Closure device and method for tissue repair

• US 9,492,160 B2
• Filed: 08/07/2014
• Issued: 11/15/2016
• Est. Priority Date: 12/02/1999
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Torrie, Paul A., Sikora, George, Bojarski, Raymond A., Ek, Steven W.
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US14/454,243
• Publication Number:
  US 20140350599A1
• Time in Patent Office: 831 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 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0459 Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0475 using sutures having a slip knot
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: Y10T 24/3916 One-piece

Abstract

A method of closing a tissue wound includes providing a wound closure device having a first anchor, a second anchor, and a flexible member movably attached to the second anchor, positioning the first anchor against tissue, passing the flexible member across the wound, positioning the second anchor against tissue, and pulling on a free end of the flexible member to shorten a length of the flexible member between the first and second anchors, thereby closing the wound. A wound closure device includes a first anchor, a second anchor; and a flexible member connecting the first anchor to the second anchor, the flexible member being movably attached to the second anchor, such that pulling on a free end of the flexible member shortens a length of the flexible member between the first and second anchors.

Claims

1. A wound closure device comprising:

a first anchor;

a second anchor; and

a flexible member connecting the first anchor to the second anchor, the flexible member including a first end which is coupled relative to the first anchor and a free end which is looped through the second anchor and through a slip fastener, whereby the flexible member is movably attached to the second anchor, such that pulling on the free end of the flexible member shortens a length of the flexible member between the first anchor and second anchor,

wherein the movable attachment includes a knot formed in the flexible member at the second anchor,

wherein the knot includes a first portion of the flexible member threaded through the second anchor to form a loop, and a second portion that passes over a surface of the second anchor and through the loop.

2. The wound closure device of claim 1, wherein the movable attachment of the flexible member to the second anchor enables the length of the flexible member between the first and second anchors to be shortened, but not lengthened.

3. The wound closure device of claim 1, wherein the surface comprises an exterior surface of the second anchor.

4. The wound closure device of claim 1, wherein the knot is configured such that pulling on the free end causes the flexible member to slide through the loop to shorten the length of the flexible member between the first and second anchors, but pulling on the flexible member in an opposite direction in order to increase the length of the flexible member between the first and second anchors causes the loop to press the second portion against a compression surface of the second anchor, resisting increase in the length of flexible member between the first and second anchors.

5. The wound closure device of claim 1, wherein the second portion includes the free end.

6. The wound closure device of claim 1, wherein the second anchor defines a partially enclosed region, and the loop is formed within the partially enclosed region.

7. The wound closure device of claim 6, wherein the second anchor includes a second section that defines a passage that connected to the partially enclosed region, and the free end of the suture passes through the passage.

8. The wound closure device of claim 1, wherein the second anchor includes a first section that defines a plurality of holes, and wherein the knot is formed by a first portion of the flexible member passing through a plurality of holes to form a loop and a second portion of the flexible member passing over a surface of the second anchor and through the loop.

9. A wound closure device comprising:

a first anchor;

a second anchor;

a flexible member connecting the first anchor to the second anchor, the flexible member being movably attached to the second anchor, such that pulling on a free end of the flexible member shortens a length of the flexible member between the first anchor and second anchor; and

a slip fastener;

wherein the free end is a first end of the flexible member, the flexible member further including a second end, the second end coupled to the first anchor; and

wherein the second anchor includes a loop through which the flexible member passes, the flexible member slidably passing through the slip fastener and the loop.

10. The wound closure device of claim 9, wherein the first anchor and the second anchor are configured to anchor into bone;

wherein the flexible member between the first anchor and the second anchor passes through tissue; and

wherein pulling on the free end of the flexible member reduces the length of the flexible member between the first anchor and the slip fastener, bringing the tissue end into secure contact with the bone.

11. The wound closure device of claim 9, wherein the flexible member between the first anchor in the second anchor passes multiple times through a tear in tissue;

and

wherein pulling on the free end of the flexible member reduces the length of the flexible member between the first anchor and the slip fastener, closing the tear.

12. A wound closure device comprising:

a first anchor;

a second anchor; and

a flexible member connecting the first anchor to the second anchor, the flexible member including a first end which is coupled relative to the first anchor and a free end which is looped through the second anchor and through a slip fastener, whereby the flexible member is movably attached to the second anchor, such that pulling on the free end of the flexible member shortens a length of the flexible member between the first anchor and second anchor,

wherein the device is configured such that tensioning a portion of the flexible member extending between the first anchor and the second anchor while not tensioning the free end causes the second anchor to pin the flexible member between the second anchor and a compression surface thereby resisting relative movement between the second anchor and the flexible member and thus resisting an increase in length of the flexible member between the first and second anchors.

13. The wound closure device of claim 12, wherein the second anchor includes a first section that defines a plurality of holes, and wherein the movable attachment includes a knot formed by a first portion of the flexible member passing through a plurality of holes to form a loop and a second portion of the flexible member passing over a surface of the second anchor and through the loop.

14. The wound closure device of claim 12, wherein the second anchor includes a first section that defines a plurality of holes, wherein the free end is looped through the first hole and back through the second hole.

15. The wound closure device of claim 12 wherein the slip fastener slidably secures the free end of the flexible member relative to the second anchor.

16. The wound closure device of claim 12, wherein the slip fastener slidably secures the free end of the flexible member relative to first portion of the flexible member extending between the first anchor and the second anchor.