This application claims the benefit of U.S. patent application Ser. No. 61/122,512, filed on Dec. 15, 2008, the disclosure of which is incorporated herein by reference in its entirety.
1. Field of Technology
The present disclosure relates to devices and methods for repairing tissue.
2. Related Art
Arthroscopic procedures often require soft tissue to be reattached to bone. To achieve this, anchors are placed in the bone and sutures attached to the anchor are passed through the tissue to securely retain the tissue in place. The anchors may be of a one-piece design or may be of a multiple piece design. These anchors may be made from a material that allows the anchor to be absorbed by the body over time. However, suture anchors made from such absorbable material may not allow for the tissue to be held securely against the bone during the degradation of the anchor, thereby not allowing for reattachment of the tissue to the bone. In addition, these anchors don't allow for enough surface contact between the anchor and the device used to insert the anchor into bone, thereby reducing the ability of the user from applying a high amount of torque to the anchor. As a result, the user is forced to create a hole in the bone prior to insertion of the anchor, thereby adding procedural steps and time to the surgery.
In one aspect, the present disclosure relates to a composite anchor. The anchor includes a cannulated proximal portion having a threaded outer surface and a distal portion coupled to the proximal portion, the distal portion including a top portion, a bottom portion, and a through hole, wherein the top portion is configured to be disposed within the cannulation of the proximal portion.
In an embodiment, the top portion of the distal portion comprises at least two sides and a middle portion located between the at least two sides. In another embodiment, the bottom portion is substantially cone-shaped. In yet another embodiment, the at least two sides are substantially trapezoid-shaped and the middle portion is substantially round. In a further embodiment, the through hole is located in the bottom portion of the distal portion. In yet a further embodiment, the anchor further includes at least one suture disposed within the through hole and extending through the cannulation of the proximal portion.
In an embodiment, both the proximal portion and the distal portion include absorbable material. In another embodiment, the proximal portion includes absorbable material and the distal portion includes non-absorbable material. In yet another embodiment, the absorbable material includes a polymer material and the non-absorbable material includes a polymer material. In a further embodiment, the absorbable material includes a polymer material and the non-absorbable material includes a metal material.
In another aspect, the present disclosure relates to a method of repair. The method includes providing a composite anchor including a cannulated proximal portion; a distal portion coupled to the proximal portion, the distal portion including a top portion, a bottom portion, and a through hole, wherein the top portion is configured to be disposed within the cannulation of the proximal portion; and at least one suture disposed within the through hole and extending through the cannulation of the proximal portion; inserting the anchor into bone; placing soft tissue over the hole and inserting the suture through the soft tissue; and tying the suture to fixate the soft tissue to the bone.
In an embodiment, the anchor is inserted into the bone via rotary advancement of the anchor. In another embodiment, the method further includes creating a hole in the bone prior to inserting the anchor into the bone. In yet another embodiment, the proximal portion comprises a threaded outer surface.
Further areas of applicability of the present disclosure will become apparent from the detailed description provided hereinafter. It should be understood that the detailed description and specific examples, while indicating the preferred embodiment of the disclosure, are intended for purposes of illustration only and are not intended to limit the scope of the disclosure.
The accompanying drawings, which are incorporated in and form a part of the specification, illustrate the embodiments of the present disclosure and together with the written description serve to explain the principles, characteristics, and features of the disclosure. In the drawings:
The following description of the preferred embodiment(s) is merely exemplary in nature and is in no way intended to limit the disclosure, its application, or uses.
After placement of the anchor 10 into the bone 30, the delivery device 40 is removed and a soft tissue 50 is placed on the bone 30 lying adjacent to the anchor 10. The suture ends 20a,20b are then inserted through the soft tissue 50 and tied to fixate the soft tissue 50 to the bone 30, as shown in
For the purposes of this disclosure, the proximal portion. 11 includes an absorbable material, such as an absorbable polymer material, and the distal portion 12 includes a non-absorbable material, such as a non-absorbable polymer material or a metal material. Any absorbable polymer material may be used. An absorbable material that includes a filler, such as calcium sulfate, calcium carbonate, calcium phosphate, fibers, or other filler material that would provide for increased strength, osteoconductivity, decreased pH level of the polymer, or other benefits, may be used. A non-absorbable polymer material, such as polyetheretherketone (PEEK), or other non-absorbable polymer material could be used. Likewise, the metal material may include stainless steel, titanium, or another metal material known to one of skill in the art.
It is believed that an anchor 10 having an absorbable proximal portion 11 and a non-absorbable distal portion 12 would substantially reduce the possibility of the soft tissue 50 becoming loose during degradation of the proximal portion 11. In addition, having an anchor with a composite arrangement provides the surgeon with more selection in the type of anchor that is used during surgery. Current two piece suture anchors consist entirely of a metal material or a non-metal material.
For the purposes of this disclosure, the proximal portion 11 of the anchor 10 and the distal portion 12 of the anchor 10 are coupled via an interference fit between the proximal portion 11 and the distal portion 12. However, the components 11,12 may be coupled via ultrasonic welding or another coupling method known to one of skill in the art. In addition, it is possible for the inner surface 11b, sides 12d, the middle portion 12e, and the bottom portion 12a to have a different shape. Also, features other than threads may be present on the outer surface 11c of the proximal portion 11. Rather, the outer surface 11c may include barbs or other surface features that allow for axial advancement of the anchor 10 into the bone 30. Furthermore, more than one suture may be disposed within the through hole 12c and through the cannulation 11a. Even more, a hole may be formed in the bone 30 prior to inserting the anchor 10 into the bone 30.
As various modifications could be made to the exemplary embodiments, as described above with reference to the corresponding illustrations, without departing from the scope of the disclosure, it is intended that all matter contained in the foregoing description and shown in the accompanying drawings shall be interpreted as illustrative rather than limiting. Thus, the breadth and scope of the present disclosure should not be limited by any of the above-described exemplary embodiments, but should be defined only in accordance with the following claims appended hereto and their equivalents.
Number | Name | Date | Kind |
---|---|---|---|
4537185 | Stednitz | Aug 1985 | A |
4870957 | Goble et al. | Oct 1989 | A |
5370662 | Stone et al. | Dec 1994 | A |
5383905 | Golds et al. | Jan 1995 | A |
5417712 | Whittaker et al. | May 1995 | A |
5470334 | Ross et al. | Nov 1995 | A |
5505735 | Li | Apr 1996 | A |
5584835 | Greenfield | Dec 1996 | A |
5733307 | Dinsdale | Mar 1998 | A |
5935129 | McDevitt et al. | Aug 1999 | A |
5948001 | Larsen | Sep 1999 | A |
5993459 | Larsen et al. | Nov 1999 | A |
6436124 | Anderson et al. | Aug 2002 | B1 |
6517542 | Papay et al. | Feb 2003 | B1 |
6840953 | Martinek | Jan 2005 | B2 |
6916321 | TenHuisen et al. | Jul 2005 | B2 |
6923824 | Morgan et al. | Aug 2005 | B2 |
7588587 | Barbieri et al. | Sep 2009 | B2 |
7828820 | Stone et al. | Nov 2010 | B2 |
7976565 | Meridew | Jul 2011 | B1 |
20020052629 | Morgan et al. | May 2002 | A1 |
20020147463 | Martinek | Oct 2002 | A1 |
20040138706 | Abrams et al. | Jul 2004 | A1 |
20060276841 | Barbieri et al. | Dec 2006 | A1 |
20060282082 | Fanton et al. | Dec 2006 | A1 |
20070225719 | Stone et al. | Sep 2007 | A1 |
20070250064 | Darois et al. | Oct 2007 | A1 |
20080009904 | Bourque et al. | Jan 2008 | A1 |
20080154313 | Berberich | Jun 2008 | A1 |
20080208253 | Dreyfuss et al. | Aug 2008 | A1 |
20080215091 | Dreyfuss | Sep 2008 | A1 |
20080275469 | Fanton et al. | Nov 2008 | A1 |
20090157124 | Ferragamo et al. | Jun 2009 | A1 |
20100016902 | Paulk et al. | Jan 2010 | A1 |
Number | Date | Country |
---|---|---|
1584297 | May 2005 | EP |
2000-166937 | Jun 2000 | JP |
2005-103272 | Apr 2005 | JP |
2008-029746 | Feb 2008 | JP |
WO 9203979 | Mar 1992 | WO |
0221997 | Mar 2002 | WO |
WO02051325 | Jul 2002 | WO |
WO2006099109 | Sep 2006 | WO |
WO2007078281 | Jul 2007 | WO |
WO 2009055800 | Apr 2009 | WO |
Entry |
---|
International Search Report and Written Opinion for PCT/US2009/066966 Dated Jan. 20, 2010. |
International Search Report and Written Opinion regarding international patent No. PCT/US2012/030095 mailed on May 21, 2012. |
First Office Action for Japanese patent application No. 2011-540802, dated Dec. 24, 2013. |
Second Office Action for Chinese patent application No. 200980150612.6, dated Dec. 18, 2013. |
Communication pursuant to Article 94(3) EPC Oct. 4, 2014. |
Third Office Action for Chinese patent application No. 200980150612.6, dated Mar. 31, 2014. |
Number | Date | Country | |
---|---|---|---|
20100152773 A1 | Jun 2010 | US |
Number | Date | Country | |
---|---|---|---|
61122512 | Dec 2008 | US |