Soft tissue repair method

Patent metadata

Field	Value
Publication number	US-9913709-B2
Application number	US-201615272527-A
Country	US
Kind code	B2
Filing date	Sep 22, 2016
Priority date	Mar 18, 2009
Publication date	Mar 13, 2018
Grant date	Mar 13, 2018

Abstract

The present disclosure relates to instruments and methods for manipulating soft tissue during a soft tissue repair procedure. The instruments and methods may include use of a handle and a shaft coupled to the handle, the shaft including a proximal portion and a distal portion, wherein the distal portion of the shaft may include a tip with at least two prongs and a channel located between the prongs.

First claim

What is claimed is:

1. A method of attaching a biceps tendon to a humerus comprising:
creating a hole in the humerus of a first diameter;
severing a proximal end of the biceps tendon;
pushing a portion of the biceps tendon into the hole with an instrument that captures the biceps tendon at a distal end of the instrument;
advancing a distal portion of a guide wire to a position within the hole in the humerus; and
inserting a fixation device over the guide wire to fix the biceps tendon to the humerus.

2. The method of claim 1 wherein the act of creating a hole includes inserting a drill bit into the humerus.

3. The method of claim 2 wherein the act of creating a hole includes disposing a cannulated reamer over the drill bit and creating the hole of the first diameter.

4. The method of claim 1 wherein the act of pushing a portion of the biceps tendon into the hole with an instrument that captures the biceps tendon at a distal end of the instrument includes capturing the biceps tendon in a channel adjacent to one or more prongs of a tip at the distal end of the instrument.

5. The method of claim 4 wherein the channel adjacent to the one or more prongs of the tip is larger in a longitudinal direction of the instrument than the diameter of the biceps tendon being captured.

6. The method of claim 1 wherein the act of advancing the distal portion of the guide wire to a position within the hole in the humerus includes inserting the distal portion of the guide wire though a cannulation in the instrument along a longitudinal length of the instrument.

7. The method of claim 1 wherein the act of advancing the distal portion of the guide wire to a position within the hole in the humerus includes placing a vice at a proximal end of the guide wire and impacting a proximal end of the vice, wherein a distal portion of the vice contacts a proximal end of the instrument to limit penetration of the guide wire relative to the humerus.

8. The method of claim 1 wherein the act of inserting a fixation device includes inserting an interference screw.

9. The method of claim 8 wherein the act of inserting an interference screw includes inserting an interference screw sized such that a threaded outer surface of the interference screw is engaged with the biceps tendon on one or more sides of the interference screw to fix the biceps tendon to the humerus when the interference screw is within the hole in the humerus.

10. The method of claim 1 , further comprising rotating a driver that fits over the guide wire and engages with the fixation device to insert the fixation device and fix the biceps tendon to the humerus.

11. The method of claim 1 , further comprising removing the guide wire from the humerus through the fixation device.

12. A method of tissue repair comprising:
creating a hole in a bone;
pushing a portion of soft tissue into the hole with an instrument that captures the soft tissue in a channel adjacent to one or more prongs of a tip at a distal end of the instrument;
advancing a distal portion of a guide wire to a position within the hole in the bone; and
inserting a fixation device over the guide wire to fix the soft tissue to the bone.

13. The method of claim 12 wherein the channel adjacent to the one or more prongs of the tip is larger in a longitudinal direction of the instrument than the diameter of the soft tissue being captured in the channel.

14. The method of claim 12 wherein the act of advancing the distal portion of the guide wire to a position within the hole in the bone includes inserting the distal portion of the guide wire though a cannulation in the instrument along a longitudinal length of the instrument.

15. The method of claim 12 wherein the act of inserting a fixation device includes inserting an interference screw.

16. The method of claim 12 , further comprising rotating a driver that fits over the guide wire and engages with the fixation device to insert the fixation device to fix the soft tissue to the bone.

17. A method of attaching a biceps tendon to a humerus comprising:
creating a hole in the humerus;
pushing a portion of the biceps tendon into the hole in the humerus with an instrument that captures the biceps tendon at a distal end of the instrument;
placing a portion of a guide wire into the hole in the humerus;
inserting a fixation device over a proximal end of the guide wire; and
advancing the fixation device into the hole in the humerus to urge the biceps tendon to remain in the hole in the humerus.

18. The method of claim 17 wherein the act of creating a hole includes inserting a drill bit into the humerus.

19. The method of claim 17 wherein the act of creating a hole includes inserting a reamer into the humerus.

20. The method of claim 17 wherein the act of pushing a portion of the biceps tendon into the hole in the humerus with an instrument that captures the biceps tendon at a distal end of the instrument includes capturing the biceps tendon in a channel adjacent to one or more prongs of a tip at the distal end of the instrument.

21. The method of claim 20 wherein the channel adjacent to the one or more prongs of the tip is larger in a longitudinal direction of the instrument than the diameter of the biceps tendon being captured.

22. The method of claim 17 wherein the act of placing a portion of a guide wire into the hole in the humerus includes inserting the guide wire though a cannulation in the instrument along a longitudinal length of the instrument.

23. The method of claim 22 wherein the act of inserting the guide wire though a cannulation in the instrument along a longitudinal length of the instrument is performed before the act of pushing a portion of the biceps tendon into the hole in the humerus with the instrument such that pushing the biceps tendon into the hole in the humerus also places a portion of the guide wire into the hole in the humerus.

24. The method of claim 17 wherein the act of placing a portion of the guide wire into the hole in the humerus includes placing a vice at a proximal end of the guide wire and impacting a proximal end of the vice, wherein a distal portion of the vice contacts a proximal end of the instrument to limit penetration of the guide wire relative to the humerus.

25. The method of claim 17 wherein the act of inserting a fixation device includes inserting an interference screw.

26. The method of claim 25 wherein the act of inserting an interference screw includes inserting an interference screw sized such that a threaded outer surface of the interference screw is engaged with the biceps tendon on one or more sides of the interference screw to urge the biceps tendon to remain in the hole in the humerus.

27. The method of claim 17 , further comprising measuring the biceps tendon with the instrument that captures the biceps tendon prior to creating a hole in the humerus to determine a size of the hole to be created in the humerus.

28. The method of claim 17 , further comprising severing a proximal end of the biceps tendon.

29. The method of claim 17 , further comprising rotating a driver that fits over the guide wire and engages with the fixation device to insert the fixation device.

30. The method of claim 17 , further comprising removing the guide wire away from the humerus through the fixation device.

Assignees

• Smith & Nephew Inc

Inventors

• Housman Mark E
• Vincuilla Paul S
• Verma Nikhil N
• Trenhaile Scott

Classifications

• A61B2017/0464

  for soft tissue · CPC title

• A61B17/1684

  for the shoulder · CPC title

• A61B17/17 Primary

  Guides {or aligning means} for drills {, mills, pins or wires} · CPC title

• A61F2/0811

  Fixation devices for tendons or ligaments · CPC title

• A61B17/1764

  for the knee · CPC title