Soft tissue repair device and method

• US 10,265,064 B2
• Filed: 10/24/2016
• Issued: 04/23/2019
• Est. Priority Date: 11/05/2004
• Status: Active Grant

• Current Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Stone, Kevin T., Sautter, Nathan M., Berelsman, Brian K., Arnett, Jeffery D., Butters, Joshua A., Hushka, Dylan M., Slater, Nicholas R.
• Primary Examiner(s): Dornbusch, Dianne
• Application Number:
  US15/332,590
• Publication Number:
  US 20170065278A1
• Time in Patent Office: 911 Days
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 2017/0406 Pledgets
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/042 plastically deformed during insertion
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.

Claims

1. A soft tissue repair device, comprising:

a self-locking adjustable suture construct that includes a suture with a first free end that extends into the suture through a first aperture in the suture, along a first longitudinal passage in the suture, and out of the suture through a second aperture in the suture to form a first adjustable knotless loop;

a first elongate flexible tube anchor having a first open end, a second open end, and a longitudinal bore extending through the first elongate flexible tube anchor from the first open end to the second open end, the first elongate flexible tube anchor received on the suture; and

a carrying wire that extends into the longitudinal bore of the first elongate flexible tube anchor through the first open end of the first elongate flexible tube anchor, along a portion of the longitudinal bore of the first elongate flexible tube anchor, and out of the longitudinal bore of the first elongate flexible tube anchor through an opening in a side wall of the first elongate flexible tube anchor that is located between the first open end and the second open end of the first elongate flexible tube anchor.

2. The soft tissue repair device of claim 1, wherein the first elongate flexible tube anchor is slidably received on the suture.

3. The soft tissue repair device of claim 1, wherein the first elongate flexible tube anchor is braided.

4. The soft tissue repair device of claim 1, wherein the first elongate flexible tube anchor is woven.

5. The soft tissue repair device of claim 1 further comprising a second elongate flexible tube anchor received on the suture.

6. The soft tissue repair device of claim 1, wherein the carrying wire has a distal end and an engagement portion situated proximally of the distal end, and wherein at least a portion of the first elongate flexible tube anchor is positioned between the engagement portion and the distal end of the carrying wire.

7. A soft tissue repair device, comprising:

a self-locking adjustable suture construct that includes a suture with a first free end that extends into the suture through a first aperture in the suture, along a first longitudinal passage in the suture, and out of the suture through a second aperture in the suture to form a first adjustable knotless loop;

a first elongate flexible tube anchor that is coupled to the self-locking adjustable suture construct, the first elongate flexible tube anchor having a first open end, a second open end, and a longitudinal bore extending through the first elongate flexible tube anchor from the first open end to the second open end; and

a carrying wire, the carrying wire extending through a portion of the longitudinal bore of the first elongate flexible tube anchor and passing through a side wall of the first elongate flexible tube anchor at a location between the first open end and the second open end of the first elongate flexible tube anchor.

8. The soft tissue repair device of claim 7, wherein the carrying wire extends into the longitudinal bore of the first elongate flexible tube anchor through the first open end of the first elongate flexible tube anchor.

9. The soft tissue repair device of claim 7, wherein the carrying wire extends longitudinally through the portion of the longitudinal bore of the first elongate flexible tube anchor.

10. The soft tissue repair device of claim 7, wherein the first elongate flexible tube anchor is braided.

11. The soft tissue repair device of claim 7, wherein the first elongate flexible tube anchor is woven.

12. The soft tissue repair device of claim 7 further comprising a second elongate flexible tube anchor coupled to the self-locking adjustable suture construct.

13. The soft tissue repair device of claim 7, wherein the carrying wire has a distal end and an engagement portion situated proximally of the distal end, and wherein at least a portion of the first elongate flexible tube anchor is positioned between the engagement portion and the distal end of the carrying wire.

14. The soft tissue repair device of claim 13, wherein the engagement portion includes a one-way barb.

15. A soft tissue repair device, comprising:

a first elongate flexible tube anchor, the first elongate flexible tube anchor having a first end, a second end, and a longitudinal bore extending through the first elongate flexible tube anchor from the first end to the second end,

a self-locking adjustable suture construct that includes a suture with a first free end that extends into the suture through a first aperture in the suture, along a first longitudinal passage in the suture, and out of the suture through a second aperture in the suture to form a first adjustable knotless loop, the suture extending through the first elongate flexible tube anchor; and

a carrying wire, the carrying wire extending longitudinally through part of the longitudinal bore of the first elongate flexible tube anchor and passing through a side wall of the first elongate flexible tube anchor at a location between the first end and the second end of the first elongate tube anchor.

16. The soft tissue repair device of claim 15, wherein the carrying wire extends into the longitudinal bore of the first elongate flexible tube anchor through a first open end of the first elongate flexible tube anchor.

17. The soft tissue repair device of claim 15, wherein the part of the longitudinal bore through which the carrying wire extends longitudinally is coaxial with the carrying wire.

18. The soft tissue repair device of claim 15, wherein the first elongate flexible tube anchor includes a tail portion that extends at an angle relative to the carrying wire.

19. The soft tissue repair device of claim 15, wherein the first elongate flexible tube anchor is braided.

20. The soft tissue repair device of claim 15, wherein the first elongate flexible tube anchor is woven.

21. The soft tissue repair device of claim 15 further comprising a second elongate flexible tube anchor through which the suture extends.

22. The soft tissue repair device of claim 15, wherein the carrying wire has a distal end and an engagement portion situated proximally of the distal end, and wherein at least a portion of the first elongate flexible tube anchor is positioned between the engagement portion and the distal end of the carrying wire.