Reattachment of tissue to base tissue

• US 9,060,762 B2
• Filed: 12/16/2010
• Issued: 06/23/2015
• Est. Priority Date: 11/08/2001
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Colleran, Dennis, Trail, Ian, Gabriel, Stefan, Dye, Justin, Sikora, George
• Primary Examiner(s): Bates, David
• Assistant Examiner(s): ARAJ, MICHAEL J
• Application Number:
  US12/970,259
• Publication Number:
  US 20110152928A1
• Time in Patent Office: 1,650 Days
• Field of Search: 606/72, 606/73, 606/232, 606/233, 606/300, 606/301, 606/304, 606/309, 606/310, 606/327, 606/139, 606/60
• US Class Current: 1/1
• 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 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 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61B 2017/0438 slotted, i.e. having a longitudinal slot for enhancing their elasticity
• CPC Class Codes: A61B 2017/0456 Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
• CPC Class Codes: A61B 2017/0496 for tensioning sutures

Abstract

An anchor includes an anchor body configured to be retained within base tissue. The anchor body includes a unidirectional mechanism to selectively restrict passage of a flexible member through the anchor. The flexible member includes a loop to enable attachment of candidate tissue to base tissue without the use of knots.

Claims

1. A surgical method comprising:

attaching a flexible member to candidate tissue using a loop;

inserting the flexible member into a flexible member anchor;

attaching the flexible member anchor to bone;

pulling the flexible member through the flexible member anchor to locate the candidate tissue at a desired position relative to the bone; and

maintaining the desired position using a unidirectional mechanism of the flexible member anchor, the flexible member anchor including an anchor body having an outwardly extending, bone engaging formation configured to retain the anchor body within the bone, the anchor body defining a path for passage of the flexible member through the anchor body, the anchor body including a restrictor located along a side of the flexible member anchor, the restrictor defining an opening having a first portion for permitting passage of the flexible member therethrough and a second portion for restricting passage of the flexible member therethrough, the second portion including first and second surfaces between which the flexible member is receivable, the first and the second surfaces for restricting passage of the flexible member therethrough by compressing the flexible member between the first and the second surfaces,

the restrictor being configured such that movement of the flexible member from the first portion to the second portion to restrict passage of the flexible member through the restrictor is not along the path the flexible member takes to pass through the first portion.

2. The surgical method of claim 1 wherein inserting is performed subsequent to attaching the flexible member anchor to bone.

3. The surgical method of claim 1 wherein attaching the flexible member to the candidate tissue further comprises:

generating a hole in the candidate tissue;

passing a portion of the flexible member through the hole to position the loop on one side of the hole and a second end of the flexible member on an opposite end of the hole;

and passing the second end of the flexible member through the loop.

4. The surgical method of claim 3 wherein passing the second end of the flexible member through the loop is performed external to a patient'"'"'s body.

5. The surgical method of claim 3 wherein passing a portion of the flexible member through the hole and passing the second end of the flexible member through the loop are performed subsequent to inserting the flexible member into the flexible member anchor.

6. The surgical method of claim 5 wherein passing the second end of the flexible member through the loop further comprises passing the second end of the flexible member including the flexible member anchor through the loop.

7. The surgical method of claim 5 wherein generating a hole further comprises puncturing the candidate tissue using the flexible member anchor.

8. The surgical method of claim 1 further comprising forming a loop at an end of the flexible member.

9. The surgical method of claim 1 wherein the flexible member comprises suture.

10. The surgical method of claim 1 wherein the flexible member comprises a preformed loop.

11. The surgical method of claim 1 wherein the restrictor comprises the unidirectional mechanism, the unidirectional mechanism configured to allow movement of the flexible member in a first direction when an end region of the flexible member is pulled and to restrict movement of the flexible member in a second direction when an opposite end region of the flexible member is pulled.

12. The surgical method of claim 1 wherein the restrictor includes a V-shaped cross section, the wide portion of the V-shape including the first portion and being located closest to an outer surface of the anchor body, the narrow portion of the V-shape including the second portion and being closest to an inner portion of the anchor body.

13. The surgical method of claim 1 wherein movement of the flexible member from the first portion to the second portion occurs along a path perpendicular to the path the flexible member takes to pass through the first portion.