Source: https://patents.justia.com/patent/10517714
Timestamp: 2020-02-27 14:52:18
Document Index: 37517644

Matched Legal Cases: ['artz\n3643649', 'art\n5628756', 'art\n5632745', 'artz\n5632748', 'art\n5658313', 'art\n5746754', 'art\n5951560', 'art\n6269716', 'art\n6540769', 'art\n6607548', 'art\n6620166', 'art\n7998203']

US Patent for Ligament system for knee joint Patent (Patent # 10,517,714 issued December 31, 2019) - Justia Patents Search
Justia Patents US Patent for Ligament system for knee joint Patent (Patent # 10,517,714)
Ligament system for knee joint
Jun 19, 2017 - Biomet Sports Medicine, LLC
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.
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This application is a divisional of U.S. patent application Ser. No. 12/788,978 filed on May 27, 2010, which is a continuation-in-part of U.S. patent application Ser. No. 12/489,168 filed on Jun. 22, 2009, now U.S. Pat. No. 8,361,113 issued on Jan. 29, 2013, which is a continuation-in-part of U.S. patent application Ser. No. 12/474,802 filed on May 29, 2009, now U.S. Pat. No. 8,088,130 issued on Jan. 3, 2012, which is a continuation-in-part of: (a) U.S. patent application Ser. No. 12/196,405 filed on Aug. 22, 2008, U.S. Pat. No. 8,128,658 issued on Mar. 6, 2012; (b) U.S. patent application Ser. No. 12/196,407 filed on Aug. 22, 2008, now U.S. Pat. No. 8,137,382 issued on Mar. 20, 2012; (c) U.S. patent application Ser. No. 12/196,410 filed on Aug. 22, 2008, now U.S. Pat. No. 8,118,836 issued on Feb. 21, 2012; and (d) a continuation-in-part of U.S. patent application Ser. No. 11/541,506 filed on Sep. 29, 2006, now U.S. Pat. No. 7,601,165 issued on Oct. 13, 2009.
This application is a divisional of U.S. patent application Ser. No. 12/788,978 filed on May 27, 2010, which is a continuation-in-part of U.S. patent application Ser. No. 12/570,854 filed on Sep. 30, 2009, now U.S. Pat. No. 8,303,604 issued on Nov. 6, 2012, which is a continuation-in-part of: (a) U.S. patent application Ser. No. 12/014,399 filed on Jan. 15, 2008, now U.S. Pat. No. 7,909,851 issued on Mar. 22. 2011; and (b) U.S. patent application Ser. No. 12/014,340 filed on Jan. 15, 2008, now U.S. Pat. No. 7,905,904 issued on Mar. 15, 2011.
This application is a divisional of U.S. patent application Ser. No. 12/788,978 filed on May 27, 2010, which is a continuation-in-part of U.S. patent application Ser. No. 12/702,067 filed on Feb. 8, 2010, now U.S. Pat. No. 8,672,968 issued on Mar. 18, 2014, which is a continuation of U.S. patent application Ser. No. 11/541,505 filed on Sep. 29, 2006, now U.S. Pat. No. 7,658,751 issued on Feb. 9, 2010.
This application is a divisional of U.S. patent application Ser. No. 12/788,978 filed on May 27, 2010, which is a continuation-in-part of U.S. patent application Ser. No. 12/196,398 filed Aug. 22, 2008, now U.S. Pat. No. 7,959,650 issued on Jun. 14, 2011; which is a continuation-in-part of U.S. patent application Ser. No. 11/784,821 filed April 10, 2007.
A system for an anatomical joint with a first bone portion and a second bone portion is disclosed. The system includes a first fastener, a second fastener, and a prosthetic ligament member. The first fastener is operable to be connected to the first bone portion. The second fastener is operable to be connected to the 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. According to one aspect, a portion of the prosthetic ligament member extends from the first fastener to the second fastener and has an adjustable length. According to another aspect, the system includes a biasing member associated with at least one of the first and second fasteners. The biasing member is operable to bias the prosthetic ligament member to thereby maintain tension in the prosthetic ligament member.
In various examples, the prosthetic ligament member extends from a first end to a second end, and includes an outer wall that defines a hollow longitudinal passage portion having a first end and a second end. In one example, the prosthetic ligament member is integrated one-piece device. The first end of the prosthetic ligament member extends 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 length. The second end of the prosthetic ligament member extends 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 length.
In another example, the prosthetic ligament member includes at least one first aperture and at least one second aperture that extend through the outer wall and are disposed between the first and second ends of the prosthetic ligament member. The at least one first and second apertures are disposed at opposite ends of the longitudinal passage portion. The first end of the prosthetic ligament member extends 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 length. The second end of the prosthetic ligament member extends 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 length. The first and second adjustable lengths extend from the first fastener to the second fastener.
A method of repairing an anatomical joint is also disclosed. The method includes operably coupling a first fastener to a first bone portion of a patient and operably coupling a second fastener to a second bone portion of the patient. The method further includes intraoperatively adjusting a tension of a prosthetic ligament member that is a flexible, integrated one-piece member directly coupled to both the first and second fasteners. The prosthetic ligament member has an outer wall that defines a hollow longitudinal passage portion. The first end extends into the longitudinal passage portion through the outer wall and out of the longitudinal passage portion through the outer wall to define a first adjustable length. The second end extends into the longitudinal passage portion through the outer wall and out of the longitudinal passage portion through the outer wall to define a second adjustable length.
The prosthetic ligament member 12 can be made out of any suitable material and can be manufactured in any suitable fashion. For instance, the ligament member 12 can be made out of a flexible and biocompatible material. More specifically, the ligament member 12 can be made out of and/or can include fibers of polyethylene, gel-spun polyethylene, polyester, polyetheretherketone (PEEK), poly-para-phenylene terephthalamide, polycaprolactone, Kevlar®, carbon, collagen, polyglycolic acid (PGA), polylactic acid (PLA), polyurethane urea, and/or silk (silk from a silk worm or silk from a spider). In some embodiments, the ligament member 12 can be made out of SERICA material, which is commercially available from SERICA Technologies, Inc. of Medford, MA. Moreover, in some embodiments, the ligament member 12 can be made out of SPIDREX material, which is commercially available from Neurotex Ltd. In addition, the ligament member 12 can be made out of a material that is injected with a natural and/or artificial collagen. Furthermore, the ligament member 12 can be made out of a partially resorbable material. Additionally, the ligament member 12 can be made out of a material that is treated with a platelet concentration to promote tissue growth. Also, the ligament member 12 can be made out of a material that is easily cuttable with a conventional blade or sharpened edge, once a desired tension is reached in the ligament member 12.
As shown in FIGS. 3 and 4, the fasteners 14, 16 can include a cylindrical base 40 having a first end 42 and a second end 44. The base 40 can be hollow to define an interior space 46 therein. The ends 42, 44 can be open to the interior space 46. In some embodiments, the second end 44 can be disposed at an angle, α, relative to the first end 42 (FIG. 4). Moreover, the interior portion of the second end 44 can include a fillet 48 (FIG. 4). As will be discussed, the angle, α, and the fillet 48 of the second end 44 can reduce the likelihood of the fastener 14, 16 abrading the ligament member 12, thereby reducing the likelihood of wear of the ligament member 12. Also, the angle, α, can reduce the likelihood of the fastener 14, 16 intruding into the intra-articular space.
Still further, the fasteners 14, 16 can be polygonal and/or can include at least one flat inner surface 54 (i.e., drive portion). For instance, in the embodiments represented in FIGS. 3 and 4, the fasteners 14, 16 can include a plurality of flat inner surfaces 54 adjacent the first end 42. As such, the flat inner surfaces 54 can collectively define an octagonal shape or any other suitable polygon.
The fasteners 314, 316 can include a base 340 that is disk-shaped and attachment portion 352 (e.g., an eyelet) that is integrally attached to the base 340, so as to be monolithic. The diameter D of the base 340 can be greater than the diameter D′ of the bone tunnel 351. Accordingly, the base 340 can seat to the bone 318, 320 to thereby secure the base 340 to the bone 318, 320. Moreover, the ligament member 312 can be received within and can extend through the attachment portion 352. More specifically, the attachment portion 352 can extend continuously about the ligament member 312 to thereby encircle the ligament member 312. As such, the attachment portion 352 can inhibit movement of the ligament member 312 outside of the attachment portion 352. As stated above, the ligament member 312 can be manufactured and supplied to the surgeon pre-attached to the attachment portion 352. Alternatively, the system 310 can be employed such that the surgeon threads the attachment portion 312 through the attachment portion 352 intraoperatively,
1. A method of manufacturing a braided hollow suture construct, comprising:
obtaining a braided hollow core suture comprised of multiple biocompatible fibers braided together, the braided hollow core suture including a braided suture wall, the multiple biocompatible fibers including at least a first fiber and a second fiber, the first fiber having a first diameter, the second fiber having a second diameter that is made larger than the first diameter for increasing the coefficient of friction of the braided hollow core suture, wherein the second diameter being larger than the first diameter causes the second fiber to protrude from the first fiber along the braided suture wall;
passing a first free end of the braided hollow core suture through a first longitudinal passage in the braided hollow core suture to form a first adjustable loop; and
passing a second free end of the braided hollow core suture through a second longitudinal passage in the braided hollow core suture to form a second adjustable loop.
2. The method of claim 1, wherein the first fiber is formed with a first biocompatible material and the second fiber is formed with a second biocompatible material that is different than the first biocompatible material.
3. The method of claim 1, wherein at least one of the first fiber and the second fiber is formed with a polyethylene material.
4. The method of claim 1, wherein at least one of the first fiber and the second fiber is formed with a polyester material.
5. The method of claim 1, wherein the first fiber is formed with a polyethylene material and the second fiber is formed with a polyester material.
6. The method of claim 1, wherein the second fiber is less resiliently extendable in a longitudinal direction compared to the first fiber.
7. The method of claim 1, wherein the first free end extends through a first aperture in the braided hollow core suture, along the first longitudinal passage in the braided hollow core suture, and out a fourth aperture in the braided hollow core suture, and wherein the second free end extends through a second aperture in the braided hollow core suture, along the second longitudinal passage in the braided hollow core suture, and out a third aperture in the braided hollow core suture, wherein the first aperture, the second aperture, the third aperture, and the fourth aperture are all separate apertures in the braided hollow core suture.
8. The method of claim 1 further comprising coupling the braided hollow core suture to a bone engaging fastener.
9. The method of claim 8, wherein the bone engaging fastener is threaded.
10. A method of manufacturing a braided hollow core suture construct, comprising:
braiding together multiple biocompatible fibers to form a braided hollow core suture, the multiple biocompatible fibers including a first fiber and a second fiber, the first fiber having a first diameter, the second fiber having a second diameter that is made larger than the first diameter for increasing the coefficient of friction of the braided hollow core suture, wherein the first fiber is formed with a polyethylene material and the second fiber is formed with a polyester material; and
passing a first free end of the braided hollow core suture through a first longitudinal passage in the braided hollow core suture to form a first adjustable loop.
11. The method of claim 10 further comprising passing a second free end of the braided hollow core suture through a second longitudinal passage in the braided hollow core suture to form a second adjustable loop.
12. The method of claim 10 further comprising coupling the braided hollow core suture to a bone engaging fastener.
13. The method of claim 12, wherein the bone engaging fastener is threaded.
14. The method of claim 10, wherein the braided hollow core suture includes a braided suture wall, and wherein the second diameter being larger than the first diameter causes the second fiber to protrude from the first fiber along the braided suture wall.
15. The method of claim 10, wherein the second fiber is less resiliently extendable in a longitudinal direction compared to the first fiber.
16. A method of manufacturing a braided hollow core suture construct, comprising:
obtaining a braided hollow core suture that includes a first free end and a second free end, the braided hollow core suture formed by a process that includes braiding together multiple biocompatible fibers, wherein said braiding together includes braiding into the braided hollow core suture a plurality of first fibers having a first diameter, and wherein said braiding together further includes braiding into the braided hollow core suture along with the plurality of first fibers at least one second fiber having a second diameter that is larger than the first diameter so as to increase the coefficient of friction of the braided hollow core suture relative to the coefficient of friction of the plurality of first fibers;
passing the first free end into the braided hollow core suture through a first aperture in the braided hollow core suture, along a first longitudinal passage in the braided hollow core suture, and out of the braided hollow core suture through a fourth aperture in the braided hollow core suture to form a first adjustable loop; and
passing the second free end into the braided hollow core suture through a second aperture in the braided hollow core suture, along a second longitudinal passage in the braided hollow core suture, and out of the braided hollow core suture through a third aperture in the braided hollow core suture to form a second adjustable loop,
wherein the first aperture, the second aperture, the third aperture, and the fourth aperture are all separate apertures in the braided hollow core suture.
17. The method of claim 16, wherein the first fiber is formed with a first biocompatible material and the second fiber is formed with a second biocompatible material that is different than the first biocompatible material.
18. The method of claim 16, wherein at least one of the first fiber and the second fiber is formed with a polyethylene material.
19. The method of claim 16, wherein at least one of the first fiber and the second fiber is formed with a polyester material.
20. The method of claim 16, wherein the first fiber is formed with a polyethylene material and the second fiber is formed with a polyester material.
21. The method of claim 16, wherein the braided hollow core suture includes a braided suture wall, and wherein the second diameter being larger than the first diameter causes the second fiber to protrude from the first fiber along the braided suture wall.
22. The method of claim 16 further comprising coupling the braided hollow core suture to a bone engaging fastener.
23. The method of claim 22, wherein the bone engaging fastener is threaded.
24. The method of claim 16, wherein the second fiber is less resiliently extendable in a longitudinal direction compared to the first fibers.
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