CA2510345A1 - Suture anchor inserter with eyelet identification - Google Patents

Suture anchor inserter with eyelet identification Download PDF

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Publication number
CA2510345A1
CA2510345A1 CA002510345A CA2510345A CA2510345A1 CA 2510345 A1 CA2510345 A1 CA 2510345A1 CA 002510345 A CA002510345 A CA 002510345A CA 2510345 A CA2510345 A CA 2510345A CA 2510345 A1 CA2510345 A1 CA 2510345A1
Authority
CA
Canada
Prior art keywords
anchor
suture
inserter
passage
section
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002510345A
Other languages
French (fr)
Other versions
CA2510345C (en
Inventor
Jonathan Howe
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DePuy Mitek LLC
Original Assignee
Ethicon, Inc.
Jonathan Howe
Depuy Mitek, 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 Ethicon, Inc., Jonathan Howe, Depuy Mitek, Inc. filed Critical Ethicon, Inc.
Publication of CA2510345A1 publication Critical patent/CA2510345A1/en
Application granted granted Critical
Publication of CA2510345C publication Critical patent/CA2510345C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409Instruments for applying suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0412Suture 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414Suture 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427Suture 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427Suture 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
    • A61B2017/0437Suture 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 the barbs being resilient or spring-like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0438Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044Suture 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Rheumatology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

An inserter for inserting a suture anchor into bone. The inserter has external markings that uniquely identify the orientations and the relative longitudinal positions of at least two suture passages through a suture anchor releasably engaged with the inserter. The markings assist a surgeon in determining a preferred placement and orientation of the anchor at an operative site during a surgical procedure.

Claims (21)

1. A suture anchor inserter, comprising:

a tubular member having a distal end, a proximal end, an external surface, an internal cross-section, and a longitudinal axis extending between the distal end and the proximal end, wherein the internal cross-section is adapted at the distal end for mating engagement with a suture anchor and the engagement is at a predetermined rotational orientation of the tubular member about the axis; and, a first distinct indicator mark in the external surface of the tubular member aligned with a first suture passage through the anchor, and a second distinct indicator mark in the external surface of the tubular member aligned with a second suture passage through the anchor, wherein the second suture passage is proximal to the first suture passage, and each suture passage is adapted to receive at least one strand of suture therethrough.
2. The inserter of claim 1 wherein the second indicator mark and the first indicator mark are separated by an angle of about 90 degrees radially about the axis.
3. The inserter of claim 1 wherein one of the first indicator mark and the second indicator mark comprises a broken longitudinal line segment and the other of the first indicator mark and the second indicator mark comprises an unbroken longitudinal line segment.
4. The inserter of claim 1 wherein at least one of the first indicator mark and the second indicator mark comprises at least one character of text.
5. The inserter of claim 1 wherein at least one of the first indicator mark and the second indicator mark has been produced by a process selected form the group consisting of inkjet printing, chemical etching, laser etching, gas-phase deposition, or electric discharge machining.
6. The inserter of claim 1 wherein the internal cross-section comprises a hexagonal cross-section socket.
7. The inserter of claim 1 wherein the internal cross-section comprises an oval cross-section socket.
8. The inserter of claim 1 wherein the tubular member and the anchor are adapted for mating engagement at a single rotational orientation of the inserter about the axis.
9. The inserter of claim 1 further comprising a handle for gripping mounted to the tubular member, the handle having a through bore aligned with the axis.
10. A suture anchor assembly for engagement into a bone, the assembly comprising:

a) a suture anchor, comprising a body member having a distal anchor end, a proximal anchor end, an outer anchor surface and a longitudinal anchor axis between the distal anchor end and the proximal anchor end, a first suture passage extending through the body member substantially transversely to the anchor axis, a second suture passage extending through the body substantially transversely to the anchor axis, the second passage being proximal to the first passage, the second passage being angulated about the anchor axis with respect to the first passage, a driving member extending proximally from the proximal end of the body member, the driving member having an external cross-section; and, b) an inserter, comprising:

a tubular member having a distal end, a proximal end, an external surface, an internal cross-section, and a longitudinal axis extending between the distal end and the proximal end, wherein the internal cross-section is adapted at the distal end for mating engagement with a suture anchor and the engagement is at a predetermined rotational orientation of the tubular member about the axis; and, a first distinct indicator mark in the external surface of the tubular member aligned with a first suture passage through the anchor, and a second distinct indicator mark in the external surface of the tubular member aligned with a second suture passage through the anchor, wherein the second suture passage is proximal to the first suture passage, and each suture passage is adapted to receive at least one strand of suture therethrough, wherein the suture anchor is mounted to the inserter..
11. The assembly of claim 10 wherein each of the internal cross-section and the external cross-section is substantially hexagonal.
12. The assembly of claim 10 wherein each of the internal cross-section and the external cross-section is oval.
13. The assembly of claim 10 wherein the internal cross-section is keyed to the external cross-section for mating engagement at only a single rotational orientation of the inserter about the inserter axis with respect to the anchor axis.
14. The assembly of claim 10 wherein the outer anchor surface of the suture anchor comprises a plurality of thread flights for anchoring the anchor in bone.
15. The assembly of claim 10 wherein the outer anchor surface comprises at least one arc member extending outward from the body member for anchoring the anchor in bone.
16. The assembly of claim 10 wherein the outer anchor surface is adapted for wedging into a bore in bone.
17. The assembly of claim 10, wherein the outer anchor surface is expandable for anchoring the anchor in bone.
18. The assembly of claim 10 wherein at least one of the first passage and the second passage is in the driving member.
19. The assembly of claim 10 wherein the second suture passage is angulated about the first axis with respect to the first passage substantially at 90 degrees to the first suture passage about the anchor axis.
20. A suture anchor inserter comprising a tubular member having a distal end, a proximal end, an axis therebetween and an outer inserter surface, the tubular member adapted to matingly receive at least a portion of a multi-suture anchor inside the distal end at a predetermined rotational orientation of the inserter about the axis, the anchor comprising an anchor body having a plurality of suture passages through the body, the outer inserter surface comprising a corresponding plurality of markings, each of the plurality of markings uniquely aligned with and uniquely identifying one of the plurality of suture passages.
21. A method of attaching soft tissue to the surface of a bone, comprising:
A. providing a suture anchor inserter, comprising:
a tubular member having a distal end, a proximal end, an external surface, an internal cross-section, and a longitudinal axis extending between the distal end and the proximal end, wherein the internal cross-section is adapted at the distal end for mating engagement with a suture anchor and the engagement is at a predetermined rotational orientation of the tubular member about the axis; and, a first distinct indicator mark in the external surface of the tubular member aligned with a first suture passage through the anchor, and a second distinct indicator mark in the external surface of the tubular member aligned with a second suture passage through the anchor, wherein the second suture passage is proximal to the first suture passage, and each suture passage is adapted to receive at least one strand of suture therethrough;
B. providing a suture anchor, said suture anchor comprising an anchor body and at least two suture passages in the anchor body and having at least one surgical suture in each suture passage;
C. drilling a bone bore hole in a bone;
D. mounting the suture anchor to the inserter and inserting the suture anchor into the bore hole such that the anchor is engaged within the bore hole; and, E. affixing at least a section of soft tissue to the surface of the bone using the sutures.
CA2510345A 2004-06-28 2005-06-20 Suture anchor inserter with eyelet identification Expired - Fee Related CA2510345C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/878,886 2004-06-28
US10/878,886 US7914538B2 (en) 2004-06-28 2004-06-28 Suture anchor inserter

Publications (2)

Publication Number Publication Date
CA2510345A1 true CA2510345A1 (en) 2005-12-28
CA2510345C CA2510345C (en) 2012-06-12

Family

ID=35115947

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2510345A Expired - Fee Related CA2510345C (en) 2004-06-28 2005-06-20 Suture anchor inserter with eyelet identification

Country Status (6)

Country Link
US (2) US7914538B2 (en)
EP (1) EP1611852B1 (en)
JP (1) JP5058458B2 (en)
AU (1) AU2005202702B2 (en)
CA (1) CA2510345C (en)
DE (1) DE602005022802D1 (en)

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Also Published As

Publication number Publication date
US20050288682A1 (en) 2005-12-29
AU2005202702A1 (en) 2006-01-12
DE602005022802D1 (en) 2010-09-23
EP1611852A2 (en) 2006-01-04
AU2005202702B2 (en) 2011-09-15
EP1611852B1 (en) 2010-08-11
US8460309B2 (en) 2013-06-11
US7914538B2 (en) 2011-03-29
US20110152930A1 (en) 2011-06-23
CA2510345C (en) 2012-06-12
JP5058458B2 (en) 2012-10-24
JP2006006955A (en) 2006-01-12
EP1611852A3 (en) 2006-11-15

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