Surgical anchor

• US 5,849,004 A
• Filed: 07/17/1996
• Issued: 12/15/1998
• Est. Priority Date: 07/17/1996
• Status: Expired due to Fees

• Current Assignee: United Bank & Trust Co.
• Original Assignee: Dale G. Bramlet
• Inventors: Bramlet, Dale G.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): PHAM, THUY D
• Application Number:
  US08/683,662
• Time in Patent Office: 881 Days
• Field of Search: 606/232, 606/60, 606/72, 606/73, 606/75
• 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 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0411 Instruments for removing 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 2017/0433 the anchor or the separate member comprising threads, e.g. a set screw or a worm gear for moving spreading members
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• 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 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A surgical anchor useful in the repair or replacement of ligaments and/or tendons to associated human bone structure including an insert formed from a material that is biocompatible with human bone tissue and a series of fasteners carried by and which promote securement of the insert within the bone tissue. Each fastener carried by the insert is movable between retracted and extended positions. The surgical anchor furthermore includes a mechanism arranged in operable combination with and for positively moving the fasteners in either direction between their retracted and extended positions. The fasteners are preferably movable endwise relative to the insert.

Claims

1. A surgical anchor comprising:

an insert having external threading for anchoring said insert into a bone, said insert defining an axially elongated bore opening to a trailing end of said insert, said insert further defining a series of openings between opposite ends of said insert, each opening being configured to intersect with said bore between opposite ends thereof and has one end that opens to an exterior of said insert;

a series of pins configured for endwise reception and movement within said series of openings defined by said insert such that a lengthwise portion of each pin passes through said bore and moves between a retracted position, wherein said pins have substantially no operable anchoring effect, and an extended position, wherein said pins extend outwardly from said insert to significantly enhance the securement of said insert within said bone; and

a driver arranged for turning movement within said bore and which is operably associated with each pin wherein said driver includes an axially elongated member with leading and trailing ends and external threading extending between the opposite ends thereof and whereby turning movement of said driver positively causes endwise displacement of said pins within their respective openings and radially relative to said insert as a function of the direction of rotation of said driver.

2. The surgical anchor according to claim 1 wherein said insert is configured toward a trailing end thereof to releasably accommodate a driving tool.

3. The surgical anchor according to claim 1 wherein a leading end of said insert is generally pointed to facilitate insertion and self-tapping of the insert into said bone.

4. The surgical anchor according to claim 1 wherein the trailing end of said member comprising said driver is configured to releasably accommodate a driving tool for imparting turning movements to said member.

5. A surgical anchor comprising:

an insert having external threading for anchoring said insert into a bone, said insert defining an axially elongated bore opening to a trailing end of said insert, said insert further defining a series of openings between opposite ends of said insert, each opening being configured to intersect with said bore between opposite ends thereof and has one end that opens to an exterior of said insert;

a series of pins configured for endwise reception and movement within said series of openings defined by said insert such that a lengthwise portion of each pin passes through said bore and moves between a retracted position, wherein said pins have substantially no operable anchoring effect and an extended position, wherein said pins extend outwardly from said insert to significantly enhance the securement of said insert within said bone;

a driver arranged for turning movement within said bore and which is operably associated with each pin whereby turning movement of said driver positively causes endwise displacement of said pins within their respective openings and radially relative to said insert as a function of the direction of rotation of said driver; and

a ligament anchor extending beyond and connected to the trailing end of said insert for allowing a lengthwise portion of suture-like material to be connected to the insert.

6. A surgical anchor comprising:

an insert having external threading for anchoring said insert into a bone, said insert defining an axially elongated bore opening to a trailing end of said insert wherein the trailing end of said insert is configured to allow a lengthwise portion of suture-like material to be connected to the insert, said insert further defining a series of openings between opposite ends of said insert, each opening being configured to intersect with said bore between opposite ends thereof and has one end that opens to an exterior of said insert;

a series of pins configured for endwise reception and movement within said series of openings defined by said insert such that a lengthwise portion of each pin passes through said bore and moves between a retracted position, wherein said pins have substantially no operable anchoring effect, and an extended position, wherein said pins extend outwardly from said insert to significantly enhance the securement of said insert within said bone; and

a driver arranged for turning movement within said bore and which is operably associated with each pin whereby turning movement of said driver positively causes endwise displacement of said pins within their respective openings and radially relative to said insert as a function of the direction of rotation of said driver.

7. A surgical anchor comprising:

an insert having external threading for anchoring said insert into a bone, said insert defining an axially elongated bore opening to a trailing end of said insert wherein the bore of said insert is configured with a blind cavity portion arranged toward one end thereof and an internally threaded portion arranged in axially adjacent relation relative to each other, said insert further defining a series of openings between opposite ends of said insert, each opening being configured to intersect with said bore between opposite ends thereof and has one end that opens to an exterior of said insert;

a series of pins configured for endwise reception and movement within said series of openings defined by said insert such that a lengthwise portion of each pin passes through said bore and moves between a retracted position, wherein said pins have substantially no operable anchoring effect, and an extended position, wherein said pins extend outwardly from said insert to significantly enhance the securement of said insert within said bone; and

a driver arranged for turning movement within said bore and which is operably associated with each pin whereby turning movement of said driver positively causes endwise displacement of said pins within their respective openings and radially relative to said insert as a function of the direction of rotation of said driver.

8. The surgical anchor according to claim 7 wherein the series of openings in the insert intersect with the blind cavity portion of said bore.

9. The surgical anchor according to claim 7 wherein said driver is arranged for free turning movement with respect to said insert within the blind cavity portion of the bore of said insert.

10. The surgical anchor according to claim 7 further including a ligament anchor extending beyond and threadably connected to the internal threaded portion of the bore defined by said insert for allowing a lengthwise portion of suture-like material to be connected to the insert.

11. The surgical anchor according to claim 10 wherein said ligament anchor comprises a threaded shank portion having external threading for permitting said ligament anchor to be releasably connected to the insert and an enlarged and apertured head portion at the trailing end, the apertures in said head portion permitting suitable attachment of a ligament to said surgical anchor.

12. A surgical anchor comprising:

an axially elongated bone screw defining an elongated axis and having external threading axially extending from a leading end of said screw for anchoring said screw into a bone, said screw defining an elongated bore opening to a trailing end of said screw wherein the bore in said screw is configured with a blind cavity portion arranged toward the leading end of said screw and extending for an axial distance along said axis and an internally threaded portion that opens to said blind cavity and to the trailing end of said screw, and a series of openings equally disposed about said axis each opening being configured to intersect with said bore between opposite ends thereof and has one end that opens to an exterior of said screw;

a series of elongated pins configured for endwise reception and movement within said series of openings defined by said screw such that a lengthwise portion of each pin passes proximate to said elongated axis and moves between a retracted position, wherein said pins have substantially no operable anchoring effect, and an extended position, wherein said pins radially extend outwardly from said screw to significantly enhance the anchorage of said screw within said bone; and

a mechanism carried by said screw for movement within said bore, said mechanism being operably associated with each pin such that movements imparted to said mechanism causes endwise displacement of said pins within their respective openings and outwardly relative to said screw as a function of the movement of said mechanism.

13. The surgical anchor according to claim 12 wherein each pin has a slanted serrated configuration between opposite ends thereof.

14. The surgical anchor according to claim 12 wherein a trailing end of said axial bore defined by said screw is configured to releasably accommodate a driving tool for imparting turning movement to the screw.

15. The surgical anchor according to claim 12 further including a ligament anchor extending beyond and threadably connected to the internally threaded portion of the bore defined by said screw for allowing a lengthwise portion of suture-like material to be connected to the screw.

16. The surgical anchor according to claim 15 wherein said ligament anchor is formed from a material chosen from the class comprised of:

titanium, a titanium alloy, stainless steel, or cobalt chromium alloy.

17. The surgical anchor according to claim 15 wherein said ligament anchor comprises a threaded shank portion having external threading for permitting said anchor to be releasably connected to the screw and an enlarged and apertured head portion at the trailing end of said anchor, the apertured head portion of said ligament anchor permitting attachment of a ligament to said anchor.

18. The surgical anchor according to claim 12 wherein the trailing end of the screw is configured to releasably accommodate a driving tool for imparting turning movement to the screw.

19. The surgical anchor according to claim 12 wherein an open end of the bore defined by said screw is configured as a socket to releasably accommodate a driving tool therewithin.

20. The surgical anchor according to claim 12 wherein said screw is formed from a material compatible with the bone into which the screw is inserted.

21. The bone screw assembly according to claim 20 wherein said screw is formed of a material from the class including:

titanium, a titanium alloy, cobalt chromium alloy, or stainless steel.

22. The bone screw assembly according to claim 12 wherein said pins are formed from a material compatible with human bone tissue.

23. The bone screw assembly according to claim 22 wherein said pins are formed of a material from the class of:

titanium, a titanium alloy, a cobalt chromium alloy, or stainless steel.

24. A surgical anchor comprising:

an axially elongated bone screw defining an elongated axis and having external threading axially extending from a leading end of said screw for anchoring said screw into a bone, said screw defining an elongated bore opening to a trailing end of said screw wherein the trailing end of said screw is configured to allow a lengthwise segment of suture-like material to be connected to the screw, and a series of openings equally disposed about said axis, each opening being configured to intersect with said bore between opposite ends thereof and has one end that opens to an exterior of said screw;

a series of elongated pins configured for endwise reception and movement within said series of openings defined by said screw such that a lengthwise portion of each pin passes proximate to said elongated axis and moves between a retracted position, wherein said pins have substantially no operable anchoring effect, and an extended position, wherein said pins radially extend outwardly from said screw to significantly enhance the anchorage of said screw within said bone; and

a mechanism carried by said screw for movement within said bore said mechanism being operably associated with each pin such that movements imparted to said mechanism causes endwise displacement of said pins within their respective openings and outwardly relative to said screw as a function of the movement of said mechanism.

25. A surgical anchor comprising:

an axially elongated bone screw defining an elongated axis and having external threading axially extending from a leading end of said screw for anchoring said screw into a bone, said screw defining an elongated bore opening to a trailing end of said screw, and a series of openings equally disposed about said axis, each opening being configured to intersect with said bore between opposite ends thereof and has one end that opens to an exterior of said screw;

a series of elongated pins configured for endwise reception and movement within said series of openings defined by said screw such that a lengthwise portion of each pin passes proximate to said elongated axis and moves between a retracted position, wherein said pins have substantially no operable anchoring effect, and an extended position, wherein said pins radially extend outwardly from said screw to significantly enhance the anchorage of said screw within said bone;

a mechanism carried by said screw for movement within said bore, said mechanism being operably associated with each pin such that movements imparted to said mechanism causes endwise displacement of said pins within their respective openings and outwardly relative to said screw as a function of the movement of said mechanism; and

a ligament anchor extending beyond and connected to the trailing end of the screw for allowing a lengthwise segment of suture-like material to be connected to the screw.

26. A surgical anchor adapted for insertion within a bone of a patient, said surgical anchor comprising:

an elongated insert formed of a material compatible with human bone and tissue;

a series of fasteners carried by, but not integral with, said insert for movement between retracted and extended positions, wherein when said fasteners are in said retracted position said fasteners offer substantially no operable anchoring effect to said insert relative to said bone, and wherein when said fasteners are in their extended position they extend outwardly from said insert while remaining in operable combination therewith to secure said insert within said bone; and

a mechanism arranged in operable combination with and for positively moving said fasteners between said retracted and said extended position and for positively moving said fasteners from said extended position to said retracted position, said mechanism comprising a driver mounted for free rotation in a cavity defined by said insert, said driver having external threading for engaging with slanted serrations on each of said fasteners whereby each fastener is endwise and positively displaced in either direction of travel upon and as a function of turning movements being imparted to said driver.

27. The surgical anchor according to claim 26 wherein said insert is configured toward one end to allow a portion of suture-like material to be fastened to said surgical anchor thereby allowing an object to be connected with said suture-like material to said one end of said surgical anchor.

28. The surgical anchor according to claim 26 wherein said insert is formed from a material chosen from a class comprised of:

titanium, a titanium alloy, stainless steel, or a cobalt chromium alloy.

29. The surgical insert according to claim 26 wherein each fastener in said series of fasteners is formed from a material chosen from a class comprised of:

titanium, a titanium alloy, stainless steel, or a cobalt chromium alloy.

30. The surgical anchor according to claim 26 wherein each fastener in said series of fasteners is carried by said insert for endwise displacement between said extended and retracted positions.

31. The surgical anchor according to claim 26 further including a ligament anchor connected to an end region of said insert for allowing a segment of suture-like material to be connected thereby allowing an object to be connected to the surgical anchor with said suture-like material.

32. The surgical anchor according to claim 26 wherein said insert includes external threading axially extending from a leading end for enhancing securement of said surgical anchor in the bone.

33. The surgical anchor according to claim 32 wherein a trailing end of said insert is configured to releasably accommodate a driving tool capable of imparting turning movements to said insert.

34. The surgical anchor according to claim 26 wherein each fastener has an arcuate configuration between opposite ends thereof.

35. The surgical anchor according to claim 26 wherein said fasteners are equally disposed about and relative to a longitudinal axis of said insert.

36. The surgical anchor according to claim 26 wherein said insert defines a plurality of elongated channels, each channel having a blind forward end and an opposite end opening to the periphery of said insert.

37. The surgical anchor according to claim 36 wherein said channels are located in equally spaced relation relative to each other and about said insert.

38. The surgical anchor according to claim 36 wherein each channel has an arcuate configuration between opposite ends thereof.

39. A surgical anchor for attaching an object to a bone of a patient, said surgical anchor comprising:

an elongated insert having a first end adapted for longitudinal insertion into said bone and a second end;

pins carried by, but not integral with, said insert for endwise movement between retracted and extended positions, wherein when said pins are in said retracted positions they offer substantially no operable anchoring effect to said bone, and wherein when said pins are in said extended positions they radially extend outwardly from said insert while remaining in operable association therewith to secure said insert within said bone; and

a mechanism for positively moving said pins endwise relative to said insert between said extended and retracted positions, said mechanism comprising a driver mounted for free rotation in a cavity defined by said insert said driver having external threading for engaging with slanted serrations on each of said pins whereby each pin is endwise and positively displaced in either direction of travel upon and as a function of turning movements being imparted to said driver.

40. The surgical anchor according to claim 39 wherein said insert is configured toward said second end to allow a portion of suture-like material to be fastened to said anchor thereby allowing said object to be connected with said suture-like material to a distal end of said anchor.

41. The surgical anchor according to claim 39 wherein said insert is formed from a material chosen from a class comprised of:

titanium, a titanium alloy, stainless steel, or a cobalt chromium alloy.

42. The surgical fastener according to claim 39 wherein each pin is formed from a material chosen from a class comprised of:

titanium, a titanium alloy, stainless steel, or a cobalt chromium alloy.

43. The surgical anchor according to claim 39 wherein each pin has an arcuate configuration between opposed ends thereof.

44. The surgical anchor according to claim 39 further including a ligament anchor connected to an end region of said insert for allowing a segment of suture-like material to be connected thereto thereby allowing said object to be connected to the anchor with said suture-like material.

45. The surgical anchor according to claim 39 wherein said insert includes external threading axially extending from said first end for enhancing securement of said surgical anchor in the bone.

46. The surgical anchor according to claim 45 wherein said second end of said insert is configured to releasably accommodate a driving tool capable of imparting turning movements to said insert.

47. The surgical anchor according to claim 39 wherein each pin is configured at a free end thereof to facilitate insertion within bone substance upon distention of said pins relative to said insert.

48. The surgical anchor according to claim 39 wherein said pins are equally disposed about and relative to the longitudinal axis of said insert.

49. The surgical anchor according to claim 39 wherein said insert defines a plurality of elongated channels, each channel having a blind forward end and an opposite end opening to the periphery of said insert.

50. The surgical anchor according to claim 49 wherein said channels are located in equally spaced relation relative to each other and about said insert.

51. The surgical anchor according to claim 49 wherein each channel has an arcuate configuration between opposite ends thereof.