Implant having adjustable filament coils

Patent metadata

Field	Value
Publication number	US-10856967-B2
Application number	US-201815941450-A
Country	US
Kind code	B2
Filing date	Mar 30, 2018
Priority date	Mar 11, 2013
Publication date	Dec 8, 2020
Grant date	Dec 8, 2020

Abstract

A device having one or more adjustable loops or coils associated with an implant body for use in soft tissue reconstructions is provided. One exemplary embodiment of a device includes a body and a suture filament, with the filament being used to form a self-locking sliding knot disposed on a top side of the body and a plurality of adjustable coils that are substantially disposed on the body's bottom side. Terminal ends of the filament located above the body's top side can be passed through an opening of a Lark's Head knot from opposite sides, thus forming a self-locking sliding knot, and then the terminal ends can be tensioned to adjust a circumference of the coils. Changing a coil's circumference changes a location of a ligament graft disposed on the coil. Other configurations of devices and systems, as well as methods for performing ACL repairs, are also provided.

First claim

What is claimed is:

1. A surgical implant, comprising:
a body having a plurality of thru-holes formed therein; and
a suture filament extending through the body and configured to form:
a self-locking knot, the self-locking knot defining a collapsible opening that is located on a top side of the body, and
one or more coils arranged such that each coil is formed as a result of the suture filament being disposed through at least two of the plurality of thru-holes of the body such that

a portion of each coil is disposed on the top side of the body and a portion of each coil is disposed on a bottom side of the body, wherein the self-locking knot has:
a first portion of the suture filament that is intermediate a first terminal end thereof and the one or more coils, is disposed on the top side of the body and extending through the collapsible opening from a first side of the opening, and
a second portion of the suture filament that is intermediate a second terminal end thereof and the one or more coils disposed on the top side of the body and passed through the collapsible opening from a second, opposite side of the opening, and
wherein the collapsible opening is configured to collapse and move toward the body when tension is applied to at least one of the first and second terminal ends.

2. The implant of claim 1 , wherein the one or more coils comprises a first coil and a second coil formed by a third portion of the suture filament extending between the self-locking knot and the first terminal end, and a third coil and a fourth coil formed by a fourth portion of the suture filament extending between the self-locking knot and the second terminal end.

3. The implant of claim 2 , wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, each outer thru-hole being located adjacent to respective opposed terminal ends of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first and third coils pass through each of the outer thru-holes the second and fourth coils pass through each of the inner thru-holes.

4. The implant of claim 2 , wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, each outer thru-hole being located adjacent to respective opposed terminal ends of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first, second, third, and fourth coils each pass through each of the inner thru-holes.

5. The implant of claim 1 , wherein at least one coil of the one or more coils is configured such that a circumference thereof can be changed by applying tension to at least one of the first and second terminal ends.

6. The implant of claim 1 , wherein the one or more coils is configured such that a circumference of one coil of the one or more coils can be adjusted independent of adjusting a circumference of another coil of the one or more coils.

7. The implant of claim 1 , wherein the self-locking knot comprises a Lark's Head knot.

8. The implant of claim 1 , further comprising a second suture filament extending longitudinally through the body, such that the second suture filament passes through each thru-hole of the plurality of thru-holes.

9. The implant of claim 1 , further comprising;
a first sleeve disposed over a third portion of the suture filament that extends between the self-locking knot and the first terminal end, the first sleeve being located on the top side of the body; and
a second sleeve disposed over a fourth portion of the suture filament that extends between the self-locking knot and the second terminal end, the second sleeve being located on the top side of the body.

10. The implant of claim 9 , wherein the first sleeve disposed over the third portion of the suture filament and the second sleeve disposed over the fourth portion of the suture filament are a same sleeve, and a portion of the same sleeve is disposed around the bottom side of the body.

11. A surgical implant, comprising:
a body having a plurality of thru-holes formed therein; and
a suture filament attached to the body such that the suture filament has a first terminal end, a second terminal end, and a Lark's Head knot formed therein, each being located on a top side of the body,
the suture filament arranged with respect to the body such that:
a first portion of the suture filament extending between the Lark's Head knot and the first terminal end passes through one thru-hole of the plurality of thru-holes to a bottom side of the body and through a different thru-hole of the plurality of thru-holes to the top side of the body to form a first loop,
a second portion of the suture filament extending between the Lark's Head knot and the second terminal end passes through one thru-hole of the plurality of thru-holes to the bottom side of the body and through a different thru-hole of the plurality of thru-holes to the top side of the body to form a second loop, and
the first terminal end passes through an opening defined by the Lark's Head knot from a first side of the opening and the second terminal end passes through the opening defined by the Lark's Head knot from a second, opposite side of the opening.

12. The implant of claim 11 , wherein the suture filament is arranged with respect to the body such that:
the first portion of the suture filament passes through one thru-hole of the plurality of thru-holes to the bottom side of the body and through a different thru-hole of the plurality of thru-holes to the top side of the body to form a third loop, and
the second portion of the suture filament passes through one thru-hole of the plurality of thru-holes to the bottom side of the body and through a different thru-hole of the plurality of thru-holes to the top side of the body to form a fourth loop.

13. The implant of claim 12 , wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, the outer thru-holes being located on an outer portion of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first portion of the suture filament and the second portion of the suture filament pass through each of the outer thru-holes at least once and pass through each of the inner thru-holes at least once.

14. The implant of claim 12 , wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, the outer thru-holes being located on an outer portion of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first portion of the suture filament and the second portion of the suture filament pass through each of the inner thru-holes at least twice.

15. The implant of claim 11 , wherein a length of the first portion of the filament and a length of the second portion of the filament are adjustable.

16. The implant of claim 11 , further comprising a second suture filament extending longitudinally through the body, such that the second suture filament passes through each thru-hole of the plurality of thru-holes.

Assignees

• Medos Int Sarl

Inventors

• Sengun Mehmet Ziya
• West Hugh S
• Pasquali Meghan A
• Spenciner David B
• Reiser William
• Parrish Jeff

Classifications

• A61B2017/06185

  hollow or tubular · CPC title

• A61B17/0401 Primary

  Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811) · CPC title

• A61F2002/0852

  Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes · CPC title

• A61F2002/0829

  without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins · CPC title

• A61B2017/0458

  Longitudinal through hole, e.g. suture blocked by a distal suture knot · CPC title