Method and apparatus for forming a self-locking adjustable suture loop

• US 7,601,165 B2
• Filed: 09/29/2006
• Issued: 10/13/2009
• Est. Priority Date: 09/29/2006
• Status: Active Grant

• Current Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Stone, Kevin T
• Primary Examiner(s): Ho; (Jackie) Tan-Uyen T
• Assistant Examiner(s): DANG, PHONG SON H
• Application Number:
  US11/541,506
• Publication Number:
  US 20080082128A1
• Time in Patent Office: 1,110 Days
• Field of Search: 606/232, 606223-225, 606/228, 606/74, 606/103, 52/22, 604/103.04, 241/15.H
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00858 high friction or non-slip
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/06185 hollow or tubular
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel.

Claims

1. A method of surgically implanting a suture comprising:

passing the suture through a bore defined by a first fastener;

passing a first end of the suture through a first aperture defined by the suture into a passage portion defined by the suture and out a second aperture defined by the suture so as to place the first end outside of the passage portion and form a first loop; and

passing a second end of the suture through the second aperture into the passage portion and out the first aperture so as to place the second end outside of the passage portion and form a second loop;

positioning the passage portion within the bore;

applying tension onto the first and second ends to constrict at least one of the first and second loops; and

coupling the first fastener to a patient.

2. A method of surgically implanting a suture according to claim 1 further comprising:

forming a femoral tunnel;

threading the first and second ends and the first and second loops through the femoral tunnel;

threading a soft tissue through the first and second loops; and

applying tension onto the first and second ends to constrict the first and second loops about the soft tissue.

3. The method according to claim 2 further comprising injecting cement into the femoral tunnel.

4. The method according to claim 2 wherein applying tension onto the first and second ends includes drawing the soft tissue into the femoral tunnel.

5. The method according to claim 2 further comprising forming a tibial tunnel coaxial to the femoral tunnel in a tibia.

6. The method according to claim 2 comprising forming the first aperture between fibers defining the suture.

7. The method according to claim 2 comprising forming the first and second apertures between fibers defining the suture.

8. The method according to claim 2 wherein the first aperture is located between the first end and the second aperture.

9. The method according to claim 2 wherein the first aperture is located between the second end and the second aperture.

10. The method according to claim 2 further comprising passing the first end through the first aperture a second time and through the passage portion and out the second aperture a second time.

11. The method according to claim 10 further comprising passing the second end through the second aperture a second time, and further passing the second end through the passage portion and through the first aperture a second time.

12. A method of surgically implanting a suture comprising:

passing the suture through an aperture defined by a first bone engaging member;

passing a first end of the suture through a first aperture defined by the suture into a passage portion defined by the suture and out a second aperture defined by the suture so as to place the first end outside of the passage portion and form a first loop; and

passing a second end of the suture through the second aperture into the passage portion and out the first aperture so as to place the second end outside of the passage portion and form a second loop;

threading a second fastener through at least one of the first and second loops;

applying tension one of the first and second ends to constrict at least one of the first and second loops; and

coupling the first bone engaging member to a patient.

13. The method according to claim 12 further comprising coupling the second fastener to a bone.

14. The method according to claim 12 further comprising coupling the second fastener to a meniscus.

15. The method according to claim 12 wherein coupling the first fastener is coupling the first fastener to a bone.

16. A method of surgically implanting a suture comprising:

forming a first tunnel in a first bone;

providing a locking member having a first profile which allows insertion of the locking member through the first tunnel and a second profile which allows engagement with the positive locking surface upon rotation of the locking member;

passing the suture through a bore defined in the locking member;

passing a first end of the suture through a first aperture into a passage portion defined by the suture and out a second aperture defined by the suture so as to place the first end outside of the passage portion and define a first loop; and

passing a second end of the suture through the second aperture into the passage portion and out the first aperture so as to place the second end outside of the passage portion, and define a second loop;

placing the passage portion within the bore;

threading the first and second ends and the first and second loops and the locking member through the first tunnel;

threading the soft tissue replacement through the first and second loops so as to engage bearing surfaces on the first and second loops; and

engaging the locking member.

17. The method according to claim 16 further including rotating the locking member.

18. The method according to claim 17 further comprising applying tension onto the first and second ends to constrict the first and second loops about the soft tissue.

19. The method according to claim 18 wherein applying tension onto the first and second ends includes drawing the soft tissue into the first tunnel.

20. The method according to claim 18 further including forming a second tunnel in a second bone;

and

threading the first and second ends and the first and second loops through the second tunnel.

21. The method according to claim 19 further comprising coupling the soft tissue to the first bone with a bone engaging fastener and applying additional tension onto the first and second ends until the soft tissue has a predetermined tension.