W. L. Gore & Associates, Inc.

Gore Enterprise Holdings, Inc.

Andrew B Berman

Thane L Kranzer

Dean R Wentworth

Stanislaw L Zukowski

William Carl Bruchman

An improved, polymeric surgical membrane, which can be used in a variety of surgical procedures, such as sutured and sutureless duraplasty procedures. For sutureless applications, a textured, discontinuous, outer polymer layer is provided which encourages rapid incorporation and anchoring into surrounding tissue. In cooperation with the discontinuous first layer, a second elastomeric layer provides elasticity and resilience. A third barrier layer is provided to essentially eliminate adhesions and irritation to surrounding tissue. In those applications requiring anchoring sutures, the second elastomeric layer 'self-seals' against the sutures, essentially eliminating the leakage of blood, cerebrospinal fluid, or other fluids. In addition, the composite structure of the present invention has a high degree of suture retention strength is polymeric with a high degree of biocompatibility, is thin and very flexible.

Membrane for use in sutured or sutureless surgical procedures

The disclosure relates to a tissue and debris barrier for use in association with implanted joint replacement devices. The barrier comprises a biocompatible membrane that is impermeable to debris. The membrane defines an aperture which is positioned about a component of the joint replacement prosthesis. The periphery of the membrane may be mechanically attached by suturing to adjacent tissue. The barrier permits full motion of the replacement joint while preventing or impeding tissue and debris from migrating to and from bone implant interfaces. The preferred barrier material is porous expanded PTFE with one side having a microstructure that promotes tissue attachment and the opposing side having a microstructure that allows highly efficient filtration of fine particulate debris. The barrier may be a single layer material or may be a composite construction in which two or more layers are bonded together.

Apparatus and method for protecting prosthetic joint assembly from wear

A resorbable implant for interposition arthroplasty which is intended to fill a void between two adjacent bone ends, providing a cushion between the bone ends to prevent impingement of the bone ends while providing time for tissue to infiltrate into the space occupied by the implant. It has a protracted resorption time of preferably at least three months to allow time for the proliferation of load-bearing host fibrous tissue in place of the resorbed implant material. The implant preferably is porous with a pore size of greater than about 80 microns in order to enhance infiltration of fibrous tissue. The implant has a modulus in the range of 0.8 to 20 MPa which is soft enough to allow it to conform to surface irregularities of the adjacent bone surfaces while being hard enough to maintain a desired separation between those bones while tissue infiltration replaces the resorbable implant material. The implant may be preformed to the desired shape or alternatively may be formable by the surgeon by methods such as carving with a scalpel. A preferred application for the implant is as a trapezium bone replacement.

Resorbable interposition arthroplasty implant

The disclosure relates to a tissue and debris barrier for use in association with implanted joint replacement devices. The barrier comprises a biocompatible membrane that is impermeable to debris. The membrane defines an aperture which is positioned about a component of the joint replacement prosthesis. The periphery of the membrane may be mechanically attached by suturing to adjacent tissue or may be provided with areas of selected porosity to promote tissue adherence. The barrier permits full motion of the replacement joint while preventing or impeding tissue and debris from migrating to and from bone implant interfaces.

This invention provides for an improved implantable prosthetic device and in particular to a prosthetic ligament or tendon. One process provides for a means by which tensile loads may be transferred from one-load bearing member of the prosthesis to another so that damage at different sites is isolated. Another process provides a means by which the prosthesis is more abrasion resistant.

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Flagstaff, AZ, United States of America

Andrew B Berman