Method of using human tissue with a tissue press and system

• US 5,888,219 A
• Filed: 04/11/1997
• Issued: 03/30/1999
• Est. Priority Date: 08/12/1991
• Status: Expired due to Fees

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: Peter M. Bonutti
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Prebilic, Paul B.
• Application Number:
  US08/834,028
• Time in Patent Office: 718 Days
• Field of Search: 623/11, 623/901, 606/76, 606/77, 600/36
• US Class Current: 128/898
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/1606 of forceps type, i.e. having two jaw elements moving relative to each other
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/885 Tools for expanding or compacting bones or discs or cavities therein A61B17/8805, A61B17/7097 take precedence
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00969 used for transplantation
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/3094 Designing or manufacturing processes
• CPC Class Codes: A61F 2/3662 Femoral shafts
• CPC Class Codes: A61F 2/4644 Preparation of bone graft, bone plugs or bone dowels, e.g. grinding or milling bone material bone material A61F2/28; disintegrating or milling devices B02C
• CPC Class Codes: A61F 2002/2839 Bone plugs or bone graft dowels
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30075 swellable, e.g. when wetted
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30545 for adjusting a diameter
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2210/0004 : bioabsorbable
• CPC Class Codes: A61F 2210/0061 : swellable
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2240/001 : Designing or manufacturing processes
• CPC Class Codes: A61F 2250/001 : for adjusting a diameter
• CPC Class Codes: B30B 1/04 : operated by hand or foot
• CPC Class Codes: B30B 11/02 : using a ram exerting pressure on the material in a moulding space
• CPC Class Codes: Y10S 623/901 : Method of manufacturing prosthetic device
• CPC Class Codes: Y10S 623/908 : Bone
• CPC Class Codes: Y10S 623/919 : Bone
• CPC Class Codes: Y10S 623/92 : Method or apparatus for preparing or treating prosthetic

Abstract

A tissue press for shaping or compressing a piece of tissue comprises first and second members movable relative to each other. A first forming element of a predetermined shape is selectively engageable on the first member. A second forming element of predetermined shape is selectively engageable on the second member. The first and second forming elements are positionable on opposite sides of the piece of tissue. The first and second members are relatively movable between a first spaced apart condition and a second condition in which the piece of tissue is held between the first and second forming elements. The means for shaping or compressing a piece of tissue may extrude the tissue. Means may also be provided for draining off fluid from compressed tissue, so that the tissue can be implanted in a compressed state and imbibe fluid from the host site. A retainer, which may be expandable, can be used to maintain the tissue graft in a compressed condition.

Claims

1. A method of using human tissue, said method comprising the steps of removing tissue from a human body, placing the tissue removed from the human body in a press with the tissue containing at least portions of all of the components as when the tissue was removed from a human body, extruding the human tissue from the press by operating the press to apply pressure against the human tissue, and inserting the human tissue extruded from the press into a human body.

2. A method as set forth in claim 1 further including a step of enclosing the human tissue extruded from the press with a retainer, said step of inserting the human tissue extruded from the press into a human body being performed with the human tissue in the retainer.

3. A method as set forth in claim 1 further including a step of removing fluid from the human tissue prior to performing said step of inserting the human tissue into a human body, said step of inserting the human tissue extruded from the press into a human body includes positioning the human tissue extruded from the press in a human body at a location where the extruded human tissue is exposed to body fluid to enable the extruded human tissue to absorb body fluids and expand.

4. A method as set forth in claim 1 wherein said step of extruding the human tissue from the press by operating the press includes compacting the human tissue in the press by increasing the density of the human tissue in the press and reducing the size of a unit of volume of the human tissue in the press.

5. A method as set forth in claim 1 wherein said step of extruding the human tissue from the press by operating the press includes increasing the density of the human tissue in the press and forcing the human tissue to flow from the press through an opening in the press.

6. A method as set forth in claim 1 wherein the human tissue placed in the press has a first configuration, said step of extruding the human tissue from the press by operating the press includes increasing the density of the human tissue and shaping the human tissue to a second configuration which is different than the first configuration.

7. A method using human tissue, said method comprising the steps of removing bone tissue from a human body, placing the bone tissue removed from the human body in a press, operating the press to increase the density of the bone tissue and decrease the volume of the bone tissue from a first volume to a second volume which is smaller than the first volume, said step of operating the press includes extruding the bone tissue from the press, and inserting the bone tissue extruded from the press into a human body.

8. A method as set forth in claim 7 wherein when the bone tissue is inserted into a human body the bone tissue contains at least portions of all of the components which the bone tissue contained when the bone tissue was removed from a human body.

9. A method as set forth in claim 7 further including a step of enclosing the bone tissue extruded from the press with a retainer, said step of inserting the bone tissue removed from the press into a human body being performed with the bone tissue in the retainer and while the bone tissue has the second volume.

10. A method as set forth in claim 7 further including a step of removing fluid from the bone tissue prior to performing said step of inserting the bone tissue into a human body, said step of inserting the bone tissue extruded from the press into a human body includes positioning the bone tissue extruded from the press in a human body at a location where the extruded bone tissue is exposed to body fluid to enable the extruded bone tissue to absorb body fluids and expand.

11. A method as set forth in claim 7 wherein said step of placing the bone tissue removed from a human body in a press includes placing the bone tissue removed from a human body in a chamber in the press while the bone tissue has the first volume, said step of extruding the bone tissue from the press by operating the press includes reducing the size of the chamber in the press and forcing at least a portion of the bone tissue to flow from the chamber through an opening formed in a portion of the press, said step of reducing the size of the chamber in the press includes reducing the volume of the bone tissue placed in the chamber to the second volume.

12. A method as set forth in claim 7 wherein said step of extruding the bone tissue from the press by operating the press includes increasing the density of the bone tissue in the press and forcing the bone tissue to flow through an opening in the press.

13. A method as set forth in claim 7 wherein the human tissue placed in the press has a first configuration and a first density, said step of extruding the bone tissue from the press by operating the press includes shaping the bone tissue to a second configuration and density which is different than the first configuration and density.

14. A method as set forth in claim 7 wherein said step of inserting the bone extruded from the press into a human body includes using the bone tissue in association with a joint replacement part.