Devices, systems and methods for material fixation

• US 7,651,528 B2
• Filed: 11/18/2005
• Issued: 01/26/2010
• Est. Priority Date: 11/18/2004
• Status: Expired due to Fees

• Current Assignee: Cayenne Medical Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Cayenne Medical Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Harper, Derek J., Montgomery, Kenneth D., Domingo, Nicanor, Fleischman, Sidney D., Whayne, James G., Wright, John, Crockett, Heber, Ohashi, Kevin L.
• Primary Examiner(s): Philogene; Pedro
• Application Number:
  US11/281,566
• Publication Number:
  US 20060155287A1
• Time in Patent Office: 1,530 Days
• Field of Search: 606/72, 606/232, 606/60, 606/224, 606/225, 606/215, 606/216, 606/313, 606/90, 606/237, 623/13.11, 623/13.12, 623/13.13, 623/13.14, 411/517
• US Class Current: 623/13.14
• 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 2017/00862 elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• 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 2017/0435 the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
• CPC Class Codes: A61B 2017/0437 the barbs being resilient or spring-like
• CPC Class Codes: A61F 2/0805 Implements for inserting tendons or ligaments
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

Devices, systems and methods for fixation of tendon to bone are described. An exemplary surgical implant is a modified bone anchor that is able to grasp the tendon and hold it firmly in a bone tunnel. Once deployed, the anchor delivers lateral compression to the tendon, providing direct tendon to bone compression to facilitate healing. The anchor has different versions which allow it to be attached to the tendon prior to insertion into the bone tunnel, or be inserted between tendon arms when the surgical procedure dictates. The resulting tendon to bone compression allows for the firm fixation in a manner markedly simpler than traditional techniques. A modification of this anchor can also allow the anchor to grasp and hold suture. This variation facilitates the technique for knotless rotator cuff repair.

Claims

1. A material fixation system, comprising an implant which is placeable in a space defined by bone, said implant comprising:

a body having a distal end and a proximal end;

a first member on said body which is expandable outwardly to engage portions of the bone, said first member comprising a plurality of mating pieces, said mating pieces being free moving and slidable outwardly relative to one another; and

a second member on said body which is distal to said first member;

said second member being movable in a proximal direction relative to said first member, wherein proximal movement of said second member actuates said first member to expand outwardly to engage the bone, thereby securing the implant in place within the space.

2. The material fixation system as recited in claim 1, wherein said second member is actuated by application of tension thereon.

3. The material fixation system as recited in claim 2, said second member comprising a surface for receiving soft tissue thereon which is to be anchored within said space, wherein tension may be applied to the soft tissue to thereby apply tension to said second member.

4. The material fixation system as recited in claim 3, wherein said second member comprises a distal tip about which soft tissue may be looped.

5. A material fixation system, comprising an implant which is placeable in a space defined by bone, said implant comprising:

a body having a longitudinal axis, a distal end, and a proximal end;

a first member on said body which is movably expandable outwardly, said first member having a substantially outermost contacting portion when said first member is expanded outwardly for contacting adjacent soft tissue or bone;

a second member on said body which is disposed axially from said first member and is also movably expandable outwardly, said second member having a substantially outermost contacting portion when said second member is expanded outwardly for contacting adjacent soft tissue or bone;

a distal end of said body comprising a space for receiving soft tissue therethrough, said space being defined by surfaces of said body which are oriented both generally parallel to said longitudinal axis and generally transverse to said longitudinal axis; and

a wedge which is movable in a generally axial direction relative to said first and second members to deploy at least one of said first and second members wherein the substantially outermost contacting portion of the first member and the substantially outermost contacting portion of the second member are at axially different locations along said body.

6. The material fixation system as recited in claim 5, wherein said second member is disposed distally of said first member.

7. The material fixation system as recited in claim 5, wherein said second member is always proximal to said distal end.

8. The material fixation system as recited in claim 5, wherein said first member comprises an arm which is pivotable outwardly, said arm having a portion which is adapted to engage bone to anchor the body to the bone.

9. The material fixation system as recited in claim 8, wherein a distal end of the arm is attached to the body, and comprises the pivoting end, and a proximal end of the arm pivots outwardly and comprises the portion which is adapted to engage bone.

10. The material fixation system as recited in claim 8, wherein said first member comprises a plurality of said arms.

11. The material fixation system as recited in claim 5, wherein said second member comprises a mid-section which may be actuated to a collapsed orientation, wherein it is expanded outwardly.

12. A method of anchoring soft tissue to bone, comprising:

placing the soft tissue on an implant having a longitudinal axis extending from a distal end of the implant to a proximal end of the implant, and disposing the implant within a space at a desired location within a patient'"'"'s body;

deploying a first member on said implant outwardly to engage adjacent bone with a substantially outermost contacting portion of the first member at a first axial location; and

deploying a second member, disposed on said implant in axially spaced relationship from the first member, outwardly to engage adjacent bone with a substantially outermost contacting portion of the second member at a second axial location which is different than said first axial location;

wherein the outward deployment of one of said first and second members compresses the soft tissue between said one of said first and second members and adjacent bone.

13. The method as recited in claim 12, wherein each of said deploying steps are performed by moving a deployment device in a generally axial direction.

14. The method as recited in claim 12, wherein said second member is disposed distally of said first member.

15. The method as recited in claim 12, wherein said adjacent material comprises bone.

16. The method as recited in claim 12, wherein the soft tissue comprises a tendon.

17. The method as recited in claim 12, wherein the soft tissue comprises a graft.

18. The method as recited in claim 12, wherein the first member comprises a hinged arm, and a wedge is moved axially to pivot the hinged arm outwardly.