Apparatus and method for tendon or ligament repair

• US 6,083,244 A
• Filed: 09/12/1997
• Issued: 07/04/2000
• Est. Priority Date: 09/13/1996
• Status: Expired due to Term

• Current Assignee: Tendon Technology, Ltd.
• Original Assignee: Tendon Technology, Ltd.
• Inventors: Coleman, Carl R., Lubbers, Lawrence M., Hughes, Kenneth E.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US08/928,866
• Time in Patent Office: 1,026 Days
• Field of Search: 606/230, 606/232, 606/233, 606/228, 606/222, 606/223, 606/139, 606/148, 606/73
• 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 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/1146 of tendons
• CPC Class Codes: A61B 17/16 Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans arthroscopic bone cutters A61B17/320016; dental implant drills potentially for other surgical use A61C8/0089; bone grinders A61F2/4644, A22C17/06; A61B17/1662 takes precedence over all other subgroups except A61B17/17
• CPC Class Codes: A61B 17/1686 for the hand or wrist
• 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 17/685 Elements to be fitted on the end of screws or wires, e.g. protective caps
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0406 Pledgets
• 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 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0456 Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0461 with features cooperating with special features on the suture, e.g. protrusions on the suture
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking
• 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 2002/0858 : 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 and method for repairing a torn tendon or ligament wherein three incisions are made. A suture is passed from one side of the tear to the other. The suture is tightened to achieve an abutting relationship between the two sides and is secured. A similar product is also shown for use with a flexible suture for repairing bones.

Claims

1. Apparatus for repairing a tear in a tendon or ligament, the apparatus comprising:

an elongate tensile member adapted to extend within the interior of said tendon or ligament from a first side of said tear to a second side of said tear;

a first anchor body connected with said elongate tensile member, said first anchor body configured for insertion within the interior of said tendon or ligament;

first securing structure operable to at least assist in holding said first anchor body within the interior of said tendon or ligament on the first side of said tear;

a second anchor body connected for movement along said elongate tensile member, said second anchor body configured for insertion and retention within the interior of said tendon or ligament;

second securing structure operable to at least assist in holding said second anchor body within the interior of said tendon or ligament on the second side of said tear; and

locking structure operable to hold said second anchor body at a desired distance from said first anchor body along said elongate tensile member.

2. The apparatus of claim 1, wherein the first and second securing structure comprises projections extending respectively from said first and second anchor bodies generally in a radially outward direction with respect to said elongate tensile member.

3. The apparatus of claim 2, wherein said first and second anchor bodies are tubular-shaped members.

4. The apparatus of claim 1, wherein said first and second anchor bodies are tubular-shaped members.

5. The apparatus of claim 1, wherein the first and second securing structures further comprise portions connected with said first and second anchor bodies, said portions receiving sutures used to secure said first and second anchor bodies within the interior of said tendon or ligament.

6. The apparatus of claim 1 further comprising a tool selectively engageable with at least one of said first and second anchor bodies for inserting said at least one anchor body within the tendon or ligament.

7. The apparatus of claim 1, wherein at least one of said first and second anchor bodies is swageable to said elongate tensile member.

8. The apparatus of claim 1, wherein said first anchor body is connected for movement along said elongate tensile member and further comprising locking structure operable to lock said first anchor body at a desired position along said elongate tensile member.

9. The apparatus of claim 1, wherein the first and second securing structures are integral parts of the respective first and second anchor bodies.

10. A method of repairing a tendon or ligament having a tear, the method comprising:

connecting a first anchor body to an elongate tensile member;

securing said first anchor body within the interior of said tendon or ligament on a first side of said tear;

connecting a second anchor body to said elongate tensile member;

securing said second anchor body within the interior of said tendon or ligament on a second side of said tear;

adjusting the distance between the first and second anchor bodies along said elongate tensile member to bring the first and second sides together at said tear; and

holding the first and second sides together at said tear with at least said anchor bodies and said elongate tensile member.

11. The method of claim 10, wherein the steps of securing said first and second anchor bodies further comprise engaging said tendon or ligament with projections on said first and second anchor bodies.

12. The method of claim 11, wherein the steps of securing said first and second anchor bodies further comprise separately suturing said first and second anchor bodies within said tendon or ligament.

13. The method of claim 10, wherein the steps of securing said first and second anchor bodies further comprise separately suturing said first and second anchor bodies within said tendon or ligament.

14. The method of claim 10, wherein adjusting the distance between the first and second anchor bodies further comprises sliding one of said first and second anchor bodies along said elongate tensile member while pulling the first and second sides together with said elongate tensile member under tension.

15. The method of claim 10, wherein at least two spaced apart incisions are made to access said tendon or ligament during said securing and adjusting steps.

16. The method of claim 10 further comprising:

swaging said first and second anchor bodies to said elongate tensile member at the adjusted distance.

17. A method of repairing a tendon or ligament having a tear, the method comprising:

inserting a first anchor body and an elongate tensile member connected therewith through the interior of said tendon or ligament and across said tear;

securing said first anchor body within said tendon or ligament;

connecting a second anchor body to said elongate tensile member;

inserting said second anchor body within said tendon or ligament on an opposite side of said tear from said first anchor body while allowing movement of said second anchor body along said elongate tensile member;

pulling the tendon or ligament together by tensioning the elongate tensile member between said first and second anchor bodies; and

fixing said second anchor body on said elongate tensile member at a location which holds the elongate tensile member in tension and holds the tendon or ligament together at said tear.

18. A method of repairing a tendon or ligament having a tear, the method comprising:

connecting a first anchor body to an elongate tensile member;

securing said first anchor body within the interior of said tendon or ligament on a first side of said tear;

securing a second anchor body within the interior of said tendon or ligament on a second side of said tear;

tensioning the elongate tensile member to adjust the distance between the first and second anchor bodies and bring the first and second sides together at said tear; and

holding the first and second sides together at said tear with at least said anchor bodies and said elongate tensile member.