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Design Considerations for Nitinol Bone Staples

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Abstract

The use of Nitinol in orthopedic staples has a long, successful history beginning with their first commercial introduction in the early 1980s. Nitinol bone staples are generally inserted through a process of being chilled, opened, and inserted into predrilled holes. Upon insertion, they recover their preprogrammed shape either through springing back after removal of a constraint (using superelasticity) or thermal triggering (using thermal shape memory). In general, Nitinol bone staples fall into one of three categories: (1) those which are superelastic at room temperature, (2) those which recover their shape upon heating to body temperature, or (3) those which recover their shape upon heating above body temperature with the application of an external heat source. These three different design approaches—room temperature superelastic, body temperature activated, and heat activated—each have different performance characteristics. A version of the heat activated staple that uses a controlled heat source appears to have the best combination of clinical forces and procedural control.

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References

  1. A. Johnson and F. Alicandri, Thermoconstrictive Surgical Appliance, U.S. Patent 3,786,806, 2 Jan 1974

  2. J. Ryhänen, “Biocompatibility Evaluation of Nickel-Titanium Shape Memory Metal Alloy,” Dissertation, Department of Surgery, University of Oulu, Oulu, Finland, 1999

  3. Bargar, W. L., Sharkey, N. A., Paul, H. A., et al, “Efficacy of Bone Staples for Fixation,” J. Orthop. Trauma, Vol. 1, No. 4 (1987), pp. 326–330.

    Article  CAS  Google Scholar 

  4. Mereau, T. M. and Ford, T. C., “Nitinol Compression Staples for Bone Fixation in Foot Surgery,” J. Am. Podiatr. Med. Assoc., Vol. 96, No. 2 (2006), pp. 102–106.

    Article  Google Scholar 

  5. Bronzino, J. D., The Biomedical Engineering Handbook, Edition 3 (CRC Press, Boca Raton, FL, 2006), Chap. 63.

    Google Scholar 

  6. Telos Medical Memodyn™ Compression Staple Product Information Available at http://www.telosmedical.com/memodyn.htm

  7. BioMedical Enterprises, Inc. OSSforce™ Implant Controller Product Information Available at http://www.bme-tx.com/Product/OSSforce.html

  8. Shibuya, N., et al, “A Compression Force Comparison Study Among Three Staple Fixation Systems,” J. Foot Ankle Surg., Vol. 46, No. 1 (2007), pp. 7–15.

    Article  Google Scholar 

  9. A.K. Forsythe and C.J. Green, Bone Fracture Compression Device and Method of Usage, U.S. Patent 3,866,607, 18 Feb 1975

  10. Choudhary, R. K., et al, “First Metatarsophalangeal Joint Arthrodesis: A New Technique of Internal Fixation by Using Memory Compression Staples,” J. Foot Ankle Surg., Vol. 43, No. 5 (2004), pp. 312–317.

    Article  Google Scholar 

  11. Braun, J. T., et al, “The Efficacy and Integrity of Shape Memory Alloy Staples and Bone Anchors with Ligament Tethers in the Fusionless Treatment of Experimental Scoliosis,” J. Bone Joint Surg., Vol. 87A, No. 9 (2005), pp. 2038–2051.

    Article  Google Scholar 

  12. Malal, J. J. G., Hegde, G. and Ferdinand, R. D., “Tarsal Joint Fusion Using Memory Compression Staples—A Study of 10 Cases,” J. Foot Ankle Surg., Vol. 45, No. 2 (2006), pp. 113–117.

    Article  Google Scholar 

  13. Ronchetti, P. J. and Topper, S. M., “Lunocapitate Fusion Using the OSStaple Compression Staple,” Tech. Hand Up. Extrem. Surg., Vol. 10, No. 4 (2006), pp. 231–234.

    Article  Google Scholar 

  14. T.J. Chang and B.D. Overley, “An In Vitro Comparative Study of Screw and Nitinol Staple Compression: A Model Showing Active ‘Dynamic’ Compression,” Presented at the American College of Foot & Ankle Surgeons 65th Annual Scientific Conference, Orlando, FL, March 2007.

  15. Fernández-de-Retana, P., Poggio, D. and Ortega, J. P., “Technical Tip: First Metatarsophalangeal Arthrodesis with 20-mm Memory Compression Staples,” Foot Ankle Int., Vol. 29, No. 6 (2008), pp. 613–615.

    Article  Google Scholar 

  16. “Standard Test Method for Determination of Transformation Temperature of Nickel-Titanium Shape Memory Alloys by Bend and Free Recovery,” ASTM F2082-06, ASTM International, West Conshohocken, PA, 2006

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Authors and Affiliations

  1. Benchmark Nitinol Device Technologies, LLC, San Jose, CA, USA

    Scott M. Russell

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  1. Scott M. Russell
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Correspondence to Scott M. Russell.

Additional information

This article is an invited paper selected from presentations at Shape Memory and Superelastic Technologies 2008, held September 21-25, 2008, in Stresa, Italy, and has been expanded from the original presentation.

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Russell, S.M. Design Considerations for Nitinol Bone Staples. J. of Materi Eng and Perform 18, 831–835 (2009). https://doi.org/10.1007/s11665-009-9402-1

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  • DOI: https://doi.org/10.1007/s11665-009-9402-1

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