Cannulated suture anchor

• US 8,114,128 B2
• Filed: 11/01/2006
• Issued: 02/14/2012
• Est. Priority Date: 11/01/2006
• Status: Active Grant

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: DePuy Mitek Incorporated (Johnson & Johnson)
• Inventors: Cauldwell, Nathan, Howe, Jonathan
• Primary Examiner(s): Tyson, Melanie
• Assistant Examiner(s): DANG, PHONG SON H
• Application Number:
  US11/555,545
• Publication Number:
  US 20080147063A1
• Time in Patent Office: 1,931 Days
• Field of Search: 606/23.72, 606/232, 606/300, 606/60, 411/387.5, 411/402, 623/23.72
• 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 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/888 the driver bit acting on the central region of the screw head
• CPC Class Codes: A61B 2017/0403 Dowels
• 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 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• 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 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/0619 thermoplastic, e.g. for bonding, welding, fusing or cutting the suture by melting it

Abstract

Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

Claims

1. A suture anchor, comprising:

an elongate body having proximal and distal ends with an inner lumen extending therethrough, and at least one bone-engaging surface feature formed on at least a portion of an external surface thereof for engaging bone, the inner lumen including a suture-engaging member extending substantially transverse to an axis of the inner lumen and adapted to receive a suture therearound such that the suture can extend around the suture-engaging member and trailing ends of the suture can extend through the inner lumen and out of the proximal end of the elongate body, and the inner lumen having a first cross-sectional shape proximal to the suture-engaging member and a second, different cross-sectional shape distal to the suture-engaging member wherein the elongate body includes cut-outs formed in opposed sidewalls thereof and extending proximally from the distal end of the elongate body, the cut-outs defining opposed distal arms of the suture anchor, and wherein the at least one bone-engaging surface feature comprises a thread disposed around the elongate body and terminating proximal to the distal arms.

2. The suture anchor of claim 1, wherein the suture-engaging member comprises a post extending between opposed walls of the inner lumen.

3. The suture anchor of claim 1, wherein the suture-engaging member is positioned distal of a proximal end of the cut-outs.

4. The suture anchor of claim 1, wherein the inner lumen has an asymmetrical cross-sectional shape for receiving a driver tool therein.

5. The suture anchor of claim 1, wherein the first cross-sectional shape the inner lumen has a hexagonal cross-sectional shape.

6. The suture anchor of claim 1, wherein the distal end of the elongate body is rounded.

7. The suture anchor of claim 1, further comprising a suture extending around the suture-engaging member and having trailing ends extending through the inner lumen of the elongate body.

8. The suture anchor of claim 1, wherein the at least one bone-engaging surface feature is positioned entirely proximal to the suture-engaging member.

9. The suture anchor of claim 1, wherein the cut-outs are being in communication with the inner lumen, and the suture-engaging member is being positioned just proximal to a distal-most end of the elongate body such that the distal end of the elongate body includes a suture-seating groove formed therein and configured to seat the suture distal to the suture-engaging member.

10. The suture anchor of claim 9, wherein the suture is exposed through the cut-outs when the suture-seating groove seats the suture, and wherein the at least one bone-engaging surface feature extends along a substantial portion of a longitudinal length of the elongate body, and is positioned entirely proximal to proximal-most ends of the cut-outs.

11. A suture anchor, comprising:

a suture; and

a cannulated body having proximal and distal ends, the distal end including opposed cut-outs formed in opposed sidewalls thereof and a suture-engaging member extending between the opposed sidewalls and adjacent to the opposed cut-outs such that the suture extends around the suture-engaging member and trailing ends of the suture extend through the body, wherein an interior surface of the cannulated body proximal to proximal-most ends of the cut-outs has a first cross-sectional shape and has a second, different cross-sectional shape between the proximal-most ends of the cut-outs and a proximal-most end of the suture-engaging member wherein the opposed cut-outs define distal arms, and wherein the cannulated body is only threaded proximal to the distal arms.

12. The suture anchor of claim 11, wherein the suture-engaging member extends substantially perpendicular to a longitudinal axis of the body.

13. The suture anchor of claim 11, wherein at least a proximal portion of an inner lumen extending through the body has an asymmetrical cross-sectional section for receiving a driver tool therein.

14. The suture anchor of claim 11, wherein the suture-engaging member is positioned entirely in the unthreaded distal portion of the cannulated body.

15. The suture anchor of claim 11, wherein the cannulated body is threaded in a proximal portion thereof and unthreaded in a distal portion thereof, the unthreaded distal portion having the opposed cut-outs formed entirely therein.

16. The suture anchor of claim 15, wherein the suture is exposed through the cut-outs and is seated in a suture-seating groove formed in the distal end of the body and located distal to the suture-engaging member.

17. A suture anchor, comprising:

a suture anchor having an inner lumen extending between proximal and distal ends thereof, the distal end including opposed cut-outs formed in opposed sidewalls of the suture anchor, the cut-outs defining opposed distal arms of the suture anchor, and the inner lumen defining a longitudinal axis extending between the proximal and distal ends of the suture anchor;

at least one bone-engaging feature formed on an external surface of the suture anchor for engaging bone, the at least one bone-engaging feature extending around a perimeter of the external surface and being positioned entirely proximal to the distal arms;

a suture-engaging member extending substantially perpendicular to the longitudinal axis, and extending between opposed surfaces of the distal arms such that the suture-engaging member is at a fixed longitudinal position relative to the distal arms; and

a suture having first and second portions of the suture positioned in the inner lumen, and having a mid-portion located between the first and second portions positioned around the suture engaging member,

wherein the inner lumen has a first cross-sectional shape proximal to proximal-most ends of the distal arms and a second, different cross-sectional shape between the suture-engaging member and the proximal-most ends of the distal arms.

18. The suture anchor of claim 17, wherein the suture-engaging member is positioned at a distal-most end of the distal arms.

19. The suture anchor of claim 17, wherein the suture-engaging member is positioned just proximal to the distal end of the suture anchor so as to form a suture-seating groove in a distal-most end of the suture anchor, and wherein the mid-portion of the suture is seated in the suture-seating groove.

20. The suture anchor of claim 19, wherein the mid-portion of the suture seated in the suture-seating groove does not extend distally beyond the distal-most end of the suture anchor.

21. The suture anchor of claim 17, wherein the at least one bone-engaging feature comprises at least one thread extending continuously around the suture anchor, and extending from the proximal end thereof and terminating proximal to the distal arms.

22. The suture anchor of claim 17, wherein the at least one bone-engaging feature comprises at least one ridge extending 360°

around the external surface of the suture anchor at a constant longitudinal position relative to the suture anchor.

23. The suture anchor of claim 17, wherein the at least one bone-engaging surface feature is positioned entirely proximal to the suture-engaging member.

24. The suture anchor of claim 17, wherein the suture-engaging member is non-removably at the fixed longitudinal position.