Soft tissue conduit device

• US 8,998,949 B2
• Filed: 08/16/2006
• Issued: 04/07/2015
• Est. Priority Date: 11/09/2004
• Status: Expired due to Fees

• Current Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Stone, Kevin T., Leach, Michael D.
• Primary Examiner(s): Woo, Julian W
• Application Number:
  US11/504,882
• Publication Number:
  US 20060282085A1
• Time in Patent Office: 3,156 Days
• Field of Search: 606/151, 606/213, 606/219, 606/300, 606/301, 606/304, 606/314, 604/93.01, 604/500, 424/422
• US Class Current: 606/213
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0406 Pledgets
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0475 using sutures having a slip knot
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/06052 Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
• 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: A61B 2017/0648 threaded, e.g. tacks with a screw thread
• 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 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• CPC Class Codes: A61F 2002/2839 : Bone plugs or bone graft dowels

Abstract

A method of conducting biological materials to soft tissue. The method includes loading a conduit device onto a delivery shaft of an inserter, inserting at least a portion of the delivery shaft into soft tissue, expelling the conduit device from the delivery shaft into the tissue, and delivering biological material through an access port of the inserter into at least one outer longitudinal channel of the conduit device.

Claims

1. A method of conducting biological material to soft tissue, the method comprising:

loading a conduit device having an outer surface onto a delivery shaft of an inserter;

inserting at least a portion of the delivery shaft into soft tissue;

expelling the conduit device from the delivery shaft into the tissue;

connecting a delivery device to an access port of the inserter and to the delivery shaft of the inserter, the access port of the inserter positioned between the delivery shaft and a handle of the inserter; and

delivering biological material from the delivery device through the access port of the inserter along the delivery shaft of the inserter and directly into and along at least one outer channel of the conduit device that is at least partially open to the outer surface of the conduit device while the inserter is coupled to soft tissue and the conduit device is implanted in the tissue.

2. The method of claim 1, wherein expelling the conduit device comprises pushing the conduit device with a pusher rod movable relative to the delivery shaft of the inserter.

3. The method of claim 1, wherein inserting into soft tissue comprises inserting into meniscal tissue.

4. The method of claim 1, further comprising delivering the conduit device across a defect in soft tissue.

5. The method of claim 1, wherein delivering biological material comprises delivering biological material from the delivery device through the access port of the inserter along the delivery shaft of the inserter and directly into a first terminal end of the at least one outer channel.

6. The method of claim 1, wherein delivering biological material comprises delivering biological material from the delivery device through the access port of the inserter along the delivery shaft of the inserter and directly axially into a first terminal end of the at least one outer channel of the conduit device, the first terminal end of the at least one outer channel being co-planar with a first terminal end of the conduit device.

7. The method of claim 6, wherein delivering biological material comprises delivering biological material from the delivery device through the access port of the inserter along the delivery shaft of the inserter and directly axially into the first terminal end of the at least one outer channel of the conduit device and along the at least one outer channel to an oppositely located second terminal end of the at least one outer channel, the oppositely located second terminal end of the at least one outer channel being co-planar with a second terminal end of the conduit device.

8. A method of conducting biological material to soft tissue, the method comprising:

loading at least first and second conduit devices each having a first terminal end, an oppositely located second terminal end and an outer surface onto a delivery shaft of an inserter;

inserting at least a portion of the delivery shaft into a first location in soft tissue;

moving a pusher rod of the inserter by moving a slider of the inserter;

expelling the first conduit device from the delivery shaft into the tissue by the pusher rod;

connecting a syringe to an access port of the inserter and perpendicularly to the delivery shaft of the inserter, the access port of the inserter positioned between the delivery shaft and a handle of the inserter;

delivering biological material from the syringe through the access port along the delivery shaft of the inserter directly into and along an outer longitudinal channel of the first conduit device that is at least partially open to the outer surface of the first conduit device and extends from the first terminal end to the oppositely located second terminal end while the inserter is coupled to soft tissue and the first conduit is implanted into the tissue;

delivering the biological material from and along the outer longitudinal channel from the first terminal end of the first conduit device to the oppositely located second terminal end of the first conduit device to the soft tissue; and

removing the delivery shaft from the tissue.

9. The method of claim 8, further comprising:

inserting at least a portion of the delivery shaft into a second location of the soft tissue;

expelling the second conduit device from the delivery shaft into the tissue;

delivering biological material through the access port of the inserter directly into an outer longitudinal channel of the second conduit device; and

removing the delivery shaft from the tissue.

10. The method of claim 9, further comprising selectively inserting at least one of the first and second conduit devices across an interface in the tissue, across a defect, across a healing site or between two areas of different vascularities of the tissue.

11. The method of claim 9, wherein the soft tissue is meniscal tissue, and further comprising inserting the first and second conduit devices through a defect in the meniscal tissue.

12. The method of claim 8, wherein delivering biological material comprises delivering biological material from the syringe through the access port along the delivery shaft of the inserter directly axially into a first terminal end of the outer longitudinal channel of the first conduit device, the first terminal end of the outer longitudinal channel being co-planar with the first terminal end of the first conduit device.

13. A method of conducting biological material to meniscal tissue, the method comprising:

making an arthroscopic incision in a knee;

exposing meniscal tissue;

loading a first conduit device having a first outer surface onto a delivery shaft of an inserter;

loading a second conduit device having a second outer surface onto the delivery shaft of the inserter;

inserting at least a portion of the delivery shaft into a first location in the meniscal tissue;

expelling the first conduit device from the delivery shaft into the meniscal tissue between two areas of different vascularity;

connecting a delivery device with a luer lock to an access port of the inserter and to the delivery shaft of the inserter, the access port of the inserter positioned between the delivery shaft and a handle of the inserter;

delivering biological material through the access port of the inserter directly into and along at least one outer longitudinal channel of the first conduit device that is at least partially open to the first outer surface of the first conduit device while the inserter is coupled to the meniscal tissue and the first conduit is implanted into the meniscal tissue;

removing the delivery shaft from the meniscal tissue;

inserting the delivery shaft of the inserter into a second location in the meniscal tissue;

expelling the second conduit device from the delivery shaft into the meniscal tissue by moving a pushing rod of the inserter to a deployment position;

delivering biological material from the inserter directly into and along at least one outer longitudinal channel of the second conduit device that is at least partially open to the second outer surface of the second conduit device;

removing the delivery shaft of the inserter from the meniscal tissue; and

closing the incision.

14. The method of claim 13, further comprising inserting the conduit device through a defect in the meniscal tissue.

15. The method of claim 13, wherein loading the first and second conduit devices in the inserter comprises serially loading first and second conduit devices in the inserter.

16. The method of claim 13, wherein delivering biological material through the access port of the inserter comprises delivering biological material through the access port of the inserter directly axially into a first terminal end of the at least one outer longitudinal channel of the first conduit device.

17. The method of claim 16 further comprising delivering biological material from a first terminal end of the at least one outer longitudinal channel to an opposing second terminal end of the at least one outer longitudinal channel.

18. The method of claim 13, wherein delivering biological material from the inserter comprises delivering biological material from the inserter directly axially into a first terminal end of the at least one outer longitudinal channel of the second conduit device to a second terminal end of the at least one outer longitudinal channel of the second conduit device, the first terminal end of the at least one outer longitudinal channel being co-planar with a first terminal end of the second conduit device and the second terminal end of the at least one outer longitudinal channel being co-planar with a second terminal end of the second conduit device.