Reattachment of tissue to base tissue

• US 7,867,251 B2
• Filed: 11/27/2002
• Issued: 01/11/2011
• Est. Priority Date: 11/08/2001
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Colleran, Dennis, Gabriel, Stefan
• Primary Examiner(s): Barrett; Thomas C
• Assistant Examiner(s): Araj; Michael J
• Application Number:
  US10/305,998
• Publication Number:
  US 20030120309A1
• Time in Patent Office: 2,967 Days
• Field of Search: 606/232, 606/72, 606/73, 606/300, 606/301, 606/304, 606/309, 606/310, 606/327, 606/233
• 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 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• 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 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61B 2017/0438 slotted, i.e. having a longitudinal slot for enhancing their elasticity
• CPC Class Codes: A61B 2017/0456 Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
• CPC Class Codes: A61B 2017/0496 for tensioning sutures

Abstract

An anchor includes an anchor body configured to be retained within base tissue. The anchor body includes a unidirectional mechanism to selectively restrict passage of a flexible member through the anchor. The flexible member includes a loop to enable attachment of candidate tissue to base tissue without the use of knots.

Claims

1. A bone anchor comprising:

an anchor body having an outwardly extending, bone engaging formation configured to retain the anchor body within bone, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable, the first and the second surfaces for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member from the first portion to the second portion to restrict passage of the member through the restrictor is not along the path through the anchor body that the member takes to pass through the anchor body.

2. The bone anchor of claim 1, wherein the restrictor comprises a unidirectional mechanism configured to allow movement of the flexible member in a first direction when an end region of the flexible member is pulled and to restrict movement of the flexible member in a second direction when an opposite end region of the flexible member is pulled.

3. The bone anchor of claim 2, wherein the unidirectional mechanism further comprises:

a portion including a transverse cross section having a tapered diameter, the tapered transverse cross section being in a plane substantially perpendicular to a direction of passage of the flexible member; and

ridges disposed adjacent the portion, the ridges configured to direct the flexible member towards a widest portion of the tapered diameter of the portion when the flexible member travels in the first direction and towards a narrowest portion of the tapered diameter of the portion when the flexible member travels in the second direction.

4. The bone anchor of claim 1 wherein the restrictor includes an edge lining a wall of the opening.

5. The bone anchor of claim 4 wherein the edge is oriented obliquely to a direction of passage of the member through the opening.

6. The bone anchor of claim 5 wherein the restrictor includes multiple edges lining the wall of the opening.

7. The bone anchor of claim 6 wherein at least some of the edges are oriented at the same oblique angle relative to a direction of passage of the member through the opening.

8. The bone anchor of claim 6 wherein at least some of the edges are oriented parallel to each other.

9. The bone anchor of claim 6 wherein the edges are located in the first and second portion.

10. The bone anchor of claim 1 wherein a dimension of the second portion is narrower than a diameter of the member.

11. The bone anchor of claim 1 configured such that the member is movable between the first and second portions substantially perpendicularly to a direction of passage of the member through the opening.

12. The bone anchor of claim 1 wherein the anchor body includes a tissue penetrating tip.

13. The bone anchor of claim 1 wherein the anchor body includes a central body member.

14. The bone anchor of claim 13 wherein the central body member includes a driver coupling.

15. The bone anchor of claim 1 wherein the anchor body includes a resilient member for engaging bone tissue.

16. The bone anchor of claim 15 wherein the resilient member has a sharp, proximal edge for penetrating bone tissue.

17. The bone anchor of claim 1 wherein the anchor body includes multiple resilient members.

18. The bone anchor of claim 1 wherein the anchor body comprises a unitary body and a resilient member for engaging bone tissue, the resilient member having a sharp, proximal edge for penetrating bone tissue.

19. The bone anchor of claim 1 wherein the restrictor is configured such that moving the member along the path in a first direction causes the member to be moved from the first portion to the second portion.

20. The bone anchor of claim 19 wherein the restrictor is configured such that moving the member along the path in a second direction opposite the first direction causes the member to be moved from the second portion to the first portion.

21. The bone anchor of claim 1 wherein the second portion is proximal to the first portion.

22. The bone anchor of claim 1 wherein the restrictor is configured such that when the member is within the second portion the member is restricted from moving along the path in a first direction.

23. The bone anchor of claim 22 wherein the restrictor is configured such that the member is moved from the second portion to the first portion when the member is moved along the path in a second direction opposite the first direction.

24. The bone anchor of claim 23 wherein the restrictor is configured such that when the member is within the first portion, passage of the member along the path in the second direction is permitted.

25. The bone anchor of claim 1 wherein the restrictor is configured such that movement of the member along the path in a first direction acts to restrict passage of the member along the path, and movement of the member along the path in a second direction acts to permit passage of the member along the path.

26. The bone anchor of claim 1, wherein the restrictor defines the opening such that the first portion of the opening is different from the second portion of the opening.

27. The bone anchor of claim 26, wherein the restrictor defines the opening such that a narrowest width of the first portion is broader than a broadest width of the second portion.

28. The bone anchor of claim 27, wherein the opening is triangular in shape.

29. A tissue repair system comprising:

a first bone anchor including a first anchor body configured to be retained within bone,

a second bone anchor including a second anchor body configured to be retained within bone, and

a flexible member coupling the first and second bone anchors, at least one of the first and second anchor bodies includes a restrictor having first and second walls defining an opening therebetween for passage of a member therethrough and between which the member can be compressed, at least one of the walls having an edge oriented such that upon movement of the member through the opening between the walls in a first direction, the member is also repositioned within the opening by movement non-parallel to the first direction, the first and the second walls restricting passage of the member therethrough by compressing the member between the first and the second walls.

30. A bone anchor, comprising:

an anchor body having an outwardly extending, bone engaging formation configured to retain the anchor body within bone, the anchor body including a restrictor having first and second walls defining an opening therebetween for passage of a member therethrough and between which the member can be compressed, at least one of the walls having an edge oriented such that upon movement of the member through the opening between the walls in a first direction, the member is also repositioned within the opening by movement non-parallel to the first direction, the first and the second walls for restricting passage of the member therethrough by compressing the member between the first and the second walls.

31. The bone anchor of claim 30 wherein the edge is oriented such that upon movement of the member through the opening in a second direction opposite the first direction, the member is also moved not along the path.

32. The bone anchor of claim 30 wherein the restrictor includes a second edge lining the wall of the opening.

33. The bone anchor of claim 30, wherein the restrictor has a first portion permitting passage of the member through the restrictor, and a second portion restricting passage of the member through the restrictor,

the restrictor being configured such that when tension is applied at least predominantly to a first end of the member, the member moves through the first portion of the restrictor, and the restrictor being capable of moving the member from the first portion to the second portion not along a path that the member takes through the restrictor when tension is applied to only a second end of the member.

34. A bone anchor comprising:

an anchor body having an outwardly extending, bone engaging formation configured to retain the anchor body within bone, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, wherein the opening is triangular in shape and the second portion includes first and second surfaces for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member between the first and second portions is not in a direction of passage of the member along the path through the anchor body.

35. A bone anchor comprising:

an anchor body having an outwardly extending, bone engaging formation configured to retain the anchor body within bone, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable to compress the member, the second portion for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member between the first and second portions is not in a direction of passage of the member along the path through the anchor body,

the bone anchor being configured such that the member is movable between the first and second portions substantially perpendicularly to a direction of passage of the member through the opening.

36. A bone anchor comprising:

an anchor body configured to be retained within bone, the anchor body including a tissue penetrating tip, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable to compress the member, the second portion for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member from the first portion to the second portion to restrict passage of the member through the restrictor is not along the path through the anchor body that the member takes to pass through the anchor body.

37. A bone anchor comprising:

an anchor body configured to be retained within bone, the anchor body including a central body member, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable to compress the member, the second portion for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member from the first portion to the second portion to restrict passage of the member through the restrictor is not along the path through the anchor body that the member takes to pass through the anchor body.

38. A bone anchor comprising:

an anchor body configured to be retained within bone, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable to compress the member the second portion for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member between the first and second portions is not in a direction of passage of the member along the path through the anchor body,

wherein the anchor body includes a resilient member for engaging bone tissue.

39. The bone anchor of claim 38 wherein the resilient member has a sharp, proximal edge for penetrating bone tissue.

40. The bone anchor of claim 38 wherein the anchor body includes multiple resilient members.

41. A bone anchor comprising:

an anchor body configured to be retained within bone, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable to compress the member, the second portion for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member between the first and second portions is not in a direction of passage of the member along the path through the anchor body,

wherein the anchor body comprises a unitary body and a resilient member for engaging bone tissue, the resilient member having a sharp, proximal edge for penetrating bone tissue.

42. A bone anchor comprising:

an anchor body configured to be retained within bone, the anchor body having a proximal end and a distal end, the distal end terminating in a tissue penetrating tip, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable to compress the member, the second portion for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member between the first and second portions is not in a direction of passage of the member along the path through the anchor body.

43. A bone anchor comprising:

an anchor body having an outwardly extending, bone engaging formation configured to retain the anchor body within bone, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces between which the member is receivable to compress the member, the second portion for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member between the first and second portions is not in a direction of passage of the member along the path through the anchor body,

wherein the restrictor includes multiple edges spanning a majority of the first and second portions and configured to urge the member to move between the first and second portions.

44. A bone anchor comprising:

an anchor body configured to be retained within bone, the anchor body defining a path for passage of a member through the anchor body, the anchor body including a restrictor defining an opening having a first portion for permitting passage of the member therethrough, and a second portion for restricting passage of the member therethrough, the second portion including first and second surfaces for restricting passage of the member therethrough by compressing the member between the first and the second surfaces,

the restrictor being configured such that movement of the member from the first portion to the second portion to restrict passage of the member through the restrictor is not along the path through the anchor body that the member takes to pass through the anchor body,

wherein no portion of the opening permits unrestricted movement of the member through the opening in two opposite directions along the path through the anchor body that the member takes to pass through the anchor body without acting on the member to restrict movement of the member.