Transosteal anchoring methods for tissue repair

• US 10,561,410 B2
• Filed: 03/12/2018
• Issued: 02/18/2020
• Est. Priority Date: 01/10/2011
• Status: Active Grant

• Current Assignee: Ceterix Orthopaedics, Inc (Smith & Nephew PLC)
• Original Assignee: Ceterix Orthopaedics, Inc (Smith & Nephew PLC)
• Inventors: Saliman, Justin D., McCutcheon, John G., Hendricksen, Michael J.
• Primary Examiner(s): Shi, Katherine M
• Application Number:
  US15/918,969
• Publication Number:
  US 20180199931A1
• Time in Patent Office: 708 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 17/0485 Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0462 One way system, i.e. also tensioning the suture
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0841 Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
• CPC Class Codes: A61F 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

Described herein are methods and apparatuses for use in repair of a patient'"'"'s tissue by connecting the tissue to the bone using a transosteal tunnel and anchor configured to pass through the transosteal tunnel. In particular, described herein are methods of repairing an anterior cruciate ligament (ACL) and torn meniscal root. These anchoring apparatuses and method of using them are particularly well suited for use with the low-profile suture passers described herein, since these suture passers may allow access to previously inaccessible regions of the knee (or other body regions).

Claims

1. A method of arthroscopically repairing a torn meniscal root with a first suture and a second suture, the method comprising:

arthroscopically passing a first locking loop stitch through the meniscal tissue with a suture passer, by passing a loop of the first suture from a first side of the meniscal tissue to a second side of the meniscal tissue, passing a first end region of the first suture distal to the loop through the meniscal tissue and through the loop, and passing a second end region of the first suture proximal to the loop through the meniscal tissue and through the loop, and cinching the loop closed; and

forming a second suture stitch by pulling the second suture between the first side of the meniscal tissue and the second side of the meniscal tissue so that a distal end region and a proximal end region of the second suture extend from the meniscal tissue; and

anchoring the proximal and distal end regions of the second suture and the first and second end regions of the first suture.

2. The method of claim 1, further comprising forming a passage through either the tibia or the femur;

and pulling the proximal and distal end regions of the second suture and the first and second end regions of the first suture through the passage.

3. The method of claim 1, wherein arthroscopically passing the first locking loop stitch comprises passing the loop from an inferior to a superior surface of a meniscus with the suture passer.

4. The method of claim 1, further comprising arthroscopically positioning the suture passer with a first jaw between a superior surface of a meniscus and a femur and a second jaw between an inferior surface and a tibia.