Wedge shaped suture anchor and method of implantation

• US 5,961,538 A
• Filed: 04/10/1996
• Issued: 10/05/1999
• Est. Priority Date: 04/10/1996
• Status: Expired due to Term

• Current Assignee: Depuy Mitek LLC (Johnson & Johnson)
• Original Assignee: Mitek Surgical Products, Inc. (Johnson & Johnson)
• Inventors: Jamiolkowski, Dennis D., Pedlick, Jack S., Le, Thu Anh, Suseck, Mark J., DiGiovanni, John
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US08/630,389
• Time in Patent Office: 1,273 Days
• Field of Search: 606/232, 606/104
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 2017/00424 ergonomic, e.g. fitting in fist
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• 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 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2017/06142 having needle- or suture- retaining members, e.g. holding tabs or needle parks
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/3937 Visible markers
• CPC Class Codes: A61B 90/92 coded with colour
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.

Claims

1. A suture anchor for disposition in a bore in a bone, the anchor comprising:

a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft;

a boundary surface and a plow surface of said body intersecting to form a biting edge at said proximal end of said body; and

said boundary surface and an abutment surface of said body intersecting to form a cam surface at said proximal end of said body; and

said biting edge being adapted to be in engagement with a first wall portion of the bore and said cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion;

wherein tension on said inserter shaft is operable to move said cam portion on the bore second wall portion to cause said cam portion to rotate said body in the bore and to urge said biting edge into the bore first wall portion to lock said body in the bore, said body other than said biting edge remaining in the bore.

2. The suture anchor in accordance with claim 1 wherein said plow surface comprises a first edge wall portion of said body and said abutment surface comprises a second edge wall portion of said body.

3. The suture anchor in accordance with claim 2 wherein said plow surface and said abutment surface intersect to form said distal end of said body.

4. The suture anchor in accordance with claim 3 wherein said distal end of said body is rounded in side elevation, said cam surface is rounded in side elevation to facilitate rotative movement of said cam surface in the bore, and said plow surface and said abutment surface are rounded in plan view, whereby to guide entry of said body into the bore in the bone.

5. The suture anchor in accordance with claim 3 wherein said body is provided with first and second opposite and parallel planar sides, said body defines a hole therethrough for retaining a suture, said hole extending from said first side to said second side, and each of said sides is provided with a rounded entryway leading to said hole, such that said hole is devoid of edges against which the suture can impinge.

6. The suture anchor in accordance with claim 3 wherein said body defines a hole therethrough for retaining a suture, said hole being substantially elliptical in width-wise cross-section and having a major axis substantially normal to a minor axis, said major axis being aligned with a selected region of said body to direct stress from the suture toward said selected region of said body.

7. The suture anchor in accordance with claim 3 wherein said body defines a hole therethrough for retaining a suture, said body having first and second sides, said hole extending from said first side to said second side, each of said sides being provided with a pathway extending from said hole to said boundary surface, said pathway extending into the side of said body further than the diameter of the suture, such that the suture in said hole extends through said pathways and is disposed in said pathways removed from outer surfaces of said body first and second sides.

8. The suture anchor in accordance with claim 3 wherein said means for releasable connection to an inserter shaft comprises a smooth-walled counterbore in said boundary surface, and a second bore in a bottom of said counterbore, said second bore being adapted to receive a threaded end portion of the inserter shaft and to be threadedly engaged thereby, and said counterbore being adapted to receive a cylindrically-shaped flexible tip portion of said inserter shaft, wherein flexing of said inserter shaft tip portion is permitted by said counterbore substantially without disturbing the engagement of said threaded end portion of said inserter shaft with said second bore.

9. The suture anchor in accordance with claim 1 wherein said connection means is offset from a center of said body and proximate said cam surface.

10. A suture anchor for disposition in a bore in a bone, the anchor comprising:

a substantially wedge-shaped body having a smaller distal end and a larger proximal end, said body having means thereon for retaining a suture, and a boundary surface having means therein for releasable connection to an inserter shaft;

said means for releasable connection to an inserter shaft comprising a smooth-walled counterbore in said boundary surface, and a second bore in a bottom of said counterbore, said second bore being adapted to receive a threaded end portion of the inserter shaft and to be threadedly engaged thereby, and said counterbore being adapted to receive a cylindrically-shaped flexible tip portion of said inserter shaft;

wherein flexing of said inserter shaft tip portion is permitted by said counterbore substantially without disturbing the engagement of said threaded end portion of said inserter shaft with said second bore.