1. Field of the Invention
The present disclosure relates to tissue repair, and more specifically, to an anchor for securing tissue to bone.
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. When making a repair of soft tissue to bone, it is advantageous to have as large an area of contact between the bone and tissue as possible. Anchor points spaced from one another in rows result in a repair having a broader area of contact. A procedure, and components for use in such procedure, that securely attaches tissue to bone using a plurality of attachment points over a large area of contact is needed. Such procedure must be able to be done in a quick and efficient manner with a minimum of recovery time for the patient.
In an aspect, the present disclosure relates to an anchor assembly. The anchor assembly includes an anchor including a distal portion and a proximal portion, the anchor defining a cavity and an opening to the cavity; an insertion member disposed within the cavity of the anchor; and a sleeve coupled to the anchor, the sleeve disposed over the proximal portion of the anchor. In an embodiment, the distal portion of the anchor includes barbs. In another embodiment, the anchor includes a through hole. In yet another embodiment, the cavity includes threads. In a further embodiment, the insertion member includes a threaded proximal portion and a non-threaded distal portion. In yet a further embodiment, the insertion member includes a cannulation. In an embodiment, the sleeve includes a threaded proximal portion and a non-threaded distal portion. In another embodiment, the anchor includes protrusions.
In another aspect, the present disclosure relates to an anchor delivery device for tissue repair including a handle; a first knob coupled to the handle; a second knob coupled to the handle; and a shaft coupled to the handle, the shaft including an outer member, an inner member disposed within the outer member, and a driver disposed within the inner member. In an embodiment, a proximal portion of the driver is coupled to the first knob and a proximal portion of the outer member is coupled to the second knob. In another embodiment, the anchor delivery device further includes a sleeve coupled to the outer member, an anchor coupled to the inner member, and an insertion member disposed within a cavity of the anchor, the insertion member coupled to the driver.
Further features, aspects, and advantages of the present disclosure, as well as the structure and operation of various embodiments of the present disclosure, are described in detail below with reference to the accompanying drawings.
The accompanying drawings, which are incorporated in and form a part of the specification, illustrate the embodiments of the present invention and together with the description, serve to explain the principles of the invention. In the drawings:
The embodiments were chosen and described in order to best explain the principles of the invention and its practical application to thereby enable others skilled in the art to best utilize the invention in various embodiments and with various modifications as are suited to the particular use contemplated.
As shown in
A proximal portion 25a of the driver 25 includes threads 25a′ that engage threads 29 on an inner surface 24b′ of the inner member 24b. Threaded engagement of the driver 25 and inner member 24b allow for axial movement of the driver 25 along the shaft 24 via rotation of the knob 23. Rotation of the knob 23 is discontinued when a depth stop 25b engages an end 24b″ of the inner member 24b, thereby preventing over-insertion of the insertion member 12 into the anchor 11, as will be further explained below.
During tissue repair, suture is attached to a soft tissue, a hole is created in bone, ends of the suture are placed through the through hole 11d of the anchor 11, the anchor 11 is placed within the bone hole via axial advancement of the delivery device 20, knob 23 is rotated to move the insertion member 12 axially and engage and fixate the suture to the anchor 11, and knob 22 is then rotated to move the sleeve 13 axially and place the distal end 13b of the sleeve 13 over the proximal end 11b of the anchor 11 and further lock the suture between the sleeve 13 and the bone.
The components of the anchor assembly are made from a polymer material and via an injection molding process. However, other materials and processes may be used. The handle and knobs of the delivery device are manufactured from a polymer material and via an injection molding process. The handle and knobs are coupled via an interference fit. However, other materials, processes of making, and methods of coupling may be used. The components of the shaft are made from a metal material via an extrusion or drawings process. The components of the shaft are coupled to the handle and knobs via a threaded fit or an interference fit. However, other materials, processes of making, and methods of coupling may be used.
As various modifications could be made in the constructions and methods herein described and illustrated without departing from the scope of the invention, it is intended that all matter contained in the foregoing description or shown in the accompanying drawings shall be interpreted as illustrative rather than limiting. Thus, the breadth and scope of the present invention 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.
This application is a national stage application of PCT/US2010/056160, filed Nov. 10, 2010 which claims priority to U.S. Patent Application No. 61/259,732 filed on Nov. 10, 2009, the disclosures of which are incorporated herein by reference in their entireties.
Filing Document | Filing Date | Country | Kind | 371c Date |
---|---|---|---|---|
PCT/US2010/056160 | 11/10/2010 | WO | 00 | 9/6/2012 |
Publishing Document | Publishing Date | Country | Kind |
---|---|---|---|
WO2011/060022 | 5/19/2011 | WO | A |
Number | Name | Date | Kind |
---|---|---|---|
4738255 | Goble et al. | Apr 1988 | A |
5152790 | Rosenberg et al. | Oct 1992 | A |
5464427 | Curtis et al. | Nov 1995 | A |
7329272 | Burkhart et al. | Feb 2008 | B2 |
7678134 | Schmieding et al. | Mar 2010 | B2 |
8454654 | Ferragamo et al. | Jun 2013 | B2 |
9179907 | Elattrache et al. | Nov 2015 | B2 |
20020013608 | Elattrache et al. | Jan 2002 | A1 |
20040138706 | Abrams | Jul 2004 | A1 |
20040225292 | Sasso et al. | Nov 2004 | A1 |
20060246396 | Suttin et al. | Nov 2006 | A1 |
20060271060 | Gordon | Nov 2006 | A1 |
20080009904 | Bourque | Jan 2008 | A1 |
20090112270 | Lunn et al. | Apr 2009 | A1 |
20090157124 | Ferragamo et al. | Jun 2009 | A1 |
Number | Date | Country |
---|---|---|
0673624 | Sep 1995 | EP |
2000-512193 | Sep 2000 | JP |
2005-504555 | Feb 2005 | JP |
2006-95301 | Apr 2013 | JP |
9842261 | Oct 1998 | WO |
0243576 | Jun 2002 | WO |
2009055800 | Apr 2009 | WO |
Entry |
---|
Second Office Action for Chinese Application No. 201080050979.3, issued Nov. 14, 2014. |
Patent Examination Report No. 1 for Australian Application No. 2010319662, issued Feb. 11, 2015. |
Office Action for Russian Application No. 2012122881/14(034786), mailed Dec. 1, 2014. |
Notice of Reasons for Rejection for Japanese Application No. 2012-538929, mailed Jul. 22, 2014. |
First Office Action for Chinese Application No. 201080050979.3, issued Jun. 5, 2014. |
Third Office Action for Chinese Application No. 201080050979.3, issued Apr. 24, 2015. |
Patent Examination Report No. 2 for related Australian Patent Application No. 2010319662 mailed Sep. 18, 2015. |
Decision of Rejection for Japanese Application No. 2012-538929, mailed Apr. 6, 2015. |
Office Action for Russian Application No. 2012122881/14(034786), mailed Mar. 18, 2015. |
Number | Date | Country | |
---|---|---|---|
20130006302 A1 | Jan 2013 | US |
Number | Date | Country | |
---|---|---|---|
61259732 | Nov 2009 | US |