Methods for attaching tissue to bone

• US 20040267317A1
• Filed: 06/26/2003
• Published: 12/30/2004
• Est. Priority Date: 06/26/2003
• Status: Abandoned Application

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Higgins, Laurence, Lizardi, Jose, Bruker, Izi
• Application Number:
  US10/607,322
• Publication Number:
  US 20040267317A1
• Time in Patent Office: Days
• US Class Current: 606/232
• 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 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• 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 2017/0459 Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied

Abstract

A method is provided for attaching tissue to bone. In general, the method includes the steps of providing a plurality of bone anchors, each having at least one channel formed therein for receiving suture, and threading a length of suture through at least one channel in at least one of the plurality of bone anchors. Each bone anchor can then be sequentially deployed through tissue and into bone as the free or terminal ends of the suture are preferably tensioned.

Claims

1. A method for attaching soft tissue to bone, comprising the steps of:

providing a plurality of bone anchors, each having a suture-receiving member formed therein or thereon;

attaching a length of suture to the suture-receiving member formed on each of the plurality of bone anchors;

deploying a first one of the plurality of bone anchors into bone to cause the bone anchor to engage the suture and be embedded in the bone with a terminal length of suture extending out of the bone and being attached to the remaining plurality of bone anchors;

deploying a second one of the plurality of bone anchors into bone, at a location adjacent the position of the first bone anchor, to cause the bone anchor to engage the suture and be embedded in the bone with the terminal length of suture extending out of the bone and being attached to the remaining plurality of bone anchors; and

repeating the step of deploying as necessary.

2. The method of claim 1, wherein each bone anchor is deployed through tissue prior to deploying the bone anchor into bone.

3. The method of claim 1, wherein the suture-receiving member comprises at least one channel formed in each of the plurality of bone anchors, and wherein the step of attaching the suture comprises threading the suture through at least one channel in each of the plurality of bone anchors.

4. The method of claim 3, wherein each bone anchor comprises:

an expandable body defining a bore formed therein; and

an expander pin adapted to be received within the bore in the expandable body, the at least one channel extending through the expander pin.

5. The method of claim 4, wherein the step of deploying a bone anchor through tissue and into bone to cause the bone anchor to engage the suture and be embedded in bone comprises the step of driving the expander pin into the expandable body to fix the suture with respect to the expander pin.

6. The method of claim 5, wherein the suture is held by interference between the expander pin and the expandable body.

7. The method of claim 1, wherein each of the plurality of bone anchors are positioned in bone approximately 1 cm apart from one another.

8. A method for attaching soft tissue to bone;

comprising the steps of;

providing a plurality of bone anchors, each having at least one channel formed therein for receiving suture;

threading a length of suture through at least one channel formed in a first one of the plurality of bone anchors;

deploying the first one of the plurality of bone anchors through tissue and into bone to cause the bone anchor to engage the suture and be embedded in the bone with a terminal length of suture extending out of the tissue and through the remaining plurality of bone anchors;

threading a length of suture through at least one channel formed in a second one of the plurality of bone anchors;

deploying a second one of the plurality of bone anchors through tissue into bone, at a location adjacent the position of the first bone anchor, to cause the bone anchor to engage the suture and be embedded in the bone with the terminal length of suture extending out of the tissue and through the remaining plurality of bone anchors; and

repeating the step of threading and deploying as necessary.

9. The method of claim 8, wherein each bone anchor comprises:

an expandable body defining a bore formed therein; and

an expander pin adapted to be received within the bore in the expandable body, the at least one channel extending through the expander pin.

10. The method of claim 9, wherein the step of deploying a bone anchor through tissue and into bone to cause the bone anchor to engage the suture and be embedded in bone comprises the step of driving the expander pin into the expandable body to fix the suture with respect to the expander pin.

11. The method of claim 10, wherein the suture is held by interference between the expander pin and the expandable body.

12. The method of claim 9, wherein each of the plurality of bone anchors are positioned in bone approximately 1 cm apart from one another.

13. The method of claim 9, wherein the suture is tensioned during the step of deploying the a bone anchor into bone.

14. A method for attaching tissue to bone, comprising the steps of:

providing a bone anchor installation apparatus having a plurality of bone anchors disposed therein and a length of suture extending through each of the bone anchors, the bone anchors being effective to engage the bone and the suture upon deployment into a bone hole;

actuating the installation apparatus to apply a first bone anchor through tissue and into a first bone hole;

actuating the apparatus to apply a second bone anchor through tissue and into a second bone hole adjacent the first bone hole, the apparatus being effective to tension the length of suture extending between the first and second bone anchors;

repeating the step of actuating the apparatus to apply a plurality of bone anchors, thereby securing tissue to the bone.

15. The method of claim 14, wherein the installation apparatus is effective to move the bone anchor from an initial position, in which the suture is free to slide through at least one lumen formed in the anchor, to a final position, in which the bone anchor is deployed into a bone tunnel and the suture is engaged by the bone anchor.

16. The method of claim 14, wherein each bone anchor comprises:

an expandable body defining a bore formed therein; and

an expander pin adapted to be received within the bore in the expandable body, the at least one channel extending through the expander pin.

17. The method of claim 16, wherein the step of actuating the apparatus is effective to drive the anchor into a bone tunnel, and to drive the expander pin into the expandable body to fix the suture with respect,to the expander pin.

18. The method of claim 14, wherein each bone anchor is positioned in bone approximately 1 cm apart from one another.