Soft tissue repair system
A soft tissue repair system is provided for covering or filling openings in the annulus of an intervertebral disc. The soft tissue repair system uses a single plug or a combination of a first plug and a second plug. The second plug is a flowable plug such as an adhesive material or a material that hardens to a flexible plug material. Each plug is configured to close the opening in the annulus and can be positioned within the opening, over the opening at the exterior surface or over the opening at the interior surface. The plug can also be combined with a clamping mechanism that engages the annulus to secure the plug in the opening.
1. A soft tissue repair system for an intervertebral disc having an annulus and a nucleus pulposus, the system comprising:
a first plug configured to close an opening that passes through the annulus from an exterior surface of the annulus to an interior surface of the annulus, the first plug comprising a collapsible cage having a pair of opposing ends and a plurality of arms extending between the opposing ends and fixedly secured thereto, the collapsible cage configured to collapse and to expand to fill the opening in the annulus; and
a second plug separate from the first plug and configured to close the opening, the second plug comprising a flowable plug material having an initial cylindrical shape with a central through-hole, the second plug being disposed within the opposing ends and the plurality of arms of the collapsible cage, the second plug emerging from the collapsible cage as it is collapsed,
wherein each arm includes a spike disposed mid-way between the opposing ends on a top surface of the arm and each arm includes a notch disposed underneath the spike on a bottom surface the arm.
2. The soft tissue repair system of claim 1 , wherein each spike extending outward from the collapsible cage, each spike configured to penetrate the annulus when the collapsible cage is collapsed.
3. The soft tissue repair system of claim 1 , wherein each of the pair of opposing ends is configured as a disc.
4. The soft tissue repair system of claim 1 , wherein each of the pair of opposing ends includes a central hole passing completely therethrough.
5. The soft tissue repair system of claim 1 , wherein each of the pair of opposing ends has a diameter that is less than the size of the annulus that is to be repaired.
6. The soft tissue repair system of claim 1 , wherein the plurality of arms is arranged as opposing pairs.
7. The soft tissue repair system of claim 1 , wherein the plurality of arms includes at least one having a generally flat arm with opposing thin edges and opposing flat faces.
8. The soft tissue repair system of claim 7 , wherein the plurality of arms is positioned so that one of the thin edges runs along the outside of the first plug.
9. The soft tissue repair system of claim 1 , wherein the first plug is compressed by drawing the two opposing ends together.
10. The soft tissue repair system of claim 1 , wherein the second plug is configured to fill an interior space of the opening of the annulus when the collapsible cage is collapsed.
11. The soft tissue repair system of claim 1 , wherein the second plug is made of polycarbonate urethane (PCU).
12. A soft tissue repair system for an intervertebral disc having an annulus and a nucleus pulposus, the system comprising:
a plug configured to close an opening that passes through the annulus from an exterior surface of the annulus to an interior surface of the annulus, the plug comprising a collapsible cage having a pair of opposing ends that define a longitudinal axis and a plurality of arms extending between the opposing ends along the direction of the longitudinal axis and fixedly secured thereto, the collapsible cage configured to collapse along the longitudinal axis and for the arms to expand laterally to the longitudinal axis to fill the opening in the annulus;
wherein each arm of the plurality of arms includes a spike disposed along its length and extending laterally from the longitudinal axis on a top surface of the arm, each spike configured to penetrate the annulus when the collapsible cage is collapsed, and
wherein each arm includes a notch disposed underneath the spike on a bottom surface the arm.
13. The soft tissue repair system of claim 12 , wherein each of the pair of opposing ends is configured as a disc.
14. The soft tissue repair system of claim 12 , wherein each of the pair of opposing ends includes a central hole passing completely therethrough.
15. The soft tissue repair system of claim 12 , wherein each of the pair of opposing ends has a diameter that is less than the size of the annulus that is to be repaired.
16. The soft tissue repair system of claim 12 , wherein the plurality of arms is arranged as opposing pairs.
17. The soft tissue repair system of claim 12 , wherein the plurality of arms includes at least one having a generally flat arm with opposing thin edges and opposing flat faces.
18. The soft tissue repair system of claim 17 , wherein the plurality of arms is positioned so that one of the thin edges runs along the outside of the first plug.
19. The soft tissue repair system of claim 12 , wherein the first plug is compressed by drawing the two opposing ends together.