CA2422283A1 - Knotless tissue anchor - Google Patents
Knotless tissue anchor Download PDFInfo
- Publication number
- CA2422283A1 CA2422283A1 CA002422283A CA2422283A CA2422283A1 CA 2422283 A1 CA2422283 A1 CA 2422283A1 CA 002422283 A CA002422283 A CA 002422283A CA 2422283 A CA2422283 A CA 2422283A CA 2422283 A1 CA2422283 A1 CA 2422283A1
- Authority
- CA
- Canada
- Prior art keywords
- expandable
- suture
- tissue
- recited
- bone
- 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
Links
- 210000001519 tissue Anatomy 0.000 claims abstract 33
- 210000000988 bone and bone Anatomy 0.000 claims abstract 16
- 210000003041 ligament Anatomy 0.000 claims abstract 13
- 238000000034 method Methods 0.000 claims abstract 12
- 238000002513 implantation Methods 0.000 claims 3
- 238000004873 anchoring Methods 0.000 abstract 1
- 239000003356 suture material Substances 0.000 abstract 1
Classifications
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- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
-
- 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
- A61F2/0805—Implements for inserting tendons or ligaments
-
- A—HUMAN NECESSITIES
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- 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
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- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2017/00831—Material properties
- A61B2017/00858—Material properties high friction, non-slip
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- A—HUMAN NECESSITIES
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- A61B2017/00831—Material properties
- A61B2017/00862—Material properties elastic or resilient
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- A—HUMAN NECESSITIES
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- 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
- A61B2017/0412—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 anchoring barbs or pins extending outwardly from suture anchor body
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- 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
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- 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
- A61B2017/0422—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 by insertion of a separate member into the body of the anchor
- A61B2017/0424—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 by insertion of a separate member into the body of the anchor the separate member staying in the anchor after placement
-
- 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
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
-
- 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
- A61B2017/0438—Suture 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
-
- 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
- A61B2017/044—Suture 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
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
-
- 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
- A61F2002/0817—Structure of the anchor
- A61F2002/0823—Modular anchors comprising a plurality of separate parts
- A61F2002/0835—Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw
-
- 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
- A61F2002/0876—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
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S606/00—Surgery
- Y10S606/907—Composed of particular material or coated
- Y10S606/908—Bioabsorbable material
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S606/00—Surgery
- Y10S606/916—Tool for installing or removing orthopedic fastener
Abstract
There is disclosed a radially expandable knotless tissue anchor including an expandable outer member defining a bore and an inner member slidably positioned within the bore. Relative longitudinal movement of the inner memb er relative to the expandable member causes a portion of the expandable member to expand radially outwardly. The tissue anchor further includes a length of suture material having a first end affixed to a distal end to the inner memb er and a second end preferably affixed to a suturing needle. A transverse bore is provided adjacent the distal end of the inner member. There is also disclose d a method of knotlessly anchoring a section of tissue to a section of bone having a bore drilled therethrough. The method includes passing the suture through the tissue and positioning the expandable member and a section of tissue within the interior of the bore drilled in bone. Expansion of the expandable member secures the suture between the expandable member and the bone to thereby secure the attached tissue to bone. There is also disclosed a method of knotlessly securing a section of ligament within an elongated bore drilled in bone. The method includes passing the length of suture through th e ligament and drawing the ligament adjacent the distal end of the inner membe r and wrapping or lashing the ligament to the distally inner member. Distal movement of the expandable member relative to the inner member causes expansion of the expandable member to secure both the suture and the section of ligament between the expandable member and the bone. Additionally, a dist al movement of the expandable member forces the lashed sections of suture off t he inner member.
Claims (21)
1. A knotless tissue anchor comprising:
an expandable member defining a bore therethrough and including a radially expandable portion;
an inner member slidably disposed within the bore of the expandable member such that the expandable portion expands radially outwardly in response to longitudinal motion of the expandable member relative to the inner member; and a length of suture having a first end and a second end, the first end of the suture being affixed to the distal end of the inner member,
an expandable member defining a bore therethrough and including a radially expandable portion;
an inner member slidably disposed within the bore of the expandable member such that the expandable portion expands radially outwardly in response to longitudinal motion of the expandable member relative to the inner member; and a length of suture having a first end and a second end, the first end of the suture being affixed to the distal end of the inner member,
2. The knotless tissue anchor as recited in Claim 1, wherein the expandable portion includes at least two flexible legs.
3. The knotless tissue anchor as recited in Claim 2 wherein the inner member has a camming surface configured to engage the at least two flexible legs to force ends of said legs radially outward in response to relative longitudinal motion between the expandable member and the inner member.
4, The knotless tissue anchor as recited in Claim 3, wherein the camming surface engages the at least two legs in response to distal movement of the expandable member relative to the inner member.
5. The knotless tissue anchor as recited in Claim 1, wherein a distal portion of the inner member defines a transverse bone therethrough for receipt of the length of suture.
6. The knotless tissue anchor as recited in Claim 1, further comprising a needle affixed to the second end of the suture.
7. The knotless tissue anchor as recited in Claim 6, wherein the needle is a double pointed incision member and the second end of the suture is affixed to the needle intermediate the points.
8. The knotless tissue anchor as recited in Claim 2, wherein the at least two flexible legs define at least two slots therebetween, the inner member having at least two fins, each one of the at least two fins configured to be slidably received within a corresponding slot of the at least two slots.
9. The knotless tissue anchor as recited in Claim 1, wherein the inner member has circumferential ridges, the ridges engageable with the expendable member to prevent distal motion of the inner member relative to the expandable member after the expandable portion has been radially expanded.
10. The knotless tissue anchor as recited in Claim 2, wherein the at least two expandable legs have ridges on outer surfaces thereof to frictionally engage surrounding bone.
11. The knotless tissue anchor as recited in Claim 1, wherein the expandable member has an enlarged head at a proximal end thereof.
12. A method of knotlessly suturing a section of tissue to bone comprising:
providing a tissue fastener having an expandable outer member, an inner member movably mounted within the outer member, the outer member being radially expandable in response to relative longitudinal movement between the expandable member and the inner member and a length of suture having a first end affixed to the inner member and a second free end;
passing the free end of the suture through tissue to be fastened;
inserting the tissue fastener in a bare formed in bone;
positioning a portion of the suture located between the tissue and the second free end between the expandable member and the bore in the bone; and expanding the expandable member into engagement with the bone such that the portion of the suture is secured between the expandable member and the bone.
providing a tissue fastener having an expandable outer member, an inner member movably mounted within the outer member, the outer member being radially expandable in response to relative longitudinal movement between the expandable member and the inner member and a length of suture having a first end affixed to the inner member and a second free end;
passing the free end of the suture through tissue to be fastened;
inserting the tissue fastener in a bare formed in bone;
positioning a portion of the suture located between the tissue and the second free end between the expandable member and the bore in the bone; and expanding the expandable member into engagement with the bone such that the portion of the suture is secured between the expandable member and the bone.
13. The method as recited in Claim 12, wherein the inner member includes a transverse bore in a distal end thereof and the step of positioning includes passing the free end of the suture through the transverse bore.
14. The method as recited in Claim 13, further comprising applying tension to the second free end of the suture to draw the tissue adjacent the tissue fastener.
15. The method as recited in Claim 12 wherein the second free end of the suture has a needle affixed thereto and the step of passing includes piercing the tissue with the needle.
16. A method of securing a ligament within a bore formed in bone comprising:
providing a tissue fastener having an expandable member and a length of suture;
securing an end of the ligament to the tissue fastener with the length of suture;
placing the tissue fastener and ligament in the bore formed in bone such that a portion of the ligament extends parallel to the tissue fastener; and expanding the expandable member to secure the ligament between the expandable member and the bone.
providing a tissue fastener having an expandable member and a length of suture;
securing an end of the ligament to the tissue fastener with the length of suture;
placing the tissue fastener and ligament in the bore formed in bone such that a portion of the ligament extends parallel to the tissue fastener; and expanding the expandable member to secure the ligament between the expandable member and the bone.
17. The method as recited in Claim 16 wherein the step of securing includes passing the suture through the ligament.
18. The method as recited in Claim 17 wherein the step of securing further includes lashing the ligament to an inner member of the tissue fastener.
19. The method as recited in Claim 18 wherein distal movement of the expandable member relative to the inner member expands the expandable member and forces the lashed section of the ligament off the inner member.
20. A mounting member for use with a surgical implantation apparatus comprising:
a shaft having structure for releasably engaging corresponding structure on an implantation apparatus, the shaft having at least one longitudinal access chamber for receipt of driving structure associated with the implantation apparatus.
a shaft having structure for releasably engaging corresponding structure on an implantation apparatus, the shaft having at least one longitudinal access chamber for receipt of driving structure associated with the implantation apparatus.
21. The mounting member as recited in Claim 20, further comprising an expandable tissue anchor wherein the shaft has mounting structure at a distal end thereof for releasably engaging the expandable tissue anchor such that the combined mounting member and tissue anchor form a disposable loading unit.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA2670661A CA2670661C (en) | 2000-09-15 | 2001-09-14 | Knotless tissue anchor |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US23271400P | 2000-09-15 | 2000-09-15 | |
US60/232,714 | 2000-09-15 | ||
PCT/US2001/028794 WO2002021999A2 (en) | 2000-09-15 | 2001-09-14 | Knotless tissue anchor |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2670661A Division CA2670661C (en) | 2000-09-15 | 2001-09-14 | Knotless tissue anchor |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2422283A1 true CA2422283A1 (en) | 2002-03-21 |
CA2422283C CA2422283C (en) | 2009-11-24 |
Family
ID=22874241
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002422283A Expired - Fee Related CA2422283C (en) | 2000-09-15 | 2001-09-14 | Knotless tissue anchor |
CA2670661A Expired - Fee Related CA2670661C (en) | 2000-09-15 | 2001-09-14 | Knotless tissue anchor |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2670661A Expired - Fee Related CA2670661C (en) | 2000-09-15 | 2001-09-14 | Knotless tissue anchor |
Country Status (8)
Country | Link |
---|---|
US (3) | US7037324B2 (en) |
EP (1) | EP1363541B1 (en) |
AT (1) | ATE494841T1 (en) |
AU (3) | AU2001292671B2 (en) |
CA (2) | CA2422283C (en) |
DE (1) | DE60143852D1 (en) |
ES (1) | ES2358983T3 (en) |
WO (1) | WO2002021999A2 (en) |
Families Citing this family (228)
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DE60143852D1 (en) | 2011-02-24 |
US7235100B2 (en) | 2007-06-26 |
CA2670661A1 (en) | 2002-03-21 |
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EP1363541A2 (en) | 2003-11-26 |
AU2006201965B2 (en) | 2007-09-20 |
CA2670661C (en) | 2011-03-22 |
AU2001292671B2 (en) | 2006-06-15 |
AU9267101A (en) | 2002-03-26 |
ATE494841T1 (en) | 2011-01-15 |
CA2422283C (en) | 2009-11-24 |
US20030109900A1 (en) | 2003-06-12 |
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