Closure device and method for tissue repair

• US 8,512,375 B2
• Filed: 12/30/2004
• Issued: 08/20/2013
• Est. Priority Date: 12/02/1999
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Torrie, Paul A., Sikora, George, Bojarski, Raymond A., Ek, Steven W.
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US11/025,837
• Publication Number:
  US 20050283192A1
• Time in Patent Office: 3,155 Days
• Field of Search: 606/139, 606/144, 606/148, 606228-232, 241/15.H, 241/15.K, 241/29.R
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• 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 2017/0417 T-fasteners
• 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 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0475 using sutures having a slip knot
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: Y10T 24/3916 One-piece

Abstract

A method of closing a tissue wound includes providing a wound closure device having a first anchor, a second anchor, and a flexible member movably attached to the second anchor, positioning the first anchor against tissue, passing the flexible member across the wound, positioning the second anchor against tissue, and pulling on a free end of the flexible member to shorten a length of the flexible member between the first and second anchors, thereby closing the wound. A wound closure device includes a first anchor, a second anchor; and a flexible member connecting the first anchor to the second anchor, the flexible member being movably attached to the second anchor, such that pulling on a free end of the flexible member shortens a length of the flexible member between the first and second anchors.

Claims

1. A suture anchor assembly comprising:

a first anchor comprising a rounded bottom surface, a protrusion extending from the bottom surface, and openings;

a second anchor having a rounded bottom surface, a protrusion extending from the bottom surface, and openings; and

suture connecting the first and second anchors, the suture extending through the openings of the first anchor to fix the suture to the first anchor and a free end of the suture extending through the openings of to the second anchor such that pulling on the free end of the suture shortens a length of the suture between the first and second anchors, the coupling of the suture to the openings of the second anchor forming an one way knot to resist lengthening of the length of suture between the first and second anchors.

2. A surgical device comprising:

a needle having a wall defining a lumen with a longitudinal channel, the needle having a beveled tip and the wall defining a longitudinal slot therethrough;

a handle coupled to the needle;

a pusher positioned within the lumen and actuatable at the handle; and

an implant including

an elongate first retainer positioned within the longitudinal channel and including a protrusion extending through the longitudinal slot in the wall of the needle such that pulling on the delivery device after advancement of the delivery device through tissue causes the first retainer to be deployed from the needle by interaction of the protrusion and the tissue, the protrusion including openings;

an elongate second retainer positioned within the longitudinal channel proximally of the first retainer and including a protrusion extending from a bottom surface of the retainer, the protrusion including openings, the pusher being arranged to advance the second retainer distally toward the needle tip; and

suture extending through the openings and connecting the first and second retainers, the suture being fixed to the first retainer and movably coupled to the second retainer such that pulling on the suture shortens a length of the suture between the first and second retainers, the coupling of the suture to the second retainer acting to resist lengthening of the length of suture between the first and second retainers.

3. The device of claim 2 wherein the suture coupled to the second retainer forms a loop.

4. The device of claim 3 wherein a portion of the suture passes through the loop.

5. The device of claim 2 wherein each of the openings of the second retainer defines a through hole.

6. The device of claim 2 wherein each of the openings of the first retainer defines a through hole through which the suture passes.

7. The device of claim 6 wherein the suture is fixed to the first retainer by a portion of the suture that passes through the holes being secured to the suture.

8. The device of claim 7 wherein the suture is secured by tying.

9. The device of claim 2 wherein the second retainer comprises a protrusion extending through the longitudinal slot in the wall of the needle.

10. A suture anchor assembly comprising:

a first anchor comprising a rounded bottom surface, a rigid protrusion extending from the bottom surface, and openings;

a second anchor having a rounded bottom surface, a rigid protrusion extending from the bottom surface, and openings; and

suture connecting the first and second anchors, the suture extending through the openings of the first anchor to fix the suture to the first anchor and a free end of the suture extending through the openings of to the second anchor such that pulling on the free end of the suture shortens a length of the suture between the first and second anchors, the coupling of the suture to the openings of the second anchor forming an one way knot acting to resist lengthening of the length of suture between the first and second anchors.

11. A suture anchor assembly comprising:

a first anchor comprising a rounded bottom surface, a protrusion extending only from the bottom surface, and openings;

a second anchor having a rounded bottom surface, a protrusion extending only from the bottom surface, and openings; and

suture connecting the first and second anchors, the suture extending through the openings of the first anchor to fix the suture to the first anchor and a free end of the suture extending through the openings of to the second anchor such that pulling on the free end of the suture shortens a length of the suture between the first and second anchors, the coupling of the suture to the openings of the second anchor forming an one way knot acting to resist lengthening of the length of suture between the first and second anchors.

12. A suture anchor assembly comprising:

a first anchor comprising a rounded bottom surface, a protrusion extending from the bottom surface and extending an entire length of the bottom surface, and openings;

a second anchor having a rounded bottom surface, a protrusion extending from the bottom surface and extending an entire length of the bottom surface, and openings; and

suture connecting the first and second anchors, the suture extending through the openings of the first anchor to fix the suture to the first anchor and a free end of the suture extending through the openings of to the second anchor such that pulling on the free end of the suture shortens a length of the suture between the first and second anchors, the coupling of the suture to the openings of the second anchor forming an one way knot acting to resist lengthening of the length of suture between the first and second anchors.

13. A suture anchor assembly comprising:

a first anchor comprising a rounded bottom surface, a protrusion extending from the bottom surface, and openings, the protrusion extending in a longitudinal direction;

a second anchor having a rounded bottom surface, a protrusion extending from the bottom surface, and openings, the protrusion extending in a longitudinal direction; and

suture connecting the first and second anchors, the suture extending through the openings of the first anchor to fix the suture to the first anchor and a free end of the suture extending through the openings of to the second anchor such that pulling on the free end of the suture shortens a length of the suture between the first and second anchors, the coupling of the suture to the openings of the second anchor forming an one way knot acting to resist lengthening of the length of suture between the first and second anchors.