Medical fixation devices with improved torsional drive head

• US 7,727,235 B2
• Filed: 06/29/2005
• Issued: 06/01/2010
• Est. Priority Date: 06/29/2005
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Contiliano, Joseph H., Li, Yufu, Li, Zhigang
• Primary Examiner(s): Barrett; Thomas C
• Assistant Examiner(s): SWIGER III, JAMES L
• Application Number:
  US11/170,377
• Publication Number:
  US 20070010820A1
• Time in Patent Office: 1,798 Days
• Field of Search: 606 72- 73, 606 76- 77, 606/104, 606/300, 606305-308, 606/319, 606/321, 606/86.A, 411/394, 411398-399, 411402-404, 411407-408, 411/410, 411/426, 411/405, 411/419, 811/211, 811/242, 81/52, 814/37, 811/241, 724/54, 279/148, 279/155
• US Class Current: 606/86.00A
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/861 specially shaped for gripping driver
• CPC Class Codes: A61B 17/862 at the periphery of the screw head
• CPC Class Codes: A61B 17/866 Material or manufacture
• CPC Class Codes: A61B 17/8883 the driver bit acting on the periphery of the screw head
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws

Abstract

The present invention provides a fixation device that includes an elongate shank defining a longitudinal axis and having at least one engaging member for applying the fixation device within tissue and securing the fixation device in the tissue once implanted formed thereon, and a drive head having a proximal end, a distal end and a radial cross-sectional geometry, where the drive head is mated to the elongate shank, and includes at least one anti-rotational member integral therewith. Fixation device kits utilizing the fixation device, and methods of fixation in tissue are also provided.

Claims

1. A medical fixation device installation kit, comprising:

at least one medical fixation device having an elongate shank comprising a proximal end and a distal end and defining a longitudinal axis and comprising at least one engaging member formed thereon; and

a solid drive head comprising a proximal end, a distal end mated to said elongate shank, a radial cross-sectional geometry, and at least one anti-rotational member comprising a longitudinal cross-sectional geometry integral with said drive head; and

a cylindrical driver tool having a distal end comprising a socket formed therein having a cutout extending through a sidewall of the driver tool and adapted to receive and engage said anti-rotational member of said drive head of said medical fixation device such that the driver tool is prevented from rotating in any direction relative to the drive head,

wherein said drive head has a maximum width that is not greater than a major diameter of the elongate shank.

2. The medical fixation device installation kit of claim 1 wherein said elongate shank tapers from said proximal end to said distal end.

3. The medical fixation device installation kit of claim 1 wherein said at least one engaging member comprises a helical thread.

4. The medical fixation device installation kit of claim 1 wherein said radial cross-sectional geometry of said drive head is non-circular.

5. The medical fixation device installation kit of claim 4 wherein said radial cross-sectional geometry of said drive head is rectangular, square, hexagonal, flattened oval or oval.

6. The medical fixation device installation kit of claim 5 wherein said radial cross-sectional geometry of said drive head is oval.

7. The medical fixation device installation kit of claim 1 wherein said anti-rotational member extends proximally along the length of the drive head.

8. The medical fixation device installation kit of claim 1 wherein said anti-rotational member is tapered proximally along the length of said drive head.

9. The medical fixation device installation kit of claim 1 wherein an even number of said anti-rotational members are symmetrically disposed on said drive head about a plane of symmetry of said drive head.

10. The medical fixation device installation kit of claim 1 wherein said longitudinal cross-sectional geometry of said anti-rotational member is rectangular, curved, parabolic, or triangular.

11. The medical fixation device installation kit of claim 1 wherein said device comprises a biodegradable material.

12. The medical fixation device installation kit of claim 11 wherein said biodegradable material is a polymer, copolymer, or polymer blend formed from monomers selected from the group consisting of lactic acid, lactide, glycolic acid, glycolide, epsilon-caprolactone, 1,4-dioxan-2-one and 1,3-dioxan-2-one.

13. The medical fixation device installation kit of claim 11 wherein said biodegradable material is selected from the group consisting of biodegradable glass, mono-calcium phosphate, dicalcium phosphate, tricalcium phosphate, alpha-tricalcium phosphate, beta-tricalcium phosphate, tetracalcium phosphate, hydroxyapatite, calcium sulfate, calcium oxide, calcium carbonate, magnesium calcium phosphate, phosphate glass and bioglass.

14. The medical fixation device installation kit of claim 11 wherein said biodegradable material is a composite comprised of beta-tricalcium phosphate and poly(lactide).

15. The medical fixation device installation kit of claim 11 wherein said biodegradable material is a composite comprised of 30 weight percent beta-tricalcium phosphate particles in 70 weight percent poly(lactide)/poly(glycolide) copolymer, wherein the mole ratio of lactide to glycolyde is 85/15.

16. The medical fixation device installation kit of claim 1 wherein the socket and the cutout have a shape that corresponds to a shape of the drive head and the anti-rotational member.

17. The medical fixation device installation kit of claim 1 wherein said distal end of said drive head is coupled to said proximal end of said elongate shank, and wherein said anti-rotational member longitudinally extends from said distal end of said drive head to said proximal end of said drive head.

18. The medical fixation device installation kit of claim 1 wherein said anti-rotational member extends along less than a longitudinal length of said drive head between said proximal and distal ends of said drive head.