Suture anchor

• US 6,572,635 B1
• Filed: 10/31/2000
• Issued: 06/03/2003
• Est. Priority Date: 08/19/1996
• Status: Expired due to Term

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: The Bonutti 2003 Trust A
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/703,058
• Time in Patent Office: 945 Days
• Field of Search: 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 2017/0403 Dowels other bone dowels A61B17/68; dowels for connecting prosthetic parts A61F2002/30433
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• 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 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/047 having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body J-shaped suture needles A61B2017/0608

Abstract

A suture anchor is formed of a material which absorbs body liquid when exposed to body liquid. The anchor may be at least partially formed of a material having a strong affinity for body liquids. This enables the anchor to absorb body liquid and expand upon being inserted into a patient'"'"'s body. At least one embodiment of the suture anchor has portions formed of a relatively hard material which does not absorb body liquids and is pressed against body tissue by the material which absorbs body liquid to mechanically interlock the suture anchor and the body tissue. The anchor may be at least partially formed of a cellular material. The cells expand to absorb body liquid. At least one embodiment of the anchor has a pointed leading end portion to form an opening in an imperforate surface on body tissue. The configuration of the anchor may be changed by tensioning the suture while the anchor is disposed in body tissue.

Claims

1. An apparatus for use in association with body tissue, said apparatus comprising an anchor, and a suture which is connected with said anchor, said anchor includes means for absorbing body liquid and expanding when said anchor is inserted into body tissue to retain said anchor in the body tissue against the influence of tension force transmitted from said suture to said anchor.

2. An apparatus as set forth in claim 1 wherein said means for absorbing body liquid and expanding when said anchor is inserted into body tissue includes a portion of said anchor which is formed of cellular material which is expandable from a contracted condition said anchor is inserted into body tissue.

3. An apparatus as set forth in claim 1 wherein said suture includes first and second legs which are interconnected by a portion of the suture which extends through a passage in said anchor.

4. An apparatus as set forth in claim 1 wherein said anchor includes a first portion which is formed of a first material which absorbs body liquid and a second portion which is formed of a second material which is ineffective to absorb body liquid, said second portion of said anchor being movable relative to the body tissue under the influence of force applied against the second portion of said anchor by said first portion of said anchor.

5. An apparatus as set forth in claim 1 wherein said anchor is at least partially formed of a material which is resiliently compressible to decrease the volume of said anchor, said material of said anchor being resiliently expandable under the influence of its own natural resilience to increase the volume of said anchor.

6. An apparatus as set forth in claim 5 in said anchor is effective to promote movement of body liquid into said anchor as said anchor expands under the influence of its own natural resilience.

7. An apparatus as set forth in claim 1 wherein said anchor has a pointed leading end portion to pierce body tissue as said anchor is inserted into the body tissue.

8. An apparatus for use in association with body tissue, said apparatus comprising a suture anchor formed of one piece of porous polymer which absorbs body liquid, and a suture which is connected with said suture anchor, said suture anchor being expandable from a first size to a second size as the porous polymer of said suture anchor absorbs body liquid.

9. An apparatus as set forth in claim 8 wherein the one piece of porous polymer of said suture anchor is a copolymer.

10. An apparatus as set forth in claim 8 wherein the one piece of porous polymer of said suture anchor is a dipolymer.

11. An apparatus as set forth in claim 8 wherein the one piece of porous polymer of said suture anchor is a hydrophilic.

12. An apparatus as set forth in claim 8 wherein the one piece of porous polymer is cellulose.

13. An apparatus as set forth in claim 8 wherein the one piece of porous polymer of said suture anchor is a collagen.

14. An apparatus as set forth in claim 8 wherein the one piece of porous polymer of said suture anchor is a petroylglutamic acid.

15. An apparatus as set forth in claim 8 wherein the one piece of porous polymer of said suture anchor is a carboxylmethyl-cellulose.

16. An apparatus as set forth in claim 8 wherein the one piece of porous polymer of said suture anchor is a polylactide.

17. An apparatus for use in association with body tissue, said apparatus comprising a suture anchor formed of a material which expands by between 10 and 50 percent by volume when said suture anchor is exposed to body liquid, and a suture which is connected with said suture anchor.

18. An apparatus as set forth in claim 17 wherein said suture anchor is formed of a one piece of porous polymer.

19. An apparatus as set forth in claim 17 wherein said suture anchor has a leading end portion which forms an opening in an imperforate surface of body tissue.

20. An apparatus for use in association with body tissue, said apparatus comprising an anchor, and a suture which is connected with said anchor, at least a portion of said anchor is formed of material which expands and absorbs body liquid as the material of said portion of said anchor expands when said anchor is inserted into first body tissue to retain said anchor in a desired location in the first body tissue against the influence of force transmitted between said suture and said anchor, said suture having first and second legs which are interconnected by a portion of said suture which engages said anchor, said first and second legs of said suture being effective to transmit force between said anchor and second body tissue.

21. An apparatus as set forth in claim 20 wherein said anchor has a leading end portion with surface means for forming an opening in an imperforate surface of the first body tissue during insertion of said anchor into the first body tissue.