The present disclosure relates to suture constructions and, more particularly, to suture loop constructions containing visual aids for identifying suture limbs arthroscopically.
This section provides background information related to the present disclosure which is not necessarily prior art.
Arthroscopic surgery is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. The surgery is performed through portals (or cannulas) in the body through which the endoscope and tools are inserted. Often the surgeon is working in small, tight areas.
It is common for surgeons to use sutures to secure soft tissues to bone, bone to bone, and tissue to tissue. Often when working in the small tight area, the surgeon may have difficulty distinguishing the suture limbs or tying the suture limbs without moving the tissue or bone.
This section provides a general summary of the disclosure, and is not a comprehensive disclosure of its full scope or all of its features.
The present teachings provide for a flexible suture for coupling tissue. The flexible suture includes a first suture portion extending to a first end and a second suture portion extending to a second end. A plurality of braided strands that form the first and second suture portions. An identifier characteristic is formed into the plurality of braided strands. The identifier characteristic extends from the first end of the first suture portion to the second end of the second suture portion, and the identifier characteristic distinguishes the first suture portion from the second suture portion.
The present teachings also provide for a flexible suture for coupling tissue that includes a first suture limb extending to a first end and a second suture limb extending to a second end. A plurality of braided strands that form the first and second suture limbs. A first structural identifier characteristic is formed into the plurality of braided strands of the first suture limb. A second structural identifier characteristic is formed into the plurality of braided strands of the second suture limb. The first and second structural identifiers differentiate the structure of the first suture limb from the structure of the second suture limb.
The present teachings also provide for a flexible suture for coupling tissue that includes a first suture limb extending to a first end and a second suture limb extending to a second end. A plurality of braided strands that form the first and second suture limbs. One of the first and second suture limbs includes a dyed portion.
The present teachings also provide for flexible suture for coupling tissue that includes a first suture limb extending to a first end and a second suture limb extending to a second end. A plurality of braided strands that form the first and second suture limbs. The first suture limb forms a braided cylinder, and the second suture limb forms a braided flat ribbon.
A flexible suture for coupling tissue that includes a first suture section that extends from a first end to a second end. A second suture section that extends from a third end to a fourth end. A plurality of braided strands that form the first and second suture sections. An identifier characteristic that is formed into the plurality of braided strands. The identifier characteristic extends from the first end to the second end of the first suture section and from the third end to the fourth end of the second suture section, and the identifier characteristic distinguishes the first suture limb from the second suture limb. A coupler attaches the first suture section to the second suture section.
Further areas of applicability will become apparent from the description provided herein. The description and specific examples in this summary are intended for purposes of illustration only and are not intended to limit the scope of the present disclosure.
The drawings described herein are for illustrative purposes only of selected embodiments and not all possible implementations, and are not intended to limit the scope of the present disclosure.
Corresponding reference numerals indicate corresponding parts throughout the several views of the drawings.
Example embodiments will now be described more fully with reference to the accompanying drawings.
With initial reference to
When the tracer 22 extends from the first terminal end 14 to the second terminal end 18 of the suture construct 10, the suture construct 10 is easier to form because it can be manufactured in a single continuous step. There is no need to stop the machine during manufacturing to add or subtract any of the strands that are braided into the suture.
The suture construct 10 and tracer 22 may be made of any suitable flexible material or member, and need not be made of a suture. The suture construct 10 may also be made of a variety of different materials. When the suture construct 10 and tracer 22 are made of sutures, any suitable suture can be used.
For example, the braided suture may be a 16-strand hollow-core suture (see
The suture construct 10 and tracer 22 may be of a variety of different materials. For example, the strands 30 of suture construct 10 may be of a polyethylene material that is substantially translucent or colorless. The tracer 22 may be of a polyester or nylon material that is either white or dyed a contrasting color to identify the tracer 22 in the suture construct 10. The tracer 22 assists the surgeon in differentiating between suture strands with the trace and suture strands without the trace. The tracer 22 may be modified from the first terminal end 14 to the second terminal end 18 of the suture construct 10 to assist the surgeon in distinguishing the first end 14 from the second 18.
With additional reference to
In the embodiment of
Now referring to
Now referring to
Now referring to
The plurality of fibers 34 may be of an all-white polyethylene material that is braided to form the plurality of strands 30. The second suture limb 120 may be coated with a dye or other material that is known to adhere to the polyethylene material. The dye or other material may be of a contrasting color to the all-white polyethylene and therefore may provide the color coating 112 on a portion of the suture construct 100. The color coating 112 may be applied to the entire second suture limb 120 (
The plurality of fibers 34 may also contain a material known to be radiopaque, for example barium sulfate, that is braided to form the plurality of strands 30. A radiopaque material is known in the art to be visible in x-ray images and to the naked eye. The second suture limb 120 may be coated with a radiopaque material such as barium sulfate. The radiopaque material may be of a contrasting color to the plurality of strands 30 and therefore may provide the color coating 112 on a portion of the suture construct 100. The color coating 112 may be applied to the entire second suture limb 120 (
Now referring to
The first suture limb 204 may be connected to the second suture limb 208 to form a continuous suture construct 200. The first suture limb 204 may include a first terminal end 212 and a second terminal end 216, and the second suture limb 208 may include a first terminal end 220 and a second terminal end 224. The first and second suture limbs 204, 208 may be tied together with a knot, adhered or epoxied together, locked together by passing each strand through the opposite strand, or fixed together by any means known in the art. When passing the strands through opposite ends, the suture from one end is passed between the braided strands, along the hollow core, and out through the braided strand or retained in the hollow core.
The second end 216 of the first suture limb 204 may be locked within the second suture limb 208, and the second end 224 of the second suture limb 208 may be locked within the first suture limb 204 (
The first and second suture limbs 204, 208 may be of different colors or sizes to assist the surgeon in differentiating between the different limbs 204, 208. For example, the first suture limb 204 may include the tracer 22 extending from the first end 212 to the second end 216 and being of a polyethylene or nylon material that has been dyed black. The second suture limb 208 may not include the tracer 22 or may include the tracer 22 being of a contrasting color such as red. The first and second suture limbs 204, 208 may also be of different sizes or diameters. For example, the first suture limb 204 may be braided tighter than the second suture limb 208, or vice versa. The second suture limb 208 may have a larger diameter than the first suture limb 204, and the first suture limb 204 may have a higher stiffness than the second suture limb 208, or vice versa.
Now referring to
The tracer 320 may be one or more of the plurality of strands 30 or fibers 34 braided into the suture construct 300 similar to that of the embodiment illustrated in
The suture construct 300 and tracer 320 may be of a variety of different materials. For example, the strands 30 of suture construct 300 may be of a polyethylene material that is substantially translucent or colorless and may also include a polyester or nylon material that is white in color. The tracer 320 may be of a polyester or nylon material that is either white or dyed a contrasting color to identify the tracer 320 in the suture construct 300. The tracer 320 assists the surgeon in differentiating between suture strands with the trace and suture strands without the trace.
The tracer 320 may be braided so that it is visual to an observer for a first portion 324 of the suture construct 300. The first portion 324 may be the same length as, and correspond to, the first suture limb 304. The tracer 320 then may be braided in the hollow passage 28 so that it is not visible to the observer for a second portion 328 of the suture construct 300. The second portion 328 may be the same length as, and correspond to, the second suture limb 312. After the second portion 328 the tracer 320 may be braided so that it is visual to the observer again. This pattern may be followed for the length of several suture constructs 300 during manufacturing and then cut to specified suture construct 300 lengths (for example only, 38 inches) at a later time.
Now referring to
The tracer 420 may be one or more of the plurality of strands 30 or fibers 34 braided into the suture construct 400 similar to that of the embodiment illustrated in
The suture construct 400 and tracer 420 may be of a variety of different materials. For example, the strands 30 of suture construct 400 may be of a polyethylene material that is substantially translucent or colorless or white in color. The tracer 420 may be of a polyester or nylon material that is white in color. The tracer 420 assists the surgeon in differentiating between suture strands with the trace and suture strands without the trace.
The tracer 420 may be braided into the suture construct 400 such that it is visible to the observer. After manufacturing of the suture construct 400 is complete, a first portion 424 of the suture construct 400 may be dipped in a dye solution of a contrasting color to dye the tracer 420 braided into the first portion 424. The first portion 424 may be the same length as the first suture limb 404. The dye adheres to the polyester or nylon material of the tracer 420 and does not adhere to the polyethylene fibers in the suture construct 420. Only the first portion 424 of the suture construct 400 is dyed a contrasting color so that the first suture limb 404 is differentiated from the second suture limb 412. By braiding a white tracer 420 into the suture construct 400 during manufacturing and dying the tracer 420 at a later time, a plurality of suture constructs 400 can be manufactured at one time and later be dyed different colors.
Now referring to
The suture construct 500 may be braided similar to that of the embodiment illustrated in
The suture construct 500 may include a structural identifier characteristic, such as knots, extending the entire length of the suture construct 500. One of the first and second suture limbs 504, 508 may include knots 516 in specific locations along the suture limb, for example the second suture limb 508, as illustrated. The knots 516 along the second suture limb 508 may assist the surgeon in differentiating between the first suture limb 504 and the second suture limb 508 and may help to identify the direction of travel of each suture limb 504, 508.
Once the suture construct 500 is braided as discussed in previous embodiments, the suture construct 500 may be cut to length. The suture construct 500 may be threaded through the eyelet of the anchor 512. Preformed knots 516 may be placed in specific locations along either the first suture limb 504 or the second suture limb 508 (for example only, the second suture limb 508). The anchor 512 is secured in the bone 54, and the first suture limb 504 without the knots 516 is threaded through the soft tissue 50 (see also
Now referring to
The tracer 620 may be one or more of the plurality of strands 30 or fibers 34 braided into the suture construct 600. The suture construct 600 and tracer 620 can be made of any suitable flexible material or member, and need not be made of a suture. When the suture construct 600 and tracer 620 are made of sutures, any suitable suture can be used.
The suture construct 600 and tracer 620 may be of a variety of different materials. For example, the strands 30 of suture construct 600 may be of a polyethylene material that is substantially translucent or colorless or white in color. The tracer 620 may be of a polyester or nylon material that is a contrasting color. The tracer 620 assists the surgeon in differentiating between suture strands with the trace and suture strands without the trace.
Each suture construct 600 may be cut from a suture group 624. The suture group 624 may be manufactured by braiding 16 strands 30 (of the plurality of fibers 34) together for a specific length (for example only, 1 inch) and then splitting the strands 30 into a first group 628 and a second group 632 of 8 strands each. One of the first group 628 and the second group 632 contains the plurality of strands 30 of the tracer 620. Each group of strands 628, 632 is individually braided for a specific length (for example only, 38 inches). The 16 strands 30 are then braided together. This pattern is repeated several times to form the suture group 624. The resulting suture group 624 is cut at a first portion 636 where the 16 strands 30 are braided together and at a second portion 640 along the first group 628 and the second group 632 a specific length (for example only, 19 inches) from where the 16 strands split into two groups of 8 strands each. Once cut, each suture construct 600 is in a condition ready for use.
Now referring to
The suture construct 700 and tracer 720 can be made of any suitable flexible material or member, and need not be made of a suture. When the suture construct 700 and tracer 720 are made of sutures, any suitable suture can be used. For example, the strands 30 of suture construct 700 may be of a polyethylene material that is substantially translucent or colorless or white in color. The tracer 720 may be of a polyester or nylon material that is a contrasting color. The tracer 720 assists the surgeon in differentiating between suture strands with the trace and suture strands without the trace.
The tracer 720 may be sewn in to the suture construct 700 after the suture construct 700 has been braided into the 16-strand hollow-core suture as described above. The tracer 720 may only be sewn into a portion of the suture construct 700 corresponding to the second suture limb 712 to differentiate the second suture limb 712 from the first suture limb 704. The tracer may also be sewn into the portion of the suture construct 700 corresponding to the second suture limb 712 so that it is visible on the second suture limb 712 and may be sewn into the hollow passage 28 of the suture construct 700 over a portion corresponding to the first suture limb 704 so that it is not visible but extends the entire length of the suture construct 10.
Now referring to
Referring specifically to
Referring specifically to
The anchor 812 is secured in the bone 54, and the second suture limb 808 with the loop 816 is passed through the soft tissue 50 arthroscopically (see also
Referring specifically to
The anchor 812 is secured in the bone 54, and the second suture limb 808 with the bifurcation 836 is passed through the soft tissue 50 arthroscopically (see also
During the process to secure the first suture limb 804 to the second suture limb 808, the first suture limb 804 is passed through the bifurcation 836 in the second suture limb 808. The strands 30 of fibers 34 in the second suture limb 808 may be tightened applying pressure to the first suture limb 804. When tightened, the first suture limb 804 resists reverse movement and may be knotted around the second suture limb 808.
Now referring to
The suture construct 900 may include an identification characteristic on a plurality of portions to assist the surgeon in identifying the first terminal end 908 and the second terminal end 916. A first portion 920 that may correspond to the first suture limb 904 may be the 16-strand hollow-core suture discussed previously and may include the outer wall 26 formed from the plurality of strands 30 braided together (
During manufacture of the first portion 920 of the suture construct 900, each of the 16 strands 30 is braided around the remainder of the strands 30 to form the cylindrical shape. During manufacture of the second portion 924 of the suture construct 900, the strands 30 are braided horizontally back and forth to create a flat braid. While manufacturing the suture construct 900, the different braid patterns are alternated to form a single long suture group that can then be cut to appropriate suture lengths (for example only, 38 inches).
With additional reference to
With the threader 92′ extending through each of the first tail sleeve 68C′ and the second tail sleeve 68D′, the first end 68A′ is inserted into the threader 92′ and grasped by the threader 92′. The threader 92′ is then withdrawn through the second tail sleeve 68D′ and the first tail sleeve 68C′ in order to draw the first end 68A′ through the second tail sleeve 68D′ and into the first tail sleeve 68C′, as illustrated in
With additional reference to
With additional reference to
To make it easier for a surgeon to distinguish between the first portion 66′ and the second portion 68′ of the suture tail 12′, the first portion 66′ and the second portion 68′ can be configured in any suitable manner to facilitate distinction therebetween, such as visual distinction therebetween. For example, the first portion 66′ and the second portion 68′ can include or consist of different colors, and/or different design patterns, and/or any of the tracers 22, 210, 320, 420, 620, 720 described herein configured in any suitable manner to distinguish the first and second portions 66′ and 68′ from one another. The first and second portions 66′ and 68′ can also have different thicknesses or weights. The foregoing description of the embodiments has been provided for purposes of illustration and description. It is not intended to be exhaustive or to limit the disclosure. Individual elements or features of a particular embodiment are generally not limited to that particular embodiment, but, where applicable, are interchangeable and can be used in a selected embodiment, even if not specifically shown or described. The same may also be varied in many ways. Such variations are not to be regarded as a departure from the disclosure, and all such modifications are intended to be included within the scope of the disclosure.
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Number | Date | Country | |
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20140257378 A1 | Sep 2014 | US |