Knotless suture anchor system and method of use

• US 6,527,795 B1
• Filed: 10/18/2000
• Issued: 03/04/2003
• Est. Priority Date: 10/18/2000
• Status: Expired due to Term

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Lizardi, Jose E.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): DAVIS, DANIEL J
• Application Number:
  US09/691,498
• Time in Patent Office: 867 Days
• Field of Search: 606/72-75, 606/225, 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 17/06 Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials puncturing needles A61B17/34; hypodermic needles A61M5/32 ; sewing needles D05B85/00
• 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 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• 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 2002/0852 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 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2210/0004 bioabsorbable

Abstract

A suture anchor system includes a suture anchor, a first loop of suture thread attached to the suture anchor, a suture needle, and a second loop of suture thread which is attached to the suture needle. The first and second suture loops are interlocked with one another. The suture anchor is preferably bioabsorbable, and it has a flared feature on one side of the second or proximal end thereof. The flared feature renders the suture anchor asymmetrical in a plane that includes the longitudinal axis of the anchor. A method for anchoring soft tissue is also disclosed.

Claims

1. A system for anchoring tissue to bone, comprising:

a suture anchor having a longitudinal axis, a first leading end and a second, trailing end, the first end having formed therein a groove that creates a distal facing opening in the suture anchor and the second end having a flared portion that renders the suture anchor asymmetrical in a plane that includes the longitudinal axis;

a first loop of suture thread attached to the suture anchor;

a second loop of suture thread attached to the first loop, wherein the first loop and the second loop are interlocked with one another; and

a suture needle having a first, tissue penetrating end and a second, trailing end, wherein the suture needle is attached to the second loop.

2. The system of claim 1, wherein the suture anchor includes two substantially flat, opposed sides between the first end and the second end.

3. The system of claim 1, wherein a threaded bore is formed in the suture anchor, extending therein from the second, trailing end.

4. The system of claim 3, further comprising a suture anchor insertion tool, the tool being in the form of an elongate member having a proximal, handle end and a distal end.

5. The system of claim 4, wherein the distal end of the insertion tool includes an externally threaded insertion tip for engaging the threaded bore of the suture anchor.

6. The system of claim 5, wherein the insertion tool further includes a flexible portion that allows the tool to bend.

7. The system of claim 1, wherein the groove is about 1 to 2.5 mm in depth and has an inner diameter of about 0.5 to 1 mm.

8. The system of claim 1, wherein the flared portion has a shape effective to penetrate into hard cortical bone.

9. The system of claim 8, wherein the flared portion is a chamfered flare.

10. The system of claim 8, wherein the flared portion includes a sharp edge.

11. The system of claim 1, wherein the second end is about 2.5 to 5 mm at its widest portion.

12. The system of claim 1, wherein the second loop comprises a suture loop closure and a length of suture thread having two free ends, the two free ends being attached to and secured within the suture loop closure.

13. The system of claim 1, wherein the second loop is attached to the second end of the suture needle.

14. The system of claim 1, wherein the second loop is attached to the suture needle by securing two free ends of suture thread within a hollow formed within the second end thereof.

15. The system of claim 1, wherein the length of the first loop is in the range of about 0.25 to 2 inches.

16. The system of claim 1, wherein the length of the second loop is in the range of about 6 to 40 inches.

17. The system of claim 1, wherein the first loop comprises a length of suture thread having two ends, the two ends being attached to each other by a suture loop closure.

18. The system of claim 1, wherein the suture anchor has a hole, extending transverse to the longitudinal axis, having an inner diameter adapted to allow the first loop to pass through the hole while preventing the suture loop closure from passing through the hole.

19. The system of claim 18, wherein the hole is disposed substantially intermediate the first and second ends of the anchor.

20. The system of claim 1, wherein the suture needle comprises:

a hollow needle member having an open distal end and a proximal end, the needle member having a substantially cylindrical outer wall;

a tissue penetrating edge formed at the distal end on one portion of the outer wall; and

a slot formed on the distal end, on a portion of the outer wall opposite the tissue penetrating edge, the slot having an opening communicating with the open distal end and the slot being adapted to receive and selectively secure the suture loop closure.

21. The system of claim 20, further comprising an actuator member selectively disposed within the needle member, the actuator member being selectively slidable between a first position, wherein the actuator is located entirely within the hollow needle and does not engage the suture needle slot, and a second position, wherein the actuator extends at least to the opening of the slot so as to remove the suture closure from within the slot.

22. The system of claim 21, wherein the actuator member is an elongate rod.

23. The system of claim 20, wherein the needle member is disposed at a distal end of a suture inserter tool.

24. A method for anchoring tissue to bone in a patient'"'"'s body, comprising the steps of:

providing a system for anchoring tissue to bone, comprising a suture anchor having a longitudinal axis, a first, leading end and a second, trailing end, the first end having formed therein a groove that creates a distal facing opening in the suture anchor and the second end having a flared portion that renders the suture anchor asymmetrical in a plane that includes the longitudinal axis, a first loop of suture thread attached to the suture anchor, a second loop of suture thread attached to the first loop, wherein the first loop and the second loop are interlocked with one another, and a suture needle having a first, tissue penetrating end and a second, trailing end, wherein the suture needle is attached to the second loop;

forming a bore in the bone that is accessible through a portal in the patient'"'"'s body;

passing the suture needle through a detached segment of tissue;

pulling the second loop completely through the detached segment of tissue so that a portion of the first loop is positioned over the bore in the bone;

engaging the first end of the suture anchor with a portion of the suture thread of the first loop;

inserting the suture anchor at least partially within the bore such that the first suture loop reattaches the detached segment of tissue in a desired position;

compressing and toggling the suture anchor such that the second end of the anchor penetrates into an inner surface of the bore; and

anchoring the suture anchor in the bore such that the suture anchor is fixedly attached to the bone.

25. The method of claim 24, wherein the step of engaging the portion of the first loop comprises seating a portion of the suture thread inside the suture thread-engaging groove of the first end of the suture anchor.

26. The method of claim 24, wherein the flared portion is a chamfered flare.

27. The method of claim 26, wherein the flared portion includes a sharp edge.

28. The method of claim 24, wherein the second loop and suture needle are detached after the anchor is inserted into the bore.

29. The method of claim 24, wherein the second loop comprises a suture loop closure and a length of suture thread having two free ends being attached to and secured within the suture loop closure.

30. The method of claim 24, wherein after the suture needle is passed through the detached segment of tissue, an actuator member is employed to disengage the second loop from the slot and the suture needle is withdrawn through the portal.

31. A suture anchor for fixing a suture thread to bone, the suture anchor comprising:

a substantially elongate body having a longitudinal axis and opposed first and second ends;

a suture thread-engaging groove formed in the first end to form a distally facing opening in the elongate body; and

a flared portion, integral with the second end, that renders the suture anchor asymmetrical in a plane that includes the longitudinal axis.

32. The suture anchor of claim 31, wherein the flared portion is effective for penetrating hard cortical bone.

33. The suture anchor of claim 32, wherein the flared portion is a chamfered flare.

34. The suture anchor of claim 32, wherein the flared portion includes a sharp edge.

35. The suture anchor of claim 32, wherein the flared portion includes a knife edge with a flat proximal end.

36. The suture anchor of claim 31, further comprising a threaded bore formed in the second end.

37. The suture anchor of claim 31, further comprising a through-hole substantially intermediate the first and second ends to allow a portion of the suture thread to pass therethrough.

38. The suture anchor of claim 31, wherein the anchor is bioabsorbable.

39. The suture anchor of claim 38, wherein the suture anchor is made of a material selected from the group consisting of polylactic acid and polysulfone.