Scaffold fixation device for use in articular cartilage repair

• US 6,575,986 B2
• Filed: 02/26/2001
• Issued: 06/10/2003
• Est. Priority Date: 02/26/2001
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Overaker, David W.
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): Priddy, Michael B.
• Application Number:
  US09/793,029
• Publication Number:
  US 20020120281A1
• Time in Patent Office: 834 Days
• Field of Search: 606/72, 606/73, 606/104, 606/151, 606/213, 411/392, 411/395, 411/486, 411/487, 411/508, 411/439, 411/500
• US Class Current: 606/151
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/0646 for insertion into cartillege, e.g. meniscus
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2/30756 Cartilage endoprostheses A61F2/3603 takes precedence
• CPC Class Codes: A61F 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• 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: A61F 2002/30014 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30225 Flat cylinders, i.e. discs
• CPC Class Codes: A61F 2002/30233 Stepped cylinders, i.e. having discrete diameter changes
• CPC Class Codes: A61F 2002/30571 Leaf springs
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/30677 Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
• CPC Class Codes: A61F 2002/30751 for attaching cartilage scaffolds to underlying bone
• CPC Class Codes: A61F 2002/30766 Scaffolds for cartilage ingrowth and regeneration
• CPC Class Codes: A61F 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30845 : with cutting edges
• CPC Class Codes: A61F 2002/30878 : with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2002/30879 : Ribs
• CPC Class Codes: A61F 2002/30881 : Circumferential ribs, flanges or fins
• CPC Class Codes: A61F 2002/30891 : Plurality of protrusions
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/4677 : using a guide wire
• CPC Class Codes: A61F 2210/0004 : bioabsorbable
• CPC Class Codes: A61F 2230/0023 : triangular
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2250/0018 : differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: A61F 2310/00221 : containing calcia or calcium oxide
• CPC Class Codes: A61F 2310/00293 : containing a phosphorus-containing compound, e.g. apatite
• CPC Class Codes: A61F 2310/00329 : Glasses, e.g. bioglass
• CPC Class Codes: Y10S 606/91 : Polymer

Abstract

A device for attaching a tissue replacement scaffold to a bone has a platform positionable in substantially parallel relationship to the bone for retaining the tissue scaffold proximate to the bone. A post extends from the platform and is insertable into a hole formed in the bone. One or more ribs extend from a side surface of the post along a portion of its length. The ribs are mounted on opposing flexible members and establish an interference fit relative to the hole in the bone tissue. The ribs are urged radially outwardly by the flexible members and have a sharp edge that grips the sides of the hole in the bone such that the ribs restrict withdrawal of the device. Vertical ribs may also be included to prevent rotation of the device within the hole in the bone.

Claims

1. A device for attaching a tissue scaffold to bone tissue, comprising:

attaching means for attaching the scaffold to said device;

retaining means coupled to said attaching means for retaining said attaching means in proximity to the bone tissue, said retaining means inserting into a hole formed in the bone tissue, said retaining means including gripping means extending from the outer periphery thereof for gripping the bone tissue proximate the hole to restrain said device from pulling away from the bone tissue,

said gripping means having an interference fit relative to the hole in the bone tissue, said gripping means mounted upon a flexible member and being elastically urged into engagement with bone tissue proximate the hole, said gripping means being fully insertable into the hole in the bone tissue and having a sharp edge which engages the bone tissue proximate the hole; and

anti-rotation means disposed on an outer peripheral surface of said retaining means to prevent said retaining means from rotating in the hole in the bone tissue.

2. A device for attaching a tissue scaffold to bone tissue, comprising:

a platform positionable in substantially parallel relationship to the bone tissue for retaining the tissue scaffold proximate to the bone tissue;

a post extending from the platform, said post insertable into a hole formed in the bone tissue and having a first radially displaceable flexible member and a second radially displaceable flexible member, each having a radially retracted and a radially expanded position and elastically biased to said radially expanded position, said first flexible member being spaced from said second flexible member when both are in the expanded position and abutting one another when both are in the retracted position;

a plurality of ribs disposed along a portion of the length of said post, at least one of said plurality of ribs extending from one of said first and second flexible members generally perpendicular to the axis of said post, said at least one rib positioned intermediate said platform and a distal end of said post and establishing an interference fit relative to the hole in the bone tissue with said first and second flexible members urging said at least one rib into engagement with the bone tissue to aid in preventing withdrawal of said device from a hole in the bone tissue into which it has been inserted,

said post having a chamfered end to aid in the introduction of said post into the hole in the bone tissue.

3. The device of claim 2, wherein each of said plurality of ribs has a taper distal to said sharp terminal edge to aid in the introduction of said post into the hole in the bone tissue.

4. A device for attaching a tissue scaffold to bone tissue, comprising:

a platform positionable in substantially parallel relationship to the bone tissue for retaining the tissue scaffold proximate to the bone tissue;

a post extending from the platform, said post insertable into a hole formed in the bone tissue and having a first radially displaceable flexible member and a second radially displaceable flexible member, each having a radially retracted and a radially expanded position and elastically biased to said radially expanded position, said first flexible member being spaced from said second flexible member when both are in the expanded position and abutting one another when both are in the retracted position;

at least one rib extending from a surface of one of said first and second flexible members generally perpendicular to the axis of said post, said rib positioned intermediate said platform and a distal end of said post and establishing an interference fit relative to the hole in the bone tissue with said first and second flexible members urging said at least one rib into engagement with the bone tissue to aid in preventing withdrawal of said device from a hole in the bone tissue into which it has been inserted,

said post having a longitudinal slot therein passing through said post and defining said first and second flexible members that are disposed on either side of said slot,

said post having opposing flats in the area of said first and second flexible members, said flats limiting the contact between a peripheral surface of each of said first and second flexible members angularly offset from said at least one rib and the bone tissue proximate the hole when said device has been inserted therein.

5. The device of claim 4, wherein said at least one rib has a sharp terminal edge, said edge positionable within the hole for gripping the bone tissue to resist withdrawal of said device from the hole.

6. The device of claim 4, wherein said device has a guide wire hole extending axially there through to permit said device to be slipped over a guide wire having one end thereof positioned in the hole for guiding said device into the hole.

7. The device of claim 4, wherein said flexible members are integral with said post extending at one end from said post proximate said platform and converging at the other end in a tapered tip.

8. The device of claim 4, wherein said device is formed from a material selected from the group consisting of biocompatible polymers, absorbable polymers, glasses, ceramics, metal oxides, bone tissue and therapeutic agents, alone or in combination.

9. A device for attaching a tissue scaffold to bone tissue, comprising:

a platform positionable in substantially parallel relationship to the bone tissue for retaining the tissue scaffold proximate to the bone tissue;

a post extending from the platform, said post insertable into a hole formed in the bone tissue and having a first radially displaceable flexible member and a second radially displaceable flexible member, each having a radially retracted and a radially expanded position and elastically biased to said radially expanded position, said first flexible member being spaced from said second flexible member when both are in the expanded position and abutting one another when both are in the retracted position;

at least one rib extending from a surface of one of said first and second flexible members generally perpendicular to the axis of said post, said rib positioned intermediate said platform and a distal end of said post and establishing an interference fit relative to the hole in the bone tissue with said first and second flexible members urging said at least one rib into engagement with the bone tissue to aid in preventing withdrawal of said device from a hole in the bone tissue into which it has been inserted; and

at least one vertical rib extending from a surface of said post and extending in length generally parallel to the axis of said post, said at least one vertical rib engaging the bone proximate the hole into which said device is installed to prevent rotation of the device within the hole.

10. The device of claim 9, wherein said at least one vertical rib tapers radially outwardly as it extends towards said platform.

11. The device of claim 10, wherein said at least one vertical rib includes a plurality of vertical ribs.

12. The device of claim 11, wherein said plurality of vertical ribs attach to said platform.

13. The device of claim 12, wherein said platform has a perforation therein to allow fluid and cell transmission through said perforation.