Multi-suture knotless anchor for attaching tissue to bone and related method

• US 9,855,028 B2
• Filed: 04/06/2012
• Issued: 01/02/2018
• Est. Priority Date: 04/06/2012
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Vijay, Francis, White, George W.
• Primary Examiner(s): LOUIS, RICHARD G
• Application Number:
  US13/441,055
• Publication Number:
  US 20130267998A1
• Time in Patent Office: 2,097 Days
• Field of Search: 606232, 606327, 606300-321
• 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 2017/0403 Dowels other bone dowels A61B17/68; dowels for connecting prosthetic parts A61F2002/30433
• 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 2017/0424 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0438 slotted, i.e. having a longitudinal slot for enhancing their elasticity
• CPC Class Codes: A61B 2017/0446 Means for attaching and blocking the suture in the suture anchor
• CPC Class Codes: A61B 2017/045 snug fit within the anchor

Abstract

A multi-suture knotless anchor and related method for securing soft tissue, such as tendons, to bone are described. The suture anchor includes a body, a sleeve, and an outer deformable bone locking structure. The bone locking structure has a first low profile configuration for insertion into the bone, and a second larger profile configuration for engaging the bone when actuated. The bone anchor and methods permit a suture attachment that lies beneath the cortical bone surface and does not require tying of knots in the suture.

Claims

1. A suture anchor for knotlessly securing a soft tissue to a bone with at least one suture, wherein the suture anchor comprises a first undeployed configuration in which tissue may be drawn towards the suture anchor by applying tension to a free limb of the suture, and a second deployed configuration in which the suture anchor is fixed in the bone and the suture is locked in the suture anchor thereby securing the tissue to the bone, said suture anchor comprising:

an anchor body having;

a distal tip with a suture tunnel disposed there-through;

a connecting portion configured to be selectively coupled to a shaft distal end of an insertion device; and

a plurality of deflecting sections extending proximally from the distal tip;

wherein an inner surface of the deflecting sections define a cavity, the cavity terminating at a distal end proximally disposed from the entire suture tunnel when both in the first undeployed and second deployed configuration; and

a sleeve member which is configured to cooperate with the anchor body so as to deflect the deflecting sections to engage bone and lock the suture in the suture anchor.

2. The suture anchor of claim 1 wherein the plurality of deflecting sections are deflectable to a plurality of different sizes.

3. The suture anchor of claim 1 wherein the plurality of deflecting sections deflect outwardly from the anchor body when the sleeve member is urged into said cavity.

4. The suture anchor of claim 1 wherein the plurality of deflecting sections comprise at least three discrete wings.

5. The suture anchor of claim 1 wherein the anchor body is a biocompatible polymer.

6. The suture anchor of claim 1 wherein the cavity is an annular space.

7. The suture anchor of claim 1 wherein the anchor body connecting portion further comprises an internally threaded portion for connection to the insertion instrument, the internally threaded portion adapted to predictably detach from the anchor body upon application of a sufficient stress between a mating insertion instrument threaded portion and the internally threaded portion, so as to strip one or both of the threaded portions and to break a sacrificial section of the internally threaded portion at a predetermined tension.

8. The suture anchor of claim 1 wherein the distal tip comprises a tapered tip.

9. The suture anchor of claim 8 wherein the tapered tip tapers from a proximal base to a distal end, wherein said base has an outer diameter of at least 4 mm.

10. The suture anchor of claim 1 wherein at least one of the plurality of deflecting sections and sleeve comprises annular ribs.

11. The suture anchor of claim 10 wherein the distal section of the anchor body comprises ridges.

12. A knotless suture anchoring system for anchoring a length of suture with respect to a bone, comprising:

an anchor insertion instrument comprising a handle, and an elongate rigid shaft extending distally from the handle, said shaft comprising a distal end section defining a threaded portion;

an anchor body detachably connected to the distal end section of the elongate rigid shaft, said anchor body comprising an internally threaded portion for selectively mating with the instrument threaded portion and a distal tip, the distal tip comprising an aperture through a thickness of the distal tip;

wherein the anchor body further comprises a deflectable bone anchoring structure having an inner surface defining a cavity, the cavity having a distal end proximally separated from the aperture by an intermediate portion having a solid cross-section; and

a sleeve member slidably disposed on the shaft distal end section of the instrument and proximal to the anchor body, the sleeve member having an outer diameter sufficient in size and shape to radially deflect the anchoring structure.

13. The system of claim 12, wherein at least one of the threaded portions are adapted to selectively strip upon the application of sufficient stress so as to selectively detach the anchor body from the insertion instrument.

14. The system of claim 12 further comprising a snare extending through at least a portion of the insertion instrument and the aperture of the anchor body such that when a distal portion of the snare is affixed to a length of suture, withdrawal of the snare pulls the length of suture through the aperture of the anchor body and the distal portion of the insertion instrument.

15. The system of claim 12 wherein the distal tip comprises a tapered tip.

16. The system of claim 12 wherein at least one of the threaded portions comprises a biocompatible polymer, adapted to strip one or both of the threaded portions at a predetermined tensile force on the shaft in the proximal direction.

17. The system of claim 12 wherein the bone anchoring structure has a plurality of deflectable wings, and each wing comprises a plurality of exterior ridges.

18. The system of claim 12 wherein the cavity is an annular space.