Tissue fixation system and method

• US 10,390,817 B2
• Filed: 06/30/2016
• Issued: 08/27/2019
• Est. Priority Date: 02/13/2007
• Status: Active Grant

• Current Assignee: P TECH, LLC
• Original Assignee: P TECH, LLC
• Inventors: Bonutti, Peter M., Bonutti, Hank, Ruholl, Kevin, Phillips, Glen A.
• Primary Examiner(s): Dang, Phong Son H
• Application Number:
  US15/198,151
• Publication Number:
  US 20160310133A1
• Time in Patent Office: 1,153 Days
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/683 comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
• CPC Class Codes: A61B 17/82 for bone cerclage apparatus for manipulating wires or straps A61B17/8861; wires, bands or straps other than cerclage A61B17/842
• CPC Class Codes: A61B 17/8863 Apparatus for shaping or cutting osteosynthesis equipment by medical personnel
• CPC Class Codes: A61B 17/8869 Tensioning devices
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0462 One way system, i.e. also tensioning the suture
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. A medical device is used to secure the fastener to the elongate fastening member. The medical device includes a tensioning mechanism for tensioning the elongate fastening member. As crimping mechanism is used to secure the fastener to the elongated member, where a cutting mechanism cut the excess portion of the elongated member.

Claims

1. A system for securing body tissue, comprising:

an elongate member, wherein the elongate member is configured to secure at least one of a tissue, bone, and implant; and

a medical device configured to tension the elongate member, the medical device comprised of;

a handle;

an outer tube, fixed in position relative to the handle, including first and second ends and defining a longitudinal passage along a central longitudinal axis, wherein the second end of the outer tube is disposed in the handle, and wherein the elongate member is configured to enter the first end of the longitudinal passage of the outer tube, and pass at least partially through the longitudinal passage in the outer tube; and

a tensioning mechanism disposed on the handle of the medical device, the tensioning mechanism comprising;

a rotation assembly;

at least one biasing member configured to apply a tension force to the elongate member; and

a rotatable shaft positioned along an axis perpendicular to and intersecting the axis defined by the longitudinal passage of the outer tube, the rotatable shaft having an open end slotted aperture through which the elongate member is configured to be captured and secured,

wherein rotational actuation of the rotation assembly of the tensioning mechanism applies tension to the elongate member as the rotation assembly wraps the elongate member around the rotatable shaft.

2. A system for securing body tissue as set forth in claim 1, further comprising the tensioning mechanism having a locking assembly, wherein the locking assembly of the tensioning mechanism is configured to at least one of maintain tension in the elongate member and prevent reversing of the rotation assembly.

3. A system for securing body tissue as set forth in claim 1, wherein the elongate member is at least one of a suture, thread, and cable.

4. A system for securing body tissue as set forth in claim 3, wherein the elongate member is at least one of threadlike, multifilament, braided, and interlaced and comprised at least in part of polyethylene.

5. A system for securing body tissue as set forth in claim 1, further comprising a surgical robotic mechanism configured to operate the system.

6. A system for securing body tissue as set forth in claim 1, wherein the implant is at least one of a plate, anchor, and button.

7. A system for securing body tissue as set forth in claim 1, further comprising a tension limiting mechanism configured to restrict tensioning of the elongate member beyond a desired tension limit.

8. A system for securing body tissue as set forth in claim 1, wherein the system is configured to secure body tissue in anterior cruciate ligament surgery.

9. A system for securing body tissue as set forth in claim 1, wherein the tensioning mechanism further includes a torque controller.

10. A system for securing body tissue as set forth in claim 1, wherein the rotation assembly includes a knob.

11. A system for securing body tissue as set forth in claim 1, wherein the tissue is at least one of a graft, bone, cartilage, ligament and tendon.

12. A system for securing body tissue as set forth in claim 1, further comprising a mechanism configured to measure the tension applied to the elongate member.