CA2303853A1 - Acl fixation pin and method - Google Patents

Acl fixation pin and method Download PDF

Info

Publication number
CA2303853A1
CA2303853A1 CA002303853A CA2303853A CA2303853A1 CA 2303853 A1 CA2303853 A1 CA 2303853A1 CA 002303853 A CA002303853 A CA 002303853A CA 2303853 A CA2303853 A CA 2303853A CA 2303853 A1 CA2303853 A1 CA 2303853A1
Authority
CA
Canada
Prior art keywords
pin
tunnel
replacement ligament
taper
bone
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.)
Granted
Application number
CA002303853A
Other languages
French (fr)
Other versions
CA2303853C (en
Inventor
Ron Clark
Jerry L. Lower
Raymond E. Olsen
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.)
Ethicon Inc
Original Assignee
Depuy Orthopaedics, Inc.
Ron Clark
Jerry L. Lower
Raymond E. Olsen
Ethicon, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Depuy Orthopaedics, Inc., Ron Clark, Jerry L. Lower, Raymond E. Olsen, Ethicon, Inc. filed Critical Depuy Orthopaedics, Inc.
Publication of CA2303853A1 publication Critical patent/CA2303853A1/en
Application granted granted Critical
Publication of CA2303853C publication Critical patent/CA2303853C/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
    • A61F2/0805—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
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying 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
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • 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
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
    • 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
    • A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

A pin (20) and method for use are provided for securing a replacement ligament (24) inside a tunnel (10) of a receptor bone (36). A
threaded section (30) of the pin (20) engages and anchors the pin (20) in the receptor bone (36). A first taper (26) opposite the threaded section (30) is configured to enter a drilled hole (14) which is transverse to the tunnel (10), capture a looped replacement ligament (24), and extend into the medial side (25) of the receptor bone (36). A second taper (28) urges the replacement ligament (24) against the wall (15) of the tunnel (10) and provides resistance when the second taper (28) contacts the medial side (25) of the bone (36), thus signaling that the pin (20) has been inserted to the proper depth. The body (21) of the pin (20) secures the looped replacement ligament (24) in the tunnel (10) and holds the replacement ligament (24) in contact with the wall (15) of the tunnel (10) to insure ingrowth.
CA002303853A 1997-09-24 1998-09-24 Acl fixation pin and method Expired - Fee Related CA2303853C (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US5987797P 1997-09-24 1997-09-24
US60/059,877 1997-09-24
US7840498P 1998-03-18 1998-03-18
US60/078,404 1998-03-18
PCT/US1998/019931 WO1999015095A1 (en) 1997-09-24 1998-09-24 Acl fixation pin and method

Publications (2)

Publication Number Publication Date
CA2303853A1 true CA2303853A1 (en) 1999-04-01
CA2303853C CA2303853C (en) 2007-01-30

Family

ID=26739308

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002303853A Expired - Fee Related CA2303853C (en) 1997-09-24 1998-09-24 Acl fixation pin and method

Country Status (7)

Country Link
US (2) US6306138B1 (en)
EP (1) EP1024763B1 (en)
JP (1) JP4097895B2 (en)
AU (1) AU739276B2 (en)
CA (1) CA2303853C (en)
DE (1) DE69822185T2 (en)
WO (1) WO1999015095A1 (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7896907B2 (en) 1999-07-23 2011-03-01 Ethicon, Inc. System and method for attaching soft tissue to bone
US8834543B2 (en) 2000-11-16 2014-09-16 Depuy Mitek, Llc Apparatus and method for attaching soft tissue to bone
US9510816B2 (en) 1999-08-10 2016-12-06 Depuy Mitek, Llc Self-locking suture anchor
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

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US7077863B2 (en) * 1997-02-12 2006-07-18 Arthrex, Inc. Transverse fixation technique for ACL reconstruction using bone-tendon-bone graft with loop at end
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US6752830B1 (en) * 1999-07-20 2004-06-22 Ethicon, Inc. Apparatus and method for reconstructing a ligament
US6499486B1 (en) * 1999-07-29 2002-12-31 Ethicon, Inc. Method for reconstructing a ligament
EP1769750A1 (en) * 1999-08-10 2007-04-04 Ethicon, Inc. Apparatus for reconstructing a ligament
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US8491600B2 (en) 1999-07-23 2013-07-23 Depuy Mitek, Llc System and method for attaching soft tissue to bone
US9510816B2 (en) 1999-08-10 2016-12-06 Depuy Mitek, Llc Self-locking suture anchor
US8834543B2 (en) 2000-11-16 2014-09-16 Depuy Mitek, Llc Apparatus and method for attaching soft tissue to bone
US9757114B2 (en) 2000-11-16 2017-09-12 Depuy Mitek, Llc Apparatus and method for attaching soft tissue to bone
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
US10813633B2 (en) 2006-08-04 2020-10-27 DePuy Synthes Products, Inc. Suture anchor system with tension relief mechanism
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DE69822185T2 (en) 2004-10-14
AU9577398A (en) 1999-04-12
US6780188B2 (en) 2004-08-24
EP1024763B1 (en) 2004-03-03
CA2303853C (en) 2007-01-30
JP2001517477A (en) 2001-10-09
AU739276B2 (en) 2001-10-11
EP1024763A1 (en) 2000-08-09
DE69822185D1 (en) 2004-04-08
WO1999015095A1 (en) 1999-04-01
JP4097895B2 (en) 2008-06-11
EP1024763A4 (en) 2002-06-26
US20020058941A1 (en) 2002-05-16
US6306138B1 (en) 2001-10-23

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