Soft Tissue Fixation

• US 20080009904A1
• Filed: 06/29/2007
• Published: 01/10/2008
• Est. Priority Date: 03/17/2006
• Status: Abandoned Application

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: May, Thomas, Terry, Michael, Astorino, Steven, Bourque, Barnard, Ferragamo, Michael
• Application Number:
  US11/770,825
• Publication Number:
  US 20080009904A1
• 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 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• 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
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0496 for tensioning sutures

Abstract

The present disclosure relates to a surgical device including an anchor body defining a cavity and an opening to the cavity, and a flexible member extending through the opening and having a sliding knot disposed within the cavity. The anchor body includes at least two longitudinally extending slots on an outer surface of the anchor body. The disclosure also relates to a surgical device including a handle, an outer shaft including a flanged end portion and a longitudinally extending slot, and an inner shaft received within the outer shaft. The inner shaft includes a first end and a second end, wherein the first end is coupled to the handle. The outer shaft is movable between a first position and a second position with respect to the handle. Methods of repairing a soft tissue are also disclosed.

Claims

1. A surgical device comprising:

an anchor body defining a cavity and an opening to the cavity; and

a flexible member extending through the opening and having a sliding knot disposed within the cavity,

wherein the anchor body includes at least two longitudinally-extending slots on an outer surface of the anchor body.

2. The surgical device of claim 1 wherein the longitudinally-extending slots partially extend a length of the anchor body.

3. The surgical device of claim 1 wherein the longitudinally-extending slots extend an entire length of the anchor body.

4. The surgical device of claim 1 wherein the anchor body includes screw threads on the outer surface of the anchor body.

5. The surgical device of claim 4 wherein the screw threads are intersected by the longitudinally-extending slots.

6. The surgical device of claim 1 wherein the anchor body includes barbs on an outer surface of the anchor body.

7. The surgical device of claim 6 wherein the barbs are intersected by the longitudinally-extending slots.

8. The surgical device of claim 6 wherein the barbs are of alternating heights.

9. The surgical device of claim 1 wherein the anchor body is configured for axially-oriented and rotary advancement into a target tissue.

10. The surgical device of claim 1, wherein the anchor body includes a portion defining the opening and the cavity, the portion including the at least two longitudinally-extending slots, and a plug received by the portion.

11. The surgical device of claim 10, wherein the longitudinally-extending slots partially extend a length of the portion defining the opening and the cavity.

12. The surgical device of claim 10, wherein the longitudinally-extending slots extend an entire length of the anchor body.

13. The surgical device of claim 10, wherein the portion defining the opening and the cavity includes screw threads, the screw threads being intersected by the longitudinally extending slots.

14. The surgical device of claim 10, wherein the portion defining the opening and the cavity includes barbs, the barbs being intersected by the longitudinally-extending slots.

15. The surgical device of claim 1, wherein the sliding knot comprises a slip knot.

16. The surgical device of claim 1, wherein the sliding knot is configured such that the flexible member is movable through the anchor body in a first direction while movement of the flexible member in a second, opposite direction is restricted.

17. The surgical device of claim 1, wherein the opening comprises a through hole.

18. The surgical device of claim 1, wherein the flexible member comprises a single suture forming a loop portion, a tension portion, and the sliding knot.

19. The surgical device of claim 1, further comprising:

an outer shaft, wherein the anchor body is received within the outer shaft; and

an inner shaft received within the outer shaft.

20. The surgical device of claim 19, further comprising a handle, wherein the outer shaft is movable with respect to the handle.

21. The surgical device of claim 19, wherein the inner shaft is arranged for engagement with a proximal portion of the anchor body.

22. A surgical device comprising:

a handle;

an outer shaft, the outer shaft including a flanged end portion and a longitudinally extending slot; and

an inner shaft received within the outer shaft, the inner shaft having a first end and a second end, the second end coupled to the handle,

wherein the outer shaft is movable between a first position and a second position with respect to the handle.

23. The surgical device of claim 22 further comprising an anchor having a flexible member coupled thereto, the anchor in engagement with the first end of the inner shaft.

24. The surgical device of claim 23 wherein a proximal portion of the anchor is received within the flanged end portion of the outer shaft when the outer shaft is in the first position.

25. The surgical device of claim 23 wherein the flexible member passes through a lumen of the inner shaft when the outer shaft is in the second position and the lumen and the slot of the outer shaft when the outer shaft is in the first position.

26. The surgical device of claim 22 wherein the outer shaft includes an indentation and the inner shaft includes a slot, the indentation being slidably engaged within the slot.

27. The surgical device of claim 23 wherein the flexible member comprises a single suture forming a loop portion, a tension portion, and a sliding knot, wherein the loop portion is wrapped around the inner shaft.

28. The surgical device of claim 27 wherein the loop portion is located about 180°

from an opening in the first end of the inner shaft.

29. A method for repairing a soft tissue, comprising:

providing a surgical device comprising a handle, an outer shaft, the outer shaft movable between a first position and a second position with respect to the handle and including a flanged end portion and a longitudinally extending slot, an inner shaft received within the outer shaft, the inner shaft having a first end and a second end, the second end coupled to the handle, and an anchor having a flexible member coupled thereto in the form of a loop, the anchor in engagement with the first end of the inner shaft such that a proximal portion of the anchor is received within the flanged end portion of the outer shaft, the loop received within the slot of the outer shaft;

passing the loop through an opening in the tissue;

positioning the loop around the anchor;

placing the anchor in bone; and

tensioning the flexible member to decrease a size of the loop to secure the tissue to bone.

30. The method of claim 29 wherein placing the anchor in bone comprises advancing the anchor in the bone in a first manner and a second manner.

31. The method of claim 30 wherein the first manner comprises axially-oriented advancement of the anchor and the second manner comprises rotary advancement of the anchor.

32. The method of claim 31 wherein axially-oriented advancement of the anchor occurs with the outer shaft in the first position and rotary advancement of the anchor occurs with the outer shaft in the second position.

33. A method for repairing soft tissue comprising:

providing a surgical device comprising a handle, an outer shaft, an inner shaft received within the outer shaft, the inner shaft having a first end and a second end, the second end coupled to the handle, and an anchor having a flexible member coupled thereto in the form of a loop, the anchor in engagement with the first end of the inner shaft, the anchor including at least two longitudinally-oriented slots on an outer surface of the anchor;

passing the loop through an opening in the tissue;

positioning the loop around the anchor;

advancing the anchor into a bone in an axially-oriented manner;

advancing the anchor into the bone in a rotary manner;

tensioning the flexible member to decrease a size of the loop to secure the tissue to the bone.

34. The method of claim 33 wherein advancing the anchor in a rotary manner comprises rotating the anchor 180°

.

35. The method of claim 33 wherein advancing the anchor in a rotary manner comprises rotating the anchor 90°

.

36. The method of claim 33 wherein the anchor is rotated in a clockwise direction.

37. The method of claim 33 wherein the anchor includes screw threads on the outer surface of the anchor, the screw threads being intersected by the longitudinally extending slots.

38. The method of claim 37 wherein the screw threads engage the bone when the anchor is advanced in a rotary manner.

39. The method of claim 33 wherein the anchor includes barbs on the outer surface of the anchor, the barbs being intersected by the longitudinally extending slots.

40. The method of claim 39 wherein the barbs engage the bone when the anchor is advanced in a rotary manner.

41. The method of claim 40 wherein the bone is a portion of the bone exposed to the slots when the anchor is advanced in an axially oriented manner.

42. The method of claim 33 wherein the anchor is advanced in a rotary manner until a proximal portion of the anchor is flush with the bone.

43. The method of claim 33 wherein the anchor is advanced in an axially-oriented manner until the slots are within the bone.