Soft tissue screw and fixation device

• US 6,569,186 B1
• Filed: 10/05/2000
• Issued: 05/27/2003
• Est. Priority Date: 10/05/2000
• Status: Active Grant

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Winters, Thomas F., Schaffhausen, Cory R., Boucher, James A.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): DAVIS, DANIEL J
• Application Number:
  US09/680,807
• Time in Patent Office: 964 Days
• Field of Search: 606/60, 606/65-66, 606/73, 606/232-233, 606/72
• 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 17/1735 for rasps or chisels
• 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: Y10S 606/908 Bioabsorbable material
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A fixation device for engaging the soft tissue in a body. The fixation device includes a body portion and a plurality of teeth. The body portion has a proximal face, a distal face, a central aperture and a suture slot. The central aperture is formed through the proximal and distal faces and is configured to receive a screw. The suture slot intersects the central aperture and is configured to receive a suture. The plurality of teeth coupled to the proximal face of the body portion and are configured to engage the soft tissue. A soft tissue securing device and a method for securing soft tissue to a bone are also provided.

Claims

1. A fixation device for engaging soft tissue in a body, the fixation device comprising:

a body portion having a proximal face and a distal face, the body portion including a central aperture formed through the proximal and distal faces, the central aperture being adapted to receive a screw, the body portion also including a suture slot having a first end and a second end, the suture slot intersecting the central aperture and being adapted to receive a suture;

a plurality of teeth extending from the proximal face of the body portion and adapted to engage the soft tissue; and

a suture guide associated with the proximal face of the body portion, the suture guide extending at least partially between the ends of the suture slot.

2. The fixation device of claim 1, wherein the central aperture includes a countersunk portion formed into the distal face of the body portion, the countersunk portion being adapted to receive a mating tapered portion of the screw.

3. The fixation device of claim 1, wherein the suture guide includes at least one guide structure, the guide structure being positioned alongside the suture slot and having a sloped surface that is adapted for directing the suture around the screw and preventing the suture from passing out of the suture slot when the screw extends into the central aperture.

4. The fixation device of claim 3, wherein a pair of fillets are formed into each of the guide structures, each of the fillets extending from the sloped surface to the suture slot, the pair of fillets being adapted to guide the suture around the screw and into the suture slot.

5. The fixation device of claim 3, wherein two of the guide structures cooperate to limit an amount by which the plurality of teeth are permitted to engage the soft tissue.

6. The fixation device of claim 1, wherein the fixation device is formed from a resorbable material.

7. The fixation device of claim 1, wherein a fillet is formed into each end of the suture slot, each of the fillets being adapted to guide the suture around the screw and into the suture slot.

8. The fixation device of claim 1, wherein the fixation device has a cross section that is taken in a direction perpendicular to a longitudinal axis of the central aperture, the cross section being configured to have a first distance along a first axis and a second distance along a second axis and wherein the first distance is greater in magnitude than the second distance.

9. The fixation device of claim 8, wherein the cross section of the body portion is oval in shape.

10. A soft tissue securing device for securing a soft tissue of a body to a bone, the soft tissue securing device comprising:

a suture having a looped section and a pair of ends;

a fixation device having a body portion and a plurality of teeth, the body portion including a proximal face, a distal face, a central aperture and a suture slot having a first end and a second end, the central aperture being formed through the proximal and distal faces, the suture slot intersecting the central aperture and receiving the looped section of the suture, the plurality of teeth coupled to the proximal face of the body portion and adapted to engage the soft tissue; and

a screw disposed through the central aperture;

wherein the looped section of the suture is disposed at least partially around the screw and transmits a load thereto in response to the application of tension to the ends of the suture.

11. The soft tissue securing device of claim 10, wherein the fixation device further includes a suture guide, the suture guide coupled to the proximal face of the body portion, the suture guide extending between the ends of the suture slot and abutting the screw and wherein the suture guide guides the suture around a side of the screw in response to the application of tension to the ends of the suture.

12. The soft tissue securing device of claim 10, wherein the screw includes a head portion having a tapered annular flange and the central aperture of the body portion includes a countersunk portion formed into the distal face, the annular flange and the countersunk portion providing a predetermined degree of compliance between a longitudinal axis of the central aperture and a longitudinal axis of the screw.

13. The soft tissue securing device of claim 10, wherein the screw includes a hollow cavity formed therethrough along a longitudinal axis of the screw, at least a portion of the hollow cavity having a non-circular cross section.

14. The soft tissue securing device of claim 13, wherein the non-circular cross section extends substantially the entire length of the hollow cavity.

15. The soft tissue securing device of claim 10, wherein the suture guide includes at least one guide structure that is positioned alongside of the suture slot, the guide structure having a sloped surface that is adapted for directing the suture around the screw and preventing the suture from passing out of the suture slot when the screw extends into the central aperture.

16. The soft tissue securing device of claim 15, wherein a pair of fillets are formed into each of the guide structures, each of the fillets extending from the sloped surface to the suture slot, the pair of fillets being adapted to guide the suture around the screw and into the suture slot.

17. The soft tissue securing device of claim 10, wherein the fixation device and the screw are formed from a resorbable material.

18. The soft tissue securing device of claim 10, wherein the fixation device has a cross section that is taken in a direction perpendicular to a longitudinal axis of the central aperture, the cross section being configured to have a first distance along a first axis and a second distance along a second axis and wherein the first distance is greater in magnitude than the second distance.

19. The soft tissue securing device of claim 18, wherein the cross section of the body portion is oval in shape.

20. The soft tissue securing device of claim 10, wherein a fillet is formed into each end of the suture slot, each of the fillets being adapted to guide the suture around the screw and into the suture slot.