Segmentally rigid suture and suturing technique
First Claim
1. A suture device for affixing soft tissue with a stitch having at least one suture pass into the soft tissue, the device comprising:
- a suture composed of a suture material; and
at least one segment disposed on the suture and composed of a second material, the at least one segment being at least longitudinally rigid,the at least one segment embedded in an external portion of the suture passing over an exterior of the at least one segment,the at least one segment affixed to an internal portion of the suture passing through the at least one segment,the suture comprising at least one retention feature disposed on a length of the suture, the at least one retention feature limiting a position of the at least one segment on the length of the suture,the at least one segment configured to be disposed adjacent an outside surface of the soft tissue in the stitch adjacent the at least one suture pass,the at least one segment configured to support the suture device against the outside surface of the soft tissue and a compressive load on the soft tissue by the suture at the at least one suture pass.
1 Assignment
0 Petitions
Accused Products
Abstract
The suture device of the present disclosure disposes rigid components on suture, enabling the device to resist tensile and compressive loads and to protect soft tissue from suture pull-through. The suture device generally comprises of at least one rigid segment as well as a standard high tensile strength suture to create a segmentally rigid suture device. The at least one rigid segment may be comprised of any of a number of materials that are appropriate for use in the human body and provide the desired strength and stiffness for a particular application. Although the segmentally rigid suture device could be used with any prior art suture configuration, a grip stitch, a knot tying grip stitch, a straight-line grip stitch, and a reverse straight-line grip stitch suture configuration are described.
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Citations
29 Claims
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1. A suture device for affixing soft tissue with a stitch having at least one suture pass into the soft tissue, the device comprising:
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a suture composed of a suture material; and at least one segment disposed on the suture and composed of a second material, the at least one segment being at least longitudinally rigid, the at least one segment embedded in an external portion of the suture passing over an exterior of the at least one segment, the at least one segment affixed to an internal portion of the suture passing through the at least one segment, the suture comprising at least one retention feature disposed on a length of the suture, the at least one retention feature limiting a position of the at least one segment on the length of the suture, the at least one segment configured to be disposed adjacent an outside surface of the soft tissue in the stitch adjacent the at least one suture pass, the at least one segment configured to support the suture device against the outside surface of the soft tissue and a compressive load on the soft tissue by the suture at the at least one suture pass. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A method of repairing soft tissue, comprising:
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providing a suture device having a suture and at least one segment, the suture composed of a suture material, the at least one segment composed of a second material and being at least longitudinally rigid, the at least one segment embedded in an external portion of the suture passing over an exterior of the at least one segment and affixed to an internal portion of the suture passing through the at least one segment, the suture comprising at least one retention feature disposed on a length of the suture, the at least one retention feature limiting a position of the at least one segment on the length of the suture; forming a loop with the suture device by passing the suture through the soft tissue at first suture points; passing at least one end of the suture through the soft tissue at a second suture point; passing the at least one end of the suture through the formed loop; and limiting a compressive load on the soft tissue by the suture between at least one of the first suture points and the second suture point by positioning the at least one segment disposed on the suture device against an outside surface of at least one side of the soft tissue between the first and second suture points. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22)
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23. A method of repairing soft tissue, comprising:
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providing a suture device having a suture and at least one segment, the suture composed of a suture material, the at least one segment composed of a second material and being at least longitudinally rigid, the at least one segment embedded in an external portion of the suture passing over an exterior of the at least one segment and affixed to an internal portion of the suture passing through the at least one segment, the suture comprising at least one retention feature disposed on a length of the suture, the at least one retention feature limiting a position of the at least one segment on the length of the suture; forming a loop with the suture by passing ends of the suture through soft tissue at one or more first suture points; passing the ends of the suture through the formed loop; and limiting a compressive load on the soft tissue by the suture between the one or more first suture points and the formed loop by positioning the at least one segment disposed on the suture device against an outside surface of at least one side of the soft tissue between the one or more first suture points and the formed loop. - View Dependent Claims (24, 25, 26)
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27. A method of repairing soft tissue, comprising:
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providing a suture device having a suture and at least one segment, the suture composed of a suture material, the at least one segment composed of a second material and being at least longitudinally rigid, the at least one segment embedded in an external portion of the suture passing over an exterior of the at least one segment and affixed to an internal portion of the suture passing through the at least one segment, the suture comprising at least one retention feature disposed on a length of the suture, the at least one retention feature limiting a position of the at least one segment on the length of the suture; passing ends of the suture through the soft tissue at first and second suture points; and limiting a compressive load on the soft tissue by the suture between the first and second suture points by positioning the at least one segment disposed on the suture device against an outside surface of at least one side of the soft tissue between the first and second suture points.
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28. A method of repairing soft tissue, comprising:
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providing a suture device having a suture and at least one segment, the suture composed of a suture material, the at least one segment composed of a second material and being at least longitudinally rigid, the at least one segment embedded in an external portion of the suture passing over an exterior of the at least one segment and affixed to an internal portion of the suture passing through the at least one segment the suture comprising at least one retention feature disposed on a length of the suture, the at least one retention feature limiting a position of the at least one segment on the length of the suture; making a simple stitch in soft tissue at a first suture point with the suture, making a mattress stitch through the soft tissue at second and third suture points with a separate suture piece tied over the suture from the simple stitch; and limiting a compressive load on the soft tissue by the suture between the first suture point and the mattress stitch by positioning the at least one segment disposed on the suture device against an outside surface of at least one side of the soft tissue between the first suture point and the mattress stitch. - View Dependent Claims (29)
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Specification