Methods and devices for suture anchor delivery

• US 10,383,624 B2
• Filed: 07/20/2015
• Issued: 08/20/2019
• Est. Priority Date: 10/24/2008
• Status: Active Grant

• Current Assignee: The Foundry Inc.
• Original Assignee: The Foundry Inc.
• Inventors: Gittings, Darin C., Deem, Mark, Gifford, Hanson S., Sutton, Doug, Shenoy, Vivek
• Primary Examiner(s): Dang, Phong Son H
• Application Number:
  US14/804,178
• Publication Number:
  US 20150320413A1
• Time in Patent Office: 1,492 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 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/00986 Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
• 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 2017/0432 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like

Abstract

A method for impacting a suture anchor into bone comprises providing an implantable suture anchor and providing an impactor device for impacting the suture anchor into the bone. The suture anchor is coupled to a distal portion of the impactor device. Positioning the suture anchor engages the anchor with the bone at an implantation site, and powering the impactor device impacts the suture anchor thereby implanting the suture anchor into the bone. The frequency of impaction is less than 20 KHz. The impactor device is then decoupled from the suture anchor, and the impactor device may be removed from the implantation site.

Claims

1. A method for impacting a suture anchor into bone, said method comprising:

providing an implantable suture anchor;

providing an impactor device for impacting the suture anchor into the bone, the impactor device having a movable impactor element, wherein the suture anchor is coupled to a distal portion of the impactor device;

positioning the suture anchor into engagement with the bone at an implantation site;

powering the impactor device to move the impactor element relative to the suture anchor in a plurality of cycles such that the impactor element impacts the suture anchor during each cycle thereby implanting the suture anchor into the bone;

decoupling the impactor device from the suture anchor; and

removing the impactor device from the implantation site.

2. The method in claim 1, wherein the suture anchor passes through adjacent musculoskeletal tissues.

3. The method in claim 2, wherein the suture anchor attaches the adjacent musculoskeletal tissues to the bone.

4. The method in claim 3, wherein the adjacent musculoskeletal tissues comprise bony tissue.

5. The method in claim 3, wherein the adjacent musculoskeletal tissues comprise soft tissue.

6. The method in claim 1, wherein the suture anchor attaches soft tissue to the bone.

7. The method in claim 1, wherein the suture anchor comprises one or more lengths of suture.

8. The method in claim 1, wherein the powering comprises pneumatically actuating the impactor device.

9. The method in claim 1, wherein the powering comprises electrically actuating the impactor device.

10. The method in claim 1, wherein the powering comprises magnetically actuating the impactor device.

11. The method in claim 1, wherein the powering comprises mechanically actuating the impactor device.

12. The method in claim 1, wherein the powering impacts the anchor so as to linearly and rotatably drive the suture anchor into the bone.

13. The method in claim 1, wherein the frequency of impaction is less than 1 KHz.

14. The method in claim 1, wherein the impaction has an amplitude of 1000 micrometers or less per impact.

15. The method in claim 1, further comprising expanding a portion of the suture anchor radially outward so as to firmly engage the suture anchor with the bone.

16. The method in claim 15, wherein the suture anchor comprises a plurality of fingers, and wherein the expanding comprises releasing a constraint from the fingers so as to allow the fingers to radially expand outward.

17. The method in claim 1, wherein the impactor comprises an elongate tubular shaft and the decoupling comprises advancing the suture anchor axially away from a distal portion thereof.

18. The method in claim 1, further comprising cooling the suture anchor or the implantation site with a fluid.

19. The method of claim 1, wherein the frequency of impaction is less than 20 KHz.

20. The method of claim 1, wherein the suture anchor comprises a plurality of fingers, the method further comprising constraining the plurality of fingers with a constraint so the plurality of fingers are axially aligned with a longitudinal axis of the suture anchor.

21. The method of claim 20, further comprising releasing the constraint from the plurality of fingers thereby allowing the plurality of fingers to expand radially outward.

22. The method of claim 21, further comprising capturing tissue between the plurality of fingers and the bone.

23. The method of claim 22, further comprising changing a force of apposition between the captured tissue and the bone.

24. The method of claim 1, wherein the movable impactor element is disposed within a chamber of the impactor device, and wherein powering the impactor device moves the impactor element within the chamber relative to the suture anchor in a plurality of cycles.

25. A method for impacting a suture anchor into bone, said method comprising:

providing an implantable suture anchor having a plurality of fingers extending therefrom;

providing an impactor device for impacting the suture anchor into the bone, wherein the suture anchor is coupled to a distal portion of the impactor device;

positioning the suture anchor into engagement with the bone at an implantation site;

impacting the suture anchor into the bone;

capturing tissue between the plurality of fingers and the bone;

decoupling the impactor device from the suture anchor; and

removing the impactor device from the implantation site.

26. The method of claim 25, wherein the suture anchor passes through adjacent musculoskeletal tissues.

27. The method in claim 26, wherein the suture anchor attaches the adjacent musculoskeletal tissues to the bone.

28. The method in claim 27, wherein the adjacent musculoskeletal tissues comprise bony tissue.

29. The method in claim 27, wherein the adjacent musculoskeletal tissues comprise soft tissue.

30. The method in claim 25, wherein the suture anchor attaches soft tissue to the bone.

31. The method of claim 25, further comprising powering the impactor device to impact the suture anchor into the bone.

32. The method in claim 31, wherein the powering comprises one or more of:

pneumatically actuating the impactor device;

electrically actuating the impactor device;

magnetically actuating the impactor device;

or

mechanically actuating the impactor device.

33. The method in claim 25, wherein impacting the suture anchor comprises linearly and rotatably driving the suture anchor into the bone.

34. The method of claim 25, wherein the impaction has a frequency less than 1 KHz.

35. The method in claim 25, wherein the impaction has an amplitude of 1000 micrometers or less per impact.

36. The method in claim 25, wherein the impactor comprises an elongate tubular shaft and the decoupling comprises advancing the suture anchor axially away from a distal portion thereof.

37. The method in claim 25, further comprising cooling the suture anchor or the implantation site with a fluid.

38. The method of claim 25, wherein the frequency of impaction is less than 20 KHz.

39. The method of claim 25, further comprising changing a force of apposition between the captured tissue and the bone.