Method and apparatus for stitching tendons

• US 10,265,159 B2
• Filed: 05/27/2016
• Issued: 04/23/2019
• Est. Priority Date: 11/03/2011
• Status: Active Grant

• Current Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Denham, Gregory J., Berelsman, Brian K.
• Primary Examiner(s): Dornbusch, Dianne
• Application Number:
  US15/166,480
• Publication Number:
  US 20170049557A1
• Time in Patent Office: 1,061 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 17/06004 Means for attaching suture to needle tipping A61B17/06195; connecting wire to other metallic objects B21F15/00
• CPC Class Codes: A61B 17/842 Flexible wires, bands or straps A61B17/72, A61B17/82, A61B17/86 take precedence
• CPC Class Codes: A61B 2017/0406 Pledgets
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0495 Reinforcements for suture lines
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2017/06185 hollow or tubular
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/087 Anchor integrated into tendons, e.g. bone blocks, integrated rings
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable

Abstract

Methods and apparatuses for repairing a tear in soft tissue are disclosed. A method according to the principles of the present disclosure includes connecting an intermediate member to a bone anchor and placing the intermediate member on the soft tissue. The method further includes inserting a first suture through the intermediate member and the soft tissue to attach the intermediate member to the soft tissue and fixing the bone anchor to bone to secure the soft tissue to the bone.

Claims

1. An apparatus for repairing a tear in soft tissue, comprising:

a flexible tubular bone anchor defining a first longitudinal passage extending through the flexible tubular bone anchor; and

a suture construct including a first suture and a second suture, wherein the second suture extends through a second longitudinal passage in the first suture and the first suture extends through a third longitudinal passage in the second suture so that the combination of the first suture and the second suture form an intermediate member for attachment to the soft tissue, the first and second sutures extending through the first longitudinal passage in the flexible tubular bone anchor such that the second longitudinal passage in the first suture and the third longitudinal passage in the second suture are disposed on opposite sides of the first longitudinal passage, the first and second sutures each including a first portion that defines one of the second and third longitudinal passages and a second portion that extends from the respective first portion in a direction away from the flexible tubular bone anchor.

2. The apparatus of claim 1, wherein the first portion of the first suture is narrower than the second portion of the first suture, and wherein the first portion of the second suture is narrower than the second portion of the second suture.

3. The apparatus of claim 2, wherein the first portion of the first suture and the first portion of the second suture have a cylindrical shape, and wherein the second portion of the first suture and the second portion of the second suture have a flat shape.

4. The apparatus of claim 3, wherein the first portion and the second portion of the first suture are formed with a first braided body, and wherein the first portion and the second portion of the second suture are formed with a second braided body.

5. The apparatus of claim 2 further comprising a third suture passing through the second portion of the first suture and through the second portion of the second suture, the third suture configured to be additionally passed through the soft tissue upon implantation to form stitches that secure the intermediate member to the soft tissue.

6. The apparatus of claim 5, wherein the intermediate member is configured to increase pull-out forces of the stitches and transfer load from a first part of the stitches disposed closest to the flexible tubular bone anchor to a second part of the stitches disposed further away from the flexible tubular bone anchor than the first part of the stitches.

7. An apparatus for repairing a tear in soft tissue, comprising:

a bone anchor defining a first passage; and

a suture construct including a first suture having a first braided body and a second suture having a second braided body, the second suture extending through a second passage in the first braided body, the first suture extending through a third passage in the second braided body, the first and second sutures extending through the first passage in the bone anchor such that the second passage in the first braided body and the third passage in the second braided body are disposed on opposite sides of the first passage, the first and second braided bodies each including;

(i) a first portion that has a cylindrical shape and defines one of the second and third passages; and

(ii) a second portion that has a flat shape and extends from the respective first portion in a direction away from the bone anchor.

8. The apparatus of claim 7, wherein the first portion of the first braided body is narrower than the second portion of the first braided body, and wherein the first portion of the second braided body is narrower than the second portion of the second braided body.

9. The apparatus of claim 7, wherein the bone anchor is a flexible tubular anchor.

10. The apparatus of claim 9, wherein the first passage is a longitudinal passage extending through at least part of the flexible tubular anchor.

11. The apparatus of claim 7 further comprising a third suture passing through the second portion of the first braided body and through the second portion of the second braided body, the third suture configured to be additionally passed through the soft tissue upon implantation to form stitches that secure the first suture and the second suture to the soft tissue.

12. The apparatus of claim 11, wherein the first suture and the second suture are configured to increase pull-out forces of the stitches and transfer load from a first part of the stitches disposed closest to the bone anchor to a second part of the stitches disposed further away from the bone anchor than the first part of the stitches.