Endosteal anchoring device for urging a ligament against a bone surface

• US 6,379,361 B1
• Filed: 08/16/1999
• Issued: 04/30/2002
• Est. Priority Date: 06/14/1993
• Status: Expired due to Fees

• Current Assignee: Charles L. Beck Jr, France E. Paul, Richard L. Ellingson
• Original Assignee: Charles L. Beck Jr, France E. Paul, Richard L. Ellingson
• Inventors: Beck, Charles L. Jr., France, E. Paul, Ellingson, Richard L.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US09/375,053
• Time in Patent Office: 988 Days
• Field of Search: 606/72, 606/73, 606/104, 606/76, 606/77, 623/13.11, 411/44, 411/55, 411/57, 411/59, 411/60, 411/61, 411/71
• US Class Current: 606/323
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• 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: 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 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• 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: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

An endosteal anchoring device for urging a ligament graft against a bone surface comprising an anchoring body, a means for resisting slippage of the anchoring body into the periphery of a bone tunnel under ligament tension, a means for avoiding puncturing, piercing or tearing of cross-fibers of the ligament graft and a means for urging the ligament graft flush against the inner surface of the bone tunnel for accelerated healing.

Claims

1. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first end and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel; and

a fixation member,

said fixation member providing means for securing said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

2. An endosteal anchoring system as defined in claim 1 wherein said anchor device comprises an upper ridge, a lower ridge, and a groove integrally formed therebetween.

3. An endosteal anchoring system as defined in claim 1 wherein said anchor device comprises an upper ridge and a tapered portion.

4. An endosteal anchoring system as defined in claim 1 wherein said anchor device comprises a through-bore formed in said exterior surface, wherein a suture may be introduced and passed through said portion of said ligament.

5. An endosteal anchoring system as defined in claim 1 wherein said anchor device comprises a wedge member projecting substantially outward.

6. An endosteal anchoring system as defined in claim 1 wherein said anchor device includes an annular canal having a tapered diameter from a first end to a second end.

7. An endosteal anchoring system as defined in claim 1 wherein said anchor device comprises means for resisting slippage within said tunnel.

8. An endosteal anchoring system as defined in claim 1 further comprising a positioning member engageably disposed in relation to said anchor device, said positioning member providing means for selectively positioning said anchor device within said tunnel.

9. An endosteal anchoring system as defined in claim 8 wherein said positioning member comprises a directional driver.

10. An endosteal anchoring system as defined in claim 8 wherein said positioning member comprises at least one extending member projecting substantially outward from said first end of said anchor device.

11. An endosteal anchoring system as defined in claim 10, wherein said extending member comprises an eyelet for introducing a suture, the extending member operating in cooperation with said eyelet for introducing said anchor device within said tunnel.

12. The invention according to claim 1 wherein the anchoring device is comprised of bone matter.

13. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first end and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel in a direction substantially perpendicular to an axis of said anchor device;

a positioning member engageably disposed in relation to said anchor device, said positioning member providing means for selectively positioning said anchor device within said tunnel; and

a fixation member,

said fixation member providing means for securing said anchor device and said portion of said ligament disposed adjacent said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

14. An endosteal anchoring system as defined in claim 13 wherein said anchor device comprises an upper ridge, a lower ridge, and a groove integrally formed therebetween.

15. An endosteal anchoring system as defined in claim 13 wherein said anchor device comprises an upper ridge and a tapered portion.

16. An endosteal anchoring system as defined in claim 13 wherein said anchor device comprises a through-bore formed in said exterior surface wherein a suture may be introduced and passed through said portion of said ligament.

17. An endosteal anchoring system as defined in claim 13 wherein said anchor device comprises a wedge member projecting substantially outward.

18. An endosteal anchoring system as defined in claim 13 wherein said positioning member comprises at least one extending member projecting substantially outward from said first end of said anchor device.

19. An endosteal anchoring system as defined in claim 18, wherein said extending member comprises an eyelet for introducing a suture, the extending member operating in cooperation with said eyelet for introducing said anchor device within said tunnel.

20. An endosteal anchoring system as defined in claim 13 wherein said anchor device includes an annular canal having a tapered diameter from a first end to a second end.

21. An endosteal anchoring system as defined in claim 13 wherein said anchor device comprises means for resisting slippage within said tunnel.

22. An endosteal anchoring system as defined in claim 21 wherein said means for resisting slippage of said anchor device within said tunnel includes a plurality of projecting members.

23. An endosteal anchoring system as defined in claim 13 wherein said positioning member comprises a directional driver.

24. The invention according to claim 13 wherein the anchoring device is comprised of bone matter.

25. A method for replacing or reconstructing a torn or dislocated ligament, the method comprising the steps of:

forming a tunnel within said bone mass;

maintaining a portion of a ligament on an exterior surface of an anchor device, said exterior surface comprising a surface area sufficient for compressing said portion of said ligament against a section of an internal wall of said tunnel in a direction substantially perpendicular to an axis of said anchor device;

positioning said anchor device and said ligament within said tunnel; and

inserting a fixation member within the anchor device to secure said anchor device and said portion of said ligament within said tunnel thereby urging the portion of the ligament in direct contact with said internal wall section of the tunnel.

26. A method as defined in claim 25 further comprising the step of rotatably introducing said fixation member into an annular canal formed in said anchor device, whereby causing the anchor device to expand outwardly against said section of said internal wall of the tunnel.

27. A method used with arthroscopic assistance for repairing or reconstructing a torn or dislocated anterior cruciate ligament, the method comprising:

establishing anteromedial and anterolateral portals in contiguous bone mass for diagnosis and operative arthroscopy;

inserting a guide pin through the portals to mark a location for drilling a tibial tunnel;

passing an endoscopic drill bit over the guide pin to form the tibial tunnel;

inserting the guide pin through the tibial tunnel to select a location for drilling a femoral tunnel;

passing the endoscopic drill bit over the guide pin to form the femoral tunnel;

irrigating said tunnels;

maintaining said ligament in relation to an exterior surface of an anchor device and disposing said ligament around at least one end of said anchor device, said exterior surface of the anchor device comprising a surface area sufficient for forcibly compressing a portion of the ligament against a section of an internal wall of said femoral tunnel in a direction perpendicular to an axis of said anchor device;

inserting said anchor device into said femoral bone tunnel;

positioning said anchor device and the ligament within said femoral tunnel; and

securing said anchor device and said portion of said ligament within said femoral tunnel by means of a fixation member comprising a suitable diameter sufficient for engaging the anchor device, thereby urging the portion of the ligament in direct contact against said section of said internal wall of said femoral tunnel to promote healing.

28. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first wall and a second wall flexibly hinged together along a portion of the anchor device, each wall having an exterior surface, at least one exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for compressing said portion of the ligament against said bone surface of said tunnel; and

a fixation member receivable between the first and second walls to secure said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

29. The endosteal anchoring system of claim 28 wherein each wall further comprises means for retaining the ligament against the anchor device in a fixed position.

30. The endosteal anchoring system of claim 29 wherein the retaining means comprise a plurality of fixation tips on the exterior surface of the anchor device.

31. The endosteal anchoring system of claim 29 wherein the hinge is along an end portion of the anchor device.

32. The endosteal anchoring system of claim 28 wherein the anchor device further comprises a pair of extending wings on a first end of anchor device.

33. The endosteal anchoring system of claim 28 wherein the anchor device has a substantially conical shape thereto.

34. The endosteal anchoring system of claim 28 wherein the fixation member is substantially circular with spiral threads beginning at a second end of the fixation member.

35. The endosteal anchoring system of claim 34 wherein the fixation member is stainless steel.

36. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first wall and a second wall operably connected together, each wall having an exterior surface, at least one exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for compressing said portion of the ligament against said bone surface of said tunnel;

a fixation member receivable between the first and second walls to secure said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

37. The endosteal anchoring system of claim 36 wherein each wall further comprises means for retaining the ligament against the anchor device in a fixed position.

38. The endosteal anchoring system of claim 37 wherein the anchor device further comprises a hinge to connect the first and second walls together.

39. The endosteal anchoring system of claim 38 wherein the hinge is along an end portion of the anchor device.

40. The endosteal anchoring system of claim 37 wherein the retaining means comprise a plurality of fixation tips on the exterior surface of the anchor device.

41. The endosteal anchoring system of claim 36 wherein the anchor device further comprises a pair of extending wings on a second end of anchor device.

42. The endosteal anchoring system of claim 36 wherein the anchor device has a substantially conical shape thereto.

43. The endosteal anchoring system of claim 36 wherein the fixation member is substantially circular with spiral threads beginning at a first end of the fixation member.

44. The endosteal anchoring system of claim 43 wherein the fixation member is stainless steel.

45. A ligament anchor device comprising:

an elongated body having an exterior surface area sufficient to dispose a portion of a ligament within a bone tunnel, wherein a portion of the surface area serves as a ligament support to compress the ligament portion against a surface within the bone tunnel;

a fixation member; and

an interior receiving channel within the elongated body to receive a fixation member to secure the anchor device and the ligament portion supported by the portion of the surface area when the elongated body and ligament are disposed within the tunnel, the fixation member being used to urge the surface area in a direction that presses the ligament portion directly against the bone surface.

46. The invention according to claim 45 wherein the surface portion further comprises means for retaining the ligament against the anchor device in a fixed position.

47. The invention according to claim 46 wherein the retaining means comprise a plurality of fixation tips on the exterior surface of the anchor device.

48. The invention according to claim 45 wherein the body further comprises a support collar on one end of anchor device.

49. The invention according to claim 45, wherein the fixation member is stainless steel.

50. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first end and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel; and

a fixation member,

said fixation member comprising a threaded insertion member for securing said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

51. An endosteal anchoring system as defined in claim 50, wherein said insertion member comprises a suitable diameter for rotatably engaging said anchor devise.

52. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first end and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel in a direction substantially perpendicular to an axis of said anchor device;

a positioning member engageably disposed in relation to said anchor device, said positioning member providing means for selectively positioning said anchor device within said tunnel; and

a fixation member,

said fixation member comprising a threaded insertion member having a suitable diameter for rotatably engaging said anchor device for securing said anchor device and said portion of said ligament disposed adjacent said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

53. A method for replacing or reconstructing a torn or dislocated ligament, the method comprising the steps of:

forming a tunnel within said bone mass;

maintaining a portion of a ligament on an exterior surface of an anchor device, said exterior surface comprising a surface area sufficient for compressing said portion of said ligament against a section of an internal wall of said tunnel in a direction substantially perpendicular to an axis of said anchor device;

positioning said anchor device and said ligament within said tunnel; and

inserting a fixation member, which comprises a threaded insertion member, within the anchor device to secure said anchor device and said portion of said ligament within said tunnel thereby urging the portion of the ligament in direct contact with said internal wall section of the tunnel.

54. A method for replacing or reconstructing a torn or dislocated ligament, the method comprising the steps of:

forming a tunnel within said bone mass;

maintaining a portion of a ligament on an exterior surface of an anchor device, said exterior surface comprising a surface area sufficient for compressing said portion of said ligament against a section of an internal wall of said tunnel in a direction substantially perpendicular to an axis of said anchor device;

positioning said anchor device and said ligament within said tunnel;

inserting a fixation member within the anchor device to secure said anchor device and said portion of said ligament within said tunnel thereby urging the portion of the ligament in direct contact with said internal wall section of the tunnel; and

rotatably introducing said fixation member into an annular canal formed in said anchor device, thereby causing the anchor device to expand outwardly against said section of said internal wall of the tunnel.

55. A ligament anchor device comprising:

an elongated body having an exterior surface area sufficient to dispose a portion of a ligament within a bone section;

said elongated body having a support collar on one end, the support collar further comprising a pair of extended wings, wherein a portion of the surface area serves as a ligament support to compress the ligament portion against a surface within the bone tunnel;

an interior receiving channel within the elongated body; and

a fixation member received by said collar for urging said wings apart.

56. A ligament anchor device comprising:

an elongated body having a substantially conical shape and an external surface area sufficient to dispose a portion of a ligament within a bone tunnel, wherein a portion of the surface area serves as a ligament support to compress the ligament portion against a surface within the bone tunnel;

an interior receiving channel within the elongated body; and

a fixation member threadably received within said channel.

57. A ligament anchor device comprising:

an elongated body having an exterior surface area sufficient to dispose a portion of a ligament within a bone tunnel, wherein a portion of the surface area serves as a ligament support to compress the ligament portion against a surface within the bone tunnel; and

an interior receiving channel within the elongated body, wherein the interior receiving channel receives a fixation member to secure the anchor device and the ligament portion supported by the portion of the surface area when the anchor device and ligament are disposed within the tunnel, the fixation member being used to urge the surface area in a direction that presses the ligament portion directly against the bone surface and where the fixation member is substantially circular with spiral threads beginning at a first end of the fixation member.

58. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first end and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel; and

a fixation member, comprised of bone matter, rotatably engageable with said anchor device and utilized to secure said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

59. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device comprised of bone matter and having a first end and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel in a direction substantially perpendicular to an axis of said anchor device;

a positioning member engageably disposed in relation to said anchor device, said positioning member providing means for selectively positioning said anchor device within said tunnel; and

a fixation member, comprised of bone matter, rotatably engageable with said anchor device and utilized to secure said anchor device and said portion of said ligament disposed adjacent said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

60. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first wall and a second wall flexibly hinged together along a portion of the anchor device, each wall having an exterior surface, at least one exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for compressing said portion of the ligament against said bone surface of said tunnel; and

a fixation member comprised of bone matter and receivable between the first and second walls to secure said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

61. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first wall and a second wall operably connected together, each wall having an exterior surface, at least one exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for compressing said portion of the ligament against said bone surface of said tunnel; and

a fixation member, comprised of bone matter, receivable between the first and second walls to secure said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, said portion of the ligament being thereby urged directly against said bone surface within the tunnel.

62. A ligament anchor device comprising:

an elongated body having a substantially conical shape, at least one ridge, and an external surface area sufficient to dispose a portion of a ligament within a bone tunnel, wherein a portion of the surface area serves as a ligament support to compress the ligament portion against a surface within the bone tunnel;

an interior receiving channel within the elongated body; and

a fixation member having at least one ridge, wherein upon receipt of said fixation member within said channel said ridge of said elongated body interlocks with said ridge of said fixation member.

63. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device having a first end, at least one ridge, and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament within the tunnel, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel; and

a fixation member comprised of bone matter and having at least one ridge, said fixation member being utilized to secure said anchor device and said portion of said ligament disposed in relation to said exterior surface of the anchor device within said tunnel, wherein upon engagement of said fixation member with said anchor device said ridge of said anchor device interlocks with said ridge of said fixation member.

64. An endosteal anchoring system for urging a ligament against a bone surface within a tunnel formed in a bone of a patient, the system comprising:

an anchor device comprised of bone matter and having a first end, at least one ridge, and an exterior surface, the exterior surface comprising a surface area sufficient for disposing a portion of said ligament, said surface area providing means for forcibly compressing said portion of the ligament against said bone surface of said tunnel in a direction substantially perpendicular to an axis of said anchor device;

a positioning member engageably disposed in relation to said anchor device, said positioning member providing means for selectively positioning said anchor device within said tunnel; and

a fixation member comprised of bone matter and having at least one ridge, said fixation member being utilized to secure said anchor device and said portion of said ligament disposed adjacent said exterior surface of the anchor device within said tunnel, wherein upon engagement of said fixation member with said anchor device said ridge of said anchor device interlocks with said ridge of said fixation member.