WO2013010283A3 - Method of fastening a soft tissue graft in an opening provided in a human or animal bone and fastener suitable for the method - Google Patents

Method of fastening a soft tissue graft in an opening provided in a human or animal bone and fastener suitable for the method Download PDF

Info

Publication number
WO2013010283A3
WO2013010283A3 PCT/CH2012/000158 CH2012000158W WO2013010283A3 WO 2013010283 A3 WO2013010283 A3 WO 2013010283A3 CH 2012000158 W CH2012000158 W CH 2012000158W WO 2013010283 A3 WO2013010283 A3 WO 2013010283A3
Authority
WO
WIPO (PCT)
Prior art keywords
graft
fastener
end portion
bone
anchoring
Prior art date
Application number
PCT/CH2012/000158
Other languages
French (fr)
Other versions
WO2013010283A2 (en
Inventor
Andrea Müller
Andreas Wenger
Jörg Mayer
Original Assignee
Sportwelding Gmbh
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 Sportwelding Gmbh filed Critical Sportwelding Gmbh
Priority to EP12737189.6A priority Critical patent/EP2734136B1/en
Priority to CN201280035819.0A priority patent/CN103702629B/en
Priority to BR112014001183-4A priority patent/BR112014001183B1/en
Priority to JP2014520484A priority patent/JP6149033B2/en
Priority to US14/232,640 priority patent/US10271943B2/en
Publication of WO2013010283A2 publication Critical patent/WO2013010283A2/en
Publication of WO2013010283A3 publication Critical patent/WO2013010283A3/en
Priority to HK14111612.9A priority patent/HK1198117A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8645Headless screws, e.g. ligament interference screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/866Material or manufacture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor
    • A61F2002/0823Modular anchors comprising a plurality of separate parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor
    • A61F2002/0823Modular anchors comprising a plurality of separate parts
    • A61F2002/0835Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges

Abstract

A soft tissue graft (1) suitable e.g. for replacing a tendon or ligament is fastened in a bone opening (3) provided in a human or animal patient by press-fitting an end portion of the graft (1) and a fastener (4/5) into the bone opening (3) such that the graft end portion is pressed against a first portion of the bone wall inside the bone opening (3), by then anchoring the fastener (4/5) in a second portion of the bone wall by liquefying a material having thermoplastic properties comprised by the fastener (4/5) and making it to penetrate into the bone wall, and by tying the end portion of the graft (1) to the fastener (4/5) with the aid of at least one suture (2.2) extending from the graft end portion. The step of tying is carried out after the step of anchoring, during the step of anchoring or between the step of anchoring and the step of press-fitting. The tied connection between the fastener (4/5) and the graft end portion successfully counteracts potential graft slipping.
PCT/CH2012/000158 2011-07-18 2012-07-10 Method of fastening a soft tissue graft in an opening provided in a human or animal bone and fastener suitable for the method WO2013010283A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
EP12737189.6A EP2734136B1 (en) 2011-07-18 2012-07-10 Fastening for a soft tissue graft in an opening provided in a human or animal bone
CN201280035819.0A CN103702629B (en) 2011-07-18 2012-07-10 Method soft tissue graft thing being fastened in the hole on people's bone or Animal Bone and the retention mechanism suitable for this method
BR112014001183-4A BR112014001183B1 (en) 2011-07-18 2012-07-10 FASTENER FOR FIXING AN END PORTION OF A SOFT TISSUE GRAFT IN AN OPENING PROVIDED IN A BONE OF A HUMAN OR ANIMAL PATIENT
JP2014520484A JP6149033B2 (en) 2011-07-18 2012-07-10 Method for fastening a soft tissue graft to an opening provided in a bone of a human or animal, and a fastener suitable for the method
US14/232,640 US10271943B2 (en) 2011-07-18 2012-07-10 Method of fastening a soft tissue graft in an opening provided in a human or animal bone and fastener suitable for the method
HK14111612.9A HK1198117A1 (en) 2011-07-18 2014-11-17 Method of fastening a soft tissue graft in an opening provided in a human or animal bone and fastener suitable for the method

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201161508791P 2011-07-18 2011-07-18
US61/508,791 2011-07-18

Publications (2)

Publication Number Publication Date
WO2013010283A2 WO2013010283A2 (en) 2013-01-24
WO2013010283A3 true WO2013010283A3 (en) 2013-06-06

Family

ID=46545199

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CH2012/000158 WO2013010283A2 (en) 2011-07-18 2012-07-10 Method of fastening a soft tissue graft in an opening provided in a human or animal bone and fastener suitable for the method

Country Status (7)

Country Link
US (1) US10271943B2 (en)
EP (1) EP2734136B1 (en)
JP (1) JP6149033B2 (en)
CN (1) CN103702629B (en)
BR (1) BR112014001183B1 (en)
HK (1) HK1198117A1 (en)
WO (1) WO2013010283A2 (en)

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ES2690276T3 (en) * 2010-09-21 2018-11-20 Spinewelding Ag Device to repair a human or animal joint
CN106061438A (en) * 2013-12-30 2016-10-26 纽约干细胞基金会 Tissue grafts and methods of making and using the same
US10722270B2 (en) * 2015-09-30 2020-07-28 Spinewelding Ag System comprising a medical apparatus and a medical device, medical apparatus and surgical method
EP3435920A4 (en) 2016-04-01 2019-12-04 New York Stem Cell Foundation, Inc. Customized hybrid bone-implant grafts
BR112020003517B1 (en) 2017-08-23 2023-12-05 Avery Dennison Corporation Graphic product based on pigmented PVC
CN113865817B (en) * 2021-09-30 2023-06-27 电子科技大学 Use method of phenolic aldehyde laminated cloth rod in osteotomy vibration test

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WO1997029706A1 (en) * 1996-02-16 1997-08-21 Smith & Nephew, Inc. Graft anchor
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Also Published As

Publication number Publication date
BR112014001183A2 (en) 2017-02-21
EP2734136B1 (en) 2021-10-27
CN103702629A (en) 2014-04-02
EP2734136A2 (en) 2014-05-28
CN103702629B (en) 2018-02-27
JP6149033B2 (en) 2017-06-14
JP2014527844A (en) 2014-10-23
US20140222147A1 (en) 2014-08-07
BR112014001183B1 (en) 2021-08-03
US10271943B2 (en) 2019-04-30
WO2013010283A2 (en) 2013-01-24
HK1198117A1 (en) 2015-03-13

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