Surgical filament snare assemblies
A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.
1. A surgical filament snare assembly, comprising:
a collapsible loop formed of a first filament, the collapsible loop having a first end and a second end;
a continuous loop coupled to the first end of the collapsible loop, the continuous loop defining an opening and being formed of a second filament;
a sliding knot formed on the second end of the collapsible loop and being movable along the first filament towards the first end of the collapsible loop to decrease a size of the opening in the collapsible loop and movable along the first filament away from the first end of the collapsible loop to increase the size of the opening in the collapsible loop;
a tensioning limb formed from a portion of the first filament and extending from the sliding knot; and;
an anchor having a proximal end, a distal end, and a filament engagement feature located at the distal end, the collapsible loop being slidably disposed around a portion of the filament engagement feature to couple the collapsible loopy to the anchor such that the continuous loop extends from a first side of the filament engagement feature and the sliding knot extends from a second side of the filament engagement feature, and the continuous loop and the sliding knot are both disposed proximal of the proximal end of the anchor,
wherein the first and second filaments are configured to be passed through soft tissue and the snare assembly is effective to secure tissue in a knotless manner.
2. The assembly of claim 1 , wherein the continuous loop is configured to form a Lark's Head loop having a cinchable opening.
3. The assembly of claim 1 , further comprising a terminal limb formed from a portion of the first filament and extending from the sliding knot, the terminal limb being adjacent to the tensioning limb and being substantially stationary with respect to the sliding knot.
4. The assembly of claim 1 , wherein the continuous loop has a fixed dimension.
5. The assembly of claim 1 , wherein the continuous loop is formed at a first end of the second filament and an additional loop is formed at a second end of the second filament, the additional loop being slidingly coupled to the first end of the collapsible loop.
6. The assembly of claim 5 , further comprising a first non-sliding knot joining the continuous loop to the second filament to fix a size of the continuous loop, and a second knot joining the additional loop to the continuous loop.
7. The assembly of claim 5 , wherein the continuous loop is configured to form a Lark's Head loop having a cinchable opening.
8. The assembly of claim 1 , wherein a first end of the continuous loop is configured to pass through the opening thereof.