Free floating wedge suture anchor for soft tissue repair

• US 9,034,014 B2
• Filed: 01/27/2012
• Issued: 05/19/2015
• Est. Priority Date: 01/27/2012
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Catania, Pablo, Wolf, Steven, Karapetian, Emil, White, George W., Gregoire, David, Foerster, Seth A., Rodriguez, Christopher
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US13/359,642
• Publication Number:
  US 20130197576A1
• Time in Patent Office: 1,208 Days
• Field of Search: 606/232
• 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 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 2017/0422 by insertion of a separate member into the body of the anchor
• CPC Class Codes: A61B 2017/0451 Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2017/0496 for tensioning sutures

Abstract

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.

Claims

1. An anchor device for repairing soft tissue with a suture, comprising:

an anchor body comprising a wall, and the wall defining a lumen; and

a suture locking wedge movably disposed within the lumen and engaged with the wall of the anchor body such that the suture locking wedge may move with a first degree of freedom and a second degree of freedom with respect to the lumen and such that when a first tension force is applied to a tissue limb of the suture extending through the anchor body and looped around the suture locking wedge, the suture locking wedge is urged into a suture locking position in which the suture is compressed between the suture locking wedge and a first contact location of the anchor body; and

wherein the suture locking wedge has an elongate cross section that is moved from a more parallel orientation towards a more perpendicular orientation relative to an elongate axis of the anchor body when urged to the suture locking position.

2. The anchor device of claim 1 wherein the first degree of freedom is rotation.

3. The anchor device of claim 2 wherein the rotation is about an axis perpendicular to the longitudinal axis of the anchor device.

4. The anchor device of claim 3 wherein the second degree of freedom is translation in a direction parallel to the longitudinal axis.

5. The anchor device of claim 1 wherein said anchor body further comprises a bone fixation structure for securing the anchor device in the bone wherein the bone fixation structure is selected from the group consisting of threads, ridges, barbs, and wings.

6. The anchor device of claim 1 further comprising a gap between the suture locking wedge and the first contact location of the anchor body such that the suture locking wedge remains substantially free floating when not in the suture locking position.

7. The anchor device of claim 6 further comprising a flexible tether extending between the suture locking wedge and the anchor body.

8. The anchor device of claim 1 wherein the anchor body comprises an elastic section which deforms when the suture locking wedge is placed in the suture locking position.

9. The anchor device of claim 1 wherein the suture locking wedge and the lumen of the anchor body have complimentary engaging surfaces such that when the suture locking wedge is urged into the suture locking position, the suture locking wedge compresses the suture at a second contact location of the anchor body in addition to the first contact location.

10. The anchor device of claim 9 wherein the first contact location and the second contact location are on opposite walls of the lumen.

11. The anchor device of claim 1 wherein the suture locking wedge comprises a first arm and a second arm, the first arm having a different length than the second arm.

12. The anchor device of claim 1 wherein the suture locking wedge is movably disposed within the anchor body such that when a second tension force is applied to a free limb of the suture the suture locking wedge is urged away from the first contact location such that the suture is not compressed and can slide freely around the suture locking wedge.

13. An anchor device for repairing soft tissue with a suture, the anchor device comprising:

an anchor body comprising an inner wall wherein the inner wall defines a lumen, and said inner wall further defines at least one window; and

a suture locking wedge rotatably and translatably movable within the lumen and engaged with the at least one window of the anchor body such that the suture locking wedge is movable between a first position and a second position, and such that when a tension force is applied to a tissue limb of the suture extending through the anchor body and looped around the suture locking wedge, the suture locking wedge is urged into the first position in which the suture is compressed between the suture locking wedge and a first contact location of the anchor body; and

wherein the suture locking wedge has an elongate cross section defining an approximately uniform width and an elongate cross section axis that is moved from a more parallel orientation towards a more perpendicular orientation relative to an elongate axis of the anchor body when urged to the first position.

14. The anchor device of claim 13 wherein the suture locking wedge comprises at least one extension member extending laterally from an edge of the suture locking wedge and sized to interface with the at least one window.

15. The anchor device of claim 13 wherein the suture locking wedge comprises two substantially planar surfaces which contact the suture.

16. The anchor device of claim 13 wherein the suture locking wedge has a height that is less than or equal to ½

the diameter of the suture.

17. The anchor device of claim 14 wherein said at least one extension member comprises a plurality of pins.

18. The anchor device of claim 13 wherein the at least one window comprises a plurality of regions.

19. The anchor device of claim 18 wherein the plurality of regions comprises a first region corresponding to the suture locking wedge in the first position and a second region overlapping with the first region and corresponding to the suture locking wedge in the second position.

20. The anchor device of claim 19 wherein the first region has a trapezoidal shape.

21. The anchor device of claim 20 wherein the first region comprises a first distal flat section which forms a first suture locking wedge angle with a radial axis of the anchor device, and said first suture locking wedge angle ranges from 15 to 30 degrees.

22. The anchor device of claim 21 wherein the second region comprises a second distal flat section which forms a second suture locking wedge angle with the radial axis of the anchor device, and said second suture locking wedge angle ranges from 5 to 15 degrees less than the first suture locking wedge angle.

23. The anchor device of claim 22 wherein second suture locking wedge angle is about 15 degrees.

24. The anchor device of claim 13 wherein the suture locking wedge comprises an elastic section which deforms when the suture locking wedge is placed in the first position.

25. The anchor device of claim 13 wherein the suture locking wedge and the anchor body have complimentary engaging surfaces such that when the suture locking wedge is urged into the first position, the suture locking wedge compresses the suture at a second contact location of the anchor body in addition to the first contact location.

26. The anchor device of claim 25 wherein the first contact location and the second contact location are on opposite walls of the lumen.

27. The anchor device of claim 13 wherein the anchor device comprises only two discrete parts not including the suture.

28. The anchor device of claim 13 wherein the at least one window is uncovered.

29. The anchor device of claim 13 further comprising a flexible tether extending between the suture locking wedge and the anchor body.

30. The anchor device of claim 13 wherein the anchor body and the suture locking wedge cooperate to translate in addition to rotate.

31. The anchor device of claim 13 wherein the suture locking wedge is movably disposed within the anchor body such that when a second tension force is applied to a free limb of the suture the suture locking wedge is urged away from the first contact location such that the suture is not compressed.