Orthopedic fastener

• US 5,720,753 A
• Filed: 06/07/1995
• Issued: 02/24/1998
• Est. Priority Date: 03/22/1991
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Sander, Thomas W., Gangnath, Robert B., Sarver, David, Lee, Daniel R.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/477,212
• Time in Patent Office: 993 Days
• Field of Search: 606/73, 606/75, 606/232
• US Class Current: 606/104
• CPC Class Codes: A61B 17/8872 Instruments for putting said fixation devices against or away from the bone A61B17/7074, A61B17/808 take precedence
• CPC Class Codes: A61B 2017/0403 Dowels
• CPC Class Codes: A61B 2017/0408 Rivets
• CPC Class Codes: A61B 2017/0424 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0438 slotted, i.e. having a longitudinal slot for enhancing their elasticity
• CPC Class Codes: A61B 2017/06142 having needle- or suture- retaining members, e.g. holding tabs or needle parks
• CPC Class Codes: A61F 2/0805 Implements for inserting tendons or ligaments
• 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 2002/0841 Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel
• CPC Class Codes: A61L 31/148 Materials at least partially resorbable by the body
• CPC Class Codes: F16B 13/065 fastened by extracting the screw, nail or the like
• CPC Class Codes: Y10S 606/908 Bioabsorbable material
• CPC Class Codes: Y10S 606/91 Polymer

Abstract

Soft tissue is secured to bone with a surgical fastener having expandable legs. The surgical fastener is implanted into a predrilled hole in the bone and the legs are expanded by pulling a slidable pin with a flared distal end. The pin includes a breakaway notch and fins. The fastener may be fabricated from resorbable material and may be implanted arthroscopically.

Claims

1. A surgical fastener for securing soft tissue to bone, which comprises:

a) a rivet having an axial bore, a body portion, a head portion, and at least two expandable legs projecting from said body portion, said legs defining at least two slots therebetween; and

b) a setting pin positioned for slidable movement within said axial bore of the rivet, said setting pin having a flared distal portion and at least one radially projecting fin configured for slidable engagement with at least one of the slots of the rivet, said setting pin being slidably movable with respect to the rivet between a first position wherein the legs of the rivet are in an unexpanded configuration and a second position wherein the legs of the rivet are expanded from the unexpanded configuration.

2. The surgical fastener of claim 1, wherein the legs of the rivet each have at least one barb for engaging bone.

3. The surgical fastener of claim 1, wherein said surgical fastener is fabricated from a bioabsorbable material.

4. The surgical fastener of claim 3, wherein said bioabsorbable material comprises a polymer selected from the group consisting of polymers of lactide, glycolide, caprolactone, polydioxanone, trimethylene carbonate, polyorthoesters, polyethylene oxide, and copolymers and blends thereof.

5. The surgical fastener of claim 1, wherein said setting pin includes a plurality of longitudinally spaced apart circumferential ribs, each of said ribs having a flat distal facing surface extending radially outward, and said rivet includes a proximally facing stop wall for engaging a respective one of the flat distal surfaces of the ribs.

6. The surgical fastener of claim 5, wherein the at least one fin extends lengthwise along the setting pin from one end thereof to said ribs.

7. The surgical fastener of claim 6, wherein the setting pin includes four fins radially positioned equidistant around the circumference thereof.

8. The surgical fastener of claim 1, wherein said head portion of said rivet includes a plurality of barbs projecting therefrom.

9. The surgical fastener of claim 1, wherein said flared distal portion of said setting pin has a diameter greater than the diameter of the axial bore of the rivet.

10. The surgical fastener of claim 1, wherein the setting pin includes a circumferential notch configured to fracture upon the application of a predetermined force to the setting pin.

11. The surgical fastener of claim 1, wherein an end portion of the setting pin terminates in a rounded conical tip.

12. A method for securing soft tissue to bone, comprising the steps of:

a) inserting a surgical fastener into a hole in the bone, said surgical fastener including a rivet having an axial bore, a head portion and at least two expandable legs projecting from the body portion, said legs defining at least two slots therebetween and a setting pin positioned for slidable movement within the axial bore of the rivet, the setting pin having a flared portion and at least one radially projecting fin guided in one of the at least two slots and configured for slidable movement with respect to the rivet between a first position wherein the legs of the rivet are in an unexpanded configuration and a second position wherein the legs of the rivet are expanded from the unexpanded configuration; and

b) moving the setting pin from the first position to the second position to expand said legs and moving said at least one fin into locking engagement with the hole in the bone such that said at least one fin prevents relative rotation of the rivet.

13. A surgical fastener for securing soft tissue to bone, which comprises:

a) a rivet having an axial bore, a body portion, a head portion, and at least two radially expandable legs projecting distally from said body portion, said legs defining at least two longitudinally extending slots therebetween; and

b) a setting pin positioned for slidable movement within said axial bore of the rivet, said setting pin having a flared distal portion and at least one longitudinally extending radially projecting fin guided in one of the at least two longitudinally extending slots and configured for slidable engagement with at least one of the slots of the rivet, said setting pin being non-rotatingly movable with respect to the rivet between a distal first position wherein the legs of the rivet are in an unexpanded configuration and a proximal second position wherein the legs of the rivet are expanded from the unexpanded configuration.

14. The surgical fastener of claim 13 wherein the flared distal portion of the setting pin includes a proximally facing inclined camming surface for expanding the legs of the rivet in response to movement of the setting pin from the distal first position to the proximal second position.

15. The surgical fastener of claim 14 wherein the setting pin includes a plurality of longitudinally spaced apart circumferential ribs, each of said ribs having a flat distal facing surface extending radially outward, and said rivet includes a proximally facing stop wall for engaging a respective one of the flat distal surfaces of the ribs.

16. The surgical fastener of claim 15 wherein said surgical fastener is made from a bioabsorbable material.