Method of securing tissue

• US 8,845,699 B2
• Filed: 03/06/2012
• Issued: 09/30/2014
• Est. Priority Date: 08/09/1999
• Status: Expired due to Fees

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Cumberledge, Jerry
• Assistant Examiner(s): CARTER, TARA ROSE E
• Application Number:
  US13/413,393
• Publication Number:
  US 20120165841A1
• Time in Patent Office: 938 Days
• Field of Search: 606300-321, 606/86.R, 606 96-100, 606/104, 606/105, 606 62- 68
• US Class Current: 606/300
• 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 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• 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: A61F 2/0805 Implements for inserting tendons or ligaments
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: Y10S 606/902 Cortical plate specifically adapted for a particular bone

Abstract

A retainer member formed of bone secures tissue relative to a bone. The retainer member forms an opening in a compact outer layer of the bone. The retainer member is enclosed in a tubular member or sleeve to prevent breaking of the retainer member during formation of the opening in the bone. The extent of movement of the retainer member into the hone in the patient'"'"'s body is determined as the retainer member is moved into the bone. A suture may be connected with the retainer member and used to connect tissue with the bone. The retainer member may be positioned across a fracture in a bone to hold portions of the hone relative to each other. The retainer member may be used at a joint between end portions of bones to immobilize the joint and be released by breaking the retainer member.

Claims

1. A method of securing tissues of a body of a patient, the method comprising:

drilling a hole through a first tissue portion and a second tissue portion, the hole having a longitudinal axis;

utilizing an elongate member connected to a first member and a second member;

passing the first member into the hole and through at least portions of the first tissue portion and the second tissue portion, the elongate member extending through the portions of the first tissue portion and the second tissue portion;

changing an orientation of at least a portion of the first member to form an angle between a longitudinal axis of the first member and the longitudinal axis of the hole; and

tensioning the elongate member between the first and second member to resist relative movement between the first tissue portion and the second tissue portion.

2. The method as set forth in claim 1, wherein at least one of the first tissue portion and the second tissue portion includes bone.

3. The method as set forth in claim 2, wherein the bone includes a compact outer layer.

4. The method as set forth in claim 1, further comprising applying a force to the first member.

5. The method as set forth in claim 4, wherein the force includes an axially directed force.

6. The method of claim 1, further comprising, before passing the first member into the hole and through the at least portions of the first tissue portion and the second tissue portion, passing the first member through a tubular member positioned adjacent one of the first tissue portion and the second tissue portion.

7. The method of claim 1, wherein the first member includes a first end and an opposite second end, a length and the longitudinal axis of the first member extending between the first and second ends, and a opening therethrough located between the first end and the second end.

8. The method of claim 7, wherein the elongate member includes a first portion and a second portion, at least one of the first portion and the second portion extending outwardly from the opening in the first member, portions of the first portion and the second portion of the elongate member extending through the first tissue portion and the second tissue portion.

9. A method of securing tissues of a body of a patient, the method comprising:

drilling a hole through a first tissue portion and a second tissue portion of the body, the hole having a longitudinal axis;

passing a first member, connected to an elongate member, into the hole and through at least portions of the first tissue portion and the second tissue portion;

moving the first member from a first portion to a second position, a longitudinal axis of the first member in the first position being aligned with the longitudinal axis of the hole, and the longitudinal axis of the first member being angled relative to the longitudinal axis of the hole in the second position; and

tensioning the elongate member to resist relative movement between the first tissue portion and the second tissue portion.

10. The method as set forth in claim 9, further comprising utilizing a second member connected to the elongate member.

11. The method as set forth in claim 9, where at least one of the first tissue portion and the second tissue portion is bone including a compact outer layer.

12. The method of claim 9, wherein the first member includes a first end and an opposite second end, a length and the longitudinal axis of the first member extending between the first and second ends, and an opening therethrough located between the first end and the second end.

13. The method of claim 12, wherein the elongate member includes a first portion and a second portion, at least one of the first portion and the second portion extending outwardly from the opening in the first member, portions of the first portion and the second portion of the elongate member extending through the first tissue portion and the second tissue portion.

14. A method of securing tissues of a body of a patient, the method comprising:

utilizing an elongate member connected to a first member and a second member;

passing the first member through at least portions of a first tissue portion and a second tissue portion of the body, and at least one of the first tissue portion and the second tissue portion being bone;

toggling the first member relative to the elongate member from a first position to a second position; and

tensioning the elongate member between the first and second member to resist relative movement between the first tissue portion and the second tissue portion.

15. The method of claim 14, wherein at least one of the first tissue portion and the second tissue portion is bone.

16. The method of claim 14, wherein the first member includes a first end and an opposite second end, a length and a longitudinal axis extending between the first and second ends, and an opening therethrough located between the first end and the second end, and the elongate member includes a first portion and a second portion, and at least one of the first portion and the second portion extending outwardly from the opening in the first member, portions of the first portion and the second portion of the elongate member extending through the first tissue portion and the second tissue portion.

17. The method of claim 16, wherein toggling the first member comprises rotating the first member such that the longitudinal axis thereof is rotated approximately ninety degrees.

18. A method of securing tissues of a body of a patient, the method comprising:

utilizing an elongate member connected to a first member;

positioning a tubular member with respect to one of a first tissue portion and a second tissue portion of the body;

passing the first member through the tubular member;

passing the first member through at least portions of the first tissue portion and the second tissue portion, and at least one of the first tissue portion and the second tissue portion being bone;

toggling the first member relative to the elongate member from a first position to a second position; and

tensioning the elongate member to resist relative movement between the first tissue portion and the second tissue portion.

19. The method of claim 18, wherein at least one of the first tissue portion and the second tissue portion is bone.

20. The method of claim 18, wherein the first member includes a first end and an opposite second end, a length and a longitudinal axis extending between the first and second ends, and an opening therethrough located between the first end and the second end, and the elongate member includes a first portion and a second portion, and at least one of the first portion and the second portion extending outwardly from the opening in the first member, portions of the first portion and the second portion of the elongate member extending through the first tissue portion and the second tissue portion.

21. The method of claim 20, wherein toggling the first member comprises rotating the first member such that the longitudinal axis thereof is rotated approximately ninety degrees.

22. A method of securing tissues of a body of a patient, the method comprising:

utilizing an elongate member connected to a first member and a second member;

passing the first member through at least portions of a first tissue portion and second tissue portion of the body;

changing the orientation of the first member relative to the elongate member; and

tensioning the elongate member to maintain a position of the first tissue portion and the second tissue portion with respect to one another.

23. The method of claim 22, wherein the first member includes a first end, a second end, and a length and a longitudinal axis extending between the first end and the second end, and wherein, when changing the orientation of the first member, the first member is rotated relative to the elongate member.

24. A method of securing tissues of a body of a patient, the method comprising:

utilizing an elongate member connected to a first member and a second member;

positioning a tubular member with respect to one of a first tissue portion and a second tissue portion of the body;

passing the first member through the tubular member;

passing the first member through at least portions of the first tissue portion and the second tissue portion;

changing the orientation of the first member relative to the elongate member; and

tensioning the elongate member to maintain a position of the first tissue portion and the second tissue portion with respect to one another.

25. The method of claim 24, wherein the first member includes a first end, a second end, and a length and a longitudinal axis extending between the first end and the second end, and wherein, when changing the orientation of the first member, the first member is rotated relative to the elongate member.

26. A method of securing a first body tissue and a second body tissue of a patient to each other, the method comprising:

utilizing a first device having a first end and an opposite second end, a length and a longitudinal axis extending between the first and second ends, and a first side and a second side and a dimension therebetween, the length being greater than the dimension between the first side and the second side, the first device having an opening located proximate a midpoint of the length and extending through the first side and the second side, the opening having a suture located therein and the suture having at least one of a first portion and a second portion extending therefrom;

applying a force to the first device with a second device to move the first device through a surface of one of the first and second body tissues and through at least a portion of the first and second body tissues along a direction of insertion that is approximately parallel to the longitudinal axis of the first device;

rotating the first device to position the longitudinal axis of the first device transverse to the direction of insertion; and

positioning a fastener adjacent to the surface of the one of the first and second body tissues and using the fastener to maintain tension in the first and second portions of the suture.

27. The method of claim 26, further including drilling a hole along the direction of insertion of the first device in at least one of the first and second body tissues of the patient.

28. The method of claim 26, wherein the applying the force to move the first device through the at least a portion of the first and second body tissues further includes passing the first device through a cylindrical opening in a third device.