Method and apparatus for coupling soft tissue to a bone

• US 9,408,599 B2
• Filed: 12/06/2011
• Issued: 08/09/2016
• Est. Priority Date: 02/03/2006
• Status: Active Grant

• Current Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Kaiser, Ryan A., Stone, Kevin T.
• Primary Examiner(s): Anderson, Gregory
• Assistant Examiner(s): DANG, PHONG SON H
• Application Number:
  US13/311,936
• Publication Number:
  US 20120095470A1
• Time in Patent Office: 1,708 Days
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0485 Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
• 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 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1631 Special drive shafts, e.g. flexible shafts A61B17/1642, A61B17/164 take precedence
• CPC Class Codes: A61B 17/1633 Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft A61B17/1644 takes precedence
• CPC Class Codes: A61B 17/1655 for tapping
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00858 high friction or non-slip
• CPC Class Codes: A61B 2017/0406 Pledgets
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0432 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures
• CPC Class Codes: A61B 2017/0496 : for tensioning sutures
• CPC Class Codes: A61B 2017/06185 : hollow or tubular
• CPC Class Codes: A61F 2/08 : Muscles; Tendons; Ligaments sutures A61B17/04
• 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: A61F 2002/0829 : without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
• CPC Class Codes: A61F 2002/0835 : with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0852 : Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0864 : Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
• CPC Class Codes: A61F 2002/0882 : Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• CPC Class Codes: A61F 2002/0888 : Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The method includes bringing a bone cutting tool extending along a longitudinal axis into engagement with an outer surface of the bone. The bone cutting tool is rotated about the longitudinal axis while driving it from the outer surface of the bone to a predetermined depth in the bone to form a bore. The bone cutting tool is then continuously rotated at the predetermined depth to establish an enlarged bone pocket at a distal end of the bore. The bone pocket defines a shoulder extending around a circumference between the bone pocket and bore. The bone cutting tool is removed from the bone pocket and bore. The fixation device is then inserted into the bone pocket through the bore, where it is seated against the bone pocket shoulder.

Claims

1. A method for attaching a fixation device to a bone, the method comprising:

bringing a bone cutting tool that extends along a longitudinal axis into engagement with an outer surface of the bone;

rotating the bone cutting tool about the longitudinal axis while driving the bone cutting tool from the outer surface of the bone to a predetermined depth in the bone to form a bore;

continuously rotating the bone cutting tool at the predetermined depth while maintaining the bone cutting tool in a substantially stationary position to establish an enlarged bone pocket at a distal end of the bore, the bone pocket defining a shoulder extending around a circumference between the bone pocket and the bore;

removing the bone cutting tool from the bone pocket and the bore;

inserting the fixation device into the bone pocket through the bore; and

positioning the fixation device against the shoulder of the bone pocket.

2. The method of claim 1, wherein continuously rotating the bone cutting tool is performed without removing the bone cutting tool from the bore and after rotating the bone cutting tool into position at the predetermined depth.

3. The method of claim 1, wherein rotating the bone cutting tool about the longitudinal axis pulls the bone cutting tool into the bore.

4. The method of claim 3, further comprising:

creating a helical groove relative to the bore as the bone cutting tool is rotating about the longitudinal axis.

5. The method of claim 3, wherein rotating the bone cutting tool about the longitudinal axis is performed until a stop at a proximal end of the bone cutting tool engages the outer surface of the bone.

6. The method of claim 1, further comprising:

removing the bone at the distal end of the bore to form the bone pocket by the continuously rotating the bone cutting tool at the predetermined depth.

7. The method of claim 1, wherein rotating the bone cutting tool about the longitudinal axis includes forming a first aperture in the bone with a portion of the bone cutting tool having a first diameter.

8. A method for attaching a fixation device to a bone, the method comprising:

bringing a bone cutting tool having a helical flute into engagement with an outer surface of the bone;

rotating the bone cutting tool about a longitudinal axis to form a first bore having a helical flute groove extending from the outer surface of the bone to a depth within the bone;

continuously rotating the bone cutting tool at the depth to establish a second bore having a shoulder and a continuous sidewall, the shoulder extending around a circumference between the second bore and the first bore;

aligning the bone cutting tool with the first bore;

drawing the bone cutting tool out of the second and first bores;

inserting the fixation device into the second bore through the first bore; and

positioning the fixation device against the shoulder of the second bore.

9. The bone cutting tool of claim 8, wherein continuously rotating the bone cutting tool is performed while maintaining the bone cutting tool in a substantially stationary position without removing the bone cutting tool from the first bore.

10. The bone cutting tool of claim 8, wherein rotating the bone cutting tool about the longitudinal axis pulls the bone cutting tool into the bore.

11. The bone cutting tool of claim 10, wherein rotating the bone cutting tool about the longitudinal axis is performed until a stop at a proximal end of the bone cutting tool engages the outer surface of the bone.

12. The method of claim 8, further comprising:

transversely cutting the bone while maintaining the bone cutting tool in a substantially stationary position to establish the second bore.

13. The method of claim 8, wherein aligning the bone cutting tool with the first bore further comprises reverse rotating the bone cutting tool to prevent further bone removal as the bone cutting tool is drawn out of the second and first bores along the helical flute groove formed in the first bore.

14. A method for attaching a fixation device to a bone, the method comprising:

advancing a bone cutting tool through cortical bone about a longitudinal axis of the tool to a predetermined depth in cancellous bone to form a bore having a helical groove, the bone cutting tool including

a body portion extending from a proximal end to a distal end along the longitudinal axis,

a first member extending radially outwardly from the distal end of the body portion, the first member having a first diameter defined by at least one transverse cutting flute, and

a second member extending radially outwardly from the body portion proximal the first member and having a second diameter greater than the first diameter; and

continuously rotating the bone cutting tool at a substantially stationary position at the predetermined depth to establish an enlarged bone pocket having a cylindrical sidewall at a distal end of the bore, the bone pocket defining a shoulder extending around a circumference between the bone pocket and the bore.

15. The method of claim 14, further comprising:

removing the bone cutting tool from the bone pocket and the bore;

inserting the fixation device into the bone pocket through the bore; and

positioning the fixation device against the shoulder of the bone pocket.

16. The method of claim 14, wherein the second member is a stop extending radially outwardly from the body portion at the proximal end, the stop engaging an outer surface of the cortical bone for establishing the predetermined depth in the cancellous bone.

17. The method of claim 14, wherein the second member is a threaded portion sized for forming the enlarged bone pocket.

18. The bone cutting tool of claim 14, wherein continuously rotating the bone cutting tool is performed without removing the bone cutting tool from the bore and after rotating the bone cutting tool into position at the predetermined depth.

19. The bone cutting tool of claim 14, wherein rotating the bone cutting tool about the longitudinal axis includes forming a first aperture in the bone with the first member of the bone cutting tool.

20. The bone cutting tool of claim 19, wherein continuously rotating the bone cutting tool forms the bone pocket having a pocket diameter substantially equal to the second diameter of the second member.