# US 2019/0314142 A1 · Medical implant delivery system and related methods

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- Number: US 2019/0314142 A1
- Document ID: US20190314142A1
- Status: Published application
- Kind: A1
- Application number: 16/453,215
- Filed: 2019-06-26
- Published: 2019-10-17
- Earliest claimed: 2017-12-07
- Assignees: Rotation Medical, Inc.
- Applicants: Rotation Medical, Inc.
- Inventors: Nathaniel Zenz-Olson; Nathaniel Tran
- Web page: https://patentgrep.com/patent/US20190314142A1

## CPC

- A61F 2/0805: {Implements for inserting tendons or ligaments}
- A61B 17/064: Surgical staples, {i.e. penetrating the tissue}
- A61B 17/0642: {for bones, e.g. for osteosynthesis or connecting tendon to bone}
- A61B 17/10: for applying or removing wound clamps {, e.g. containing only one clamp or staple (A61B17/076 takes precedence; containing multiple wound clamps A61B17/068)}; Wound clamp magazines
- A61F 2/0811: {Fixation devices for tendons or ligaments}
- A61B 2017/00964: {composite}
- A61B 2017/0647: {having one single leg, e.g. tacks}
- A61F 2002/0068: {having a special mesh pattern}
- A61F 2002/0072: {Delivery tools therefor}
- A61F 2002/0817: {Structure of the anchor}
- A61F 2002/0858: {Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges}
- A61F 2002/0882: {Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone}
- A61F 2220/0016: with sharp anchoring protrusions, e.g. barbs, pins, spikes
- A61F 2230/0006: circular
- A61F 2230/0008: elliptical or oval
- 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)

## Abstract

An example implant delivery system is disclosed. The example implant delivery system includes a delivery shaft including a proximal portion, a distal portion and a lumen extending therebetween. The delivery system also includes a frame detachably coupled to the distal portion of the delivery shaft and a tack member coupled to the frame.

## Claims

### Claim 1

An implant delivery system, the implant delivery system comprising:
a delivery shaft including a proximal portion, a distal portion and a lumen extending therebetween;
a frame detachably coupled to the distal portion of the delivery shaft; and
a tack member coupled to the frame.

### Claim 2 (depends on 1)

The implant delivery system of claim 1, further comprising a tether member coupled to a proximal portion of the tack member.

### Claim 3 (depends on 2)

The implant delivery system of claim 2, wherein the tether member extends within the lumen of the delivery shaft.

### Claim 4 (depends on 3)

The implant delivery system of claim 3, wherein the tether member extends within the lumen of the delivery shaft while the delivery shaft is attached to the frame, and wherein the tether remains connected to the frame when the delivery shaft is detached from the frame.

### Claim 5 (depends on 2)

The implant delivery system of claim 2, wherein the frame includes a body portion and a plurality of attachment arms extending away from the body portion.

### Claim 6 (depends on 5)

The implant delivery system of claim 5, wherein the tack member extends through an aperture in the body portion of the frame.

### Claim 7 (depends on 6)

The implant delivery system of claim 6, wherein a distal end portion of the tack member is configured to engage with a bone.

### Claim 8 (depends on 7)

The implant delivery system of claim 7, wherein retraction of the tether member is designed to disengage the tack member from a bone.

### Claim 9 (depends on 7)

The implant delivery system of claim 7, wherein the distal end portion of the tack member includes a tapered region.

### Claim 10 (depends on 9)

The implant delivery system of claim 9, wherein a proximal end portion of the tack member includes a bore extending along a longitudinal axis of the tack member.

### Claim 11 (depends on 10)

The implant delivery system of claim 10, wherein a distal end portion of the tether member is secured within the bore of the tack member.

### Claim 12 (depends on 5)

The implant delivery system of claim 5, wherein the plurality of attachment arms are configured to be attached to an implant.

### Claim 13 (depends on 12)

The implant delivery system of claim 12, wherein the frame is configured to detach from the delivery shaft in vivo.

### Claim 14 (depends on 2)

The implant delivery system of claim 2, wherein the tether member is directly coupled to the frame.

### Claim 15 (depends on 2)

The implant delivery system of claim 2, wherein the tether member is indirectly coupled to the frame via a connection member.

### Claim 16 (depends on 15)

The implant delivery system of claim 15, wherein the frame further comprises a first aperture configured to couple with the connection member.

### Claim 17 (depends on 15)

The implant delivery system of claim 15, wherein the connection member includes a first profile and wherein the lumen of the delivery sheath includes a second profile, and wherein the first profile is configured to mate with the second profile.

### Claim 18 (depends on 15)

The implant delivery system of claim 15, wherein the connection member is configured to disengage from the delivery shaft, and wherein the connection member is configured to remain engaged to the frame after disengaging from the delivery shaft.

### Claim 19 (depends on 15)

The implant delivery system of claim 15, wherein the tack member is stationary with respect to the connection member.

### Claim 20 (depends on 15)

The implant delivery system of claim 15, wherein the tack member can translate with respect to the connection member.

### Claim 21 (depends on 1)

The implant delivery system of claim 1, wherein the tack member includes a shaft having a circumferential surface and one or more protrusions extending radially away from the circumferential surface.

### Claim 22 (depends on 21)

The implant delivery system of claim 21, wherein the one or more protrusions are configured to anchor the tack member beneath a layer of bone.

### Claim 23 (depends on 21)

The implant delivery system of claim 21, wherein the one or more protrusions are spaced away from each other along the shaft.

### Claim 24 (depends on 1)

The implant delivery system of claim 1, wherein the tack member includes a shaft formed from a first material and one or more fixation members disposed along the shaft, wherein the one or more fixation members are formed from a second material different from the first material.

### Claim 25 (depends on 24)

The implant delivery system of claim 24, wherein the one or more fixation members extending radially away from a circumferential surface of the shaft.

### Claim 26

A method for delivering an implant to repair a tendon, the method comprising:
advancing an implant repair system to a target site, the implant repair system including:
a delivery shaft including a proximal portion and a distal portion;
a frame detachably coupled to the distal portion of the delivery shaft via a connection member, wherein the frame includes a body portion and a plurality of attachment arms extending away from the body portion;
a tack member coupled to the connection member; and
an implant attached to the attachment arms;
positioning the implant adjacent a bony structure of the target site;
engaging the tack member with the bony structure;
detaching the delivery shaft from the frame in vivo with the tack member remaining engaged with the bony structure; and
thereafter affixing the implant to the target site.

### Claim 27 (depends on 26)

The method of claim 26, wherein the connection member is coupled between a distal end of the delivery shaft and the frame, and wherein detaching the delivery shaft from the frame includes disengaging the connection member from the distal end of the delivery shaft.

### Claim 28 (depends on 27)

The method of claim 27, wherein engaging the tack member further includes anchoring the tack into the bony structure.

### Claim 29 (depends on 28)

The method of claim 28, wherein the tack member includes a shaft having a circumferential surface and one or more curved protrusions extending radially away from the circumferential surface, and wherein anchoring the tack into the bony structure includes positioning the one or more curved protrusions beneath a cortical layer of bone.

### Claim 30 (depends on 29)

The method of claim 29, wherein the method further comprises withdrawing the frame from the target site after affixing the implant to the target site, and wherein withdrawing the frame from the target site includes retracting a tether coupled to the frame.
