Apparatus and method for use in positioning a suture anchor

• US 6,033,430 A
• Filed: 06/30/1999
• Issued: 03/07/2000
• Est. Priority Date: 11/15/1996
• Status: Expired due to Term

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: Peter M. Bonutti
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/343,371
• Time in Patent Office: 251 Days
• Field of Search: 606/104, 606/72-75, 606/232
• 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 17/17 Guides or aligning means for drills , mills, pins or wires
• CPC Class Codes: A61B 17/1796 for holes for sutures or flexible wires
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/062 penetration depth

Abstract

An apparatus for use in positioning a suture anchor includes a tubular outer member and an inner or pusher member. During assembly of the apparatus, a suture is positioned in a slot in the outer member. During use of the apparatus, the slot facilitates visualization of the position of the suture anchor relative to body tissue. In addition, the slot facilitates separation of the apparatus from the suture after the suture anchor has been positioned in the body tissue. A suture anchor retainer may be provided at one end of the tubular outer member to grip the suture anchor and hold the suture anchor in place during assembly. The suture anchor retainer also holds the suture anchor during movement of the apparatus from an assembly location to an operating room or other location where the apparatus is to be used. Indicia may be provided on the inner member to indicate the position of the suture anchor relative to body tissue. The tubular outer member may be utilized to guide a drill during formation of an opening in body tissue and may be subsequently utilized to guide movement of a suture anchor into the opening in the body tissue.

Claims

1. A method of positioning a suture anchor connected with a suture relative to body tissue, said method comprising the steps of moving a pusher member into a passage in a tubular member, transmitting force from the pusher member to a trailing end portion of an anchor to move the anchor out of the tubular member into body tissue, determining when the anchor has moved through a desired distance from the end portion of the tubular member into body tissue by viewing indicia which is connected with the pusher member and moves with the pusher member relative to the tubular member, and interrupting movement of the pusher member into the passage in the tubular member in response to a determination that the suture anchor has moved through a desired distance into the body tissue from the end portion of the tubular member.

2. A method of positioning a suture anchor connected with a suture relative to body tissue with a suture anchor inserter assembly, said method comprising the steps of positioning a leading end portion of an inserter member forming part of the inserter assembly in an opening in the suture anchor, pushing the suture anchor into body tissue under the influence of force transmitted through the inserter assembly to the suture anchor, sliding a tapered end of the leading end portion of the inserter member along an inner side surface of the opening in the suture anchor while the suture anchor is disposed in the body tissue, and changing the orientation of the suture anchor relative to the tapered end of the leading end portion of the inserter member while performing said step of sliding the tapered end of the leading end portion of the inserter member along the inner side surface of the opening in the suture anchor.

3. A method as set forth in claim 2 wherein said step of changing the orientation of the suture anchor relative to the tapered end of the leading end portion of the inserter member includes pivoting the suture anchor about the tapered end of the leading end portion of the inserter member.

4. A method as set forth in claim 2 further including the step of tensioning a suture connected with the suture anchor to pivot the suture anchor relative to body tissue under the influence of force transmitted through the suture to the suture anchor.

5. A method as set forth in claim 4 wherein said step of tensioning the suture to pivot the suture anchor is at least partially performed after performance of said step of sliding a tapered end of the leading end portion of the inserter member along an inner side surface of the opening in the suture anchor.

6. A method as set forth in claim 2 wherein said step of sliding a tapered end of the leading end portion of the inserter member along an inner side surface of the opening in the suture anchor includes sliding a point on the tapered end of the leading end portion of the inserter member along an inner side surface of the opening in the suture anchor.

7. A method as set forth in claim 2 wherein said step of sliding a tapered end of the leading end portion of the inserter member along an inner side surface of the opening in the suture anchor includes engaging a portion of an entrance to the opening in the suture anchor with a first location on the leading end portion of the inserter member and engaging the inner side surface of the opening in the suture anchor with an end of the tapered end portion of the inserter member at a location spaced from the entrance to the opening in the suture anchor.

8. A method as set forth in claim 2 wherein the leading end portion of the inserter member has a circular cross sectional configuration as viewed in a plane extending transversely to a longitudinal central axis of the inserter member and the opening in the suture anchor has a circular cross sectional configuration as viewed in a plane extending transversely to a longitudinal central axis of the opening in the suture anchor, said step of sliding a tapered end of the leading end portion of the inserter member along an inner side surface of the opening in the suture anchor includes engaging a first portion of an entrance to the opening in the suture anchor with a first location on the leading end portion of the inserter member while a second portion of the entrance to the opening in the suture anchor is spaced from the leading end portion of the inserter member and engaging a first portion of the inner side surface of the opening in the suture anchor with a second location on the leading end portion of the inserter member while a second portion of the inner side surface of the opening located diametrically opposite from the first portion of the inner side surface of the opening is spaced from the leading end portion of the inserter member.