Means and method of implanting bioprosthetics

• US 4,400,833 A
• Filed: 06/10/1981
• Issued: 08/30/1983
• Est. Priority Date: 06/10/1981
• Status: Expired due to Fees

• Current Assignee: Baxter International Inc.
• Original Assignee: Kenneth Z. Kurland
• Inventors: Kurland, Kenneth Z.
• Primary Examiner(s): Frinks, Ronald L.
• Application Number:
  US06/272,134
• Time in Patent Office: 811 Days
• Field of Search: 3/1, 3/1.4, 3/1.5, 3/1.9-1.913, 128/334 R, 128/334 C, 128/1 R, 128/92 C
• US Class Current: 623/13.17
• CPC Class Codes: A61B 17/1146 of tendons
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61F 2/30 Joints
• CPC Class Codes: A61F 2002/0068 having a special mesh pattern
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61L 27/36 containing ingredients of undetermined constitution or reaction products thereof , e.g. transplant tissue, natural bone, extracellular matrix isolated natural compounds, e.g. collagen A61L27/24
• CPC Class Codes: Y10S 623/916 Blood vessel

Abstract

A means and method for implanting bioprosthetic material surgically, in humans or animals, is disclosed. The means comprise lengths of connective tissue such as cow tendons which are covered entirely or partially with a synthetic, looseweave mesh which is stitched to the tendon and which augments the strength of the finished heterograph (or xenograph) by permitting the existing live tissue to grow around the mesh to provide a living bond. Another implementation of the basic idea involves the use of planar patch material such as porcine pericardium to which the mesh is bonded on one side, or part of one side, this patch being used in various ways, for example, hernia repairs, dural patches, arthroplasties, tendon pulleys, gliding surfaces, and blood vessel anastamoses.

Claims

1. A method of implanting bioprosthetic material in the body utilizing a length of regular connective tissue having a mesh bonded to at least one end thereof, said method comprising the following steps:

(a) inserting said one end into a tunnel bored into a bone with the mesh in substantial contact with the living bone tissue; and

(b) fastening said tissue specimen in place to permit growth of live tissue into said mesh and then into said length of regular connective tissue to define a living bond.

2. A method according to claim 1 and including the step of inserting at least one bone plug into said one end of said length of regular connective tissue and bringing said bone plug into contact with the sides of said tunnel during step (a) so that fusion of bone between said plug, tunnel walls, and length of regular connective tissue will eventually occur.

3. A modified bioprosthesis comprising:

(a) a length of connective tissue still connected at at least one end to the bony attachment from the donor; and

(b) a mesh bonded to at least one portion of the surface of said connective tissue such that said modified bioprosthesis can be placed with at least a portion of said mesh against a living tissue surface and held in place, and said living tissue will grow into said mesh to define a living bond therewith.

4. Structure according to claim 3 wherein said mesh substantially surrounds said connective tissue.

5. Structure according to claim 4 wherein said specimen comprises a cow tendon.

6. A bioprosthesis comprising:

(a) a tissue specimen in the form of a length of regular connective tissue treated to be non-antigenic;

(b) said length having at least one end designated for attachment to a bone of a patient to repair connective tissue damage; and

(c) a synthetic mesh fastened to said one end and positioned thereon to interface between the length of connective tissue and the bone, whereby bone will grow around said mesh and into said one end of connective tissue to completely integrate said prosthesis into the physiology of the patient.

7. Structure according to claim 6 wherein said tissue specimen comprises a length of connective tissue substantially completely encapsulated in a mesh cover.

8. Structure according to claim 6 wherein said tissue specimen comprises a length of connective tissue having the ends thereof wrapped with mesh caps.