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US6610079B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Fixation system and method

Assignee: Linvatec Corp
•
Filing: 2000-06-30
•
Granted: 2003-08-26
•
Expires: 2020-06-30
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Abstract

Abstract A fastener system and procedure to secure a member in a medium. The system includes a tool to deliver both the member and a flowable, curable polymer onto, into or through the medium. The flowable polymer is injected into, through or around the member. As the flowable polymer cures, it acts as either a solid filler or as an adhesive to provide fixation for the member, or to enhance fixation of the member.

Inventors

  • 👤 Lehmann K. Li
  • 👤 Rhodemann Li

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-09 01:24
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/00491; A61B17/04; A61B17/0401; A61B17/068; A61B17/56; A61B17/58; A61B17/88; A61B17/8802; A61B17/8805; A61B17/8875; A61C; A61C8/00; A61C8/0018; A61C8/0089; A61F; A61F2/00; A61F2/02; A61F2/08; A61F2/0805; A61B17/064; A61B17/0642; A61B17/68; A61B17/70; A61B17/7097; A61B17/7098; A61B17/92; A61B2017/0409; A61B2017/0412; A61B2017/0414; A61B2017/044; A61B2017/0445; A61B2017/0446; A61B2017/0458; A61B2017/0647; A61B2017/0648; A61B2017/922; A61F2/0811; A61F2/30; A61F2/46; A61F2002/4631

Claims Analysis

Total Claims: 118
Claim 1
Independent Claim 109 words
A method for delivering a non-flowable implant and a flowable material into a medium with a delivery tool comprising: disposing a flowable material in the delivery tool; controlling a non-flowable implant with the delivery tool; inserting the non-flowable implant with the delivery tool into the medium; injecting the flowable material with the delivery tool into the medium so that the flowable material is injected through, above, below or around at least a portion of the non-flowable implant; and allowing the flowable material to change to a non-flowable state in, on or around at least a portion of the non-flowable implant to provide fixation of the implant to the medium.
Claim 2
Independent Claim 109 words
A method for delivering a non-flowable implant and a flowable material into a medium with a delivery tool comprising: disposing a flowable material in the delivery tool; controlling a non-flowable implant with the delivery tool; inserting the non-flowable implant with the delivery tool into the medium; injecting the flowable material with the delivery tool into the medium so that the flowable material is injected through, above, below or around at least a portion of the non-flowable implant; and allowing the flowable material to change to a non-flowable state in, on or around at least a portion of the non-flowable implant to provide fixation of the implant to the medium.
Claim 3
Dependent Claim 13 words
The method of claim 1 , wherein the non-flowable implant comprises a fastener.
Claim 4
Dependent Claim 14 words
The method of claim 2 , wherein the fastener has a suture attached thereto.
Claim 5
Dependent Claim 13 words
The method of claim 1 , wherein the non-flowable implant comprises a suture.
Claim 6
Dependent Claim 13 words
The method of claim 1 wherein the non-flowable implant comprises tissue or bone.
Claim 7
Dependent Claim 13 words
The method of claim 1 , wherein the medium comprises tissue or bone.
Claim 8
Dependent Claim 62 words
The method of claim 1 , wherein the step of disposing a flowable material in the delivery tool comprises disposing an at least two component flowable curable material in the delivery tool and further comprising mixing the two components to start a curing process whereby the flowable material cures after it has been delivered into the medium to secure the non-flowable implant.
Claim 9
Dependent Claim 33 words
The method of claim 1 , further comprising injecting the flowable material through a portion of the delivery tool having a hollow distal end for passage of the flowable material into the medium.
Claim 10
Dependent Claim 26 words
The method of claim 1 , wherein the flowable material comprises a one component flowable curable material which is curable upon exposure to an external agent.
Claim 11
Dependent Claim 20 words
The method of claim 1 , wherein the flowable material comprises at least a portion that is remodelable into tissue.
Claim 12
Dependent Claim 16 words
The method of claim 1 , wherein the flowable material becomes non-flowable through a phase transition.
Claim 13
Dependent Claim 22 words
The method of claim 11 , wherein the flowable material which has become non-flowable can become flowable through a reverse phase transition.
Claim 14
Dependent Claim 15 words
The method of claim 9 , wherein the external agent is radiation by radiant energy.
Claim 15
Dependent Claim 15 words
The method of claim 7 , wherein the at least two components comprise two liquids.
Claim 16
Dependent Claim 18 words
The method of claim 7 , wherein the at least two components comprise a liquid and a powder.
Claim 17
Dependent Claim 65 words
The method of claim 1 , wherein the non-flowable implant comprises a fastener having a shaft, a bore extending through the shaft, and further comprising providing a needle having a distal opening in the bore, and injecting the flowable material through the needle into the bore, the fastener having at least one opening for communication of the flowable material between the bore and the medium.
Claim 18
Dependent Claim 35 words
The method of claim 16 , wherein the fastener has a plurality of openings communicating between the bore and the medium, and further comprising injecting the flowable material through ones of the plurality of openings.
Claim 19
Dependent Claim 31 words
The method of claim 17 , further comprising injecting the flowable material through ones of the plurality of openings to achieve a desired distribution of the flowable material in the medium.
Claim 20
Dependent Claim 23 words
The method of claim 18 , further comprising moving the needle relative to the bore of the fastener to achieve the desired distribution.
Claim 21
Dependent Claim 36 words
The method of claim 1 , further comprising disposing the flowable material in at least one chamber of the delivery tool and moving a plunger in the chamber to inject the flowable material into the medium.
Claim 22
Dependent Claim 57 words
The method of claim 19 , further wherein the flowable material is an at least two component material that is mixed to cause it to cure and further comprising forcing the at least two components into a mixing chamber of the delivery tool to mix the two components prior to injecting the flowable material into the medium.
Claim 23
Dependent Claim 27 words
The method of claim 1 , further comprising generating a signal to indicate when the flowable material has become non-flowable to allow retraction of the delivery tool.
Claim 24
Dependent Claim 80 words
The method of claim 1 , further where the medium comprises first and second members and further wherein the non-flowable implant comprises a staple device for attaching the first member to the second member and further comprising injecting the flowable material into two legs of the staple device to secure each of the two legs in the medium, with the two legs penetrating through the first member into the second member to secure the first member to the second member.
Claim 25
Dependent Claim 29 words
The method of claim 1 , further comprising providing a penetrating distal end on the non-flowable implant and forcing said non-flowable implant into the medium with the delivery tool.
Claim 26
Dependent Claim 21 words
The method of claim 1 , further comprising using a distal end of the delivery tool to penetrate into the medium.
Claim 27
Dependent Claim 22 words
The method of claim 1 , further comprising drilling a hole in the medium and inserting the non-flowable implant in the hole.
Claim 28
Dependent Claim 35 words
The method of claim 26 , further comprising drilling two holes in the medium and wherein the non-flowable implant comprises a staple device having two legs, and inserting the two legs in the respective holes.
Claim 29
Dependent Claim 19 words
The method of claim 27 , wherein the step of drilling comprises drilling two non-parallel holes in the medium.
Claim 30
Dependent Claim 53 words
The method of claim 28 , wherein the step of drilling two non-parallel holes comprises drilling the holes so that distal ends thereof interconnect and the step of injecting the flowable material comprises injecting the flowable material so that the flowable material in each hole contacts the flowable material in the other hole.
Claim 31
Dependent Claim 72 words
The method of claim 1 , wherein a distal end of the delivery tool comprises a surgical needle having an internal bore for the flowable material, and further comprising attaching a suture to a distal portion of the needle, and injecting the flowable material through the needle around the suture in the medium, and withdrawing the needle, leaving the suture secured by the flowable material that has become non-flowable in the medium.
Claim 32
Dependent Claim 43 words
The method of claim 30 , further comprising providing said internal bore of the needle for the flowable material having an increased diameter portion at the distal end thereof, whereby a knot of the suture can be disposed in the increased diameter portion.
Claim 33
Dependent Claim 49 words
The method of claim 31 , further comprising providing a longitudinally extending slot in the needle communicating with the needle bore at the distal end, thereby to allow the needle to be removed from the suture before or after when the flowable material has become non-flowable around the suture.
Claim 34
Dependent Claim 32 words
The method of claim 30 , further comprising providing two needles on the delivery tool, with a suture attached between the two needles for use as a suture staple in the medium.
Claim 35
Dependent Claim 85 words
The method of claim 1 , further comprising providing at least one sleeve attached to a flexible member, using the delivery tool to insert the sleeve in the medium, and injecting the flowable material into the sleeve using the delivery tool, the sleeve having at least one opening communicating with the medium, the step of injecting including forcing the flowable material through the at least one opening into the medium and allowing the flowable material to become non-flowable to secure the sleeve in the medium.
Claim 36
Dependent Claim 54 words
The method of claim 34 , further comprising providing a sleeve on two ends of a length of the flexible member, inserting the sleeve on each end into the medium with the delivery tool and injecting the flowable material with the delivery tool into the two sleeves to secure the sleeves to the medium.
Claim 37
Dependent Claim 26 words
The method of claim 30 , wherein any component of the non-flowable implant and flowable material is at least one of biodegradable, bioabsorbable, remodelable, and permanent.
Claim 38
Dependent Claim 54 words
The method of claim 34 , wherein the medium comprises first and second members, further comprising disposing the sleeve through the first member, through the flexible member and then into the second member to form a loop around a portion of the first member thereby to secure the first member to the second member.
Claim 39
Dependent Claim 40 words
The method of claim 1 , wherein the delivery tool comprises a rotatable instrument, and further comprising providing the non-flowable implant with a screw thread to enable threading of the non-flowable implant into the medium by rotating the delivery tool.
Claim 40
Dependent Claim 33 words
The method of claim 1 , wherein the delivery tool comprises a device for applying an axial force to the non-flowable implant to cause the non-flowable implant to be inserted into the medium.
Claim 41
Dependent Claim 23 words
The method of claim 39 , wherein the non-flowable implant is driven into the medium by the delivery tool without predrilling a hole.
Claim 42
Dependent Claim 18 words
The method of claim 39 , further comprising predrilling a hole in the medium for the non-flowable implant.
Claim 43
Dependent Claim 107 words
A tool for delivering a non-flowable implant and a flowable material into a medium comprising: a chamber for the flowable material; a longitudinally extending member having a bore; a holder for the non-flowable implant disposed at a distal portion of the longitudinally extending member; the bore being provided for delivering the flowable material into the medium so that the flowable material is injected through, above, below or around at least a portion of the non-flowable implant; and wherein the flowable material changes to a non-flowable state in, on or around at least a portion of the non-flowable implant to provide fixation of the implant to the medium.
Claim 44
Dependent Claim 107 words
A tool for delivering a non-flowable implant and a flowable material into a medium comprising: a chamber for the flowable material; a longitudinally extending member having a bore; a holder for the non-flowable implant disposed at a distal portion of the longitudinally extending member; the bore being provided for delivering the flowable material into the medium so that the flowable material is injected through, above, below or around at least a portion of the non-flowable implant; and wherein the flowable material changes to a non-flowable state in, on or around at least a portion of the non-flowable implant to provide fixation of the implant to the medium.
Claim 45
Dependent Claim 13 words
The tool of claim 42 , wherein the non-flowable implant comprises a fastener.
Claim 46
Dependent Claim 14 words
The tool of claim 43 , wherein the fastener has a suture attached thereto.
Claim 47
Dependent Claim 13 words
The tool of claim 42 , wherein the non-flowable implant comprises a suture.
Claim 48
Dependent Claim 14 words
The tool of claim 42 , wherein the non-flowable implant comprises tissue or bone.
Claim 49
Dependent Claim 13 words
The tool of claim 42 , wherein the medium comprises tissue or bone.
Claim 50
Dependent Claim 56 words
The tool of claim 42 , wherein the flowable material comprises an at least two component flowable curable material and further comprising a mixing chamber for mixing the two components to start a curing process whereby the flowable material cures after it has been delivered into the medium to secure the non-flowable implant in the medium.
Claim 51
Dependent Claim 25 words
The tool of claim 42 , further wherein the delivery tool has a hollow distal end for passage of the flowable material into the medium.
Claim 52
Dependent Claim 26 words
The tool of claim 42 , wherein the flowable material comprises a one component flowable curable material which is curable upon exposure to an external agent.
Claim 53
Dependent Claim 20 words
The tool of claim 42 , wherein the flowable material comprises at least a portion that is remodelable into tissue.
Claim 54
Dependent Claim 16 words
The tool of claim 42 , wherein the flowable material becomes non-flowable through a phase transition.
Claim 55
Dependent Claim 22 words
The method of claim 52 , wherein the flowable material which has become non-flowable can become flowable through a reverse phase transition.
Claim 56
Dependent Claim 13 words
The tool of claim 50 , wherein the external agent is radiant energy.
Claim 57
Dependent Claim 15 words
The tool of claim 48 , wherein the at least two components comprise two liquids.
Claim 58
Dependent Claim 18 words
The tool of claim 48 , wherein the at least two components comprises a liquid and a powder.
Claim 59
Dependent Claim 88 words
The tool of claim 42 , wherein the non-flowable implant comprises a fastener having a shaft, a bore extending through the shaft, and further wherein the longitudinally extending member comprises a needle received in the bore of the shaft and having an internal bore, the needle bore having a distal opening, whereby the flowable material is injected through the needle into the bore of the fastener, the fastener having at least one opening for communication of the flowable material between the bore of the shaft and the medium.
Claim 60
Dependent Claim 37 words
The tool of claim 57 , wherein the fastener has a plurality of openings communicating between the shaft bore and the medium, and further wherein the flowable material is injected through ones of the plurality of openings.
Claim 61
Dependent Claim 32 words
The tool of claim 58 , further wherein the flowable material is injected through ones of the plurality of openings to achieve a desired distribution of the flowable material in the medium.
Claim 62
Dependent Claim 24 words
The tool of claim 59 , further wherein the needle is movable relative to the bore of the fastener to achieve the desired distribution.
Claim 63
Dependent Claim 30 words
The tool of claim 42 , further comprising at least one chamber for the flowable material and a plunger in the chamber to inject the flowable material into the medium.
Claim 64
Dependent Claim 46 words
The tool of claim 61 , further wherein the flowable material is an at least two component material that is mixed to cause it to cure and further comprising a mixing chamber to mix the two components prior to injecting the flowable material into the medium.
Claim 65
Dependent Claim 30 words
The tool of claim 42 , further comprising a signal generator to indicate when the flowable material has become non-flowable to allow retraction of the delivery tool from the medium.
Claim 66
Dependent Claim 70 words
The tool of claim 42 , further where the medium comprises first and second members and further wherein the non-flowable implant comprises a staple device for attaching the first member to the second member and further wherein the staple device has two legs for insertion into the medium, with the two legs penetrating through the first member into the second member to secure the first member to the second member.
Claim 67
Dependent Claim 29 words
The tool of claim 42 , further comprising a penetrating distal end on the non-flowable implant whereby the implant can be forced into the medium with the delivery tool.
Claim 68
Dependent Claim 20 words
The tool of claim 42 , further comprising a distal end of the delivery tool for penetrating into the medium.
Claim 69
Dependent Claim 26 words
The tool of claim 42 , further comprising means for drilling a hole in the medium prior to insertion of the non-flowable implant in the hole.
Claim 70
Dependent Claim 35 words
The tool of claim 67 , further comprising a guide for drilling two holes in the medium and wherein the non-flowable implant comprises a staple device having two legs for insertion in the respective holes.
Claim 71
Dependent Claim 21 words
The tool of claim 68 , wherein the guide comprises a drill guide for drilling two non-parallel holes in the medium.
Claim 72
Dependent Claim 44 words
The tool of claim 69 , wherein the guide for drilling two non-parallel holes comprises a guide arranged for drilling the holes so that distal ends thereof interconnect whereby the flowable material injected in each hole contacts the flowable material in the other hole.
Claim 73
Dependent Claim 53 words
The tool of claim 42 , further comprising a suture attached to the distal end of the needle, whereby the flowable material can be injected through the needle around the suture in the medium, the needle being withdrawn, leaving the suture secured by the flowable material that has become non-flowable in the medium.
Claim 74
Dependent Claim 42 words
The tool of claim 71 , further wherein said needle has an internal bore for the flowable material having an increased diameter portion at the distal end thereof, whereby a knot of the suture can be disposed in the increased diameter portion.
Claim 75
Dependent Claim 45 words
The tool of claim 72 , further comprising a longitudinally extending slot in the needle communicating with the needle bore at the distal end, thereby to allow the needle to be removed from the suture when the flowable material has become non-flowable around the suture.
Claim 76
Dependent Claim 31 words
The tool of claim 71 , further comprising two needles on the delivery tool, with a suture attached between the two needles for use as a suture staple in the medium.
Claim 77
Dependent Claim 65 words
The tool of claim 42 , further comprising at least one sleeve attached to a flexible member, the sleeve being insertable into the medium, the sleeve having at least one opening communicating with the medium, whereby the flowable material is injectable through the at least one opening into the medium to thereby secure the sleeve in the medium once the flowable material has become non-flowable.
Claim 78
Dependent Claim 48 words
The tool of claim 75 , further comprising a sleeve on each of two ends of a length of the flexible member for insertion into the medium whereby the flowable material can be injected into the two sleeves to secure the sleeves to the medium as a staple.
Claim 79
Dependent Claim 26 words
The tool of claim 75 , wherein any component of the non-flowable implant and flowable material is at least one of biodegradable, bioabsorbable, remodelable and permanent.
Claim 80
Dependent Claim 59 words
The tool of claim 75 , wherein the medium comprises a first member and a second member, further comprising means for disposing the sleeve through the first member, through the flexible member and then into the second member to form a loop around a portion of the first member thereby to secure the first member to the second member.
Claim 81
Dependent Claim 39 words
The tool of claim 42 , wherein the delivery tool comprises a rotatable instrument, and further wherein the non-flowable implant has a screw thread to enable threading of the non-flowable implant into the medium by rotating the delivery tool.
Claim 82
Dependent Claim 33 words
The tool of claim 42 , wherein the delivery tool comprises a device for applying an axial force to the non-flowable implant to cause the non-flowable implant to be inserted into the medium.
Claim 83
Dependent Claim 23 words
The tool of claim 80 , wherein the non-flowable implant is driven into the medium by the delivery tool without predrilling a hole.
Claim 84
Dependent Claim 20 words
The tool of claim 80 , further comprising means for predrilling a hole in the medium for the non-flowable implant.
Claim 85
Dependent Claim 28 words
The tool of claim 42 , further comprising a proximal handle that functions to allow insertion of the implant and injection of the flowable material into the medium.
Claim 86
Dependent Claim 32 words
The tool of claim 83 , wherein the handle includes a trigger for actuating movement of the flowable material from the chamber into the medium for securing the implant in the medium.
Claim 87
Dependent Claim 90 words
A tool for installing a non-flowable implant and a flowable material for securing the implant in a medium, the tool comprising: a hollow distal longitudinal section having at least a portion in contact with at least a portion of the implant; the distal longitudinal section of the tool being capable of controlling the implant and delivering the flowable material into the medium; and the distal longitudinal section being connected to a proximal handle that functions to allow insertion of the implant and injection of the flowable material into the medium.
Claim 88
Dependent Claim 90 words
A tool for installing a non-flowable implant and a flowable material for securing the implant in a medium, the tool comprising: a hollow distal longitudinal section having at least a portion in contact with at least a portion of the implant; the distal longitudinal section of the tool being capable of controlling the implant and delivering the flowable material into the medium; and the distal longitudinal section being connected to a proximal handle that functions to allow insertion of the implant and injection of the flowable material into the medium.
Claim 89
Independent Claim 90 words
A method for installing a non-flowable implant and a flowable material for securing the implant in a medium, the method comprising: using an installation tool having a hollow distal longitudinal section with at least a portion in contact with at least a portion of the implant; controlling the implant and delivering the flowable material into the medium with the distal longitudinal section; and manipulating a proximal handle of the tool to both insert the implant and inject the flowable material into the medium thereby securing the implant in the medium.
Claim 90
Independent Claim 90 words
A method for installing a non-flowable implant and a flowable material for securing the implant in a medium, the method comprising: using an installation tool having a hollow distal longitudinal section with at least a portion in contact with at least a portion of the implant; controlling the implant and delivering the flowable material into the medium with the distal longitudinal section; and manipulating a proximal handle of the tool to both insert the implant and inject the flowable material into the medium thereby securing the implant in the medium.
Claim 91
Dependent Claim 92 words
A surgical implant comprising: a length of a flexible material; at least one sleeve having at least one axial hole therethrough and at least one transverse opening communicating with the axial hole; one end of the flexible material being connected to the sleeve; the sleeve being adapted to be received in a medium for securement in the medium, the sleeve being adapted to receive a flowable curable material that is injected through the axial hole and through the transverse opening to contact the medium thereby to secure the sleeve in the medium.
Claim 92
Dependent Claim 92 words
A surgical implant comprising: a length of a flexible material; at least one sleeve having at least one axial hole therethrough and at least one transverse opening communicating with the axial hole; one end of the flexible material being connected to the sleeve; the sleeve being adapted to be received in a medium for securement in the medium, the sleeve being adapted to receive a flowable curable material that is injected through the axial hole and through the transverse opening to contact the medium thereby to secure the sleeve in the medium.
Claim 93
Dependent Claim 18 words
The implant of claim 87 , further comprising a plurality of transverse openings communicating with the axial hole.
Claim 94
Dependent Claim 12 words
The implant of claim 87 , wherein the flexible material comprises suture.
Claim 95
Dependent Claim 22 words
The implant of claim 87 , wherein the axial hole is adapted to receive a device for injecting the flowable curable material.
Claim 96
Dependent Claim 28 words
The implant of claim 87 , further comprising a second sleeve attached to a second end of the flexible material, whereby the implant functions as a surgical staple.
Claim 97
Dependent Claim 22 words
The implant of claim 87 , wherein any component of the implant is at least one of biodegradable, bioabsorbable, remodelable and permanent.
Claim 98
Dependent Claim 23 words
The implant of claim 87 , further comprising a penetrating end at a distal portion of the sleeve for penetration into the medium.
Claim 99
Dependent Claim 31 words
The implant of claim 90 , wherein the injecting device comprises a needle having an internal bore and an opening at a distal end thereof for injecting the flowable curable material.
Claim 100
Dependent Claim 34 words
The implant of claim 94 , wherein the needle is received in the axial hole and is movable in the axial hole to effect a desired distribution of the flowable material in the medium.
Claim 101
Dependent Claim 81 words
A surgical implant comprising: a fastener having a shank, the shank having an axial opening therein and at least one transverse opening communicating with the axial opening and an exterior of the shank; and a flowable curable material received in the axial opening and through the transverse opening for contacting at least a portion of the exterior of the shank for securing the fastener to a medium in which the fastener is inserted; further comprising a suture attached to the fastener.
Claim 102
Dependent Claim 81 words
A surgical implant comprising: a fastener having a shank, the shank having an axial opening therein and at least one transverse opening communicating with the axial opening and an exterior of the shank; and a flowable curable material received in the axial opening and through the transverse opening for contacting at least a portion of the exterior of the shank for securing the fastener to a medium in which the fastener is inserted; further comprising a suture attached to the fastener.
Claim 103
Dependent Claim 15 words
The implant of claim 96 , wherein the shank has a plurality of transverse openings.
Claim 104
Dependent Claim 31 words
The implant of claim 97 wherein the axial opening is adapted to receive a needle of a tool for injecting the flowable curable material into the implant through the axial hole.
Claim 105
Dependent Claim 28 words
The implant of claim 98 , wherein the needle is movable in the axial hole for effecting a desired distribution of the flowable curable material in the medium.
Claim 106
Dependent Claim 22 words
The implant of claim 96 , further wherein the implant is adapted to receive radiant energy for curing the flowable curable material.
Claim 107
Dependent Claim 14 words
The implant of claim 96 , wherein the shank has an external screw thread.
Claim 108
Dependent Claim 15 words
The implant of claim 96 further comprising a head at one end of the shank.
Claim 109
Dependent Claim 85 words
A surgical staple device for stapling into a medium, the staple device comprising: two sleeves; a bridge extending between the sleeves whereby the sleeves can be disposed substantially perpendicularly to the bridge; the sleeves having an axial hole therethrough for a flowable curable material, the sleeves each having at least one transverse opening extending between the axial hole and an external surface of the sleeve for communicating the flowable curable material between the axial hole and the medium for scuring the sleeve to the medium.
Claim 110
Dependent Claim 85 words
A surgical staple device for stapling into a medium, the staple device comprising: two sleeves; a bridge extending between the sleeves whereby the sleeves can be disposed substantially perpendicularly to the bridge; the sleeves having an axial hole therethrough for a flowable curable material, the sleeves each having at least one transverse opening extending between the axial hole and an external surface of the sleeve for communicating the flowable curable material between the axial hole and the medium for scuring the sleeve to the medium.
Claim 111
Dependent Claim 11 words
The surgical staple of claim 103 wherein the bridge is flexible.
Claim 112
Dependent Claim 13 words
The surgical staple of claim 104 , wherein the bridge comprises a suture.
Claim 113
Dependent Claim 28 words
The surgical staple of claim 103 , further comprising a flowable curable material contacting at least a portion of the sleeve to secure the staple in the medium.
Claim 114
Dependent Claim 17 words
The surgical staple of claim 103 , further comprising a plurality of transverse openings in the sleeve.
Claim 115
Dependent Claim 19 words
The surgical staple of claim 103 , further comprising a penetrating point at a distal end of each sleeve.
Claim 116
Dependent Claim 26 words
The surgical staple of claim 103 , wherein the axial hole is adapted to receive a device for distributing the flowable curable material to the medium.
Claim 117
Dependent Claim 82 words
A surgical implant comprising: a length of suture having ends for disposition in two respective holes in a medium to secure a first tissue to the medium, the two ends being disposed through respective holes in the first tissue and into respective aligned holes in the medium; and a flowable curable material disposed about at least a portion of each of the ends in the holes in the medium, the flowable curable material being adapted to secure the ends to the medium.
Claim 118
Dependent Claim 82 words
A surgical implant comprising: a length of suture having ends for disposition in two respective holes in a medium to secure a first tissue to the medium, the two ends being disposed through respective holes in the first tissue and into respective aligned holes in the medium; and a flowable curable material disposed about at least a portion of each of the ends in the holes in the medium, the flowable curable material being adapted to secure the ends to the medium.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2006-08-25 2007-02-24 2007-08-26 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2010-08-25 2011-02-24 2011-08-26 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2014-08-25 2015-02-24 2015-08-26 $7700.00 Window Closed / Lapsed

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