Sliding and locking surgical knot

• US 6,767,037 B2
• Filed: 09/27/2001
• Issued: 07/27/2004
• Est. Priority Date: 09/27/2001
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: DePuy Mitek Incorporated (Johnson & Johnson)
• Inventors: Wenstrom, Richard F. Jr.
• Primary Examiner(s): Woo, Julian W.
• Assistant Examiner(s): Roberts, Paul A
• Application Number:
  US09/966,565
• Publication Number:
  US 20030060835A1
• Time in Patent Office: 1,034 Days
• Field of Search: 606/72, 606/222, 606/224, 606/232, 606/148, 606/139, 606/144, 112/156, 112/416, 112/22, 289/1.2, 289/1.5, 289/3, 289/4
• US Class Current: 289/1.2
• 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 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• 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 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0474 Knot pushers
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: D04G 5/00 Knotting not otherwise provided for

Abstract

The present invention provides a sliding and locking knot that does not require an additional half hitch to lock and suture retaining structures having such a knot. The sliding and locking knot has a low knot profile suitable for use in surgical areas with low clearance and to avoid interference with surrounding tissue. Additionally, the sliding and locking knot maintains suture strength and is easy to form. Also provided are methods for anchoring tissue to a bony structure using the bone anchor and sliding and locking knot of the present invention.

Claims

1. A method for forming a sliding and locking surgical knot, comprising:

forming a post at a proximal-most end of a filament and a major loop on the post;

threading a distal-most free end of the filament through the major loop to form a minor loop;

coiling the free end of the filament around the major loop after the minor loop has been formed to form at least one coil bisecting the major loop; and

threading the free end of the filament through the minor loop.

2. The method of claim 1, wherein the step of coiling the free end of the filament is repeated to form a plurality of coils bisecting the major loop.

3. The method of claim 1, further comprising the step of pulling the post to slide the knot toward the free end.

4. The method of claim 1, further comprising the step of pulling the free end to lock the knot.

5. The method of claim 1, further comprising the step of threading the filament through a suture anchor device prior to forming the major loop.

6. The method of claim 1, further comprising the step of threading the filament through tissue prior to forming the major loop.

7. A sliding and locking surgical knot, comprising:

a filament having at a proximal-most end a post including thereon a major loop, minor loop, and at least one coil encircling and bisecting the major loop; and

a distal-most free end of the filament extending from the minor loop;

wherein pulling the free end effects tightening of the at least one coil about the major loop, minor loop, and post to create a knot which can be locked without the necessity for a half hitch.

8. The sliding and locking surgical knot of claim 7, wherein there are a plurality of coils encircling the major loop.

9. The sliding and locking surgical knot of claim 7, further including a suture anchor device.

10. The sliding and locking surgical knot of claim 7, wherein the filament is a surgical grade suture material.

11. A suture retaining structure, comprising:

a body extending between a first leading end and a second trailing end, the body having thereon at least one bone engaging element;

a suture receiving aperture within the body; and

a sliding and locking surgical knot extending from the suture receiving aperture, the sliding and locking knot comprising;

a filament having at a proximal-most end a post including thereon a major loop, minor loop, and at least one coil encircling and bisecting the major loop; and

a distal-most free end of the filament extending from the minor loop;

wherein pulling the free end effects tightening of the at least one coil about the major loop, minor loop, and post to create a knot which can be locked without the necessity for a half hitch.

12. A method for anchoring tissue to a bony structure, comprising:

providing a suture retaining structure, comprising a body extending between a first leading end and second trailing end, the body having thereon at least one bone engaging element, a suture receiving aperture within the elongate body, and a sliding and locking surgical knot extending from the suture receiving aperture, the sliding and locking knot comprising a filament having at a proximal-most end a post including thereon a major loop, minor loop, and at least one coil encircling and bisecting the major loop, and a distal-most free end of the filament extending from the minor loop, wherein pulling the free end effects tightening of the at least one coil about the major loop, minor loop, and post to create a knot which can be locked without the necessity for a half hitch;

placing a free end of the tissue through the major loop of the sliding and locking knot;

inserting the suture retaining structure into a bone cavity within the bony structure;

sliding the knot down the post to bring the tissue proximate to the bony structure; and

locking the knot in place.

13. The method of claim 12, wherein the step of sliding the knot comprises pulling on the post.

14. The method of claim 12, wherein the step of locking the knot comprises pulling the free end of the filament.

15. A method for anchoring tissue to a bony structure, comprising:

providing a suture retaining structure, comprising a body extending between a first leading end and second trailing end, the body having thereon at least one bone engaging element, and a suture receiving aperture within the elongate body;

threading a suture filament through the suture receiving aperture;

Inserting the suture retaining structure into a bone cavity within the bony structure;

creating a sliding and locking knot by forming a post at a proximal-most end of the filament and a major loop on the post, threading a distal-most free end of the filament through the major loop to form a minor loop, coiling the free end of the filament around the major loop after the minor loop has been formed to form at least one coil bisecting the major loop, and threading the free end of the filament through the minor loop;

placing a free end of a soft tissue through the major loop of the sliding and locking knot;

sliding the knot down the post to bring the tissue proximate to the bony structure; and

locking the knot in place.

16. The method of claim 15, wherein the step of sliding the knot comprises pulling on the post.

17. The method of claim 15, wherein the step of locking the knot comprises pulling the free end of the filament.