Suture anchor device, kit and method

Abstract

A suture anchor and kit for anchoring a suture member to human bone in an interference fit. A suture anchor includes a threaded portion and has a head at the proximal end thereof, the head being generally circular. A tip is located at a distal end of the shank. The shank is at least partially threaded and includes walls defining a reel portion. The shank also includes walls for engaging a suture, the walls for engaging the suture typically adjacent walls defining the reel portion. The head typically includes walls for engaging a drive tool. The kit includes a drive tool for rotating the suture anchor when a suture member is engaged with the walls for engaging the suture such that rotation of the anchor causes the suture material to wrap around the reel portion of the shank.

1 . A method of anchoring tissue to bone using suture comprising the steps of:
 providing an anchor driver;   providing an anchor having a head portion with walls adapted to receive an anchor driver and a shank portion with outer walls, the shank with a channel therein, the channel connecting openings in the outer walls of the shank;   engaging the suture to the tissue;   threading suture so it is entrained in the channel of the anchor;   placing the anchor against the bone; and   inserting the anchor into the bone such that the suture lies wedged between and substantially contacting the bone and the walls of the anchor in an interference fit.   
     
     
         2 . The method of  claim 1 , wherein the inserting step positions the anchor such that the head is below a surface of the bone. 
     
     
         3 . The method of  claim 1 , wherein the inserting step positions the head about flush with a surface of the bone. 
     
     
         4 . The method of  claim 1 , wherein the inserting step is preceded by the step of coupling the anchor driver to the head of the anchor. 
     
     
         5 . The method of  claim 1 , wherein the outer walls of the shank of the anchor of the providing step include walls tapering to a point and the channel includes at least a pair of openings on the outer walls of the shank. 
     
     
         6 . The method of  claim 5 , wherein the placing step includes the step of placing the point against a surface of the bone. 
     
     
         7 . The method of  claim 6 , wherein the inserting step includes urging the point into the bone until the channel openings of the anchor are below a surface of the bone. 
     
     
         8 . The method of  claim 1 , wherein the inserting step includes the rotation of anchor into the bone. 
     
     
         9 . The method of  claim 1 , further including the steps of providing a cannula; providing a suture passer; and wherein, prior to engaging step, the suture is threaded to the suture passer and transported through the cannula to the tissue. 
     
     
         10 . The method of  claim 1 , wherein the suture is engaged to the tissue prior to the threading step, and wherein the rotation of the anchor causes the tissue to move closer to the anchor. 
     
     
         11 . A method of anchoring tissue to bone using suture comprising the steps of:
 providing an anchor having a head portion with walls adapted to receive an anchor driver and a shank portion with outer walls, the shank with a channel therein, the channel connecting openings in the outer walls of the shank;   engaging the suture to the tissue;   threading suture so it is entrained in the channel of the anchor;   engaging the anchor driver with the head of the anchor;   placing the anchor against the bone; and   inserting the anchor into the bone such that the suture lies wedged between and substantially contacting the bone and the walls of the anchor in an interference fit;
 wherein the outer walls of the shank of the anchor includes walls tapering to a point and the channel includes at least a pair of openings on the outer wall of the shank; 
 wherein the placing step includes the step of placing the point of the anchor against a surface of the bone; and 
 wherein the inserting step includes urging the point into the bone until the channel openings are below a surface of the bone. 
   
     
     
         12 . The method of  claim 10 , wherein the insertion of the anchor includes the rotation of the anchor into the bone. 
     
     
         13 . The method of  claim 11 , wherein the suture is engaged to the tissue prior to the threading step, and wherein the rotation of the anchor causes the tissue to move closer to the anchor. 
     
     
         14 . The method of  claim 11 , further including the steps of providing a cannula; providing a suture passer; and wherein, prior to engaging step, the suture is threaded to the suture passer and transported through the cannula to the tissue. 
     
     
         15 . A method of anchoring tissue to bone using suture comprising the steps of:
 providing an anchor comprising a head portion at a near end thereof with walls adapted to receive an anchor driver; and, a shank portion with outer walls, the shank with a channel therein, the channel connecting openings in the outer walls of the shank, the shank including a pointed tip;   engaging the suture to the tissue;   threading suture so it is entrained in the channel of the anchor;   placing the anchor against the bone; and   inserting the anchor into the bone such that the suture lies wedged between the bone and the walls of the anchor in an interference fit so the suture directly engages both the bone and walls of the anchor, wherein the inserting step moves the anchor longitudinally into the bone, the inserting step continuing until the anchor head and at least a portion of the suture is at or below the bone surface.   
     
     
         16 . The method of  claim 15 , wherein the anchor defines a pointed tip at a removed end thereof and wherein the inserting step includes the step of urging the pointed tip into the bone. 
     
     
         17 . The method of  claim 15 , further including the steps of providing a cannula; providing a suture passer; and wherein, prior to engaging step, the suture is threaded to the suture passer and transported through the cannula to the tissue.