Endosteal ligament fixation device

• US 5,147,362 A
• Filed: 04/08/1991
• Issued: 09/15/1992
• Est. Priority Date: 04/08/1991
• Status: Expired due to Term

• Current Assignee: Mitek Surgical Products, Inc. (Johnson & Johnson)
• Original Assignee: Goble E. Marlowe
• Inventors: Goble, E. Marlowe
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): RIMELL, SAMUEL G
• Application Number:
  US07/681,974
• Time in Patent Office: 526 Days
• Field of Search: 606/60, 606/72, 606/76, 606/86, 606/88, 606/151, 606/154, 606/155, 623/13
• US Class Current: 606/327
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/087 Anchor integrated into tendons, e.g. bone blocks, integrated rings
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• 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
• CPC Class Codes: Y10S 606/908 Bioabsorbable material

Abstract

An endosteal ligament fixation device for mounting to a bone end of a bone tendon bone graft for use as a replacement anterior or posterior cruciate ligament. The endosteal ligament fixation device consists of a disk, collar, ring or band that is arranged to be fitted and secured to the graft bone end that includes a number of radially equidistant spaced outwardly projecting resilient barbs or pins extending therefrom, or may involve forming radially equidistantly spaced slanted holes into the graft bone end for mounting individual resilient barbs or pins. The barbs or pins can be sharp, blunt, or otherwise configured to extend into and to hold securely within a bone endosteum. A number of which barbs or pins are set radially into the disk, collar, ring or band, or individually into the bone end so as to be angled to extend off of and are spaced apart from the bone end surface, pointing towards the tendon coupling with that bone end. The barbs or pins are to individually flex inwardly during passage along the ligament tunnel wall when the graft bone end is urged therealong. At the tunnel end, the resilient barbs or pins are to flex outwardly into the bone endosteum, seating the graft bone end therein, and will fully extend into the bone endosteum when a tensile force is applied to the graft.

Claims

1. An endosteal fixation device comprising, a mounting means including a plurality of pin means to extend outwardly from around a graft;

said plurality of pin means are spaced equidistantly and extend radially outwardly and rearwardly from said mounting means, each at an angle less than sixty (60) degrees of from said graft surface, said pin means each formed to flex toward said graft surface when compressed during travel within a bone tunnel or hole and will spring outwardly to their original altitude when that compression is released so as to lock into the bone endosteum wherein said bone tunnel or hole is formed.

2. An endosteal fixation device as recited in claim 1, wherein the mounting means are slanted holes that are formed at equidistant intervals into the graft end, each for receiving and maintaining an individual pin means therein.

3. An endosteal fixation device as recited in claim 2, wherein the means for securing is an adhesive coating of the pin means end for installation in a slanted hole.

4. An endosteal fixation device as recited in claim 1, wherein the mounting means is a disk for fitting across the end face of the graft end, which disk has a hole formed through its center;

and the means for securing is a screw type fastener for turning through said disk center hole and longitudinally into said graft end.

5. An endosteal fixation device as recited in claim 1, wherein the mounting means is a cap for fitting over the end surface of the graft end, which cap has a hole formed through its center;

and the means for securing is a screw type fastener for turning through said cap center hole and longitudinally into said graft end.

6. An endosteal fixation device as recited in claim 1, wherein the mounting means is a band for fitting around the surface of the graft end, which band is holed therethrough;

and a screw type fastener for turning through said band hole into said graft end.

7. An endosteal fixation device as recited in claim 6, wherein the band is broken laterally, to allow the band ends to move together to cinch around the surface of the graft end, which band is holed at its ends;

and screw type fasteners for turning through said belt end holes into said graft end.

8. An endosteal fixation device as recited in claim 1, wherein the barbs or pins are individually spaced off from the graft end surface, each at approximately thirty (30) degrees.

9. An endosteal fixation device as recited in claim 1, wherein the mounting means is a narrow ring with the pin means formed therewith.

10. An endosteal fixation device as recited in claim 9, wherein the pin means are barbs or pins that are formed with the narrow ring;

and the mounting means are tabs, that are each holed therethrough and are formed to extend from and in the plane of the bottom of the narrow ring, to extend over the graft end surface.

11. An endosteal fixation device as recited in claim 10, wherein a pair of narrow rings with pin means formed therewith are for installation to the graft end surface, the tabs of one facing oppositely to the other to overlay one another, for receiving a single screw type fastener through each set of overlaid tabs.

12. An endosteal fixation device as recited in claim 1, wherein the pin means is formed from a resilient material.

13. An endosteal fixation device as recited in claim 12, wherein the resilient material is a biodegradable material.

14. An endosteal fixation device as recited in claim 11;

wherein the resilient material is a biocompatible steel.

15. An endosteal fixation device as recited in claim 1, wherein the mounting means and pin means are formed from the same resilient material.