Tissue Repair Devices

Abstract

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. Other anchor assemblies, anchors, and delivery devices are also disclosed.

What is claimed is: 
     
         1 . An anchoring system comprising:
 an anchor with a longitudinal axis extending along a length of the anchor, the anchor comprising:
 an anchor body comprising:
 a proximal end positioned along the longitudinal axis, 
 a distal end positioned along the longitudinal axis and opposite from the proximal end, 
 a cavity positioned along the longitudinal axis between the proximal end and the distal end, 
 an opening to the cavity at the proximal end of the anchor body, and 
 a transverse hole into the cavity, wherein the transverse hole includes a proximal edge and a distal edge, wherein there are ridges on an interior portion of the cavity at substantially the same longitudinal location as the transverse hole, and wherein the cavity extends distal of the distal edge of the transverse hole and proximal of the proximal edge of the transverse hole, and 
 
 an insertion member with an end having a substantially flat profile sized and configured to be moved within the cavity such that the insertion member, as measured from the substantially flat profile to another point along the insertion member, covers the transverse hole from a point proximal of the proximal edge of the transverse hole to a point distal of the distal edge of the transverse hole; and 
   a delivery device configured to couple with the anchor and move the insertion member relative to the anchor body along the longitudinal axis.   
     
     
         2 . The anchoring system of  claim 1  wherein the transverse hole into the cavity goes through each side of the anchor body and goes through the cavity between each side of the anchor body. 
     
     
         3 . The anchoring system of  claim 1  wherein the ridges are formed by threads within the cavity. 
     
     
         4 . The anchoring system of  claim 1  wherein the anchor body includes one or more barbs on an exterior of the anchor body positioned to resist proximal movement of the anchor from a bone. 
     
     
         5 . The anchoring system of  claim 1  wherein the anchor body includes one or more protrusions on an exterior of the anchor body located distal of the transverse hole into the cavity. 
     
     
         6 . The anchoring system of  claim 1  wherein the anchor body includes a pointed distal portion configured for insertion into a bone without prior creation of a hole in the bone. 
     
     
         7 . The anchoring system of  claim 1  wherein the insertion member is headless such that the insertion member is configured to be driven by placing an inner member of the delivery device into a proximal end of the insertion member without engaging any head of the insertion member. 
     
     
         8 . The anchoring system of  claim 1  wherein the end of the insertion member having a substantially flat profile is a substantially solid substantially flat end. 
     
     
         9 . The anchoring system of  claim 1  wherein the end having a substantially flat profile is a distal end of the insertion member. 
     
     
         10 . The anchoring system of  claim 1  wherein the insertion member is sized and configured to be moved distally and proximally within the cavity of the anchor body. 
     
     
         11 . The anchoring system of  claim 1  wherein the substantially flat profile may be located at a point distal of the distal edge when the insertion member covers the transverse hole from a point proximal of the proximal edge to a point distal of the distal edge. 
     
     
         12 . The anchoring system of  claim 1  wherein the delivery device includes an outer member configured to couple to the anchor body and an inner member configured to couple to the insertion member. 
     
     
         13 . The anchoring system of  claim 1  wherein the delivery device is configured to move the insertion member relative to the anchor body along the longitudinal axis by rotating the insertion member relative to the anchor body. 
     
     
         14 . The anchoring system of  claim 1 , further comprising a flexible member sized to be passed into the transverse hole in the anchor body and to be fixed relative to the anchor body when the insertion member is moved within the cavity such that the insertion member covers the transverse hole from a point proximal of the proximal edge to a point distal of the distal edge. 
     
     
         15 . The anchoring system of  claim 1 , further comprising a suture threader comprising:
 a clip configured to releasably clip to the delivery device, and   a strand of suture that is passed through at least a portion of the transverse hole and couples to the clip.   
     
     
         16 . An anchoring system comprising:
 an anchor with a longitudinal axis extending along a length of the anchor, the anchor comprising:
 an anchor body comprising:
 a proximal end positioned along the longitudinal axis, 
 a distal end positioned along the longitudinal axis and opposite from the proximal end, 
 a cavity positioned along the longitudinal axis between the proximal end and the distal end, 
 an opening to the cavity at the proximal end of the anchor body, and 
 a transverse hole into the cavity, wherein the transverse hole includes a proximal edge and a distal edge, wherein there are ridges on an interior portion of the cavity at substantially the same longitudinal location as the transverse hole, and wherein the cavity has a working diameter that extends distal of the distal edge of the transverse hole and proximal of the proximal edge of the transverse hole, and 
 
 an insertion member with a minimum diameter along a length of the insertion member sized to substantially fill the working diameter of the cavity from a point proximal of the proximal edge of the transverse hole to a point distal of the distal edge of the transverse hole; and 
   a delivery device configured to couple with the anchor and move the insertion member relative to the anchor body along the longitudinal axis.   
     
     
         17 . The anchoring system of  claim 16  wherein the transverse hole into the cavity goes through each side of the anchor body and goes through the cavity between each side of the anchor body. 
     
     
         18 . The anchoring system of  claim 16  wherein the ridges are formed by threads within the cavity. 
     
     
         19 . The anchoring system of  claim 16  wherein the anchor body includes one or more barbs on an exterior of the anchor body positioned to resist proximal movement of the anchor from a bone. 
     
     
         20 . The anchoring system of  claim 16  wherein the anchor body includes one or more protrusions on an exterior of the anchor body located distal of the transverse hole into the cavity. 
     
     
         21 . The anchoring system of  claim 16  wherein the anchor body includes a pointed distal portion configured for insertion into a bone without prior creation of a hole in the bone. 
     
     
         22 . The anchoring system of  claim 16  wherein the insertion member is headless such that the insertion member is configured to be driven by placing an inner member of the delivery device into a proximal end of the insertion member without engaging any head of the insertion member. 
     
     
         23 . The anchoring system of  claim 16  wherein the insertion member includes an end having a substantially flat profile. 
     
     
         24 . The anchoring system of  claim 23  wherein the end of the insertion member having a substantially flat profile is a substantially solid substantially flat end. 
     
     
         25 . The anchoring system of  claim 23  wherein the end having a substantially flat profile is a distal end of the insertion member. 
     
     
         26 . The anchoring system of  claim 23  wherein the insertion member with an end having a substantially flat profile is sized and configured to be moved distally within the cavity of the anchor body such that the insertion member covers the transverse hole from a point proximal of the proximal edge to a point distal of the distal edge, wherein after such covering movement the end having the substantially flat profile may be located at a point distal of the distal edge. 
     
     
         27 . The anchoring system of  claim 16  wherein the delivery device includes an outer member configured to couple to the anchor body and an inner member configured to couple to the insertion member. 
     
     
         28 . The anchoring system of  claim 16  wherein the delivery device is configured to move the insertion member relative to the anchor body along the longitudinal axis by rotating the insertion member relative to the anchor body. 
     
     
         29 . The anchoring system of  claim 16 , further comprising a flexible member sized to be passed into the transverse hole in the anchor body and to be fixed relative to the anchor body when the working diameter of the insertion member is within the cavity from a point proximal of the proximal edge to a point distal of the distal edge. 
     
     
         30 . The anchoring system of  claim 16 , further comprising a suture threader comprising:
 a clip configured to releasably clip to the delivery device, and   a strand of suture that is passed through at least a portion of the transverse hole and couples to the clip.   
     
     
         31 . An anchoring system comprising:
 an anchor with a longitudinal axis extending along a length of the anchor, the anchor comprising:
 an anchor body comprising:
 a proximal end positioned along the longitudinal axis, 
 a distal end positioned along the longitudinal axis and opposite from the proximal end, 
 a cavity positioned along the longitudinal axis between the proximal end and the distal end, 
 an opening to the cavity at the proximal end of the anchor body, and 
 a transverse hole into the cavity, wherein the transverse hole includes a proximal edge and a distal edge, wherein there are ridges on an interior portion of the cavity at substantially the same longitudinal location as the transverse hole, and wherein the cavity extends distal of the distal edge of the transverse hole and proximal of the proximal edge of the transverse hole, and 
 
 an insertion member sized and configured to be moved within the cavity to cover the transverse hole, wherein the insertion member includes a typical outer body diameter, wherein the typical outer body diameter is smaller than a diameter of any threads on the insertion member and smaller than a diameter of any head of the insertion member and larger than a dimension of the transverse hole into the cavity that is substantially perpendicular to the longitudinal axis of the anchor, and wherein the anchor is sized and configured such that the typical body diameter of the insertion member fits within the cavity from a point proximal of the proximal edge of the transverse hole to a point distal of the distal edge of the transverse hole, and 
   a delivery device configured to couple with the anchor and move the insertion member relative to the anchor body along the longitudinal axis.   
     
     
         32 . The anchoring system of  claim 31  wherein the transverse hole into the cavity goes through each side of the anchor body and goes through the cavity between each side of the anchor body. 
     
     
         33 . The anchoring system of  claim 31  wherein the ridges are formed by threads within the cavity. 
     
     
         34 . The anchoring system of  claim 31  wherein a portion of the cavity proximal of the transverse hole includes threads. 
     
     
         35 . The anchoring system of  claim 31  wherein the anchor body includes one or more barbs on an exterior of the anchor body positioned to resist proximal movement of the anchor from a bone. 
     
     
         36 . The anchoring system of  claim 31  wherein the anchor body includes one or more protrusions on an exterior of the anchor body located distal of the transverse hole into the cavity. 
     
     
         37 . The anchoring system of  claim 31  wherein the anchor body includes a pointed distal portion configured for insertion into a bone without prior creation of a hole in the bone. 
     
     
         38 . The anchoring system of  claim 31  wherein the insertion member is headless such that the insertion member is configured to be driven by placing an inner member of the delivery device into a proximal end of the insertion member without engaging any head of the insertion member. 
     
     
         39 . The anchoring system of  claim 31  wherein the insertion member includes an end having a substantially flat profile. 
     
     
         40 . The anchoring system of  claim 39  wherein the end of the insertion member having a substantially flat profile is a substantially solid substantially flat end. 
     
     
         41 . The anchoring system of  claim 39  wherein the end having a substantially flat profile is a distal end of the insertion member. 
     
     
         42 . The anchoring system of  claim 39  wherein the diameter of the end of the insertion member having a substantially flat profile is substantially the same diameter as the typical outer body diameter. 
     
     
         43 . The anchoring system of  claim 39  wherein the insertion member with an end having a substantially flat profile is sized and configured to be moved distally within the cavity of the anchor body such that the insertion member covers the transverse hole from a point proximal of the proximal edge to a point distal of the distal edge, wherein after such covering movement the end having the substantially flat profile may be located at the point distal of the distal edge. 
     
     
         44 . The anchoring system of  claim 31  wherein the delivery device includes an outer member configured to couple to the anchor body and an inner member configured to couple to the insertion member. 
     
     
         45 . The anchoring system of  claim 31  wherein the delivery device is configured to move the insertion member relative to the anchor body along the longitudinal axis by rotating the insertion member relative to the anchor body. 
     
     
         46 . The anchoring system of  claim 31 , further comprising a flexible member sized to be passed into the transverse hole in the anchor body and to be fixed relative to the anchor body when the insertion member is within the cavity such that the insertion member covers the transverse hole from a point proximal of the proximal edge to a point distal of the distal edge. 
     
     
         47 . The anchoring system of  claim 31 , further comprising a suture threader comprising:
 a clip configured to releasably clip to the delivery device, and   a strand of suture that is passed through at least a portion of the transverse hole and couples to the clip.