Suture buttress

• US 6,814,741 B2
• Filed: 12/21/2000
• Issued: 11/09/2004
• Est. Priority Date: 01/09/1998
• Status: Expired due to Term

• Current Assignee: Depuy Mitek LLC (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Bowman, Steven M., Steckel, Mark, Craig, Edward V., Wenstrom, Richard F. Jr.
• Primary Examiner(s): Brown, Michael A.
• Application Number:
  US09/745,654
• Publication Number:
  US 20010002436A1
• Time in Patent Office: 1,419 Days
• Field of Search: 606/148, 606/149, 606/231, 606/232, 606/233, 606/228, 606/229, 604/365, 604/358, 604/362, 604/372
• US Class Current: 606/148
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0485 Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
• CPC Class Codes: A61B 17/1796 for holes for sutures or flexible wires
• CPC Class Codes: A61B 17/82 for bone cerclage apparatus for manipulating wires or straps A61B17/8861; wires, bands or straps other than cerclage A61B17/842
• CPC Class Codes: A61B 2017/0403 Dowels other bone dowels A61B17/68; dowels for connecting prosthetic parts A61F2002/30433
• CPC Class Codes: A61B 2017/0406 Pledgets
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments

Abstract

A suture buttress comprises a hollow tube having an outer surface and opposed ends. The suture buttress may further include an external securing element, such as a securing tab suitable to retain the suture buttress within a bone tunnel. The suture buttress may also include a resilient flange disposed on one end of the suture buttress.

Claims

1. A suture buttress, comprising:

a hollow tube having an outer surface and opposed ends, and an external securing element extending from the outer surface of the tube, the external securing element including at least one bone engaging tab disposed at an angle to a longitudinal axis of the tube and wherein the at least one tab is resiliently deformable in a direction toward the outer surface of the tube to allow the suture buttress to slide into a bone tunnel in a first direction when inserted into the bone tunnel, while engaging the bone tunnel to secure the suture buttress within the tunnel after insertion.

2. The suture buttress of claim 1, further comprising at least one cut-out portion formed on the outer surface of the tube, the cut-out portion positioned to receive the at least one tab when the suture buttress is inserted into the tunnel in a first direction.

3. The suture buttress of claim 2, further comprising at least one slit formed in the outer surface of the tube proximate the at least one tab, the at least one slit allowing the tab to flex relative to the longitudinal axis of the tube.

4. The suture buttress of claim 1, further comprising at least one resilient flange located on the outer surface of the suture buttress wherein the flange is positioned on the opposed end proximate the at least one tab.

5. The suture buttress of claim 1, wherein the tube is constructed from an absorbable material.

6. The suture buttress of claim 1, wherein the tube includes a tapered inner lumen extending from a proximal to a distal end of the tube.

7. The suture buttress of claim 6, wherein the tube has a first inner diameter at the distal end of about 0.070 to 0.100 inch and a second inner diameter at the proximal end of about 0.060 to 0.085 inch.

8. The suture buttress of claim 1, wherein a plurality of pores are formed in the outer surface of the tube to promote bone ingrowth from the bone tunnel into the pores to further secure the suture buttress within the bone tunnel.

9. The suture buttress of claim 8, wherein the pores have a diameter of about 100 to 500 microns.

10. The suture buttress of claim 1, wherein the suture buttress is adapted to be removably and replaceably disposed on a suture retriever.

11. The suture buttress of claim 1, wherein the tube is dimensioned to extend substantially through the bone tunnel.

12. The suture buttress of claim 11, wherein the tube has a length of about 0.75 to 1.50 inches.

13. The suture buttress of claim 1, wherein the tube is preformed in a curved shape.

14. A bone tunnel buttress system, comprising:

a bioimplantable elongate hollow tube having an outer surface and opposed proximal and distal ends, the hollow tube having bone ingrowth pores formed on the outer surface thereof; and

at least one external securing member formed on the outer surface of the tube, the bone tunnel buttress being effective for deployment within a bone tunnel such that the external securing member in cooperation with the outer surface pores, secures the buttress against removal from the bone tunnel.

15. The system of claim 14, wherein the external securing member comprises at least one resiliently deformable tab disposed on the outer surface of the tube, the at least one tab being formed at an angle to a longitudinal axis of the tube and extending outward from the outer surface of the bone tunnel buttress.

16. The system of claim 15, further comprising at least one cut-out portion formed on the outer surface of the tube, the cut-out portion positioned to receive the at least one tab upon deformation thereof.

17. The system of claim 16, further comprising at least one slit formed in the outer surface of the tube proximate the at least one tab, the at least one slit allowing the at least one tab to deform in a longitudinal direction.

18. The system of claim 14, wherein the bone tunnel buttress is constructed from an absorbable material.

19. The system of claim 18, wherein the absorbable material is polydioxanone.

20. The system of claim 14, wherein the tube includes a tapered inner lumen extending from a proximal to a distal end of the tube.

21. The system of claim 14, further comprising at least one resilient flange located on the outer surface of the bone tunnel buttress, the flange positioned on the proximal end proximate the at least one external securing member.

22. The system of claim 14, further comprising a suture retriever, wherein the bone tunnel buttress is adapted to be removably and replaceably disposed on the suture retriever, the external securing member of the bone tunnel buttress being effective to allow the bone tunnel buttress to slide into a bone tunnel in a first direction when urged into the bone tunnel by the suture retriever while preventing the bone tunnel buttress from sliding out of the bone tunnel in a second direction that is substantially opposed to the first direction upon removal of the suture retriever from the bone tunnel.

23. The system of claim 22, wherein the tube is dimensioned to extend substantially through the bone tunnel.

24. The system of claim 22, further comprising a circular bone rasp.

25. The system of claim 24, wherein the bone rasp has a cross section similar in shape to a cross section of the bioimplantable elongate hollow tube.

26. The suture buttress of claim 14, wherein the external securing member is deformable toward the outer surface of the tube.