Method and apparatus for attaching connective tissues to bone using a suture anchoring device

• US 6,660,008 B1
• Filed: 06/07/2001
• Issued: 12/09/2003
• Est. Priority Date: 06/07/2001
• Status: Expired due to Term

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: Opus Medical, Inc. (Smith & Nephew PLC)
• Inventors: Gordon, Norman S., Tran, Minh, Foerster, Seth A.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): NGUYEN, VI X
• Application Number:
  US09/876,341
• Time in Patent Office: 915 Days
• Field of Search: 606/72-74, 606/133-233, 411/34, 411/38, 411/43, 411/59
• US Class Current: 606/327
• 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 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• 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 2017/0438 slotted, i.e. having a longitudinal slot for enhancing their elasticity
• 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: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

A bone anchor and methods for using same to secure connective tissue, such as tendons, to bone are disclosed which permit a suture attachment that lies entirely beneath the cortical bone surface. The bone anchor of the invention incorporates a deformable body that creates an increased anchor body diameter after it is inserted into the cancellous bone and deployed beneath the cortical surface of the bone. The increased body diameter, by virtue of its intrinsic geometry, creates both axial and rotational fixation of the bone anchor or suture fixation point.

Claims

1. Apparatus for attaching connective tissue to bone, comprising a body having a longitudinal axis, a proximal end, and a distal end, which is adapted to be inserted into a bone, said body having an outer peripheral wall extending substantially completely about said longitudinal axis and defining an inner lumen, said body including a plurality of spaced slits disposed about said outer peripheral wall, each of said slits having a length and lying at an acute angle relative to said longitudinal axis, wherein a distance x between two adjacent slits at a first location along the length of each of the slits is smaller than a distance y between said two adjacent slits at a second location along the length of each of the slits, and further wherein said plurality of spaced slits is sufficient in number such that when an axial length of said body is shortened, thereby causing a plurality of ribs which are disposed between each of said plurality of slits to each expand radially to form respective petals, each of said petals overlap adjacent ones thereof.

2. The apparatus as recited in claim 1, wherein said acute angle is between 0 and 45 degrees.

3. Apparatus for attaching connective tissue to bone, comprising a body having a longitudinal axis, a proximal end, and a distal end, which is adapted to be inserted into a bone, said body having an outer peripheral wall extending substantially completely about said longitudinal axis and defining an inner lumen, said body including a plurality of spaced slits disposed about said outer peripheral wall, each of said slits having a length and an angled surface at an end thereof, extending depthwise into a wall forming said body, wherein a distance x between two adjacent slits at a first location along the length of each one of the adjacent slits is smaller than a distance y between said two adjacent slits at a second location along the length of each one of said adjacent slits.

4. The apparatus as recited in claim 3, wherein each of said slits has an angled surface at each end thereof, extending depthwise into said wall.

5. The apparatus as recited in claim 3, wherein said first location is proximate to an end of each of the slits and the second location is in a middle region of each of said adjacent slits.

6. A method of fabricating an apparatus for attaching connective tissue to bone, comprising:

making a pattern of a bone anchor using a bio-compatible material;

disposing a plurality of spaced slits across a width of said pattern, adjacent ones of said slits being closer together at first and third location along a length thereof and being father apart at a second location along said length, wherein said location is near a first end and said third location is near a second opposing end of each of said respective adjacent slits, and further wherein said second location is in a middle region of each of said respective adjacent slits; and

reforming said pattern into an anchor body.

7. The method as recited in claim 6, wherein said anchor body is a generally cylindrical body.

8. The method as recited in claim 6, and further comprising a step of forming an angled surface extending depthwise into said pattern at an end of each of said spaced slits.

9. The method as recited in claim 8, wherein an angled surface is formed at each end of each of said spaced slits.

10. The method as recited in claim 6, wherein a cutting wheel is used to form said spaced slits.

11. Apparatus for attaching connective tissue to bone, comprising a body having a longitudinal axis, a proximal end, and a distal end, which is adapted to be inserted into a bone, said body including a plurality of spaced slits disposed about said periphery, each of said slits having a length and lying at an acute angle relative to said longitudinal axis, wherein a distance x between two adjacent slits at a first location along the length of each of the slits is smaller than a distance y between said two adjacent slits at a second location along the length of each of the slits, and further wherein said plurality of spaced slits is sufficient in number such that when an axial length of said body is shortened, thereby causing a plurality of ribs which are disposed between each of said plurality of slits to each expand radially to form respective petals, each of said petals overlap adjacent ones thereof.

12. The apparatus as recited in claim 11, wherein said slits each comprise an end, said first location being proximate to an end of each of the adjacent slits and the second location being in a middle region of each of the adjacent slits.

13. The apparatus as recited in claim 11, wherein each of said slits further comprises an angled surface at an end thereof.

14. The apparatus as recited in claim 11, wherein each of said slits further comprises an angled surface at each end thereof, each of said angled surfaces extending depthwise into a wall forming said body.

15. The apparatus as recited in claim 11, wherein said body comprises a cylindrical body, and said peripheral wall comprises an outer circumferential wall.

16. The apparatus as recited in claim 11, wherein said plurality of spaced slits comprises at least six slits.

17. The apparatus as recited in claim 11, wherein when said body is placed in compression, regions of said outer wall between adjacent ones of said spaced slits expand radially to extend into adjacent bone.