This present disclosure relates to a suture anchor for a surgical procedure and, more particularly, to an expanding suture anchor with a deformable cap.
Surgeons use a variety of suture anchors during soft tissue repair. For example, a suture anchor may be secured into bone through an interference fit with a pre-drilled bone hole. Maximum interference is desirable as resulting in higher bone fixation strength and less chance of the suture anchor pulling out of bone. While maximum interference is desirable and easy to obtain with larger diameter anchors, suture anchors in general are decreasing in size which allows surgeons to place more anchors in the same amount of area and create a more precise repair. As suture anchors decrease in diameter, however, their column strength also decreases. Lower column strength makes it more difficult to insert small diameter suture anchors into bone, especially when the bone is dense or the anchor insertion trajectory varies from the originally drilled bone trajectory due to small operator movements during usage. Because small diameter suture anchors are less structurally sound and require greater force to insert them, there is an increased risk of insertion failure.
A two piece suture anchor, including a rigid anchor body and a deformable cap that mates to the anchor body, may be used to decrease the risk of insertion failure and/or increase fixation in smaller anchors. When the deformable cap is pushed onto the rigid anchor body (or vice versa), the deformable cap expands radially outward, compressing into surrounding bone and further securing the suture anchor to bone. As such, the two piece suture anchors are sometimes referred to as “expanding anchors.” However, one of the problems with expanding anchors is that, once the cap is flexibly expanded, there is no way for the user to know if the expansion has been retained within the bone hole.
Described herein is an expanding suture anchor in which a distal end of the rigid anchor body includes at least one annular protrusion. A mating deformable cap includes at least one annular slot or ridge that engages the annular protrusion such that the annular slot and annular protrusion are coupled when the deformable cap is pushed or pulled onto the rigid anchor body. The engagement of the annular slot and the annular protrusion may lock the deformable cap and rigid anchor body into a mated position and inhibits distal retraction of the deformable cap from the anchor body. Advantageously, this ensures that once the suture anchor is expanded, it remains in its expanded state.
Further examples of the suture anchor of this disclosure may include one or more of the following, in any suitable combination.
In one example, the suture anchor of this disclosure includes a cannulated, rigid anchor body extending between a proximal end and a distal end, the distal end having a first portion distal to a second portion, and the first portion including a lateral protrusion. The suture anchor also includes a deformable cap including a cavity having a diameter larger than the first portion of the distal end of the anchor body and smaller than the second portion of the distal end of the anchor body, and at least one expansion slot formed through a lateral surface of the deformable cap or a similarly functioning ridge on the inner diameter of the cap. The at least one expansion slot or ridge is dimensioned to receive at least a portion of the lateral protrusion of the anchor body. Upon proximal advancement of the deformable cap with respect to the distal end of the anchor body, the deformable cap expands radially outward to accommodate at least the first portion of the distal end of the anchor body such that the lateral protrusion is received within the expansion slot and inhibits distal retraction of the deformable cap from the anchor body.
In further examples, the suture anchor of this disclosure has at least one transverse projection formed integrally with the anchor body. The anchor body is comprised of at least one of metals, polymers, bioabsorbable, and biocomposite materials. The deformable cap has a tapered distal end and is formed separately from the anchor body. The deformable cap is formed from PEEK, stainless steel, or Nitinol. The deformable cap is made of a material that is either the same as or different from a material of the anchor body. The at least one lateral projection can be a plurality of lateral projections and the at least one slot can be a plurality of slots. The deformable cap is attached to the anchor body by means of a suture routed through the deformable cap and the anchor body. The deformable cap further has at least one opening for the passage of a suture. The anchor body is comprised of at least one of metals, polymers, bioabsorbable and biocomposite materials.
These and other features and advantages will be apparent from a reading of the following detailed description and a review of the associated drawings. It is to be understood that both the foregoing general description and the following detailed description are explanatory only and are not restrictive of aspects as claimed.
The disclosure will be more fully understood by reference to the detailed description, in conjunction with the following figures, wherein:
In the description that follows, like components have been given the same reference numerals, regardless of whether they are shown in different examples. To illustrate example(s) in a clear and concise manner, the drawings may not necessarily be to scale and certain features may be shown in somewhat schematic form. Features that are described and/or illustrated with respect to one example may be used in the same way or in a similar way in one or more other examples and/or in combination with or instead of the features of the other examples.
Comprise, include, and/or plural forms of each are open ended and include the listed parts and can include additional parts that are not listed. And/or is open ended and includes one or more of the listed parts and combinations of the listed parts.
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The anchor body 100 can be made from any combination of metals, polymers, bioabsorbable, or biocomposite material. For example, the anchor body 100 may be partially or entirely formed from a formulation of poly(lactic-co-glycolic) acid (PLGA), β-Tricalcium phosphate (β-TCP) and calcium sulfate, poly-L-lactic acid—hydroxyapatite (PLLA-HA), poly-D-lactide (PDLA), polyether ether ketone (PEEK) or variants thereof. Biocomposite examples made from a combination of PLGA, β-TCP, and calcium sulfate are absorbable by the body, which is beneficial to natural healing. An example formulation of PLGA, β-TCP, and calcium sulfate is described in U.S. Pat. No. 8,545,866, the entirety of which is herein incorporated by reference. A copolymer of polyglycolic acid (PGA) and polytrimethylene carbonate (TMC) is another example of a bioabsorbable material. Other commonly used materials that are capable of providing the strength needed to set the anchor body 100 into bone and to hold a suture and tissue in position while bone-to-tissue in-growth occurs are also contemplated by this disclosure.
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In examples, not shown, the expanding portion of the suture anchor 10 may be the distal portion 104 of the anchor body 100. For example, a proximal force may cause the deformable cap 126 to enter into an opening at the distal portion 104 of the anchor body 100, causing outward expansion of the distal portion 104. The locking features may then comprise internal locking features rather than external locking features (i.e., the protrusions may be located on the inside of the opening of the distal portion 104 to mate with the slots 122 on the surface of the cap 120). In other examples, a diameter of the second portion 110 of the anchor body 100 may be larger than a diameter of the first portion 108, such that the cap 120 is configured to snap into a recess formed by the first portion 108.
The suture anchor 10 of this disclosure is a micro anchor sized appropriately for, e.g., instability or rotator cuff repair. However, suture anchor 10 of this disclosure could also be adapted or scaled for other types of surgical repair.
While this disclosure has been particularly shown and described with references to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the present application as defined by the appended claims. Such variations are intended to be covered by the scope of this present application. As such, the foregoing description of embodiments of the present application is not intended to be limiting, the full scope rather being conveyed by the appended claims.
Filing Document | Filing Date | Country | Kind |
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PCT/US2017/017370 | 2/10/2017 | WO | 00 |
Number | Date | Country | |
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62294391 | Feb 2016 | US |