Method and apparatus for positioning a suture anchor
First Claim
1. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of positioning an end portion of a tubular member relative to body tissue with the end portion of the tubular member in a closed condition at least partially blocking a passage in the tubular member, said step of positioning the end portion of the tubular member relative to body tissue with the end portion of the tubular member in the closed condition includes piercing an imperforate surface on the body tissue with the end portion of the tubular member, moving a suture anchor along the passage in the tubular member with a suture disposed in engagement with the suture anchor, operating the end portion of the tubular member from the closed condition to an open condition, and moving the suture anchor through the end portion of the tubular member into the body tissue while the end portion of the tubular member is in the open condition.
11 Assignments
0 Petitions
Accused Products
Abstract
An inserter assembly is operable between a closed condition blocking movement of a suture anchor through the inserter assembly and an open condition in which the inserter assembly is ineffective to block movement of the anchor. The inserter assembly may have an end portion which pierces body tissue. In one embodiment, a tubular member has a plurality of segments which are moved from a closed condition to an open condition. In another embodiment, a plurality of wires extend along an inner side of a passage in a sheath. As the suture anchor slides along the wires, force is transmitted to the sheath to expand the sheath and operate the inserter assembly from the closed condition to the open condition. If desired, the wires may be omitted and the sheath resiliently expanded by a member which encloses the suture anchor. Indicia may be provided to indicate the depth to which the inserter assembly is inserted into body tissue.
-
Citations
51 Claims
- 1. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of positioning an end portion of a tubular member relative to body tissue with the end portion of the tubular member in a closed condition at least partially blocking a passage in the tubular member, said step of positioning the end portion of the tubular member relative to body tissue with the end portion of the tubular member in the closed condition includes piercing an imperforate surface on the body tissue with the end portion of the tubular member, moving a suture anchor along the passage in the tubular member with a suture disposed in engagement with the suture anchor, operating the end portion of the tubular member from the closed condition to an open condition, and moving the suture anchor through the end portion of the tubular member into the body tissue while the end portion of the tubular member is in the open condition.
- 7. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of positioning an end portion of a tubular member relative to body tissue with the end portion of the tubular member in a closed condition at least partially blocking a passage in the tubular member, said step of positioning an end portion of the tubular member relative to body tissue includes moving the end portion of the tubular member into body tissue until indicia on the end portion of the tubular member indicates that the tubular member has been inserted a predetermined distance into the body tissue, moving a suture anchor along the passage in the tubular member with a suture disposed in engagement with the suture anchor, operating the end portion of the tubular member from the closed condition to an open condition, and moving the suture anchor through the end portion of the tubular member into the body tissue while the end portion of the tubular member is in the open condition.
- 14. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of positioning an end portion of a tubular member relative to body tissue with the end portion of the tubular member in a closed condition at least partially blocking a passage in the tubular member, said step of positioning an end portion of the tubular member relative to body tissue includes moving the end portion of the tubular member into body tissue and covering indicia corresponding to the depth of movement of the tubular member into body tissue with body tissue as the tubular member is moved into the body tissue, interrupting said step of moving the end portion of the tubular member into body tissue upon covering of indicia corresponding to a desired depth of insertion of the tubular member into the body tissue, moving a suture anchor along the passage in the tubular member with a suture disposed in engagement with the suture anchor, operating the end portion of the tubular member from the closed condition to an open condition, and moving the suture anchor through the end portion of the tubular member into the body tissue while the end portion of the tubular member is in the open condition.
- 21. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of providing a suture anchor having a suture disposed in engagement with the suture anchor, providing a tubular member, inserting the tubular member into body tissue, covering indicia on the tubular member with body tissue as the tubular member is inserted into the body tissue, interrupting said step of inserting the tubular member into body tissue in response to covering of indicia corresponding to a desired depth of insertion of the tubular member into body tissue, moving the suture anchor along a passage in the tubular member with the suture disposed in engagement with the suture anchor, expanding at least a portion of the passage in the tubular member while moving the suture anchor along the passage in the tubular member, and moving the suture anchor out of the passage in the tubular member into the body tissue with the suture disposed in engagement with the suture anchor.
- 30. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of providing a suture anchor having a suture disposed in engagement with the suture anchor, providing a tubular member, moving the suture anchor along a passage in the tubular member with the suture disposed in engagement with the suture anchor, expanding at least a portion of the passage in the tubular member while moving the suture anchor along the passage in the tubular member, inserting the tubular member into the body tissue by piercing an imperforate surface area on the body tissue with an end portion of the tubular member prior to performing said step of expanding at least a portion of the passage in the tubular member, moving the suture anchor out of the passage in the tubular member into the body tissue with the suture disposed in engagement with the suture anchor, said steps of expanding at least a portion of the passage in the tubular member and moving the suture anchor out of the passage in the tubular member into body tissue include applying force against the suture anchor with a pusher member, and, thereafter, changing the orientation of the suture anchor relative to the body tissue by applying force against the suture anchor with the pusher member and tensioning the suture.
-
38. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of providing a suture anchor having a suture disposed in engagement with the suture anchor, providing a tubular member, moving the suture anchor along a passage in the tubular member with the suture disposed in engagement with the suture anchor, inserting the tubular member into body tissue, covering indicia on the tubular member with body tissue as the tubular member is inserted into the body tissue, interrupting said step of inserting the tubular member into body tissue in response to covering of indicia corresponding to a desired depth of insertion of the tubular member into body tissue, expanding at least a portion of the passage in the tubular member while moving the suture anchor along the passage in the tubular member, moving the suture anchor out of the passage in the tubular member into the body tissue with the suture disposed in engagement with the suture anchor, said steps of expanding at least a portion of the passage in the tubular member and moving the suture anchor out of the passage in the tubular member into body tissue include applying force against the suture anchor with a pusher member, and, thereafter, changing the orientation of the suture anchor relative to the body tissue by applying force against the suture anchor with the pusher member and tensioning the suture.
- 39. A method of positioning a suture anchor relative to body tissue, said method comprising the steps of positioning an end portion of a tubular member relative to body tissue with the end portion of the tubular member in a closed condition at least partially blocking a passage in the tubular member, said step of positioning the end portion of the tubular member relative to body tissue with the end portion of the tubular member in the closed condition includes forming an opening in the body tissue at a location which is free of naturally occurring openings and moving the end portion of the tubular member into the opening, said step of forming an opening in the body tissue at the location which is free of naturally occurring openings includes piercing an imperforate surface on the body tissue with the end portion of the tubular member, moving a suture anchor along the passage in the tubular member with a suture disposed in engagement with the suture anchor, operating the end portion of the tubular member from the closed condition to an open condition while the end portion of the tubular member is in the opening formed in the body tissue at the location which is free of naturally occurring openings, and moving the suture anchor through the end portion of the tubular member into the body tissue while the end portion of the tubular member is in the open condition.
- 46. An apparatus comprising an anchor, a suture having a connector section which extends through said anchor, said suture having first and second leg sections which are connected with said connector section, a tubular member through which said anchor is movable, said first and second leg sections of said suture extend from a first end portion of said tubular member with at least one of said leg sections being at least partially disposed between an outer side surface on said anchor and an inner side surface on said tubular member, and a pusher member which is at least partially disposed in said tubular member and along which said first and second leg sections of said suture extend from said tubular member, said tubular member having a second end portion which is operable from a closed condition blocking movement of said anchor through said second end portion of said tubular member and an open condition in which said second end portion of said tubular member is ineffective to block movement of said anchor into body tissue with said first and second leg sections of said suture extending from said anchor, said pusher member having leading end surface means for applying force against a trailing end of said anchor to press a leading end of said anchor against said second end portion of said tubular member to operate said second end portion of said tubular member from the closed condition to the open condition under the influence of force transmitted from said pusher member through said anchor to said second end portion of said tubular member while said one of said leg sections of said suture is at least partially disposed between said outer side surface on said anchor and said inner side surface on said tubular member, said end portion of said tubular member includes a plurality of segments, each of said segments having an inner surface, an outer surface and a plurality of side surfaces which extend between said inner and outer surfaces, said side surfaces on each of said segments being disposed adjacent to side surfaces on adjacent segments when said end portion of said tubular member is in the closed condition, said outer surfaces on said segments cooperating to form a pointed end of said tubular member when said second end portion of said tubular member is in the closed condition, said pointed end of said tubular member having surface means for piercing an imperforate surface area on body tissue.
Specification