Suture anchor installation system

• US 5,944,739 A
• Filed: 03/12/1998
• Issued: 08/31/1999
• Est. Priority Date: 03/12/1998
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: Surgical Dynamics Incorporated (Medtronic Plc)
• Inventors: Miller, Peter C., Stefura, Dennis M., Tompkins, Christine M., Zlock, Stephen W.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/041,219
• Time in Patent Office: 537 Days
• Field of Search: 606/139, 606/144, 606/232, 206/63.3, 206/339
• US Class Current: 606/232
• 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 17/17 Guides or aligning means for drills , mills, pins or wires
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0424 the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/045 snug fit within the anchor
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A suture anchor installation system includes a body portion having a distal end and a proximal end, an elongated shaft extending distally from the distal end of the body portion, the shaft having a distal end with an annular region disposed at the distal end of the shaft. A suture anchor is attachable within the annular region and comprising a setting portion and an engagement portion, the suture anchor having at least one suture associated therewith. A suture retaining member is positioned on the body portion, the suture retaining member including tabs to grip the at least one suture extending from the suture anchor to maintain the setting portion within the engagement portion. A loading unit for use with a suturing apparatus is mountable on the body portion including a mounting member positioned on the body portion and configured to releasably hold at least one suture needle, the at least one suture needle being associated with the at least one suture extending from the suture anchor. The loading unit further includes a receiving structure formed in the body portion for receiving a distal end portion of the suturing apparatus in operative alignment with mounting member to facilitate mounting of the at least one surgical needle in the suturing apparatus. A method for applying a suture anchor comprises the steps of providing a suture anchor installation system, implanting the suture anchor into a bone, securing the suture anchor within the bone, mounting the suture apparatus into the receiving structure of the loading unit, loading the at least one suture needle into the suturing apparatus, and suturing the suture anchor to soft tissue with the at least one suture needle.

Claims

1. A suture anchor installation system comprising:

a body portion having a distal end and a proximal end;

an elongated shaft extending distally from the distal end of the body portion, the shaft having a distal end with an annular region disposed thereon for receiving a suture anchor;

a suture retaining member positioned on the body portion, the suture retaining member including tabs for gripping an at least one suture;

a loading unit for use with a suturing apparatus mountable on the body portion including a mounting member positioned on the body portion and configured to releasably hold at least one suture needle; and

the loading unit further including a receiving structure formed in the body portion for receiving a distal end portion of the suturing apparatus in operative alignment with the mounting member to facilitate mounting of the at least one surgical needle in the suturing apparatus.

2. A suture anchor installation system as recited in claim 1 further comprising a suture anchor attachable within the annular region and comprising a setting portion and an engagement portion, the suture anchor having at least one suture associated therewith and the at least one suture extending from the suture anchor to maintain the setting portion within the engagement portion of the suture anchor.

3. A suture anchor installation system as recited in claim 2 wherein the at least one suture needle is associated with the at least one suture extending from the suture anchor.

4. A suture anchor installation system as recited in claim 1 further comprising a slide attaching to the mounting member for repositionably mounting the mounting member on the body portion for positioning suture needles to facilitate mounting of the suture needles in the suturing apparatus.

5. A suture anchor installation system as recited in claim 1 wherein the body portion defines a cavity therein for storage of the at least one suture.

6. A suture anchor installation system as recited in claim 5 further comprising a cover for enclosing at least a portion of the cavity, the loading unit being integrally disposed on the cover.

7. A suture anchor installation system as recited in claim 5 wherein the at least one suture is stored on spools rotatably disposed within the cavity of the body portion.

8. A suture anchor installation system as recited in claim 5 wherein the at least one suture is stored within tubes disposed within the cavity of the body portion.

9. A suture anchor installation system as recited in claim 1 wherein the mounting member includes a needle tray having a first suture needle and a second suture needle releasably disposed thereon and connected to the at least one suture, the first suture needle and the second suture needle being configured transversely with respect to the needle tray to facilitate mounting of the needles in the suturing apparatus.

10. A suture anchor installation system as recited in claim 9 further comprising a releasable locking mechanism for securing the needle tray in a first loading position corresponding to a first suture needle or a second loading position corresponding to a second suture needle thereby allowing the first suture needle to be loaded by the suturing apparatus when needle tray is locked in the first loading position and the second suture needle to be loaded when the needle tray is locked in the second loading position.

11. A suture anchor installation system as recited in claim 1 further comprises at least two loading units having mounting members wherein the at least two loading units and the mounting members are integrally formed on the body portion.

12. A suture anchor installation system as recited in claim 1 wherein the receiving structure includes a pair of spaced apart alignment tabs forming a U-channel, the tabs guiding an elongate portion of the distal end portion of the suturing apparatus into position on the body portion for loading the at least one suture needle.

13. A suture anchor installation system as recited in claim 1 further comprising a safety mechanism on the loading unit, the safety mechanism preventing the removal of the suturing apparatus for the body portion prior to loading the at least one suture needle.

29. A suture anchor installation system as recited in claim 1 wherein the receiving structure includes a pair of spaced apart alignment tabs forming a U-channel, the tabs guiding an elongate portion of the distal end portion of the suturing apparatus into position on the body portion for loading the at least one suture needle.

14. A suture anchor installation system comprising:

a body portion having a distal end and a proximal end;

an elongated shaft extending distally from the distal end of the body portion, the shaft having a distal end with an annular region disposed at the distal end of the shaft, the body portion defining a cavity therein for storage of at least one suture, the at least one suture being stored on spools rotatably disposed within the cavity of the body portion;

a suture anchor attachable within the annular region and comprising a setting portion and an engagement portion, the suture anchor having the at least one suture associated therewith;

an outer tube disposed on the shaft, the outer tube being biased distally and providing support for the suture anchor at a distal end of the outer tube;

a suture retaining member positioned on the body portion, the suture retaining member including tabs to grip the at least one suture extending from the suture anchor to maintain the setting portion within the engagement portion, the tabs being released by inwardly moving extensions releasing grip on the at least one suture by proximally translating the outer tube relative to extensions, the extensions camming against a proximal end portion of the outer tube to release the grip of the tabs;

a loading unit for use with a suturing apparatus mountable on the body portion including a mounting member positioned on the body portion and configured to releasably hold at least one suture needle, the at least one suture needle being associated with the at least one suture extending from the suture anchor;

a slide attaching to the mounting member for repositionably mounting the mounting member on the body portion and for positioning suture needles for loading; and

the loading unit including a receiving structure formed in the body portion for receiving a distal end portion of the suturing apparatus in operative alignment with mounting member to facilitate mounting of the at least one surgical needle in the suturing apparatus.

15. A suture anchor installation system as recited in claim 14 further comprising a cover for enclosing at least a portion of the cavity, the loading unit being integrally disposed on the cover.

16. A suture anchor installation system as recited in claim 14 wherein the mounting member includes a needle tray having a first suture needle and second suture needle releasably disposed thereon, the first suture needle and the second suture needle are configured transversely with respect to the needle tray to facilitate mounting of the needles in the suturing apparatus.

17. A suture anchor installation system as recited in claim 16 further comprising a releasable locking mechanism for securing the needle tray in a first loading position corresponding to a first suture needle or a second loading position corresponding to a second suture needle thereby allowing the first suture needle to be loaded by the suturing apparatus when the needle tray is locked in the first loading position and the second suture needle to be loaded when the needle tray is locked in the second loading position.

18. A suture anchor installation system as recited in claim 14 wherein the receiving structure includes a pair of spaced apart alignment tabs, the tabs guiding an elongate portion of the distal end portion of the suturing apparatus into position on the body portion for loading the at least one suture needle.

19. A suture anchor installation system as recited in claim 14 further comprising a safety mechanism on the loading unit, the safety mechanism preventing the removal of the suturing apparatus for the body portion prior to loading the at least one suture needle.

20. A suture anchor installation system comprising:

a body portion having a distal end and a proximal end;

an elongated shaft extending distally from the distal end of the body portion, the shaft having a distal end with an annular region disposed thereon for receiving a suture anchor;

a suture retaining member positioned on the body portion, the suture retaining member including tabs for gripping an at least one suture;

a loading unit for use with a suturing apparatus mountable on the body portion including mounting members positioned on the body portion and configured to releasably hold at least one suture needle, the mounting members integrally formed on the body portion; and

the loading unit further including receiving structures formed in the body portion for receiving a distal end portion of the suturing apparatus in operative alignment with the mounting members to facilitate mounting of surgical needles in the suturing apparatus.

21. A suture anchor installation system as recited in claim 20 further comprising a suture anchor attachable within the annular region and comprising a setting portion and an engagement portion, the suture anchor having at least one suture associated therewith and the at least one suture extending from the suture anchor to maintain the setting portion within the engagement portion of the suture anchor.

22. A suture anchor installation system as recited in claim 21 wherein the at least one suture needle is associated with the at least one suture extending from the suture anchor.

23. A suture anchor installation system as recited in claim 20 wherein the body portion defines a cavity therein for storage of the at least one suture.

24. A suture anchor installation system as recited in claim 23 further comprising a cover for enclosing at least a portion of the cavity, the loading unit and mounting members being integrally disposed on the cover.

25. A suture anchor installation system as recited in claim 23 wherein the at least one suture is stored on spools rotatably disposed within the cavity of the body portion.

26. A suture anchor installation system as recited in claim 23 wherein the at least one suture is stored within tubes disposed within the cavity of the body portion.

27. A suture anchor installation system as recited in claim 20 wherein the mounting members include a needle tray having a suture needle releasably disposed thereon and connected to the at least one suture, the suture needle being configured transversely with respect to the needle tray to facilitate mounting of the needles in the suturing apparatus.

28. A suture anchor installation system as recited in claim 27 further comprising two loading units formed on opposite ends of the body portion thereby allowing a first suture needle to be loaded by the suturing apparatus in one loading unit and a second suture needle to be loaded in the other loading unit.

30. A suture anchor installation system as recited in claim 20 further comprising a safety mechanism on the loading unit, the safety mechanism preventing the removal of the suturing apparatus for the body portion prior to loading the at least one suture needle.

31. A method for applying a suture anchor comprising the steps of:

providing a body portion having a distal end and a proximal end, an elongated shaft extending distally from the distal end of the body portion, the shaft having a distal end with an annular region disposed at the distal end of the shaft, a suture anchor attachable within the annular region and comprising a setting portion and an engagement portion, the suture anchor having at least one suture associated therewith, a suture retaining member positioned on the body portion, the suture retaining member including tabs to grip the at least one suture extending from the suture anchor to maintain the setting portion within the engagement portion, a loading unit for use with a suturing apparatus mountable on the body portion including a mounting member positioned on the body portion and configured to releasably hold at least one suture needle, the at least one suture needle being associated with the at least one suture extending from the suture anchor, and the loading unit further including a receiving structure formed in the body portion for receiving a distal end portion of the suturing apparatus in operative alignment with mounting member to facilitate mounting of the at least one surgical needle in the suturing apparatus;

implanting the suture anchor into a bone;

securing the suture anchor within the bone;

mounting the suture apparatus into the receiving structure of the loading unit;

loading the at least one suture needle into the suturing apparatus; and

suturing the suture anchor to soft tissue with the at least one suture needle.

32. A method for applying a suture anchor as recited in claim 31 wherein the step of implanting the suture anchor comprises:

inserting the suture anchor and at least a portion of the annular region into a bore in the bone,

engaging the bone with a distally biased outer tube disposed on the shaft such that the outer tube is retracted proximally when suture anchor and annular portion are advanced distally; and

releasing the at least one suture from the grip of the tabs by camming extensions to release the tabs triggered by the proximal motion of the outer tube.

33. A method for applying a suture anchor as recited in claim 31 wherein the step of securing the suture anchor includes:

drawing the at least one suture proximally; and

camming the setting portion against the engagement portion of the suture anchor to cause the engagement portion to spread and frictionally engage the walls of a bore in the bone.

34. A method for applying a suture anchor as recited in claim 31 wherein the step of loading the at least one suture needle into the suturing apparatus includes:

presenting a first suture needle on a needle tray mounted on the mounting member;

mounting the suturing apparatus onto the receiving structure of the loading unit; and

closing jaws at the distal end portion of the suturing apparatus onto the first suture needle to load the first needle for suturing.

35. A method for applying a suture anchor as recited in claim 34 wherein the step of loading the at least one suture needle into the suturing apparatus includes:

presenting a second suture needle on a second needle tray mounted on a second mounting member;

mounting the suturing apparatus onto a second receiving structure of a second loading unit disposed on the body portion; and

closing jaws at the distal end portion of the suturing apparatus onto the second suture needle to load the second needle for suturing.

36. A method for applying a suture anchor as recited in claim 31 further comprising the step of:

adjusting a slide to position a second suture needle for loading onto the suturing apparatus.