Soft tissue repair device and associated methods
A soft tissue repair device. The device includes an inserter having a distal portion, a first anchor carried externally onto the distal portion, a second anchor carried externally onto the distal portion, and a flexible strand coupling the first and second anchors and forming an adjustable knotless loop.
1. A method for manufacturing a tissue repair assembly, the method comprising:
positioning a first deformable tube anchor and a second deformable tube anchor on a suture such that the first deformable tube anchor is received on the suture between a first free end of the suture and the second deformable tube anchor and the second deformable tube anchor is received on the suture between a second free end of the suture and the first deformable tube anchor, wherein the first deformable tube anchor being so received includes the suture extending longitudinally through a first longitudinal bore in the first deformable tube anchor with the first free end of the suture extending away from a first end portion of the first deformable tube anchor, and wherein the second deformable tube anchor being so received includes the suture extending longitudinally through a second longitudinal bore in the second deformable tube anchor with the second free end of the suture extending away from a first end portion of the second deformable tube anchor;
passing, after said receiving, the second free end of the suture through the first longitudinal bore in the first deformable tube anchor so that the suture extends a second time longitudinally through the first longitudinal bore in the first deformable tube anchor, wherein said passing: (i) positions the second free end of the suture outside the first deformable tube anchor extending away from a second end portion of the first deformable tube anchor; and (ii) leaves an adjustable loop portion of the suture outside the first deformable tube anchor; and
loading an inserter with the first deformable tube anchor and the second deformable tube anchor after said passing.
2. The method of claim 1 , wherein said positioning leaves the first free end of the suture protruding from a first aperture in a side wall of the first deformable tube anchor, the first aperture proximate the first end portion of the first deformable tube anchor.
3. The method of claim 2 , wherein said passing leaves the second free end of the suture protruding from a second aperture in the side wall of the first deformable tube anchor, the second aperture proximate the second end portion of the first deformable tube anchor.
4. The method of claim 3 , wherein the first longitudinal bore in the first deformable tube anchor extends from the first aperture in the side wall of the first deformable tube anchor to the second aperture in the side wall of the first deformable tube anchor.
5. The method of claim 1 further comprising placing a retaining device proximate the first free end of the suture.
6. The method of claim 5 , wherein the retaining device comprises a knot formed in the suture.
7. The method of claim 1 , wherein the inserter includes a distal portion with an inclined sharp edge for piercing through meniscal tissue.
8. A method for manufacturing a tissue repair assembly, the method comprising:
positioning a first deformable tube anchor and a second deformable tube anchor on a suture,
wherein the first deformable tube anchor is received on the suture between a first free end of the suture and the second deformable tube anchor with the suture extending: (i) through a first aperture in a side wall of the first deformable tube anchor; (ii) longitudinally within the first deformable tube anchor along a first longitudinal bore in the first deformable tube anchor; and (iii) through a second aperture in the side wall of the first deformable tube anchor,
wherein the second deformable tube anchor is received on the suture between a second free end of the suture and the first deformable tube anchor with the suture extending: (i) through a third aperture in a side wall of the second deformable tube anchor; (ii) longitudinally within the second deformable tube anchor along a second longitudinal bore in the second deformable tube anchor; and (iii) through a fourth aperture in the side wall of the second deformable tube anchor; and
passing, after said receiving, the second free end of the suture: (i) through the second aperture in the side wall of the first deformable tube anchor; (ii) longitudinally within the first deformable tube anchor along the first longitudinal bore in the first deformable tube anchor; and (iii) through the first aperture in the side wall of the first deformable tube anchor so that an adjustable loop portion of the suture with the second deformable tube anchor received thereon is left outside the first deformable tube anchor.
9. The method of claim 8 , wherein the first longitudinal bore in the first deformable tube anchor extends from the first aperture in the side wall of the first deformable tube anchor to the second aperture in the side wall of the first deformable tube anchor.
10. The method of claim 9 further comprising placing a retaining device proximate the first free end of the suture.
11. The method of claim 10 , wherein the retaining device comprises a knot formed in the suture.
12. The method of claim 8 further comprising loading an inserter with the first deformable tube anchor and the second deformable tube anchor, wherein the inserter includes a distal portion with an inclined sharp edge for piercing through meniscal tissue.
13. A method for manufacturing a tissue repair assembly, the method comprising: positioning a first deformable tube anchor and a second deformable tube anchor on a suture such that the suture extends longitudinally through a first longitudinal bore in the first deformable tube anchor and longitudinally through a second longitudinal bore in the second deformable tube anchor with a second free end of the suture extending away from a first end portion of the second deformable tube anchor, wherein the first deformable tube anchor being so positioned includes a second end portion of the first deformable tube anchor located along the suture between a first end portion of the first deformable tube anchor and the second deformable tube anchor, and wherein the second deformable tube anchor being so positioned includes a second end portion of the second deformable tube anchor located along the suture between the first deformable tube anchor and the first end portion of the second deformable tube anchor, said positioning additionally leaving the suture extending through an aperture in a side wall of at least one of the first deformable tube anchor and the second deformable tube anchor; and
passing, after said positioning, the second free end of the suture through the first longitudinal bore in the first deformable tube anchor so that the suture extends a second time longitudinally through the first longitudinal bore in the first deformable tube anchor, wherein said passing: (i) positions the second free end of the suture outside the first deformable tube anchor extending away from the second end portion of the first deformable tube anchor; and (ii) leaves an adjustable loop portion of the suture outside the first deformable tube anchor.
14. The method of claim 13 , wherein said positioning leaves a first free end of the suture outside the first deformable tube anchor.
15. The method of claim 14 , wherein said aperture is a first aperture in a first side wall of the first deformable tube anchor, and wherein positioning leaves the first free end of the suture protruding from the first aperture, the first aperture proximate the first end portion of the first deformable tube anchor.
16. The method of claim 15 , wherein said passing leaves the second free end of the suture protruding from a second aperture in the first side wall of the first deformable tube anchor, the second aperture proximate the second end portion of the first deformable tube anchor.
17. The method of claim 16 , wherein the first longitudinal bore in the first deformable tube anchor extends from the first aperture in the first side wall of the first deformable tube anchor to the second aperture in the first side wall of the first deformable tube anchor.
18. The method of claim 13 further comprising placing a retaining device proximate the first free end of the suture.
19. The method of claim 18 , wherein the retaining device comprises a knot formed in the suture.
20. The method of claim 13 further comprising loading an inserter with the first deformable tube anchor and the second deformable tube anchor, wherein the inserter includes a distal portion with an inclined sharp edge for piercing through meniscal tissue.
21. The method of claim 13 further comprising, threading the second free end of the suture longitudinally through a longitudinal passage in the suture to form a. first self-locking adjustable loop.
22. The method of claim 21 , wherein said passing occurs after said threading and includes moving the longitudinal passage in the suture at least partially into the first longitudinal bore in the first deformable tube anchor.
23. A method for manufacturing a tissue repair assembly, the method comprising:
passing a suture through at least part of a first longitudinal bore in a first deformable tube anchor and through at least part of a second longitudinal bore in a second deformable tube anchor so that the first deformable tube anchor and the second deformable tube anchor, respectively, are received on the suture between a first free end and a second free end of the suture;
threading, after the first deformable tube anchor and the second deformable tube anchor are received on the suture, the second free end of the suture longitudinally through a longitudinal passage in the suture to form a first self-locking adjustable loop;
advancing, after the first deformable tube anchor and the second deformable tube anchor are received on the suture, the second free end of the suture into and through a portion of the first deformable tube anchor until the second free end is again positioned outside the first deformable tube anchor with the first free end and the second free end extending from opposite end portions of the first deformable tube anchor; and
moving, after said threading, the longitudinal passage in the suture at least partially into the first longitudinal bore in the first deformable tube anchor.
24. The method of claim 23 further comprising positioning, after said moving, the first deformable tube anchor on an inserter.
25. The method of claim 23 further comprising forming a knot in the suture adjacent the first free end of the suture.
26. The method of claim 25 , wherein said moving leaves the knot outside the first longitudinal bore in the first deformable tube anchor.
27. The method of claim 23 , wherein said threading the second free end of the suture longitudinally through the longitudinal passage in the suture to form the first self-locking adjustable loop includes threading the second free end into the suture through a first aperture in the suture, longitudinally within the suture along the longitudinal passage, and out of the suture through a fourth aperture in the suture to form the first self-locking adjustable loop, and wherein said moving places both the first aperture and the fourth aperture in the suture in the first longitudinal bore in the first deformable tube anchor.