Bone anchor having an integrated stress isolator

• US 9,636,101 B2
• Filed: 09/04/2012
• Issued: 05/02/2017
• Est. Priority Date: 09/01/2011
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Wolf, Steven, Tangherlini, Vincent, Gordon, Norman S.
• Primary Examiner(s): Tyson, Melanie
• Assistant Examiner(s): Highland, Rachel S
• Application Number:
  US13/602,941
• Publication Number:
  US 20130060280A1
• Time in Patent Office: 1,701 Days
• 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 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0451 Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2017/0456 Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0817 Structure of the anchor
• 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 2002/0841 Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
• CPC Class Codes: A61F 2002/0847 Mode of fixation of anchor to tendon or ligament
• CPC Class Codes: A61F 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes

Abstract

The present disclosure includes a knotless suture anchoring system for anchoring a suture with respect to a body cavity, including a bone anchor body with at least one rigid anchoring structure to secure the anchor body within the body cavity. The anchor body has a longitudinal bore and cross-pin extending across the bore. A retention member is coupled to the anchor body with a break notch therebetween, which may selectively fracture to separate the body from the retention member. Additionally there is a suture cutout on the retention member and a relief feature positioned along the break notch and approximately diametrically opposed from the suture cutout, the relief feature acting to alter the force dissipation along the break notch during the separation of the retention member from the anchor body.

Claims

1. A knotless suture anchoring system for anchoring a length of suture with respect to a body cavity, comprising:

a bone anchor body comprising at least one rigid anchoring structure to secure the anchor body within the body cavity, the anchor body further comprising a longitudinal bore and a cross-pin extending laterally through the longitudinal bore;

a retention member coupled to the anchor body;

a suture plug for placement in the longitudinal bore to frictionally secure at least one length of suture within the longitudinal bore;

a break notch disposed between the anchor body and the retention member, wherein the break notch and the longitude bore define a relatively low ultimate tensile strength connection between the retention member and bone anchor configured to facilitate a controlled fracture and separation of the anchor body from the retention member; and

a suture cutout disposed on the retention member and in communication with the break notch, operable so that a suture may enter the longitudinal bore and exit the longitudinal bore after being passed around the cross-pin; and

a relief feature positioned through the relatively low ultimate tensile strength connection wherein the relatively low ultimate strength connection defines a circumferential connection, interrupted by the relief feature.

2. The knotless suture anchoring system of claim 1 wherein the relief feature comprises a hole disposed partially in the bone anchor body and partially in the retention member.

3. The knotless suture anchoring system of claim 1 wherein the retention member comprises one or more lugs to be engaged by a grasping member.

4. The knotless suture anchoring system of claim 1, wherein the circumferential connection between the retention member and bone anchor is further interrupted by the suture cutout.

5. The knotless suture anchoring system of claim 1 wherein the anchor body is constructed from a PEEK material.

6. The knotless suture anchoring system of claim 1, the relatively low ultimate strength connection having a variable cross section thickness is largest at points that are circumferentially equidistant between the relief feature and suture cutout.

7. The knotless suture anchoring system of claim 1 wherein a suture plug distal tip is configured so as to engage and apply a load upon the cross-pin and thereby the bone anchor, so as to cause the bone anchor body to separate from the retention member.

8. The knotless suture anchoring system of claim 7 further comprising a suture plug driver rod, slidably disposed within the retention member and in communication with the suture plug, said driver rod operable to place the suture plug within the longitudinal bore and apply an axial force to the plug, so as to cause the bone anchor body to separate from the retention member.

9. The knotless suture anchoring system of claim 1 further comprising an applicator system for inserting and manipulating the bone anchor, comprising;

a grasping member for grasping the retention member and;

a driving rod coaxially located within the grasping member and retention member, operable to load the suture plug within the bone anchor bore.

10. The knotless suture system of claim 1, wherein the relief feature is disposed so as to define at least one relief feature fracture initiation site on the relatively low ultimate tensile strength connection.

15. The knotless suture system of claim 1 or 11 wherein the relief feature is diametrically opposed the suture cutout.

16. The knotless suture system of claim 1 or 11, wherein the suture cutout defines at least one fracture initiation site on the relatively low ultimate tensile strength connection.

17. The knotless suture system of claim 16 wherein the relief feature is disposed so as to be circumferentially spaced away from the at least one fracture initiation site.

11. A knotless suture anchoring system for anchoring a length of suture with respect to a body cavity, comprising:

a bone anchor body applicator;

a bone anchor body comprising at least one rigid anchoring structure to secure the bone anchor body within the body cavity, the bone anchor body further comprising a longitudinal bore and a cross-pin extending laterally through the longitudinal bore;

a retention member coupled to the bone anchor body via an annular connection and engaged with the bone anchor body applicator;

a suture plug for placement in the longitudinal bore to frictionally secure a suture to the inner wall of the longitudinal bore;

a suture plug driver rod, in communication with the suture plug and disposed coaxially within the retention member;

a break notch circumferentially disposed around the annular connection, configured so as to reduce a cross sectional thickness of the annular connection and facilitate controlled fracture and separation of the bone anchor body from the retention member; and

a suture cutout disposed on the retention member and in communication with the break notch, operable so that a suture may enter and exit the longitudinal bore after being passed around the cross-pin without interrupting the motion of the driver rod; and

a relief feature disposed through the annular connection, so as to interrupt the annular connection and alter stress propagation around the annular connection during fracture and separation.

12. The knotless suture anchoring system of claim 11, wherein the relief feature comprises a transverse hole relative to the longitudinal bore, disposed partially in the bone anchor and partially in the retention member.

13. The knotless suture anchoring system of claim 11, wherein the annular connection between the retention member and bone anchor is further interrupted by the suture cutout.

14. The knotless suture anchoring system of claim 13 wherein the cross sectional thickness is variable around the annular connection and wherein the cross sectional thickness is largest at the locations that are circumferentially equidistant between the relief feature and suture cutout.