Devices and methods for repairing soft tissue

• US 7,090,690 B2
• Filed: 11/19/2002
• Issued: 08/15/2006
• Est. Priority Date: 11/19/2002
• Status: Expired due to Term

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: White, George, Gordon, Norman S., Bain, Gregory H., Ritchart, Mark A., Foerster, Seth A.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US10/299,171
• Publication Number:
  US 20040098050A1
• Time in Patent Office: 1,365 Days
• Field of Search: 606/232
• 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 2017/0424 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0435 the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61B 2017/045 snug fit within the anchor
• CPC Class Codes: A61B 2017/0451 Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2017/0453 threaded elements, e.g. set screws
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture

Abstract

Devices and methods are disclosed for securing soft tissue to bone, and particularly for axially anchoring suture which attaches the soft tissue to adjacent bone structure.

Claims

1. A suture anchoring device, comprising:

an anchor body having an outer wall;

a suture return member disposed at a distal end of said anchor body, for receiving a length of suture extending distally through said body, and returning a portion of said suture length in a proximal direction; and

a passage extending along an interior surface of said wall for accommodating said length of suture, said passage tapering in width in a proximal to distal direction.

2. The suture anchoring device as recited in claim 1, and further comprising a plurality of internal threads disposed along said interior surface of said anchor body wall for forming said passage.

3. The suture anchoring device as recited in claim 2, and further comprising a plug having external threads which complement said internal threads, said plug being adapted for insertion into said anchor body so that said external threads and said internal threads are engaged.

4. The suture anchoring device as recited in claim 3, wherein said plug is tapered in a proximal to distal direction.

5. The suture anchoring device as recited in claim 3, wherein the threaded engagement creates a zig-zag shaped binding lock on the suture length received in said anchor body.

6. The suture anchoring device as recited in claim 1, and further comprising a member radially extending from said body for anchoring said device in adjacent bone.

7. A suture anchoring device, comprising:

an anchor body having an outer wall;

a lumen for accommodating a length of suture within said outer wall;

wherein an inner surface of said outer wall comprises threads; and

a tapered threaded plug adapted for insertion into said body, wherein said threads on said inner surface of said outer wall and threads on said tapered threaded plug engage to create a tortuous path for said length of suture in order to anchor said length of suture in place.

8. The suture anchoring device as recited in claim 7, and further comprising a member radially extending from said body for anchoring said device in adjacent bone.

9. A suture anchoring device, comprising:

an anchor body having a passage disposed therethrough, said anchor body having a proximal end and a distal end and said passage being defined by an interior wall of said anchor body, wherein the interior wall of the anchor body is tapered such that an interior diameter of the anchor body decreases in a distal direction; and

a plug adapted for insertion into said passage, said plug having an outer wall;

wherein said plug outer wall and said anchor body interior wall together define a path for receiving a length of suture therethrough.

10. The suture anchoring device as recited in claim 9, wherein said plug is tapered such that an external diameter of the plug decreases in a distal direction.

11. The suture anchoring device as recited in claim 9, wherein said anchor body interior wall includes internal threads.

12. The suture anchoring device as recited in claim 11, wherein said plug includes external threads thereon.

13. The suture anchoring device as recited in claim 12, wherein said internal and external threads are complementary, such that they engage one another when said plug is inserted into said anchor body, the engaged threads defining said path for receiving said length of suture therethrough, said path comprising a tortuous path for axially locking said length of suture in place.

14. The suture anchoring device as recited in claim 9, and further comprising a member radially extending from said body for anchoring said device in adjacent bone.

15. The suture anchoring device as recited in claim 9, and further comprising a suture return member disposed in proximity to the distal end of the anchor body, for receiving a length of suture extending distally through said body, and returning a portion of said suture length in a proximal direction.

16. A method for anchoring suture during a surgical repair procedure, comprising:

disposing a length of suture, which has been attached to a piece of soft tissue to be anchored to adjacent bone, through an anchor body having a passage extending therethrough in a distal direction;

disposing said length of suture about a suture return member located near a distal end of said anchor body, so that a portion of said length of suture extends back through said anchor body passage in a proximal direction; and

inserting a plug into said passage to lock said length of suture in place axially, wherein an interface between an external surface of said plug and an internal surface of said body, forming said passage, creates a tortuous path for said length of suture.

17. The method as recited in claim 16, wherein said external plug surface and said internal body surface both comprise threads, said interface comprising an engagement of said plug and body threads.

18. The method as recited in claim 16, wherein said interior body surface is tapered such that an interior diameter of the anchor body decreases in a distal direction and said plug is tapered such that an external diameter of the plug decreases in a distal direction.

19. A suture anchoring device, comprising:

an anchor body having a passage disposed therethrough, said anchor body having a proximal end and a distal end and said passage being defined by an interior wall of said anchor body;

a plug adapted for insertion into said passage, said plug having an outer wall;

wherein said plug outer wall and said anchor body interior wall together define a path for receiving a length of suture therethrough; and

a suture return member disposed in proximity to the distal end of the anchor body, for receiving a length of suture extending distally through said body, and returning a portion of said suture length in a proximal direction.

20. A method for anchoring suture during a surgical repair procedure, comprising:

disposing a length of suture, which has been attached to a piece of soft tissue to be anchored to adjacent bone, through an anchor body having a passage extending therethrough; and

inserting a plug into said passage to lock said length of suture in place axially, wherein an interface between an external surface of said plug and an internal surface of said body, forming said passage, creates a tortuous path for said length of suture;

wherein said interior body surface is tapered such that an interior diameter of the anchor body decreases in a distal direction and said plug is tapered such that an external diameter of the plug decreases in a distal direction.