Methods and devices for repairing tissue

• US 7,390,332 B2
• Filed: 02/24/2004
• Issued: 06/24/2008
• Est. Priority Date: 02/24/2004
• Status: Active Grant

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: DePuy Mitek Incorporated (Johnson & Johnson)
• Inventors: Selvitelli, David, Mack, Debra, Fromm, Stuart, Battles, Christopher A., May, Thomas C.
• Primary Examiner(s): Dawson; Glenn K
• Application Number:
  US10/708,308
• Publication Number:
  US 20050187577A1
• Time in Patent Office: 1,582 Days
• Field of Search: None
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• 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 2017/0475 using sutures having a slip knot
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/0646 for insertion into cartillege, e.g. meniscus

Abstract

A suture anchor system for repairing torn or damaged tissue is provided and generally includes a first suture anchor having at least one length of suture attached thereto, and a second suture anchor having at least one length of suture attached thereto. Each length of suture is coupled to one another such that a distance between the first and second suture anchors with respect to each other can be selectively adjustable. The suture anchor system also preferably includes at least one slip knot that allows the first and second suture anchors to be maintained in a fixed position with respect to one another. In use, the suture anchors can be deployed through tissue to be repaired and into the anchoring tissue at a position spaced apart from one another by a selected distance. The suture length(s) can then be tensioned to re-approximate the torn or damaged tissue toward the anchoring tissue, thereby securely attached the torn tissue to the anchoring tissue.

Claims

1. A method for anchoring tissue, comprising:

inserting a first anchor member having a first suture attached thereto through tissue to be repaired and into an anchoring tissue;

inserting a second anchor member having a second, separate suture attached thereto through the tissue to be repaired and into the anchoring tissue at a position spaced apart from the first anchor member by a selected distance, the second suture on the second anchor member being adjustably coupled to the first suture on the first anchor member by a third, separate suture; and

tensioning at least one of the first, second, and third sutures to anchor the tissue to be repaired to the anchoring tissue.

2. The method of claim 1, further comprising at least one slip knot formed on at least one of the first and second sutures, the slip knot being adapted to maintain the first and second suture anchors in a fixed position with respect to one another.

3. The method of claim 1, wherein at least one of the first and second sutures is tensioned by pulling on a terminal end of the suture.

4. The method of claim 1, wherein the tissue to be repaired is the meniscus of the knee.

5. The method of claim 1, wherein the first and second anchor members are inserted through the tissue to be repaired and into the anchoring tissue arthroscopically.

6. The method of claim 1, wherein the first and second sutures are slidably connected to one another.

7. The method of claim 6, wherein the first and second sutures are slidably connected to one another by the third suture extending therebetween.

8. The method of claim 7, further comprising at least one slip knot formed on at least one of the first, second, and third sutures, the slip knot being adapted to maintain the first and second suture anchors in a fixed position with respect to one another.

9. The method of claim 7, wherein the first, second, and third sutures each include a suture loop formed thereon, the suture loop on the first suture being attached to the first suture anchor, and the suture loop on the second suture being attached to the second suture anchor, and wherein the suture loop on the third suture is connected to the suture loop on each of the first and second sutures.

10. The method of claim 9, wherein at least one of the suture loops includes a slip knot, and wherein the step of tensioning comprises pulling a terminal end of the at least one suture loop that includes the slip knot to adjust the size of the at least one suture loop.

11. The method of claim 9, wherein the suture loop on each of the first and second sutures includes a slip knot formed thereon, and the third suture comprises a suture loop having opposed terminal ends that are fixedly mated to one another, and wherein the step of tensioning comprises pulling a terminal end of each of the first and second sutures loops to adjust the size each suture loop.

12. The method of claim 9, wherein the suture loop on each of the first and second sutures is formed from opposed terminal ends of the suture being fixedly connected to one another, and the suture loop on the third suture includes a slip knot formed thereon that enables adjustment of a size of the suture loop, and wherein the step of tensioning comprises pulling a terminal end of the third suture loop to adjust the size of the third suture loop.

13. The method of claim 1, wherein the first and second sutures are connected to one another by a slip knot formed on one of the first and second sutures.

14. The method of claim 13, wherein the first suture includes first and second opposed terminal ends, the second terminal end being connected to the first suture anchor, and wherein the second suture includes first and second terminal ends, the first terminal end being connected to a portion of the first suture by a slip knot that allows the first terminal end of the second suture to slidably move along the first suture, and the second terminal end of the second suture being connected to the second suture anchor.

15. The method of claim 1, wherein the first suture includes a suture loop formed thereon and coupled to a suture loop formed on the second suture, the first suture loop being coupled to the first suture, and the second suture loop being coupled to the second suture anchor.

16. The method of claim 15, wherein the suture loop on each of the first and second sutures includes a slip knot formed thereon to allow a size of each suture loop to be adjusted, and wherein the step of tensioning comprises pulling a terminal end of at least one first and second sutures to adjust the size of at least one of the first and second suture loops.

17. The method of claim 15, wherein the suture loop on the first suture includes a slip knot formed thereon to allow a size of the suture loop to be adjusted, and the suture loop on the second suture has a fixed size, and wherein the step of tensioning comprises pulling a terminal end of the first suture to adjust the size of the first suture loop.

18. The method of claim 17, wherein the suture loop on the second suture is formed from opposed terminal ends of the suture being fixedly attached to one another.

19. The method of claim 1, wherein the first suture anchor is slidably disposed on the first suture and the second suture anchor is slidably disposed on the second suture.