US20060189993A1 - Soft tissue conduit device - Google Patents
Soft tissue conduit device Download PDFInfo
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- US20060189993A1 US20060189993A1 US11/408,282 US40828206A US2006189993A1 US 20060189993 A1 US20060189993 A1 US 20060189993A1 US 40828206 A US40828206 A US 40828206A US 2006189993 A1 US2006189993 A1 US 2006189993A1
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- conduit device
- conduit
- longitudinal
- soft tissue
- channels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
-
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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- A61B17/0482—Needle or suture guides
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
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- 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
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- 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
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- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
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- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
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- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
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- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
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- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0646—Surgical staples, i.e. penetrating the tissue for insertion into cartillege, e.g. meniscus
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- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
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- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
- A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
-
- 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
- A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
-
- 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
-
- 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
- A61F2/28—Bones
- A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
- A61F2002/2839—Bone plugs or bone graft dowels
Definitions
- the present teachings provide a soft tissue conduit device.
- the device includes an elongated body having an outer surface, the elongated body defining a plurality of longitudinal external channels, each longitudinal channel defining a conduit open to the outer surface of the elongated body, each conduit operable to conduct a biological material in soft tissue.
- the present teachings also provide a method of conducting biological materials to a defect in soft tissue.
- the method includes inserting a conduit device into the soft tissue and through the defect in the soft tissue, and conducting biological materials along at least one longitudinal channel defined on an outer surface of the conduit device into the soft tissue.
- the present teachings further provide a method of conducting biological materials between first and second areas of different vascularity of a meniscus.
- the method includes inserting an elongated body in the meniscus such that at least one longitudinal channel of the elongated body extends between the first and second areas and defines a conduit for biological materials, wherein the channel is open to an outer surface of the elongated body.
- FIG. 1A is an isometric view of a conduit device according to the present teachings
- FIG. 1B is a side view of the conduit device of FIG. 1A ;
- FIG. 1C is an end view of the conduit device of FIG. 1A ;
- FIG. 1D is an end view of a conduit device illustrating adequate tenting of soft tissue according to the present teachings
- FIG. 1E is an end view of a conduit device illustrating inadequate tenting of soft tissue
- FIG. 2A is an isometric view of a conduit device according to the present teachings
- FIG. 2B is a side view of the conduit device of FIG. 2A ;
- FIG. 2C is an end view of the conduit device of FIG. 2A ;
- FIG. 3A is an isometric view of a conduit device according to the present teachings.
- FIG. 3B is a side view of the conduit device of FIG. 3A ;
- FIG. 3C is an end view of the conduit device of FIG. 3A ;
- FIG. 4A is an isometric view of a conduit device according to the present teachings.
- FIG. 4B is a side view of the conduit device of FIG. 4A ;
- FIG. 4C is an end view of the conduit device of FIG. 4A ;
- FIG. 5 illustrates a method of inserting a conduit device in soft tissue according to the present teachings
- FIG. 6A is an isometric view of a conduit device according to the present teachings.
- FIG. 6B is a side view of the conduit device of FIG. 6A ;
- FIG. 6C is an end view of the conduit device of FIG. 6A ;
- FIG. 7A is an isometric view of a conduit device according to the present teachings.
- FIG. 7B is a side view of the conduit device of FIG. 7A ;
- FIG. 7C is an end view of the conduit device of FIG. 7A ;
- FIG. 8A illustrates a method of connecting two conduit devices with two fixation devices according to the present teachings
- FIG. 8B illustrates a method of connecting two conduit devices with two fixation devices according to the present teachings
- FIG. 9 illustrates a method of repairing a meniscal tear according to the present teachings
- FIG. 10A s an isometric view of a conduit device according to the present teachings.
- FIG. 10B is an isometric view of a conduit device according to the present teachings.
- an exemplary soft tissue conduit device 100 includes an elongated body 102 having an outer surface 104 and a plurality of longitudinal external channels 106 extending along the entire length of the body 102 .
- the channels 106 are shaped such that when the conduit device 100 is inserted into soft tissue, the channels 106 can serve as conduits for conducting biological materials, such as nutrients, into the tissue from outside the tissue or between first and second areas of the tissue, such as, for example, between healthy tissue and injured or torn tissue, or between areas of different vascularity, such as between red-red (vascular), red-white (semi-vascular) and white (avascular) tissue areas of a meniscus.
- the channels 106 can provide a vascularity path in the tissue for facilitating healing or repair.
- each channel 106 can have a width “w” and a depth “d” that allows the tissue to envelope or form a “tent” over the channel 106 without blocking the channel 106 .
- deep channels 106 exemplify a shape that provides satisfactory “tenting” or draping of tissue 80 over the channels 106 .
- shallow channels 106 ′ illustrate inadequate tenting of tissue 80 over the channels 106 ′, with the tissue at least partially entering the channels 106 ′. Satisfactory tenting of tissue 80 allows unobstructed or relatively unrestricted flow of nutrients or other biological materials along the channels 106 .
- Typical aspect ratios d/w are less than 1, such as, for example, 0.5, 0.8, etc.
- biological materials can be delivered through the channels 106 by external cannulas or other pumping devices during or after implantation.
- Such biological materials can be in the form of autologous cells derived from blood or bone marrow aspirate, for example, or other appropriate exogenous biological materials.
- Native or endogenous biological materials can also be carried after implantation from a vascular region of the soft tissue 80 to the injured site by inserting the conduit device 100 such that the conduit device 100 extends from a vascular region of the soft tissue to the injured site.
- biological materials in the form of platelet gels can be deposited in the channels 106 before implantation, as another mechanism of biological material delivery, including nutrient, delivery.
- the body 102 of the conduit device 100 can include a cylindrical portion 108 of constant dimensions and a tapered portion 110 .
- the body 102 can also include a plurality of blunt, rounded, and generally non-cutting ridges or threads 112 that are interrupted by the channels 106 .
- the body 102 can be cannulated with an internal longitudinal bore 114 .
- the longitudinal bore 114 can include a plurality of facets 116 for engaging a driver or other inserter for inserting the conduit device 100 in the soft tissue 80 .
- the bore 114 can have, for example, a square, triangular, hexagonal or other shape configured to engage the driver non-rotatably.
- FIGS. 1A-1C , 2 A- 2 C, and 3 A- 3 C exemplary conduit devices 100 having channels 106 with rounded V-shaped cross-sections are illustrated.
- FIGS. 1A-1C illustrate an aspect of the conduit device 100 with four channels 106 arranged, for example, symmetrically relative to the four sides 116 of a square bore 114 , although asymmetrical arrangements can also be used.
- FIGS. 2A-2C illustrate an aspect of the conduit device 100 with six channels 106 arranged symmetrically relative to the four sides 116 of the square bore 114 .
- FIGS. 3A-3C illustrate an aspect of the conduit device 100 with five channels 106 arranged asymmetrically relative to the four sides 116 of a square bore 114 .
- the keyhole shape can include a substantially circular portion 118 and a narrow slot-like opening 120 to the outer surface 104 of the body 102 .
- the keyhole shape can be used to provide a path for substantial volume of biological materials or nutrients with good tenting of tissue 80 over the channels 106 . It will be appreciated, however, that a different number of channels 106 and a variety of different channel shapes can be used as conduits for the conduit device 100 .
- a driver 130 can be used to insert the conduit device 100 through a tear or other defect or injury 82 in the soft tissue or meniscus 80 .
- the driver 130 can have a shaft 132 configured to engage the bore 114 of the body 102 of the conduit device 100 to facilitate inserting and guiding the conduit device 100 into the tissue 80 .
- the shaft 132 of the driver 130 can also include a sharp tip 134 for facilitating the insertion of the conduit device 100 into tissue 80 .
- the driver 100 can be used to rotate the conduit device 100 such that the blunt threads 112 push the tissue 80 aside during the insertion the conduit device 100 .
- the conduit device 100 can be used to connect areas of good vascularity 84 of the soft tissue 80 , such as, for example, the outer surface of a meniscus, with the site of the defect 82 or other areas of low or no vascularity, and can also serve as a fixation device that can bridge the defect 82 and or and bring closer together opposite sites of torn or damaged tissue at the defect 82 .
- the conduit device 100 can have a body 102 with a substantially cylindrical shape of constant diameter without external threads or ridges, and having an outer surface 104 interrupted by a plurality of longitudinal channels 106 .
- the body 102 can be otherwise solid (non-cannulated) as illustrated in FIGS. 6A-6C , or cannulated with an internal longitudinal bore 114 , as shown in FIGS. 7A-7C .
- the channels 106 can have different cross-sectional shapes, including the illustrated keyhole shapes for improved tissue tenting.
- the non-threaded conduit devices 100 of FIGS. 6A-6C and 7 A-AC can be used with various anchors, buttons, toggles or other fixation devices 140 , as illustrated in FIGS. 8 A-B and 9 .
- the channels 104 can be square or V-shaped or U-shaped or key-hole shaped, for example.
- the conduit devices 100 can include central bores 114 or can be solid. It will be appreciated that conduit devices 100 of various other shapes can be used, such as oval, square, rectangular, circular, or other shapes, and having channels 106 of different shapes.
- the conduit devices can be coupled with fixation devices 140 using sutures or flexible strands 142 passing through the central bore 114 or through two channels 104 , as discussed below in reference to FIGS. 8 A-B.
- two cannulated conduit devices 100 a , 100 b can be coupled with corresponding fixation devices 140 a , 140 b using a suture or other elongated flexible strand 142 .
- the flexible strand 142 can define a loop that passes through the first bore 114 a , connects to the corresponding fixation device 140 a , returns through the same bore 114 a , passes through the second bore 114 b , connects to the second fixation device 140 b , returns through the second bore 114 b , and closes the loop with a knot, button or other retainer 144 .
- two non-cannulated conduit devices 100 a , 100 b can be coupled with corresponding fixation devices 140 a , 140 b using the flexible strand 142 , as shown in FIG. 8B .
- the flexible strand 142 can define a loop that passes through a first external channel 106 a of the first conduit device 100 a , connects to the corresponding fixation device 140 a and returns through a second channel 106 b of the first conduit device 100 a .
- the flexible strand 142 then passes through a third channel 106 c of the second conduit device 100 b , connects to the second fixation device 140 b , returns through a fourth channel 106 d of the second conduit device 100 b , and closes the loop with a retainer 144 .
- two conduit devices 100 are shown coupled with two fixation devices 140 , which are inserted through a tear 82 in a meniscus and secured by tightening the loop defined by the flexible strand 142 .
- the implantation of the conduit devices 100 and the fixation devices 140 for reducing or closing the tear 82 can be performed according to the methods described in co-pending parent patent application Ser. No. 11/347,661 filed Feb. 3, 2006, and incorporated herein by reference.
- conduit devices 100 can be used for many applications in which biological materials or nutrients are needed to be delivered to a soft tissue site or transferred from one tissue site to another.
- the longitudinal channels 106 of the devices coupled with dimensions that facilitate tenting of tissue provide unobstructed and continuous paths for the flow or delivery of such biological materials and nutrients.
Abstract
Description
- This application is a continuation-in-part of U.S. patent application Ser. No. 11/347,661 filed on Feb. 3, 2006. This application is also a continuation-in-part of U.S. patent application Ser. No. 11/294,694 filed Dec. 5, 2005, which is a continuation-in-part of U.S. patent application Ser. No. 10/984,624 filed Nov. 9, 2004. The disclosures of the above applications are incorporated herein by reference.
- Tears caused by trauma or disease in soft tissue, such as cartilage, ligament, or muscle, can be repaired by suturing and/or use of various fixation devices. Various tissue fixation devices have been developed for facilitating suturing and are effective for their intended purposes.
- Although the existing soft tissue fixation devices can be satisfactory for their intended purposes, there is still a need for new devices that provide conduits for facilitating healing and promoting soft tissue vascularity.
- The present teachings provide a soft tissue conduit device. The device includes an elongated body having an outer surface, the elongated body defining a plurality of longitudinal external channels, each longitudinal channel defining a conduit open to the outer surface of the elongated body, each conduit operable to conduct a biological material in soft tissue.
- The present teachings also provide a method of conducting biological materials to a defect in soft tissue. The method includes inserting a conduit device into the soft tissue and through the defect in the soft tissue, and conducting biological materials along at least one longitudinal channel defined on an outer surface of the conduit device into the soft tissue.
- The present teachings further provide a method of conducting biological materials between first and second areas of different vascularity of a meniscus. The method includes inserting an elongated body in the meniscus such that at least one longitudinal channel of the elongated body extends between the first and second areas and defines a conduit for biological materials, wherein the channel is open to an outer surface of the elongated body.
- Further areas of applicability of the present invention will become apparent from the description provided hereinafter. It should be understood that the description and specific examples are intended for purposes of illustration only and are not intended to limit the scope of the invention.
- The present invention will become more fully understood from the detailed description and the accompanying drawings, wherein:
-
FIG. 1A is an isometric view of a conduit device according to the present teachings; -
FIG. 1B is a side view of the conduit device ofFIG. 1A ; -
FIG. 1C is an end view of the conduit device ofFIG. 1A ; -
FIG. 1D is an end view of a conduit device illustrating adequate tenting of soft tissue according to the present teachings; -
FIG. 1E is an end view of a conduit device illustrating inadequate tenting of soft tissue; -
FIG. 2A is an isometric view of a conduit device according to the present teachings; -
FIG. 2B is a side view of the conduit device ofFIG. 2A ; -
FIG. 2C is an end view of the conduit device ofFIG. 2A ; -
FIG. 3A is an isometric view of a conduit device according to the present teachings; -
FIG. 3B is a side view of the conduit device ofFIG. 3A ; -
FIG. 3C is an end view of the conduit device ofFIG. 3A ; -
FIG. 4A is an isometric view of a conduit device according to the present teachings; -
FIG. 4B is a side view of the conduit device ofFIG. 4A ; -
FIG. 4C is an end view of the conduit device ofFIG. 4A ; -
FIG. 5 illustrates a method of inserting a conduit device in soft tissue according to the present teachings; -
FIG. 6A is an isometric view of a conduit device according to the present teachings; -
FIG. 6B is a side view of the conduit device ofFIG. 6A ; -
FIG. 6C is an end view of the conduit device ofFIG. 6A ; -
FIG. 7A is an isometric view of a conduit device according to the present teachings; -
FIG. 7B is a side view of the conduit device ofFIG. 7A ; -
FIG. 7C is an end view of the conduit device ofFIG. 7A ; -
FIG. 8A illustrates a method of connecting two conduit devices with two fixation devices according to the present teachings; -
FIG. 8B illustrates a method of connecting two conduit devices with two fixation devices according to the present teachings; -
FIG. 9 illustrates a method of repairing a meniscal tear according to the present teachings; -
FIG. 10A s an isometric view of a conduit device according to the present teachings; and -
FIG. 10B is an isometric view of a conduit device according to the present teachings. - The following description is merely exemplary in nature and is in no way intended to limit the invention, its application, or uses. For example, although the present teachings are illustrated for repairing meniscal defects in knee surgery, the present teachings can be used to repair and facilitate healing or regeneration of any injured soft tissue.
- Referring to FIGS. 1A-C, an exemplary soft
tissue conduit device 100 according to the present teachings includes anelongated body 102 having anouter surface 104 and a plurality of longitudinalexternal channels 106 extending along the entire length of thebody 102. Thechannels 106 are shaped such that when theconduit device 100 is inserted into soft tissue, thechannels 106 can serve as conduits for conducting biological materials, such as nutrients, into the tissue from outside the tissue or between first and second areas of the tissue, such as, for example, between healthy tissue and injured or torn tissue, or between areas of different vascularity, such as between red-red (vascular), red-white (semi-vascular) and white (avascular) tissue areas of a meniscus. Thechannels 106 can provide a vascularity path in the tissue for facilitating healing or repair. As such, eachchannel 106 can have a width “w” and a depth “d” that allows the tissue to envelope or form a “tent” over thechannel 106 without blocking thechannel 106. Referring toFIG. 1D ,deep channels 106 exemplify a shape that provides satisfactory “tenting” or draping oftissue 80 over thechannels 106. Referring toFIG. 1E ,shallow channels 106′ illustrate inadequate tenting oftissue 80 over thechannels 106′, with the tissue at least partially entering thechannels 106′. Satisfactory tenting oftissue 80 allows unobstructed or relatively unrestricted flow of nutrients or other biological materials along thechannels 106. Typical aspect ratios d/w are less than 1, such as, for example, 0.5, 0.8, etc. - Various biological materials can be delivered through the
channels 106 by external cannulas or other pumping devices during or after implantation. Such biological materials can be in the form of autologous cells derived from blood or bone marrow aspirate, for example, or other appropriate exogenous biological materials. Native or endogenous biological materials can also be carried after implantation from a vascular region of thesoft tissue 80 to the injured site by inserting theconduit device 100 such that theconduit device 100 extends from a vascular region of the soft tissue to the injured site. Additionally or alternatively, biological materials in the form of platelet gels can be deposited in thechannels 106 before implantation, as another mechanism of biological material delivery, including nutrient, delivery. - Referring to
FIGS. 1A-1C , thebody 102 of theconduit device 100 can include acylindrical portion 108 of constant dimensions and atapered portion 110. Thebody 102 can also include a plurality of blunt, rounded, and generally non-cutting ridges orthreads 112 that are interrupted by thechannels 106. Thebody 102 can be cannulated with an internallongitudinal bore 114. Thelongitudinal bore 114 can include a plurality offacets 116 for engaging a driver or other inserter for inserting theconduit device 100 in thesoft tissue 80. Thebore 114 can have, for example, a square, triangular, hexagonal or other shape configured to engage the driver non-rotatably. - Referring to
FIGS. 1A-1C , 2A-2C, and 3A-3C,exemplary conduit devices 100 havingchannels 106 with rounded V-shaped cross-sections are illustrated.FIGS. 1A-1C illustrate an aspect of theconduit device 100 with fourchannels 106 arranged, for example, symmetrically relative to the foursides 116 of asquare bore 114, although asymmetrical arrangements can also be used.FIGS. 2A-2C illustrate an aspect of theconduit device 100 with sixchannels 106 arranged symmetrically relative to the foursides 116 of thesquare bore 114.FIGS. 3A-3C illustrate an aspect of theconduit device 100 with fivechannels 106 arranged asymmetrically relative to the foursides 116 of asquare bore 114. - Referring to
FIGS. 4A-4C , anexemplary conduit device 100 havingchannels 106 with keyhole-shaped cross-sections is illustrated. The keyhole shape can include a substantiallycircular portion 118 and a narrow slot-like opening 120 to theouter surface 104 of thebody 102. The keyhole shape can be used to provide a path for substantial volume of biological materials or nutrients with good tenting oftissue 80 over thechannels 106. It will be appreciated, however, that a different number ofchannels 106 and a variety of different channel shapes can be used as conduits for theconduit device 100. - Referring to
FIG. 5 , an exemplary method of using theconduit device 100 is illustrated. Adriver 130 can be used to insert theconduit device 100 through a tear or other defect orinjury 82 in the soft tissue ormeniscus 80. Thedriver 130 can have ashaft 132 configured to engage thebore 114 of thebody 102 of theconduit device 100 to facilitate inserting and guiding theconduit device 100 into thetissue 80. Theshaft 132 of thedriver 130 can also include asharp tip 134 for facilitating the insertion of theconduit device 100 intotissue 80. Thedriver 100 can be used to rotate theconduit device 100 such that theblunt threads 112 push thetissue 80 aside during the insertion theconduit device 100. Theconduit device 100 can be used to connect areas ofgood vascularity 84 of thesoft tissue 80, such as, for example, the outer surface of a meniscus, with the site of thedefect 82 or other areas of low or no vascularity, and can also serve as a fixation device that can bridge thedefect 82 and or and bring closer together opposite sites of torn or damaged tissue at thedefect 82. - Referring to
FIGS. 6A-6C and 7A-AC, theconduit device 100 can have abody 102 with a substantially cylindrical shape of constant diameter without external threads or ridges, and having anouter surface 104 interrupted by a plurality oflongitudinal channels 106. Thebody 102 can be otherwise solid (non-cannulated) as illustrated inFIGS. 6A-6C , or cannulated with an internallongitudinal bore 114, as shown inFIGS. 7A-7C . Thechannels 106 can have different cross-sectional shapes, including the illustrated keyhole shapes for improved tissue tenting. Thenon-threaded conduit devices 100 ofFIGS. 6A-6C and 7A-AC can be used with various anchors, buttons, toggles orother fixation devices 140, as illustrated in FIGS. 8A-B and 9. - Referring to
FIGS. 10A and 10B ,exemplary conduit devices 100 having flat or parallelepiped bodies are illustrated. Thechannels 104 can be square or V-shaped or U-shaped or key-hole shaped, for example. Theconduit devices 100 can includecentral bores 114 or can be solid. It will be appreciated thatconduit devices 100 of various other shapes can be used, such as oval, square, rectangular, circular, or other shapes, and havingchannels 106 of different shapes. The conduit devices can be coupled withfixation devices 140 using sutures orflexible strands 142 passing through thecentral bore 114 or through twochannels 104, as discussed below in reference to FIGS. 8A-B. - Referring to
FIG. 8A , two cannulated conduit devices 100 a, 100 b can be coupled with corresponding fixation devices 140 a, 140 b using a suture or other elongatedflexible strand 142. Theflexible strand 142 can define a loop that passes through the first bore 114 a, connects to the corresponding fixation device 140 a, returns through the same bore 114 a, passes through the second bore 114 b, connects to the second fixation device 140 b, returns through the second bore 114 b, and closes the loop with a knot, button orother retainer 144. - Similarly, two non-cannulated conduit devices 100 a, 100 b can be coupled with corresponding fixation devices 140 a, 140 b using the
flexible strand 142, as shown inFIG. 8B . Theflexible strand 142 can define a loop that passes through a firstexternal channel 106 a of the first conduit device 100 a, connects to the corresponding fixation device 140 a and returns through asecond channel 106 b of the first conduit device 100 a. Theflexible strand 142 then passes through athird channel 106 c of the second conduit device 100 b, connects to the second fixation device 140 b, returns through afourth channel 106 d of the second conduit device 100 b, and closes the loop with aretainer 144. - Referring to
FIG. 9 , twoconduit devices 100 are shown coupled with twofixation devices 140, which are inserted through atear 82 in a meniscus and secured by tightening the loop defined by theflexible strand 142. The implantation of theconduit devices 100 and thefixation devices 140 for reducing or closing thetear 82 can be performed according to the methods described in co-pending parent patent application Ser. No. 11/347,661 filed Feb. 3, 2006, and incorporated herein by reference. - It will be appreciated from the above description that the
conduit devices 100 can be used for many applications in which biological materials or nutrients are needed to be delivered to a soft tissue site or transferred from one tissue site to another. Thelongitudinal channels 106 of the devices coupled with dimensions that facilitate tenting of tissue provide unobstructed and continuous paths for the flow or delivery of such biological materials and nutrients. - The foregoing discussion discloses and describes merely exemplary arrangements of the present invention. One skilled in the art will readily recognize from such discussion, and from the accompanying drawings and claims, that various changes, modifications and variations can be made therein without departing from the spirit and scope of the invention as defined in the following claims.
Claims (27)
Priority Applications (31)
Application Number | Priority Date | Filing Date | Title |
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US11/408,282 US20060189993A1 (en) | 2004-11-09 | 2006-04-20 | Soft tissue conduit device |
US11/504,882 US8998949B2 (en) | 2004-11-09 | 2006-08-16 | Soft tissue conduit device |
US11/869,440 US7857830B2 (en) | 2006-02-03 | 2007-10-09 | Soft tissue repair and conduit device |
US12/014,340 US7905904B2 (en) | 2006-02-03 | 2008-01-15 | Soft tissue repair device and associated methods |
US12/014,399 US7909851B2 (en) | 2006-02-03 | 2008-01-15 | Soft tissue repair device and associated methods |
US12/419,491 US8317825B2 (en) | 2004-11-09 | 2009-04-07 | Soft tissue conduit device and method |
US12/570,854 US8303604B2 (en) | 2004-11-05 | 2009-09-30 | Soft tissue repair device and method |
US12/938,902 US8597327B2 (en) | 2006-02-03 | 2010-11-03 | Method and apparatus for sternal closure |
US12/976,328 US8273106B2 (en) | 2006-02-03 | 2010-12-22 | Soft tissue repair and conduit device |
US13/045,691 US8292921B2 (en) | 2006-02-03 | 2011-03-11 | Soft tissue repair device and associated methods |
US13/045,689 US8337525B2 (en) | 2006-02-03 | 2011-03-11 | Soft tissue repair device and associated methods |
US13/177,153 US8652172B2 (en) | 2006-02-03 | 2011-07-06 | Flexible anchors for tissue fixation |
US13/281,009 US9538998B2 (en) | 2006-02-03 | 2011-10-25 | Method and apparatus for fracture fixation |
US13/295,126 US9271713B2 (en) | 2006-02-03 | 2011-11-14 | Method and apparatus for tensioning a suture |
US13/645,964 US9504460B2 (en) | 2004-11-05 | 2012-10-05 | Soft tissue repair device and method |
US13/656,821 US9173651B2 (en) | 2006-02-03 | 2012-10-22 | Soft tissue repair device and associated methods |
US13/721,970 US8632569B2 (en) | 2006-02-03 | 2012-12-20 | Soft tissue repair device and associated methods |
US13/838,755 US9510819B2 (en) | 2006-02-03 | 2013-03-15 | Soft tissue repair device and associated methods |
US13/833,567 US9561025B2 (en) | 2006-02-03 | 2013-03-15 | Soft tissue repair device and associated methods |
US14/094,311 US9642661B2 (en) | 2006-02-03 | 2013-12-02 | Method and Apparatus for Sternal Closure |
US14/159,094 US9622736B2 (en) | 2006-02-03 | 2014-01-20 | Soft tissue repair device and associated methods |
US14/182,046 US9603591B2 (en) | 2006-02-03 | 2014-02-17 | Flexible anchors for tissue fixation |
US14/876,167 US10251637B2 (en) | 2006-02-03 | 2015-10-06 | Soft tissue repair device and associated methods |
US15/332,590 US10265064B2 (en) | 2004-11-05 | 2016-10-24 | Soft tissue repair device and method |
US15/412,676 US20170128061A1 (en) | 2006-02-03 | 2017-01-23 | Soft tissue repair device and associated methods |
US15/461,675 US10675073B2 (en) | 2006-02-03 | 2017-03-17 | Method and apparatus for sternal closure |
US15/891,049 US10932770B2 (en) | 2006-02-03 | 2018-02-07 | Soft tissue repair device and associated methods |
US16/255,300 US11109857B2 (en) | 2004-11-05 | 2019-01-23 | Soft tissue repair device and method |
US16/593,022 US11617572B2 (en) | 2006-02-03 | 2019-10-04 | Soft tissue repair device and associated methods |
US16/989,386 US11819205B2 (en) | 2006-02-03 | 2020-08-10 | Soft tissue repair device and associated methods |
US17/392,971 US20210361286A1 (en) | 2004-11-05 | 2021-08-03 | Soft tissue repair device and method |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
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US10/984,624 US7608098B1 (en) | 2004-11-09 | 2004-11-09 | Bone fixation device |
US11/294,694 US7914539B2 (en) | 2004-11-09 | 2005-12-05 | Tissue fixation device |
US11/347,661 US7749250B2 (en) | 2006-02-03 | 2006-02-03 | Soft tissue repair assembly and associated method |
US11/408,282 US20060189993A1 (en) | 2004-11-09 | 2006-04-20 | Soft tissue conduit device |
Related Parent Applications (7)
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US11/294,694 Continuation-In-Part US7914539B2 (en) | 2004-11-09 | 2005-12-05 | Tissue fixation device |
US11/347,661 Continuation-In-Part US7749250B2 (en) | 2004-11-05 | 2006-02-03 | Soft tissue repair assembly and associated method |
US11/504,882 Continuation-In-Part US8998949B2 (en) | 2004-11-09 | 2006-08-16 | Soft tissue conduit device |
US11/541,506 Continuation-In-Part US7601165B2 (en) | 2004-11-05 | 2006-09-29 | Method and apparatus for forming a self-locking adjustable suture loop |
US11/784,821 Continuation-In-Part US9017381B2 (en) | 2004-11-05 | 2007-04-10 | Adjustable knotless loops |
US12/014,399 Continuation-In-Part US7909851B2 (en) | 2004-11-05 | 2008-01-15 | Soft tissue repair device and associated methods |
US12/702,067 Continuation-In-Part US8672968B2 (en) | 2006-02-03 | 2010-02-08 | Method for implanting soft tissue |
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US11/347,661 Continuation-In-Part US7749250B2 (en) | 2004-11-05 | 2006-02-03 | Soft tissue repair assembly and associated method |
US11/504,882 Continuation-In-Part US8998949B2 (en) | 2004-11-09 | 2006-08-16 | Soft tissue conduit device |
US11/869,440 Continuation-In-Part US7857830B2 (en) | 2004-11-05 | 2007-10-09 | Soft tissue repair and conduit device |
US12/419,491 Division US8317825B2 (en) | 2004-11-09 | 2009-04-07 | Soft tissue conduit device and method |
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US20060189993A1 true US20060189993A1 (en) | 2006-08-24 |
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US11/408,282 Abandoned US20060189993A1 (en) | 2004-11-05 | 2006-04-20 | Soft tissue conduit device |
US12/419,491 Expired - Fee Related US8317825B2 (en) | 2004-11-09 | 2009-04-07 | Soft tissue conduit device and method |
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US12/419,491 Expired - Fee Related US8317825B2 (en) | 2004-11-09 | 2009-04-07 | Soft tissue conduit device and method |
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