Suture anchor and suture anchor installation tool

• US 4,946,468 A
• Filed: 12/08/1989
• Issued: 08/07/1990
• Est. Priority Date: 06/06/1989
• Status: Expired due to Term

• Current Assignee: Mitek Surgical Products, Inc. (Johnson & Johnson)
• Original Assignee: Mitek Surgical Products, Inc. (Johnson & Johnson)
• Inventors: Li, Lehmann K.
• Primary Examiner(s): Green, Randall L.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/449,118
• Time in Patent Office: 242 Days
• Field of Search: 606/232, 606/72-78
• 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 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• 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 lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/06142 having needle- or suture- retaining members, e.g. holding tabs or needle parks
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A new and improved suture anchor of the sort adapted to anchor an intermediate portion of a piece of conventional suture in bone, and a new and improved installation tool for deploying the same, said installation tool being adapted to releasably hold at least one curved needle which is attached to said piece of conventional suture.

Claims

1. A suture anchor for anchoring an intermediate portion of a piece of conventional suture in bone, said suture anchor comprising:

(a) a coupling member having a first end surface and a second end surface,

(b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and

(c) attachment means for attaching an intermediate portion of a piece of conventional suture to said suture anchor, said attachment means comprising a bore formed in said coupling member and a pin extending across said bore, whereby the suture can be passed around said pin so that an intermediate portion of the suture is supported by said pin and the two ends of the suture are free to attach a desired object or objects to bone.

2. A suture anchor according to claim 1 wherein said first end surface extends at an acute angle to the longitudinal axis of said coupling member, and said bore extends at an acute angle to the longitudinal axis of said coupling member.

3. A suture anchor according to claim 2 wherein said bore intersects said first end surface.

4. A suture anchor according to claim 3 wherein said bore intersects said first end surface at a right angle.

5. A suture anchor according to claim 1 wherein said coupling member comprises a first end portion including said first end surface, and a reduced second end portion including said second end surface, and a shoulder formed at the junction of said first end portion and said second end portion.

6. A suture anchor according to claim 5 wherein said bore is formed in said first end portion.

7. A suture anchor installation tool for deploying a suture anchor of the sort comprising (a) a coupling member having a first end surface and a second end surface, (b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and (c) attachment means for attaching a portion of a piece of conventional suture to said suture anchor,

said suture anchor installation tool comprising a first body portion and a second body portion,

said first body portion having a first end and a second end, said first end of said first body portion being hollow and having a slot extending from said first end of said first body portion towards said second end of said first body portion, said first end of said first body portion being sized to accommodate a portion of said coupling member, and said slot being sized to accommodate said barb of said suture anchor, and

said second body portion having a first end and a second end, said second body portion having a hollow interior and an opening leading to said hollow interior, said hollow interior being sized to accommodate an intermediate portion of a suture attached to the suture anchor, and said opening being sized to accommodate four widths of said suture, with said second end of said first body portion being joined to said first end of said second body portion, whereby said suture anchor may be attached to said first end of said first body portion by fitting a portion of said coupling member into said first end of said first body portion and by fitting said barb of said suture anchor into said slot so that said barb extends outward and away from said first end of said first body portion, through said slot, and an intermediate portion of said suture may be stored within said hollow interior.

8. A suture anchor installation tool according to claim 7 wherein said hollow interior comprises a plurality of elongated parallel chambers.

9. A suture anchor installation tool according to claim 7 wherein said second body portion comprises releasable holding means for releasably holding a suture length in position within said hollow interior.

10. A suture anchor installation tool according to claim 9 wherein said releasable holding means comprises a plurality of rigid dimples projecting into said hollow interior.

11. A suture anchor installation tool according to claim 9 wherein said releasable holding means comprises a plurality of deflectable fingers projecting into said hollow interior.

12. A suture anchor installation tool according to claim 7 wherein said second body portion comprises a pair of grooves formed in its outer surface and sized to accomodate a pair of curved surgical needles.

13. A suture anchor installation tool according to claim 7 further including a second opening in said second body portion leading to said hollow interior.

14. A suture anchor installation tool according to claim 7 wherein at least a portion of said second body portion is formed out of a transparent material.

15. A suture anchor installation tool according to claim 7 further including means for determining the orientation of said barb relative to said second body portion when said suture anchor is attached to said first end of said first body portion.

16. A suture anchor installation tool according to claim 15 wherein the shape of said second body portion is arranged so as to indicate the orientation of said barb relative to said second body portion.

17. A suture anchor installation tool according to claim 7 wherein said tool further comprises stop means for regulating penetration of said tool into a bone.

18. A suture anchor installation tool according to claim 7 wherein said hollow interior comprises at least two elongated parallel chambers.

19. A suture anchor installation tool according to claim 7 wherein said second body portion comprises a pair of grooves formed in its outer surface for accomodating a pair of curved surgical needles, and means for holding said needles in said grooves.

20. A suture anchor installation tool according to claim 19 wherein said grooves are formed so as to form an interference fit with said curved surgical needles.

21. A suture anchor installation tool according to claim 7 wherein said second body portion comprises releasable holding means for releasably holding a suture length in position within said hollow interior.

22. A suture anchor installation tool according to claim 7 wherein said second body portion comprises releasable holding means for releasably holding a suture length in position within said hollow interior and permitting said suture length to be pulled out of said second body portion under axial tension.

23. A suture anchor system for anchoring an intermediate portion of a piece of conventional suture in bone, said system comprising:

a suture anchor comprising;

(a) a coupling member having a first end surface and a second end surface,

(b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and

(c) attachment means for attaching an intermediate portion of a piece of conventional suture to said suture anchor, said attachment means comprising a bore formed in said coupling member and a pin extending across said bore, whereby the suture can be passed around said pin so that an intermediate portion of the suture is supported by said pin and the two ends of the suture are free to attach a desired object or objects to bone;

a suture anchor installation tool comprising a first body portion and a second body portion,

said first body portion having a first end and a second end, said first end of said first body portion being hollow and having a slot extending from said first end of said first body portion towards said second end of said first body portion, said first end of said first body portion being sized to accommodate a portion of said coupling member, and said slot being sized to accommodate said barb of said suture anchor, and

said second body portion having a first end and a second end, said second body portion having a hollow interior and an opening leading to said hollow interior, said hollow interior being sized to accommodate an intermediate portion of a suture attached to the suture anchor, and said opening being sized to accommodate four widths of said suture, with said second end of said first body portion being joined to said first end of said second body portion, whereby said suture anchor may be attached to said first end of said first body portion by fitting a portion of said coupling member into said first end of said first body portion and by fitting said barb of said suture anchor into said slot so that said barb extends outward and away from said first end of said first body portion, through said slot, with said shoulder of said suture anchor engaging said first end of said first body portion; and

a suture comprising first and second ends and first and second intermediate portions disposed between said first and second ends, said suture being attached to said suture anchor by passing said first intermediate portion of said suture around the suture anchor'"'"'s pin and having said second intermediate portion of said suture stored inside said hollow interior of the second body portion.

24. A suture anchor system according to claim 23 wherein said suture anchor'"'"'s first end surface extends at an acute angle to the longitudinal axis of said coupling member, and said bore extends at an acute angle to the longitudinal axis of said coupling member.

25. A suture anchor system according to claim 24 wherein said suture anchor'"'"'s bore intersects said first end surface.

26. A suture anchor system according to claim 25 wherein said bore intersects said first end surface at a right angle.

27. A suture anchor system according to claim 23 wherein said coupling member comprises a first end portion including said first end surface, and a reduced second end portion including said second end surface, and a shoulder formed at the junction of said first end portion and said second end portion,

and further wherein said first body portion of said suture anchor installation tool is sized to accommodate said second end portion of said suture anchor but not said first end portion of said suture anchor.

28. A suture anchor system according to claim 23 wherein said suture anchor'"'"'s bore is formed in said first end portion of said suture anchor.

29. A suture anchor system according to claim 23 wherein said hollow interior of said suture anchor installation tool comprises a plurality of elongated parallel chambers.

30. A suture anchor system according to claim 23 wherein said second body portion of said suture anchor installation tool comprises releasable holding means for releasably holding a suture length in position within said hollow interior.

31. A suture anchor system according to claim 30 wherein said releasable holding means comprises a plurality of rigid dimples projecting into said hollow interior.

32. A suture anchor system according to claim 30 wherein said releasable holding means comprises a plurality of deflectable fingers projecting into said hollow interior.

33. A suture anchor system according to claim 23 wherein said system further comprises a pair of curved surgical needles attached to said first and second ends of said suture, and further wherein said second body portion of said suture anchor installation tool comprises a pair of grooves formed in its outer surface and sized to accommodate a pair of surgical needles.

34. A suture anchor system according to claim 23 further including a second opening in said second body portion leading to said hollow interior.

35. A suture anchor system according to claim 23 wherein at least a portion of said second body portion is formed out of transparent material.

36. A suture anchor system according to claim 23 further including means for determining the orientation of said barb relative to said second body portion when said suture anchor is attached to said first end of said first body portion.

37. A suture anchor system according to claim 36 wherein the shape of said second body portion is arranged so as to indicate the orientation of said barb relative to said second body portion.

38. A suture anchor system according to claim 23 wherein said tool further comprises stop means for regulating penetration of said tool into a bone.

39. A suture anchor system according to claim 23 wherein said hollow interior of said suture anchor installation tool comprises at least two elongated parallel chambers.

40. A suture anchor system according to claim 23 wherein said system further comprises a pair of curved surgical needles attached to said first and second ends of said suture, and further wherein said second body portion of said suture anchor installation tool comprises a pair of grooves formed in its outer surface for accommodating a pair of surgical needles, and means for holding said needles in said grooves.

41. A suture anchor system according to claim 40 wherein said grooves are formed so as to form an interference fit with said curved surgical needles.

42. A suture anchor system according to claim 23 wherein said second body portion comprises releasable holding means for releasably holding a suture length in position within said hollow interior.

43. A suture anchor system according to claim 23 wherein said second body portion comprises releasable holding means for releasably holding a suture length in position within said hollow interior and permitting said suture length to be pulled out of said second body portion under axial tension.

44. A method for anchoring an intermediate portion of a piece of conventional suture in bone, said method comprising the steps of:

(1) providing a suture anchor system comprising;

a suture anchor comprising;

(a) a coupling member having a first end surface and a second end surface,

(b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and

(c) attachment means for attaching an intermediate portion of a piece of conventional suture to said suture anchor, said attachment means comprising a bore formed in said coupling member and a pin extending across said bore, whereby the suture can be passed around said pin so that an intermediate portion of the suture is supported by said pin and the two ends of the suture are free to attach a desired object or objects to bone;

a suture anchor installation tool comprising a first body portion and a second body portion,

said first body portion having a first end and a second end, said first end of said first body portion being hollow and having a slot extending from said first end of said first body portion towards said second end of said first body portion, said first end of said first body portion being sized to accommodate a portion of said coupling member, and said slot being sized to accommodate said barb of said suture anchor, and

said second body portion having a first end and a second end, said second body portion having a hollow interior and an opening leading to said hollow interior, said hollow interior being sized to accommodate an intermediate portion of a suture attached to the suture anchor, and said opening being sized to accommodate four widths of a suture, with said second end of said first body portion being joined to said first end of said second body portion, whereby said suture anchor may be attached to said first end of said first body portion by fitting a portion of said coupling member into said first end of said first body portion and by fitting said barb of said suture anchor into said slot so that said barb extends outward and away from said first end of said first body portion, through said slot, with said shoulder of said suture anchor engaging said first end of said first body portion; and

a suture comprising first and second ends and first and second intermediate portions disposed between said first and second ends, said suture being attached to said suture anchor by passing said first intermediate portion of said suture around said suture anchor'"'"'s pin and having said second intermediate portion of said suture stored inside said hollow interior of the second body portion;

(2) forming a hole in the bone which is to have said suture attached to it;

(3) inserting said first end of said installation tool and said suture anchor into said hole in said bone; and

(4) withdrawing said installation tool from said hole in said bone, leaving said suture anchor disposed in said hole and said suture attached to said bone.

45. A suture anchor for anchoring a piece of conventional suture in bone, said suture anchor comprising:

(a) a coupling member,

(b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and

(c) attachment means for attaching a portion of a piece of conventional suture to said suture anchor, said attachment means comprising a bore formed in said coupling member and suture holding means in said bore.

46. A suture anchor according to claim 45 wherein said suture holding means comprises means projecting into said bore.

47. A suture anchor according to claim 45 wherein said suture holding means comprises means extending transversely of said bore.

48. A suture anchor according to claim 45 wherein said suture holding means comprises a pin extending across said bore.

49. A suture anchor installation tool for deploying a suture anchor of the sort comprising (a) a coupling member, (b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and (c) attachment means for attaching a piece of conventional suture to said suture anchor,

said suture anchor installation tool comprising a first body portion and a second body portion,

said first body portion having a first end and a second end, said first end of said first body portion being hollow and having a slot extending from said first end of said first body portion towards said second end of said first body portion, said first end of said first body portion being sized to accommodate a portion of said coupling member, and said slot being sized to accommodate said barb of said suture anchor, and

said second body portion having a first end and a second end, said second body portion having a hollow interior and an opening leading to said hollow interior, said hollow interior being sized to accommodate an intermediate portion of a suture attached to the suture anchor, and said opening being sized to accommodate at least two cross-sections of said suture, with said second end of said first body portion being joined to said first end of said second body portion, whereby said suture anchor may be attached to said first end of said first body portion by fitting a portion of said coupling member into said first end of said first body portion and by fitting said barb of said suture anchor into said slot so that said barb extends outward and away from said first end of said first body portion, through said slot, and an intermediate portion of said suture may be stored within said hollow interior.

50. A suture anchor system for anchoring a piece of conventional suture in bone, said system comprising:

a suture anchor comprising;

(a) a coupling member;

(b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and

(c) attachment means for attaching a portion of a piece of conventional suture to said suture anchor, said attachment means comprising a bore formed in said coupling member and suture holding means for holding a suture in said bore;

a suture anchor installation tool comprising a first body portion and a second body portion,

said first body portion having a first end and a second end, said first end of said first body portion being hollow and having a slot extending from said first end of said first body portion towards said second end of said first body portion, said first end of said first body portion being sized to accommodate a portion of said coupling member, and said slot being sized to accommodate said barb of said suture anchor, and

said second body portion having a first end and a second end, said second body portion having a hollow interior and an opening leading to said hollow interior, said hollow interior being sized to accommodate an intermediate portion of a suture attached to the suture anchor, and said opening being sized to accommodate at least two cross-sections of said suture, with said second end of said first body portion being joined to said first end of said second body portion, whereby said suture anchor may be attached to said first end of said first body portion by fitting a portion of said coupling member into said first end of said first body portion and by fitting said barb of said suture anchor into said slot so that said barb extends outward and away from said first end of said first body portion, through said slot; and

a suture comprising first and second ends and first and second intermediate portions disposed between said first and second ends, said first intermediate portion of said suture being attached to said suture anchor by said suture holding means, and said second intermediate portion of said suture being stored inside said hollow interior of the second body portion.

51. A suture anchor system according to claim 50 wherein said suture holding means comprises means projecting into said bore.

52. A suture anchor system according to claim 50 wherein said suture holding means comprises means extending transversely of said bore.

53. A suture anchor system according to claim 50 wherein said suture holding means comprises a pin extending across said bore.

54. A suture anchor system according to claim 50 further including a first needle attached to said first end of said suture, and a second needle attached to said second end of said suture.

55. A method for anchoring a piece of conventional suture in bone, said method comprising the steps of:

(1) providing a suture anchor system comprising;

a suture anchor comprising;

(a) a coupling member;

(b) at least one barb, said barb having a first end and a second end and being curved in its normal unstressed state and being capable of being elastically deformed to a substantially straight configuration, said barb being attached to said coupling member so that said second end of said barb is substantially displaced from said coupling member when said barb is in its normal unstressed state but is capable of being aligned with said coupling member when said barb is deformed to a substantially straight length, and

(c) attachment means for attaching a portion of a piece of conventional suture to said suture anchor, said attachment means comprising a bore formed in said coupling member and suture holding means disposed in said bore;

a suture anchor installation tool comprising a first body portion and a second body portion,

said first body portion having a first end and a second end, said first end of said first body portion being hollow and having a slot extending from said first end of said first body portion towards said second end of said first body portion, said first end of said first body portion being sized to accommodate a portion of said coupling member, and said slot being sized to accommodate said barb of said suture anchor, and

said second body portion having a first end and a second end, said second body portion having a hollow interior and an opening leading to said hollow interior, said hollow interior being sized to accommodate an intermediate portion of a suture attached to the suture anchor, and said opening being sized to accommodate at least two cross-sections of a suture, with said second end of said first body portion being joined to said first end of said second body portion, whereby said suture anchor may be attached to said first end of said first body portion by fitting a portion of said coupling member into said first end of said first body portion and by fitting said barb of said suture anchor into said slot so that said barb extends outward and away from said first end of said first body portion, through said slot; and

a suture comprising first and second ends and first and second intermediate portions disposed between said first and second ends, said first intermediate portion of said suture being attached to said suture anchor by said suture holding means, and said second intermediate portion of said suture being stored inside said hollow interior of the second body portion;

(2) forming a hole in the bone which is to have said suture attached top it;

(3) inserting said first end of said installation tool and said suture anchor into said hole in said bone; and

(4) withdrawing said installation tool from said hole in said bone, leaving said suture anchor disposed in said hole and said suture attached to said bone.