Biased wedge suture anchor and method for soft tissue repair

• US 9,364,210 B2
• Filed: 01/27/2012
• Issued: 06/14/2016
• 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: Gregoire, David, White, George W., Wolf, Steven
• Primary Examiner(s): Shi, Katherine M
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US13/359,826
• Publication Number:
  US 20130197578A1
• Time in Patent Office: 1,600 Days
• Field of Search: 606/232
• 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
• CPC Class Codes: A61B 2017/043 by insertion of a separate spreading member into the anchor
• CPC Class Codes: A61B 2017/0451 Cams or wedges holding the suture by friction

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. Tension applied to one side of a suture causes the suture locking wedge to translate and rotate into a position which compresses the suture, thereby locking the suture in the anchor. A resilient or spring biasing member within the anchor device urges the suture locking wedge to compress the suture, facilitating suture locking.

Claims

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

an anchor body comprising a wall, and the wall defining a lumen through at least a portion of a length of the anchor body;

a base portion disposed within the anchor body, the base portion axially slidable along a portion of the anchor body length;

a wedge biasing member extending from the base portion;

a suture locking wedge connected to the wedge biasing member, wherein the suture locking wedge is movably disposed at least partially within the lumen, and being in contact with the suture when the suture is extended through the anchor device and looped around the suture locking wedge such that when a tension force is applied to a tissue limb of the suture, the suture locking wedge is urged into a 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 wedge biasing member is cooperatively engaged with the lumen of the anchor body and the suture locking wedge to urge the suture locking wedge to the first position; and

wherein the lumen comprises an opening such that the suture follows a path defined by entering the lumen followed by at least partially protruding outside the lumen through the opening as the suture is looped around the suture locking wedge and then re-entering the lumen.

2. The anchor device of claim 1 wherein the wedge biasing member comprises a resilient material.

3. The anchor device of claim 2 wherein the resilient material comprises a polymer.

4. The anchor device of claim 1 wherein the wedge biasing member comprises a spring.

5. The anchor device of claim 1 wherein the wedge biasing member comprises at least one arm, the arm extending to the suture locking wedge.

6. The anchor device of claim 5 wherein the wedge biasing member and the base portion cooperatively engages with the lumen to maintain the suture locking wedge at a first orientation relative to the anchor body.

7. The anchor device of claim 6 wherein the base portion further comprises a guide member which engages the lumen of the anchor body to restrict movement of the base portion to translational movement.

8. The anchor device of claim 7 wherein the guide member comprises a projection which is slidably received in a slot in the wall of the anchor body.

9. The anchor device of claim 8 wherein the projection comprises a pin-shaped member.

10. The anchor device of claim 7 comprising a plurality of arms.

11. The anchor device of claim 5 wherein the arm is curved.

12. The anchor device of claim 5 wherein the arm has a serpentine shape.

13. The anchor device of claim 5 wherein the arm is U-shaped.

14. The anchor device of claim 5 wherein the at least one arm comprises at least two arms and an opening for the suture to pass therethrough.

15. The anchor device of claim 1 wherein the wedge biasing member flexes upon application of the tension force to the tissue limb of the suture such that the suture locking wedge is movable in two degrees of freedom.

16. The anchor device of claim 15 wherein said degrees of freedom include translation movement and rotational movement.

17. The anchor device of claim 1 wherein said suture locking wedge includes a substantially planar distal surface.

18. 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 thread, ridges, barbs, and wings.

19. The anchor device of claim 1 wherein said base portion has a tubular section sized to translate within the lumen of the anchor body.

20. The anchor device of claim 1 further comprising a pointed tip extending distally from the base portion, said pointed tip adapted to penetrate the bone.

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

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

a base portion disposed within the lumen, the base portion axially slidable along the length of anchor body;

a biasing member comprising at least one resilient arm member, the biasing member having a first end and a second end, wherein the second end extends from the base portion; and

a suture locking wedge extending from the first end of the biasing member, the suture locking wedge disposed at least partially within the anchor device and having a suture free configuration and a suture locking configuration, said suture locking wedge further biased in a first orientation relative to the anchor body to compress the suture when the suture is looped around the suture locking wedge and the suture locking wedge is in the suture locking configuration, the suture locking wedge biased in the first orientation only in reaction to a tension force applied by a tissue limb of the suture, and wherein the suture locking wedge is cooperatively engaged with the anchor body such that when the tension force is applied to the tissue limb of the suture the resilient arm flexes so as to move the suture locking wedge to the suture locking configuration, said locking configuration formed when the suture is compressed by the suture locking wedge against the anchor body wall.

22. A method for securing soft tissue to bone comprising:

(a) securing a first limb of a length of suture to the soft tissue to be attached to the bone;

(b) looping the length of suture through an anchor body and around a surface of a movable suture locking wedge, the suture locking wedge connected to a proximal end of a base portion by an arcuate resilient arm;

(c) fixing the anchor body within the bone;

(d) positioning the soft tissue in proximity to the bone by applying tension to a second limb of the length of suture, such that the length of suture slides around the suture locking wedge, so as to draw the first limb of the length of suture toward the anchor body, thereby drawing the soft tissue toward the anchor body; and

(e) loading the suture locking wedge in a first suture locking position, thereby compressing the length of suture between a first contact location of the suture locking wedge and the anchor body wherein the step of loading the suture locking wedge is carried out by applying tension to the first limb of the suture, the tension operable to axially slide the base portion, biasing member and the suture locking wedge toward the first contact location and flex the resilient arm causing the suture locking wedge to rotate, thereby urging the suture locking wedge into the first suture locking position and maintaining compression of the suture.

23. The method of claim 22 further comprising the step of applying tension on the second limb of the suture to move the suture locking wedge subsequent to said step (e) to release the suture from being compressed.

24. The method of claim 22 further comprising repeating steps (d) and (e) to reposition the soft tissue and to re-tension the suture.

25. The method of claim 24 wherein the re-tension is performed by hand.

26. The method of claim 22 wherein the resilient arm member has a serpentine shape.

27. The method of claim 22 wherein the loading step comprises compressing the length of suture between a second contact location of the suture locking wedge and the anchor body.

28. The method of claim 22 wherein the loading step comprises releasing tension to the second limb of the suture after a tissue tension force on the first limb arises as the tissue is approximated to the anchor body during step (d), thereby urging the suture locking wedge into the first suture locking position.

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

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

a biasing assembly comprising at least one resilient arm movably disposed within the lumen of the anchor body, said biasing assembly comprising a base, the base engaged with the anchor body and axially slidable along a portion of the anchor body, and a suture locking wedge spaced proximally from the base and retained in a biased orientation relative to the base by the at least one resilient arm, said suture locking wedge comprising a distal surface for the suture to engage the suture locking wedge when the suture is threaded through the anchor such that a tension force applied to the tissue limb of the suture urges the suture locking wedge into a first position in which the suture is compressed by the suture locking wedge against a first contact location of the anchor body wall.

30. The anchor device of claim 29 wherein the resilient arm flexes upon application of the tension force to the tissue limb of the suture such that the suture locking wedge is movable in two degrees of freedom.

31. The anchor device of claim 30 wherein said degrees of freedom include translation movement and rotational movement.

32. The anchor device of claim 29 wherein the resilient arm comprises a spring.

33. The anchor device of claim 29 wherein the resilient arm is curved.

34. The anchor device of claim 29 wherein the resilient arm has a serpentine shape.

35. The anchor device of claim 29 wherein the at least one resilient arm comprises at least two resilient arms and an opening therebetween for the suture to pass therethrough.

36. The anchor device of claim 29 wherein said base of said biasing assembly comprises a tubular section sized to translate within the lumen of the anchor body.

37. The anchor device of claim 36 further comprising a pointed tip extending distally from the base, said pointed tip adapted to penetrate the bone.