Bone anchor implantation device and method

• US 5,749,884 A
• Filed: 11/23/1994
• Issued: 05/12/1998
• Est. Priority Date: 12/03/1991
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Technology Incorporated (Boston Scientific Corporation)
• Inventors: Benderev, Theodore V., Legome, Mark J., Naves, Neil H.
• Primary Examiner(s): Rimell, Sam
• Application Number:
  US08/345,003
• Time in Patent Office: 1,266 Days
• Field of Search: 128/883, 128/884, 60/29, 60/30, 60/31, 60/167, 60/172, 60/96, 60/97, 60/98, 60/79, 60/80
• US Class Current: 606/167
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0483 Hand-held instruments for holding sutures A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30
• CPC Class Codes: A61B 17/06109 Big needles, either gripped by hand or connectable to a handle
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/1739 specially adapted for particular parts of the body
• CPC Class Codes: A61B 17/1796 for holes for sutures or flexible wires
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/0461 with features cooperating with special features on the suture, e.g. protrusions on the suture
• CPC Class Codes: A61B 2017/0462 One way system, i.e. also tensioning the suture
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 46/30 : for surgery through the lower body openings, e.g. urology, gynaecology

Abstract

Bone anchor implantation devices for use in the surgical treatment of stress urinary incontinence are disclosed. Methods for positioning a bone anchor implantation device over a bone and for installing a bone anchor in a bone are also disclosed.

Claims

1. A bone anchor implantation device for directing a bone anchor at a selected site, comprising:

a housing having at least a first and a second stationary and generally parallel probe channels;

at least a first and a second generally parallel probes axially slidably extending through the housing the first and second probes being disposed in the first and second probe channels, respectively; and

a guide channel extending through the housing generally parallel to the first and second probe channels, the guide channel being situated generally in between the first and second probe channels such that a line extending transversely between the first and second probe channels intersects at least a portion of the guide channel, wherein the guide channel has a slot extending through a wall of the guide channel and longitudinally throughout substantially the entire length of the guide channel.

2. A bone anchor implantation device as in claim 1, wherein at least the first probe is axially movable from a first proximal position to a second distal position.

3. A bone anchor implantation device as in claim 2, wherein the distal tip of the first probe is shielded within the housing when the probe is in the first position, and the distal tip of the first probe is exposed outside of the housing when the probe is in the second position.

4. A bone anchor implantation device as in claim 2, wherein at least the first and second probes are axially movable between the first proximal position and the second distal position.

5. A bone anchor implantation device as in claim 1, further comprising an actuator for moving the first probe between a first and second position.

6. A bone anchor implantation device as in claim 1, wherein the longitudinal axis of the guide channel is approximately equidistant from the longitudinal axes of each of the probes.

7. A bone anchor implantation device as in claim 2, further comprising a drill bushing extending through the guide channel.

8. A bone anchor implantation device as in claim 1, wherein said probe comprises an elongate solid wire.

9. A bone anchor implantation device as in claim 1, wherein said probe comprises an elongate hollow tube.

10. A bone anchor implantation device as in claim 1, wherein said probes have sufficient axial integrity to penetrate a bone, whereby said housing is maintained in a stable position.

11. A method of percutaneously positioning a bone anchor implantation device over an unexposed bone, comprising the steps of:

providing a bone anchor implantation device of the type comprising a housing, at least two axially extendable probes within the housing, said probes being extendable from a retracted position to an extended position, and a guide channel extending through the housing;

positioning the guide channel over the unexposed bone;

advancing the first probe through a first tissue path until the first probe contacts a first side of the unexposed bone;

advancing the second probe through a second tissue path until said second probe contacts said first side of the unexposed bone; and

if either one of the probes does not contact the unexposed bone, retracting at least that probe from the extended position to the retracted position, adjusting the position of the bone anchor implantation device, and then reextending at least that probe through a third tissue path until both probes contact the unexposed bone to assure that the guide channel is properly positioned over the unexposed bone.

17. The method of claim 11, wherein the step of positioning the guide channel over the unexposed bone comprises positioning the guide channel over a pubic bone.

18. The method of claim 11, further comprising the step of advancing a bone anchor through the guide channel to implant the bone anchor into the unexposed bone.

12. A bone anchor implantation device for directing a bone anchor at a selected site, permitting introduction of the bone anchor through tissue and into a bone, comprising:

a unitary housing;

a textured soft tissue restraining structure on a distally facing tissue contacting surface of the housing;

at least a first and a second generally parallel probes slidably extendable through the housing, said first and second probes being disposed in a first and a second probe channels, respectively; and

a guide channel extending through the housing generally parallel to the first and second probe channels, the guide channel having a diameter which is larger than the diameter of the first and second probe channels so that the bone anchor can be advanced into the bone through the guide channel.

13. A bone anchor implantation device as in claim 12, wherein the soft tissue restraining structure comprises serrations on the distally facing tissue contacting surface.

14. A bone anchor implantation device as in claim 13, wherein the soft tissue restraining structure comprises a plurality of generally parallel serration on the distally facing tissue contacting surface.

15. A bone anchor implantation device as in claim 12, further comprising a generally transversely extending handle attached to the housing.

16. A bone anchor implantation device as in claim 12, further comprising a bone anchor installation tool removably positioned in the guide channel and a bone anchor releasably secured to the bone anchor installation tool.