WO2002065892A3 - Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device - Google Patents

Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device Download PDF

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Publication number
WO2002065892A3
WO2002065892A3 PCT/US2002/004231 US0204231W WO02065892A3 WO 2002065892 A3 WO2002065892 A3 WO 2002065892A3 US 0204231 W US0204231 W US 0204231W WO 02065892 A3 WO02065892 A3 WO 02065892A3
Authority
WO
WIPO (PCT)
Prior art keywords
suture
toggle member
bone
bone anchor
attachment
Prior art date
Application number
PCT/US2002/004231
Other languages
French (fr)
Other versions
WO2002065892A2 (en
Inventor
Seth A Foerster
Original Assignee
Opus Medical 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
Priority claimed from US09/781,793 external-priority patent/US7083638B2/en
Priority to JP2002565464A priority Critical patent/JP2004522531A/en
Priority to CA002437619A priority patent/CA2437619C/en
Priority to AT02742470T priority patent/ATE440544T1/en
Priority to DE60233479T priority patent/DE60233479D1/en
Priority to KR10-2003-7010355A priority patent/KR20030076657A/en
Application filed by Opus Medical Inc filed Critical Opus Medical Inc
Priority to IL15721802A priority patent/IL157218A0/en
Priority to BR0207125-8A priority patent/BR0207125A/en
Priority to AU2002306478A priority patent/AU2002306478B2/en
Priority to EP02742470A priority patent/EP1383435B1/en
Publication of WO2002065892A2 publication Critical patent/WO2002065892A2/en
Publication of WO2002065892A3 publication Critical patent/WO2002065892A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448—Additional elements on or within the anchor
    • A61B2017/045—Additional elements on or within the anchor snug fit within the anchor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0864—Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

A device (10) for attaching connective tissue to bone has a longitudinal axis and comprises an annular toggle member (14) and a body member (12) disposed distally of the toggle member (14). The toggle member (14) is movable between an undeployed position wherein the toggle member (14) has a smaller profile in a direction transverse to the axis and a deployed position wherein the toggle member (14) has a larger profile in the direction transverse to the axis. When installed in a desired procedural site, in suitable bone, suturing material (28) extends axially through a center aperture (13) in the annular toggle member (14), without being secured to or contacting the toggle member (14). This approach permits a suture attachment which lies entirely beneath the cortical bone surface, and further permits the attachment of suture (28) to the bone anchor (10) without the necessity for tying knots, which is particularly arduous and technically demanding in the case of arthroscopic procedures. The suture attachment to the bone anchor involves the looping of a length of suture around a suture return member within the bone anchor, tightening the suture and attached soft tissue, and compressing the suture against the bone anchor.
PCT/US2002/004231 2001-02-12 2002-02-12 Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device WO2002065892A2 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
EP02742470A EP1383435B1 (en) 2001-02-12 2002-02-12 Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device
CA002437619A CA2437619C (en) 2001-02-12 2002-02-12 Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device
AT02742470T ATE440544T1 (en) 2001-02-12 2002-02-12 METHOD AND DEVICES FOR ATTACHING CONNECTIVE TISSUE TO BONE USING A KNOTLESS SUTURE ANCHORAGE DEVICE
DE60233479T DE60233479D1 (en) 2001-02-12 2002-02-12 NDEGEWEB ON BONE USING A DEVICE FOR KNOTLESS SEAM ANCHORING
KR10-2003-7010355A KR20030076657A (en) 2001-02-12 2002-02-12 Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device
JP2002565464A JP2004522531A (en) 2001-02-12 2002-02-12 Method and device for connecting connective tissue to bone using a knotless suture anchor device
IL15721802A IL157218A0 (en) 2001-02-12 2002-02-12 Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device
BR0207125-8A BR0207125A (en) 2001-02-12 2002-02-12 Bone anchor devices for fixation of connective and soft tissue to bone, apparatus for fixation of connective tissue to bone, method of using suture to attach soft tissue to a body cavity, soft tissue fixation method to a bone, knotless suture anchor apparatus for anchoring a suture length to a body cavity, and a method for attaching soft tissue to a knotless body cavity
AU2002306478A AU2002306478B2 (en) 2001-02-12 2002-02-12 Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US09/781,793 2001-02-12
US09/781,793 US7083638B2 (en) 2001-02-12 2001-02-12 Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US09/876,488 2001-06-07
US09/876,488 US6770076B2 (en) 2001-02-12 2001-06-07 Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device

Publications (2)

Publication Number Publication Date
WO2002065892A2 WO2002065892A2 (en) 2002-08-29
WO2002065892A3 true WO2002065892A3 (en) 2003-12-04

Family

ID=27119909

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/004231 WO2002065892A2 (en) 2001-02-12 2002-02-12 Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device

Country Status (9)

Country Link
US (5) US6770076B2 (en)
EP (1) EP1383435B1 (en)
JP (1) JP2004522531A (en)
KR (1) KR20030076657A (en)
AU (1) AU2002306478B2 (en)
BR (1) BR0207125A (en)
CA (1) CA2437619C (en)
IL (1) IL157218A0 (en)
WO (1) WO2002065892A2 (en)

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