WO2001049207A3 - Split-nut precision fasteners - Google Patents

Split-nut precision fasteners Download PDF

Info

Publication number
WO2001049207A3
WO2001049207A3 PCT/US2000/035682 US0035682W WO0149207A3 WO 2001049207 A3 WO2001049207 A3 WO 2001049207A3 US 0035682 W US0035682 W US 0035682W WO 0149207 A3 WO0149207 A3 WO 0149207A3
Authority
WO
WIPO (PCT)
Prior art keywords
split
nut
surgical procedures
devices
bolt
Prior art date
Application number
PCT/US2000/035682
Other languages
French (fr)
Other versions
WO2001049207A8 (en
WO2001049207A2 (en
Inventor
Yosef Freedland
Original Assignee
Yosef Freedland
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 Yosef Freedland filed Critical Yosef Freedland
Priority to AU27454/01A priority Critical patent/AU2745401A/en
Priority to EP00990426A priority patent/EP1411857A2/en
Publication of WO2001049207A2 publication Critical patent/WO2001049207A2/en
Publication of WO2001049207A8 publication Critical patent/WO2001049207A8/en
Publication of WO2001049207A3 publication Critical patent/WO2001049207A3/en

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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
    • A61B17/7225—Intramedullary pins, nails or other devices for bone lengthening or compression for bone compression
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • A61B17/7266—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—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
    • A61B2017/0414—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 a suture-receiving opening, e.g. lateral opening
    • 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
    • A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
    • 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
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • 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
    • A61F2002/0829—Modular anchors comprising a plurality of separate parts without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
    • 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
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0864—Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
    • 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
    • A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
    • 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
    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0007—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting length

Abstract

The present invention provides orthopedic devices useful in applying tension or compression to biological tissues, and facilitating surgical procedures. Various aspects of the invention include a split-nut fastener (36), a tension bolt (12), a suture nut (C1, C2), a pivot wing bolt (182), and a transverse impaction screw (238). Each of these devices reduces surgery time, improves the reliability of the tissue position and simplifies surgical procedures as compared to known devices.
PCT/US2000/035682 2000-01-03 2000-12-30 Split-nut precision fasteners WO2001049207A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU27454/01A AU2745401A (en) 2000-01-03 2000-12-30 Split-nut precision fasteners
EP00990426A EP1411857A2 (en) 2000-01-03 2000-12-30 Split-nut precision fasteners

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US17438600P 2000-01-03 2000-01-03
US60/174,386 2000-01-03
PCT/IB2000/000364 WO2001049189A1 (en) 2000-01-03 2000-03-28 Precision tension bolt
IBPCT/IB00/00364 2000-03-28

Publications (3)

Publication Number Publication Date
WO2001049207A2 WO2001049207A2 (en) 2001-07-12
WO2001049207A8 WO2001049207A8 (en) 2001-08-16
WO2001049207A3 true WO2001049207A3 (en) 2001-12-27

Family

ID=22635970

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/IB2000/000364 WO2001049189A1 (en) 1993-03-23 2000-03-28 Precision tension bolt
PCT/US2000/035682 WO2001049207A2 (en) 2000-01-03 2000-12-30 Split-nut precision fasteners

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/IB2000/000364 WO2001049189A1 (en) 1993-03-23 2000-03-28 Precision tension bolt

Country Status (3)

Country Link
EP (1) EP1411857A2 (en)
AU (2) AU3316300A (en)
WO (2) WO2001049189A1 (en)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0801956D0 (en) * 2008-02-02 2008-03-12 Imp Innovations Ltd Adjustable ligament graft fixation
US8821498B2 (en) * 2011-11-18 2014-09-02 Smith & Nephew, Inc. Ligament screw attachment device
US10016193B2 (en) 2013-11-18 2018-07-10 Edwards Lifesciences Ag Multiple-firing crimp device and methods for using and manufacturing same
US9498202B2 (en) * 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
CA2902233C (en) 2013-07-11 2021-01-12 Edwards Lifesciences Corporation Knotless suture fastener installation system
EP3151756B1 (en) 2014-05-30 2019-08-28 Edwards Lifesciences Corporation Systems for securing sutures
WO2016070191A1 (en) 2014-11-01 2016-05-06 Numagenesis, Llc (State Of North Carolina) Compression fixation system
EP3229703A4 (en) 2014-12-10 2018-09-05 Edwards Lifesciences AG Multiple-firing securing device and methods for using and manufacturing same
CN107106162B (en) 2014-12-24 2020-10-27 爱德华兹生命科学公司 Suture clip deployment device
US10470759B2 (en) 2015-03-16 2019-11-12 Edwards Lifesciences Corporation Suture securement devices
US10939905B2 (en) 2016-08-26 2021-03-09 Edwards Lifesciences Corporation Suture clips, deployment devices therefor, and methods of use
US10863980B2 (en) 2016-12-28 2020-12-15 Edwards Lifesciences Corporation Suture fastener having spaced-apart layers
US11478289B2 (en) 2018-05-04 2022-10-25 Numagenesis, Llc Compression fixation system

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US624969A (en) * 1899-05-16 Peter peterson
US2077804A (en) * 1936-05-19 1937-04-20 Morrison Gordon Monroe Device for treating fractures of the neck of the femur
US2485531A (en) * 1948-01-13 1949-10-18 Dzus William Surgical toggle bolt
US3744488A (en) * 1971-06-08 1973-07-10 J Cox Bone splint
US5108433A (en) * 1989-08-18 1992-04-28 Minnesota Mining And Manufacturing Company Tensioning means for prosthetic devices
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device
US5601562A (en) * 1995-02-14 1997-02-11 Arthrex, Inc. Forked insertion tool and metnod of arthroscopic surgery using the same
US5916216A (en) * 1995-06-07 1999-06-29 Wright Medical Technology, Inc. Graft fixation devices

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3903549A (en) * 1974-06-12 1975-09-09 William Minor Deyerle Acetabular cup prosthesis component for total or subtotal hip prosthesis system
FR2429009A1 (en) * 1978-06-21 1980-01-18 Roux Christiane PROSTHESIS FOR ARTICULATION, PARTICULARLY COXO-FEMORAL, ARTIFICIAL
US4721103A (en) * 1985-01-31 1988-01-26 Yosef Freedland Orthopedic device
US5098433A (en) * 1989-04-12 1992-03-24 Yosef Freedland Winged compression bolt orthopedic fastener
US5899906A (en) * 1996-01-18 1999-05-04 Synthes (U.S.A.) Threaded washer
US5755808A (en) * 1996-06-27 1998-05-26 Joint Medical Products, Corporation Connector plug for multi-component orthopedic implant
US5951605A (en) * 1996-07-01 1999-09-14 Rose Biomedical Research Method and apparatus for hip prosthesis
US6045361A (en) * 1997-03-05 2000-04-04 Biohorizons Implant Systems, Inc. Ball-topped screw for facilitating the making of an impression of a dental implant and method of using the same
US5919194A (en) * 1997-07-21 1999-07-06 Anderson; David L. Orthopaedic implant
US6099568A (en) * 1998-03-03 2000-08-08 Linvatec Corporation ACL graft fixation device and method
US6086591A (en) * 1999-01-29 2000-07-11 Smith & Nephew, Inc. Soft tissue anchor

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US624969A (en) * 1899-05-16 Peter peterson
US2077804A (en) * 1936-05-19 1937-04-20 Morrison Gordon Monroe Device for treating fractures of the neck of the femur
US2485531A (en) * 1948-01-13 1949-10-18 Dzus William Surgical toggle bolt
US3744488A (en) * 1971-06-08 1973-07-10 J Cox Bone splint
US5108433A (en) * 1989-08-18 1992-04-28 Minnesota Mining And Manufacturing Company Tensioning means for prosthetic devices
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device
US5601562A (en) * 1995-02-14 1997-02-11 Arthrex, Inc. Forked insertion tool and metnod of arthroscopic surgery using the same
US5916216A (en) * 1995-06-07 1999-06-29 Wright Medical Technology, Inc. Graft fixation devices

Also Published As

Publication number Publication date
EP1411857A2 (en) 2004-04-28
WO2001049207A8 (en) 2001-08-16
WO2001049207A2 (en) 2001-07-12
WO2001049189A1 (en) 2001-07-12
AU2745401A (en) 2001-07-16
AU3316300A (en) 2001-07-16

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