Endosteal anchoring device for urging a ligament against a bone surface

• US 5,632,748 A
• Filed: 12/22/1994
• Issued: 05/27/1997
• Est. Priority Date: 06/14/1993
• Status: Expired due to Term

• Current Assignee: Charles L. Beck Jr, France E. Paul, Richard L. Ellingson
• Original Assignee: Linvatec Corporation (Jefferies Financial Group, Inc.)
• Inventors: Beck, Charles L. Jr., France, E. Paul, Ellingson, Richard L.
• Primary Examiner(s): Tucker, Guy V.
• Assistant Examiner(s): MULCARE, NANCY C
• Application Number:
  US08/361,868
• Time in Patent Office: 887 Days
• Field of Search: 606/72, 606/73, 606/75, 606/86-87, 606/88-89, 606/151, 606/213, 606/215-218, 606/232, 623/13, 411/71, 411/75, 411/78, 411/79
• US Class Current: 606/89
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0425 the anchor or the separate member comprising threads, e.g. a set screw in the anchor
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0829 without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
• CPC Class Codes: A61F 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• 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
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

An endosteal anchoring device for urging a ligament graft against a bone surface comprising an anchoring body, a member for resisting slippage of the anchoring body into the periphery of a bone tunnel under ligament tension, a member for avoiding puncturing, piercing or tearing of cross-fibers of the ligament graft and a member for urging the ligament graft flush against the inner surface of the bone tunnel for accelerated healing.

Claims

1. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device, the anchor device having at least one end and an exterior surface comprising a surface area sufficient for disposing a portion of said ligament, said surface area providing a means for forcibly compressing said portion of the ligament against the bone surface of said tunnel;

said portion of said ligament engageably disposed in relation to the exterior surface of the anchor device being further disposed around said end of the anchor device;

a positioning member engageably disposed in relation to the anchor device, said positioning member providing a means for selectively positioning said anchor device within the tunnel; and

means for securing the anchor device and said portion of the ligament disposed in a loop configuration around said exterior surface of said anchor device within the tunnel, said portion of the ligament being thereby urged directly against the bone surface within said tunnel.

2. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 1 wherein said positioning member comprises a directional driver.

3. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 1 wherein the anchor device comprises a first component and a second component, said first component and said second component having a plurality of interlocking members.

4. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 3 wherein said interlocking members provide means for interlocking said components together.

5. An endosteal anchoring device for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 1 wherein said positioning member comprises at least one extending member projecting substantially outward from said end.

6. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 5 wherein said extending member comprises an eyelet for introducing a suture therethrough, said extending member in cooperation with said suture providing means for positioning said anchor member within said tunnel.

7. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device, the anchor device comprising a first component and a second component, said first component having at least one end and an exterior surface incorporating a groove, said first component and said second component comprising a plurality of interlocking members, whereby said interlocking members provide means for interlocking said components together;

said groove comprising a surface area sufficient for disposing a portion of said ligament, said surface area providing a means for forcibly compressing said portion of the ligament against the bone surface of said tunnel in a direction perpendicular to an axis of said anchor device;

said portion of said ligament disposed in relation to said groove of said first component being further disposed around said end of said first component;

a positioning member engageably disposed in relation to said anchor device, said positioning member providing a means for selectively positioning said anchor device within said tunnel; and

means for securing said anchor member and said portion of said ligament disposed in a loop configuration around said anchor member within said tunnel, the ligament being thereby urged directly against the bone surface within said tunnel.

8. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 7 wherein said positioning member comprises a directional driver.

9. An endosteal anchoring device for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 7 further comprising at least one extending member projecting substantially outward from said end.

10. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 9 wherein said extending member comprises an eyelet for introducing a suture therethrough, said extending member in cooperation with said suture providing means for introducing said anchor member within said bone tunnel.

11. An endosteal anchoring device for urging a ligament against a bone surface within a tunnel formed in a bone of a patient as defined in claim 7 wherein said means for securing said anchor member within said tunnel comprises a plurality of sustaining members.

12. An endoscopic technique for replacing or reconstructing a torn or dislocated ligament, the endoscopic technique comprising the steps of:

establishing portals in contiguous bone mass for diagnosis and operative arthroscopy;

forming a tunnel within the bone mass;

maintaining a portion of the ligament in a loop configuration around an exterior surface of an anchor device, said exterior surface comprising a surface area sufficient for forcibly compressing said portion of said ligament against an internal wall of said tunnel in a direction perpendicular to an axis of said anchor device;

positioning the anchor device and the ligament operably coupled thereto within the tunnel; and

securing the anchor device and said portion of the ligament within the tunnel, thereby urging said portion of the ligament in direct contact against said internal wall of said tunnel.

13. A method as defined in claim 12 wherein said anchor device comprises a first component and a second component, said first component having a raised key member and said second component having an elongated canal, whereby disposing said raised key member within the elongated canal provides means for guiding said first and second components into alignment and interlocking said first and second components together.

14. A method as defined in claim 12 wherein forming a tunnel within the bone mass further comprises inserting a guide pin through the portals to mark a location for drilling the tunnel and passing an endoscopic drill bit over the guide pin to form said tunnel.

15. An endoscopic technique used with arthroscopic assistance for repairing or reconstructing a torn or dislocated anterior cruciate ligament, the endoscopic technique comprising the steps of:

establishing anteromedial and anterolateral portals in contiguous bone mass for diagnosis and operative arthroscopy;

inserting a guide pin through the portals to mark a location for drilling a tibial tunnel;

passing an endoscopic drill bit over the guide pin to form the tibial tunnel;

inserting the guide pin through the tibial tunnel to select a location for drilling a femoral tunnel;

passing the endoscopic drill bit over the guide pin to form the femoral tunnel;

irrigating said tunnels;

maintaining the ligament in relation to an exterior surface of an endosteal anchor device and disposing said ligament around at least one end of said anchor device in a loop configuration, said exterior surface of said anchor device comprising a surface area sufficient for forcibly compressing said portion of the ligament against the bone surface of said femoral tunnel in a direction perpendicular to an axis of said anchor device;

inserting the endosteal anchor device into the femoral bone tunnel;

positioning the endosteal anchor device and the ligament operably coupled thereto within the femoral tunnel; and

securing the anchor device and said portion of the ligament within the femoral tunnel, thereby urging said portion of the ligament in direct contact against the bone within said femoral tunnel to promote healing.

16. A method as defined in claim 15 wherein said anchor device comprises a first component and a second component, said first component having a raised key member and said second component having an elongated canal, whereby disposing said raised key member within the elongated canal provides means for guiding said first and second components into alignment and interlocking said first and second components together.