Rotating locking member suture anchor and method for soft tissue repair

• US 9,198,649 B2
• Filed: 01/27/2012
• Issued: 12/01/2015
• Est. Priority Date: 01/27/2012
• Status: Expired due to Fees

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Karapetian, Emil, Wolf, Steven
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US13/359,631
• Publication Number:
  US 20130197575A1
• Time in Patent Office: 1,404 Days
• Field of Search: 606/232, 606/215, 241/70, 241/91, 241/34.R, 241/34.KB
• 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 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• 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 apparatus and method for anchoring a length of suture with respect to a target tissue has an anchor body with an anchoring structure for fixing the anchor body within the target tissue and a suture locking member. The moveable suture locking member is disposed at least partially within an anchor body lumen while a portion of the length of suture is looped around the suture locking member such that a first and second limb of suture exits the lumen. A suture locking member includes at least two elongate arms, and each arm has an extension dimension respectively, such that the first arm extension dimension is substantially greater than the second arm extension dimension.

Claims

1. A suture anchor apparatus for anchoring a length of suture with respect to a target tissue, comprising:

an anchor body comprising an anchoring structure for fixing the anchor body with respect to the target tissue, the anchor body further comprising an internal lumen;

a suture locking member disposed at least partially within the internal lumen and wherein a portion of the length of suture is looped around the suture locking member such that a first limb and a second limb of suture exit the lumen; and

wherein the suture locking member comprises a torque arm having a torque arm perpendicular extension and a locking arm having a locking arm perpendicular extension; and

wherein a first tension on the first limb of suture is applied to the torque arm and a second tension on the second limb of suture is applied to the locking arm, and wherein the second tension allows the length of suture to slide around the suture locking member until the first tension is sufficient to move the suture locking member such that the length of suture is compressed between the locking arm and the anchor body and wherein the torque arm perpendicular extension is larger than the locking arm perpendicular extension.

2. The suture anchor apparatus of claim 1, wherein the length of suture is locked between the locking arm and a portion of the internal lumen.

3. The suture anchor apparatus of claim 2, wherein the suture locking member has an axis, and wherein the length of suture is compressed against a portion of the internal lumen that is on the opposite side of the axis to the torque arm.

4. The suture anchor apparatus of claim 1, wherein the suture locking member is moveable from a first position wherein said length of suture may freely travel across the suture locking member to a second position, wherein the locking arm prevents axial motion of said length of suture when in said second position.

5. The suture anchor apparatus of claim 4, wherein the torque arm and the locking arm are both elongate and terminate in a torque arm tip and a locking arm tip respectively, and wherein both arms extend radially from a suture locking member axis and wherein the torque arm perpendicular extension is defined between the suture locking member axis, and a center point of the torque arm tip in a direction perpendicular to an elongate axis of the anchor body and wherein the locking arm perpendicular extension is defined between the suture locking member axis, and a center point of the locking arm tip in a direction perpendicular to the anchor body elongate axis and wherein the torque arm perpendicular extension is significantly larger than the locking arm perpendicular extension when in both the first and second position.

6. The suture anchor apparatus of claim 5, wherein a portion of the torque arm tip extends outside of the anchor body when the length of suture is compressed between the locking arm and the anchor body configured so as to allow the torque arm perpendicular extension to be larger relative to the locking arm perpendicular extension and not be confined within the anchor body.

7. The suture anchor apparatus of claim 4, wherein the suture locking member rotates between the first position and the second position.

8. The suture anchor apparatus of claim 1, wherein a suture contact surface of the suture locking member comprises a low friction material and has a low friction surface texture.

9. The suture anchor apparatus of claim 1, further comprising a stop, disposed adjacent the suture locking member, wherein the stop limits the movement of the suture locking member via contact with a portion of the locking arm.

10. The suture anchor apparatus of claim 1, further comprising a distal piercing tip to pierce soft tissue and drive the suture anchor into bone tissue.

11. The suture anchor apparatus of claim 1, wherein the anchor body further comprises a threaded portion to threadingly engage bone tissue.

12. The suture anchor apparatus of claim 1, wherein the anchor body further comprises at least one bone lock component configured to retain the suture anchor in the target tissue.

13. A knotless suture anchor apparatus for fixing a length of suture with respect to a target tissue, comprising:

an anchor body having an anchoring structure for fixing the anchor body within the target tissue, and wherein the anchor body comprises an elongate axis and a proximal end with an opening configured for receiving a first portion of suture, the first portion of suture extending distally and around a suture locking member located within said opening, such that a second portion of suture then returns proximally through said opening; and

wherein the suture locking member comprises a first arm and a second arm, wherein said first portion of suture is disposed such that a first tension on the first portion of the suture applies a first torque to the first arm and moves the suture locking member from an open position where the length of suture may freely slide around the suture locking member, to a locked position where the length of suture is locked between the second arm and the anchor body, and wherein the first arm extends further in a perpendicular direction relative to the elongate axis than the second arm in both the open and locked positions.

14. The suture anchor apparatus of claim 13, wherein a second tension may apply a second torque to the second arm and for equivalent first and second tensions, a resultant torque is generated by these first and second tensions on the suture locking member so as to move the suture locking member to the locked position.

15. The suture anchor apparatus of claim 13, wherein the length of suture is locked by compressing the second portion of suture between a lateral surface of the anchor body and the second arm.

16. The suture anchor apparatus of claim 13, wherein the length of suture is compressed against a lateral portion of an internal lumen of the anchor body.

17. The suture anchor apparatus of claim 13, wherein a second tension applies a second torque to the second arm, and wherein the first torque moves the suture locking member to the locked position at a lower first tension than the second tension.

18. The suture anchor apparatus of claim 13, wherein the suture locking member comprises a low friction material and has a low friction surface.

19. The suture anchor apparatus of claim 13, wherein the first portion of suture is configured to connect with tissue.

20. The suture anchor apparatus of claim 13, wherein said second portion of suture is in contact with said second arm and is operable to apply a second tension to the second arm and move the suture locking member from the locked position to the open position wherein the length of suture free to slide around the suture locking member.

21. The suture anchor apparatus of claim 13, wherein the anchoring structure for fixing the anchor body within the target tissue comprises a proximally disposed deformable anchoring element.

22. The suture anchor apparatus of claim 13, wherein the anchoring structure for fixing the anchor body within the target tissue comprises a threaded anchoring element.

23. The suture anchor apparatus of claim 13, further comprising a connecting member disposed between the suture locking member and the body.

24. A method for securing tissue with a suture anchor device, comprising:

manipulating a portion of a length of suture and a suture locking member such that a first length of suture extends into a lumen of the suture anchor device, around the suture locking member, and such that a second length of suture exits the lumen proximal end, and wherein said suture locking member comprises an axis and at least an elongate torque arm and an elongate locking arm;

wherein the elongate torque arm is longer than the elongate locking arm; and

wherein a first tension applied to the first length of suture is transferred to the elongate torque arm and wherein a second tension applied by the second length of suture is transferred to the elongate locking arm;

inserting said suture anchor device into a portion of tissue;

applying the second tension to the second length of suture such that the length of suture slides freely around the suture locking member until the second tension approximates the first tension; and

releasing the second tension to the second length of suture whereby the first tension on the first length of suture moves the suture locking member so as to secure the second length of suture between the elongate locking arm and the lumen.

25. The method of claim 24 wherein the elongate locking arm and the elongate torque arm extend radially from the axis in substantially opposite directions to each other.

26. The method of claim 24, wherein the length of suture is secured by compressing the second length of suture between the elongate locking arm and a lumen side wall.

27. The method of claim 24, wherein the suture locking member moves by rotating.

28. The method of claim 27, wherein the suture locking member is a cam and rotates about a pin.

29. The method of claim 24, wherein the step of manipulating comprises placing the length of suture distal to the suture locking member and inserting said suture locking member into the lumen, while capturing the length of suture, such that the first length of suture enters the lumen and a second length of suture exits the lumen.

30. The method of claim 24, wherein the step of inserting the anchor device into a portion of tissue comprises rotating an externally threaded anchor body into bone tissue.