Apparatus and method for attaching soft tissue to bone

• US 6,733,506 B1
• Filed: 11/16/2000
• Issued: 05/11/2004
• Est. Priority Date: 11/16/2000
• Status: Expired due to Term

• Current Assignee: DePuy Mitek Holding Corporation, Depuy Synthes Products Incorporated (Johnson & Johnson), DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Borg, Thomas E., Novak, Vince, Munroe, Geary H., McDevitt, Dennis
• Primary Examiner(s): Wilson, John J.
• Assistant Examiner(s): Priddy, Michael B.
• Application Number:
  US09/714,549
• Time in Patent Office: 1,272 Days
• Field of Search: 606/72-75, 606/104, 606/139, 606/144, 606/232, 411/15, 411/32, 411/44, 411/57.1, 411/60.1, 411/80.1, 411/80.2, 411/80.5, 411/80.6, 411/493, 411/29, 411/30, 411/41
• US Class Current: 606/104
• 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 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/686 Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
• 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 2017/0424 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0425 the anchor or the separate member comprising threads, e.g. a set screw in the anchor
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0459 Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/0648 threaded, e.g. tacks with a screw thread
• 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 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

An apparatus for attaching soft tissue to bone.

Claims

1. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft, said tissue attachment means having at least one laterally-extending projection for tacking tissue, and at least one distally-projecting longitudinal projection extending from said at least one laterally-extending projection;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus.

2. Apparatus according to claim 1 wherein said expander pin includes a fastener stabilization apparatus for stabilizing said expander pin relative to said expandable body.

3. Apparatus according to claim 2 wherein said fastener stabilization apparatus comprises threads.

4. Apparatus according to claim 2 wherein said fastener stabilization apparatus comprises ribs.

5. Apparatus according to claim 1 wherein said at least one laterally-extending projection has a substantially linear outer edge.

6. Apparatus according to claim 1 wherein said at least one laterally-extending projection has a substantially arc-like outer edge.

7. Apparatus according to claim 1 wherein said tissue attachment means comprises a bore formed in said expander pin and a suture extending through said expander pin bore.

8. Apparatus according to claim 7 wherein said tissue attachment means is configured so that said suture is slidable relative to said expander pin when said expander pin is received in said expandable body.

9. Apparatus according to claim 7 wherein said tissue attachment means further comprises a second bore formed in said expander pin and a second suture extending through said second expander pin bore.

10. Apparatus according to claim 1 wherein said expander pin has indicia for indicating depth.

11. Apparatus according to claim 1 wherein said expandable body is provided with a tapered distal end.

12. Apparatus according to claim 1 wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member.

13. Apparatus according to claim 12 wherein said distal tip member and said proximal main member are threadedly interengageable with one another.

14. Apparatus according to claim 12 wherein said distal tip member and said proximal main member are frictionally interengageable with one another.

15. Apparatus according to claim 12 wherein said expandable body distal tip member is tapered.

16. Apparatus according to claim 1 wherein said expandable body comprises a distal tip member constructed from a first material and a proximal main member constructed from a second material, and wherein said first material is harder than said second material.

17. Apparatus according to claim 1 wherein said expandable body includes bone securement apparatus for securing said expandable body relative to bone.

18. Apparatus according to claim 17 wherein said bone securement apparatus comprises ribs.

19. Apparatus according to claim 17 wherein said bone securement apparatus comprises threads.

20. Apparatus according to claim 1 wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin.

21. Apparatus according to claim 20 wherein said shaft is releasably attachable to said expandable body.

22. Apparatus according to claim 20 wherein said shaft and said expandable body are threadedly interengageable with one another.

23. Apparatus according to claim 20 wherein said shaft is provided with a tapered distal end.

24. Apparatus according to claim 20 wherein said shaft extends distally beyond said expandable body when said shaft is slidingly received in said bore of said expandable body.

25. Apparatus according to claim 20 wherein said apparatus further comprises a pusher member configured to drive said expander pin into said expandable body.

26. Apparatus according to claim 25 wherein said pusher member slides along said shaft when driving said expander pin into said expandable body.

27. Apparatus according to claim 1 wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body.

28. Apparatus according to claim 27 wherein said cannulated driver assembly slides along a shaft connected to said expandable body.

29. Apparatus according to claim 27 wherein said cannulated driver assembly includes a trigger for inducing the driving of said expander pin.

30. Apparatus according to claim 27 wherein said cannulated driver assembly comprises a slap hammer.

31. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member.

32. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member; and

wherein said distal tip member and said proximal main member are threadedly interengageable with one another.

33. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member; and

wherein said distal tip member and said proximal main member are frictionally interengageable with one another.

34. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said expandable body comprises a distal tip member constructed from a first material and a proximal main member constructed from a second material, and wherein said first material is harder than said second material.

35. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said expandable body comprises a distal tip member and a proximal main member, said distal tip member being separable from said proximal main member; and

wherein said expandable body distal tip member is tapered.

36. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin.

37. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said shaft is releasably attachable to said expandable body.

38. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said shaft and said expandable body are threadedly interengageable with one another.

39. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said shaft is provided with a tapered distal end.

40. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said shaft extends distally beyond said expandable body when said shaft is slidingly received in said bore of said expandable body.

41. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said apparatus further comprises a pusher member configured to drive said expander pin into said expandable body.

42. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said apparatus further comprises a pusher member configured to drive said expander pin into said expandable body; and

wherein said pusher member slides along said shaft when driving said expander pin into said expandable body.

43. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to -said apparatus;

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body.

44. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body; and

wherein said cannulated driver assembly slides along a shaft connected to said expandable body.

45. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body; and

wherein said cannulated driver assembly includes a trigger for inducing the driving of said expander pin.

46. Apparatus for attaching tissue to bone comprising:

an expandable body configured to expand into bone, said expandable body defining a bore;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus;

wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and a bore of said expander pin; and

wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body; and

wherein said cannulated driver assembly comprises a slap hammer.

47. Apparatus for attaching tissue to bone comprising:

an installation tool comprising a shaft having a distal end and a proximal end, said distal end of said shaft terminating in a relatively hard distal point;

an expandable body configured to expand into bone, said expandable body comprising a distal tip member and a proximal main member, said distal tip member being of harder material than said proximal main member, said distal tip member having a threaded recess in a proximal surface thereof and said proximal main member having a distally extending threaded projection threadedly interengageable with the threaded recess, and an opening extending from a distal end of said expandable body to a proximal end of said expandable body, said opening being sized to receive said shaft of said installation tool, and connecting apparatus for connecting said expandable body to said shaft of said installation tool when said distal end of said shaft of said installation tool protrudes from said distal end of said expandable body;

an expander pin comprising a shaft sized to be received in said opening in said expandable body and expand said expandable body radially when said expander pin is driven distally into said expandable body, and tissue attachment means associated with said shaft of said expander pin, said expander pin defining a bore sized to receive said shaft of said installation tool; and

tissue attachment means associated with at least one of said expandable body and said expander pin;

whereby when said expander pin is driven into said expandable body, said expandable body will be attached to bone and said tissue attachment means will secure tissue to said apparatus.

48. Apparatus for attaching tissue to bone comprising:

a shaft;

an expandable body configured to expand into bone and comprising a distal tip member and a proximal main member, said distal tip member being of harder material than said proximal main member, said distal tip member having a threaded recess in a proximal surface thereof and said proximal main member having a distally extending threaded projection threadedly interengageable with the threaded recess, and said expandable body defining an opening, and said expandable body comprising connection apparatus for connecting said shaft to said expandable body;

an expander pin comprising a shaft sized to be received in said opening in said expandable body and expand said expandable body radially when said expander pin is driven into said expandable body; and

tissue attachment apparatus associated with at least one of said expandable body and said expander pin;

whereby when said shaft is connected to said expandable body, and said expander pin is driven into said expandable body, said shaft can provide a counterforce to said expandable body so as to counteract the driving force applied to said expander pin.

49. Apparatus for attaching tissue to bone comprising:

an expandable body defining a bore and configured to expand into bone, said expandable body comprising a distal tip member and a proximal main member, said distal tip member being of harder material than said proximal main member, said distal tip member having a threaded recess in a proximal surface thereof and said proximal main member having a distally extending threaded projection threadedly interengageable with the threaded recess;

an expander pin comprising a shaft sized to be received in the bore of said expandable body and expand said expandable body laterally when said expander pin is driven into said expandable body; and

tissue attachment means associated with said shaft;

whereby when said expander pin is driven into said expandable body, said expandable body is attached to the bone and said tissue attachment means secures the tissue to said apparatus.

50. Apparatus according to claim 49 wherein said expander pin includes a fastener stabilization apparatus for stabilizing said expander pin relative to said expandable body.

51. Apparatus according to claim 50 wherein said fastener stabilization apparatus comprises threads.

52. Apparatus according to claim 50 wherein said fastener stabilization apparatus comprises ribs.

53. Apparatus according to claim 49 wherein said tissue attachment means comprises at least one laterally-extending projection for tacking tissue.

54. Apparatus according to claim 53 wherein said at least one laterally-extending projection has a substantially linear outer edge.

55. Apparatus according to claim 53 wherein said at least one laterally-extending projection has a substantially arc-like outer edge.

56. Apparatus according to claim 53 wherein said at least one laterally-extending projection has a substantially convex configuration.

57. Apparatus according to claim 53 wherein said at least one laterally-extending projection has a substantially planar configuration.

58. Apparatus according to claim 53 wherein said at least one laterally-extending projection has a substantially concave configuration.

59. Apparatus according to claim 53 wherein said tissue attachment means further comprises at least one longitudinally-extending projection projecting distally out of said at least one laterally-extending projection.

60. Apparatus according to claim 49 wherein said tissue attachment means comprises a bore formed in said expander pin and a suture extending through said expander pin bore.

61. Apparatus according to claim 60 wherein said tissue attachment means is configured so that said suture may slide relative to said expander pin when said expander pin is received in said expandable body.

62. Apparatus according to claim 60 wherein said tissue attachment means further comprises a second bore formed in said expander pin and a second suture extending through said second expander pin bore.

63. Apparatus according to claim 49 wherein said expander pin has indicia for indicating depth.

64. Apparatus according to claim 49 wherein said expandable body distal tip is tapered.

65. Apparatus according to claim 49 wherein said expandable body includes bone securement apparatus for securing said expandable body relative to bone.

66. Apparatus according to claim 65 wherein said bone securement apparatus comprises ribs.

67. Apparatus according to claim 65 wherein said bone securement apparatus comprises threads.

68. Apparatus according to claim 49 wherein said apparatus further comprises an installation tool, and wherein said installation tool comprises a shaft sized to be slidingly received in said bore of said expandable body and in a bore of said expander pin.

69. Apparatus according to claim 68 wherein said shaft of said installation tool is releasably attachable to said expandable body.

70. Apparatus according to claim 68 wherein said shaft and said expandable body are threadingly interengageable with one another.

71. Apparatus according to claim 68 wherein said shaft has a tapered distal end.

72. Apparatus according to claim 68 wherein said shaft extends distally beyond said expandable body when said shaft is slidingly received in said bore of said expandable body.

73. Apparatus according to claim 68 wherein said apparatus further comprises a pusher member configured to drive said expander pin into said expandable body.

74. Apparatus according to claim 73 wherein said pusher member slides along said shaft of said installation tool when driving said expander pin into said expandable body.

75. Apparatus according to claim 49 wherein said apparatus further comprises a cannulated driver assembly adapted to drive said expander pin into said expandable body.

76. Apparatus according to claim 75, wherein said cannulated driver assembly slides along a shaft connected to said expandable body.

77. Apparatus according to claim 75 wherein said cannulated driver assembly includes a trigger for inducing the driving of said expander pin.

78. Apparatus according to claim 75 wherein said cannulated driver assembly comprises a slap hammer.