Apparatus and method for securing bone graft

• US 4,790,303 A
• Filed: 03/11/1987
• Issued: 12/13/1988
• Est. Priority Date: 03/11/1987
• Status: Expired due to Fees

• Current Assignee: Acromed Corporation Cleveland Oh A Corporation of
• Original Assignee: AcroMed Corp (Johnson & Johnson)
• Inventors: Steffee, Arthur D.
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): ROONEY, KEVIN
• Application Number:
  US07/024,577
• Time in Patent Office: 643 Days
• Field of Search: 128/92 YF, 128/92 YC, 128/92 YJ, 128/92 YM, 128/92 YD, 128/92 YE
• US Class Current: 606/300
• CPC Class Codes: A61B 17/7001 Screws or hooks combined with longitudinal elements which do not contact vertebrae A61B17/7058 takes precedence
• CPC Class Codes: A61B 17/7022 Tethers, i.e. longitudinal elements capable of transmitting tension only, e.g. straps, sutures or cables A61B17/702 takes precedence
• CPC Class Codes: A61B 17/7053 with parts attached to bones or to each other by flexible wires, straps, sutures or cables
• CPC Class Codes: A61B 17/7076 for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
• CPC Class Codes: A61B 17/92 Impactors or extractors, e.g. for removing intramedullary devices insertion or extraction of artificial joints A61F2/4603
• CPC Class Codes: A61B 2017/8655 with special features for locking in the bone
• CPC Class Codes: A61F 2/442 Intervertebral or spinal discs, e.g. resilient non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material

Abstract

A fastener for securing bone graft between a pair of bone portions. The fastener includes a curved elongated member having a shank for extending into the bone graft and pair of bone portions. The shank has an end portion which receives a force for driving the shank into the pair of bone portions and the bone graft. The shank has a plurality barbs projecting therefrom for resisting movement of the shank relative to the bone graft and the bone portions.

Claims

1. A fastener for securing bone graft between a pair of bone portions, said fastener comprising:

an elongate curved member having a shank for extending into the bone graft and pair of bone portions;

said shank being a single projection with a longitudinal central axis and having a constant curvature along said longitudinal axis;

said shank having a concave surface, a convex surface and an end portion for receiving a force to drive said shank in a direction into the bone graft and pair of bone portions, said end portion being located along the longitudinal central axis of said shank; and

a plurality of barbs extending from said shank and spaced along said convex surface of said shank for engaging the bone graft and pair of bone portions to resist removal of said shank from the bone graft and the pair of bone portions.

2. The fastener set forth in claim 1 wherein each of said plurality of barbs has a lesser transverse width than a preceding barb along said shank with the widest barb located adjacent said end portion for receiving a force to drive said shank.

3. The fastener set forth in claim 1 further including a plurality of transversely extending ridges spaces along said concave surface of said shank.

4. A method comprising the steps of:

placing bone graft between first and second bone portions;

providing a pair of fasteners, each of said fasteners having an elongate curved shank;

said shank being a single projection with a longitudinal central axis and having a constant curvature along said longitudinal axis; and

an end portion for receiving a driving force to drive the shank into the bone graft and pair of bone portions;

driving a first one of the fasteners into the first bone portion, the bone graft and then the second bone portion and driving a second one of the fasteners into the second bone portion, the bone graft and then into the first bone portion; and

interconnecting the fasteners by wiring together end portions of the fasteners projecting from the bone portions.

5. An apparatus for securing bone graft between a pair of bone portions in which the bone graft contracts as it resorbs in at least one direction along a line extending between the bone portions, said apparatus comprising:

an elongate curved member having a shank for extending into the bone graft and bone portions, said shank being a single projection with a longitudinal central axis and having a constant curvature along said longitudinal axis;

an end portion on said shank for receiving a tool adapted to grip said shank and to transmit a force to drive said shank into one of the pair of bone portions, the bone graft and then the other one of the pair of bone portions; and

a plurality of barbs extending from said shank in a direction allowing relative movement of one of the bone portions toward the other of the bone portions in a direction along the line extending between the bone portions as the bone graft contracts and for resisting relative movement of one of the bone portions away from the other of the bone portions in a direction along the line extending between the bone portions.

6. An apparatus for securing bone graft between a pair of bone portions, said apparatus comprising:

a pair of fasteners, each of said pair of fasteners including an elongate curved member having a shank for extending into the bone portions and the bone graft in a direction toward the other fastener, said shank being a single projection with a longitudinal central axis and having a constant curvature along said longitudinal axis;

each of said pair of fasteners having a plurality of barbs extending from said shank to resist removal of said shank from the bone portions and the bone graft; and

means for interconnecting said pair of fasteners to transmit a force between said pair of fasteners when one of said pair of fasteners moves in a direction tending to remove itself from the bone portions and the bone graft to thereby force the other of said pair of fasteners further into the bone portions and the bone graft.

7. The apparatus set forth in claim 6 further including an end portion on each of said pair of fasteners for extending from a respective one of the bone portions and an opening through said end portion and wherein said means for interconnecting said pair of fasteners comprises a connector having opposite end portions receivable in said respective openings in said end portion of each of said pair of fasteners.

8. The apparatus set forth in claim 7 wherein said connector comprises a wire cable extending between said end portions on each of said pair of fasteners.