Method of anchoring a suture

• US 10,136,883 B2
• Filed: 11/12/2012
• Issued: 11/27/2018
• Est. Priority Date: 11/16/2011
• Status: Active Grant

• Current Assignee: Crossroads Extremity Systems, Llc (Johnson & Johnson)
• Original Assignee: Venturemd Innovations, LLC
• Inventors: Chan, Kwan-Ho, Murphy, James, Fallin, T. Wade, White, Patrick Michel
• Primary Examiner(s): Yabut, Diane
• Assistant Examiner(s): HERBERMANN, ERICH G.
• Application Number:
  US13/674,837
• Publication Number:
  US 20130123843A1
• Time in Patent Office: 2,206 Days
• Field of Search: 606232, 606110, 606300-321, 606281, 623 1314
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0441 the shaft being a rigid coil or spiral
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0451 Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2017/0459 Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied

Abstract

Suture anchors and associated methods are disclosed having suture locking features able to lock multiple suture ends extending from a body tissue, such as from a bone tunnel, with a single device.

Claims

1. A method of repairing soft tissue adjacent a shoulder joint comprising:

producing a bone tunnel into a bone, the bone tunnel having at least first and second openings at an exterior surface of the bone;

securing a first suture portion and a second suture portion to soft tissue;

positioning the first suture portion so that the first suture portion extends from the soft tissue to the first opening, then through the first opening, and then through the bone tunnel;

positioning the second suture portion so that the second suture portion extends, outside of the bone tunnel, from the soft tissue;

passing the first suture portion through a first transverse anchor passage in an anchor, the anchor comprising a proximal end and a distal end, the first transverse anchor passage extending transversely into the anchor at the distal end and a second transverse anchor passage extending transversely into the anchor at the proximal end;

passing the second suture portion through the second transverse anchor passage in the anchor;

inserting the anchor into the bone tunnel through the second opening; and

advancing a locking member in sliding translation along a path inside the anchor to compress the first and second suture portions between the locking member and the anchor to secure the first and second suture portions relative to the bone tunnel and the anchor, the first and second suture portions being positioned within the bone tunnel when the first and second suture portions are secured with the locking member, such that the first transverse anchor passage through the distal end substantially aligns with the first opening of the bone tunnel when the first suture portion is secured.

2. The method of claim 1 further comprising translating the locking member axially along a longitudinal axis of the anchor to lock at least one of the first and second suture portions.

3. The method of claim 2 wherein advancing the locking member locks both the first and second suture portions relative to the anchor.

4. The method of claim 2 wherein the locking member has an elongated body and longitudinal ridges formed on the body, the locking member being received for translation within the anchor, the locking member pressing the suture portions between the ridges and anchor.

5. The method of claim 1 further comprising:

after the inserting of the anchor into the bone tunnel, moving the locking member to the anchor; and

after the inserting of the anchor into the bone tunnel, inserting the locking member into the anchor.

6. A method of repairing soft tissue comprising:

forming a bone tunnel in a bone, the bone tunnel having at least first and second spaced apart openings at an exterior surface of the bone;

engaging one or more sutures with soft tissue;

positioning a first suture portion of the one or more sutures so that the first suture portion extends from the soft tissue to the first opening, then through the first opening, and then through the bone tunnel and out the second opening;

positioning a second suture portion of the one or more sutures so that the second suture portion extends, outside of the bone tunnel, from the soft tissue;

passing the first suture portion through an anchor, the anchor comprising a proximal end and a distal end, a first transverse anchor passage extending transversely into the anchor nearer the distal end and a second transverse anchor passage extending transversely into the anchor nearer the proximal end, a locking member being translatable along an axis extending between the proximal and distal ends from a first axial position in which the first and second suture portions are able to slide freely within the anchor and a second axial position in which the locking member locks the first and second suture portions relative to the anchor;

passing the second suture portion through the anchor;

inserting the anchor into the bone tunnel through the second opening; and

advancing the locking member in sliding translation along a path inside the anchor to compress the first and second suture portions between the locking member and the anchor to secure the first and second suture portions relative to the bone tunnel and the anchor, the first and second suture portions being positioned within the bone tunnel when the first and second suture portions are secured with the locking member, the securing of the first and second suture portions comprising passing at least the first suture portion through the first transverse anchor passage, passing at least the second suture portion through the second transverse anchor passage, inserting the anchor into the second opening, pulling on at least one of the first and second suture portions so that it moves through the anchor to tension the one or more sutures, and moving the locking member into the second axial position to lock the first and second suture portions relative to the anchor, wherein the locking member deflects the first and second suture portions radially upon moving into the second axial position to trap the first and second suture portions between the locking member and the anchor without further tensioning the first and second suture portions.

7. The method of claim 6 wherein securing of the first and second suture portions further comprises trapping the suture portions between an outer surface of the anchor and an inner surface of the bone tunnel to provisionally lock the suture portions with a provisional locking force and pulling on at least one of the suture portions to overcome the provisional locking force and tension at least one of the one or more sutures.

8. The method of claim 6 wherein the anchor comprises an elongated body and a head portion extending radially outwardly from the body adjacent the proximal end, the radially extending portion interfering more with the bone tunnel upon insertion than the body interferes with the bone tunnel.

9. The method of claim 6 wherein the anchor further comprises a third transverse anchor passage transversely through the anchor near the first transverse anchor passage forming a distal pair of transverse passages and a fourth transverse anchor passage transversely through the anchor near the second transverse anchor passage forming a proximal pair of transverse passages, wherein securing further comprises passing a third suture portion through the third transverse anchor passage and passing a fourth suture portion through the fourth transverse anchor passage.

10. The method of claim 6 wherein engaging one or more sutures comprises placing a first suture through the soft tissue, with one or more free ends extending from the soft tissue defining the first suture portion and placing a second suture through the soft tissue with one or more free ends extending from the soft tissue defining the second suture portion.

11. The method of claim 6 wherein forming a bone tunnel comprises:

producing a first bone tunnel; and

producing a second bone tunnel intersecting the first bone tunnel.

12. The method of claim 11 wherein forming a bone tunnel comprises producing three intersecting bone tunnels and further wherein placing at least the first suture portion into the bone tunnel comprises placing the first suture portion in one of the three intersecting tunnels, placing at least the second suture portion into the bone tunnel comprises placing the second suture portion in another of the three intersecting tunnels, and securing comprises placing the anchor in another of the three intersecting tunnels.

13. The method of claim 6 wherein the second suture portion passes over the soft tissue and presses the soft tissue against the bone.

14. The method of claim 6 further comprising before advancing the locking member, tensioning at least one of the first and second suture portions.

15. The method of claim 14 wherein the anchor further comprises a proximal end and a distal end and a longitudinal axis extending between the proximal and distal ends, the locking member being moveable in sliding translation along the longitudinal axis relative to the anchor between the first axial position in which the first and second suture portions are not compressed between the locking member and the anchor and the second axial position in which the first and second suture portions are compressed between the locking member and the anchor.

16. The method of claim 6 wherein the anchor is contained entirely within the bone tunnel.

17. A method of repairing soft tissue comprising:

forming a bone tunnel in a bone, the bone tunnel having at least first and second spaced apart openings at an exterior surface of the bone;

engaging a continuous strand of suture with soft tissue;

positioning a first suture portion of the continuous strand of suture so that the first suture portion extends from the soft tissue to the first opening, then through the first opening, and then through the bone tunnel;

positioning a second suture portion of the continuous strand of suture so that the second suture portion extends, outside of the bone tunnel, from the soft tissue;

passing the first suture portion through an anchor;

passing the second suture portion through the anchor;

inserting the anchor into the bone tunnel through the second opening;

after the inserting of the anchor into the bone tunnel, moving a locking member to the anchor;

after the inserting of the anchor into the bone tunnel, inserting the locking member into the anchor; and

advancing the locking member by sliding the locking member non-rotationally along a longitudinal path inside the anchor to compress the first and second suture portions between the locking member and the anchor to secure the first and second suture portions relative to the bone tunnel and the anchor, the first and second suture portions being positioned within the bone tunnel when the first and second suture portions are secured with the locking member.

18. The method of claim 17 wherein the passing of the first suture portion through the anchor comprises passing the first suture portion through a first transverse anchor passage in the anchor, the passing of the second suture portion through the anchor comprises passing the second suture portion through a second transverse anchor passage in the anchor, the anchor comprises a proximal end and a distal end, the first transverse anchor passage extends transversely into the anchor at the distal end, and the second transverse anchor passage extends transversely into the anchor at the proximal end.