Bone anchor device having toggle member for attaching connective tissues to bone

• US 7,556,640 B2
• Filed: 06/29/2004
• Issued: 07/07/2009
• Est. Priority Date: 02/12/2001
• Status: Expired due to Fees

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Foerster, Seth A.
• Primary Examiner(s): Erezo; Darwin P
• Application Number:
  US10/879,669
• Publication Number:
  US 20040243179A1
• Time in Patent Office: 1,834 Days
• Field of Search: 606/232, 606/72, 606/300, 606/326, 606/327, 411/340, 411/345
• US Class Current: 606/326
• 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
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/042 plastically deformed during insertion
• CPC Class Codes: A61B 2017/045 snug fit within the anchor
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0864 Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

A device for attaching connective tissue to bone has a longitudinal axis and comprises an annular toggle member and a body member disposed distally of the toggle member, such that there is an axial space between the toggle member and the body member. The toggle member is movable between an undeployed position wherein the toggle member has a smaller profile in a direction transverse to the axis and a deployed position wherein the toggle member has a larger profile in the direction transverse to the axis. When installed in a desired procedural site, in suitable bone, suturing material extends axially through a center aperture in the annular toggle member, without being secured to or contacting the toggle member. This approach permits a suture attachment which lies entirely beneath the cortical bone surface, and which further permit the attachment of suture to the bone anchor without the necessity for tying knots, which is particularly arduous and technically demanding in the case of arthroscopic procedures.

Claims

1. A bone anchor device for attaching connective tissue to bone, said bone anchor device being associated with a suturing material to secure said connective tissue thereto, said device having a proximal end, and a distal end, and a longitudinal axis extending from said proximal end to said distal end, and comprising:

a toggle member, the toggle member having an aperture;

a tubular body member disposed distally of the toggle member, such that there is an axial space extending along said longitudinal axis between said toggle member and said body member, the body member having a lumen extending along said longitudinal axis and a lumen opening at the proximal end, the body member further having a suture return member disposed therein such that a length of suture may be introduced into the lumen from the proximal end through the aperture, looped around the suture return member, and passed out of the lumen through the proximal end and the aperture; and

a connecting portion disposed in said axial space and joining said toggle member to said body member;

said toggle member being movable between an undeployed position wherein said toggle member has a smaller profile in a direction transverse to said axis and a deployed position wherein said toggle member has a larger profile in said direction transverse to said axis and wherein the aperture is oriented coaxially to the longitudinal axis, said toggle member adapted to be deployed independent or separate from said suturing material; and

said connecting portion deforming when said toggle member is moved from said undeployed position to said deployed position such that said axial space is reduced in length.

2. The bone anchor device as recited in claim 1, wherein said connecting portion comprises a strut having a proximal end joined to said toggle member and a distal end joined to said body member.

3. The bone anchor device as recited in claim 1, wherein said toggle member is disposed at an acute angle relative to said axis in said undeployed position, and is disposed in a substantially transverse orientation relative to said axis in said deployed position.

4. The bone anchor device as recited in claim 1, wherein said connecting portion is formed of a biocompatible relatively ductile material.

5. The bone anchor device as recited in claim 4, wherein said biocompatible relatively ductile material comprises annealed metal.

6. The bone anchor device as recited in claim 1, wherein a transverse dimension of said toggle member in the undeployed position is substantially the same or less than a transverse dimension of said body member.

7. The bone anchor device as recited in claim 6, wherein said transverse dimension of said toggle member in the deployed position is substantially greater than the transverse dimension of said body member.

8. The bone anchor device as recited in claim 1, and further comprising a mandrel disposed proximally of said toggle member.

9. The device as recited in claim 1, wherein said suturing material is not secured in any way to said toggle member.

10. The device as recited in claim 1, wherein said suturing material does not contact said toggle member.

11. The device as recited in claim 1 further comprising a suture locking plug movable within the lumen from a first position to a second position.

12. The device as recited in claim 11 further comprising an elongate actuation rod disposed proximally of said plug.

13. The device as recited in claim 12, and further comprising a mandrel disposed proximally of said toggle member.

14. The device as recited in claim 13, and further comprising said suture looped around said suture return member.

15. The device as recited in claim 1, wherein said suture return member comprises a fixed shaft.

16. The device as recited in claim 1, wherein said suture return member comprises a rotatable shaft.