WO2003073945A1 - Dispositif de collecte de fragments osseux - Google Patents

Dispositif de collecte de fragments osseux Download PDF

Info

Publication number
WO2003073945A1
WO2003073945A1 PCT/CA2003/000279 CA0300279W WO03073945A1 WO 2003073945 A1 WO2003073945 A1 WO 2003073945A1 CA 0300279 W CA0300279 W CA 0300279W WO 03073945 A1 WO03073945 A1 WO 03073945A1
Authority
WO
WIPO (PCT)
Prior art keywords
screen
bone
bone fragments
chamber
upstream
Prior art date
Application number
PCT/CA2003/000279
Other languages
English (en)
Inventor
George K. B. Sandor
Robert P. Carmichael
Donald R. Johnson
Vesa Tapani Kainulainen
Kyosti Sakari Oikarinen
Original Assignee
Sandor George K B
Carmichael Robert P
Johnson Donald R
Vesa Tapani Kainulainen
Kyosti Sakari Oikarinen
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 Sandor George K B, Carmichael Robert P, Johnson Donald R, Vesa Tapani Kainulainen, Kyosti Sakari Oikarinen filed Critical Sandor George K B
Priority to AU2003208202A priority Critical patent/AU2003208202A1/en
Publication of WO2003073945A1 publication Critical patent/WO2003073945A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/79—Filters for solid matter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/025—Pointed or sharp biopsy instruments for taking bone, bone marrow or cartilage samples
    • 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
    • A61B17/1635—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for grafts, harvesting or transplants

Definitions

  • Bone grafts are often required where there has been trauma or other injury to a bone and it becomes necessary to rebuild the damaged bone at the selected site.
  • bones may not have developed and it may be desired to repair or augment existing bone even bones that have not been altered or impaired by disease or external or other causes.
  • material suitable for bone grafting is generated by exposing bone and cutting chips from the bone. The chips cut from the bone are then used at the selected grafting site. While various methods and procedures exist for creating appropriate sized chips and for gathering those chips for use at the selected site, it is apparent that improved methods and equipment for collecting bone material suitable for use in conducting bone grafting procedures would be advantageous.
  • the invention includes a method of collecting bone material using the apparatus described above, including the steps of generating bone fragments suitable for use in bone grafting, collecting the bone fragments by drawing the bone fragments into the device described above and collecting the bone fragments drawn into the device on the at least one screen.
  • the invention includes a method for obtaining bone material suitable for bone grafting at a selected site including the steps of generating bone fragments suitable for use in bone grafting, collecting the bone fragments by drawing the bone fragments into a device as outlined above and collecting the bone fragments drawn into the device, on the at least one screen.
  • Figure 1 is a cross-sectional view through an embodiment of an apparatus constructed in accordance with the invention.
  • Figure 6 is a section through a third component shown in Figure
  • the bone harvesting apparatus is shown generally at 10.
  • the bone harvesting apparatus 10 comprises a canula 12 and a gathering housing 14.
  • the gathering housing 14 comprises an outlet port 20 defined by a generally cylindrical wall 22.
  • the generally cylindrical wall 22 is adapted to receive a tube which conveniently may be standard surgical tubing.
  • the surgical tubing is connected to a source of medical vacuum pressure. In use, the source of medical vacuum pressure creates a vacuum within the gathering housing 14.
  • the gathering housing 14 defines an internal chamber 24.
  • the internal chamber 24 is comprised between two cup-like portions, a downstream cup 26 and an upstream cup 28.
  • the cup-like portions 26 and 28 may be joined together through any convenient means such as interacting threads or by using a clamp or series of clamps, a separate ring or the like. In the embodiment illustrated, the cup-like portions 26 and 28 are press fit together as explained more fully below.
  • the downstream cup 26 includes the outlet port 20 and the cylindrical wall 22.
  • the upstream cup 28 includes an inlet aperture 30 which is sized to receive the canula 12.
  • the inlet aperture 30 and the outlet port 20 are arranged along the general axis of symmetry of the gathering housing 14.
  • the two screens may be captured between the cup portions 26 and 28 or otherwise located within the chamber inlet 24. These screens filter material flowing from the inlet aperture 30 toward the outlet port 20.
  • the first screen 40 is located in the downstream position and is intended to retain the bone material on the screen which is drawn into the internal chamber 24.
  • the material for the screen itself may be relatively fine. It is suggested that a 60 x 60 mesh 43 of suitable material having openings in the range of 0.107 or 3,600 holes per square inch will be suitable to retain the bone material.
  • the mesh 43 can be captured between a pair of rings 41 and 42 which are illustrated in Figure 6.
  • the upstream screen 44 is similar to the first or downstream screen 40. A relatively coarse mesh is suggested for the upstream screen.
  • the upstream screen may be a 40 x 40 mesh having 0.17 openings or approximately 1 ,600 holes per square inch.
  • the second screen 44 is similar to the first screen 40 with the mesh being captured between a pair of rings 45 and 46 which are similar to rings 41 and 42.
  • the rings 41 , 42, 45 and 46 all have the same outer diameter.
  • the downstream cup 26 includes a cylindrical wall 50 having an internal cylindrical surface 52 and an external generally cylindrical surface 54 with a land 56.
  • the rings 41 , 42 and 45, 46 of first screen 40 and second screen 44, respectively, are received within the cylindrical wall 50 and bear against the internal cylindrical surface 52 and a land 58.
  • the upstream cup 28 includes a cylindrical wall 60 having an internal cylindrical surface 62. From reference to Figures 2 and 3, it will be noted that the generally cylindrical surface 54 has a raised portion 53 having a slightly greater diameter.
  • the generally cylindrical surface 62 includes a downstream portion 63 having a comparatively larger diameter, a conical shoulder 64 and an upstream portion 65 having a comparatively smaller diameter.
  • the upstream cup also has a shoulder 66.
  • the raised portion 53 of the downstream cup 26, bears against the internal cylindrical surface 65 of the upstream cup 28.
  • the interference fit between the raised portion 53 and the surface 65 maintains the downstream cup 26 and the upstream cup 28 in registry, with the upstream cup 28 being drawn against the land 56.
  • the land 66 bears against the ring 46 of second screen 44. This effectively holds the first and second screens in position as illustrated in Figure 1.
  • the larger diameter portion 63 and the conical shoulder 64 facilitate alignment of the cups 26 and 28 as they are assembled.
  • the upstream cup 28 additionally includes a passageway 70 which extends from the internal chamber 24 through the wall of the upstream cup 28.
  • the downstream cup 26 includes a valve indicated generally at 80.
  • the valve can be moved from the closed position shown in Figure 1 to an open position wherein the gallery 82 communicates with the outlet port 20.
  • the valve 80 is principally an on-off valve. When the valve is in the position shown in Figure 1 , the suction generated by the suction line attached to the outlet port 20 is sealed at the valve so that no fluid is drawn into the canula 12. When the valve 80 is in the fully open position, the full suction force available from the suction supply line affixed to port 20 is available to draw fluid into the canula 12. By positioning the valve 80 between the full open and full closed position, some throttling can occur to vary the suction pressure directed to the tip of the canula 12.
  • the next step in utilization of the device is the creation of desired bone chips.
  • These bone chips may be created at a surgical site of a patient by drilling, scraping or sawing on the bone which is available. This drilling, scraping or sawing can be part of the surgical procedure at the selected site such as an osteotomy which may involve preparing the selected site for the installation of various types of hardware including an implant.
  • the surgical procedure may also involve use of the device 10 at a separate harvesting site, with the wound of the harvesting site being distant from the selected site of the bone grafting procedure.
  • the site is irrigated with saline solution.
  • a member of the surgical team will then use the bone harvesting device 10 to aspirate the saline soaked chips of bone into the device 10 by means of the vacuum within chamber 24.
  • the member of the surgical team could move a finger away from the passageway 70, thus allowing air to enter the internal chamber 24 and thereby decreasing the suction pressure at the surgical site. This allows the member of the surgical team to be more selective with what material is aspirated into the device 10 which may assist in avoiding gross contamination of the collected material with potentially infected debris.
  • the person holding the device 10 can cover the passageway 70 with a finger and utilize comparatively increased suction pressure to draw in the bone chips as desired.
  • the bone harvesting collection device 10 comprises a first screen 40 for connecting bone graft material and a second upstream screen 44 for filtering out other unwanted material. It is not necessary that an upper screen 44 be utilized if conditions do not require. When an upstream screen 44 is not required, a simple filler ring having the same dimensions radially and axially as the rings 45 and 46 combined, may be substituted for the screen '44. Of course, if additional screens are required, these can be utilized. In such a case the housing would have to be elongated to accommodate such additional screens as may be desired. [0031]
  • the device 10 may be made from any material which would be acceptable for use in the sterile conditions required in an operating room. The device may be disposable after use on one patient in which case various plastics may be acceptable. If reuse of the device is required then the material must be capable of resterilization such as by heat, chemical means or other sterilizing techniques.
  • That site may be chosen by the surgeon based on whatever factors are most desirable in the case of any particular patient.
  • the surgeon prepares the site and gains access to the bone where chips are to be generated. Then, using the device as described herein, the surgeon commences the collection of the bone chips.
  • the bone material removed from the patient's bone is collected using the apparatus referred to above.
  • the bone material which is then collected on the screen 40 is ready for use in the bone grafting procedure.
  • the collection of material may continue at the same time that bone grafting procedures are carried out at a selected site for bone grafting or the collection may be completed before the bone grafting procedure itself is started.

Abstract

Cette invention concerne un dispositif de collecte de fragments osseux comprenant une canule et un boîtier de collecte. Ce boîtier délimite une chambre intérieure présentant un orifice d'entrée et un orifice de sortie. L'orifice d'entrée est conçu pour recevoir une extrémité de la canule. La chambre comporte au moins un tamis intérieur que traverse le fluide entre l'orifice d'entrée et l'orifice de sortie. Le dispositif selon l'invention peut également s'utiliser pour recueillir de la matière osseuse destinée à une greffe osseuse.
PCT/CA2003/000279 2002-03-07 2003-03-04 Dispositif de collecte de fragments osseux WO2003073945A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2003208202A AU2003208202A1 (en) 2002-03-07 2003-03-04 Bone chip harvesting trap

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US36231902P 2002-03-07 2002-03-07
US60/362,319 2002-03-07

Publications (1)

Publication Number Publication Date
WO2003073945A1 true WO2003073945A1 (fr) 2003-09-12

Family

ID=27789152

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CA2003/000279 WO2003073945A1 (fr) 2002-03-07 2003-03-04 Dispositif de collecte de fragments osseux

Country Status (2)

Country Link
AU (1) AU2003208202A1 (fr)
WO (1) WO2003073945A1 (fr)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008121920A1 (fr) * 2007-03-30 2008-10-09 Smith & Nephew, Inc. Récolte de tissus
JP2010532178A (ja) * 2007-03-30 2010-10-07 スミス アンド ネフュー インコーポレーテッド 組織採取
WO2012061489A1 (fr) * 2010-11-02 2012-05-10 Thompson Mis Système de capture d'os
WO2012154514A1 (fr) 2011-05-08 2012-11-15 H & M Innovations, Llc Collecte et filtration d'os chirurgical autologue
US8845605B2 (en) 2011-05-08 2014-09-30 H & M Innovations, Llc Collection and filtration via suction of biological material during surgical procedure
US20150080896A1 (en) 2013-07-19 2015-03-19 Ouroboros Medical, Inc. Anti-clogging device for a vacuum-assisted, tissue removal system
EP2844161A4 (fr) * 2012-04-30 2016-04-20 Univ Johns Hopkins Prélèvement de tissu osseux
US10448967B2 (en) 2011-12-03 2019-10-22 DePuy Synthes Products, Inc. Discectomy kits with an obturator, guard cannula
US10940247B2 (en) 2016-08-12 2021-03-09 Tobra Medical, Inc. Collection jar and collection basket for surgical use
WO2021124117A1 (fr) * 2019-12-18 2021-06-24 Stryker European Operations Limited Dispositif de collecte et de traitement de fragments osseux

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3417248A1 (de) * 1984-05-10 1985-11-14 Alois 4040 Neuss Ferch Vorrichtung zum abscheiden von feststoffen aus fluessigkeiten
US4685472A (en) * 1984-01-23 1987-08-11 Rudolph Muto Specimen collector
US4844415A (en) * 1984-11-26 1989-07-04 Asicomo A/S Valve
US4960259A (en) * 1987-09-17 1990-10-02 Joka Kathetertechnik Gmbh Shut-off valve for a liquid flow line or infusion device
US5108381A (en) * 1991-03-11 1992-04-28 Kolozsi William Z Tissue sample collection trap
JPH0779997A (ja) * 1993-09-20 1995-03-28 Yataro Komiyama 骨再生および新生のための骨切削片集積装置
WO1998025539A1 (fr) * 1996-12-13 1998-06-18 Boettcher Robert Dispositif pour aspirer et collecter des particules osseuses
US6022354A (en) * 1998-12-04 2000-02-08 Mercuri; Gregory M. Bone harvesting collection and delivery system
JP2000166949A (ja) * 1998-12-08 2000-06-20 Atsushi Takahashi 口腔骨粉採取ユニット及びその製造方法

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4685472A (en) * 1984-01-23 1987-08-11 Rudolph Muto Specimen collector
DE3417248A1 (de) * 1984-05-10 1985-11-14 Alois 4040 Neuss Ferch Vorrichtung zum abscheiden von feststoffen aus fluessigkeiten
US4844415A (en) * 1984-11-26 1989-07-04 Asicomo A/S Valve
US4960259A (en) * 1987-09-17 1990-10-02 Joka Kathetertechnik Gmbh Shut-off valve for a liquid flow line or infusion device
US5108381A (en) * 1991-03-11 1992-04-28 Kolozsi William Z Tissue sample collection trap
JPH0779997A (ja) * 1993-09-20 1995-03-28 Yataro Komiyama 骨再生および新生のための骨切削片集積装置
WO1998025539A1 (fr) * 1996-12-13 1998-06-18 Boettcher Robert Dispositif pour aspirer et collecter des particules osseuses
US6022354A (en) * 1998-12-04 2000-02-08 Mercuri; Gregory M. Bone harvesting collection and delivery system
JP2000166949A (ja) * 1998-12-08 2000-06-20 Atsushi Takahashi 口腔骨粉採取ユニット及びその製造方法

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* Cited by examiner, † Cited by third party
Title
PATENT ABSTRACTS OF JAPAN vol. 1995, no. 06 31 July 1995 (1995-07-31) *
PATENT ABSTRACTS OF JAPAN vol. 2000, no. 09 13 October 2000 (2000-10-13) *

Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9777257B2 (en) 2007-03-30 2017-10-03 Smith & Nephew, Inc. Tissue harvesting
JP2010532178A (ja) * 2007-03-30 2010-10-07 スミス アンド ネフュー インコーポレーテッド 組織採取
WO2008121920A1 (fr) * 2007-03-30 2008-10-09 Smith & Nephew, Inc. Récolte de tissus
AU2008232516B2 (en) * 2007-03-30 2013-08-22 Smith & Nephew, Inc. Tissue harvesting
US8696674B2 (en) 2007-03-30 2014-04-15 Smith & Nephew, Inc. Tissue harvesting
US8795194B2 (en) 2007-03-30 2014-08-05 Smith & Nephew, Inc. Tissue harvesting
US9909103B2 (en) 2007-03-30 2018-03-06 Smith & Nephew, Inc. Tissue harvesting
US20140309652A1 (en) * 2007-03-30 2014-10-16 Smith & Nephew, Inc. Tissue Harvesting
US20140308742A1 (en) * 2007-03-30 2014-10-16 Smith & Nephew, Inc. Tissue Harvesting
US9822341B2 (en) 2007-03-30 2017-11-21 Smith & Nephew, Inc. Tissue harvesting
WO2012061489A1 (fr) * 2010-11-02 2012-05-10 Thompson Mis Système de capture d'os
US8740908B2 (en) 2010-11-02 2014-06-03 Thompson Mis Bone collection system
EP3326665A1 (fr) 2011-05-08 2018-05-30 H&M Innovations, LLC Collecte et filtration d'os chirurgical autologue
US11160916B2 (en) 2011-05-08 2021-11-02 Hensler Surgical Products, Llc Collection and filtration via suction of biological material during surgical procedure
US11246974B2 (en) 2011-05-08 2022-02-15 Hensler Surgical Products, Llc Collection and filtration via suction of biological material during surgical procedure
US8920393B2 (en) 2011-05-08 2014-12-30 H & M Innovations, Llc Autologous surgical bone collection and filtration
US8845605B2 (en) 2011-05-08 2014-09-30 H & M Innovations, Llc Collection and filtration via suction of biological material during surgical procedure
WO2012154514A1 (fr) 2011-05-08 2012-11-15 H & M Innovations, Llc Collecte et filtration d'os chirurgical autologue
US10493183B2 (en) 2011-05-08 2019-12-03 H & M Innovations, Llc Collection and filtration via suction of biological material during surgical procedure
US10448967B2 (en) 2011-12-03 2019-10-22 DePuy Synthes Products, Inc. Discectomy kits with an obturator, guard cannula
US9833248B2 (en) 2012-04-30 2017-12-05 The John Hopkins University Bone harvesting
EP2844161A4 (fr) * 2012-04-30 2016-04-20 Univ Johns Hopkins Prélèvement de tissu osseux
US10342563B2 (en) 2013-07-19 2019-07-09 DePuy Synthes Products, Inc. Anti-clogging device for a vacuum-assisted, tissue removal system
US20150080896A1 (en) 2013-07-19 2015-03-19 Ouroboros Medical, Inc. Anti-clogging device for a vacuum-assisted, tissue removal system
US10940247B2 (en) 2016-08-12 2021-03-09 Tobra Medical, Inc. Collection jar and collection basket for surgical use
WO2021124117A1 (fr) * 2019-12-18 2021-06-24 Stryker European Operations Limited Dispositif de collecte et de traitement de fragments osseux

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