WO2001006933A3 - Suture anchor - Google Patents

Suture anchor Download PDF

Info

Publication number
WO2001006933A3
WO2001006933A3 PCT/US2000/020293 US0020293W WO0106933A3 WO 2001006933 A3 WO2001006933 A3 WO 2001006933A3 US 0020293 W US0020293 W US 0020293W WO 0106933 A3 WO0106933 A3 WO 0106933A3
Authority
WO
WIPO (PCT)
Prior art keywords
implant
portions
implantation
demineralized
tissues
Prior art date
Application number
PCT/US2000/020293
Other languages
French (fr)
Other versions
WO2001006933A2 (en
Inventor
John R Bianchi
Kevin C Carter
Tom Sander
C Randal Mills
Russell S Donda
Randal Spencer
Michael Esch
Andy Bernhardt
Daniel R Lee
Ilsa Webeck
Original Assignee
Regeneration Tech Inc
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 Regeneration Tech Inc filed Critical Regeneration Tech Inc
Priority to AU68901/00A priority Critical patent/AU6890100A/en
Publication of WO2001006933A2 publication Critical patent/WO2001006933A2/en
Publication of WO2001006933A3 publication Critical patent/WO2001006933A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • 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
    • A61B17/56—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
    • A61B17/8625—Shanks, i.e. parts contacting bone tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—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
    • A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • 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
    • A61B2017/0427—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 the 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
    • A61B2017/044—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0805—Implements for inserting tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/28—Bones
    • A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
    • A61F2002/2839—Bone plugs or bone graft dowels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
    • A61F2002/30059—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in bone mineralization, e.g. made from both mineralized and demineralized adjacent parts

Abstract

A substantially cylindrical or wedge-shaped cortical bone implant (10) wherein one end of the cylinder (30) or wedge tapers to a sharp point (21) and which comprises one or more through-channel(s) (40) for receipt of suture(s), is disclosed for fixation of tissues to bone or other tissues of sufficient strength to provide solid fixation of tissue to which the implant is affixed (10). The implant (10) optionally has a circumferential, longitudinal or angled barbs to enhance structural and retention characteristics of the implant. Certain embodiments of the invention include portions of the implant in a partially or fully demineralized state, such that added flexibility is imparted to the demineralized or partially demineralized segment. Additionally, embodiments of this invention optionally include threaded portions (410), fluted portions or slotted portions (610), depending on the desired implantation means and retention characteristics. The implant is optimally configured for a single step impaction implantation, although other forms of implantation are also contemplated.
PCT/US2000/020293 1999-07-26 2000-07-26 Suture anchor WO2001006933A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU68901/00A AU6890100A (en) 1999-07-26 2000-07-26 Suture spear

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US36058499A 1999-07-26 1999-07-26
US09/360,584 1999-07-26
US48464100A 2000-01-18 2000-01-18
US09/484,641 2000-01-18

Publications (2)

Publication Number Publication Date
WO2001006933A2 WO2001006933A2 (en) 2001-02-01
WO2001006933A3 true WO2001006933A3 (en) 2001-06-21

Family

ID=27000957

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/020293 WO2001006933A2 (en) 1999-07-26 2000-07-26 Suture anchor

Country Status (2)

Country Link
AU (1) AU6890100A (en)
WO (1) WO2001006933A2 (en)

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6576017B2 (en) 2001-02-06 2003-06-10 Sdgi Holdings, Inc. Spinal implant with attached ligament and methods
US6562073B2 (en) 2001-02-06 2003-05-13 Sdgi Holding, Inc. Spinal bone implant
DE10161970A1 (en) * 2001-12-17 2003-06-18 Tutogen Medical Gmbh Bone anchor for re-fixing of soft tissue to bone consists of cylindrical body of cortical human or animal bone for high bio-compatibility
US7320701B2 (en) 2003-06-02 2008-01-22 Linvatec Corporation Push-in suture anchor, insertion tool, and method for inserting a push-in suture anchor
US7678134B2 (en) 2003-10-10 2010-03-16 Arthrex, Inc. Knotless anchor for tissue repair
US7407511B2 (en) 2004-05-13 2008-08-05 Wright Medical Technology Inc Methods and materials for connective tissue repair
ES2310964B1 (en) 2007-01-25 2009-12-18 Pedro Guillen Garcia SURGICAL INSTRUMENT OF SUTURE OF THE SCHEMETIC MUSCLE AND SURGICAL TECHNIQUE THAT USES THE SAME.
EP2568922A1 (en) * 2010-05-14 2013-03-20 Ludwig-Maximilians-Universität München Bone wedge
US8814905B2 (en) 2010-11-23 2014-08-26 Depuy Mitek, Llc Surgical filament snare assemblies
US8821543B2 (en) * 2010-12-23 2014-09-02 Depuy Mitek, Llc Adjustable anchor systems and methods
US9345468B2 (en) 2010-11-23 2016-05-24 Medos International Sárl Surgical filament snare assemblies
US9095331B2 (en) 2010-12-23 2015-08-04 Medos International Sàrl Adjustable anchor systems and methods
CH705676A2 (en) * 2011-10-16 2013-04-30 Orlando Da Rold Tie for fastening tissue in bone.
US8790370B2 (en) 2012-03-30 2014-07-29 Depuy Mitek, Llc Surgical filament assemblies
US9060763B2 (en) 2012-05-07 2015-06-23 Medos International Sàrl Systems, devices, and methods for securing tissue
US9060764B2 (en) 2012-05-07 2015-06-23 Medos International Sàrl Systems, devices, and methods for securing tissue
US9345567B2 (en) 2012-05-07 2016-05-24 Medos International Sàrl Systems, devices, and methods for securing tissue using snare assemblies and soft anchors
US8894684B2 (en) 2012-05-07 2014-11-25 Medos International Sàrl Systems, devices, and methods for securing tissue using a suture having one or more protrusions
US9763655B2 (en) 2012-09-20 2017-09-19 Medos International Sarl Systems, devices, and methods for securing tissue using hard anchors
US9271716B2 (en) 2012-12-27 2016-03-01 Medos International Sàrl Surgical constructs and methods for securing tissue
US9737293B2 (en) 2013-03-15 2017-08-22 Medos International Sàrl Surgical constructs with collapsing suture loop and methods for securing tissue
WO2016077387A1 (en) 2014-11-10 2016-05-19 Brooks Automation, Inc. Tool auto-teach method and apparatus
CN109223115B (en) * 2018-10-26 2023-08-08 湖南灵康医疗科技有限公司 Elastic thread ligation device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5102421A (en) * 1990-06-14 1992-04-07 Wm. E. Anpach, III Suture anchor and method of forming
US5372599A (en) * 1993-03-12 1994-12-13 Mitek Surgical Products, Inc. Surgical anchor and method for deploying the same
WO1995016398A1 (en) * 1993-12-13 1995-06-22 Ethicon, Inc. Suture anchor device
US5527342A (en) * 1993-12-14 1996-06-18 Pietrzak; William S. Method and apparatus for securing soft tissues, tendons and ligaments to bone
WO1997030638A1 (en) * 1996-02-23 1997-08-28 Influence, Inc. Non-linear anchor inserter device and bone anchors
US5868749A (en) * 1996-04-05 1999-02-09 Reed; Thomas M. Fixation devices
US5885294A (en) * 1997-09-22 1999-03-23 Ethicon, Inc. Apparatus and method for anchoring a cord-like element to a workpiece

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4898156A (en) 1987-05-18 1990-02-06 Mitek Surgical Products, Inc. Suture anchor
US5549630A (en) 1993-05-14 1996-08-27 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5522843A (en) 1994-02-23 1996-06-04 Orthopaedic Biosystems Limited, Inc. Apparatus for attaching soft tissue to bone
US5569306A (en) 1995-06-06 1996-10-29 Thal; Raymond Knotless suture anchor assembly
US5713921A (en) 1996-03-29 1998-02-03 Bonutti; Peter M. Suture anchor
US5743914A (en) 1996-06-06 1998-04-28 Skiba; Jeffry B. Bone screw
US5718717A (en) 1996-08-19 1998-02-17 Bonutti; Peter M. Suture anchor
US5715942A (en) 1996-11-15 1998-02-10 Li Medical Technologies, Inc. Package and holder for suture anchor with sutures and surgical needles attacked

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5102421A (en) * 1990-06-14 1992-04-07 Wm. E. Anpach, III Suture anchor and method of forming
US5372599A (en) * 1993-03-12 1994-12-13 Mitek Surgical Products, Inc. Surgical anchor and method for deploying the same
WO1995016398A1 (en) * 1993-12-13 1995-06-22 Ethicon, Inc. Suture anchor device
US5527342A (en) * 1993-12-14 1996-06-18 Pietrzak; William S. Method and apparatus for securing soft tissues, tendons and ligaments to bone
WO1997030638A1 (en) * 1996-02-23 1997-08-28 Influence, Inc. Non-linear anchor inserter device and bone anchors
US5868749A (en) * 1996-04-05 1999-02-09 Reed; Thomas M. Fixation devices
US5885294A (en) * 1997-09-22 1999-03-23 Ethicon, Inc. Apparatus and method for anchoring a cord-like element to a workpiece

Also Published As

Publication number Publication date
WO2001006933A2 (en) 2001-02-01
AU6890100A (en) 2001-02-13

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