Suture anchor and approximating device

• US 7,766,939 B2
• Filed: 08/05/2004
• Issued: 08/03/2010
• Est. Priority Date: 03/14/2002
• Status: Expired due to Fees

• Current Assignee: Teleflex Life Sciences Limited (Teleflex Incorporated)
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Yeung, Teresa T., Yeung, Jeffrey Eric
• Primary Examiner(s): Ho; (Jackie) Tan-Uyen T
• Assistant Examiner(s): ANDERSON, GREGORY A
• Application Number:
  US10/914,059
• Publication Number:
  US 20060030884A1
• Time in Patent Office: 2,189 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 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• 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
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0446 Means for attaching and blocking the suture in the suture anchor
• 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: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2090/062 penetration depth

Abstract

An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.

Claims

1. A suture anchor deployable with a suture anchor delivery device having a needle, the suture anchor comprising:

a suture anchor body having a longitudinal axis and formed of an elastic material, said suture anchor body having a straightened position and a curved position,

a passage extending through said suture anchor along said longitudinal axis, said passage sized and configured for said needle of said suture anchor delivery device to pass therethrough,

at least one suture opening sized and configured to received a suture, said at least one suture opening separate from said passage,

a guiding platform attached to one side of said suture anchor body,

wherein said suture body is resiliently straightened into said straightened position when said needle of said suture anchor delivery device is located within said passage,

and wherein when said needle is removed, said suture anchor body resumes said curved position.

2. The suture anchor of claim 1, wherein said guiding platform is a generally flat surface.

3. The suture anchor of claim 1, wherein said at least one suture opening pass through said guiding platform.

4. The suture anchor of claim 3, wherein said platform has a protrusion and said suture opening passes through said protrusion.

5. The suture anchor of claim 1, wherein said suture looped over said passage.

6. The suture anchor of claim 1, further comprising a second suture opening, wherein said at least one suture opening is located on a left side of said guiding platform, and said second suture opening is located on a right side of said guiding platform.

7. The suture anchor of claim 1, wherein said platform is located on a concave side when said suture anchor is in said curved position.

8. The suture anchor of claim 1, wherein said guiding platform is located on a convex side when said suture anchor is in said curved position.

9. The suture anchor of claim 2, further comprising a groove located at an opposite surface of said generally flat surface of said guiding platform, and wherein said groove is closed when said suture anchor is in said curved position.

10. The suture anchor of claim 9, wherein said groove is V-shaped.

11. The suture anchor of claim 1, wherein said at least one suture opening is at a middle portion of said suture anchor.

12. The suture anchor of claim 1, wherein said guiding platform extends along at least a majority of a length of said suture anchor body.

13. The suture anchor of claim 1, wherein said guiding platform extends along approximately three quarters of a length of said suture anchor body.

14. The suture anchor of claim 1, wherein said guiding platform runs generally parallel to said passage of said suture anchor body.

15. The suture anchor of claim 1, wherein a distal end of said guiding platform is tapered.

16. The suture anchor of claim 1, wherein a proximal end of said guiding platform is tapered.

17. The suture anchor of claim 1, wherein said guiding platform is tapered at both proximal and distal ends.

18. The suture anchor of claim 1, wherein said guiding platform is oblong.

19. The suture anchor of claim 1, wherein a proximal end of said platform curves around a proximal end of said suture anchor body, thereby covering the proximal end of said suture anchor body.

33. The suture anchor of claim 1, 20 or 31, wherein said suture anchor is formed of a material chosen from the group of materials consisting of polypropylene, polyethylene, poly-ether-ether-ketone, acetal resin, polysulfone and polycarbonate.

34. The suture anchor of claim 1, 20 or 31, wherein said suture anchor is biodegradable.

35. The suture anchor of claim 1, 20 or 31, wherein said suture anchor is formed of a material chosen from the group of materials consisting of polylactate, polyglycolic, poly-lactide-co-glycolide, polycaprolactone, and trimethylene carbonate.

36. The suture anchor of claim 1, 20 or 31, further comprising a coating on said suture anchor.

37. The suture anchor of claim 1, 20 or 31, further comprising a coating on said suture anchor, said coating chosen from the group of coatings consisting of lubricants, growth factors, nutrients, buffering agents, collagen, hydroxyapatite, analgesics, sealants, blood clotting agents, antibiotics, radiopaque agents and echogenic agents.

38. The suture anchor of claim 1, 20 or 31, further comprising a coating of a biocompatible polymer.

39. The suture anchor of claim 1, 20 or 31, further comprising a coating of chosen from the group of coatings consisting of polyurethane, polytetrafluoroethylene, silicon, and ultra high molecular weight polyethylene.

40. The suture anchor of claim 1, 20 or 31, wherein said suture anchor is formed of a material chosen from the group of material consisting of polypropylene, polyethylene, poly-ether-ether-ketone, acetal resin, polysulfone, polycarbonate, polylactate, polyglycolic, poly-lactide-co-glycolide, polycaprolactone, trimethylene carbonate, polydioxanone, polyanhydride, trimethylene carbonate, poly-beta-hydroxybutyrate, polyhydroxyvalerate, poly-gama-ethyl-glutamate, poly-DTH-iminocarbonate, poly-bisphenol-A-iminocarbonate, poly-ortho-ester, polycyanoacrylate, polyphosphazene, nickel-titanium alloy, spring tempered stainless steel, titanium, stainless steel and metallic material.

41. The suture anchor of claim 1, 20 or 31, further comprising a second suture anchor and a suture threaded through said suture opening and through a second suture opening extending through a body of said second suture anchor.

42. The suture anchor of claim 1, 20 or 31, wherein said needle comprising a protruded step, and wherein said protruded step is located proximate a distal portion of said needle.

20. A suture anchor deployable with a suture anchor delivery device having a needle, the suture anchor comprising:

a suture anchor body having a longitudinal axis and formed of an elastic material, said suture anchor body having a straightened position and a curved position,

a passage extending through said suture anchor along said longitudinal axis, said passage sized and configured for the needle of the suture anchor delivery device to pass therethrough,

at least one suture opening sized and configured to received a suture, said at least one suture opening separate from said passage,

a guiding fin attached to one side of said suture anchor body,

wherein said suture anchor body is resiliently straightened into said straightened position when the needle of said suture anchor delivery device is located within said passage,

and wherein when the needle is removed, said suture anchor body resumes said curved position.

21. The suture anchor of claim 20, wherein said guiding fin extends generally perpendicular from said suture anchor body.

22. The suture anchor of claim 20, wherein said guiding fin is located proximate a proximal end of said suture anchor body.

23. The suture anchor of claim 20, wherein said guiding fin is tapered such that a proximal end of the said guiding fin is larger than a distal end of said guiding fin.

24. The suture anchor of claim 20, wherein said guiding fin is located on a concave side when said suture anchor is in said curved position.

25. The suture anchor of claim 20, wherein said fin is located on a convex side when said suture anchor is in said curved position.

26. The suture anchor of claim 20, wherein a proximal end of said guiding fin is angled.

27. The suture anchor of claim 20, wherein a proximal end of said fin is angled to match a tapered distal step of the needle.

28. The suture anchor of claim 20, wherein said fin is extending outward from a middle portion of said suture anchor body and wherein said suture opening extends therethrough.

29. The suture anchor of claim 20, wherein said suture extends from an opposite side of said guiding fin.

30. The suture anchor of claim 20, wherein said fin has a pointed proximal tip that extends beyond an end of said suture anchor body.

31. A suture anchor deployable with a suture anchor delivery device having a needle, the suture anchor comprising:

a suture anchor body having a longitudinal axis and formed of an elastic material, said suture anchor body having a straightened position and a curved position,

a passage extending through said suture anchor along said longitudinal axis, said passage sized and configured for said needle of the suture anchor delivery device to pass therethrough,

wherein said suture anchor may be held in said straightened position by said needle, when said needle is located within said passage, and when said needle is removed, said suture anchor resumes said curved position,

at least one suture opening sized and configured to received a suture, said at least one suture opening separate from said passage,

a guiding platform attached to a side of said suture anchor body,

and a fin attached to an opposite side of said guiding platform of said suture anchor body.

32. The suture anchor of claim 31, wherein a proximal end of said platform curves around a proximal end of said suture anchor body, thereby covering the proximal end of said suture anchor body and wherein said fin has a pointed proximal tip that extends beyond an end of said suture anchor body and said platform.