Anchor and method for securement into a bore

• US 5,645,589 A
• Filed: 08/22/1994
• Issued: 07/08/1997
• Est. Priority Date: 08/22/1994
• Status: Expired due to Term

• Current Assignee: Linvatec Corporation (Jefferies Financial Group, Inc.)
• Original Assignee: Li Medical Technologies, Inc.
• Inventors: Li, Lehmann K.
• Primary Examiner(s): Weiss, John G.
• Assistant Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US08/294,067
• Time in Patent Office: 1,051 Days
• Field of Search: 623/13, 623/16, 606/95, 606/72, 606/73, 606/60, 606/62, 606/63, 411/24, 411/26, 411/55, 411/25, 411/80
• US Class Current: 606/60
• 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 17/2909 Handles
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• CPC Class Codes: A61B 2017/0403 Dowels
• 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 2017/042 plastically deformed during insertion
• CPC Class Codes: A61B 2017/0424 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61F 2/0805 Implements for inserting tendons or ligaments
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2/30723 Plugs or restrictors for sealing a cement-receiving space tools for inserting plugs A61F2/4614; sealing collars for use during cementing A61B17/8808
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0864 Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
• 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: F16B 13/08 with separate or non-separate gripping parts moved into their final position in relation to the body of the device without further manual operation
• CPC Class Codes: Y10S 606/908 : Bioabsorbable material
• CPC Class Codes: Y10S 606/91 : Polymer

Abstract

An anchor and method for securement into a bore in a medium. The anchor has a first generally hollow cylindrical section having a first plurality of spaced longitudinally directed fingers and a second generally hollow cylindrical section having a second plurality of spaced longitudinally directed fingers. The first and second sections are arranged opposed to each other with the fingers of each section being interdigitated with the fingers of the other section. The first and second sections are adapted to receive a compression force moving the two sections relatively toward each other, whereby at least some of the fingers move outwardly so as to secure the two sections in the bore in the medium.

Claims

1. A medical anchor for securement into a bore formed in a living body and defined by a bore side wall and an opening into the bore, comprising:

a first generally hollow biocompatible section having a first plurality of spaced longitudinally directed fingers pointed toward the opening;

a second generally hollow biocompatible section having a second plurality of spaced longitudinally directed fingers;

the first and second sections being arranged opposed to each other with the fingers of each section being interdigitated with the fingers of the other section;

an elongated body mechanically engaged with the first section;

the first and second sections being adapted to receive a compression force moving the two sections relatively toward each other, the first and second hollow sections having a combined longitudinal size such that they are entirely received within the bore after the compression force is applied, said two sections being both longitudinally movable in respective opposed directions of movement with the fingers of each section moving radially outwardly while moving in the respective direction of movement, the fingers of each section being adapted to penetrate into the bore side wall in the respective direction of movement to secure the two sections in the bore without anchoring the elongated body at the opening into the bore;

at least one of the first and second sections being slidable along the elongated body without relative rotational movement of the elongated body and the at least one section.

2. The anchor recited in claim 1, wherein both pluralities of fingers move outwardly in response to the compression force.

3. The anchor recited in claim 1, wherein the fingers of each plurality of fingers have tips, the tips being tapered to facilitate movement of the fingers outwardly or inwardly.

4. The anchor recited in claim 3, wherein each section has a rim portion between fingers, the rim portion being tapered to facilitate movement of the fingers outwardly.

5. The anchor recited in claim 4, wherein the tips of the fingers are tapered toward the hollow center of a respective section.

6. The anchor recited in claim 1, further comprising means for causing the compression force.

7. The anchor recited in claim 6 wherein the means for causing the compression force comprises a sleeve fitting inside the two sections having an outwardly directed abutment for engaging one of the two sections whereby when a force is applied to the sleeve in the direction of the sections, the abutment forces the two sections relatively toward each other.

8. The anchor recited in claim 1, further comprising a member inserted into the center of said two sections for securement into the bore in the medium.

9. The anchor recited in claim 8, further comprising means for securing the member inserted into the center of the two sections to the distal most one of the two sections.

10. The anchor recited in claim 9, wherein the means for securing comprises welding or adhesive.

11. The anchor recited in claim 9, further comprising means for causing the compression force comprising a device forcing a proximal most one of the two sections toward a distal most one of the two sections.

12. The anchor recited in claim 11, further comprising means for securing the distal most one of the two sections against axial movement when the compression force is being applied.

13. The anchor recited in claim 1, wherein the two sections comprise a metal.

14. The anchor recited in claim 13, wherein the metal comprises a biocompatible metal.

15. The anchor recited in claim 1, wherein the sections comprises plastic.

16. The anchor recited in claim 15, wherein the plastic is a biocompatible plastic.

17. The anchor recited in claim 1, further comprising sutures connected to at least one of the two sections.

18. The anchor recited in claim 17, further comprising a hollow tube removably connected to at least one of the sections, the sutures being threaded through the centers of both sections and further comprising means cooperating with the tube and at least one of the sections for moving the sections relatively toward each other to cause the compression force.

19. The anchor recited in claim 17, further comprising a hollow tube inserted into the center of at least one of the sections, the sutures being threaded through the centers of both sections and through the hollow interior of the tube, and further comprising means cooperating with the tube and at least one of the sections for moving the sections relatively toward each other to cause the compression force.

20. The anchor recited in claim 19, further comprising a handle on said tube for grasping by a user whereby the sutures may be pulled thereby causing the compression force.

21. The anchor recited in claim 19, wherein the means for causing the compression force comprises an object disposed about the tube for engagement with at least one of the sections and to which the compression force can be applied.

22. The anchor recited in claim 19, wherein the tube is removable from said at least one section after said compression force is applied.

23. The anchor recited in claim 1, further comprising at least one intermediate section between the first and second sections, the intermediate section having first and second pluralities of longitudinally extending fingers for engagement with respective pluralities of the fingers in the first and second sections.

24. A method for securing a medical anchor in a bore formed in a living body and defined by a bore side wall and an opening into the bore, comprising:

providing a first generally hollow biocompatible section having a first plurality of spaced longitudinally directed fingers pointed toward the opening;

providing a second generally hollow biocompatible section having a second plurality of spaced longitudinally directed fingers;

arranging the first and second sections opposed to each other with the fingers of each section interdigitated with the fingers of the other section;

providing an elongated body mechanically engaged with the first section;

applying a compression force to the first and second sections to move the two sections relatively toward each other, the first and second sections having a combined longitudinal size such that they are entirely received within the bore after the compression force is applied, said two sections being both longitudinally movable in respective opposed directions of movement with the fingers of each section moving radially outwardly while, moving in the respective direction of movement, the fingers of each section being adapted to penetrate into the bore side wall in the respective direction of movement to secure the two sections in the bore without anchoring the elongated body at the opening into the bore;

the step of applying a compression force causing at least one of the first and second sections to slide along the elongated body without relative rotational movement of the elongated body and the at least one section.

25. The method for securing an anchor recited in claim 24, wherein both pluralities of fingers move outwardly in response to the compression force.

26. The method for securing an anchor recited in claim 24, wherein the fingers of each plurality of fingers have tips, and further comprising tapering the tips to facilitate movement of the fingers outwardly or inwardly.

27. The method for securing an anchor recited in claim 26, wherein each section has a rim portion between fingers, and further comprising tapering the rim portion to facilitate movement of the fingers outwardly.

28. The method for securing an anchor recited in claim 27, further comprising tapering the tips of the fingers toward the hollow center of a respective section.

29. The method for securing an anchor recited in claim 24, wherein the step of applying the compression force comprises providing a sleeve fitting inside the two sections having an outwardly directed abutment for engaging one of the two sections and applying a force to the sleeve in the direction of the sections, whereby the abutment forces the two sections relatively toward each other.

30. The method for securing an anchor recited in claim 24, further comprising inserting a member into the center of said two sections for securement into the bore in the medium.

31. The method for securing an anchor recited in claim 30, further comprising securing the member inserted into the center of the two sections to the distal most ones of the two sections.

32. The method for securing an anchor recited in claim 31, wherein the step of securing the member to the distal most ones of the two sections comprises using welding or an adhesive.

33. The method for securing an anchor recited in claim 31, further comprising causing the compression force by forcing a proximal one of the two sections toward a distal most one of the two sections.

34. The method for securing an anchor recited in claim 33, further comprising securing the distal most one of the two sections against axial movement when the compression force is being applied.

35. The method for securing an anchor recited in claim 24, wherein the steps of providing the two sections comprise providing sections made of a metal.

36. The method for securing an anchor recited in claim 35, wherein steps of providing sections made of metal comprises providing sections made of a biocompatible metal.

37. The method for securing an anchor recited in claim 24, wherein the steps of providing the sections comprises providing sections made of plastic.

38. The method for securing an anchor recited in claim 37, wherein the steps of providing sections made of plastic comprises providing sections made of a biocompatible plastic.

39. The method for securing an anchor recited in claim 24, further comprising connecting sutures to at least one of the two sections.

40. The method for securing an anchor recited in claim 39, further comprising removably connecting a tube to at least one of the sections, threading the sutures through the centers of both sections and further comprising moving the sections relatively toward each other to cause the compression force.

41. The method for securing an anchor recited in claim 39, further comprising inserting a tube into the center of at least one of the sections, threading the sutures through the centers of both sections and through the hollow interior of the tube, and further comprising moving the sections relatively toward each other to cause the compression force.

42. The method for securing an anchor recited in claim 41, wherein the step of moving the sections relatively toward each other comprises pulling the sutures thereby causing the compression force.

43. The method for securing an anchor recited in claim 41, wherein the steps of causing the compression force comprises providing an object disposed about the tube for engagement with at least one of the sections and to which the compression force can be applied.

44. The method for securing an anchor recited in claim 41, further comprising removing the tube from said at least one section after said compression force is applied.

45. The method for securing an anchor recited in claim 24, further comprising providing at least one intermediate section between the first and second sections, the intermediate section having first and second pluralities of longitudinally extending fingers for engagement with respective pluralities of the fingers in the first and second sections.

46. A medical anchor for securement into a bore formed in bio-organic tissue and defined by a bore side wall and an opening into the bore, comprising:

a first generally hollow section made of a biocompatible material having a first plurality of spaced longitudinally directed fingers pointed toward the opening;

a second generally hollow section made of a biocompatible material having a second plurality of spaced longitudinally directed fingers;

the first and second sections being arranged opposed to each other with the fingers of each section being interdigitated with the fingers of the other section;

an elongated body mechanically engaged with the first section,

the first and second sections being adapted to receive a compression force applied by a member which moves substantially longitudinally without rotational movement to move the two sections relatively toward each other, the first and second hollow sections having a combined longitudinal size such that they are entirely received within the bore after the compression force is applied, the two sections being both longitudinally movable in respective opposed directions of movement with the fingers of each section moving radially outwardly while moving in the respective direction of movement, the fingers of each section being adapted to penetrate into the bore side wall in the respective direction of movement to secure the two sections in the bore without anchoring the elongated body at the opening into the bore;

at least one of the first and second sections being slidable along the elongated body without relative rotational movement of the elongated body and the at least one section.

47. A medical anchor for securement into a bore formed in a bio-organic medium and defined by a bore side wall and an opening into the bore, comprising:

a first biocompatible member having a first plurality of spaced longitudinally directed fingers pointed toward the opening;

a second biocompatible member having a second plurality of spaced longitudinally directed fingers;

the first and second members being arranged opposed to each other with the fingers of each member being interdigitated with the fingers of the other member;

an elongated body mechanically engaged with the first section; and

the first and second members being adapted to receive a compression force moving the two members relatively toward each other, the first and second members having a combined longitudinal size such that they are entirely received within the bore after the compression force is applied, said two members being both longitudinally movable in respective opposed directions of movement with the fingers of each section moving radially outwardly while moving in the respective direction of movement, the fingers of each member being adapted to penetrate into the bore side wall in the respective direction of movement to secure the two members without anchoring the elongated body at the opening into the bore;

at least one of the first and second members being slidable along the elongated body without relative rotational movement of the elongated body and the at least one member.

48. A medical anchor for securement into a bore formed in a bio-organic medium and defined by a bore side wall and an opening into the bore comprising:

a first biocompatible section having a first plurality of spaced longitudinally directed fingers pointed toward the opening;

a second biocompatible section have a second plurality of spaced longitudinally directed fingers;

the first and second sections being arranged opposed to each other with the fingers of each section being interdigitated with the fingers of the other section;

an elongated body mechanically engaged with the first section;

the first and second sections being adapted to receive a compression force moving the two sections relatively toward each other, the first and second sections having a combined longitudinal size such that they are entirely received within the bore after the compression force is applied, said two sections being both longitudinally movable in respective opposed directions of movement with the fingers of each section moving radially outwardly while moving in the respective direction of movement, the fingers of each section being adapted to penetrate into the bore side wall in the respective direction of movement to secure the two sections in the bore without anchoring the elongated body at the opening into the bore;

a suture connected to at least one of the two sections; and

at least one of the first and second sections being slidable along the elongated body without relative rotational movement of the elongated body and the at least one section.

49. A medical anchor for securement into a bore formed in a bio-organic medium and defined by a bore side wall and an opening into the bore, comprising:

a first biocompatible section having a first plurality of spaced longitudinally directed fingers pointed forward the opening;

a second biocompatible section have a second plurality of spaced longitudinally directed fingers;

the first and second sections being arranged opposed to each other with the fingers of each section being interdigitated with the fingers of the other section;

an elongated body mechanically engaged with the first section;

the first and second sections being adapted to receive a compression force moving the two sections relatively toward each other, the first and second sections having a combined longitudinal size such that they are entirely received within the bore after the compression force is applied, said two sections being both longitudinally movable in respective opposed directions of movement with the fingers of each section being adapted to move outwardly to penetrate into the bore side wall in the respective direction of movement to secure the two sections in the bore without anchoring the elongated body at the opening into the bore;

a suture connected to at least one of the two sections; and

at least one of the first and second sections being slidable along the elongated body without relative rotational movement of the elongated body and the at least one section.

50. A medical anchor adapted to secure an elongated body in a bore formed in a living medium and defined by a bore side wall and an opening into the bore, the bore extending distally into the medium from a surface of the medium, comprising:

a first generally hollow biocompatible section receiving at least a portion of the elongated body within it, engaged with the elongated body against axial displacement of the first section distally relative to the body, being adapted to be received in the bore, and having a plurality of circumferentially spaced-apart fingers adapted to extend proximally relative to the bore toward the opening;

a second generally hollow biocompatible section adapted to be received in the bore proximally of the first section, receiving a portion of the elongated body through it, and having a plurality of circumferentially spaced-apart fingers adapted to extend distally relative to the bore;

the first and second sections being arranged opposite each other with the fingers of each section being interdigitated with the fingers of the other section and the fingers of each section being engageable with rim portions of the other section so as to be displaced outwardly upon movement of the sections toward each other;

a hollow pusher member separate from the sections receivable in sliding clearance around the elongated body and engageable with a proximal end of the second section to apply a force distally on the second section; and

a portion of the elongated body being adapted to be held to apply a force proximally to the first section so as to enable the distally acting force applied to the second section to move the first and second sections relatively toward each other and move the fingers outwardly into engagement with the side wall of the medium surrounding the bore without having to hold either of the sections against rotation relative to the bore and without anchoring the elongated body at the opening into the bore;

the first and second hollow sections having a combined longitudinal size such that they are entirely received within the bore after the forces are applied to the first and second sections to move the first and second sections relatively toward each other;

at least one of the first and second sections being slidable along the elongated body without relative rotational movement of the elongated body and the at least one section.

51. An anchor according to claim 50, wherein the elongated body is a rod or tube.

52. An anchor according to claim 50, wherein the elongated body is a rod or tube and the rod or tube is affixed to the first section by a weldment or an adhesive.

53. An anchor according to claim 50, further comprising a suture coupled to at least one of the sections.

54. An anchor according to claim 50, further comprising a plurality of sutures coupled to at least one of the sections.

55. An anchor according to claim 54, wherein the medium is a body tissue or matrix and further comprising an inserter tube removably inserted into the center of at least the second section with a snug fit, the sutures passing through the tube, and the tube being receivable within the pusher member with at least a sliding clearance.

56. An anchor according to claim 50, wherein the rim portions of each section are tapered to promote movement of the fingers that engage them outwardly.

57. An anchor according to claim 50, wherein each finger has a tip portion that is tapered to promote movement of each finger outwardly by the rim portion that it engages.

58. An anchor according to claim 50, wherein the rim portions of each section are tapered to promote movement of the fingers that engage them outwardly and each finger has a tip portion that is tapered to promote movement of each finger outwardly by the rim portion that it engages.

59. An anchor according to claim 50, wherein the medium is a body tissue or matrix and the sections and the elongated body are formed of biocompatible materials.

60. An anchor according to claim 50, wherein the second section has a plurality of fingers adapted to extend proximally relative to the bore, and further comprising

a third generally hollow section adapted to be received in the bore proximally of the second section, receiving a portion of the elongated body through it, and having a plurality of circumferentially spaced-apart fingers adapted to extend distally relative to the bore;

the second and third sections being arranged opposite each other with the proximally extending fingers of the second section being interdigitated with the distally extending fingers of the third section, and proximally extending fingers of the second being engageable with rim portions of the third section so as to be displaced outwardly upon movement of the sections toward each other, the distally extending fingers of the third section being engageable with rim portions of the second section so as to be displaced outwardly upon movement of the sections toward each other;

the hollow pusher member being engageable with a proximal end of the third section so as to apply a force distally on the third section; and

a portion of the elongated body being adapted to be held to apply a force proximally to the first section so as to enable the distally acting force applied to the third section to move the first, second and third sections relatively toward each other and move the fingers outwardly into engagement with the medium surrounding the bore.

61. A medical anchor adapted to secure an elongated body formed of a biocompatible material in a bore formed in a living medium and defined by a bore side wall and an opening into the bore, the bore extending distally into a body tissue or matrix from a surface thereof, comprising:

a first generally hollow section formed of a biocompatible material receiving at least a portion of the elongated body within it, engaged with the elongated body against displacement of the first section distally relative to the body, being adapted to be received in the bore, and having a plurality of circumferentially spaced-apart fingers adapted to extend proximally relative to the bore toward the opening;

a second generally hollow section formed of biocompatible material, adapted to be received in the bore proximally of the first section, receiving a portion of the elongated body through it, and having a plurality of circumferentially spaced-apart fingers adapted to extend distally relative to the bore;

the first and second sections being arranged opposite each other with the fingers of each section being interdigitated with the fingers of the other section and the fingers of each section being engageable with rim portions of the other section so as to be displaced outwardly upon movement of the sections toward each other; and

a hollow pusher member separate from the sections receivable in sliding clearance around the elongated body and engageable with a proximal end of the second section to apply a force distally on the second section;

a portion of the elongated body being adapted to be engaged to apply a force proximally to the first section so as to enable the distally acting force applied to the second section to move the first and second sections relatively toward each other and move the fingers outwardly into engagement with the side wall of the medium surrounding the bore without having to hold either of the sections against rotation relative to the bore and without anchoring the elongated body at the opening into the bore;

the first and second hollow sections having a combined longitudinal size such that they are entirely received within the bore after the forces are applied to the first and second sections to move the first and second sections relatively toward each other;

at least one of the first and second sections being slidable along the elongated body without relative rotational movement of the elongated body and the at least one section.

62. An anchor according to claim 61, wherein the elongated body is a rod or tube and the rod or tube is affixed to the first section by a weldment or an adhesive.

63. An anchor according to claim 61, further comprising a plurality of suture coupled to at least one of the sections, and further comprising a substantially rigid hollow inserter tube removably inserted into and in a snug fit with the center of at least the second section, the sutures passing through the tube, and the tube being receivable within the pusher member with a sliding clearance.

64. A method of securing an elongated body of a biocompatible material in a bore formed in a living body and defined by a bore side wall and an opening into the bore, the bore extending distally into a body tissue or matrix from a surface thereof, comprising the steps of:

providing a first generally hollow section formed of a biocompatible material, adapted to be received in the bore with a close clearance and having a plurality of circumferentially spaced-apart fingers adapted to extend proximally relative to the bore toward the opening;

affixing at least a portion of the elongated body within the first section against axial displacement relative to the first section,

providing a second generally hollow section formed of a biocompatible material, adapted to be received in the bore with a close clearance, and having a plurality of circumferentially spaced-apart fingers adapted to extend generally distally relative to the bore;

positioning the second section opposite the first section with the fingers of each section being interdigitated with the fingers of the other section, with the fingers of each section being engageable with rim portions of the other section so as to be displaced outwardly upon movement of the sections toward each other, and with the elongated body received within the second section;

engaging a hollow pusher member separate from the sections and in sliding clearance around the elongated body with a proximal end of the second section and applying a force to the hollow pusher member acting distally on the second section;

engaging a portion of the elongated body such as to apply a force proximally to the first section so as to enable the distally acting force applied to the second section to move the first and second sections relatively toward each other and move the fingers outwardly into engagement with the side wall of the bore without anchoring the elongated body at the opening into the bore;

the first and second sections having a combined longitudinal size such that they are entirely received within the bore after the forces are applied to the first and second sections to move the first and second sections relatively toward each other; and

providing at least one of the first and second sections so as to be slidable along the elongated body without relative rotational movement of the elongated body and the at least one section.

65. A method according to claim 64, wherein the elongated body is a substantially rigid rod or tube and the rod or tube is affixed to the first section by a weldment or an adhesive.

66. A method according to claim 64, further comprising a plurality of suture coupled to at least one of the sections, and further comprising the steps of inserting a substantially rigid hollow inserter tube with a snug fit into the center of at least the second section and with a sliding fit within the pusher member, passing the sutures through the tube, and inserting the sections into the bore by manipulating the insert tube.

67. A method according to claim 66, and further comprising the step of extending the inserter tube from the sections and the sutures by simultaneously applying a force proximally to the inserter tube to withdraw the inserter tube and a force distally to the pusher member to hold the pusher member and sections in place within the bore.