# US 2016/0256286 A1 · Tissue Positioning Device

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- Number: US 2016/0256286 A1
- Document ID: US20160256286A1
- Status: Published application
- Kind: A1
- Application number: 15/063,939
- Filed: 2016-03-08
- Published: 2016-09-08
- Earliest claimed: 2007-08-13
- Assignees: MicroAire Surgical Instruments, Inc.
- Applicants: MicroAire Surgical Instruments LLC
- Inventors: Stephen Morris; Thomas Weisel; Roger Pisarnwongs
- Web page: https://patentgrep.com/patent/US20160256286A1

## CPC

- A61F 2/40: for shoulders
- A61B 17/56: Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61F 2/30749: {Fixation appliances for connecting prostheses to the body}
- A61F 2/4657: {Measuring instruments used for implanting artificial joints (for surgical instruments A61B90/06)}
- A61M 29/02: Dilators made of swellable material {(balloon catheters for angioplasty A61M25/104)}
- A61F 2002/30583: {filled with hardenable fluid, e.g. curable in-situ}
- A61F 2002/4088: {Acromial components}
- A61F 2210/0085: hardenable in situ, e.g. epoxy resins
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

A tissue positioning device comprising a biocompatible member having a size and shape suitable for placement within a space adjacent to a tissue to be positioned and which acts to maintain the tissue in a desired position. The member may be a rigid or flexible spacer having a defined shape, or a bladder capable of receiving and being at least partially expanded by a filler material. The device can made from a variety of materials or a composite of materials as needed, and may include one or more attachment means by which it can be secured to nearby tissues such that it is maintained in a desired spatial location. The filler material can be any of a number of substances, including liquids, gases, a curable liquid such as bone cement or urethane foam, or a spring.

## Claims

### Claim 1

An implant for maintaining a space between a humerus and a corresponding acromion, the implant comprising:
a biocompatible member for maintaining a relative position between the humerus and the acromion, the biocompatible member comprising:
a generally rounded second surface; and
one or more attachment features disposed on the biocompatible member, wherein:
the first surface configured to abut a humeral head of the humerus;
the second surface configured to abut an inferior surface of the acromion; and
at least one of the attachment features disposed on the second surface, configured to affix the biocompatible member to a proximal anatomical architecture.

### Claim 2 (depends on 1)

The implant of claim 1, wherein the biocompatible member further comprises a cup-like recess defined by a first surface;

### Claim 3 (depends on 1)

The implant of claim 1, wherein the one or more fixation features comprise a tab having a suture hole.

### Claim 4 (depends on 1)

The implant of claim 1, wherein the one or more fixation features comprise a tab.

### Claim 5 (depends on 4)

The implant of claim 4, wherein the tab comprises an embedded suture.

### Claim 6 (depends on 1)

The implant of claim 1, wherein the one or more fixation features comprise a tab having a bone anchor.

### Claim 7 (depends on 1)

The implant of claim 1, wherein material comprising the first surface is thicker than material comprising the second surface.

### Claim 8 (depends on 1)

The implant of claim 1, wherein the first surface comprises a reinforcing material.

### Claim 9 (depends on 8)

The implant of claim 8, wherein at least one of the one or more attachment features comprises the reinforcing material.

### Claim 10 (depends on 1)

The implant of claim 1, wherein the biocompatible member further comprises a secondary plate disposed on the first surface.

### Claim 11 (depends on 1)

The implant of claim 1, wherein the biocompatible member comprises a bladder type device.

### Claim 12 (depends on 1)

The implant of claim 1, wherein the biocompatible member comprises a solid spacer type device.

### Claim 13 (depends on 1)

The implant of claim 1, wherein the fixation feature is proximal to an acromion.

### Claim 14 (depends on 1)

The implant of claim 1, wherein the fixation feature is proximal to a coracoid.

### Claim 15 (depends on 1)

The implant of claim 1, wherein the fixation feature is proximal to a scapula.

### Claim 16 (depends on 1)

The implant of claim 1, wherein the fixation feature is proximal to a humeral head.

### Claim 17 (depends on 1)

The implant of claim 1, wherein the fixation feature is proximal to a glenoid.

### Claim 18 (depends on 1)

The implant of claim 1, wherein the fixation feature is proximal to a coracoacromial (CA) ligament.

### Claim 19

A kit comprising:
an implant for maintaining a space between a humerus and a corresponding acromion, the implant comprising:
a biocompatible member for maintaining a relative position between the humerus and the acromion, the biocompatible member comprising:
a generally rounded second surface; and
one or more attachment features disposed on the biocompatible member, wherein:
the first surface configured to abut a humeral head of the humerus;
the second surface configured to abut an inferior surface of the acromion; and
at least one of the attachment features disposed on the second surface, configured to affix the biocompatible member to a proximal anatomical architecture; and
a plurality of trial devices.

### Claim 20 (depends on 19)

The kit of claim 19, wherein the biocompatible member further comprises a cup-like recess defined by a first surface.

### Claim 21 (depends on 19)

The kit of claim 19, further comprising a measuring device for measuring a size of a sub-acromial space defined by the humerus and acromion.

### Claim 22 (depends on 19)

The kit of claim 19, wherein the one or more fixation features comprise a tab.

### Claim 23 (depends on 20)

The kit of claim 20, wherein the tab comprises an embedded suture.

### Claim 24 (depends on 19)

The kit of claim 19, wherein the one or more fixation features comprise a tab having a bone anchor.

### Claim 25 (depends on 19)

The kit of claim 19, wherein material comprising the first surface is thicker than material comprising the second surface.

### Claim 26 (depends on 19)

The kit of claim 19, wherein the first surface comprises a reinforcing material.

### Claim 27 (depends on 26)

The kit of claim 26, wherein at least one of the one or more attachment features comprises the reinforcing material.

### Claim 28 (depends on 19)

The kit of claim 19, wherein the biocompatible member further comprises a secondary plate disposed on the first surface.

### Claim 29

An apparatus for maintaining a space between a humerus and a corresponding acromion, comprising:
an inflatable bladder for maintaining a relative position between the humerus and the acromion, the inflatable bladder comprising:
a generally rounded second surface; and
one or more attachment features disposed on the inflatable bladder, wherein:
the first surface is configured to abut a humeral head of the humerus;
the second surface is configured to abut an inferior surface of the acromion; and
at least one of the attachment features is disposed on the second surface, configured to affix the inflatable bladder to a proximal anatomical architecture.

### Claim 30 (depends on 29)

The apparatus of claim 29, wherein the inflatable bladder further comprises a cup-like recess defined by a first surface.

### Claim 31 (depends on 29)

The apparatus of claim 29, wherein the one or more fixation features comprise a tab having a suture hole.

### Claim 32 (depends on 29)

The apparatus of claim 29, wherein the one or more fixation features comprise a tab having an embedded suture.

### Claim 33 (depends on 29)

The apparatus of claim 29, wherein the one or more fixation features comprise a tab having a bone anchor.

### Claim 34 (depends on 29)

The apparatus of claim 29, wherein the fixation feature is proximal to an acromion.

### Claim 35 (depends on 29)

The apparatus of claim 29, wherein the fixation feature is proximal to a coracoid.

### Claim 36 (depends on 29)

The apparatus of claim 29, wherein the fixation feature is proximal to a scapula.

### Claim 37 (depends on 29)

The apparatus of claim 29, wherein the fixation feature is proximal to a humeral head.

### Claim 38 (depends on 29)

The apparatus of claim 29, wherein the fixation feature is proximal to a glenoid.

### Claim 39 (depends on 29)

The apparatus of claim 29, wherein the fixation feature is proximal to a coracoacromial (CA) ligament.
