CA2217435C - Tissue fastener implantation apparatus and method - Google Patents

Tissue fastener implantation apparatus and method Download PDF

Info

Publication number
CA2217435C
CA2217435C CA002217435A CA2217435A CA2217435C CA 2217435 C CA2217435 C CA 2217435C CA 002217435 A CA002217435 A CA 002217435A CA 2217435 A CA2217435 A CA 2217435A CA 2217435 C CA2217435 C CA 2217435C
Authority
CA
Canada
Prior art keywords
tissue fastener
expandable tissue
mounting portion
expandable
distal end
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Fee Related
Application number
CA002217435A
Other languages
French (fr)
Other versions
CA2217435A1 (en
Inventor
Ian J. Tovey
Salvatore Castro
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
United States Surgical Corp
Original Assignee
United States Surgical Corp
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 United States Surgical Corp filed Critical United States Surgical Corp
Publication of CA2217435A1 publication Critical patent/CA2217435A1/en
Application granted granted Critical
Publication of CA2217435C publication Critical patent/CA2217435C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient
    • 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
    • A61B2017/0403—Dowels
    • 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
    • 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
    • A61B2017/0412—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
    • 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
    • A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
    • A61B2017/0422—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
    • A61B2017/0424—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor the separate member staying in the anchor after placement
    • 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
    • A61B2017/0427—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
    • 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
    • A61B2017/0438—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
    • 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
    • A61F2/0811—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
    • A61F2002/0858—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
    • 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
    • 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
    • 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
    • Y10S606/916—Tool for installing or removing orthopedic fastener

Abstract

An apparatus for applying a tissue fastener for fastening soft tissue to bone includes elongated members, one of which holds a loading unit having a tissue fastener mounted therein, and another of which is moved to expel the tissue fastener from the loading unit and expand legs of the tissue fastener to secure it within a predrilled hole in bone. The tissue fastener is preferably a two piece fastener including a body portion with legs flexibly expandable by a setting pin. The loading unit engages both the body and the setting pin.

Description

1840 (203-1882) TISSUE FASTENER IMPLANTATION APPARATUS AND METHOD
BACKGROUND
1. Technical Field The present disclosure relates to apparatus and methods for implanting tissue anchors and, more particularly, to apparatus and methods, for implanting expandable tissue anchors.
2. Background of Related Art During surgery it is often necessary to attach prosthetic implants or soft tissue such as muscle tissue, ligaments, or tendons to hard tissue such as bone.
Various types of surgical fasteners are employed for accomplishing this function, including staples, screw and washer systems, suture anchoring devices, and tissue anchors.
The first of these types is illustrated in U.S.
Patent Nos. 4,454,875 and 4,570,623, which show metal staples with spikes on the underside of the crosspiece to secure ligaments.
Fasteners included in the second of these types are available as screw-washer combinations wherein the screw is fabricated from a surgically suitable metal, such as titanium or stainless steel alloy, and is usually of self tapping design. The washer can have distally pointing spikes and a central aperture through which the screw is disposed.

Suture anchors are adapted to be inserted into predrilled holes in bone and can be made of bioabsorbable material. U.S. Patent No. 5,354,298 to Lee et al.
discloses a two-piece suture anchor and an installation tool therefor. The suture anchor has a setting pin which is slidably connected to a socket having expandable legs.
When the setting pin is retracted into the socket by being moved proximally (i.e. by pulling on the suture) the socket legs are radially splayed to secure the suture anchor in the hole in the bone.
Expandable tissue fasteners have bodies which directly fasten the soft tissue to bone, for example by means of a head portion with distally pointing teeth or spikes, rather than by means of a suture. For example, see U.S. Patent No. 5,013,316 to Goble et al., which discloses a soft tissue anchor having a footing stud with self tapping threads for insertion into a hole in bone, and a tack portion which engages the footing stud. The tack portion has a broad head with spikes for securing soft tissue. U.S. Patent No. 5,129,906 to Ross et al.
discloses a cannulated bioabsorbable tack having annular ribs for attaching soft tissue to bone. Other fasteners include expandable portions which are inserted into a hole in bone and expanded therein to secure the fastener.
For example, the fastener can include a body portion which is inserted into the bone and a setting pin which expands the body portion.
Expandable tissue fasteners adapted for use in minimally invasive surgical procedures (e. g. arthroscopic procedures) are employed, for example, in the repair of shoulder and knee injuries. In such procedures the operating instrumentation is usually deployed through a long, narrow cannula inserted through a small incision in the skin.
What is needed is an apparatus and method for conveniently applying an expandable tissue fastener, especially in minimally invasive surgical procedures.
SUMMARY
Apparatus is provided for implanting expandable tissue fasteners. In one embodiment, the apparatus includes a handle portion having a fixed handle and a pivotable trigger, a first elongated member extending distally from the handle portion, an expandable tissue fastener mounting portion configured for detachable mounting to a distal end of the first elongated member and configured to hold an unexpanded tissue fastener, and a second elongated member slidably mounted with respect to the first elongated member. The second elongated member is actuable by the pivotable trigger for movement between a retracted first position and a fired second position wherein the second elongated member expels and expands the tissue fastener relative to the mounting portion.
In accordance with another embodiment of the present invention there is provided an apparatus for implanting - 3a -expandable tissue fasteners comprising: a handle portion comprising a fixed handle and a pivotable trigger; a first elongate member connected to the handle portion and defining a longitudinal axis, the first elongate member having a distal end defining mounting structure for detachably receiving an expandable tissue fastener mounting portion; and a second elongate member slidably mounted with respect to the first elongate member and remotely actuable by the pivotable trigger for movement between a retracted first position and a fired second position.
Yet another embodiment of the invention provides an apparatus for implanting expandable tissue fasteners comprising: a handle portion comprising having a fixed handle and a pivotable trigger; a first elongate tubular member connected to the handle portion and defining a longitudinal axis; an expandable tissue fastener mounting portion configured for detachable connection to a distal end of the first elongate tubular member and configured to independently support an unexpanded expandable tissue fastener; and a second elongate tubular member coaxially slidable within the first tubular member and remotely actuable from the handle portion for movement between a retracted first position and a fired second position whereby the second elongate tubular member simultaneously expels and expands an expandable tissue fastener relative to the mounting portion.

- 3b -Another embodiment of the invention provides an improvement in an apparatus for implanting an expandable tissue fastener of the type having a body portion and a coaxially slidable setting pin, the improvement comprising a handle portion, an expandable tissue fastener mounting portion for supporting both the body portion and the setting pin and an actuation member for moving the body portion distally relative to the setting pin for expanding the expandable tissue fastener.
A still further embodiment provides an expandable tissue fastener mounting portion comprising: a frame defining a longitudinal axis and having a proximal end, a distal end and an intermediate portion; mounting structure formed adjacent the proximal end configured to engage corresponding mounting structure formed on an apparatus for implanting expandable tissue fastener; first expandable tissue fastener supporting structure formed adjacent the distal end and configured to support a body of the expandable tissue fastener; and second expandable tissue fastener supporting structure formed adjacent the intermediate portion of the frame and configured for locking engagement with a head of a setting pin of the expandable tissue fastener.
The tissue fastener is preferably a two piece structure which includes a body having radially expandable legs and a setting pin disposed through a bore in the body and having a camming surface to expand legs of the body.
A system and method for implantation of the tissue fastener are also described herein.
BRIEF DESCRIPTION OF THE DRAWINGS
Various embodiments are described below with reference to the drawings wherein:
FIG. 1 is a side view of a tissue fastener mounting portion in accordance with a preferred embodiment of the subject disclosure with a tissue fastener mounted thereto;
FIG. 2 is a perspective view with parts separated of the tissue fastener mounting portion of FIG. 1;
FIGS. 3 and 4 are frost and rear enlarged perspective views of the tissue fastener mounting portion of FIG. 1;
FIG. 5 is a perspective view of a tissue fastener implantation apparatus in accordance with a preferred embodiment of the subject disclosure;
FIG. 6 is an exploded perspective view of the tissue fastener implantation apparatus of FIG. 5;
FIG. 7 is a perspective view of a cannula housing assembly for use with the apparatus of FIG. 5;
FIG. 8 is a perspective view of an obturator;
FIG. 9 is a perspective view showing a drill bit and drill guide;
FIG. 10 is an enlarged side cross sectional view showing the mounting of the tissue fastener to the tissue fastener mounting portion;
FIGS. 11 and 12 are enlarged side cross sectional views sequentially illustrating the implantation of the tissue fastener into a bone mass to secure soft tissue thereto; and FIG. 13 is an enlarged end cross sectional view taken at line 13-13 in FIG. 12 of the apparatus in accordance with a preferred embodiment of the subject disclosure.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
The preferred embodiments of the apparatus and methods disclosed herein are discussed in terms of orthopedic expandable tissue fastener implantation. It is also envisioned, however, that the disclosure is applicable to a wide variety of procedures including, but not limited to ligament repair, joint repair or replacement, non-union fractures, facial reconstruction, etc. In addition, it is believed that the present apparatus finds application in both open and minimally invasive procedures including endoscopic and arthroscopic procedures wherein access to the surgical site is achieved through a cannula or small incision.
In the description which follows, the term "proximal", as is traditional, will refer to the portion of the structure which is closest to the operator, while the term "distal" will refer to the portion which is furthest from the operator.
The apparatus and methods described herein are adapted for applying an expandable tissue fastener to a predrilled hole in bone. The orthopedic tissue fastener is preferably held in a disposable mounting unit.
More particularly, referring now to FIGS. 1 and 2, the tissue fastener 10 includes an expandable body 11 with a tissue engaging head and a setting pin 20. More particularly, body 11 is a single piece member preferably fabricated from a bioabsorbable material such as polymers of glycolide, lactide, caprolactrone, p-dioxanone, trimethylene carbonate and physical and chemical combinations thereof. Body 11 includes a shaft 17 with an axial aperture 14 extending therethrough. Head 12 at the proximal end of shaft 17 includes a plurality of spaced apart distally pointing barbs, or spikes, 13 which are peripherally disposed around annular surface 19 of head 12.
Shaft 17 includes at least two, and preferably four distally extending legs 15 which are defined by lengthwise slots 18. Body 11 is fabricated from a material with sufficient flexibility and resiliency to ' allow legs 15 to radially expand by splaying outward.

_ 7 _ When body 11 is placed in a hole and legs 15 are expanded, barbs 16 on the outer surface of legs 15 engage the wall of bone tissue surrounding the hole and frictionally secure the body therein. Legs 15 are expanded in response to actuation by a setting pin as described below.
Setting pin 20 is part of expandable tissue fastener and includes an elongated shaft 21 with at least one and preferably four lengthwise extending fins 28 adapted 10 to engage slots 18 in body 11. A series of circumferential barbs 29 on the shaft 21 inhibit distal motion of setting pin 20 relative to body 11. Shaft 21 also includes a wider diameter head 22 at its proximal end to facilitate grasping of setting pin 20. At its distal end portion, shaft 21 includes an expanded diameter bulbous portion 23 which includes a proximally facing camming surface 24 and distally facing bevelled tip 27. Shaft 21 includes a proximal end portion 26 demarcated by a circumferential breakaway notch 25.
Shaft 21 of setting pin 20 is adapted to be slidably disposed within aperture 14 of body 11, as shown. When body 11 is moved distally with respect to setting pin 20, camming surface 24 eventually contacts the distal tips of legs 15. Further distal movement of body 11 causes legs 15 to splay apart under the camming action of surface 24 because the diameter of bulbous portion 23 is greater than that of aperture 14. Distal movement of body 11 can _ g _ be effected by an instrument which distally advances body 11 while holding setting pin 20, or which grips and pulls the proximal portion 26 of the setting pin shaft while holding the body 11. At some point legs 15 are fully expanded and the setting pin.20 cannot move any further through aperture 14. Increased pulling force applied to the proximal end portion 26 of the shaft causes shaft 21 to fracture at breakaway notch 25 thereby splitting off the proximal end portion 26 when a predetermined force is applied. Setting pin 20 is configured and dimensioned such that when setting pin shaft 21 undergoes the controlled fracture at full expansion of legs l5, breakaway notch 25 will not be positioned outside aperture 14 of body 11. An expandable tissue fastener suitable for use in the apparatus and method described herein is disclosed and described in European Patent EPO
504 915 B1.
Referring to FIGS. 1 to 4, the disposable loading unit 220 is a tissue fastener mounting portion which is an independent structure for supporting both expandable body 11 of the tissue fastener and setting pin 20. The disposable loading unit 220 mounts to the distal end of the apparatus 200, as described below.
Disposable loading unit 220 includes a collar 221 defining a recess 226 into which head 12 of the body 11 is received and supported. Shaft 222 defines a lengthwise axis and includes laterally extending bayonet _ g _ mounting pins 223 for engaging L-shaped slots 215 in housing tube 210 (discussed below). A mounting slot 224 for retaining setting pin 20 extends lengthwise through collar 221 and includes at least one abutment wall 227 for contacting and retaining head 22 of setting pin 20.
An access port 228 enables head 22 to be mounted into mounting slot 224 proximal to abutment wall 227.
Disposable loading unit 220 also includes arcuate lengthwise extending access chambers 225 which allow passage therethrough of pusher prongs 233 (discussed below) for contacting and pushing head 12 of the body 11.
Referring now to FIG. 5, in one embodiment tissue fastener implantation apparatus 200 of the subject disclosure includes an operating portion, i.e. elongated portion 201, and a handle portion 202 from which the operating portion is remotely actuated. Disposable loading unit 220, containing a tissue fastener 10, can be loaded to the distal end of operating portion 201 as shown. After the apparatus 200 is fired and tissue fastener 10 implanted, disposable loading unit 220 can be discarded and a fresh loading unit 220 mounted for a subsequent tissue fastener implantation.
Referring now to FIGS. 5 and 6, operating portion 201 of the apparatus 200 includes a first elongated member defining a longitudinal axis which, in this embodiment, is an elongated housing tube 210 having a tubular body 211 with axial bore 212. At the distal end of the tubular body are at least one, and preferably two, L-shaped slots 215 which constitute a bayonet type mounting structure for engagement with the bayonet pins 223 of the disposable loading unit 220. The disposable loading unit 220 is preferably mounted in coaxial relationship to the apparatus 200. Housing tube 210 includes a wider diameter proximal portion 213 having a lateral aperture 214 for the reception therethrough of a brake pin 271. A housing holder 285 is fixedly mounted to the proximal end portion 213 of the housing tube 210 and is itself fixedly mounted within bore 252 of handle 250 to secure housing tube 210 to handle 250. Housing holder 285 includes a cylindrical portion 286 having a bore 289 through which the proximal.end portion 213 of housing 210 in disposed. Housing holder 285 also includes a flange 287 and slots 288 extending lengthwise along the cylindrical portion 286.
A second elongated member in the operating portion 201, i.e. pusher rod 230, is slidably mounted with respect to the housing tube 210, preferably in a coaxial relationship. More particularly, in the present embodiment pusher rod 230 is slidably disposed within bore 212 of housing tube 210 preferably in a coaxial relationship. Pusher rod 230 includes a shaft 231, a distal portion 232 of slightly wider diameter than shaft 231, the distal portion 232 including at least one, and preferably two, distally extending pusher prongs 233, each preferably having an arcuate cross-section, prongs 233 being defined by longitudinal slots 237.
Pusher rod 230 includes a collar 234 having a slot 235 into which brake pin 271 extends. Proximal end 236 of the pusher rod is disposed within bore 242 of pusher knob 240. Pusher rod 230 is moved distally from an initial proximal position against the biasing force of helical compression spring 280 by a distally directed actuation force applied to pusher knob 240 by trigger 260, as will be further discussed below.
A retainer ring 273 is mounted on pusher rod 240 proximal to collar 234 against which retainer 273 abuts.
Retainer 273 provides for retention of compression spring 280, which is mounted around the pusher rod proximal to retainer 273. At its other end, spring 280 abuts the distal edge of the cylindrical portion 241 of pusher knob 240.
Thus when a distal force is applied to pusher knob 240, pusher rod 230 is moved distally against the biasing force of compression spring 280. Brake pin 271 abuts the distal edge of retainer ring 273 thereby preventing it from distal advancement. Spring 280 is compressed between retainer ring 273 and pusher knob 240 as pusher rod 230 is advanced.
Handle 250 includes a frame 251 having a bore 252 into which the operating portion 201 is engaged. The frame 251 also includes a hand grip 254 and apertures 253 through which pivot pin 270 is disposed. A leaf spring 281 is mounted to the interior of hand grip 251 by means of leaf spring retainer bolts 272 disposed through apertures 283 in leaf spring 281. Leaf spring 281 contacts and biases the upper part of trigger 260 forward.
Trigger 260 includes an elongated body 261 pivotally connected to handle 250 at apertures 262 by means of pivot pin 270 disposed through apertures 253 in handle frame 251 and apertures 262 in trigger 260. Projection 263 extends upwardly from trigger 260 and abuts the proximal end 236 of pusher rod 230. When trigger 260 is pressed and pivoted about pin 270 projection 263 urges the pusher rod distally against the biasing action of spring 280.
Referring now to FIGS. 7, 8, and 9, an orthopedic tissue fastener implantation system includes a cannula housing assembly drill guide, drill bit, and obturator.
A cannula housing assembly suitable for use in the orthopedic tissue fastener implantation system is described in U.S. Patent No. 5,807,338 issued September 15, 1998.
Referring particularly now to FIG. 7, modular cannula housing assembly 150 includes a cylindrical base 160, a duckbill flange 170, a proximal housing element, and a seal assembly 190.

Molded cylindrical base 160 has a port opening 161 with a mounting fixture (e.g. bayonet mount) adapted to engage a corresponding mounting fixture of handle grip 120, a stopcock valve 165, and transversely extending grip portions 164 formed to extend from an annular flange 163 formed at the proximal end of cylindrical base 160.
The duckbill flange 170 is adapted to engage the proximal end opening of base 160 and includes a duckbill valve element 171.
Proximal housing element 180 is adapted to engage the proximal side of duckbill flange 170.
Seal assembly 190 includes a housing 191 and a seal member 192 having a central orifice 193.
Referring also now to FIG. 9, the cannula housing assembly 150 is adapted to engage the proximal end of handle grip 120. An O-ring 155 or other type gasket is provided to facilitate a gaseous sealing engagement between the cannula housing assembly 150 and the handle grip 120.
Drill guide 110 provides precise positioning of the drill for drilling a hole for the tissue fastener into the mass of bone tissue, and is a tubular body 111 having teeth 113 for gripping bone tissue at its distal end 115.
Axial bore 117 in the drill guide is adapted to receive a drill bit 140. At least one, and preferably two or three, openings 112 in the vicinity of the distal end 115 permit the escape of bone fragments and shavings during the drilling operation and also provide means for visualizing the operating site. Drill guide 110 is preferably fabricated from a biocompatible metal such as stainless steel. A handle grip 120 is mounted externally around drill guide 110 to facilitate manipulation of drill guide 110. Handle grip 120 has a proximal end 121 which is adapted to engage port opening 161 of the cannula housing assembly with 0-ring 155 interposed therebetween.
Drill bit 140 is used to create a hole of predetermined diameter in the mass of bone tissue. Drill bit 140 is a single piece member having a distal drilling tip 141, a shaft 146 having a relatively wide distal portion 142, a relatively narrow mid portion 143, and a proximal portion 144. A shank 145 extends proximally from proximal portion 144 of shaft 146 and is adapted to engage the chuck of a drilling machine (not shown).
Drilling machines suitable for use in rotating the drill bit are well known and available to those with skill in the art. Drill bit 140 is adapted to fit into bore 117 of drill guide 110 and to be able to rotate therein.
Referring also now to FIG. 8, obturator 130 is part of the preferred expandable tissue fastener implantation system and includes a shaft 131 having a beveled tip with rounded point 133. A knurled knob 134 facilitates its handling and use to create a puncture opening in the soft body tissue overlying the bone with minimal damage to the body tissue.
Referring to FIG. 10, tissue fastener 10 can be mounted to disposable loading unit 220 by insertion of head 22 of setting pin 20 through access port 228, and then pivoting head 22 into the region of slot 224 proximal to the abutment wall 227. This assembly operation can be performed prior to packaging of the apparatus.
The operating site is prepared for tissue fastener placement in the following exemplary manner.
First, the cannula housing assembly 150 is mounted to handle grip 120 of drill guide 110. Obturator 130 is inserted through cannula housing assembly 150 and drill guide 110 such that tip 132 protrudes beyond distal end 115 of the drill guide.
Second, an incision is created in the skin to achieve access to body tissue surrounding the bone at the operating site. Cannula 150 is inserted into the incision.
The obturator 130 and drill guide 110 are both inserted through the incision and into the body tissue to create a passageway through the soft tissue to access the bone.
The obturator 130 is then removed leaving the drill guide 110 inserted through the passageway in the soft tissue with distal teeth 113 placed against the bone at the site to be drilled.
The drill bit 140 is then inserted through the drill guide and is used to create a hole in the bone.
The drill bit 140 and drill guide 110 are removed from drill guide 110 and the distal end of the apparatus 200 is then inserted into the drill guide 110.
Referring now to FIG. 11, the tissue fastener 10 is inserted through opening 71 in body tissue 70 and positioned such that distal portion 23 is within hole 74 in bone 73. Body 11 is initially in an unexpanded configuration and barbs 13 are not in full engagement with soft body tissue 70. Referring to FIGS. 12 and 13, when trigger 260 is pulled, pusher rod 230 moves distally, thereby advancing prongs 233 through slots 225 and into contact with head, l2 of the body 11. Further advancement of prongs 233 forces the body 11 to move distally while setting pin 20 is held stationary with respect to the apparatus 200. As the body 11 advances distally into the hole 74, legs 15 contact the proximal caroming surface 24 of the setting pin 20 and are moved into a splayed or radially expanded configuration, thereby frictionally engaging barbs 16 with the walls of hole 74. Barbs 13 are moved into full engagement with soft tissue 70 and hold soft tissue 70 in intimate contact with bone 73 to promote attachment thereto during the healing process. When a sufficient force has been applied to body 11 by prongs 233, the setting pin 20 fractures at the breakaway notch 25 within aperture 14.
Barbs 29 on the setting pin resist the proximal movement of the body with respect to the setting pin, and insure that the body remains firmly engaged.
The apparatus 200 can then be withdrawn, and with it proximal portion 26 of setting pin shaft 21. The spent disposable loading unit 220 can be easily removed and a fresh one installed for a subsequent tissue fastener placement. A series of tissue fasteners can be applied to firmly secure the soft tissue 70 to bone 73.
It will be understood that various modifications may be made to the embodiments disclosed herein. For example, instead of distally advancing the body 11 while holding the setting pin 20 stationary, the apparatus can hold body 11 stationary while proximally pulling the setting pin 20. The above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims (17)

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. An apparatus for implanting expandable tissue fasteners comprising:

a handle portion comprising a fixed handle and a pivotable trigger;
a first elongate member extending distally from the handle portion and defining a longitudinal axis;
an expandable tissue fastener mounting portion configured for detachable connection to a distal end of the first elongate member and configured to hold an unexpended expandable tissue fastener; and a second elongate member slidably mounted with respect to the first elongate member and remotely actuable by the pivotable trigger for movement between a retracted first position and a fired second position whereby the second elongate member expels and expands the unexpended expandable tissue fastener relative to the mounting portion.
2. The apparatus as in claim 1, wherein the second elongate member is mounted within an axial bore of the first elongate member.
3. The apparatus as in claim 1, wherein the expandable tissue fastener mounting portion is configured to hold the unexpended expandable tissue fastener in coaxial alignment with the longitudinal axis of the first elongate member.
4. The apparatus as in claim 3, wherein the expandable tissue fastener mounting portion is configured such that a distal portion of the unexpanded expandable tissue fastener extends from a distal end of the expandable tissue fastener mounting portion.
5. An apparatus for implanting expandable tissue fasteners comprising:
a handle portion comprising a fixed handle and a pivotable trigger;
a first elongate member connected to the handle portion and defining a longitudinal axis, the first elongate member having a distal end defining mounting structure for detachably receiving an expandable tissue fastener mounting portion; and a second elongate member slidably mounted with respect to the first elongate member and remotely actuable by the pivotable trigger for movement between a retracted first position and a fired second position.
6. The apparatus as in claim 5, further comprising the expandable tissue fastener mounting portion having a proximal end and a distal end, the proximal end having mounting structure for releasably engaging the corresponding mounting structure on the distal end of the first elongate member.
7. The apparatus as in claim 6, further comprising an expandable tissue fastener mounted in the expandable tissue fastener mounting portion.
8. An apparatus for implanting expandable tissue fasteners comprising:
a handle portion having a fixed handle and a pivotable trigger;
a first elongate tubular member connected to the handle portion and defining a longitudinal axis;
an expandable tissue fastener mounting portion configured for detachable connection to a distal end of the first elongate tubular member and configured to independently support an unexpended expandable tissue fastener; and a second elongate tubular member coaxially slidable within the first tubular member and remotely actuable from the handle portion for movement between a retracted first position and a fired second position whereby the second elongate tubular member simultaneously expels and expands the unexpended expandable tissue fastener relative to the mounting portion.
9. The apparatus as in claim 8, wherein the first elongate tubular member includes mounting structure at a distal end thereof and a proximal portion of the expandable tissue fastener mounting portion includes corresponding mounting structure for releasably engaging the mounting structure on the distal end of the first elongate tubular member.
10. The apparatus as in claim 8, wherein the expandable tissue fastener mounting portion defines at least one longitudinal channel therethrough and the second elongate tubular member includes pusher structure on a distal end thereof, the pusher structure slidable through the channel to engage the expandable tissue fastener.
11. The apparatus as in claim 10, wherein the expandable tissue fastener mounting portion defines a pair of radially spaced channels and the pusher structure includes a pair of projections longitudinally aligned with the radially spaced channels for movement therethrough to engage the expandable tissue fastener.
12. The apparatus as in claim 8, further comprising the unexpanded expandable tissue fastener independently supported in the expandable tissue fastener mounting portion.
13. In an apparatus for implanting an expandable tissue fastener of the type having a body portion and a coaxially slidable setting pin, the improvement comprising a handle portion, an expandable tissue fastener mounting portion for supporting both the body portion and the setting pin and an actuation member for moving the body portion distally relative to the setting pin for expanding the expandable tissue fastener.
14. An expandable tissue fastener mounting portion comprising:
a frame defining a longitudinal axis and having a proximal end, a distal end and an intermediate portion;
mounting structure formed adjacent the proximal end configured to engage corresponding mounting structure formed on an apparatus for implanting expandable tissue fastener;
first expandable tissue fastener supporting structure formed adjacent the distal end and configured to support a body of the expandable tissue fastener; and second expandable tissue fastener supporting structure formed adjacent the intermediate portion of the frame and configured for locking engagement with a head of a setting pin of the expandable tissue fastener.
15. The expandable tissue fastener mounting portion as in claim 14, further comprising the expandable tissue fastener having the body and the setting pin mounted therein.
16. Use of the apparatus of any one of claims 1 to 13 for implantation of an expandable tissue fastener to join tissues.
17. Use of the expandable tissue fastener mounting portion as claimed in claim 14 or 15 for implantation of an expandable tissue fastener to join tissues.
CA002217435A 1996-10-04 1997-10-06 Tissue fastener implantation apparatus and method Expired - Fee Related CA2217435C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US72093396A 1996-10-04 1996-10-04
US08/720,933 1996-10-04

Publications (2)

Publication Number Publication Date
CA2217435A1 CA2217435A1 (en) 1998-04-04
CA2217435C true CA2217435C (en) 2006-08-29

Family

ID=24895834

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002217435A Expired - Fee Related CA2217435C (en) 1996-10-04 1997-10-06 Tissue fastener implantation apparatus and method

Country Status (5)

Country Link
US (1) US5928244A (en)
EP (1) EP0834280B1 (en)
CA (1) CA2217435C (en)
DE (1) DE69727015T2 (en)
ES (1) ES2210442T3 (en)

Families Citing this family (198)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19603887C2 (en) 1996-02-03 1998-07-02 Lerch Karl Dieter Arrangement for fixing a piece of bone that has been removed from the skull capsule for the purpose of the surgical intervention to the remaining skull leg
WO1997029708A1 (en) 1996-02-14 1997-08-21 Walter Lorenz Surgical, Inc. Bone fastener and instrument for insertion thereof
US6632224B2 (en) 1996-11-12 2003-10-14 Triage Medical, Inc. Bone fixation system
US6648890B2 (en) 1996-11-12 2003-11-18 Triage Medical, Inc. Bone fixation system with radially extendable anchor
US5893850A (en) 1996-11-12 1999-04-13 Cachia; Victor V. Bone fixation device
US6045551A (en) 1998-02-06 2000-04-04 Bonutti; Peter M. Bone suture
US6846313B1 (en) 1998-11-03 2005-01-25 Codman & Shurtleff, Inc. One-piece biocompatible absorbable rivet and pin for use in surgical procedures
US6402759B1 (en) * 1998-12-11 2002-06-11 Biohorizons Implant Systems, Inc. Surgical fastener driver
ATE324072T1 (en) 1998-12-30 2006-05-15 Ethicon Inc THREAD SECURING DEVICE
US6991643B2 (en) 2000-12-20 2006-01-31 Usgi Medical Inc. Multi-barbed device for retaining tissue in apposition and methods of use
US6319252B1 (en) * 1999-07-23 2001-11-20 Mcdevitt Dennis System and method for attaching soft tissue to bone
US6447516B1 (en) 1999-08-09 2002-09-10 Peter M. Bonutti Method of securing tissue
US6368343B1 (en) * 2000-03-13 2002-04-09 Peter M. Bonutti Method of using ultrasonic vibration to secure body tissue
US6527794B1 (en) 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
US6379363B1 (en) * 1999-09-24 2002-04-30 Walter Lorenz Surgical, Inc. Method and apparatus for reattachment of a cranial flap using a cranial clamp
US6319258B1 (en) * 1999-09-29 2001-11-20 Ethicon, Inc. Absorbable rivet/pin applier for use in surgical procedures
US7887551B2 (en) 1999-12-02 2011-02-15 Smith & Nephew, Inc. Soft tissue attachment and repair
US7153312B1 (en) 1999-12-02 2006-12-26 Smith & Nephew Inc. Closure device and method for tissue repair
US6635073B2 (en) 2000-05-03 2003-10-21 Peter M. Bonutti Method of securing body tissue
US6673094B1 (en) * 2000-02-23 2004-01-06 Ethicon, Inc. System and method for attaching soft tissue to bone
US8932330B2 (en) 2000-03-13 2015-01-13 P Tech, Llc Method and device for securing body tissue
US7094251B2 (en) 2002-08-27 2006-08-22 Marctec, Llc. Apparatus and method for securing a suture
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US7037324B2 (en) * 2000-09-15 2006-05-02 United States Surgical Corporation Knotless tissue anchor
WO2002024081A1 (en) 2000-09-22 2002-03-28 Codman & Shurtleff, Inc. Self centering bone drill
US6641596B1 (en) * 2000-10-18 2003-11-04 Ethicon, Inc. Knotless bioabsorbable suture anchor system and method
US6733506B1 (en) 2000-11-16 2004-05-11 Ethicon, Inc. Apparatus and method for attaching soft tissue to bone
US6887243B2 (en) 2001-03-30 2005-05-03 Triage Medical, Inc. Method and apparatus for bone fixation with secondary compression
US6511481B2 (en) * 2001-03-30 2003-01-28 Triage Medical, Inc. Method and apparatus for fixation of proximal femoral fractures
US6685707B2 (en) * 2001-09-25 2004-02-03 Walter Lorenz Surgical, Inc. Cranial clamp and method for fixating a bone plate
CA2464287C (en) 2001-10-23 2011-02-08 Tyco Healthcare Group Lp Surgical fasteners
US6685706B2 (en) 2001-11-19 2004-02-03 Triage Medical, Inc. Proximal anchors for bone fixation system
US6719765B2 (en) 2001-12-03 2004-04-13 Bonutti 2003 Trust-A Magnetic suturing system and method
US6689135B2 (en) * 2002-01-25 2004-02-10 Albert Enayati Expandable bone fastener and installation tool
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
US6660006B2 (en) * 2002-04-17 2003-12-09 Stryker Spine Rod persuader
US20040230194A1 (en) * 2002-06-12 2004-11-18 Urbanski Mark G. Device and method for attaching soft tissue to bone
US6793678B2 (en) 2002-06-27 2004-09-21 Depuy Acromed, Inc. Prosthetic intervertebral motion disc having dampening
US7037311B2 (en) * 2002-07-12 2006-05-02 Zimmer Technology, Inc. Tool for gripping an orthopedic implant
US7824429B2 (en) 2002-07-19 2010-11-02 Interventional Spine, Inc. Method and apparatus for spinal fixation
US7070601B2 (en) * 2003-01-16 2006-07-04 Triage Medical, Inc. Locking plate for bone anchors
US9314235B2 (en) * 2003-02-05 2016-04-19 Smith & Nephew, Inc. Tissue anchor and insertion tool
US7461574B2 (en) * 2003-04-28 2008-12-09 Biomet Microfixation, Llc Multiple screw delivery apparatus
US7497864B2 (en) 2003-04-30 2009-03-03 Marctec, Llc. Tissue fastener and methods for using same
WO2004098453A2 (en) * 2003-05-06 2004-11-18 Triage Medical, Inc. Proximal anchors for bone fixation system
EP1635723B1 (en) 2003-06-13 2011-08-10 Tyco Healthcare Group LP Multiple member interconnect for surgical instrument and absorbable screw fastener
US8926637B2 (en) 2003-06-13 2015-01-06 Covidien Lp Multiple member interconnect for surgical instrument and absorbable screw fastener
US20050015096A1 (en) * 2003-07-18 2005-01-20 Oliver Dana A. Tissue and membrane fixation apparatus and methods for use thereof
US20080039873A1 (en) 2004-03-09 2008-02-14 Marctec, Llc. Method and device for securing body tissue
US10478179B2 (en) 2004-04-27 2019-11-19 Covidien Lp Absorbable fastener for hernia mesh fixation
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US20060089647A1 (en) * 2004-08-20 2006-04-27 Culbert Brad S Method and apparatus for delivering an agent
US20060089646A1 (en) 2004-10-26 2006-04-27 Bonutti Peter M Devices and methods for stabilizing tissue and implants
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
JP4603047B2 (en) * 2004-11-18 2010-12-22 カイエン メディカル インコーポレイテッド Material fixing device
US8986345B2 (en) 2004-12-07 2015-03-24 Biomet Sports Medicine, Llc Expanding suture anchor having an actuator pin
US7572283B1 (en) * 2004-12-07 2009-08-11 Biomet Sports Medicine, Llc Soft tissue rivet and method of use
US7976565B1 (en) 2004-12-07 2011-07-12 Biomet Sports Medicine, Llc Expanding suture anchor having an actuator pin
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
DE102005014624B4 (en) * 2005-03-23 2008-09-25 Aesculap Ag & Co. Kg Arthroscopic instruments
US20060293709A1 (en) 2005-06-24 2006-12-28 Bojarski Raymond A Tissue repair device
US11278331B2 (en) 2006-02-07 2022-03-22 P Tech Llc Method and devices for intracorporeal bonding of implants with thermal energy
US11253296B2 (en) 2006-02-07 2022-02-22 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US7967820B2 (en) 2006-02-07 2011-06-28 P Tech, Llc. Methods and devices for trauma welding
US8496657B2 (en) 2006-02-07 2013-07-30 P Tech, Llc. Methods for utilizing vibratory energy to weld, stake and/or remove implants
US11246638B2 (en) 2006-05-03 2022-02-15 P Tech, Llc Methods and devices for utilizing bondable materials
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US9750492B2 (en) 2006-08-04 2017-09-05 Depuy Mitek, Llc Suture anchor system with tension relief mechanism
US9788825B2 (en) 2006-08-04 2017-10-17 Depuy Mitek, Llc Suture anchor with relief mechanism
US8105382B2 (en) 2006-12-07 2012-01-31 Interventional Spine, Inc. Intervertebral implant
US8617185B2 (en) 2007-02-13 2013-12-31 P Tech, Llc. Fixation device
US8500739B2 (en) * 2007-04-06 2013-08-06 DePuy Synthes Products, LLC Securing device to secure fixation devices to bone portions
US7794484B2 (en) * 2007-05-07 2010-09-14 Biomet Sports Medicine, Llc Fixation device for delivery of biological material between soft tissue and bone
US7998176B2 (en) 2007-06-08 2011-08-16 Interventional Spine, Inc. Method and apparatus for spinal stabilization
US8900307B2 (en) 2007-06-26 2014-12-02 DePuy Synthes Products, LLC Highly lordosed fusion cage
US9668759B2 (en) * 2007-07-11 2017-06-06 Orthohelix Surgical Designs, Inc. Surgical drill guide having keyway for axial alignment of a fastener for use for an orthopedic plate
US8540718B2 (en) 2007-10-23 2013-09-24 Aesculap Implant Systems, Llc Rod persuader
EP2237748B1 (en) 2008-01-17 2012-09-05 Synthes GmbH An expandable intervertebral implant
CA2720580A1 (en) 2008-04-05 2009-10-08 Synthes Usa, Llc Expandable intervertebral implant
US10278692B2 (en) 2008-10-23 2019-05-07 CMC Group LLC Sling suspension system for supporting the thumb of a patient after basal joint arthroplasty
WO2010081029A1 (en) 2009-01-08 2010-07-15 Rotation Medical, Inc. Implantable tendon protection systems and related kits and methods
WO2010099222A1 (en) 2009-02-24 2010-09-02 P Tech, Llc Methods and devices for utilizing bondable materials
US9179910B2 (en) 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US9526620B2 (en) 2009-03-30 2016-12-27 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US20100292693A1 (en) * 2009-05-15 2010-11-18 Daniel Nehls Spinal Marker System and Methods of Use
US9179961B2 (en) 2009-06-04 2015-11-10 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US8668718B2 (en) 2009-06-04 2014-03-11 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8911474B2 (en) 2009-07-16 2014-12-16 Howmedica Osteonics Corp. Suture anchor implantation instrumentation system
US10426456B2 (en) 2009-07-17 2019-10-01 Pivot Medical, Inc. Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US9149268B2 (en) 2009-07-17 2015-10-06 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US10238379B2 (en) 2009-07-17 2019-03-26 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US9179905B2 (en) 2009-07-17 2015-11-10 Pivot Medical, Inc. Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US10136884B2 (en) 2009-07-17 2018-11-27 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath
US11197663B2 (en) 2009-07-17 2021-12-14 Stryker Puerto Rico Limited Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US11246585B2 (en) 2009-07-17 2022-02-15 Stryker Puerto Rico Limited Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US10058319B2 (en) 2009-07-17 2018-08-28 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a novel locking element
CA2713309C (en) 2009-08-20 2013-07-02 Howmedica Osteonics Corp. Flexible acl instrumentation, kit and method
US9393129B2 (en) 2009-12-10 2016-07-19 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US8979860B2 (en) 2010-06-24 2015-03-17 DePuy Synthes Products. LLC Enhanced cage insertion device
US9907560B2 (en) 2010-06-24 2018-03-06 DePuy Synthes Products, Inc. Flexible vertebral body shavers
AU2011271465B2 (en) 2010-06-29 2015-03-19 Synthes Gmbh Distractible intervertebral implant
US9402732B2 (en) 2010-10-11 2016-08-02 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
US9307977B2 (en) 2010-11-04 2016-04-12 Conmed Corporation Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing suture to bone
US9307978B2 (en) 2010-11-04 2016-04-12 Linvatec Corporation Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone
US9271754B2 (en) 2010-12-16 2016-03-01 Boston Scientific Scimed, Inc. Movable curved needle for delivering implants and methods of delivering implants
US9381075B2 (en) 2011-01-31 2016-07-05 Boston Scientific Scimed, Inc. Deflection member for delivering implants and methods of delivering implants
US10952783B2 (en) 2011-12-29 2021-03-23 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
WO2012145059A1 (en) 2011-02-15 2012-10-26 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
CA2825918C (en) 2011-02-15 2018-08-07 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US9795398B2 (en) 2011-04-13 2017-10-24 Howmedica Osteonics Corp. Flexible ACL instrumentation, kit and method
CN103917183A (en) 2011-06-29 2014-07-09 皮沃特医疗公司 Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
EP2736420B1 (en) * 2011-07-26 2018-10-17 Linvatec Corporation Apparatus for securing an object to bone, including the provision of a suture assembly for securing an object to bone
US9636101B2 (en) * 2011-09-01 2017-05-02 Arthrocare Corporation Bone anchor having an integrated stress isolator
US9345472B2 (en) 2011-09-02 2016-05-24 Boston Scientific Scimed, Inc. Multi-arm tool for delivering implants and methods thereof
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US9445803B2 (en) 2011-11-23 2016-09-20 Howmedica Osteonics Corp. Filamentary suture anchor
WO2013096224A1 (en) 2011-12-19 2013-06-27 Rotation Medical, Inc. Fasteners for affixing sheet -like materials to bone or tissue
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9370356B2 (en) 2011-12-19 2016-06-21 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US8956361B2 (en) 2011-12-19 2015-02-17 Amendia, Inc. Extended tab bone screw system
AU2012355433B2 (en) 2011-12-19 2016-10-20 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
WO2013101641A2 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
AU2012362671B2 (en) 2011-12-29 2017-07-06 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet -like materials in surgery
US9572615B2 (en) 2012-07-18 2017-02-21 Jmea Corporation Detachable front delivery assembly for a tissue repair system
US8940052B2 (en) 2012-07-26 2015-01-27 DePuy Synthes Products, LLC Expandable implant
US8821494B2 (en) 2012-08-03 2014-09-02 Howmedica Osteonics Corp. Surgical instruments and methods of use
US20140067069A1 (en) 2012-08-30 2014-03-06 Interventional Spine, Inc. Artificial disc
US9750595B2 (en) 2012-09-28 2017-09-05 Covidien Lp Implantable medical devices which include grip-members and methods of use thereof
AU2013335047B2 (en) * 2012-10-23 2018-02-15 Cayenne Medical, Inc. Methods and systems for material fixation
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US9351733B2 (en) 2013-01-18 2016-05-31 Covidien Lp Surgical fastener applier
US9078740B2 (en) 2013-01-21 2015-07-14 Howmedica Osteonics Corp. Instrumentation and method for positioning and securing a graft
US9402620B2 (en) 2013-03-04 2016-08-02 Howmedica Osteonics Corp. Knotless filamentary fixation devices, assemblies and systems and methods of assembly and use
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US9788826B2 (en) 2013-03-11 2017-10-17 Howmedica Osteonics Corp. Filamentary fixation device and assembly and method of assembly, manufacture and use
US9358010B2 (en) 2013-03-12 2016-06-07 Covidien Lp Flex cable and spring-loaded tube for tacking device
US9463013B2 (en) 2013-03-13 2016-10-11 Stryker Corporation Adjustable continuous filament structure and method of manufacture and use
US9867620B2 (en) 2013-03-14 2018-01-16 Covidien Lp Articulation joint for apparatus for endoscopic procedures
US9655621B2 (en) 2013-03-15 2017-05-23 Covidien Lp Surgical instrument for dispensing tacks and solution
WO2014176270A1 (en) 2013-04-22 2014-10-30 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone
US9668730B2 (en) 2013-06-28 2017-06-06 Covidien Lp Articulating apparatus for endoscopic procedures with timing system
US10085746B2 (en) 2013-06-28 2018-10-02 Covidien Lp Surgical instrument including rotating end effector and rotation-limiting structure
US9358004B2 (en) 2013-06-28 2016-06-07 Covidien Lp Articulating apparatus for endoscopic procedures
US9351728B2 (en) 2013-06-28 2016-05-31 Covidien Lp Articulating apparatus for endoscopic procedures
US9522028B2 (en) 2013-07-03 2016-12-20 Interventional Spine, Inc. Method and apparatus for sacroiliac joint fixation
US20150032130A1 (en) 2013-07-24 2015-01-29 Covidien Lp Expanding absorbable tack
US9526498B2 (en) 2013-09-17 2016-12-27 Covidien Lp Surgical device with a trigger lockout mechanism device
US10610211B2 (en) 2013-12-12 2020-04-07 Howmedica Osteonics Corp. Filament engagement system and methods of use
CA2933061A1 (en) 2013-12-12 2015-06-18 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US11484301B2 (en) 2014-01-14 2022-11-01 Simparo Inc. Suture-locking washer for use with a bone anchor, and method for supporting the thumb of a patient after basal joint arthroplasty, and other novel orthopedic apparatus and other novel orthopedic procedures
US10335146B2 (en) 2014-04-02 2019-07-02 Coviden Lp Surgical fastener applying apparatus, kits and methods for endoscopic procedures
US10052143B2 (en) 2014-04-30 2018-08-21 DePuy Synthes Products, Inc. Tensioning instrument and related bone fixation systems and methods
EP3139859B1 (en) 2014-05-09 2021-06-23 Rotation Medical, Inc. Medical implant delivery system for sheet-like implant
US9986992B2 (en) 2014-10-28 2018-06-05 Stryker Corporation Suture anchor and associated methods of use
EP3215025B1 (en) 2014-11-04 2020-12-23 Rotation Medical, Inc. Medical implant delivery system
US10675019B2 (en) 2014-11-04 2020-06-09 Rotation Medical, Inc. Medical implant delivery system and related methods
EP4275620A3 (en) 2014-11-04 2024-01-17 Rotation Medical, Inc. Medical implant delivery system
US10568616B2 (en) 2014-12-17 2020-02-25 Howmedica Osteonics Corp. Instruments and methods of soft tissue fixation
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US11090097B2 (en) 2015-03-17 2021-08-17 Covidien Lp Connecting end effectors to surgical devices
GB201504854D0 (en) * 2015-03-23 2015-05-06 Depuy Ireland A attachment mechanism for a surgical instrument component
WO2016179372A1 (en) 2015-05-06 2016-11-10 Rotation Medical, Inc. Medical implant delivery system and related methods
US9451982B1 (en) 2015-06-06 2016-09-27 Coloplast A/S System for implanting a penile prosthetic into a penis includes a delivery cap coupled to a tow suture
EP3307204B1 (en) 2015-06-15 2021-11-24 Rotation Medical, Inc. Tendon repair implant
US9913727B2 (en) 2015-07-02 2018-03-13 Medos International Sarl Expandable implant
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
CA3008670A1 (en) 2015-12-31 2017-07-06 Rotation Medical, Inc. Fastener delivery system and related methods
CA3008668C (en) 2015-12-31 2020-03-24 Rotation Medical, Inc. Medical implant delivery system and related methods
US11596523B2 (en) 2016-06-28 2023-03-07 Eit Emerging Implant Technologies Gmbh Expandable and angularly adjustable articulating intervertebral cages
EP3474783B1 (en) 2016-06-28 2023-05-03 Eit Emerging Implant Technologies GmbH Expandable, angularly adjustable intervertebral cages
US10617409B2 (en) 2016-10-21 2020-04-14 Covidien Lp Surgical end effectors
US10743859B2 (en) 2016-10-21 2020-08-18 Covidien Lp Surgical end effectors
US11298123B2 (en) 2016-10-21 2022-04-12 Covidien Lp Surgical end effectors
US10537436B2 (en) 2016-11-01 2020-01-21 DePuy Synthes Products, Inc. Curved expandable cage
US10888433B2 (en) 2016-12-14 2021-01-12 DePuy Synthes Products, Inc. Intervertebral implant inserter and related methods
US10888309B2 (en) 2017-01-31 2021-01-12 Covidien Lp Surgical fastener devices with geometric tubes
US10722343B2 (en) 2017-02-22 2020-07-28 Stryker Corporation Fixation member with separate eyelet and methods of use thereof
US11918262B2 (en) * 2017-03-30 2024-03-05 K2M, Inc. Fixation device and method of using the same
US10398563B2 (en) 2017-05-08 2019-09-03 Medos International Sarl Expandable cage
US11344424B2 (en) 2017-06-14 2022-05-31 Medos International Sarl Expandable intervertebral implant and related methods
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US10987210B2 (en) 2017-12-07 2021-04-27 Rotation Medical, Inc. Medical implant delivery system and related methods
USD902405S1 (en) 2018-02-22 2020-11-17 Stryker Corporation Self-punching bone anchor inserter
US11298126B2 (en) 2018-05-02 2022-04-12 Covidien Lp Shipping wedge for end effector installation onto surgical devices
US11116500B2 (en) 2018-06-28 2021-09-14 Covidien Lp Surgical fastener applying device, kits and methods for endoscopic procedures
US10772619B2 (en) 2018-09-28 2020-09-15 Parcus Medical, Llc Surgical button inserter system and method
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
US11523817B2 (en) 2019-06-27 2022-12-13 Covidien Lp Endoluminal pursestring device
US11553947B2 (en) 2019-07-16 2023-01-17 Aesculap Implant Systems, Llc Spinal deformity sequential persuader
USD944984S1 (en) 2019-12-19 2022-03-01 Covidien Lp Tubular positioning guide
USD944985S1 (en) 2019-12-19 2022-03-01 Covidien Lp Positioning guide cuff
US11197675B2 (en) 2019-12-19 2021-12-14 Covidien Lp Positioning guide for surgical instruments and surgical instrument systems
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
US11850160B2 (en) 2021-03-26 2023-12-26 Medos International Sarl Expandable lordotic intervertebral fusion cage
US11752009B2 (en) 2021-04-06 2023-09-12 Medos International Sarl Expandable intervertebral fusion cage

Family Cites Families (161)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR739089A (en) 1932-06-25 1933-01-05 Self-locking bolt
US2121193A (en) * 1932-12-21 1938-06-21 Hanicke Paul Gustav Erich Fracture clamping apparatus
US2381050A (en) * 1943-12-04 1945-08-07 Mervyn G Hardinge Fracture reducing device
US2579438A (en) * 1946-02-15 1951-12-18 Puy Mfg Company Inc De Screw holding screw driver
US2489870A (en) * 1946-03-02 1949-11-29 Dzus William Bone fastening device
US2490364A (en) * 1948-02-27 1949-12-06 Herman H Livingston Bone pin
US2699774A (en) * 1952-05-12 1955-01-18 Livingston Herman Harrison Bone pin locking device
DE2046102B (en) * 1970-09-18 1972-05-04 Fischer, Artur, 7241 Tumhngen Connecting element for bone fracture doors, especially for femoral neck fracture doors
DE2109162B1 (en) * 1971-02-26 1972-05-25 Fischer Artur Sleeve-shaped support element for long bone fractures
DE2112139B2 (en) * 1971-03-13 1973-02-01 Fischer, Artur, 7241 Tumhngen SLEEVE-SHAPED CONNECTOR FOR COMPRESSION OSTEOSYNTHESIS IN TUBE BONE Fractures
DE2112138B1 (en) * 1971-03-13 1972-05-25 Artur Fischer Sleeve-shaped support element for tubular bone fractures
FR2149943A5 (en) * 1971-08-17 1973-03-30 Fischer Artur
US3768635A (en) * 1971-11-01 1973-10-30 Illinois Tool Works Needle carrier
DE7235643U (en) * 1972-09-28 1974-06-27 Fischer A Femoral head prosthesis
AR207756A1 (en) * 1973-06-15 1976-10-29 Fischer Artur FASTENING DEVICE FOR ANCHORING ELEMENTS OR PARTS OF WORKS
US3910281A (en) * 1973-10-09 1975-10-07 Bio Medicus Inc Suture anchor
US3951261A (en) * 1974-08-28 1976-04-20 Ethicon, Inc. Needled suture mounting and dispensing device and package
ES207117Y (en) * 1974-10-25 1976-07-01 Pares Avila INTERNAL FIXING DEVICE FOR BONE FRACTURES.
IL46030A0 (en) * 1974-11-11 1975-02-10 Rosenberg L Orthopaedic screw
US4006747A (en) * 1975-04-23 1977-02-08 Ethicon, Inc. Surgical method
IL48826A (en) * 1976-01-13 1978-08-31 Aginsky Yacov Intramedullary compression nail for the treatment of bone fractures
SU584855A1 (en) 1976-08-02 1977-12-25 Центральный Ордена Трудового Красного Знамени Научно-Исследовательский Институт Травмотологии И Ортопедии Им. Н.Н.Приорова N.a.shesternya's fastener for ostheosynthesis
US4259072A (en) * 1977-04-04 1981-03-31 Kyoto Ceramic Co., Ltd. Ceramic endosseous implant
IL53703A (en) * 1977-12-28 1979-10-31 Aginsky Yacov Intramedullary nails
US4135623A (en) * 1978-01-20 1979-01-23 Ethicon, Inc. Package for armed sutures
IL54025A0 (en) * 1978-02-12 1978-04-30 Aginsky Yacov Connector for fractured bones
IL54022A (en) * 1978-02-12 1980-02-29 Aginsky Yacov Intramedullary retraction nail for fixation of comminuted fractured bones
JPS5752416Y2 (en) * 1978-03-09 1982-11-15
US4244370A (en) * 1978-11-20 1981-01-13 American Medical Systems, Inc. Tool for positioning implantable medical prosthetic device _and method of using same
US4262665A (en) * 1979-06-27 1981-04-21 Roalstad W L Intramedullary compression device
US4351069A (en) * 1979-06-29 1982-09-28 Union Carbide Corporation Prosthetic devices having sintered thermoplastic coatings with a porosity gradient
DE2928007A1 (en) * 1979-07-11 1981-01-15 Riess Guido Dr BONE IMPLANT BODY FOR PROSTHESES AND BONE CONNECTORS AND METHOD FOR THE PRODUCTION THEREOF
US4275717A (en) * 1979-07-27 1981-06-30 Zimmer Usa, Inc. Intramedullary fixation device for fractured tubular bones
US4339217A (en) * 1980-07-07 1982-07-13 Drillco Devices Limited Expanding anchor bolt assembly
DE3025816A1 (en) * 1980-07-08 1982-02-04 Werkzeugfabrik Fritz Mächtle GmbH & Co KG, 7015 Korntal METHOD FOR FASTENING LOADS BY SPREADING ANCHOR AND SPREADING ANCHOR FOR CARRYING OUT THIS METHOD
GB2084468B (en) * 1980-09-25 1984-06-06 South African Inventions Surgical implant
US4414967A (en) * 1981-06-22 1983-11-15 Minnesota Mining And Manufacturing Company Internal fixation of bone, tendon, and ligaments
US4409974A (en) * 1981-06-29 1983-10-18 Freedland Jeffrey A Bone-fixating surgical implant device
EP0077868A1 (en) 1981-10-26 1983-05-04 Nunzio Godoli Hip prosthesis as expanding femoral component
DE3146027A1 (en) * 1981-11-20 1983-05-26 Hilti AG, 9494 Schaan ANCHOR BOLT WITH BOLT BODY AND SPREADING SLEEVE
US4586502A (en) * 1982-02-03 1986-05-06 Ethicon, Inc. Surgical instrument actuator with non-collinear hydraulic pistons
CA1227002A (en) * 1982-02-18 1987-09-22 Robert V. Kenna Bone prosthesis with porous coating
US4453539A (en) * 1982-03-01 1984-06-12 The University Of Toledo Expandable intramedullary nail for the fixation of bone fractures
US4542539A (en) * 1982-03-12 1985-09-24 Artech Corp. Surgical implant having a graded porous coating
US4424898A (en) * 1982-04-08 1984-01-10 Ethicon, Inc. Needle and suture holder and package
US4454875A (en) 1982-04-15 1984-06-19 Techmedica, Inc. Osteal medical staple
US4591048A (en) * 1982-05-04 1986-05-27 American Hospital Supply Corp. Disposable collector for surgical implements
US4741330A (en) * 1983-05-19 1988-05-03 Hayhurst John O Method and apparatus for anchoring and manipulating cartilage
US4474517A (en) * 1982-06-07 1984-10-02 The Budd Company Fastening device
JPS5911843A (en) * 1982-07-12 1984-01-21 日本特殊陶業株式会社 Dental implant for mounting denture
US4519100A (en) * 1982-09-30 1985-05-28 Orthopedic Equipment Co. Inc. Distal locking intramedullary nail
US4456005A (en) * 1982-09-30 1984-06-26 Lichty Terry K External compression bone fixation device
US4550449A (en) * 1982-11-08 1985-11-05 Johnson & Johnson Products Inc. Absorbable bone fixation device
US4539981A (en) * 1982-11-08 1985-09-10 Johnson & Johnson Products, Inc. Absorbable bone fixation device
IT8321064V0 (en) 1983-03-09 1983-03-09 Tac Riveting System Di Oggioni EXPANSION PERFECTED METALLIC DOWEL, FOR FIXING VARIOUS OBJECTS TO FULL WALLS, PROVIDED WITH A THREADED PORTION INTENDED TO EXTEND FRONTLY FROM THE WALL.
US4570623A (en) 1983-06-02 1986-02-18 Pfizer Hospital Products Group Inc. Arched bridge staple
US4590930A (en) * 1983-06-22 1986-05-27 Lloyd A. Kurth Fixation device and process for an intramedullary nail
DE3341211A1 (en) * 1983-11-14 1985-05-30 Hilti Ag, Schaan SPREADING DOWEL WITH RADIAL SWING-OUT SPREADING
US4612923A (en) * 1983-12-01 1986-09-23 Ethicon, Inc. Glass-filled, absorbable surgical devices
US4655777A (en) * 1983-12-19 1987-04-07 Southern Research Institute Method of producing biodegradable prosthesis and products therefrom
US4621640A (en) * 1984-01-09 1986-11-11 Mulhollan James S Mechanical needle carrier and method for its use
IL70736A (en) * 1984-01-20 1988-05-31 Rosenberg Lior Self-locking pin device particularly useful for internally fixing bone fractures
US4653486A (en) * 1984-04-12 1987-03-31 Coker Tom P Fastener, particularly suited for orthopedic use
DE3414924A1 (en) * 1984-04-19 1985-10-31 Klaus Dr.med. Dr.med.habil. 8000 München Draenert COATED ANCHORAGE PART FOR IMPLANTS
US4699271A (en) * 1984-06-14 1987-10-13 Lincoln Jay P Plastic dispensing pack for surgical sutures
JPS6123511U (en) * 1984-07-18 1986-02-12 株式会社 ニフコ Synthetic resin rivets
DE3445713A1 (en) * 1984-12-14 1986-06-19 Hilti Ag, Schaan SPREADING ANCHOR
DE3445738A1 (en) 1984-12-14 1986-06-19 Draenert Klaus IMPLANT FOR BONE REINFORCEMENT AND ANCHORING OF BONE SCREWS, IMPLANTS OR IMPLANT PARTS
CN1006954B (en) * 1985-03-11 1990-02-28 阿图尔·费希尔 Fastening elements for osteosynthesis
JPH0442568Y2 (en) 1985-06-19 1992-10-08
EP0209685A3 (en) * 1985-07-12 1988-11-09 Fischerwerke Arthur Fischer GmbH & Co. KG Fixation element for osteosynthesis
US4711232A (en) * 1985-07-12 1987-12-08 Artur Fischer Bone fastener and method of installing same
US4632100A (en) * 1985-08-29 1986-12-30 Marlowe E. Goble Suture anchor assembly
US4669473A (en) * 1985-09-06 1987-06-02 Acufex Microsurgical, Inc. Surgical fastener
US4776329A (en) * 1985-09-20 1988-10-11 Richards Medical Company Resorbable compressing screw and method
US4640271A (en) * 1985-11-07 1987-02-03 Zimmer, Inc. Bone screw
US4708132A (en) 1986-01-24 1987-11-24 Pfizer-Hospital Products Group, Inc. Fixation device for a ligament or tendon prosthesis
CH668693A5 (en) * 1986-01-28 1989-01-31 Sulzer Ag MEDICAL AGRAFFE.
US4759765A (en) * 1986-03-17 1988-07-26 Minnesota Mining And Manufacturing Company Tissue augmentation device
US4767248A (en) * 1986-03-18 1988-08-30 Monogram Industries, Inc. Fastener for securing panels of composite materials
US4738255A (en) * 1986-04-07 1988-04-19 Biotron Labs, Inc. Suture anchor system
CH669724A5 (en) * 1986-04-15 1989-04-14 Sulzer Ag
US4924865A (en) 1986-05-20 1990-05-15 Concept, Inc. Repair tack for bodily tissue
US4895148A (en) * 1986-05-20 1990-01-23 Concept, Inc. Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member
US4759670A (en) * 1986-06-16 1988-07-26 Phillips Plastics Corporation Multi-purpose two-piece plastic fastener
US4681590A (en) * 1986-06-18 1987-07-21 John Tansey Femoral stem prosthesis
US4796612A (en) * 1986-08-06 1989-01-10 Reese Hewitt W Bone clamp and method
US4969887A (en) * 1986-09-08 1990-11-13 Sodhi Jitendra S Self-retaining nail kit for repairing a fractured neck of femur
US4787378A (en) * 1986-09-08 1988-11-29 Sodhi Jitendra S Self-retaining nail for fracture of neck of femur
DE3637658A1 (en) * 1986-11-05 1988-05-19 Hilti Ag SPREADING DOWEL WITH TWO DIFFERENT SPREADING ACCOUNTS
GB2199914A (en) 1986-12-23 1988-07-20 Lindapter Int Ltd Blind fastener device
US4790303A (en) * 1987-03-11 1988-12-13 Acromed Corporation Apparatus and method for securing bone graft
US5036862A (en) 1987-04-06 1991-08-06 Cordis Corporation Implantable, self-retaining lead
US4898156A (en) * 1987-05-18 1990-02-06 Mitek Surgical Products, Inc. Suture anchor
US4861197A (en) * 1987-06-15 1989-08-29 Jennmar Corporation Roof bolt system
FR2622430B1 (en) 1987-10-30 1997-04-25 Laboureau Jacques SURGICAL CLIP FOR THE IMMEDIATE FIXATION OF ARTIFICIAL LIGAMENTS AND ANCILLARY INSTRUMENT FOR ITS IMPLANTATION INTO THE BONE
DE3739608A1 (en) * 1987-11-23 1989-06-01 Hilti Ag SPREADING DOWEL WITH SPREADING SLEEVE AND RETRACTABLE SPREADING CONE
US4899743A (en) * 1987-12-15 1990-02-13 Mitek Surgical Products, Inc. Suture anchor installation tool
US4968315A (en) * 1987-12-15 1990-11-06 Mitek Surgical Products, Inc. Suture anchor and suture anchor installation tool
US4828562A (en) * 1988-02-04 1989-05-09 Pfizer Hospital Products Group, Inc. Anterior cruciate ligament prosthesis
DE3818652A1 (en) * 1988-06-01 1989-12-14 Fischer Artur Werke Gmbh SPREADING PLUG FROM PLASTIC
US4976680A (en) * 1988-10-07 1990-12-11 Hayman Michael H Apparatus for in situ radiotherapy
US4871289A (en) * 1988-11-25 1989-10-03 Olympic Manufacturing Group, Inc. Expansion fastener
US4870957A (en) 1988-12-27 1989-10-03 Marlowe Goble E Ligament anchor system
US4988351A (en) 1989-01-06 1991-01-29 Concept, Inc. Washer for use with cancellous screw for attaching soft tissue to bone
US4963144A (en) * 1989-03-17 1990-10-16 Huene Donald R Bone screw fixation assembly, bone screw therefor and method of fixation
US4938760A (en) * 1989-03-29 1990-07-03 American Medical Systems, Inc. Female suspension procedure
US4927421A (en) * 1989-05-15 1990-05-22 Marlowe Goble E Process of endosteal fixation of a ligament
US5053047A (en) 1989-05-16 1991-10-01 Inbae Yoon Suture devices particularly useful in endoscopic surgery and methods of suturing
US5011473A (en) 1989-06-06 1991-04-30 Mitek Surgical Products Inc. Device for securing and positioning a wire to a needle
US5002550A (en) 1989-06-06 1991-03-26 Mitek Surgical Products, Inc. Suture anchor installation tool
US4946468A (en) * 1989-06-06 1990-08-07 Mitek Surgical Products, Inc. Suture anchor and suture anchor installation tool
US5129906A (en) 1989-09-08 1992-07-14 Linvatec Corporation Bioabsorbable tack for joining bodily tissue and in vivo method and apparatus for deploying same
DE3936703A1 (en) 1989-11-03 1991-05-08 Lutz Biedermann BONE SCREW
US5080543A (en) 1990-01-08 1992-01-14 Engineered Construction Components (America) Inc. Fastening sleeves and fastening systems employing same
US5015250A (en) 1990-01-12 1991-05-14 Vance Products Incorporated Medical instrument for driving a suture needle
FR2658414B1 (en) 1990-02-19 1992-07-31 Sofamor IMPLANT FOR OSTEOSYNTHESIS DEVICE IN PARTICULAR OF THE RACHIS.
US5013316A (en) 1990-03-26 1991-05-07 Marlowe Goble E Soft tissue anchor system
DE4014522A1 (en) 1990-05-07 1991-11-14 Fischer Artur Werke Gmbh FASTENING ELEMENT FOR ANCHORING IN A DRILL HOLE OF A CONCRETE PART
US5102421A (en) 1990-06-14 1992-04-07 Wm. E. Anpach, III Suture anchor and method of forming
US5041129A (en) 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
US5224946A (en) 1990-07-02 1993-07-06 American Cyanamid Company Bone anchor and method of anchoring a suture to a bone
US5236445A (en) 1990-07-02 1993-08-17 American Cyanamid Company Expandable bone anchor and method of anchoring a suture to a bone
US5269809A (en) 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
US5037422A (en) 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
DK0465910T3 (en) 1990-07-13 1996-03-11 Acufex Microsurgical Inc improved suture anchor and insertion device
US5258016A (en) 1990-07-13 1993-11-02 American Cyanamid Company Suture anchor and driver assembly
US5100417A (en) 1990-07-13 1992-03-31 American Cyanamid Company Suture anchor and driver assembly
US5100405A (en) 1990-09-07 1992-03-31 Mclaren Alexander C Locking cap for medical implants
US5725529A (en) * 1990-09-25 1998-03-10 Innovasive Devices, Inc. Bone fastener
DE69130681T2 (en) 1990-09-25 1999-06-10 Innovasive Devices Inc BONE FIXING DEVICE
US5122133A (en) 1990-10-26 1992-06-16 Smith & Nephew Richards Inc. Compression screw for a joint endoprosthesis
US5085661A (en) 1990-10-29 1992-02-04 Gerald Moss Surgical fastener implantation device
US5078730A (en) 1990-11-06 1992-01-07 Mitek Surgical Products, Inc. Holder for suture anchor assembly
DE4106823C1 (en) 1991-03-04 1992-06-25 Liebscher Kunststofftechnik, 8032 Graefelfing, De
CA2063159C (en) 1991-03-22 1999-06-15 Thomas W. Sander Orthopedic fastener
US5480403A (en) 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
US5354298A (en) 1991-03-22 1994-10-11 United States Surgical Corporation Suture anchor installation system
US5071420A (en) 1991-04-25 1991-12-10 Depuy Du Pont Orthopaedics Isometry testing device
US5144961A (en) 1991-07-11 1992-09-08 Ethicon, Inc. Endoscopic ligating device
US5167664A (en) 1991-08-26 1992-12-01 Zimmer, Inc. Ratcheting bone screw
US5131533A (en) 1991-08-28 1992-07-21 Ethicon, Inc. Needle park
US5207679A (en) 1991-09-26 1993-05-04 Mitek Surgical Products, Inc. Suture anchor and installation tool
US5167665A (en) 1991-12-31 1992-12-01 Mckinney William W Method of attaching objects to bone
US5156616A (en) 1992-02-10 1992-10-20 Meadows Bruce F Apparatus and method for suture attachment
US5217486A (en) 1992-02-18 1993-06-08 Mitek Surgical Products, Inc. Suture anchor and installation tool
GB2266246B (en) 1992-03-27 1996-08-07 Jesse Shirley & Son Limited Fracture fixation device
US5176682A (en) 1992-06-01 1993-01-05 Chow James C Y Surgical implement
JP2552020Y2 (en) 1992-09-18 1997-10-27 ポップリベット・ファスナー株式会社 Plastic clip
US5441502A (en) 1993-02-17 1995-08-15 Mitek Surgical Products, Inc. System and method for re-attaching soft tissue to bone
US5423860A (en) * 1993-05-28 1995-06-13 American Cyanamid Company Protective carrier for suture anchor
CA2124996C (en) 1993-06-21 2006-01-31 Thomas W. Sander Orthopedic fastener applicator
US5522844A (en) 1993-06-22 1996-06-04 Johnson; Lanny L. Suture anchor, suture anchor installation device and method for attaching a suture to a bone
US5531699A (en) 1994-09-19 1996-07-02 Abbott Laboratories Spring-loaded reciprocable stylet holder
US5534011A (en) 1994-10-27 1996-07-09 Vesica Medical, Inc. Method and apparatus for threading a suture anchor
US5649963A (en) * 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
US5584860A (en) 1995-02-15 1996-12-17 Mitek Surgical Products, Inc. Suture anchor loader and driver
US5643320A (en) 1995-03-13 1997-07-01 Depuy Inc. Soft tissue anchor and method
DE19509966A1 (en) 1995-03-18 1996-09-19 Frank Ullrich Schuetz Stapler and nail for surgery
US5667513A (en) 1995-06-07 1997-09-16 Smith & Nephew Dyonics Inc. Soft tissue anchor delivery apparatus
US5662658A (en) 1996-01-19 1997-09-02 Mitek Surgical Products, Inc. Bone anchor inserter, method for loading same, method for holding and delivering a bone anchor, and method for inserting a bone anchor in a bone

Also Published As

Publication number Publication date
EP0834280B1 (en) 2004-01-02
DE69727015D1 (en) 2004-02-05
DE69727015T2 (en) 2004-11-25
ES2210442T3 (en) 2004-07-01
CA2217435A1 (en) 1998-04-04
EP0834280A1 (en) 1998-04-08
US5928244A (en) 1999-07-27

Similar Documents

Publication Publication Date Title
CA2217435C (en) Tissue fastener implantation apparatus and method
AU2001292671B2 (en) Knotless tissue anchor
US5948001A (en) System for suture anchor placement
US5948000A (en) System for suture anchor placement
US5993459A (en) Suture anchor installation system with insertion tool
AU2001292671A1 (en) Knotless tissue anchor
CA2124996C (en) Orthopedic fastener applicator
EP0804124B1 (en) Suture anchor assembly and methods
US5643321A (en) Suture anchor assembly and methods
CA2179026C (en) Suture anchor device
JP4434316B2 (en) Suture anchor assembly
AU719525B2 (en) Freely separable surgical drill guide and plate
US20080140118A1 (en) Knotless tissue anchor
JP2007512092A (en) Devices and methods for attaching soft tissue to bone
WO2006110530A2 (en) Suture anchor and suture anchor installation tool
JPH06505888A (en) bone fastener
CA2523111C (en) Suture anchor installation system with disposable loading unit
AU2007249114A1 (en) Knotless tissue anchor

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20141006

MKLA Lapsed

Effective date: 20141006