System and method for attaching soft tissue to bone

• US 6,319,252 B1
• Filed: 07/23/1999
• Issued: 11/20/2001
• Est. Priority Date: 07/23/1999
• Status: Expired due to Term

• Current Assignee: DePuy Mitek Holding Corporation, Depuy Synthes Products Incorporated (Johnson & Johnson), DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: Innovasive Devices Inc. (Johnson & Johnson)
• Inventors: Novak, Vincent P., McDevitt, Dennis
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/360,475
• Time in Patent Office: 851 Days
• Field of Search: 606/60, 606/65, 606/67, 606/68, 606/72, 606/73, 606/74, 606/75, 606/104
• US Class Current: 606/60
• 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 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 2017/0424 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0425 the anchor or the separate member comprising threads, e.g. a set screw in the anchor
• 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: 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 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• 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

Apparatus and methods are disclosed for attaching tissue to bone. Apparatus is disclosed for assembling tissue to bone comprising an expandable body configured to expand into bone, the expandable body defining a bore; and an expander pin comprising a shaft sized to be received in the bore of the expandable body and expand the expandable body laterally when the expander pin is driven into the expandable body, and tissue attachment apparatus associated with the shaft, the expander pin defining a bore; whereby when the expander pin is driven into the expandable body, the expandable will be attached to bone and the tissue attachment apparatus will secure tissue to the apparatus. A method is disclosed for attaching tissue to bone comprising driving an expandable body into a bone, the expandable body defining a bore and comprising tissue attachment apparatus; and fixing the expandable body in, and thereby securing the tissue to relative to, the bone.

Claims

1. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus.

2. Apparatus according to claim 1 wherein said expander pin includes fastener stabilization apparatus for stabilizing said expander pin relative to said expandable body.

3. Apparatus according to claim 2 wherein said fastener stabilization apparatus comprises threads.

4. Apparatus according to claim 2 wherein said fastener stabilization apparatus comprises ribs.

5. Apparatus according to claim 1 wherein said tissue attachment apparatus comprises at least one laterally-extending projection for tacking tissue.

6. Apparatus according to claim 5 wherein said at least one laterally-extending projection has a substantially linear outer edge.

7. Apparatus according to claim 5 wherein said at least one laterally-extending projection has a substantially arc-like outer edge.

8. Apparatus according to claim 1 wherein said tissue attachment apparatus comprises a bore formed in said expander pin and a suture extending through said bore.

9. Apparatus according to claim 8 wherein said tissue attachment apparatus is configured so that said suture may slide relative to said expander pin when said expander pin is received in said expandable body.

10. Apparatus according to claim 8 wherein said tissue attachment apparatus further comprises a second bore formed in said expander pin and a second suture extending through said second bore.

11. Apparatus according to claim 1 wherein said expander pin has indicia for indicating depth.

12. Apparatus according to claim 1 wherein said expandable body has a tapered distal end.

13. Apparatus according to claim 1 wherein said distal tip member and said proximal main member are threadingly interengageable with one another.

14. Apparatus according to claim 1 wherein said distal tip member and said proximal main member are frictionally interengageable with one another.

15. Apparatus according to claim 1 wherein said expandable body comprises a distal tip member constructed from a first material and a proximal main member constructed from a second material, and wherein said first material is harder than said second material.

16. Apparatus according to claim 1 wherein said expandable body includes bone securement apparatus for securing said expandable body relative to bone.

17. Apparatus according to claim 16 wherein said bone securement apparatus comprises ribs.

18. Apparatus according to claim 16 wherein said bone securement apparatus comprises threads.

19. Apparatus according to claim 1 wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and in said bore of said expander pin.

20. Apparatus according to claim 19 wherein said shaft is releasably attachable to said expandable body.

21. Apparatus according to claim 19 wherein said shaft and said expandable body are threadingly interengageable with one another.

22. Apparatus according to claim 19 wherein said shaft has a tapered distal end.

23. Apparatus according to claim 19 wherein said shaft extends distally beyond said expandable body when said shaft is slidingly received in said bore of said expandable body.

24. Apparatus according to claim 19 wherein said apparatus further comprises a pusher member configured to drive said expander pin into said expandable body.

25. Apparatus according to claim 24 wherein said pusher member slides along said shaft when driving said expander pin into said expandable body.

26. Apparatus according to claim 1 wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body.

27. Apparatus according to claim 26 wherein said cannulated driver assembly slides along a shaft connected to said expandable body.

28. Apparatus according to claim 26 wherein said cannulated driver assembly includes a trigger for inducing the driving of said expander pin.

29. Apparatus according to claim 26 wherein said cannulated driver assembly comprises a slap hammer.

30. Apparatus for attaching tissue to bone comprising:

an installation tool comprising a shaft having a distal end and a proximal end, said distal end of said shaft terminating in a relatively hard distal point;

an expandable body configured to expand into bone, said expandable body comprising a distal end and a proximal end, an opening extending from said distal end to said proximal end, said opening being sized to receive said shaft of said installation tool, and connecting apparatus for connecting said expandable body to said shaft of said installation tool when said distal end of said shaft of said installation tool protrudes from said distal end of said expandable body;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member; and

an expander pin comprising a shaft sized to be received in said opening in said expandable body and expand said expandable body radially when said expander pin is driven distally into said expandable body, and tissue attachment apparatus associated with said shaft of said expander pin, said expander pin defining a bore sized to receive said shaft of said installation tool;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus.

31. Apparatus for attaching tissue to bone comprising:

a shaft;

an expandable body configured to expand into bone, said expandable body defining an opening, and said expandable body comprising connection apparatus for connecting said shaft to said expandable body;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member;

an expander pin comprising a shaft sized to be received in said opening in said expandable body and expand said expandable body radially when said expander pin is driven into said expandable body; and

tissue attachment apparatus associated with at least one of said expandable body and said expander pin;

whereby when shaft said is connected to said expandable body, and said expander pin is driven into said expandable body, said shaft can provide a counterforce to said expandable body so as to counteract the driving force applied to said expander pin.

32. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus; and

wherein said expander pin has indicia for indicating depth.

33. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member; and

wherein said distal tip member and said proximal main member are threadingly interengageable with one another.

34. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member; and

wherein said distal tip member and said proximal main member are frictionally interengageable with one another.

35. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said expandable body comprises a distal tip member constructed from a first material and a proximal main member constructed from a second material, and wherein said first material is harder than second material; and

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and in said bore of said expander pin.

36. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and in said bore of said expander pin; and

wherein said shaft and said expandable body are threadingly interengageable with one another.

37. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and in said bore of said expander pin; and

wherein said shaft has a tapered distal end.

38. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and in said bore of said expander pin; and

wherein said shaft extends distally beyond said expandable body when said shaft is slidingly received in said bore of said expandable body.

39. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and in said bore of said expander pin;

wherein said apparatus further comprises a pusher member configured to drive said expander pin into said expandable body; and

wherein said pusher member slides along said shaft when driving said expander pin into said expandable body.

40. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus; and

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body.

41. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body; and

wherein said cannulated driver assembly slides along a shaft connected to said expandable body.

42. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body; and

wherein said cannulated driver assembly comprises a slap hammer.

43. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore; and

an expander pin comprising a shaft sized to be received in said bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body, and tissue attachment apparatus associated with said shaft, said expander pin defining a bore;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment apparatus will secure tissue to said apparatus;

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body; and

wherein said cannulated driver assembly includes a trigger for inducing the driving of said pin.