Bone graft cage

Patent metadata

Field	Value
Publication number	US-11051944-B2
Application number	US-201916670881-A
Country	US
Kind code	B2
Filing date	Oct 31, 2019
Priority date	Jun 13, 2016
Publication date	Jul 6, 2021
Grant date	Jul 6, 2021

Abstract

A device for containing bone graft material includes an outer sleeve including a first proximal longitudinal split extending along a length thereof and a first distal longitudinal split extending along a length thereof and an inner sleeve connected to the outer sleeve via at least one strut so that a bone graft collecting space is defined therebetween, the inner sleeve including a second distal longitudinal split extending along a length thereof in combination with an interstitial mesh extending circumferentially between the inner and outer sleeves to hold graft material in the bone graft collecting space, the interstitial mesh including a third longitudinal split extending along a length thereof so that a distal side of the device may be spread open to open the distal longitudinal slot from the outer sleeve, through the interstitial mesh and the inner sleeve to a space radially within the inner sleeve.

First claim

What is claimed is:

1. A method for positioning a graft containment device, comprising:
spreading a distal side of the device open circumferentially, the device comprising an outer sleeve extending longitudinally from a first end to a second end and sized and shaped to correspond to a profile of an outer surface of a target bone, the outer sleeve including a first proximal longitudinal split extending along a length thereof and a first distal longitudinal split extending along a length thereof, the device comprising an inner sleeve connected to the outer sleeve via at least one strut so that a bone graft collecting space is defined therebetween, the inner sleeve sized and shaped to correspond to a profile of a medullary canal of the target bone, the inner sleeve including a second distal longitudinal split extending along a length thereof, the device comprising an interstitial mesh extending circumferentially between the inner and outer sleeves to hold graft material in the bone graft collecting space, the interstitial mesh including a third longitudinal split extending along a length thereof to form a distal longitudinal slot along the length of the device so that a distal side of the device may be spread open to open the distal longitudinal slot from the outer sleeve, through the interstitial mesh and the inner sleeve to a space radially within the inner sleeve;
sliding the device over an intramedullary rod so that the inner sleeve is positioned circumferentially around the intramedullary rod and into a space to be treated by bone graft material; and
spreading the first proximal longitudinal split and packing the bone graft material into the bone graft collecting space.

2. The method of claim 1 , wherein the space to be treated extends between cut surfaces of the target bone to replace a resected portion of the target bone.

3. The method of claim 1 , wherein the inner sleeve includes a second proximal longitudinal split extending along at least a portion of a length thereof substantially opposite the second distal longitudinal split to facilitate opening of the distal longitudinal slot.

4. The method of claim 1 , wherein the inner sleeve is connected to the outer sleeve via a plurality of first and second struts, the first and second struts being arranged in pairs, the pairs being separated from one another along a length of the device with the first and second struts of each pair extending radially outward from the inner sleeve on opposite sides of the distal longitudinal slot, at least a portion of the first and second struts interconnecting the inner sleeve, the interstitial mesh and the outer sleeve.

5. The method of claim 4 , wherein the interstitial mesh is formed as a plurality of mesh members extending circumferentially within a space between the inner and outer sleeves, the mesh members being separated from one another longitudinally, at least a first one of the mesh members being connected to the inner sleeve via a third strut.

6. The method of claim 4 , wherein the first and second struts are connected to the outer sleeve via a plurality of living hinges permitting the outer sleeve to rotate relative to the first and second struts.

7. The method of claim 4 , wherein the inner sleeve is connected to the outer sleeve only via the first and second struts.

8. The method of claim 4 , wherein the inner sleeve further includes a second proximal longitudinal split facilitating opening of the distal longitudinal slot.

9. The method of claim 4 , wherein the inner sleeve further includes a living hinge formed substantially diametrically opposite the distal longitudinal slot to facilitate opening of the longitudinal slot.

10. The method of claim 1 , wherein the outer sleeve is formed as a plurality of circumferential and longitudinal members intersecting to define openings of a predetermined size.

11. The method of claim 10 , wherein longitudinally adjacent ones of the openings of the outer sleeve are offset relative to one another relative to a longitudinal axis of the device.

12. The method of claim 10 , wherein the inner sleeve is formed as a plurality of circumferential and longitudinal members intersecting to define openings of a predetermined size.

13. The method of claim 12 , wherein longitudinally adjacent ones of the openings of the inner sleeve are offset relative to one another relative to a longitudinal axis of the device.

14. The method of claim 1 , further comprising a tag releasably attached to a proximal side of the device, a shape of the tag indicating a desired implantation orientation of the device.

15. The method of claim 1 , wherein the first distal and proximal longitudinal splits extend along an entire length of the outer sleeve and wherein the second longitudinal distal split extends along an entire length of the inner sleeve.

16. The method of claim 1 , wherein the distal longitudinal slot is formed by an alignment of the distal longitudinal splits of each of the outer sleeve, inner sleeve, and interstitial mesh.

17. A method for positioning a graft containment device, comprising:
spreading a distal side of the device open circumferentially, the device comprising a radially inner sleeve dimensioned and shaped to substantially match dimensions of a medullary canal of a portion of bone to be treated, the device comprising an inner sleeve including an inner distal split extending longitudinally along a length thereof, an interstitial structure including a plurality of circumferential members extending radially outside and circumferentially around at least a portion of the inner sleeve, the plurality of circumferential members being separated from one another longitudinally along the device, the interstitial structure including a distal interstitial split along a length thereof; an outer sleeve extending circumferentially outside and around the interstitial structure, the outer sleeve including a distal outer split along a length thereof and a proximal outer split along a length thereof, the device comprising a plurality of pairs of radial struts, a first one of each pair of struts being coupled to the inner and outer sleeves on a first side of the inner and outer distal splits while a second one of each pair of struts is coupled to the inner and outer sleeves on a second side of the inner and outer splits, the pairs of radial struts being separated from one another longitudinally along the device;
sliding the device over an intramedullary rod so that the inner sleeve is positioned circumferentially around the intramedullary rod and into a space to be treated by bone graft material; and
spreading the first proximal longitudinal split and packing bone graft material into the bone graft collecting space.

18. The method of claim 17 , wherein the space to be treated extends between cut surfaces of the target bone to replace a resected portion of the target bone.

19. The method of claim 17 , wherein at least a portion of the pairs of radial struts are connected to corresponding ones of the circumferential members.

20. The method of claim 19 , further comprising a plurality of connection members inter connecting the inner sleeve and the circumferential members, the inner sleeve being connected to the outer sleeve only via the radial struts.

Assignees

• Depuy Synthes Products Inc

Inventors

• Larsen Scott
• Hamel Ross
• Pierson Glen
• Mikhail George

Classifications

• A61F2/4601

  for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity · CPC title

• A61F2002/30177

  W-shaped, M-shaped or sigma shaped · CPC title

• A61F2/28

  Bones · CPC title

• A61B17/72

  Intramedullary devices, e.g. pins or nails · CPC title

• A61F2002/30062

  (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive · CPC title