Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
First Claim
1. Apparatus for securing a first object to a second object, the apparatus comprising:
- an elongated body having a distal end, a proximal end, and a lumen opening on the proximal end and extending toward the distal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen;
at least one slit extending through the side wall of the elongated body and communicating with the lumen, the at least one slit having a distal end and a proximal end, with the distal end of the at least one slit being spaced from the distal end of the elongated body and with the proximal end of the at least one slit being spaced from the proximal end of the elongated body, wherein the at least one slit is not connected to an adjacent slit by a connecting slit; and
an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen.
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Accused Products
Abstract
Apparatus for securing a first object to a second object, the apparatus comprising: an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, the lumen comprising a first section and a second section, the first section of the lumen being disposed distal to the second section of the lumen, and with the first section of the lumen having a wider diameter than the second section of the lumen; at least one longitudinally-extending slit extending through the side wall of the elongated body and communicating with the lumen, the at least one longitudinally-extending slit having a distal end and a proximal end, with the distal end of the at least one longitudinally-extending slit being spaced from the distal end of the elongated body; and an elongated element extending through the lumen of the elongated body.
352 Citations
64 Claims
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1. Apparatus for securing a first object to a second object, the apparatus comprising:
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an elongated body having a distal end, a proximal end, and a lumen opening on the proximal end and extending toward the distal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen; at least one slit extending through the side wall of the elongated body and communicating with the lumen, the at least one slit having a distal end and a proximal end, with the distal end of the at least one slit being spaced from the distal end of the elongated body and with the proximal end of the at least one slit being spaced from the proximal end of the elongated body, wherein the at least one slit is not connected to an adjacent slit by a connecting slit; and an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A method for securing a first object to a second object, the method comprising:
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providing apparatus comprising; an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen; at least one slit extending through the side wall of the elongated body and communicating with the lumen, the at least one slit having a distal end and a proximal end, with the distal end of the at least one slit being spaced from the distal end of the elongated body and with the proximal end of the at least one slit being spaced from the proximal end of the elongated body, wherein the at least one slit is not connected to an adjacent slit by a connecting slit; and an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen; inserting the elongated body into the second object; moving the enlargement proximally so as to expand the elongated body; and securing the first object to the second object with the elongated element.
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22. Apparatus for securing a first object to a second object, the apparatus comprising:
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an elongated body having a distal end, a proximal end, and a lumen opening on the proximal end and extending toward the distal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen; at least one longitudinally-extending slit extending through the side wall of the elongated body and communicating with the lumen, the at least one longitudinally-extending slit having a distal end and a proximal end, with the distal end of the at least one longitudinally-extending slit being spaced from the distal end of the elongated body and with the proximal end of the at least one longitudinally-extending slit being spaced from the proximal end of the elongated body; and an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen; wherein the elongated element comprises a suture; wherein the suture comprises (i) a distal loop connected to the enlargement, and (ii) a proximal loop connected to the distal loop; wherein the distal loop comprises suture of a first diameter and the proximal loop comprises suture of a second diameter. - View Dependent Claims (23, 24)
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25. Apparatus for securing a first object to a second object, the apparatus comprising:
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an elongated body having a distal end, a proximal end, and a lumen opening on the proximal end and extending toward the distal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen; at least two slits extending through the side wall of the elongated body and communicating with the lumen, each of the at least two slits having a distal end and a proximal end, with each of the distal ends of the at least two slits being spaced from the distal end of the elongated body, with each of the proximal ends of the at least two slits being spaced from the proximal end of the elongated body, and the at least two slits being spaced from one another with a portion of the side wall of the elongated body extending therebetween; and an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen; wherein movement of the enlargement into the second portion of the lumen causes the elongated body to expand, and further wherein the portion of the side wall of the elongated body extending between the at least two slits remains connected to the elongated body distal to the at least two slits and proximal to the at least two slits after expansion of the elongated body. - View Dependent Claims (26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43)
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44. Apparatus for securing a first object to a second object, the apparatus comprising:
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an elongated body having a distal end, a proximal end, and a lumen opening on the proximal end and extending toward the distal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen; at least one slit extending through the side wall of the elongated body and communicating with the lumen, wherein the at least one slit has a distal end and a proximal end, with the distal end of the at least one slit being spaced from the distal end of the elongated body and with the proximal end of the at least one slit being spaced from the proximal end of the elongated body; and an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen; wherein movement of the enlargement into the second portion of the lumen causes the elongated body to expand, and further wherein during expansion of the elongated body, the side wall of the elongated body expands radially on both sides of the at least one slit. - View Dependent Claims (45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62)
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63. A method for securing a first object to a second object, the method comprising:
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providing apparatus comprising; an elongated body having a distal end, a proximal end, and a lumen opening on the proximal end and extending toward the distal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen; at least two slits extending through the side wall of the elongated body and communicating with the lumen, each of the at least two slits having a distal end and a proximal end, with each of the distal ends of the at least two slits being spaced from the distal end of the elongated body, with each of the proximal ends of the at least two slits being spaced from the proximal end of the elongated body, and the at least two slits being spaced from one another with a portion of the side wall of the elongated body extending therebetween; and an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen; inserting the elongated body into the second object; moving the enlargement proximally so as to expand the elongated body, wherein movement of the enlargement into the second portion of the lumen causes the elongated body to expand, and further wherein the portion of the side wall of the elongated body extending between the at least two slits remains connected to the elongated body distal to the at least two slits and proximal to the at least two slits after expansion of the elongated body; and securing the first object to the second object with the elongated element.
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64. A method for securing a first object to a second object, the method comprising:
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providing apparatus comprising; an elongated body having a distal end, a proximal end, and a lumen opening on the proximal end and extending toward the distal end, the lumen comprising a first portion and a second portion, the first portion of the lumen being disposed distal to the second portion of the lumen, and with the first portion of the lumen having a wider diameter than the second portion of the lumen; at least one slit extending through the side wall of the elongated body and communicating with the lumen, wherein the at least one slit has a distal end and a proximal end, with the distal end of the at least one slit being spaced from the distal end of the elongated body and with the proximal end of the at least one slit being spaced from the proximal end of the elongated body; and an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end and having an enlargement at its distal end, the enlargement having a diameter greater than the second portion of the lumen; inserting the elongated body into the second object; moving the enlargement proximally so as to expand the elongated body, wherein movement of the enlargement into the second portion of the lumen causes the elongated body to expand, and further wherein during expansion of the elongated body, the side wall of the elongated body expands radially on both sides of the at least one slit; and securing the first object to the second object with the elongated element.
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Specification