Tissue anchoring system and method

• US 6,068,648 A
• Filed: 01/26/1998
• Issued: 05/30/2000
• Est. Priority Date: 01/26/1998
• Status: Expired due to Term

• Current Assignee: Synthes USA LLC (Johnson & Johnson)
• Original Assignee: Orthodyne, Inc.
• Inventors: Justin, Daniel F., Cole, J. Dean
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): NGO, LIEN M
• Application Number:
  US09/013,434
• Time in Patent Office: 855 Days
• Field of Search: 606/232, 606/220-231, 606/145, 606/144, 606/151, 606/116, 606/72, 606/74, 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 17/683 comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
• CPC Class Codes: A61B 17/82 for bone cerclage apparatus for manipulating wires or straps A61B17/8861; wires, bands or straps other than cerclage A61B17/842
• CPC Class Codes: A61B 17/8863 Apparatus for shaping or cutting osteosynthesis equipment by medical personnel
• CPC Class Codes: A61B 17/8869 Tensioning devices
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• 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 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0864 Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
• CPC Class Codes: A61F 2002/087 Anchor integrated into tendons, e.g. bone blocks, integrated rings
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• 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: Y10T 29/53952 Tube sleeve or ferrule applying or removing
• CPC Class Codes: Y10T 29/53987 Tube, sleeve or ferrule

Abstract

A tissue anchoring system includes a tissue anchor affixed to an end of a cable and supported for insertion on a delivery device, the manipulation of which permits placement of the anchor on a far side of the tissue. A tensioning, crimping and cutting tool designed for use along the cable'"'"'s longitudinal axis, thus reducing the number of incisions required. A suture anchoring system is also described for introducing a loop of suture into a surgical site and anchoring it, for instance, across a tear in soft tissue.

Claims

1. An anchor system, comprising:

an elongated flexible member having a diameter, a proximal end, a distal end and a longitudinal axis; and

an anchor having an open proximal end, a closed distal end, a central portion between said proximal end and said distal end and a longitudinal axis extending between said proximal end and said distal end, said anchor including a longitudinal bore extending between said closed distal end and said open proximal end and a longitudinal slot extending longitudinally from said proximal end to said central portion, the slot having a width greater than the flexible member diameter, said flexible member distal end affixed within said bore;

said anchor moveable relative to said flexible member between a first position wherein the longitudinal axes of said flexible member and said anchor are generally parallel and a second position wherein the longitudinal axes of said flexible member and said anchor are generally perpendicular.

2. The anchor system of claim 1, wherein said anchor includes a curved bearing surface on said central portion adjacent said slot, said curved bearing surface area adapted to increase the surface of contact between the flexible member and the anchor in said second position.

3. The anchor system of claim 1, wherein said flexible member is affixed in said bore by adhesive.

4. The anchor system of claim 1, wherein said flexible member is affixed in said bore by crimping said anchor adjacent said bore.

5. The anchor system of claim 1, wherein the proximal end of said anchor is angled with respect to said longitudinal axis, the proximal end opposite said slot extending more proximally than the proximal end adjacent said slot, whereby engagement of said angled proximal end with a surface tends to rotate said anchor toward said second position.

6. The anchor system of claim 1, wherein said flexible member is fixedly attached to said anchor and said flexible member deforms to permit movement between said first position and said second position.

7. The anchor system of claim 1, wherein said anchor is biased toward said second position.

8. The anchor system of claim 7, wherein said flexible member is a cable and said cable is bent adjacent said anchor to create said bias towards said second position.

12. The anchor system of claim 1, wherein said flexible member is formed of bioresorbable material.

13. The anchor system of claim 1, wherein said anchor is formed of bioresorbable material.

14. The anchor system of claim 1, wherein said flexible member and said anchor are formed of bioresorbable material.

15. The anchor system of claim 1, wherein said anchor is substantially cylindrical and has a second diameter, said second diameter being less than twice the diameter of said flexible member.

9. An anchor system, comprising:

an elongated flexible member having a diameter, a proximal end, a distal end and a longitudinal axis; and

an anchor having a proximal end, a distal end, a central portion between said proximal end and said distal end and a longitudinal axis extending between said proximal end and said distal end, said distal end bigger than said proximal end, said proximal end adapted for receipt within a delivery device, said distal end sized to prevent receipt within the delivery device, said anchor including a longitudinal slot extending longitudinally from said proximal end to said central portion, the slot having a width greater than the flexible member diameter, said flexible member distal end interconnected with said anchor;

said anchor moveable relative to said flexible member between a first position wherein the longitudinal axes of said flexible member and said anchor are generally parallel when said proximal end is disposed within said delivery device and a second position wherein the longitudinal axes of said flexible member and said anchor are generally perpendicular.

10. The anchor system of claim 9, wherein said anchor includes an external shoulder disposed between said proximal end and said distal end, said shoulder adapted to abuttingly engage said delivery device to limit movement of said anchor within said delivery device.

11. The anchor system of claim 10, wherein said delivery device is sufficiently rigid to advance said anchor through tissue, said delivery device having a distal end adapted to releasably receive said proximal end of said anchor and abuttingly engage said shoulder, the distal end of said anchor extending distally beyond the distal end of said delivery device.