WO1999058073A1 - Bone augmentation device - Google Patents
Bone augmentation device Download PDFInfo
- Publication number
- WO1999058073A1 WO1999058073A1 PCT/EP1998/002761 EP9802761W WO9958073A1 WO 1999058073 A1 WO1999058073 A1 WO 1999058073A1 EP 9802761 W EP9802761 W EP 9802761W WO 9958073 A1 WO9958073 A1 WO 9958073A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- range
- curvature
- bone
- plate
- edges
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- 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
- A61B2017/0404—Buttons
-
- 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
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
-
- 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
Definitions
- This invention concerns a bone augmentation device in accordance with the pre-characterising portion of Claim 1.
- Such bone augmentation devices are used for attachment of soft tissues to bone by means of commonly used sutures. Attachment of soft tissue to bone is a technique frequently required in orthopaedic surgical procedures. It is used in repair of soft tissue avulsions from bone as well as in reconstructive procedures. Augmentation devices are used in particular for attachment of avulsed tendons, ligaments and joint capsules to bone . They are indicated for the following fields of application:
- the shoulder is dislocated more frequently than any other human joint causing limitation of motion and pain in athletes and nonathletes of all ages.
- Another known method for soft tissue attachment to bone is the use of surgical staples which, however, have a tendency to cut through the bone and tendon.
- the invention as claimed aims at solving the above described problems .
- the present invention provides a bone augmentation device as defined in Claim 1.
- the device according to the invention prevents the suture from cutting through the bone and prevents gapping between the soft tissue (tendon) and bone which would result in a poor healing. The consequence is that a stable repair will facilitate healing. 3
- the device according to the invention consists of a perforated curved plate having a curvature Rp L in the range of 25 to 100 mm.
- the curvature Rp L should be in the range of 35 to 70 mm, preferably in the range of 45 to 55 mm.
- edges at the outer periphery of the plate are rounded with a curvature Rgp in the range of 0,2 to 0,7 mm and the edges of the through holes are rounded with a curvature R EH in the range of 0,2 to 0,8 mm.
- the curvature Ep of the peripheral edges purposefully is chosen in the range of 0,25 to 0,50 mm and preferably in the range of 0,3 to 0,4 mm.
- the curvature R EH of the edges of the through holes purposefully is chosen in the range of 0,30 to 0,50 mm and preferably in the range of 0,35 to 0,45 mm.
- the maximum thickness of the plate is below 1 mm and preferably below 0,75 mm.
- the maximum convex surface area F of the plate - including the area of the through holes - should be in the range of 100 - 250 mm 2 , preferably in the range of 125 - 175 mm 2 .
- the device according to the invention needs at least one through hole and preferably at least two through holes .
- the through holes should have a diameter in the range of 1,70 to 2,00 mm and preferably in the range of 1,80 to 1,90 mm.
- the minimum distance between two centres of the through holes is in the range of 3,0 to 4,3 mm and preferably in the range of 3,4 to 3,8 mm.
- the device may be made of any recognised implant material but titanium is preferred because it can withstand higher loads compared to plastic materials. Alternatively titanium offers the possiblity to design plates with reduced height.
- Fig. 1 is a top view of the device according to the invention.
- Fig is a section along line II -II of Fig. 1;
- Fig. 3 is a section along line III-III of Fig. 1 5
- Figures 1 to 3 show a bone augmentation device for attachment of soft tissues to bone by means of sutures consisting of a curved plate 1 wholly made of titanium with a thickness of 0,7 mm.
- the plate 1 is provided with seven through holes 2 with a diameter of 1,85 mm and whose centres are regularly spaced at 3 , 6 mm from each other.
- the plate 1 lies in a curved plane 3 having a curvature R pL of 50 mm.
- the outer edges 4 of the plate 1 are rounded with a curvature R Ep of 0,35 mm and the edges 5 of the through holes 2 are also rounded with a curvature R EH of 0,4 mm.
- the plate 1 has a maximum convex surface area F - including the area of the through holes 2 - of approximately 150 mm 2 .
- the tendon attachment site is selected by the surgeon. Using a burr, a trough which will later receive the tendon stump is selected. Holes are created in the bone at the desired attachment site. Suture stitches are created in the tendon, the end of the sutures are passed through the holes in the bone. The sutures are passed through the appropriate holes of the augmentation device. As the knots are tied the avulsed tendon and augmentation device are pulled onto the bone. the resulting repair is very stable and does not allow gapping between the end of the tendon and bone. 6
Abstract
Description
Claims
Priority Applications (12)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE69817405T DE69817405T2 (en) | 1998-05-12 | 1998-05-12 | BONE REINFORCING DEVICE |
CA002332020A CA2332020C (en) | 1998-05-12 | 1998-05-12 | Bone augmentation device |
ES98930681T ES2205513T3 (en) | 1998-05-12 | 1998-05-12 | OSEA INCREASE DEVICE. |
AU81038/98A AU733432B2 (en) | 1998-05-12 | 1998-05-12 | Bone augmentation device |
JP2000547926A JP4193964B2 (en) | 1998-05-12 | 1998-05-12 | Device for attaching ligament tissue to bone by suturing |
PCT/EP1998/002761 WO1999058073A1 (en) | 1998-05-12 | 1998-05-12 | Bone augmentation device |
EP98930681A EP1077652B1 (en) | 1998-05-12 | 1998-05-12 | Bone augmentation device |
AT98930681T ATE247427T1 (en) | 1998-05-12 | 1998-05-12 | BONE REINFORCEMENT DEVICE |
DK98930681T DK1077652T3 (en) | 1998-05-12 | 1998-05-12 | Device for bone augmentation |
BR9815848-1A BR9815848A (en) | 1998-05-12 | 1998-05-12 | Bone growth device |
ARP990102232A AR016476A1 (en) | 1998-05-12 | 1999-05-12 | A DEVICE FOR THE FIXATION OF SOFT FABRICS TO BONES BY MEANS OF SUTURES |
US09/709,733 US6344042B1 (en) | 1998-05-12 | 2000-11-13 | Bone augmentation device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/EP1998/002761 WO1999058073A1 (en) | 1998-05-12 | 1998-05-12 | Bone augmentation device |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/709,733 Continuation US6344042B1 (en) | 1998-05-12 | 2000-11-13 | Bone augmentation device |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1999058073A1 true WO1999058073A1 (en) | 1999-11-18 |
Family
ID=8166955
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP1998/002761 WO1999058073A1 (en) | 1998-05-12 | 1998-05-12 | Bone augmentation device |
Country Status (11)
Country | Link |
---|---|
US (1) | US6344042B1 (en) |
EP (1) | EP1077652B1 (en) |
JP (1) | JP4193964B2 (en) |
AR (1) | AR016476A1 (en) |
AT (1) | ATE247427T1 (en) |
AU (1) | AU733432B2 (en) |
CA (1) | CA2332020C (en) |
DE (1) | DE69817405T2 (en) |
DK (1) | DK1077652T3 (en) |
ES (1) | ES2205513T3 (en) |
WO (1) | WO1999058073A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2815843A1 (en) * | 2000-10-27 | 2002-05-03 | Implants & Instr Chirurg | Protector for sutures passing through bone, for use in reinsertion of ligaments into rotating bones, comprises titanium alloy plate with apertures through which sutures pass, so that when they are tied off they no longer contact bone |
Families Citing this family (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ATE415885T1 (en) * | 2000-06-09 | 2008-12-15 | Synthes Gmbh | PLASTIC IMPLANT FOR OSTEOSYNTHESIS |
US7255700B2 (en) * | 2003-06-18 | 2007-08-14 | Biomet Sports Medicine, Inc. | Device and method of fastening a graft to a bone |
US7931695B2 (en) * | 2003-07-15 | 2011-04-26 | Kensey Nash Corporation | Compliant osteosynthesis fixation plate |
US7604657B2 (en) * | 2005-09-19 | 2009-10-20 | Depuy Products, Inc. | Bone fixation plate with complex suture anchor locations |
US8394130B2 (en) | 2005-03-17 | 2013-03-12 | Biomet C.V. | Modular fracture fixation system |
US7344538B2 (en) * | 2005-03-31 | 2008-03-18 | Depuy Products, Inc. | Mid-foot fixation plate |
US20070038299A1 (en) * | 2005-08-12 | 2007-02-15 | Arthrotek, Inc | Multilayer microperforated implant |
US20070123984A1 (en) * | 2005-10-26 | 2007-05-31 | Zimmer Technology, Inc. | Ligament attachment and repair device |
US20070270849A1 (en) * | 2006-04-21 | 2007-11-22 | Orbay Jorge L | Fixation Plate With Multifunctional Holes |
US20080234749A1 (en) * | 2007-01-26 | 2008-09-25 | Zimmer Technology, Inc. | Bone plate providing threaded locking head screw capture |
US8267973B2 (en) | 2008-02-27 | 2012-09-18 | Shoulder Options, Inc. | Fixable suture anchor plate and method for tendon-to-bone repair |
US8808292B2 (en) * | 2008-11-11 | 2014-08-19 | Zimmer Gmbh | Orthopedic screw |
US8828063B2 (en) | 2008-11-19 | 2014-09-09 | Amei Technologies, Inc. | Fixation plate for use in the Lapidus approach |
JP5634501B2 (en) * | 2009-05-05 | 2014-12-03 | シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツングSynthes Gmbh | Nail locking system |
RU2476180C2 (en) * | 2011-05-05 | 2013-02-27 | Владимир Васильевич Хоминец | Device for osteosynthesis of bone fractures |
US8926661B2 (en) * | 2011-06-02 | 2015-01-06 | Smith & Nephew, Inc. | Surgical fastening |
JP2016513566A (en) | 2013-03-15 | 2016-05-16 | スミス アンド ネフュー インコーポレーテッドSmith & Nephew,Inc. | Surgical fixation device |
US9549729B2 (en) * | 2015-02-06 | 2017-01-24 | Coloplast A/S | System for implanting a penile prosthetic includes a suture and a needle inserted into a tool |
EP3308736B1 (en) * | 2015-06-09 | 2022-04-06 | She, Chengxin | Fixing bone plate |
DE202016008476U1 (en) | 2015-10-09 | 2018-02-08 | Königsee Implantate GmbH | Osteosynthesis plate for fracture supply to the humeral head |
US10729474B2 (en) | 2016-09-14 | 2020-08-04 | K2M, Inc. | Bone plates, systems, and methods of use |
US10813755B2 (en) * | 2017-04-27 | 2020-10-27 | Medtronic, Inc. | Methods and devices for locking a stent frame to a delivery device |
CA3099727A1 (en) * | 2018-05-16 | 2019-11-21 | Zurimed Technologies Ag | Single strand self-locking suspension device for medical use |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR1550029A (en) * | 1967-01-10 | 1968-12-13 | ||
FR2422386A1 (en) * | 1978-04-13 | 1979-11-09 | Christian Buscayret | Device for fastening suture into tissue - has rectangular body with two perforations accommodating suture and two protuberances engaging tissue |
DE3211682A1 (en) * | 1982-03-30 | 1983-10-13 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Device for fixing a wire end to a bone |
EP0520177A1 (en) * | 1991-05-24 | 1992-12-30 | Synthes AG, Chur | Resorbable tendon and bone augmentation device |
WO1993019678A2 (en) * | 1991-12-03 | 1993-10-14 | Vesitec Medical, Inc. | Surgical treatment of stress urinary incontinence |
US5306301A (en) * | 1993-02-11 | 1994-04-26 | American Cyanamid Company | Graft attachment device and method of using same |
WO1996004852A1 (en) * | 1994-08-10 | 1996-02-22 | Northrup William F Iii | Apparatus for reducing circumference of vascular structure |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3735763A (en) | 1967-01-10 | 1973-05-29 | Amp Inc | Hemostat |
US5364399A (en) * | 1993-02-05 | 1994-11-15 | Danek Medical, Inc. | Anterior cervical plating system |
IT1271079B (en) * | 1994-11-22 | 1997-05-26 | Lucio Martinotti | RETINA FOR ORTHOPEDIC-TRAUMATOLOGICAL SURGERY |
-
1998
- 1998-05-12 EP EP98930681A patent/EP1077652B1/en not_active Expired - Lifetime
- 1998-05-12 CA CA002332020A patent/CA2332020C/en not_active Expired - Fee Related
- 1998-05-12 DK DK98930681T patent/DK1077652T3/en active
- 1998-05-12 JP JP2000547926A patent/JP4193964B2/en not_active Expired - Lifetime
- 1998-05-12 WO PCT/EP1998/002761 patent/WO1999058073A1/en active Search and Examination
- 1998-05-12 ES ES98930681T patent/ES2205513T3/en not_active Expired - Lifetime
- 1998-05-12 DE DE69817405T patent/DE69817405T2/en not_active Expired - Lifetime
- 1998-05-12 AU AU81038/98A patent/AU733432B2/en not_active Ceased
- 1998-05-12 AT AT98930681T patent/ATE247427T1/en not_active IP Right Cessation
-
1999
- 1999-05-12 AR ARP990102232A patent/AR016476A1/en active IP Right Grant
-
2000
- 2000-11-13 US US09/709,733 patent/US6344042B1/en not_active Expired - Lifetime
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR1550029A (en) * | 1967-01-10 | 1968-12-13 | ||
FR2422386A1 (en) * | 1978-04-13 | 1979-11-09 | Christian Buscayret | Device for fastening suture into tissue - has rectangular body with two perforations accommodating suture and two protuberances engaging tissue |
DE3211682A1 (en) * | 1982-03-30 | 1983-10-13 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Device for fixing a wire end to a bone |
EP0520177A1 (en) * | 1991-05-24 | 1992-12-30 | Synthes AG, Chur | Resorbable tendon and bone augmentation device |
WO1993019678A2 (en) * | 1991-12-03 | 1993-10-14 | Vesitec Medical, Inc. | Surgical treatment of stress urinary incontinence |
US5306301A (en) * | 1993-02-11 | 1994-04-26 | American Cyanamid Company | Graft attachment device and method of using same |
WO1996004852A1 (en) * | 1994-08-10 | 1996-02-22 | Northrup William F Iii | Apparatus for reducing circumference of vascular structure |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2815843A1 (en) * | 2000-10-27 | 2002-05-03 | Implants & Instr Chirurg | Protector for sutures passing through bone, for use in reinsertion of ligaments into rotating bones, comprises titanium alloy plate with apertures through which sutures pass, so that when they are tied off they no longer contact bone |
Also Published As
Publication number | Publication date |
---|---|
ES2205513T3 (en) | 2004-05-01 |
AU8103898A (en) | 1999-11-29 |
AU733432B2 (en) | 2001-05-17 |
DE69817405T2 (en) | 2004-06-24 |
AR016476A1 (en) | 2001-07-04 |
US6344042B1 (en) | 2002-02-05 |
DK1077652T3 (en) | 2003-11-10 |
DE69817405D1 (en) | 2003-09-25 |
CA2332020A1 (en) | 1999-11-18 |
EP1077652A1 (en) | 2001-02-28 |
JP2002514462A (en) | 2002-05-21 |
ATE247427T1 (en) | 2003-09-15 |
CA2332020C (en) | 2006-12-05 |
EP1077652B1 (en) | 2003-08-20 |
JP4193964B2 (en) | 2008-12-10 |
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