Instrument kit and method for performing meniscal repair

• US 7,632,284 B2
• Filed: 07/06/2004
• Issued: 12/15/2009
• Est. Priority Date: 07/06/2004
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Zlock, Stephen, Martinek, Jonathan
• Primary Examiner(s): Barrett; Thomas C
• Assistant Examiner(s): SWIGER III, JAMES L
• Application Number:
  US10/774,828
• Publication Number:
  US 20060009765A1
• Time in Patent Office: 1,988 Days
• Field of Search: 606/88, 606/62, 606/64, 606/95, 606/96, 606/142, 606/139, 606/144, 606/148, 606/167, 606/104, 606/219, 604/164.01, 604/272, 604/533
• US Class Current: 606/142
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00238 Type of minimally invasive operation A61B2017/00805 takes precedence
• CPC Class Codes: A61B 2017/00362 Packages or dispensers for MIS instruments A61B2017/0479 takes precedence
• CPC Class Codes: A61B 2017/0646 for insertion into cartillege, e.g. meniscus
• CPC Class Codes: A61B 2017/320044 Blunt dissectors
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40

Abstract

An instrument kit for performing a repair procedure on a meniscal tear in a knee for use in combination with a mechanical repair device is disclosed. The instrument kit includes at least one template including an elongate body defining X, Y and Z axes. The elongate body adapted for insertion in a knee of the patient to approximate a path to a meniscal tear within the knee. The elongate body has a length defining the X-axis. The instrument kit including a first template having a linear elongate body, a second template having a distal end portion which is offset in a direction of the Y-axis, and a third template having a distal end portion which is offset in a direction of the Z-axis.

Claims

1. An instrument kit for performing a repair procedure on a meniscal tear in a knee for use in combination with a meniscal repair device, the instrument kit comprising:

at least one template including an elongate body defining X, Y and Z axes, the elongate body adapted for insertion in a knee of the patient to approximate a path to a meniscal tear within the knee, the elongate body having a length along the X-axis sufficient to access the meniscal tear and a reduced profile to facilitate passage thereto, a height along the Z-axis and a width along the Y-axis, the width being substantially less than the height, wherein the elongate body includes an atraumatic tip to reduce injury to tissue within the knee and wherein the atraumatic tip includes a distal end surface defining a dimple formed therein that is configured and adapted to engage a fastener in order to facilitate driving of the fastener into underlying tissue, whereby, upon subsequent removal of the one template from the knee, a correspondingly dimensioned meniscal repair device is introduced along the path to the meniscal tear for repair thereof, the at least one template defining a longitudinal axis and further including attachment structure formed at a proximal end thereof; and

a handle having receiving structure formed at a distal end thereof corresponding in configuration to the attachment structure of the at least one template, the receiving structure being configured to selectively receive the attachment structure in a snap-fit arrangement such that the at least one template is releasably engagable with the handle, wherein the snap-fit arrangement enables the application of both a proximally directed longitudinal force and a distally directed longitudinal force to the elongate body to facilitate access to and removal from the meniscal tear by the at least one template.

2. The instrument kit according to claim 1, wherein the at least one template includes an elongate body having a distal end portion which is obliquely arranged with respect to the X-axis.

3. The instrument kit according to claim 2, wherein the distal end portion of the elongate body is offset in a direction of the Y-axis.

4. The instrument kit according to claim 2, wherein the distal end portion of the elongate body is offset in a direction of the Z-axis.

5. The instrument kit according to claim 1, further comprising:

at least one disposable loading unit corresponding in size and shape to the at least one template, the at least one disposable loading unit including an elongate body defining X, Y and Z axes and being adapted to follow the path to the meniscal tear.

6. The instrument kit according to claim 5, including a plurality of disposable loading units, wherein a first disposable loading unit includes a substantially liner elongate body, a second disposable loading unit includes a distal end portion which is offset in a direction of the Y-axis, and a third disposable loading unit includes a distal end portion which is offset in a direction of the Z-axis.

7. The instrument kit according to claim 1, wherein the receiving structure formed at the distal end of the handle includes a bore and a groove.

8. The instrument kit according to claim 7, wherein the attachment structure formed at the proximal end of the at least one template includes a proximal end portion and a lock rod, the lock rod extending along an axis transverse in relation to the longitudinal axis.

9. The instrument kit according to claim 8, wherein the bore and the groove are configured to respectively receive the proximal end portion and the lock rod.

10. The instrument kit according to claim 9, wherein the bore is substantially rectangular in shape and orthogonally oriented with respect to the groove.

11. The instrument kit according to claim 9, wherein the groove defines a first depth and the bore defines a second depth, the second depth being greater than the first depth.

12. The instrument kit according to claim 11, wherein the groove has a distal portion defining a first height and a proximal portion defining a second height.

13. The instrument kit according to claim 12, wherein the lock rod defines a transverse dimension relative to the longitudinal axis defined by the at least one template that is greater than the first height and less than the second height.

15. The instrument kit according to claim 8, wherein the lock rod extends transversely through the proximal end portion of the at least one template.

14. An instrument kit for performing a repair procedure on a meniscal tear in a knee for use in combination with a meniscal repair device, the instrument kit comprising:

at least one template including an elongate body defining X, Y and Z axes, the elongate body adapted for insertion in a knee of the patient to approximate a path to a meniscal tear within the knee, the elongate body having a length along the X-axis sufficient to access the meniscal tear and a reduced profile to facilitate passage thereto, wherein the elongate body includes an atraumatic tip to reduce injury to tissue within the knee, whereby, upon subsequent removal of the one template from the knee, a correspondingly dimensioned meniscal repair device is introduced along the path to the meniscal tear for repair thereof, the at least one template defining a longitudinal axis and further including attachment structure formed at a proximal end thereof; and

a handle having receiving structure formed at a distal end thereof corresponding in configuration to the attachment structure of the at least one template, the receiving structure being configured to selectively receive the attachment structure in a snap-fit arrangement such that the at least one template is releasably engagable wit the handle, wherein the snap-fit arrangement enables the application of both a proximally directed longitudinal force and a distally directed longitudinal force to the elongate body to facilitate access to and removal from the meniscal tear by the at least one template.