Ligament system for knee joint

• US 9,681,940 B2
• Filed: 08/11/2014
• Issued: 06/20/2017
• Est. Priority Date: 09/29/2006
• Status: Active Grant

• Current Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Stone, Kevin T., Metzger, Robert
• Primary Examiner(s): IWAMAYE, ANDREW MICHAEL
• Application Number:
  US14/456,286
• Publication Number:
  US 20140350674A1
• Time in Patent Office: 1,044 Days
• 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00858 high friction, non-slip on handles A61B2017/00429
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0435 the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures
• CPC Class Codes: A61B 2017/06185 hollow or tubular hollow suture needles A61B2017/061
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0823 Modular anchors comprising a plurality of separate parts
• CPC Class Codes: A61F 2002/0829 without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
• CPC Class Codes: A61F 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0864 Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
• 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 2210/0004 bioabsorbable
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0095 : Saddle-shaped
• CPC Class Codes: A61F 2250/0007 : for adjusting length
• CPC Class Codes: A61F 2250/0012 : for adjusting elasticity, flexibility, spring rate or mechanical tension
• CPC Class Codes: A61F 2250/0018 : differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0029 : differing in bending or flexure capacity
• CPC Class Codes: A61L 27/04 : Metals or alloys
• CPC Class Codes: A61L 27/10 : Ceramics or glasses
• CPC Class Codes: A61L 27/22 : Polypeptides or derivatives thereof , e.g. degradation products
• CPC Class Codes: D04C 1/06 : Braid or lace serving particular purposes

Abstract

A system for an anatomical joint includes a first fastener, a second fastener, a prosthetic ligament member, and a biasing member associated with at least one of the first and second fasteners. The first fastener is operable to be connected to a first bone portion. The second fastener is operable to be connected to a second bone portion. The prosthetic ligament member is flexible and is directly coupled to both the first and second fasteners to support the first bone portion and the second bone portion for relative movement. A portion of the prosthetic ligament member extends from the first fastener to the second fastener and has an adjustable length. The biasing member is operable to bias the prosthetic ligament member to thereby maintain tension in the prosthetic ligament member.

Claims

1. A system for an anatomical joint with a first bone portion and a second bone portion, the system comprising:

a first fastener threadably attachable to the first bone portion;

a second fastener threadably attachable to the second bone portion; and

a prosthetic ligament member that is a flexible, integrated one-piece device and that is directly coupled to both the first and second fasteners for supporting the first bone portion and the second bone portion for relative movement, the prosthetic ligament member extending from a first end to a second end, the prosthetic ligament member including an outer wall that defines a hollow longitudinal passage portion having a first end and a second end, the first end of the prosthetic ligament member extending into the first end of the longitudinal passage portion through the outer wall and out of the second end of the longitudinal passage portion through the outer wall to define a first adjustable loop, the second end of the prosthetic ligament member extending into the second end of the longitudinal passage portion through the outer wall and out of the first end of the longitudinal passage portion through the outer wall to define a second adjustable loop, wherein the second fastener includes a threaded base and an attachment portion that is separate from the threaded base, and wherein, when the first fastener is in a fixed position in the first bone portion, the threaded base of the second fastener is in a fixed position in the second bone portion, and the prosthetic ligament member is coupled to the first fastener and the attachment portion of the second fastener, the attachment portion can be rotated relative to the first fastener and the threaded base of the second fastener for twisting or untwisting the prosthetic ligament member between the first fastener and the attachment portion of the second fastener, and wherein the second fastener includes a biasing member disposed between and abutting the threaded base and the attachment portion, the biasing member operable to bias the entirety of the attachment portion away from the entirety of the threaded base for maintaining a predetermined amount of tension in the prosthetic ligament member when loads are applied to the prosthetic ligament member.

2. The system of claim 1, wherein at least part of the biasing member is located outside the threaded base.

3. The system of claim 2, wherein the biasing member includes at least one of a helical spring and a Belleville washer.

4. The system of claim 1, wherein the first adjustable loop and the second adjustable loop comprise a single adjustable length of a portion of the prosthetic ligament member spanning between the first fastener and the attachment portion of the second fastener.

5. The system of claim 1, wherein the prosthetic ligament member is directly coupled to the first fastener at a first location, the prosthetic ligament member is directly coupled to the attachment portion of the second fastener at a second location, the first adjustable loop is disposed on one side of an axis extending through the first and second locations, and the second adjustable loop is disposed on the other side of the axis.

6. The system of claim 1, wherein the anatomical joint is a knee joint, the first bone portion includes at least a portion of a tibia, and the second bone portion includes at least a portion of a femur.

7. The system of claim 1, wherein the first and second adjustable loops extend from the first fastener to the attachment portion of the second fastener.

8. The system of claim 1, wherein the first and second adjustable loops are independently adjustable to adjust tension in the prosthetic ligament member.

9. The system of claim 1, wherein the first end of the prosthetic ligament member is pullable to reduce a size of the first adjustable loop and the second end of the prosthetic ligament member is pullable to reduce a size of the second adjustable loop.

10. A system for an anatomical joint with a first bone portion and a second bone portion, the system comprising:

a first fastener threadably attachable to the first bone portion;

a second fastener threadably attachable to the second bone portion, wherein the second fastener includes a threaded base and an attachment portion that is separate from the threaded base; and

a prosthetic ligament member that is flexible and that is directly coupled to both the first and second fasteners for supporting the first bone portion and the second bone portion for relative movement, the prosthetic ligament member extending from a first end to a second end, the prosthetic ligament member including an outer wall that defines a hollow longitudinal passage portion, the prosthetic ligament member also including at least one first aperture extending through the outer wall and disposed between the first and second ends, the prosthetic ligament member further including at least one second aperture extending through the outer wall and disposed between the first and second ends, the at least one first and second apertures being disposed at opposite ends of the longitudinal passage portion, the first end of the prosthetic ligament member extending through the at least one first aperture and the longitudinal passage portion and out of the at least one second aperture to define a first adjustable loop, the second end of the prosthetic ligament member extending through the at least one second aperture and the longitudinal passage portion and out of the at least one first aperture to define a second adjustable loop, the first and second adjustable loops extending from the first fastener to the attachment portion of the second fastener, wherein, when the first fastener is in a fixed position in the first bone portion, the threaded base of the second fastener is in a fixed position in the second bone portion, and the prosthetic ligament member is coupled to the first fastener and the attachment portion of the second fastener, the attachment portion can be rotated relative to the first fastener and the threaded base of the second fastener for twisting or untwisting the prosthetic ligament member between the first fastener and the attachment portion of the second fastener, and wherein the second fastener includes a biasing member disposed between and abutting the threaded base and the attachment portion, the biasing member operable to bias the entirety of the attachment portion away from the entirety of the threaded base for maintaining a predetermined amount of tension in the prosthetic ligament member when loads are applied to the prosthetic ligament member.

11. The system of claim 10, wherein the attachment portion, while abutting the biasing member, is positioned fully outside the threaded base.

12. The system of claim 11, wherein the biasing member includes at least one of a helical spring and a Belleville washer.

13. The system of claim 10, wherein the first and second adjustable loops are independently adjustable to adjust tension in the prosthetic ligament member.

14. The system of claim 10, wherein the first end of the prosthetic ligament member is pullable to reduce a size of the first adjustable loop and the second end of the prosthetic ligament member is pullable to reduce a size of the second adjustable loop.

15. The system of claim 10, wherein the anatomical joint is a knee joint, the first bone portion includes at least a portion of a tibia, and the second bone portion includes at least a portion of a femur.