Suture anchor

• US 6,645,227 B2
• Filed: 11/21/2001
• Issued: 11/11/2003
• Est. Priority Date: 11/21/2001
• Status: Expired due to Term

• Current Assignee: Stryker Corporation
• Original Assignee: Stryker Endoscopy (Stryker Corporation)
• Inventors: Baker, Gordon, Fallin, T. Wade, Gerbec, Daniel E.
• Primary Examiner(s): Woo, Julian W.
• Application Number:
  US09/990,033
• Publication Number:
  US 20030097150A1
• Time in Patent Office: 720 Days
• Field of Search: 604/177, 604/192, 606/72, 606/74, 606/232, 606/104, 606/73, 411/2-4, 411/340
• 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 2017/0409 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 2017/042 plastically deformed during insertion
• 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: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: Y10S 606/908 Bioabsorbable material
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A suture anchor includes a placement portion frangably connected to an attachment portion. The attachment portion includes an outwardly projecting barb. During insertion of the suture anchor within a bore hole formed on a bone, the barb scores at least a portion of the bone bounding the bore hole. Once the suture anchor is disposed within the bore hole, a withdrawal force is applied to the suture anchor such that the attachment portion thereof rotates within the bore hole and disconnects from the placement portion. In an alternative embodiment, the suture anchor can be formed without the outwardly projecting barb.

Claims

1. A method for securing a suture anchor, the method comprising:

inserting an attachment portion of a suture anchor within a bore hole formed in a bone, the suture anchor further comprising a placement portion frangably connected to the attachment portion, the attachment portion of the suture anchor having an outwardly projecting barb that scores at least a portion of the bone bounding the bore hole as the attachment portion is inserted into the bore hole;

applying a withdrawal force to the suture anchor such that the attachment portion of the suture anchor rotates within the bore hole and disconnects from the placement portion of the suture anchor; and

removing the placement portion from the bone such that the attachment portion remains within the bone.

2. A method as recited in claim 1, wherein outwardly projecting barb scores the bone by a depth of at least 0.5 mm.

3. A method as recited in claim 1, wherein the bore hole comprises a first hole having a maximum first diameter and a concentrically disposed second hole having a maximum second diameter, the first hole being formed on a top surface of the bone while the second hole is formed below the top surface of the bone, the maximum second diameter being smaller than the maximum first diameter, the act of inserting comprising the attachment portion being inserted within the second hole.

4. A method as recited in claim 1, wherein the placement portion has a distal end face and the attachment portion has a proximal end face, the distal end face facing the proximal end face and being spaced apart therefrom, the act of inserting comprising inserting the attachment portion within the bore hole such that the attachment portion or the placement portion moves so that at least a portion of the proximal end face biases against at least a portion of the distal end face.

5. A method as recited in claim 1, wherein the attachment portion and the placement portion comprise an integral element comprised of a first material, an elongated inserter comprised of a second material different than the first material being attached to the placement portion, the act of inserting comprising applying a force to the inserter so as to insert the attachment portion into the bore hole, the act of removing the placement portion comprising applying a further withdrawal force to the inserter such that the placement portion is withdrawn from the bone while remaining attached to the inserter.

6. A method as recited in claim 1, wherein the act of applying a withdrawal force comprises applying a withdrawal force to the placement portion of the suture anchor such that the placement portion causes the attachment portion of the suture anchor to rotate within the bore hole and disconnect from the placement portion of the suture anchor.

7. A method as recited in claim 1, wherein the bore hole has a transverse cross sectional area with a first diameter and the suture anchor has a transverse cross sectional area at the barb with a maximum second diameter, the act of inserting the attachment portion of the suture anchor within the bore hole comprising the second diameter being larger than the first diameter such that the barb scores the portion of the bone bounding the bore hole as the attachment portion is inserted into the bore hole.

8. A method for securing a suture anchor, the method comprising:

forming a bore hole within a bone, the bore hole comprising a first hole having a maximum first diameter and a concentrically disposed second hole having a maximum second diameter, the first hole being formed on a top surface of the bone while the second hole is formed below the top surface of the bone, the maximum second diameter being smaller than the maximum first diameter;

inserting an attachment portion of a suture anchor within the second hole of the bore hole such that at least a portion of the attachment portion of the suture anchor biases in frictional engagement against at least a portion of the bone bounding the second hole, the suture anchor further comprising a placement portion frangably connected to the attachment portion; and

applying a withdrawal force to the suture anchor such that the attachment portion of the suture anchor rotates within the bore hole and disconnects from the placement portion of the suture anchor.

9. A method as recited in claim 8, wherein the attachment portion of the suture anchor has an outwardly projecting barb that scores at least a portion of the bone bounding the second hole of the bore hole as the attachment portion is inserted into the bore hole.

10. A method as recited in claim 8, wherein the bore hole is formed by a drill bit.

11. A method as recited in claim 8, wherein the bore hole is formed by a punch.

12. A method as recited in claim 8, wherein the placement portion has a distal end face and the attachment portion has a proximal end face, the distal end face facing the proximal end face and being spaced apart therefrom, the act of inserting comprising inserting the attachment portion within the bore hole such that the attachment portion or the placement portion moves so that at least a portion of the proximal end face biases against at least a portion of the distal end face.

13. A method as recited in claim 8, wherein the attachment portion and the placement portion comprise an integral element comprised of a first material, an elongated inserter comprised of a second material different than the first material being attached to the placement portion, the act of inserting comprising applying a force to the inserter so as to insert the attachment portion into the bore hole.

14. A method for securing a suture anchor, the method comprising:

inserting at least a portion of a suture anchor within a bore hole formed on a bone, the suture anchor comprising a placement portion terminating at a distal end face and an attachment portion having a proximal end face, the placement portion being frangibly connected to the attachment portion such that at least a portion of the distal end face of the placement portion is spaced apart from the proximal end face of the attachment portion, the attachment portion biasing in frictional engagement against at least a portion of the bone bounding the bore hole as the suture anchor is inserted into the bore hole such that at least the proximal end face of the attachment portion or the distal end face of the placement portion moves so that at least a portion of the distal end face and the proximal end face bias together during the act of inserting; and

applying a withdrawal force to the suture anchor such that the attachment portion of the suture anchor rotates within the bore hole causing the placement portion to disconnect from the attachment portion; and

removing the placement portion from the bone such that the attachment portion remains within the bone.

15. A method as recited in claim 14, wherein the attachment portion of the suture anchor has an outwardly projecting barb, the barb scoring at least a portion of the bone bounding the bore hole as the attachment portion is inserted into the bore hole.

16. A method as recited in claim 14, wherein the attachment portion and the placement portion comprise an integral element comprised of a first material, an elongated inserter comprised of a second material different than the first material being attached to the placement portion, the act of inserting comprising applying a force to the inserter so as to insert the attachment portion into the bore hole.

17. A method as recited in claim 14, wherein the bore hole comprises a first hole having a maximum first diameter and a concentrically disposed second hole having a maximum second diameter, the maximum second diameter being smaller than the maximum first diameter, the act of inserting comprising the attachment portion being inserted within the second hole.

18. A method as recited in claim 14, wherein a frangible strut extends between the placement portion and the attachment portion.

19. A suture anchor for use within a bore hole formed in a bone, the suture anchor comprising:

a placement portion;

an attachment portion comprising a body that terminates at a distal terminus, the body having a barb outwardly projecting therefrom at a distance proximal of the distal terminus, the barb being adapted to score at least a portion of the bone bounding the bore hole as the attachment portion is being inserted within the bore hole; and

means for connecting the placement portion to the attachment portion such that when an insertion force is applied to the placement portion and the attachment portion as they are being directed into the bore hole, the barb scores at least a portion of the bone bounding the bore hole while maintaining connection between the placement portion and the attachment portion and when a withdrawal force, substantially opposite of the insertion force, is applied to the placement portion and the attachment portion, the attachment portion rotates within the bore hole causing the placement portion and the attachment portion to disconnect.

20. A suture anchor as recited in claim 19, wherein the means for connecting comprises a frangible strut extending between the placement portion and the attachment portion.

21. A suture anchor as recited in claim 20, wherein the attachment portion, placement portion, and frangible strut are each comprised of a bioabsorbable material.

22. A suture anchor as recited in claim 20, wherein the frangible strut projects from one of the placement portion or the attachment portion and connects with the other thereof.

23. A suture anchor as recited in claim 20, wherein a slot bounded between attachment portion and the placement portion is formed adjacent to the frangible strut.

24. A suture anchor as recited in claim 20, wherein the attachment portion, placement portion, and frangible strut comprise a unitary integral member.

25. A suture anchor as recited in claim 19, wherein the body of the attachment portion has a front face and an opposing back face each extending between a proximal end and an opposing distal end, the barb outwardly projecting from the font face of the body away from the back face.

26. A suture anchor as recited in claim 25, further comprising a tapered plow formed on the back face of the attachment portion.

27. A suture anchor as recited in claim 19, further comprising a suture port extending through the attachment portion.

28. A suture anchor as recited in claim 19, further comprising means for coupling a suture line to the attachment portion.

29. A suture anchor as recited in claim 19, further comprising an elongated inserter attached to the placement portion.

30. A suture anchor as recited in claim 29, wherein the inserter is comprised of a material different than that of the placement portion.

31. A suture anchor as recited in claim 19, wherein the body of the attachment portion has a proximal end attached to the placement portion and an opposing free distal end, the barb projecting from the proximal end of the body.

32. A suture anchor for attachment to a bone, the suture anchor comprising:

an elongated body having a first face and an opposing second face each longitudinally extending between a proximal end and an opposing distal end, the body having a central longitudinal axis extending between the proximal end and the opposing distal end;

a slot starting at the first face and extending towards the second face so as to partially bisect the elongated body, the slot being bounded by an upper side wall and a lower side wall;

a frangible strut extending between the slot and the second face of the body, the frangible strut forming a portion of the body; and

a barb outwardly projecting from the first face or the second face of the body at a location distal of at least a portion of the slot, the body having a transverse cross section substantially normal to the longitudinal axis at the location of the barb with a maximum first diameter and a transverse cross section substantially normal to the longitudinal axis at a location distal of the barb with a maximum second diameter, the first diameter being greater than the second diameter.

33. A suture anchor as recited in claim 32, further comprising means for coupling a suture line to the body at a location distal of the slot.

34. A suture anchor as recited in claim 33, wherein the means for securing the suture line comprises a suture port transversely extending through the body at the location distal of the slot so that the suture port is at least substantially normal to the longitudinal axis.

35. A suture anchor as recited in claim 32, wherein the slot bounds at least a portion of a surface of the barb.

36. A suture anchor as recited in claim 32, further comprising a tapered plow formed on the second face of the body.

37. A suture anchor as recited in claim 32, further comprising an inserter securely coupled with the body, the inserter being comprised of a material different than the body.

38. A suture anchor as recited in claim 32, wherein the slot terminates at a rounded end face that at least partially bounds the frangible strut.

39. A suture anchor as recited in claim 32, wherein the body comprises a first side face at least substantially disposed in a first plane and a second side face at least substantially disposed in a second plane, the first plane and the second plane being disposed in parallel alignment.

40. A suture anchor as recited in claim 32, wherein the body has a longitudinal section having a transverse cross section normal to the longitudinal axis, the transverse cross section being substantially round with opposing side faces, the side faces being at least substantially straight or concaved.

41. A suture anchor assembly comprising:

a suture anchor comprising;

an elongated placement portion having a proximal end and an opposing distal end; and

an elongated attachment portion having a proximal end, an opposing distal end and an outwardly projecting barb, the distal end of the placement portion being frangibly connected to the proximal end of the attachment portion, the placement portion and the attachment portion being integrally formed together as a single member which is comprised of a first material; and

an elongated inserter coupled to the proximal end of the placement portion, the inserter being comprised of a second material, the second material being different from the first material.

42. A suture anchor assembly as recited in claim 41, further comprising a frangible strut extending between the attachment portion and the placement portion, the strut being integrally formed with the attachment portion and the placement portion.

43. A suture anchor assembly as recited in claim 41, further comprising means for coupling a suture line to the attachment portion.

44. A suture anchor assembly as recited in claim 41, wherein the inserter is coupled in a fixed engagement with the placement portion.

45. A suture anchor assembly comprising:

an elongated inserter having a post outwardly projecting from an end thereof; and

a suture anchor comprising a body having a barb outwardly projecting therefrom, the body comprising a first side and an opposing second side each extending between a proximal end and an opposing distal end, the body bounding a mounting port extending from the first side to or toward the second side, the post of the inserter being rotatably disposed within the mounting port, at least a portion of the body bounding the mounting port being selectively frangible to enable separation of the inserter and the suture anchor.

46. A suture anchor assembly as recited in claim 45, further comprising means for coupling a suture line to the suture anchor.

47. A suture anchor assembly as recited in claim 45, wherein the barb is adapted to score bone upon insertion of the suture anchor within a bore hole formed in the bone.

48. A suture anchor assembly as recited in claim 45, wherein the means for coupling a suture line to the suture anchor comprises a suture port extending from the first side of the body to the opposing second side.

49. A suture anchor assembly as recited in claim 45, wherein the inserter comprises an elongated shaft having the post projecting substantially orthogonally from an end thereof.