Suture anchor assembly

• US 6,139,565 A
• Filed: 10/19/1998
• Issued: 10/31/2000
• Est. Priority Date: 06/23/1993
• Status: Expired due to Fees

• Current Assignee: Kevin R. Stone
• Original Assignee: Kevin R. Stone
• Inventors: DeSatnick, Allen H., Stone, Kevin R.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/174,829
• Time in Patent Office: 743 Days
• Field of Search: 606/72-75, 606/60, 606/61, 606/104, 606/219, 606/220, 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/862 at the periphery of the screw head
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• CPC Class Codes: A61B 17/8883 the driver bit acting on the periphery of the screw head
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0459 Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

Suture anchor assembly for attaching soft tissue to bone. The assembly (10) includes an elongated member (12) having a continuous self-tapping threaded anchor portion (14) having a self-drilling contour at its proximal end, and an integral eyelet (18) for receiving a suture (30) at its distal end. The distal end further includes a receiver for a rotating driver device (20), such as a cannulated drill. The assembly (10) is designed for endoscopic insertion of the anchor (14), with the suture (30) extending along the central axis (X₁) of the driver (20).

Claims

1. A surgical suture anchor assembly, comprising:

an elongated, generally cylindrical member extending along a central axis and having a maximum outer diameter D, said member including a threaded anchor portion at a first end thereof rigidly coupled to a suture/drive portion at a second end thereof, said second end being opposite said first end,

wherein said anchor portion has a tip which tapers to a point, and a self-tapping threaded pattern on the outer surface thereof, said pattern extending at least from points near said first end, and;

A. includes at least one eyelet through said suture/drive portion, said eyelet having a central aperture, whereby a suture path extending between two end points is defined by a region adjacent to said second end, through said aperture of said eyelet and back to said region adjacent to said second end, wherein the end points of said suture path are less than a distance equal to D'"'"'/2 from said central axis, where D'"'"' is less than or equal to said maximum outer diameter D; and

B. is adapted for insertion into a distal tip of a cannulated driver rotatable about a drive axis,

whereby said cylindrical member and said distal tip are mechanically coupled for mutual rotation with said drive axis and said central axis being coaxial when said suture/drive portion is inserted into said distal tip of said driver.

2. A suture anchor assembly according to claim 1 further including a cannulated driver wherein said distal tip of said driver has an inner diameter D₂ greater than or equal to D'"'"'.

3. A suture anchor assembly according to claim 2 wherein said cannulated driver includes an annular tapered leading edge.

4. A suture anchor according to claim 2 wherein said anchor portion includes at least one groove in said cylindrical member near said first end, said groove extending generally parallel to said central axis through at least two turns of said thread pattern.

5. A suture anchor assembly according to claim 1 wherein said distal tip of said driver has an outer diameter D₃ less than or equal to D.

6. A suture anchor assembly according to claim 1 further comprising a plurality of sutures extending along said suture path.

7. A suture anchor assembly according to claim 1 wherein said anchor portion has drilling means at a distal tip thereof for establishing a hole in bone.

8. A suture anchor assembly according to claim 7 wherein said thread pattern extends to the outer surface of at least a portion of said drill means at said distal tip of said anchor portion.

9. A suture anchor according to claim 1 further comprising a self-drilling contour at least at points near said first end.

10. A surgical anchor kit, comprising:

I. an elongated, generally cylindrical member extending along a central axis and having a maximum outer diameter D, said member including a threaded anchor portion at a first end thereof rigidly coupled to a suture/drive portion at a second end thereof, said second end being opposite said first end,

wherein said anchor portion has a tip which tapers to a point, and a self-tapping thread pattern on the outer surface thereof, said pattern extending at least from points near said first end,

wherein said suture/drive portion;

A. includes at least one eyelet through said suture/drive portion, said eyelet having a central aperture, whereby a suture path extending between two end points is defined by a region adjacent to said second end, through said aperture of said eyelet and back to said region adjacent to said second end, wherein the end points of said suture path are less than a distance equal to D'"'"'/2 from said central axis, where D'"'"' is less than or equal to said maximum outer diameter D; and

B. is adapted for insertion into a distal tip of a cannulated driver rotatable about a drive axis, whereby said cylindrical member and said distal tip are mechanically coupled for mutual rotation with said drive axis and said central axis being coaxial when said suture/drive portion is inserted into said distal tip of said driver,

II. a driver assembly for releasably supporting a suture anchor assembly wherein said driver assembly comprises;

A. an elongated tubular member extending along a driver axis and having a proximal end and a distal end, and

B. a pair of resilient, elongated finger members extending from opposite sides of the end of said distal end of said tubular member and along respective finger axes parallel to said driver axis, said finger axes and said driver axes being substantially coplanar, wherein said finger members are separated by a first distance S1 at said distal end of said tubular member and by lesser distances at other locations along said driver axis, and wherein said finger members are adapted to intermit with said channels to define said suture path.

11. A surgical suture anchor assembly, comprising:

an elongated, generally cylindrical member extending along a central axis and having a maximum outer diameter D, said member including a threaded anchor portion at a first end thereof rigidly coupled to a suture/drive portion at a second end thereof, said second end being opposite said first end,

wherein said anchor portion has a self tapping thread pattern on the outer surface of said anchor portion, said pattern extending from said first end, and wherein said anchor portion has a cylindrical barrel bearing said thread pattern,

wherein said suture/drive portion;

A. includes at least one eyelet positioned at or near said second end, said eyelet having a central aperture, whereby a suture path extending between two end points is defined by a region adjacent to said second end, through said aperture of said eyelet and back to said region adjacent to said second end, wherein the end points of said suture path are less than a distance equal to D'"'"'/2 from said central axis, where D'"'"' is less than or equal to said maximum outer diameter D; and

B. is adapted fro insertion into a distal tip of a cannulated driver rotatable about a drive axis, whereby said cylindrical member and said distal tip are mechanically coupled for mutual rotation with said drive axis and said central axis being coaxial when said distal tip of said driver is inserted into said distal tip of said driver.

12. A suture anchor according to claim 11, wherein said anchor portion includes at least one fluted region near said first end and overlapping said thread pattern.

13. A suture anchor assembly according to claim 12 further including a annulated driver wherein said distal tip of said driver has an inner diameter greater than or equal to D'"'"'.