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IPP-0051-US14 cross roads
In the illustrative example of FIGS. 52-61, the distal openings include a first, more proximal superior opening 718 and a second, more distal superior opening 720. The first superior opening 718 and second superior opening 720 are formed through the sidewall 750 to communicate with the interior longitudinal passageway 714 and centered over the longitudinal axis of the anchor body 702. The first superior opening 718 and second superior opening 720 are spaced proximally away from the distal end 710 of the anchor body 702 and can be aligned with each other.
137
Added by DJM 9 2021
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IPP-0051-US14 cross roads
In the illustrative example of FIGS. 52-61, the proximal member 704 is generally cylindrical and has a sidewall 751 (FIG. 61) defining an exterior surface, a proximal end 752, a distal end 754, and a longitudinal axis coaxial with the anchor body longitudinal axis 712 extending between the proximal and distal ends 752, 754. An axial through bore 756 extends through the proximal member 704 from the proximal end 752 to the distal end 754 and communicates with the longitudinal passageway 714 of the anchor body 702.
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IPP-0051-US14 cross roads
At least one opening formed through the sidewall 751 of the proximal member 704 and/or through the sidewall 750 of the anchor body 702 allows one or more sutures to be routed through the anchor body 702 without passing through the proximal end of the proximal member axially through the axial through bore 756. In the illustrative example of FIGS. 52-61, a first, superior “U”-shaped opening 758 is formed through the sidewall 751 near the distal end 754 and a second, inferior “U”-shaped opening 759 is formed through the sidewall 751 near the distal end 754 which may be opposite the first opening 758.
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IPP-0051-US14 cross roads
The “U”-shaped openings intersect the frangible connection 706. While the proximal member 704 and anchor body 702 are joined, the “U”-shaped openings 758, 759 each have a closed perimeter. When the proximal member 704 and anchor body 702 are separated at the frangible connection 706, the distal perimeter of each opening 758, 759 is removed such that separation of the proximal member 704 and anchor body 702 at the frangible connection 706 transforms the opening 758, 759 into open, “U”-shaped slots with the open side facing distally.
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IPP-0051-US14 cross roads
FIGS. 42-48 depict a suture anchor 500 according to an example of the present disclosure. The suture anchor 500 is the same as the suture anchor 100 of the example of FIGS. 1-12 except for the configuration of the distal openings. The anchor 500 has an anchor body 502, a proximal member 504 joined to the anchor body 502 by a frangible connection 506 and a suture locking member 560 all configured as in the example of FIGS. 1-12. The anchor body 502 is generally cylindrical and has a sidewall 503 defining an exterior surface, a proximal end 508, a distal end 510, and a longitudinal axis 512 extending between the proximal and distal ends 508, 510. An interior longitudinal passageway 514 extends at least partway from the proximal end 508 toward the distal end 510. A proximal opening 516 communicates through the proximal end 508 of the anchor body 502 along the axis 512 with the interior longitudinal passageway 514. The distal opening comprises a plurality of distal openings that communicate from the exterior surface of the anchor body 502 through the sidewall 503 to the interior longitudinal passageway 514. In the illustrative example of FIGS. 42-48, the distal openings include a first, more proximal superior opening 518 and a second, more distal superior opening 520. The first and second distal openings 518, 520 are formed through the sidewall 503 to communicate with the interior longitudinal passageway 514 and are centered over the longitudinal axis 512 on the same side of the anchor body. The first and second distal openings 518, 520 are spaced proximally away from the distal end 510 of the anchor body. In the example of FIGS. 42-48, the second opening 520 is elongated longitudinally and communicates with a proximally sloping passage 521 that connects it to the interior longitudinal passageway 514.
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IPP-0051-US14 cross roads
In the illustrative example of FIGS. 52-61, the interference member 770 is operable to axially slide into the longitudinal passageway 714 of the anchor body 702 to secure a suture within the longitudinal passageway 714 by compressing the suture between the interference member 770 and the anchor body 702. In certain embodiments, the interference member 770 is embodied as a set screw. In one embodiment, the interference member 770 is a set screw that may be similar, or the same, in structure, function, and construction to embodiments of a set screw recited in US Patent 10,682,131, issued June 16, 2020, which is hereby incorporated by reference in its entirety.
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IPP-0051-US14 cross roads
In the illustrative example of FIGS. 61-65, the interference member 770 has a body 772 having a proximal end 774, a distal end 776, and a longitudinal axis 778 extending between the proximal and distal ends 774, 776. The body 772 has a dimension perpendicular to the longitudinal axis 778 less than or equal to the diameter of the longitudinal passageway 714. Preferably the body 772 tapers distally. More preferably the body 772 tapers to a point 780.
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IPP-0051-US14 cross roads
The interference member 770 includes one or more external helical threads 782 on an external surface of the interference member 770. In various embodiments, the interference member 770 can include a variety of thread designs, each having one or more of a number of thread pitch configurations and/or sizes. In the illustrated embodiment, the external helical threads 782 of the interference member 770 are knuckle threads. The knuckle threads may have an external helical thread pitch that differs from an internal helical thread pitch of the internal helical threads 717 of the anchor body 702.
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IPP-0051-US14 cross roads
In the illustrative example of FIGS. 52-61, the interference member 770 can be inserted distally into the longitudinal passageway 714. In one embodiment, one or more of the external helical threads 782 may engage or interface with one or more internal helical threads 717 of the anchor body 702 to secure a portion of a suture within the longitudinal passageway 714 by compressing the portion of the suture between the interference member 770 and the anchor body 702. Said another way, the interference member 770 can be placed in the axial through bore 756 of the proximal member 704 at the proximal end 752 in axial sliding relationship so that the interference member 770 can exit the proximal member 704 and engage and/or interface with one or more internal helical threads 717 of the anchor body 702 to lock a suture in the anchor body 702.
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IPP-0051-US14 cross roads
Advantageously, the interference member 770 is configured to permit the interference member 770 to secure or lock a suture, or portion of a suture, in the anchor body 702 or release a suture, or portion of a suture, that is locked within the anchor body 702. In other words, the interference member 770 can be locked or unlocked (i.e., engaged or disengaged, secured or unsecured) within the anchor body 702 by way of the external helical threads 782 of the interference member 770, internal helical threads 717 of the anchor body 702, and the drive recess 790.
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IPP-0051-US14 cross roads
FIG. 62 is a perspective view of the interference member of FIG. 52 according to one embodiment. FIG. 63 is a side view of the interference member of FIG. 52 according to one embodiment. FIG. 64 is a right side view of the interference member of FIG. 52 according to one embodiment.
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IPP-0051-US14 cross roads
FIG. 65 illustrates an embodiment of an interference member 770 that includes a drive recess 790. In one embodiment, the drive recess 790 is configured to accept a drive feature of a driver. For example, the drive recess 790 may be in the shape of a torx recess for receiving a corresponding torx drive feature of a driver. Alternatively, or in addition, the drive recess 790 may receive a driver having a distal end in the shape of a point and configured to move distally within the longitudinal passageway 714 and thereby press the interference member 770 into the anchor body 702.
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IPP-0051-US14 cross roads
FIG. 66 is a perspective view of a suture anchor system 800 useable with the implant of FIG. 52 according to one embodiment. The suture anchor system 800 may serve one or more different or related purposes or functions. Consequently, the suture anchor system 800 may be referred to by different names. In one embodiment, the suture anchor system 800 is referred to as a tensioner. Alternatively, or in addition, the suture anchor system 800 can be referred to as an inserter. In still another embodiment, such as the examples illustrated, the suture anchor system 800 may also be referred to as an inserter 900 that includes a tensioner 1000.
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IPP-0051-US14 cross roads
The suture anchor system 800 can be used to insert a suture anchor 700 into tissue of a patient or into a cavity, such as a bone tunnel of a patient. Alternatively, or in addition, the suture anchor system 800 can be used to tension and secure one or more sutures and/or one or more portions of sutures. In one embodiment, the one or more sutures and/or one or more portions of sutures may extend from the suture anchor 700.
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IPP-0051-US14 cross roads
Referring to FIGS. 66-70, the inserter 900 can include a shaft 902 having a proximal end 904 and a distal end 906, a collar 908, and a driver 910. The shaft 902 is operable and configured to engage the proximal member 704 of the suture anchor 700 at the distal end 906 of the shaft 902. In one embodiment, the shaft 902 includes internal threads 912 that engage external helical threads 760 (See FIG. 54) of the proximal member 704. The shaft 902 can also include external threads 914 (See FIG. 68) at or near the proximal end 904 of the shaft 902. The tensioner 1000 may include a carriage 1002, a puller 1004, and the shaft 902 and the collar 908 of the inserter 900. The tensioner 1000 is configured to engage the proximal member 704 of the suture anchor 700 and to secure a suture that may extend from the anchor body 702. In certain embodiments, the tensioner 1000 is operable and configured to apply tension to a suture, or portion of suture, that extends from the anchor body 702 of a suture anchor 700.
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IPP-0051-US14 cross roads
Referring to FIGS. 67-70, in one embodiment, the shaft 902 has an elongate cylindrical body 916. The shaft 902 may include three sections: first section 918, second section 920, third section 922. The first section 918 may have a first diameter and an exterior surface. The second section 920 may have a second diameter that is the same as the first diameter. In one embodiment, the second section 920 may include one or more planar surfaces 924. The planar surface 924 can serve to restriction rotation of the carriage 1002 about the shaft 902. In certain embodiments, having a single planar surface 924 the planar surface 924 creates a D-shaped cross-section within the second section 920.
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IPP-0051-US14 cross roads
In the illustrated embodiment, the second section 920 includes two opposite planar surfaces 924. In addition, the planar surfaces 924 may form one or more lips 926 or edges. The one or more lips 926 may serve to restrict movement of a carriage 1002 towards the distal end 906 of the shaft 902 past the one or more lips 926.
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IPP-0051-US14 cross roads
The third section 922 connects to and extends from the second section 920, just as the second section 920 connects to and extends from the first section 918. In one embodiment, the third section 922 includes a second diameter that is smaller than the first diameter. In certain embodiments, the planar surface(s) 924 can extend into the third section 922. The extending planar surfaces 924 can form one or more lips 928 between the second section 920 and the third section 922. These one or more lips 928 may serve to restrict movement of a puller 1004 towards the distal end 906 of the shaft 902 past the one or more lips 928. In one embodiment, the puller 1004 is connected to the shaft 902 near a proximal end 904 of the shaft 902.
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IPP-0051-US14 cross roads
FIG. 30 is a rear view of the configuration of FIG. 29.
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IPP-0051-US14 cross roads
In the illustrative example of FIGS. 1-12, the suture locking member 160 is in the form of an interference member operable to axially slide into the longitudinal passageway 114 of the anchor body 102 to secure a suture within the longitudinal passageway 114 by compressing the suture between the locking member 160 and the anchor body 102. In the illustrative example of FIGS. 1-12, the suture locking member 160 has an elongate cylindrical body 162 having a proximal end 164, a distal end 166, and a longitudinal axis 168 extending between the proximal and distal ends 164, 166. The body 162 has a dimension perpendicular to the longitudinal axis 168 less than or equal to the diameter of the anchor body passageway 114. Preferably the body 162 tapers distally. More preferably the body 162 tapers to a point 170.
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