THREADED KNOTLESS ANCHOR

• US 20170042530A1
• Filed: 10/25/2016
• Published: 02/16/2017
• Est. Priority Date: 11/13/2014
• Status: Active Grant

• Current Assignee: Linvatec Corporation (Jefferies Financial Group, Inc.)
• Original Assignee: Linvatec Corporation (Jefferies Financial Group, Inc.)
• Inventors: Lombardo, Giuseppe, Fitts, Steven E., Miller, Peter C.
• Granted Patent: US 9,924,936 B2
• Time in Patent Office: 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 17/0469 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 2017/044 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 2017/0451 Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

A method for knotlessly securing suture in a bone tunnel including securing a suture to a tissue to be fixated by a suture anchor; preloading a proximal threaded component of an anchor onto a drive shaft; preloading a distal component of the anchor onto an actuator shaft, passing the suture through an eyelet of the distal component of the anchor, inserting the distal component of the anchor and then the proximal component of the anchor into the bone hole; confirming the placement of the proximal component of the anchor relative to the distal component of the anchor by viewing an indicator on the driver handle; and pivoting a trigger device about a pivot axis to translate the actuator shaft to a second position to compress the suture at the distal end of the proximal anchor and to lock the distal anchor to the proximal anchor.

Claims

1. A method for knotlessly securing suture in a bone tunnel comprising the steps of:

securing a suture to a tissue to be fixated by a suture anchor, wherein the suture anchor is to be received in a bone hole;

preloading a proximal threaded component of an anchor onto a driver, the proximal component of the anchor defining a pitch and containing a lumen comprising a proximal drive area and a distal non-drive area, the proximal drive area configured to receive a distal portion of a cannulated rotatable and translatable drive shaft;

preloading a distal component of said anchor onto an actuator shaft, the actuator shaft being coaxially disposed through the cannulation of the rotatable and translatable drive shaft, the actuator shaft being located in a first axial position;

passing the suture through an eyelet of the distal component of the anchor, the distal component of the anchor attached to the actuator shaft via a frangible connection;

inserting the distal component of the anchor into the bone hole;

tensioning the suture to bring the tissue into apposition with bone and then attaching the suture to a proximal portion of the driver handle;

inserting the proximal component of the anchor into the bone hole by rotating the driver while holding another portion of the driver steady, the driver translating at a pitch matched with the pitch of the proximal component of the anchor, the driver also containing an indicator;

confirming the placement of the proximal component of the anchor relative to the distal component of the anchor by viewing an indicator on the driver handle;

providing a trigger device pivotably attached to the driver handle, wherein the trigger device is selectably pivotable about at least one of a first pivot axis and a second pivot axis defined by the driver handle; and

pivoting the trigger device about at least one of a first pivot axis and a second pivot axis to translate the actuator shaft to a second position to compress the suture at the distal end of the proximal anchor and to lock the distal anchor to the proximal anchor.

2. The method of claim 1, further comprising the steps of providing a first trigger axis defined by the trigger device, wherein the trigger body is pivotable about the first pivot axis when the first pivot axis is coincident with the first trigger axis in a first position.

3. The method of claim 2, further comprising the step of moving the trigger device from the first position to about a second position to thereby enable the trigger device to pivot about a second pivot axis.

4. The method of claim 3, further comprising the steps of providing a second trigger axis defined by the trigger device, wherein the trigger device is pivotable about the second pivot axis when the second pivot axis is coincident with the second trigger axis in the second position.

5. The method of claim 1, wherein the proximal anchor comprises at least one projection on an inner surface thereof, and the distal anchor comprises a cooperating annular rib on the outer surface thereof said for engaging said projection to lock the distal anchor to the proximal anchor.

6. The method of claim 1, wherein the indicator is configured to move distally with respect to the driver handle from a first position to a second position, wherein the distal movement of the indicator corresponds to distal movement of the proximal component of the anchor relative to the distal portion of the anchor.

7. The method of claim 1, wherein each of the proximal drive area and the distal portion of the cannulated rotatable and translatable drive shaft comprise a non-circular cross-section.

8. The method of claim 7, wherein at least one of the non-circular cross-sections is a hexagonal cross-section.

9. The method of claim 7, wherein the non-circular cross-sections are the same shape.