Anchor tool and method and apparatus for emplacing anchor in a borehole

• US 6,102,934 A
• Filed: 06/02/1998
• Issued: 08/15/2000
• Est. Priority Date: 06/02/1998
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Lehmann K. Li
• Inventors: Li, Lehmann K.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRINH, HOA B
• Application Number:
  US09/088,572
• Time in Patent Office: 805 Days
• Field of Search: 606/232, 606/72-73, 606/228, 606/74-75
• US Class Current: 606/232
• 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 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• 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 2002/087 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: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A method for emplacing a medical anchor in a borehole in biological tissue, the method comprising the steps of providing a borehole in the biological tissue, inserting the anchor into the borehole with a tool such that the anchor is affixed to the tool and in approximate alignment with the borehole, manipulating the tool, the step of manipulating the tool causing the anchor to pivot about an axis perpendicular to the borehole and further comprising rotating the anchor in the borehole about the axis of the borehole, thereby causing the anchor to move outwardly in the borehole to engage a wall of the borehole and cut into the wall of the borehole and secure the anchor in a final position in the borehole such that the anchor is disposed approximately perpendicular to the axis of the borehole; and removing the tool from the borehole by moving the tool proximally in the borehole, thereby separating the anchor from the tool and leaving the anchor secured in the borehole.

Claims

1. A medical anchor for emplacement in a borehole in biological tissue, the anchor comprising:

a central portion;

at least one outer portion attached to the central portion, the outer portion having a cutting edge;

the anchor being adapted to be inserted in the borehole in approximate alignment with a longitudinal axis of the borehole, and further being adapted to be rotated in two axes to secure the anchor in the borehole, a first axis of rotation being aligned with the axis of the borehole and a second axis of rotation being perpendicular to the axis of the borehole, further comprising a cam surface on said anchor for engagement by a pushing member for causing said anchor to rotate about the second axis, whereby the anchor moves outwardly about the second axis so that the cutting edge cuts into a wall of the borehole and the anchor is rotated about the first axis to achieve a final position substantially perpendicular to the borehole.

2. The anchor of claim 1, wherein the anchor has two opposed outer portions, each having a cutting edge on at least one side thereof, the side of each portion having the cutting edge being opposite the side of the other portion having the cutting edge.

3. The anchor of claim 1, wherein the anchor comprises a suture anchor and further comprising at least one securement device for a suture in the central portion.

4. The anchor of claim 3, wherein the securement device comprises at least one aperture in the central portion into which a suture can be threaded.

5. The anchor of claim 4, wherein two apertures are provided in the central portion through which a suture can be threaded.

6. The anchor of claim 1, wherein each outer portion has a sloped surface terminating in a side comprising said cutting edge.

7. The anchor of claim 1, wherein the anchor has an attachment point for at least of a material and device to be attached thereto, including a prosthesis.

8. Apparatus for repairing a ligament or installing a ligament replacement, the apparatus comprising:

a first anchor for attaching to a first end of one of the ligament and ligament replacement;

a second anchor for attaching to a second end of one of the ligament and ligament replacement;

the first and second anchors being attachable to the respective first and second ends by suture;

the first and second anchors with the ligament or ligament replacement being insertable through a first borehole disposed in a first bone member into an aligned borehole in a second bone member such that the first anchor is disposed in the aligned borehole and the second anchor is disposed in the first borehole, the first anchor being rotatable about two axes in the aligned borehole, one axis being perpendicular to the aligned borehole and the other axis being aligned with the aligned borehole, the first anchor attaining a final position substantially perpendicular to the aligned borehole such that the first anchor penetrates the wall of the aligned borehole to secure the first anchor in the aligned borehole; and

the second anchor being rotatable in two axes in the first borehole, one axis being perpendicular to the first borehole and the other axis being in alignment with the first borehole, the second anchor attaining a final position substantially perpendicular to the first borehole such that the second anchor penetrates the wall of the first borehole to secure the second anchor in the first borehole, thereby securing the ligament or ligament replacement between the first and second bone members.

9. A method for repairing a ligament or installing a ligament replacement, the method comprising the steps of:

providing a first anchor attached to a first end of one of the ligament and ligament replacement;

providing a second anchor attached to a second end of one of the ligament and ligament replacement;

the first and second anchors being attached to the respective first and second ends by suture;

inserting the first and second anchors with the ligament or ligament replacement with an insertion tool through a first borehole disposed in a first bone member into an aligned borehole in a second bone member such that the first anchor is disposed in the aligned borehole and the second anchor is disposed in the first borehole, rotating the first anchor with the insertion tool about two axes in the aligned borehole, one axis being perpendicular to the aligned borehole and the other axis being aligned with the aligned borehole and obtaining a final position of the first anchor substantially perpendicular to the aligned borehole such that the first anchor penetrates the wall of the aligned borehole to secure the first anchor in the aligned borehole;

rotating the second anchor with the insertion tool about two axes in the first borehole, one axis being perpendicular to the first borehole and the other axis being in alignment with the first borehole, and obtaining a final position of the second anchor substantially perpendicular to the first borehole such that the second anchor penetrates the wall of the first borehole to secure the second anchor in the first borehole, thereby securing the ligament or ligament replacement between the first and second bone members; and

removing the insertion tool.

10. The method of claim 9, further comprising extending the aligned borehole through the second bone member and threading a suture tied to the first anchor through the extended aligned borehole, and further comprising tieing off said suture to tension said first anchor.

11. The method of claim 10, further comprising tieing off a suture tied to the second anchor to tension the second anchor.

12. The method of claim 9, further comprising providing tension on the ligament or ligament replacement when rotating the second anchor.