CA2596051A1 - Suture anchor system with tension relief mechanism - Google Patents

Suture anchor system with tension relief mechanism Download PDF

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Publication number
CA2596051A1
CA2596051A1 CA002596051A CA2596051A CA2596051A1 CA 2596051 A1 CA2596051 A1 CA 2596051A1 CA 002596051 A CA002596051 A CA 002596051A CA 2596051 A CA2596051 A CA 2596051A CA 2596051 A1 CA2596051 A1 CA 2596051A1
Authority
CA
Canada
Prior art keywords
suture
assembly
housing
anchor
handle assembly
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
CA002596051A
Other languages
French (fr)
Other versions
CA2596051C (en
Inventor
Donald Ziniti
Kevin J. Ranucci
Armand A. Morin
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.)
DePuy Mitek LLC
Original Assignee
DePuy Mitek LLC
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 DePuy Mitek LLC filed Critical DePuy Mitek LLC
Priority to CA2709849A priority Critical patent/CA2709849C/en
Publication of CA2596051A1 publication Critical patent/CA2596051A1/en
Application granted granted Critical
Publication of CA2596051C publication Critical patent/CA2596051C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/04—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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483—Hand-held instruments for holding sutures
    • 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
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B2017/0414—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
    • A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
    • 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
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448—Additional elements on or within the anchor
    • A61B2017/045—Additional elements on or within the anchor snug fit within the anchor
    • 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
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • 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
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures

Abstract

Methods and devices are provided for attaching soft tissue to bone. In general, a deployment device, insertion assembly, and suture anchor are provided. The insertion assembly is coupled between the deployment device and the suture anchor to allow the deployment device to deploy the suture anchor into bone. Each of the various components disclosed herein can be used alone, in combination with one another, or in combination with various other devices.

Claims (25)

1. An anchor insertion device, comprising:
a housing having an outer shaft extending distally therefrom and configured to receive an inserter shaft of an anchor insertion assembly, and a suture retaining element formed on the housing and configured to retain a suture coupled to a suture anchor mated to a distal end of an inserter shaft of an anchor insertion assembly; and a handle assembly slidably coupled to the housing and configured to engage an anchor insertion assembly disposed through the outer shaft and the housing such that the handle assembly and anchor insertion assembly are slidably movable relative to the housing and outer shaft to thereby deploy a suture anchor coupled to a distal end of the anchor insertion assembly.
2. The device of claim 1, wherein the handle assembly includes a trigger pivotally coupled thereto and configured to pivot to slidably move the handle assembly relative to the housing.
3. The device of claim 2, further comprising a gear mechanism disposed within the handle assembly, and wherein pivotal movement of the trigger is effective to actuate the gear mechanism to slidably move the handle assembly relative to the housing.
4. The device of claim 3, wherein the gear mechanism is adapted to slidably move the handle assembly in a proximal direction relative to the housing.
5. The device of claim 1, wherein the suture retaining element comprises a suture tensioning assembly adapted to tension a suture extending between a suture anchor and the suture tensioning assembly.
6. The device of claim 5, wherein the suture tensioning assembly comprises a wheel rotatably coupled to the housing and a ratchet mechanism for allowing rotation of the wheel in a fixed direction to allow suture disposed there around to be tensioned, and for preventing rotation of the wheel in a second, opposite direction.
7. The device of claim 6, further comprising a lever coupled to the suture tensioning assembly and configured to release the ratchet mechanism to allow free rotation of the wheel in the second, opposite direction.
8. A suture anchor assembly, comprising:
a suture anchor having an insert with a suture mated thereto, and a sleeve disposable over the insert and configured to lock the suture between the insert and the sleeve; and a deployment device having a housing with a suture tensioning element mated to the suture for tensioning the suture between the insert and the suture tensioning element, and an actuation mechanism movably coupled to the housing and having a distal end mated to the sleeve such that the actuation mechanism is configured to position the sleeve over the insert while the suture remains fixed between the tensioning element and the insert.
9. The suture anchor assembly of claim 8, further comprising an inserter shaft extending through the housing and having a proximal end coupled to the actuation mechanism and a distal end coupled to the sleeve.
10. The suture anchor assembly of claim 9, wherein the housing includes an outer shaft extending distally therefrom, the inserter shaft extending through the outer shaft.
11. The suture anchor assembly of claim 10, further comprising a pusher slidably disposed around the inserter shaft and positioned between a distal end of the outer shaft and a proximal end of the insert.
12. The suture anchor assembly of claim 9, wherein the actuation mechanism is slidably movable relative to the housing such that the actuation mechanism and anchor insertion assembly slide relative to the housing and outer shaft to position the sleeve over the insert.
13. The suture anchor assembly of claim 8, wherein the actuation mechanism comprises a handle assembly having a trigger pivotally coupled thereto, pivoting movement of the trigger being effective to move the handle assembly relative to the housing.
14. A method for deploying a suture anchor, comprising:
inserting a suture anchor coupled to a distal end of a deployment device into bone;
coupling suture between an inner component of the suture anchor and a suture retaining element located on a housing of the deployment device; and actuating a handle assembly to position an outer component of the suture anchor over the inner component of the suture anchor thereby locking the suture between the inner and outer components, the housing and inner component remaining in a substantially fixed position relative to one another as the handle assembly is actuated such that tension applied to the suture extending between the inner component and the housing remains substantially fixed.
15. The method of claim 14, wherein the outer component of the suture anchor is pulled over the inner component of the suture anchor when the handle assembly is actuated.
16. The method of claim 14, wherein the handle assembly slides proximally relative to the housing when the handle assembly is actuated.
17. The method of claim 14, wherein actuating the handle assembly comprises pivoting a trigger coupled to the handle assembly.
18. The method of claim 14, wherein the suture retaining element comprises a suture tensioning assembly, and the method further comprises actuating the suture tensioning assembly to tension the suture between the suture tensioning assembly and the inner component of the suture anchor.
19. A method for deploying a suture anchor, comprising:
inserting a suture anchor coupled to a distal end of a deployment device into bone;
tensioning a suture coupled to a first component of the suture anchor; and actuating a handle assembly to slide the handle assembly relative to the housing of the deployment device, thereby mating a second component of the suture anchor with the first component of the suture anchor to lock the suture between the first and second components.
20. The method of claim 19, wherein the second component is pulled over the first component when the handle assembly is actuated.
21. The method of claim 19, wherein tensioning the suture comprises coupling the suture between the first component of the suture anchor and a suture retaining element located on a housing of the deployment device.
22. The method of claim 19, wherein the suture retaining element, first component, and suture remain in a substantially fixed position as the handle assembly is slid relative to the housing.
23. The method of claim 19, wherein the suture retaining element comprises a suture tensioning assembly and wherein the method further comprises tensioning the suture between the first component of the suture anchor and the suture tensioning assembly.
24. A use of the anchor insertion device of any one of claims 1 to 7 for deploying a suture anchor.
25. A use of the suture anchor assembly of any one of claims 8 to 13 for deploying the suture anchor.
CA2596051A 2006-08-04 2007-08-03 Suture anchor system with tension relief mechanism Expired - Fee Related CA2596051C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2709849A CA2709849C (en) 2006-08-04 2007-08-03 Suture anchor system with tension relief mechanism

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/462,416 US9750492B2 (en) 2006-08-04 2006-08-04 Suture anchor system with tension relief mechanism
US11/462,416 2006-08-04

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2709849A Division CA2709849C (en) 2006-08-04 2007-08-03 Suture anchor system with tension relief mechanism

Publications (2)

Publication Number Publication Date
CA2596051A1 true CA2596051A1 (en) 2008-02-04
CA2596051C CA2596051C (en) 2010-10-12

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Family Applications (2)

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CA2709849A Expired - Fee Related CA2709849C (en) 2006-08-04 2007-08-03 Suture anchor system with tension relief mechanism
CA2596051A Expired - Fee Related CA2596051C (en) 2006-08-04 2007-08-03 Suture anchor system with tension relief mechanism

Family Applications Before (1)

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Country Status (6)

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US (2) US9750492B2 (en)
EP (2) EP1884198B1 (en)
JP (1) JP5329058B2 (en)
AU (1) AU2007203593B2 (en)
CA (2) CA2709849C (en)
DE (1) DE602007005189D1 (en)

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EP2189119B1 (en) 2018-11-14
US20170360427A1 (en) 2017-12-21
US10813633B2 (en) 2020-10-27
EP1884198B1 (en) 2010-03-10
JP5329058B2 (en) 2013-10-30
EP2189119A2 (en) 2010-05-26
CA2596051C (en) 2010-10-12
CA2709849A1 (en) 2008-02-04
US9750492B2 (en) 2017-09-05
DE602007005189D1 (en) 2010-04-22
JP2008036435A (en) 2008-02-21
CA2709849C (en) 2013-12-24
EP2189119A3 (en) 2012-08-15
AU2007203593B2 (en) 2009-08-20
AU2007203593A1 (en) 2008-02-21
US20080033460A1 (en) 2008-02-07
EP1884198A2 (en) 2008-02-06
EP1884198A3 (en) 2008-04-23

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