Brush fixation method for attachment of tissues and occlusion of blood vessels

A device for fixing tissue to a bone, comprising;

• a brush including first and second ends;
• said brush further including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter;
• said brush further including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof such that when said brush is inserted into a receiving hole in the bone, the receiving hole having a diameter less than said brush, said at least end portions of said plurality of elongated bristles are angularly deflected in a direction opposite a direction of insertion;
• a cloth in captive engagement with said first end of said brush and extending therefrom, at least a portion of said cloth including a widened surface for receiving the tissue in overlapping engagement therewith, for attachment of the tissue thereto;
• and
• a cutting point carried on said brush at said second end for permitting formation of the receiving hole by angular boring motion thereof.

A device for fixing a tissue to a bone, comprising;

• a brush including first and second ends;
• said brush further including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter;
• said brush further including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof, such that when said brush is inserted into a receiving hole in the bone, the receiving hole having a diameter less than said brush, said at least end portions of said plurality of elongated bristles are angularly deflected in a direction opposite a direction of insertion;
• means for attaching the tissue to said first end of said brush;
• and
• a cutting point carried on said brush at said second end for permitting formation of the hole by angular boring motion thereof.

A device for fixing a tissue to a bone, comprising;

• a brush;
• said brush including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter;
• said brush further including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof, such that when said brush is inserted into a receiving hole in the bone, the receiving hole having a diameter less than said brush, said at least end portions of said plurality of elongated bristles are angularly deflected in a direction opposite a direction of insertion;
• at least a portion of said plurality of elongated bristles being comprised of a resilient material, said at least a portion of said plurality of elongated bristles further including concave end surfaces at free ends thereof;
• and
• means for attaching the tissue to said brush.

A device for insertion into a vessel subject to bidirectional fluid flow for occlusion thereof, the device comprising:

• a tube having an external diameter smaller than an internal diameter of the vessel;
• a brush including first and second ends;
• said brush further including a stem and a plurality of elongated bristles attached in crosswise manner to said stem spaced apart over at least a portion of a length thereof, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter, said brush diameter being larger than said internal diameter of the vessel;
• said brush further including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof;
• said brush being disposed within said tube with a first portion of said plurality of elongated bristles disposed between said first end and an intermediate position between said first and second ends being deflected at least at said end portions thereof in a first direction towards said first end;
• and
• a second portion of said plurality of elongated bristles disposed between said intermediate position and said second end being deflected at least at said end portions thereof in a second direction towards said second end.

A device for fixing a tissue to a bone, comprising;

• a brush;
• said brush including at least two wires including first and second portions, said at least two wires being laterally joined over a length of said first portions to define at least in part a stem, said at least two wires further including second portions, each of said second portions separately extending from a common end of said stem
• said brush further including a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter;
• said brush further including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof, such that when said brush is inserted into a receiving hole in the bone, the receiving hole having a diameter less than said brush, said at least end portions of said plurality of elongated bristles are angularly deflected in a direction opposite a direction of insertion;
• and
• said second portions of said at least two wires being tapered at free ends thereof to present sharpened ends, said second portions further having sufficient rigidity to permit a piercing of the tissue by the sharpened ends of said second portions without requiring use of needles.

A device for fixing a tissue to a bone, comprising;

• a brush including first and second ends;
• said brush further including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a tapered bristle portion having a brush diameter which tapers in a direction from said first end to said second end;
• said brush further including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof, such that when said second end of said brush is inserted into a receiving hole in the bone, the receiving hole having a diameter less than that of at least a portion of said tapered bristle portion, said at least end portions of said plurality of elongated bristles over said at least a portion of said bristle portion are angularly deflected in a direction opposite a direction of insertion;
• and
• means for attaching the tissue to said brush carried on said first end of said brush.

A method of fixation for use within a body of an animal, including a human, to fixate a tissue to a bone comprising:

• providing a brush having a stem with a first and a second end, and bristles, disposed substantially continuously from said first end to said second end;
• said bristles extending radially from said stem defining a brush diameter determined by a distance between ends of radially opposing ones of said bristles;
• boring a hole in the bone with a diameter less than said brush diameter;.
• inserting said brush into said hole such that said bristles deflect an angular amount sufficient to lock said brush in said hole by exerting forces substantially uniformly against an interior surface of said hole;
• said brush having an attachment means for attaching the tissue at said first end of said brush;
• and
• connecting the tissue to said brush via said attachment means.

A method of fixing a tissue to a bone within a body of an animal, including a human, comprising:

• boring a hole in the bone;
• inserting a brush having bristles into said hole such that said bristles deflect and lock said brush in said hole, said brush having an attachment means including a cloth strip having at least in part a widened dimension;
• positioning said tissue in overlapping engagement with said cloth strip;
• and
• joining the tissue and said cloth strip, one to the other, across said widened dimension.

A method of fixing a tissue to a bone within a body of an animal, including a human, comprising:

• boring a hole in the bone;
• inserting a brush having bristles into said hole such that said bristles deflect and lock said brush in said hole, said bristles deflecting an angular amount sufficient to lock said brush in said hole by exerting forces substantially uniformly against an interior surface of said hole;
• said brush having an attachment means including a cloth strip;
• and
• affixing the tissue to said cloth strip.

A method for fixing a tissue to a bone, comprising the steps of:

• providing a brush, said brush including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said stem having a stem diameter defined by an average cross-sectional width thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter, said brush diameter being substantially greater than said stem diameter, said brush including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof;
• boring a hole in the bone, said hole having a diameter less than said brush diameter and a depth sufficient to receive said brush substantially therein;
• inserting said brush into said hole with said stem in substantial alignment with an axis of said hole, such that when inserted therein, said at least end portions of said plurality of elongated bristles are deflected in a direction towards an insertion end of said hole, at a deflection angle away from said original orientation;
• and
• attaching the tissue to said brush.

A method for fixing a tissue to a bone, comprising the steps of:

• providing a brush, said brush including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter, said brush including means for resiliently permitting angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof said brush further includes a loop carried thereon;
• boring a hole in the bone, said hole having a diameter less than said brush diameter and a depth sufficient to receive said brush substantially therein;
• inserting said brush into said hole with said stem in substantial alignment with an axis of said hole, such that when inserted therein said at least end portions of said bristles are deflected in a direction towards an insertion end of said hole, at a deflection angle away from said original orientation;
• and
• attaching the tissue to said brush, which includes affixing the tissue to said loop.

A method for fixing a tissue to a bone, comprising of:

• providing a brush, said brush including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter said brush including means for resiliently permitting angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof;
• boring a hole in the bone, said hole having a diameter less than said brush diameter and a depth sufficient to receive said brush substantially therein:
• inserting said brush into said hole with said stem in substantial alignment with an axis of said hole, such that when inserted therein, said at least end portions of said bristles are deflected in a direction towards an insertion end of said hole, at a deflection angle away from said original orientation, said diameter of said hole being sized to angularly deflect said at least end portions of said plurality of elongated bristles at said deflection angle in a range from about 30.degree. to about 60.degree. when said brush is inserted therein:
• and
• attaching the tissue to said brush.

A method for fixing a tissue to a bone, comprising the steps of:

• providing a brush, said brush including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter, said brush including means for resiliently permitting angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof, at least a portion of said plurality of elongated bristles including concave end surfaces at free ends thereof;
• boring a hole in the bone, said hole having a diameter less than said brush diameter and a depth sufficient to receive said brush substantially therein;
• inserting said brush into said hole with said stem in substantial alignment with an axis of said hole, such that when inserted therein, said at least end portions of said bristles are deflected in a direction towards an insertion end of said hole, at a deflection angle away from said original orientation;
• and
• attaching the tissue to said brush.

A method for packaging a device for insertion into a vessel subject to bidirectional fluid flow for occlusion thereof, the method comprising the steps of:

• providing a brush including first and second ends, said brush further including a stem and a plurality of elongated bristles attached in crosswise manner to said stem spaced apart over at least a portion of a length thereof, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter, said brush diameter being larger than an internal diameter of the vessel, said brush further including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof;
• providing a tube having an internal diameter less than said brush diameter;
• inserting said brush in a first direction entirely into said tube to deflect said at least end portions of said plurality of elongated bristles in a second direction opposite said first direction;
• sliding said brush in said first direction until a first portion of said brush extends beyond said tube and a second portion of said brush remains within said tube, thereby returning the plurality of elongated bristles along said first portion to substantially said original orientation;
• and
• sliding said brush in said second direction until fully inserted within said tube to deflect said at least end portions of said plurality of elongated bristles along said first portion in said first direction.

A method for fixing a tissue to a bone, comprising the steps of:

• providing a brush, said brush including a stem and a plurality of elongated bristles attached to said stem in a spaced apart manner over at least a portion of a length thereof, said plurality of elongated bristles arranged crosswise to said stem and substantially perpendicular with said stem, an average distance between ends of opposed ones of said plurality of elongated bristles defining a brush diameter, said brush diameter being substantially greater than a thickness of said stem, said brush including means for permitting resilient angular deflection of at least end portions of said plurality of elongated bristles away from an original orientation thereof;
• boring a hole in the bone, said hole having a diameter less than said brush diameter and a depth sufficient to receive said brush substantially therein;
• inserting said brush into said hole with said stem in substantial alignment with an axis of said hole, said plurality of elongated bristles being sufficiently flexible to permit bending over at least a portion of lengths thereof such that when said brush is inserted into said hole, said plurality of elongated bristles are flexed and are deflected in said direction towards said insertion end of said hole at a deflection angle away from said original orientation;
• and
• attaching the tissue to said brush.