the tissue.
- Fastener 10 is made from polymeric material, such as the aforementioned PLA.
- flexible material 110 is embedded within the walls 112 of fastener 10, and shaft 102 is relieved to provide a breakable connection 114 between shaft 102 and head 106.
- Connection 114 is preferably frangible (i.e., easily breakable). This enables the rigid material of head 106 to break free from that of shaft 102 in response to side-loading imposed by the re- attached tissue, to reduce the risk of head 106 digging into or otherwise damaging the tissue.
- Flexible material 110 tethers head 106 to shaft 102, however, so that the tissue captured beneath head 106 remains securely attached to the tissue (e.g., bone tissue) into which shaft 102 has been inserted.
- flexible material 110 reinforces the walls of shaft 102.
- Flexible material 110 may have a wide variety of configurations.
- flexible material 110 may include individual strands of material (such as man-made or natural fibers or suture) or a flexible member such as a braided tube or braided mesh.
- Suitable materials include PLA, PGA, polyester, cat gut, polydioxanone, polypropylene, polyvinyl acetate, and natural materials such as wool, silk, and cotton.
- Flexible material 110 is insert molded into shaft 102 and head 106 during the fabrication of fastener 10. Flexible material 110 preferably extends along the entire length of shaft 102, but alternatively may terminate proximally of end 104. Flexible material 110 is disposed uniformly around the circumference of shaft 102 and head 106, although flexible material 110 may alternatively be concentrated in, e.g., the segments of shaft 102 that are relieved. (Only one strand of flexible material 110 is shown on each side of shaft 102 for simplicity.)
- Shaft 102 may be relieved in a variety of ways, only two of which - one or more rectangular holes 113 or one or more notches 113' - are shown. Shaft 102 may be relieved in as few or as many places as are suitable to provide the frangible connection. Preferably, shaft 102 is relieved in two diametrically opposed locations, and the same type of relief (e.g., openings such as holes 113 or notches 113') is used in each location. If insufficient relief is provided, frangible connection 114 may not break during use to achieve the desired flexibility. In contrast, care should be taken not to excessively relieve shaft 102, or frangible connection 114 may break during insertion of fastener 100 into tissue. As an alternative (or in addition) to openings 113, 113', shaft 102 may be relieved by making walls 112 relatively thin in the region of connection 114.
- fastener 110 is introduced to the surgical site over a K-wire, and an insertion tool (not shown) is advanced over the K-wire behind fastener 100.
- the insertion tool has a sufficient outer diameter to engage the upper surface of head 106 around the opening of passage 107.
- shaft 102 may be relieved after molding (such as by cutting holes 113 or notches 113').
- fastener 200 is similar to fastener 100, except that teeth 202 protrude from the underside of the head for more secure tissue attachment.
- Flexible material 110 is insert molded within the walls of the shaft and head of fastener, and shaft is relieved with holes (113) or notches (113') to provide the frangible connection.
Abstract
Description
Claims
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE60112240T DE60112240T2 (en) | 2000-01-25 | 2001-01-24 | SURGICAL CLAMPS |
EP01903258A EP1250098B1 (en) | 2000-01-25 | 2001-01-24 | Tissue fastener |
CA002396714A CA2396714A1 (en) | 2000-01-25 | 2001-01-24 | Tissue fastener |
AT01903258T ATE300243T1 (en) | 2000-01-25 | 2001-01-24 | SURGICAL BRACE |
AU31100/01A AU773770B2 (en) | 2000-01-25 | 2001-01-24 | Tissue fastener |
JP2001555572A JP2003521300A (en) | 2000-01-25 | 2001-01-24 | Tissue fastener |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/490,525 US6623492B1 (en) | 2000-01-25 | 2000-01-25 | Tissue fastener |
US09/490,525 | 2000-01-25 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2001054592A1 true WO2001054592A1 (en) | 2001-08-02 |
Family
ID=23948429
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2001/002255 WO2001054592A1 (en) | 2000-01-25 | 2001-01-24 | Tissue fastener |
Country Status (8)
Country | Link |
---|---|
US (2) | US6623492B1 (en) |
EP (1) | EP1250098B1 (en) |
JP (1) | JP2003521300A (en) |
AT (1) | ATE300243T1 (en) |
AU (1) | AU773770B2 (en) |
CA (1) | CA2396714A1 (en) |
DE (1) | DE60112240T2 (en) |
WO (1) | WO2001054592A1 (en) |
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EP1762189A1 (en) * | 2005-09-12 | 2007-03-14 | Arthrex, Inc. | Mesh reinforced tissue anchor |
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EP1762189A1 (en) * | 2005-09-12 | 2007-03-14 | Arthrex, Inc. | Mesh reinforced tissue anchor |
US8202306B2 (en) | 2005-09-12 | 2012-06-19 | Arthrex, Inc. | Mesh reinforced tissue anchor |
Also Published As
Publication number | Publication date |
---|---|
CA2396714A1 (en) | 2001-08-02 |
AU3110001A (en) | 2001-08-07 |
EP1250098B1 (en) | 2005-07-27 |
DE60112240T2 (en) | 2006-06-01 |
DE60112240D1 (en) | 2005-09-01 |
US20040087981A1 (en) | 2004-05-06 |
EP1250098A1 (en) | 2002-10-23 |
US6623492B1 (en) | 2003-09-23 |
ATE300243T1 (en) | 2005-08-15 |
JP2003521300A (en) | 2003-07-15 |
AU773770B2 (en) | 2004-06-03 |
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