Soft tissue repair devices, systems, and methods

• US 9,427,309 B2
• Filed: 07/29/2013
• Issued: 08/30/2016
• Est. Priority Date: 07/30/2012
• Status: Active Grant

• Current Assignee: Conextions, Inc.
• Original Assignee: Conextions, Inc.
• Inventors: Kubiak, Erik N., Reese, Shawn P.
• Primary Examiner(s): Sweet, Thomas J
• Assistant Examiner(s): BISSING, DANIEL J
• Application Number:
  US13/953,709
• Publication Number:
  US 20140067061A1
• Time in Patent Office: 1,128 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/1146 of tendons
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/1103 Approximator
• CPC Class Codes: A61B 2017/1132 End-to-end connections
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments

Abstract

Devices, systems and/or methods for repairing soft tissue, such as, a lacerated tendon. A repair device includes a frame having a tubular structure with a longitudinal length and struts at least partially defining the tubular structure. The frame includes a first portion and a second portion with an intermediate portion therebetween, each extending along the longitudinal length. The intermediate portion is configured to substantially maintain a fixed position and is configured to be positioned over first and second ends of the lacerated tendon to substantially maintain the first end abutted against the second end. The first portion and the second portion of the frame are configured to be positioned over separate portions of the tendon and configured to move and elongate along a length of the respective first portion and second portion of the frame as the portions of the tendon elongate.

Claims

1. A soft tissue repair device configured to fuse a first tendon end and a second tendon end of a lacerated tendon together, the repair device comprising:

a frame having a tubular structure and defining an axis and a bore, the frame including multiple struts interconnected and extending with a monolithic structure to at least partially define the tubular structure, the frame configured to receive the first tendon end and the second tendon end, the frame including a first portion and a second portion with an intermediate portion therebetween, the first portion and the second portion including anchors extending directly therefrom and into the bore and configured to attach the frame to portions of the tendon, the intermediate portion configured to be positioned adjacent the first and second tendon ends to substantially maintain the first tendon end to abut the second tendon end, the intermediate portion being configured to substantially resist elongation so as to maintain a substantially fixed position relative to the first and second tendon ends, the first portion and the second portion configured to be positioned over and attach to separate portions of the tendon, the frame configured to elongate along a length of the respective first portion and the second portion of the frame as the portions of the tendon elongate.

2. The soft tissue repair device of claim 1, wherein the frame comprises pad portions defining holes therethrough, the pad portions configured to receive the anchors through the holes to secure the frame to the tendon.

3. The soft tissue repair device of claim 1, wherein the anchors comprise at least one of tines and staples.

4. The soft tissue repair device of claim 1, wherein the intermediate portion comprises a wire connecting the first portion and the second portion of the frame together.

5. The soft tissue repair device of claim 1, wherein struts of the first portion and the second portion of the frame are moveable to an arcuate position.

6. The soft tissue repair device of claim 1, wherein the struts of the first portion and the second portion of the frame are moveable to an arcuate position with the struts of the intermediate portion substantially maintaining the fixed position.

7. The soft tissue repair device of claim 1, wherein the frame is configured to substantially maintain the fixed position along a length of the intermediate portion of the frame.

8. The soft tissue repair device of claim 1, wherein the struts of the first portion and the second portion comprise a multi-cellular structure.

9. The soft tissue repair device of claim 1, wherein the frame comprises a first side, a second side, an upper side and a lower side, the first side being opposite the second side, the first and second sides including the struts to at least partially define the first and second sides, the struts extending to multiple pad portions to at least partially define the upper and lower sides of the frame, each pad portion along the upper side being directly opposite and facing another pad portion along the lower side of the frame.

10. The soft tissue repair device of claim 9, wherein the pad portions comprise holes extending therethrough configured to receive the anchors for securing the first portion and the second portion of the frame to the tendon.

18. The soft tissue repair device of claim 1, wherein the struts of the intermediate portion extend substantially parallel relative to the axis of the frame.

11. A repair device configured to fuse tissue at a repair site, the repair device comprising:

a frame having multiple struts interconnected and extending with a monolithic structure and configured to extend along opposing sides of the tissue, the frame including a moveable portion and a stabilizing portion, the moveable portion coupled to the stabilizing portion, the moveable portion of the frame extending with at least opposite first and second sides configured to be positioned over opposite sides of the tissue such that the frame defines an axis, the stabilizing portion of the frame extending adjacent the repair site and the moveable portion of the frame configured to be anchored to a portion of the tissue separate from the repair site; and

anchors configured to extend inward from the moveable portion of the frame and between the first and second sides of the frame;

wherein the moveable portion of the frame is moveable to elongate along a length of the moveable portion of the frame as the portion of tissue elongates with a load placed thereon; and

wherein the stabilizing portion of the frame maintains a substantially fixed position adjacent the repair site.

12. The repair device of claim 11, wherein the moveable portion of the frame comprises pad portions defining holes therethrough, the pad portions configured to receive the anchors through the holes to secure the frame to the tendon.

13. The repair device of claim 11, wherein the anchors comprise at least one of tines and staples.

14. The repair device of claim 11, wherein the stabilizing portion comprises a wire.

15. The repair device of claim 11, wherein the moveable portion of the frame is moveable to an arcuate position.

16. The repair device of claim 11, wherein the struts of the frame comprise a multi-cellular structure.

17. The repair device of claim 11, wherein the moveable portion of the frame is moveable to an arcuate position as the portion of tissue to which the moveable portion is anchored moves to an arcuate position.

19. The repair device of claim 11, wherein the struts of the stabilizing portion extend substantially parallel relative to the axis of the frame.