WO2003037163A3 - Method and apparatus for fixing a graft in a bone tunnel - Google Patents

Method and apparatus for fixing a graft in a bone tunnel Download PDF

Info

Publication number
WO2003037163A3
WO2003037163A3 PCT/US2002/034223 US0234223W WO03037163A3 WO 2003037163 A3 WO2003037163 A3 WO 2003037163A3 US 0234223 W US0234223 W US 0234223W WO 03037163 A3 WO03037163 A3 WO 03037163A3
Authority
WO
WIPO (PCT)
Prior art keywords
bone tunnel
fixing
cross
graft
tunnel
Prior art date
Application number
PCT/US2002/034223
Other languages
French (fr)
Other versions
WO2003037163A8 (en
WO2003037163A2 (en
Inventor
Gregory R Whittaker
Original Assignee
Mckernan Daniel J
Ethicon Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Mckernan Daniel J, Ethicon Inc filed Critical Mckernan Daniel J
Priority to EP02793822.4A priority Critical patent/EP1443850B1/en
Priority to CA002463874A priority patent/CA2463874C/en
Priority to JP2003539513A priority patent/JP4740537B2/en
Priority to AU2002359297A priority patent/AU2002359297B2/en
Publication of WO2003037163A2 publication Critical patent/WO2003037163A2/en
Publication of WO2003037163A3 publication Critical patent/WO2003037163A3/en
Publication of WO2003037163A8 publication Critical patent/WO2003037163A8/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0805—Implements for inserting tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1637—Hollow drills or saws producing a curved cut, e.g. cylindrical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

A method and apparatus for fixing a ligament in a bone tunnel by cross-pinning the ligament in the bone tunnel. A cross-pin guide assembly (5) for placement of at least one cross pin in a bone tunnel, such as the tibial tunnel of a knee joint. The cross pin guide assembly (5) having an L-shaped member (10) having a base portion (15) and an arm portion (20). The arm portion (20) extends transversely to base portion (15).
PCT/US2002/034223 2001-10-26 2002-10-26 Method and apparatus for fixing a graft in a bone tunnel WO2003037163A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP02793822.4A EP1443850B1 (en) 2001-10-26 2002-10-26 Method and apparatus for fixing a graft in a bone tunnel
CA002463874A CA2463874C (en) 2001-10-26 2002-10-26 Graft ligament
JP2003539513A JP4740537B2 (en) 2001-10-26 2002-10-26 Method and apparatus for securing a graft to a bone tunnel
AU2002359297A AU2002359297B2 (en) 2001-10-26 2002-10-26 Method and apparatus for fixing a graft in a bone tunnel

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/039,857 US7195642B2 (en) 2001-03-13 2001-10-26 Method and apparatus for fixing a graft in a bone tunnel
US10/039,857 2001-10-26

Publications (3)

Publication Number Publication Date
WO2003037163A2 WO2003037163A2 (en) 2003-05-08
WO2003037163A3 true WO2003037163A3 (en) 2004-03-25
WO2003037163A8 WO2003037163A8 (en) 2004-10-28

Family

ID=21907690

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/034223 WO2003037163A2 (en) 2001-10-26 2002-10-26 Method and apparatus for fixing a graft in a bone tunnel

Country Status (6)

Country Link
US (5) US7195642B2 (en)
EP (1) EP1443850B1 (en)
JP (1) JP4740537B2 (en)
AU (1) AU2002359297B2 (en)
CA (1) CA2463874C (en)
WO (1) WO2003037163A2 (en)

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EP1443850A2 (en) 2004-08-11
US7674290B2 (en) 2010-03-09
CA2463874C (en) 2008-10-07
WO2003037163A8 (en) 2004-10-28
JP2005507697A (en) 2005-03-24
US20020173849A1 (en) 2002-11-21
WO2003037163A2 (en) 2003-05-08
CA2463874A1 (en) 2003-05-08
US20070213819A1 (en) 2007-09-13
JP4740537B2 (en) 2011-08-03
EP1443850B1 (en) 2013-09-18
US8226716B2 (en) 2012-07-24
US20120253462A1 (en) 2012-10-04
EP1443850A4 (en) 2006-03-22
US20100121448A1 (en) 2010-05-13
US7195642B2 (en) 2007-03-27
US9314332B2 (en) 2016-04-19
AU2002359297B2 (en) 2008-02-28
US8591580B2 (en) 2013-11-26
US20140046443A1 (en) 2014-02-13

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