CA2439239A1 - Parabolic eyelet suture anchor - Google Patents

Parabolic eyelet suture anchor Download PDF

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Publication number
CA2439239A1
CA2439239A1 CA002439239A CA2439239A CA2439239A1 CA 2439239 A1 CA2439239 A1 CA 2439239A1 CA 002439239 A CA002439239 A CA 002439239A CA 2439239 A CA2439239 A CA 2439239A CA 2439239 A1 CA2439239 A1 CA 2439239A1
Authority
CA
Canada
Prior art keywords
suture anchor
suture
entry
anchor according
extending
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002439239A
Other languages
French (fr)
Other versions
CA2439239C (en
Inventor
Daniel E. Morgan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Howmedica Osteonics Corp
Original Assignee
Axya Medical, Inc.
Daniel E. Morgan
Axya Holdings, Inc.
Tornier, Inc.
Howmedica Osteonics Corp.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Axya Medical, Inc., Daniel E. Morgan, Axya Holdings, Inc., Tornier, Inc., Howmedica Osteonics Corp. filed Critical Axya Medical, Inc.
Publication of CA2439239A1 publication Critical patent/CA2439239A1/en
Application granted granted Critical
Publication of CA2439239C publication Critical patent/CA2439239C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1796—Guides or aligning means for drills, mills, pins or wires for holes for sutures or flexible wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8605—Heads, i.e. proximal ends projecting from bone
    • A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/862—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the periphery of the screw head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
    • A61B17/8883—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit the driver bit acting on the periphery of the screw head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y10S606/908—Bioabsorbable material
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/916—Tool for installing or removing orthopedic fastener

Abstract

A suture anchor (10) for securing soft tissue to bone including a body extending along a longitudinal axis between opposite ends, and at least one eyelet (12) extending between lateral surfaces of the body for receiving a suture. The eyelet (12) defines two entry/exit void regions (16) and a central void region (14) extending between the entry/exit void regions (16). Each entry/exit void region (16) extends from one of the lateral surfaces of the body and has an axis forming an acute angle with the longitudinal axis of the body. Each entry/exit void region (16) also has a surface comprising a segment of a conic surface extending about the axis of the entry/exit void region and tapering inward towards the longitudinal axis of the body. The central void region extends along an axis transverse to the longitudinal axis of the body.

Claims (43)

1. A suture anchor for securing soft tissue to bone, comprising:

a body extending from a proximal end to a distal end along a longitudinal axis; and at least one eyelet extending between opposite lateral surfaces of the body for receiving a suture, the eyelet defining, two entry/exit void regions, each entry/exit void region extending from one of the lateral surfaces of the body, having an axis forming an acute angle with the longitudinal axis of the body, and having a surface comprising a segment of a conic surface extending about the axis of the entry/exit void region and tapering inward towards the longitudinal axis of the body, and a central void region extending between the entry/exit void regions along an axis of the central void region extending transverse to the longitudinal axis of the body.
2. A suture anchor according to claim 1, wherein edges between the entry/exit void regions and the central void region and between the entry/exit void regions and the lateral surfaces are rounded.
3. A suture anchor according to claim 1, wherein the axis of each entry/exit void region extends within a plane formed by the longitudinal axis of the body and the axis of the central void region.
4. A suture anchor according to claim 3, wherein the axes of the entry/exit void regions extend at equal angles.
5. A suture anchor according to claim 4, wherein the axes of the entry/exit void regions extend at an angle of about sixty degrees with respect to the longitudinal axis of the body.
6. A suture anchor according to claim 1, wherein openings of the eyelet are elliptical.
7. A suture anchor according to claim 1, wherein the body includes a drive head at one of the ends and the eyelet is formed through the drive head.
8. A suture anchor according to claim 7, wherein the cross-section of the drive head is substantially rectangular.
9. A suture anchor according to claim 1, wherein the body includes cut-outs extending between openings of the eyelet and an end surface of the body.
10. A suture anchor according to claim 9, Wherein each of the cut-outs extends between corners formed by the end surface and the lateral surface of the body.
11. A suture anchor according to claim 1, wherein the surfaces of the entry/exit void regions each comprise a segment of a conic surface of about sixty degrees.
12. A suture anchor according to claim l, wherein the at least one eyelet comprises two eyelets.
13. A suture anchor according to claim 12, wherein the eyelets are substantially parallel.
14. A suture anchor according to claim 12, wherein the eyelets are non parallel.
15. A suture anchor according to claim 1, wherein the body includes an external threaded portion extending towards one of the ends of the body.
16. A suture anchor according to claim 15, wherein the external threaded portion is self-tapping.
17. A suture anchor according to claim 15, wherein the external threaded portion includes a self drilling tip at the end of the body.
18. A suture anchor according to claim 1, made from bio-compatible material.
19. A suture anchor according to claim 1, made from bio-absorbable material.
20. A suture anchor according to claim 1, wherein the central void region is cylindrical.
21. A suture anchor according to claim 1, wherein the eyelet further includes intermediate void regions extending between the entry/exit void regions and the central void region.
22. A suture anchor according to claim 21, wherein the intermediate void regions are cylindrical.
23. A suture anchor according to claim 21, wherein an axis of each intermediate void region extends within a plane formed by the longitudinal axis of the body and the axis of the central void region.
24. A suture anchor according to claim 23, wherein the axes of the intermediate void regions extend at an angle with respect to the longitudinal axis of the body.
25. A suture anchor according to claim 24, wherein the axes of the intermediate void regions extend at an angle of about sixty degrees with respect to the longitudinal axis of the body.
26. A suture anchor according to claim 23, wherein the axes of the intermediate void regions are aligned with the axes of the entry/exit void regions.
27. A kit including a suture anchor according to claim 1, and further comprising a drill guide having:

a handle;

a hollow guide shaft rotatably secured to the handle, the guide shaft having a tip and an alignment window adjacent the tip;

an adjustment wheel radially extending from the shaft; and a button positioned within the handle and movable to a locked position preventing rotation of the adjustment wheel.
28. A kit according to claim 27, further including at least one length of suture.
29. A kit according to claim 28, wherein the suture is a monofilament.
30. A kit according to claim 28, wherein one end of the length of suture is deformed.
31. A kit according to claim 28, wherein the suture is bio-compatible.
32. A kit according to claim 31, wherein the suture is bio-absorbable.
33. A kit including a suture anchor according to claim 1, wherein the body of the suture anchor includes a drive head at one of the ends and the eyelet is formed through the drive head, and the kit further comprises a tubular drive tool having:

a handle;

a tube extending from the handle to a distal end; and a drive socket attached to the distal end of the tube and including inwardly facing surfaces for gripping outwardly facing surfaces of the drive head of the suture anchor for transferring torque from the drive tool to the suture anchor, and wherein the inwardly facing surfaces include recesses positioned for alignment with the entry/exit void regions of the eyelet of the anchor and sized to receive a suture passing through the eyelet.
34. A kit according to claim 33, wherein the handle of the drive tool includes reference markings aligned with the recesses of the drive socket.
35. A kit according to claim 33, wherein the drive socket is removably attached to the tube.
36. A kit according to claim 33, further including at least one length of suture.
37. A kit according to claim 36, wherein the suture is a monofilament.
38. A kit according to claim 36, wherein one end of the length of suture is deformed.
39. A kit according to claim 36, wherein the suture is bio-compatible.
40. A kit according to claim 39, wherein the suture is bio-absorbable.
41. A kit according to claim 33, wherein the drive socket further includes at least two tabs extending axially from a distal edge of the socket.
42. A kit according to claim 41, wherein the suture anchor includes an axially extending recess extending over each opening of the entry/exit void regions of the eyelet for receiving the tabs of the drive socket.
43. A kit including a suture anchor according to claim 1, wherein the body of the suture anchor includes a drive head at one of the ends and the eyelet is formed through the drive head, and an axially extending recess extending over each opening of the entry/exit void regions of the eyelet and the kit further comprises:

a tubular drive tool having a drive socket including inwardly facing surfaces for gripping outwardly facing surfaces of the drive head of the suture anchor, and at least two tabs extending axially from a distal edge of the socket and adapted for receipt within the axially extending recesses of the anchor and adapted to receive a suture between the tabs and the anchor.
CA002439239A 2001-02-28 2002-02-21 Parabolic eyelet suture anchor Expired - Lifetime CA2439239C (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US27221801P 2001-02-28 2001-02-28
US60/272,218 2001-02-28
US10/017,104 US6610080B2 (en) 2001-02-28 2001-12-14 Parabolic eyelet suture anchor
US10/017,104 2001-12-14
PCT/US2002/005360 WO2002068016A2 (en) 2001-02-28 2002-02-21 Parabolic eyelet suture anchor

Publications (2)

Publication Number Publication Date
CA2439239A1 true CA2439239A1 (en) 2002-09-06
CA2439239C CA2439239C (en) 2009-12-29

Family

ID=26689457

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002439239A Expired - Lifetime CA2439239C (en) 2001-02-28 2002-02-21 Parabolic eyelet suture anchor

Country Status (5)

Country Link
US (1) US6610080B2 (en)
EP (1) EP1381319B1 (en)
JP (1) JP4234996B2 (en)
CA (1) CA2439239C (en)
WO (1) WO2002068016A2 (en)

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US6610080B2 (en) 2003-08-26

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