A bone anchor is described having pre-attached suture material. After insertion, lateral wings can be deployed on the bone anchor to prevent anchor pull-out. The suture may be attached at the tip of the anchor by tying it to a wire hook secured in a cavity in the anchor tip. The anchor may be inserted and deployed using an anchor inserter that is configured to apply an axial force to the anchor, thereby deforming the anchor to form the lateral wings.
1. A method of securing an anchor in bone, the method comprising:
inserting the anchor into the bone; and
deforming the anchor to form one or more lateral features, wherein said deforming comprises causing two convex edges in the anchor to roll against each other as the lateral features are formed.
2. The method of claim 1 , wherein inserting the anchor into the bone comprises inserting the anchor through soft tissue disposed over the bone.
3. The method of claim 1 , wherein deforming the anchor comprises applying an axial force to the anchor.
4. The method of claim 1 ,
wherein said deforming comprises causing an edge of one of the lateral features to contact an undeformed part of the anchor.
5. A method of securing a suture to a bone anchor, the method comprises:
passing the suture through an aperture in the anchor;
securing the suture to a length of wire;
positioning the length of wire such that a least a portion of the wire guns generally laterally relative to the axis of the aperture; and
deforming the anchor to form one or more lateral features, wherein said deforming comprises causing two convex edges in the anchor to roll against each other as the lateral features are formed.
6. The method of claim 5 , comprising securing the wire to the anchor.
7. A method of claim 6 , wherein securing the wire to the anchor comprises welding the wire to the anchor.
8. The method of claim 5 , wherein the axis of the aperture is substantially parallel to the axis of the anchor.
9. The method of claim 8 , wherein passing the suture through the aperture comprises passing the suture through the center of the anchor and out of the aperture.
10. The method of claim 5 , wherein securing the suture to the length of wire comprises tying the suture to the wire.
11. A method of securing an anchor in bone, the method comprising:
inserting the anchor into bone using an anchor inserter comprising a handle, an anchor holder coupled to the handle and the bone anchor, and a first tube; and
deploying lateral features on the bone anchor by actuating an axial movement mechanism in the handle, the mechanism adapted to move either the anchor holder or the first tube axially relative to the handle, thereby providing axial force to the bone anchor,
wherein said deploying lateral features comprises causing two convex edges in the anchor to roll against each other as the lateral features are formed.
12. The method of claim 11 , wherein inserting the anchor comprises applying an axial force to the handle, thereby providing an axial force to the anchor holder and the anchor.
13. The method of claim 12 , wherein applying the axial force to the handle comprises hitting the handle with a blunt object.
14. The method of claim 11 , comprising, after inserting the anchor, retracting a second tube covering at least a portion of the anchor.
15. The method of claim 11 , comprising, after deploying the lateral features, detaching the anchor holder from the anchor.