Ligament bone anchor and method for its use

• US 5,702,397 A
• Filed: 02/20/1996
• Issued: 12/30/1997
• Est. Priority Date: 02/20/1996
• Status: Expired due to Term

• Current Assignee: Innovasive Acquisition Corp.
• Original Assignee: Medicinelodge, Inc (Nelso Antolotti)
• Inventors: Story, C. Brad, Gundlalpalli, Ramarao, Goble, E. Marlowe, Chervitz, Alan, Luman, David P.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/603,119
• Time in Patent Office: 679 Days
• Field of Search: 606/60, 606/86, 606/88, 606/72, 606/73, 606/75, 606/232, 623/13
• 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 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 2017/0424 the separate member staying in the anchor after placement
• 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: A61B 2017/0438 slotted, i.e. having a longitudinal slot for enhancing their elasticity
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/045 snug fit within the anchor
• CPC Class Codes: A61B 2017/0451 Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2017/0453 threaded elements, e.g. set screws
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• 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 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 2002/0864 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

Abstract

A bone anchor and method for its use in an arthroscopic and open soft tissue surgical procedure to mount a ligament graft, or the like, under tension and at variable lengths in a tunnel section that is formed through a bone or bones. The bone anchor embodiments of the invention each have a body for mounting into and/or adjacent a bone cortex surface in a tunnel section to allow at least one suture or shaft that has been fitted through the bone anchor, and is attached to the ligament graft to be pulled through the bone anchor. The suture or shaft to pass across a movable clamp fitted within the body to move so as to allow the suture or shaft to be pulled freely through the bone anchor distal, but will clamp against the suture or shaft, prohibiting its being pulled back therethrough. A pulling of the suture or shaft through the seated bone anchor applies a tension and sets a required length to a graft whose opposite end is secured, with the clamp locking against a section of that suture or shaft, to maintain that applied tension. Whereafter, the excess suture or shaft can be cut away, permanently mounting the graft.

Claims

1. A bone anchor comprising a body that includes means for securing said body in a tunnel section formed in a bone mass and includes an axial opening with an end of said opening formed to receive an insertion tool and is configured to receive a clamping means fitted therein;

a clamping means formed to fit within and be axially movable within said body axial opening so as to move a clamping surface or surfaces towards a surface of said body axial opening and said clamping means is to engage a surface of a suture or shaft means fitted in a said axial opening to clamp said suture or shaft means surface against said surface of said body axial opening;

means for maintaining said clamping means to be movable in said axial opening; and

at least one said suture or shaft means for fitting in said body to pass between said surface or surfaces of said clamping means and said surface of said body axial opening.

2. A bone anchor as recited in claim 1, further including one or both ends of the body axial opening is sided to receive a like sided end of a turning tool means for turning said body into a bone tunnel.

3. A bone anchor as recited in claim 1, wherein a concave cup means is formed at the junction of the axial opening and mid section, and the axial opening tapers outwardly therefrom to have an elongated arcuate shape at the body proximal end;

and the clamping means is a spherical ball of lesser diameter than the distance across said axial opening.

4. A bone anchor as recited in claim 3, wherein the suture or shaft means is fitted through the body, from the distal end, through the turning tool portion of the axial opening, between the axial opening surface and the surface of the spherical ball and out of said axial opening proximal end;

and the edge of said axial opening at the body proximal end is formed to provide a lesser distance across the flattened ellipse than the diameter of said spherical ball to function as the means for containing said spherical ball.

5. A bone anchor as recited in claim 3, further including scoring the spherical ball surface.

6. A bone anchor as recited in claim 1, further including a plurality of equally spaced apart radial holes formed in the body distal end around and parallel to the axial opening and extending through a dividing wall formed across said body;

and one each of a plurality of suture or shaft means is fitted through each said radial hole, extending through said body.

7. A bone anchor as recited in claim 6, wherein the surface of the body axial opening, adjacent to the dividing wall includes at least one ridge formed therearound;

and the clamping means is a plug formed to fit through the body proximal end and into said axial opening, said plug having a body with at least one ridge formed around its outer surface that is shaped to oppose a surface of said axial opening ridge, and said plug body includes a flat disk head end wherein a plurality of spaced radial holes are formed, each to receive one of the plurality of suture or shaft means passed through the body radial holes.

8. A bone anchor as recited in claim 7, further including a center longitudinal passage formed through the plug;

and the means for containing the plug in the axial opening is an inturning of the axial opening edge at the body proximal end.

9. A bone anchor as recited in claim 8, wherein the plug center longitudinal passage is threaded to receive a set screw turned therein from the body proximal end, through the plug longitudinal passage and into engagement with the dividing wall to move said plug away from said dividing wall so as to release a clamping action of the plug ridge applied to the suture or shaft means surface that clamps against the axial opening ridge.

10. A bone anchor as recited in claim 9, wherein the set screw includes at least one opening formed into its proximal end for receiving an end of a turning tool means fitted therein.

11. A bone anchor as recited in claim 1, wherein the axial opening has a sided cross section;

the clamping means has a round cross section and includes axles extending from its opposite ends that are journaled in longitudinal parallel tracks that are formed in opposing parallel side walls of said axial opening; and

means for maintaining said clamping means within said axial opening.

12. A bone anchor as recited in claim 11, wherein the axial opening is serrated across its top and bottom surfaces and its proximal end is inturned along parallel sides to form an opening of lesser diameter than the width of the clamping means;

and said clamping means is scored over its outer surface.

13. A bone anchor as recited in claim 1, wherein the axial opening has a sided cross section;

and the clamping means is a cam formed to fit in and extend across said axial opening and is axially coupled at one end across said axial opening to swing across said axial opening.

14. A bone anchor as recited in claim 13, wherein the cam end opposite to its pivot end includes slot means formed thereacross for engaging a suture or shaft means.

15. A bone anchor as recited in claim 1, wherein the tunnel section includes a longitudinal cavity formed in the body proximal end to a mid-section thereof and including a pair of longitudinal first and second passages extending from the body distal end to intersect said longitudinal cavity;

with the junction of one of said first or second passages and said longitudinal cavity formed into a seat;

a lock ball arranged for fitting in said seat is provided as the movable clamping means; and

a pulley means is journaled across said longitudinal cavity to receive the suture or shaft means passed through the first or second passages and across the seat to exit the other first or second passage.

16. A bone anchor as recited in claim 15, wherein the pulley means is arranged to turn only in the direction of travel of the suture or shaft means through the body.

17. A bone anchor as recited in claim 1, wherein the tunnel section is formed through the body from a greater diameter uniform cross section portion from the body proximal end, sloping uniformly inwardly at the body mid-section, and intersecting a lesser diameter uniform cross section portion that exits the body distal end, with means for reducing the diameter of said greater diameter portion of said body proximal end;

and the clamping means is a pair of collet halves having flat opposing faces with inwardly sloping forward ends to fit into said uniformly sloping tunnel section, and rear portions to fit within said tunnel section greater diameter portion, to slide back and forth therein, with the suture or shaft means to fit between said collet halves opposing faces.

18. A bone anchor as recited in claim 17, further including, the collet halves inwardly sloping forward ends end in flat faces, and including a depression formed in one collet half, adjacent to said flat face, with a detent formed in the other collet half, adjacent to said flat face, to receive said detent fitted therein;

and the means for reducing the diameter of the greater diameter portion of the body proximal lip is provided by inturning the edge of said greater diameter portion at the body proximal end.