Systems, devices, and methods for securing tissue using a suture having one or more protrusions

• US 9,795,373 B2
• Filed: 05/14/2015
• Issued: 10/24/2017
• Est. Priority Date: 05/07/2012
• Status: Active Grant

• Current Assignee: Medos International Sarl (Johnson & Johnson)
• Original Assignee: Medos International Sarl (Johnson & Johnson)
• Inventors: Sengun, Mehmet
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US14/711,959
• Publication Number:
  US 20150238183A1
• Time in Patent Office: 894 Days
• Field of Search: 606144-148, 606151, 606228-232
• 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 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 2017/0403 Dowels other bone dowels A61B17/68; dowels for connecting prosthetic parts A61F2002/30433
• 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 2017/0475 using sutures having a slip knot
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/06176 with protrusions, e.g. barbs
• CPC Class Codes: A61B 2017/06185 hollow or tubular hollow suture needles A61B2017/061

Abstract

Systems, devices, and methods are provided for securing soft tissue to bone. One exemplary embodiment of a surgical repair construct includes an anchor, a filament having a snare formed on one end and a collapsible loop on another end, and a suture having a plurality of stationary protrusions formed therein. The suture is configured to be coupled to detached tissue and have its ends passed through an opening in the snare. The snare can be collapsed around the suture such that at least one of the suture protrusions is proximal of the collapsed snare. The anchor can be disposed in bone and the filament coupled thereto. Accordingly, collapsing the snare around the suture couples the tissue to bone, and applying tension to a tensioning limb of the filament can collapse the collapsible loop to incrementally tighten and secure the tissue to bone. Other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

Claims

1. A surgical repair method, comprising:

passing a first end of a suture having a plurality of stationary protrusions through detached soft tissue, the first end being passed through the tissue such that first and second limbs of the suture extend from the first side of the tissue, the suture being arranged in tissue such that at least one of the protrusions is disposed adjacent to at least one of the first and second sides of the tissue;

inserting an anchor into bone in proximity to the detached soft tissue, the anchor having a filament associated therewith;

coupling the filament associated with the anchor to at least one of the first and second limbs of the suture at a location on the limb that is between a protrusion of the plurality of stationary protrusions on the limb and the first side of the tissue, the location being distal of the protrusion of the plurality of stationary protrusions on the limb; and

drawing the detached soft tissue toward the bone into which the anchor is inserted.

2. The method of claim 1, wherein drawing the detached soft tissue toward the bone further comprises applying tension to the filament in a direction away from the tissue.

3. The method of claim 1, wherein coupling the filament associated with the anchor to at least one of the first and second limbs of the suture further comprises coupling the filament associated with the anchor to each of the first and second limbs of the suture at a location on at least one of the limbs that is between a protrusion of the plurality of stationary protrusions on the limb and the first side of the tissue, the location being distal of the protrusion of the plurality of stationary protrusions the limb.

4. The method of claim 3, wherein the coupling step is performed such that the location at which the filament is coupled to each of the first and second limbs of the suture is between a protrusion of the plurality of stationary protrusions on each of the first and second limbs and the first side of the tissue, the location being distal of the protrusion of the plurality of stationary protrusions on each of the first and second limbs.

5. The method of claim 1, wherein the filament associated with the anchor includes a collapsible snare, and the step of coupling the filament associated with the anchor to at least one of the first and second limbs of the suture further comprises collapsing the snare around the at least one of the first and second limbs of the suture.

6. The method of claim 5, further comprising:

inserting at least one of the first and second limbs of the suture through an opening defined by the collapsible snare,

wherein the step of collapsing the snare around the at least one of the first and second limbs of the suture occurs after the collapsible snare is positioned at the location on the limb that is between a protrusion of the plurality of stationary protrusions on limb and the first side of the tissue.

7. The method of claim 5, wherein a flexible member is disposed in a portion of the filament to prevent unintentional collapse of the collapsible snare, the method further comprising removing the flexible member from the filament prior to collapsing the snare.

8. The method of claim 1,

wherein the filament associated with the anchor includes a collapsible loop defined by a sliding knot, and the location at which the filament associated with the anchor is coupled to at least one of the first and second limbs of the suture is proximal of the sliding knot, and

wherein drawing the detached soft tissue toward the bone into which the anchor is inserted further comprises advancing the sliding knot distally to reduce a circumference of the collapsible loop.

9. The method of claim 8, wherein advancing the sliding knot distally to reduce a circumference of the collapsible loop further comprises applying tension to a tensioning limb of the filament that extends from the sliding knot.

10. The method of claim 1, wherein the method is performed without tying a knot.

11. A surgical repair method, comprising:

passing at least one terminal end of a suture having a plurality of stationary protrusions and coupled to detached soft tissue through a first collapsible opening of a filament such that a portion of the suture is disposed in the first collapsible opening, the filament extending from an anchor disposed in bone proximate to the detached soft tissue;

collapsing the first collapsible opening around the portion of the suture disposed in the first collapsible opening such that the collapsed first collapsible opening is disposed between the detached soft tissue and at least one protrusion of the plurality of stationary protrusions; and

drawing the detached soft tissue toward the bone in which the anchor is disposed.

12. The surgical method of claim 11, wherein drawing the detached soft tissue toward the bone further comprises collapsing a second collapsible opening of the filament.

13. The surgical method of claim 12, wherein collapsing a second collapsible opening of the filament further comprises advancing a sliding knot that is formed on the filament distally towards the anchor.

14. The surgical method of claim 13, wherein advancing a sliding knot further comprises applying tension to a tensioning limb of the filament that extends from the sliding knot.

15. The surgical method of claim 11, wherein collapsing the first collapsible opening further comprises moving a sliding knot with respect to the filament to decrease a circumference of the first collapsible opening.

16. The surgical method of claim 11, wherein a flexible member is disposed in a portion of the filament to prevent unintentional collapse of the first collapsible opening, the method further comprising removing the flexible member from the filament prior to collapsing the first collapsible opening.

17. The surgical method of claim 11, wherein passing at least one terminal end of a suture having a plurality of stationary protrusions and coupled to detached soft tissue through a first collapsible opening of a filament further comprises passing both terminal ends of the suture through the first collapsible opening of the filament such that the portion of the suture that is disposed in the first collapsible opening includes a first limb associated with a first terminal end of the both terminal ends of the suture and a second limb associated with a second terminal end of the both terminal ends of the suture.

18. The surgical method of claim 17, wherein collapsing the first collapsible opening around the portion of the suture disposed in the first collapsible opening occurs such that the collapsed first collapsible opening is disposed between the detached soft tissue and at least one protrusion of the plurality of stationary protrusions formed on each of the first and second limbs.

19. The surgical method of claim 11, further comprising:

manipulating the suture with respect to detached soft tissue to which it is coupled such that at least one protrusion of the plurality of stationary protrusions is disposed adjacent to at least one of a first and second side of the detached soft tissue.

20. The method of claim 11, wherein the method is performed without tying a knot.