Device for sutureless attachment of soft tissue to bone

• US 5,984,927 A
• Filed: 03/03/1998
• Issued: 11/16/1999
• Est. Priority Date: 03/03/1998
• Status: Expired due to Fees

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Whittaker, Gregory R., Wenstrom, Richard F. Jr.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US09/033,805
• Time in Patent Office: 623 Days
• Field of Search: 606/72, 606/73, 606/213, 606/75, 606/78
• US Class Current: 606/329
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0841 Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

A device for sutureless attachment of soft tissue to bone has an elongate substantially cylindrical stud and a head disposed on a proximal end of the stud. The stud has a sidewall that defines a nominal diameter and the head has a diameter that is greater than the nominal diameter. At least one barb is provided to retain the stud within bone. The at least one barb may be constructed from a shape memory alloy and the stud and head may be constructed from a bioabsorbable material.

Claims

1. A bio implantable device for attaching soft tissue to bone, comprising:

an elongate, substantially cylindrical stud having proximal and distal ends, and a sidewall defining a nominal diameter disposed between the proximal and distal ends;

a head disposed on the proximal end of the stud, the head having a diameter greater than the nominal diameter of the stud and having a distal-facing surface; and

at least one bone penetrating barb extending outward beyond the diameter of the head and proximally from the sidewall of the stud, the at least one bone penetrating barb being unitary with the stud and being effective to retain the stud within bone.

2. The device of claim 1, wherein the at least one barb is constructed from a metal.

3. The device of claim 1, wherein the at least one barb is a deformable element constructed from a shape memory alloy.

4. The device of claim 3, wherein the at least one barb is elongate and extends proximally at an angle that is between about 10°

and 90°

with a longitudinal axis of the stud portion.

5. The device of claim 3, wherein the distal end of the stud further comprises a distal, bone-penetrating apex.

6. The device of claim 5, wherein the distal, bone-penetrating apex is formed on a distal end of a substantially cylindrical metal body, the at least one barb element being fixed to the metal body.

7. The device of claim 6, further comprising a longitudinal bore extending from the head to the metal body.

8. The device of claim 1, wherein the stud and the head are constructed from a bioabsorbable material.

9. The device of claim 7, wherein the stud and the head are constructed of a bioabsorbable material selected from the group consisting of homo and copolymers of glycolide and trimethylene carbonate, homo and copolymers of lactide and glycolide, homo and copolymers of polylactic acid, or a blend of these homopolymers and copolymers.

10. The device of claim 1, wherein the stud further comprises at least one circumferential rib disposed on the sidewall of the stud.

11. The device of claim 1, further comprising at least one tissue penetrating spike disposed on the distal facing surface of the head.

12. The device of claim 1, further comprising a longitudinal bore extending from the head to the distal end of the stud.

13. The device of claim 12, wherein the at least one barb is fixed to a central body having an aperture in communication with the longitudinal bore.

14. A bio implantable device for sutureless attachment of soft tissue to bone, comprising:

an elongate, substantially cylindrical stud constructed from a polymeric material and having proximal and distal ends, and a sidewall disposed between the proximal and distal ends that defines a nominal diameter, the stud including at least one circumferential rib disposed on the sidewall and having a diameter heater than the diameter of the stud;

a head integral with the proximal end of the stud portion, the head being constructed from a polymeric material and having a second diameter greater than the nominal diameter; and

bone penetrating barb means extending from the stud outward beyond the diameter of the at least one circumferential rib for retaining the device within bone, the bone penetrate barb means being unitary with the stud.

15. The device of claim 14, wherein the barb means comprises at least one deformable barb element extending proximally from the stud at an angle between about 10°

and 90°

with a longitudinal axis of the device.

16. The device of claim 14, wherein the barb means comprises two deformable barbs constructed from a shape memory material and fixed to a central body.

17. The device of claim 16, wherein the device includes a longitudinal bore formed from the head to the distal end of the stud and central body includes an aperture in communication with the longitudinal bore.

18. The device of claim 16, wherein the central body comprises a metal, cylindrical body having a bone penetrating distal apex.

19. The device of claim 18, wherein the device includes a longitudinal bore formed from the head to the central body.

20. The device of claim 16, further comprising at least one circumferential rib formed on the sidewall of the stud, the at least one circumferential rib extending beyond the nominal diameter of the stud.