Method and apparatus for securing soft tissue to bone
First Claim
1. A method for securing soft tissue to bone, comprising:
- forming a bore in the bone;
carrying a flexible anchor into the bore, the flexible anchor including a passage and being coupled to a suture construct, the suture construct including a suture having first and second free ends, a body defining a passage portion and at least one self-locking adjustable loop, at least one of the first or second free ends passing through the passage portion of the body to form the self-locking adjustable loop, the flexible anchor coupled to the suture construct by the first or second free end of the suture construct extending through an intermediate portion of the passage spaced apart from respective ends of the flexible anchor such that the flexible anchor is coupled to the at least one self-locking adjustable loop and is slidable relative thereto, where portions of the flexible anchor between the intermediate portion and each end define anchoring leg portions free of the suture, the flexible anchor including a first profile while being carried into the bore;
changing a shape of the flexible anchor from the first profile to a second profile forming an anchoring mass to retain the flexible anchor in the bore; and
applying tension to a portion of the suture construct to reduce a size of the self-locking adjustable loop and secure the soft tissue relative to the flexible anchor and the bone and maintain the reduced size of the self-locking adjustable loop in an absence of a knot.
1 Assignment
0 Petitions
Accused Products
Abstract
A method and apparatus for securing soft tissue to bone can include forming a bore in the bone and carrying a flexible suture anchor into the bore. The flexible anchor can include a passage and can be coupled to a suture construct. The suture construct can include at least one self-locking adjustable loop, and the flexible anchor can include a first profile while being carried into the bore. A shape of the flexible anchor can be changed from the first profile to a second profile forming an anchoring mass to retain the flexible anchor in the bore. Tension can be applied to a portion of the suture construct to reduce a size of the self-locking adjustable loop and secure the soft tissue relative to the flexible anchor and the bone.
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Citations
35 Claims
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1. A method for securing soft tissue to bone, comprising:
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forming a bore in the bone; carrying a flexible anchor into the bore, the flexible anchor including a passage and being coupled to a suture construct, the suture construct including a suture having first and second free ends, a body defining a passage portion and at least one self-locking adjustable loop, at least one of the first or second free ends passing through the passage portion of the body to form the self-locking adjustable loop, the flexible anchor coupled to the suture construct by the first or second free end of the suture construct extending through an intermediate portion of the passage spaced apart from respective ends of the flexible anchor such that the flexible anchor is coupled to the at least one self-locking adjustable loop and is slidable relative thereto, where portions of the flexible anchor between the intermediate portion and each end define anchoring leg portions free of the suture, the flexible anchor including a first profile while being carried into the bore; changing a shape of the flexible anchor from the first profile to a second profile forming an anchoring mass to retain the flexible anchor in the bore; and applying tension to a portion of the suture construct to reduce a size of the self-locking adjustable loop and secure the soft tissue relative to the flexible anchor and the bone and maintain the reduced size of the self-locking adjustable loop in an absence of a knot. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method for securing soft tissue to bone, comprising:
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forming a bore in the bone; providing a suture construct, including; a suture having first and second free ends and a body defining a passage portion; first and second flexible suture anchors each having a first end and a second end; the first and second flexible anchors coupled to the suture by a portion of the suture extending through first and second openings in each flexible anchor, where the first and second openings are between and spaced apart from the first and second ends to form first and second flexible anchoring legs free of the suture for each flexible anchor; the first and second free ends of the suture extending into and through the passage portion of the body in opposite directions to form first and second self-locking adjustable loops; carrying the first flexible suture anchor into the bore, the first flexible anchor including a first profile while being carried into the bore; changing a shape of the first flexible anchor from the first profile to a second profile forming an anchoring mass to retain the first flexible anchor in the bore; and applying tension to the first and second ends of the suture construct to reduce a size of the first and second self-locking adjustable loops and secure the soft tissue relative to the first flexible anchor and the bone and maintain the reduced size of the first and second self-locking adjustable loops in an absence of a knot. - View Dependent Claims (19, 20, 21)
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22. A method for securing a labrum to a glenoid bone, comprising:
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positioning a cannulated guide instrument on the glenoid bone; passing a drill bit through the cannulated guide instrument to drill a bore in the glenoid bone; inserting an inserter instrument into the cannulated guide instrument, the inserter instrument carrying a flexible anchor having a first end and a second end with a suture passed through a first opening and a second opening in the flexible anchor, where the first and second openings are between and spaced apart from the first and second ends to form first and second flexible anchoring legs free of the suture; inserting the flexible anchor having a first profile into the bore in the glenoid bone; changing a shape of the flexible anchor from the first profile to a second profile to form an anchoring mass to retain the flexible anchor in the bore; and attaching the suture to the labrum to secure the labrum to the glenoid bone. - View Dependent Claims (23, 24, 25, 26, 27, 28, 29, 30)
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31. A method for securing soft tissue to bone, comprising:
forming a suture construct, including; providing a suture having first and second free ends and a body extending therebetween and defining a passage portion; providing first and second flexible suture anchors each having a passage; coupling the first and second flexible anchors to the suture by inserting at least one free end of the suture through an intermediate portion of the passage of each flexible anchor spaced apart from respective ends of the flexible anchor such that portions of each flexible anchor between the intermediate portion and each end define anchoring leg portions free of the suture; and passing the first and second free ends of the suture into and through the passage portion of the body in opposite directions to form first and second self-locking adjustable loops. - View Dependent Claims (32, 33, 34, 35)
Specification