Suture collet

• US 6,086,608 A
• Filed: 01/14/1997
• Issued: 07/11/2000
• Est. Priority Date: 02/22/1996
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Lizardi, Jose, Ross, Randall D., Thompson, Kenneth K., Ek, Steven W.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/783,126
• Time in Patent Office: 1,274 Days
• Field of Search: 606/72, 606/73, 606/75, 606/139, 606/144, 606/145, 606/148, 606/232
• US Class Current: 606/232
• CPC Class Codes: A61B 17/0485 Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
• 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 2017/045 snug fit within the anchor
• CPC Class Codes: A61B 2017/0453 threaded elements, e.g. set screws
• CPC Class Codes: A61B 2017/0488 Instruments for applying suture clamps, clips or locks
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A suture securing device includes an outer member with a suture receiving passage and an inner member configured for progressive insertion within the suture receiving passage and engagement with the outer member in any one of a plurality of locked positions to secure a suture between the inner member and the outer member. The suture receiving passage includes a threaded portion and the inner member includes a ridge for progressive engagement with threads of the threaded portion. A suture securing cartridge includes a sleeve having an axial bore with the outer member disposed in the bore at a distal end of the sleeve, the inner member disposed in the bore proximally of the outer member, and a carrier which engages the inner member to align the inner member with the suture receiving passage.

Claims

1. A suture securing device, comprising:

an outer member including a suture receiving passage extending therethrough between an open proximal end of the outer member and an open distal end of the outer member, said outer member including a first locking element, and

an inner member configured for distal insertion within said suture receiving passage, said inner member including a second locking element, said first and second locking elements configured to lockingly engage each other at a plurality of positions along a longitudinal axis of said passage to lock said inner member to said outer member at a selected one of said positions such that said inner member resists movement proximally relative to said outer member,

said inner member and said outer member constructed to secure a suture therebetween.

2. The suture securing device of claim 1 wherein said first locking element comprises a threaded portion of said suture receiving passage, and said second locking element comprises a ridge for engagement with said threaded portion.

3. The suture securing device of claim 2 wherein said second locking element comprises a plurality of ridges for engagement with said threads of said outer member.

4. The suture securing device of claim 2 wherein said inner member defines a long axis and a distal surface of said ridge is inclined relative to said long axis to slide past said threads during insertion, and a proximal surface of said ridge is oriented perpendicular to said long axis to lockingly engaging said threads when said inner member has been inserted within said suture receiving passage by a desired amount.

5. The suture securing device of claim 1 wherein a proximal end of said suture receiving passage tapers distally from a wider diameter to a smaller diameter, and a distal end of said inner member is conically shaped, said taper and said conical shape for aiding in the insertion of said inner member within said suture receiving passage.

6. The suture securing device of claim 1 wherein said inner member is configured for progressive insertion within said suture receiving passage and engagement with said outer member in any one of a plurality of locked positions.

7. The suture securing device of claim 1 wherein said suture receiving passage is further defined by an outer surface of said inner member and an inner surface of said outer member, one of said surfaces being inclined relative to a longitudinal axis of said device to progressively constrict said opening when said inner member is inserted within said outer member.

8. The suture securing device of claim 7 wherein said surfaces of both said inner member and said outer member are inclined with respect to said axis.

9. A suture securing cartridge, comprising:

a sleeve having an axial bore, and

a suture securing device including an outer member at least a portion of which is disposed within said bore at a distal region of said sleeve, and an inner member disposed within said bore proximally of said outer member and configured for insertion into a suture receiving passage in said outer member,

said distal end of said sleeve including a flexible member which flexes outward to permit release of said outer member from said bore.

10. The suture securing cartridge of claim 9, further including a carrier disposed in said bore proximally of said outer member, said carrier engaging said inner member to align said inner member with said suture receiving passage.

11. The suture securing cartridge of claim 10 wherein said carrier defines an opening and said inner member is disposed in said opening.

12. The suture securing cartridge of claim 9 wherein a proximal end of said sleeve is configured to receive an actuator for moving said inner member into said suture receiving passage.

13. The suture securing cartridge of claim 9 wherein said sleeve has a distal clamp for selectively preventing said outer member from exiting said bore in a distal direction.

14. The suture securing cartridge of claim 13 wherein said flexible member comprises a resilient arm of said distal clamp which is outwardly flexible to permit said outer member to exit said bore in the distal direction.

15. The suture securing cartridge of claim 9 wherein said sleeve includes an inclined aperture extending through a wall of said sleeve and a suture threader extending through said inclined aperture and through said suture receiving passage.

16. The suture securing cartridge of claim 15 wherein said suture threader includes a cap covering an open end of said bore at a proximal end of said sleeve.

17. A suturing apparatus comprising:

a suture securing cartridge that includes

a sleeve having an axial bore, and

a suture securing device including an outer member at least a portion of which is disposed within said bore at a distal region of said sleeve and an inner member disposed within said bore proximally of said outer member and configured for insertion into a suture receiving passage in said outer member, and

a drive tool that includes

an outer sheath which fits over said sleeve, an intermediate tube which engages said sleeve to secure said cartridge to said drive tool, and a movable element located within said intermediate tube for progressively inserting said inner member into said passage of said outer member.

18. The suturing apparatus of claim 17 wherein said sleeve has a circumferential groove in said bore, and said intermediate tube has a grasper which engages said groove to secure said cartridge to said drive tool.

19. A method of securing a suture, comprising:

threading a suture through an open distal end of a passage in an outer member, said outer member including a first locking element, and

distally inserting an inner member into said outer member, said inner member including a second locking element for engaging said first locking element to lock said inner member to said outer member such that said inner member resists movement proximally relative to said outer member to secure the suture between said inner member and said outer member.

20. A method of using a suture securing device, comprising:

providing a preassembled suture securing cartridge including a sleeve having an axial bore and a suture securing device, said suture securing device including an outer member at least a portion of which is disposed within said bore at a distal region of said sleeve and an inner member disposed for insertion into a suture receiving passage in said outer member,

inserting said preassembled cartridge into a drive tool that includes an outer sheath which fits over said sleeve, an intermediate tube which engages said sleeve to secure said cartridge to said drive tool, and a movable element located within said intermediate tube for progressively inserting said inner member into said passage of said outer member, and

advancing said movable element to progressively insert said inner member into said passage.

21. A suture securing cartridge, comprising:

a sleeve having an axial bore and two slots extending proximally from a distal end of said sleeve such that the distal end of said sleeve defines a pair of resilient arms, and

a suture securing device including an outer member disposed in said bore at a distal region of said sleeve and an inner member disposed in said bore proximally of said outer member and configured for insertion into a suture receiving passage in said outer member,

said resilient arms engaging said outer member to selectively prevent said outer member from exiting said bore in a distal direction and said resilient arms being outwardly flexible to permit said outer member to exit said bore in a distal direction.

22. A suture securing cartridge, comprising:

a sleeve having an axial bore and an inclined aperture extending through a wall of said sleeve,

a suture securing device including an outer member disposed in said bore at a distal region of said sleeve and an inner member disposed in said bore proximally of said outer member and configured for insertion in to a suture receiving passage in said outer member, and

a suture threader extending through said inclined aperture and through said suture receiving passage.

23. The suture securing cartridge of claim 22 wherein said suture threader includes a cap covering an open end of said bore at a proximal end of said sleeve.

24. A suture securing cartridge, comprising:

a sleeve having an inner wall defining a bore,

and a suture securing device at least partially disposed within said bore, said suture securing device including

an outer member having a suture receiving passage, said outer member including a first locking element, and

an inner member configured for distal insertion within said suture receiving passage, said inner member including a second locking element for engaging said first locking element to lock said inner member to said outer member such that said inner member resists movement proximally relative to said outer member, said inner member and said outer member constructed to secure a suture therebetween.

25. A suture securing cartridge, comprising:

a sleeve having an inner wall defining an axial bore, and

a suture securing device including an outer member at least a portion of which is disposed within said bore at a distal region of said sleeve, and an inner member disposed within said bore proximally of said outer member and configured for insertion into a suture receiving passage in said outer member to secure a suture between said outer member and said inner member, said sleeve being configured to permit said suture securing device to be distally expelled from said axial bore.

26. The suture securing cartridge of claim 25 wherein said outer member and said inner member are sized such that said inner member fits entirely within said suture receiving passage.

27. A suture securing cartridge, comprising:

a sleeve having an axial bore, and

a suture securing device including an outer member at least a portion of which is disposed within said bore at a distal region of said sleeve, and an inner member disposed within said bore proximally of said outer member and configured for insertion into a suture receiving passage in said outer member,

said sleeve including two slots extending proximally from a distal end of said sleeve such that the distal end of said sleeve defines a pair of resilient arms, said resilient arms engaging said outer member to selectively prevent said outer member from exiting said bore in a distal direction and said resilient arms being outwardly flexible to permit said outer member to exit said bore in a distal direction.

28. A suture securing cartridge, comprising:

a sleeve having an axial bore, and

a suture securing device including an outer member at least a portion of which is disposed within said bore at a distal region of said sleeve, and an inner member disposed within said bore proximally of said outer member and configured for insertion into a suture receiving passage in said outer member,

said sleeve including an inclined aperture extending through a wall of said sleeve and a suture threader extending through said inclined aperture and through said suture receiving passage.

29. The suture securing cartridge of claim 28 wherein said suture threader includes a cap covering an open end of said bore at a proximal end of said sleeve.

30. A suture securing device, comprising:

an outer member including a suture receiving passage, a proximal portion of said suture receiving passage tapering distally from a wider diameter to a smaller diameter, a portion of said passage distal of said proximal portion having a constant diameter, said outer member including a first locking element, and

an inner member configured for distal insertion within said suture receiving passage, a distal end of said inner member being conically shaped, said tapering and said conical shape for aiding in the insertion of said inner member within said suture receiving passage, said inner member including a second locking element for engaging said first locking element to lock said inner member to said outer member such that said inner member resists movement proximally relative to said outer member, said inner member and said outer member constructed to secure a suture therebetween.

31. A suture securing device, comprising:

an outer member including a suture receiving passage, said outer member including a first locking element, and

an inner member configured for distal insertion within said suture receiving passage, said inner member including a second locking element for engaging said first locking element to lock said inner member to said outer member such that said inner member resists movement proximally relative to said outer member, said inner member and said outer member constructed to secure a suture therebetween,

said suture receiving passage being further defined by an outer surface of said inner member and an inner surface of said outer member, one of said surfaces being inclined relative to a longitudinal axis of said device to progressively constrict said opening when said inner member is inserted within said outer member.

32. The suture securing device of claim 31 wherein said surfaces of both said inner member and said outer member are inclined with respect to said axis.

33. A suture securing device for replacing suture knotting in a surgical procedure, comprising:

an outer member including a suture receiving passage extending therethrough between an open proximal end of the outer member and an open distal end of the outer member, a portion of said suture receiving passage having a constant diameter, said outer member including a first locking element, and

an inner member configured for distal insertion within said suture receiving passage, said inner member including a second locking element for engaging said first locking element to lock said inner member to said outer member such that said inner member resists movement proximally relative to said outer member,

said inner member and said outer member when locked together having a size which enables said inner member and said outer member to remain in-situ after the surgical procedure and being constructed to secure a suture therebetween, thereby to provide a replacement for knotting as a way to secure the suture.

34. A suture securing device for replacing suture knotting in a surgical procedure, comprising:

an outer member including an inner wall defining a suture receiving passage extending therethrough between an open proximal end of the outer member and an open distal end of the outer member, said outer member including a first locking element, and

an inner member configured for distal insertion within said suture receiving passage, said inner member having an outer surface configured to provide continuous circumferential contact with said passage wall, said inner member including a second locking element for engaging said first locking element to lock said inner member to said outer member such that said inner member resists movement proximally relative to said outer member,

said inner member and said outer member when locked together having a size which enables said inner member and said outer member to remain in-situ after the surgical procedure and being constructed to secure a suture therebetween, thereby to provide a replacement for knotting as a way to secure the suture.