Anchor apparatus
A clamp for anchoring tensile members includes: a collet having a peripheral wall defining a central bore for accepting tensile members therethrough and an exterior surface, wherein the collet is configured to be swaged around the tensile members, and includes an array of longitudinal grooves defining webs configured to collapse inward in response to external compressive force; a sleeve having a peripheral wall defining interior and exterior surfaces, the sleeve positioned axially adjacent to the collet, so as to be movable parallel to a mutual central axis of the sleeve and the collet, between first and second positions; and wherein the sleeve and the collet are arranged such that movement of the sleeve from the first position to the second position will cause the interior surface of the sleeve to bear against the exterior surface of the collet, causing the collet to swage radially inwards around the tensile members.
1. A method for anchoring tensile members in a patient's body, comprising: contacting a first tensile member strand with a bone; contacting a second tensile member strand with a bone; providing a clamp which includes: a collet having a peripheral wall defining a central bore for accepting one or more tensile member strands therethrough and an exterior surface, wherein the collet is configured to be swaged around and against the one or more tensile members; a sleeve having a peripheral wall defining opposed interior and exterior surfaces, the sleeve positioned generally axially adjacent to the collet, so as to be movable parallel to a mutual central axis of the sleeve and the collet, between first and second positions; and wherein at least one of the exterior surface of the collet and the interior surface of the sleeve is tapered and the sleeve and the collet are arranged such that movement of the sleeve from the first position to the second position will cause the interior surface of the sleeve to bear against the exterior surface of the collet, causing the collet to swage radially inwards around and against the tensile member strands; passing the first and second tensile member strands through the central bore of the collet; applying a final tension to the first and second tensile member strands; and driving the sleeve from the first position towards the second position, thus swaging the collet around the first and second tensile member strands, wherein the collet includes an array of longitudinal grooves formed in an outer surface of the peripheral wall, each groove defining a web configured to collapse inward in response to external compressive force.
2. The method of claim 1 wherein the first and second tensile member strands are parts of a single tensile member.
3. The method of claim 2 wherein the first and second tensile member strands are contacted with the bone by wrapping the single tensile member around a bone to form a cerclage.
4. The method of claim 1 wherein the first tensile member strand is part of a first tensile member and the second tensile member strand as part of a second tensile member.
5. The method of claim 4 wherein the first tensile member strand is anchored to a first bone and the second tensile member is anchored to a second bone.
6. The method of claim 1 wherein the swaging causes substantially no change in the first and second final tensions applied to the first and second tensile members.
7. The method of claim 1 further comprising activating an insertion instrument to drive the sleeve down over the collet, thus swaging the collet around the second ends of the first and second tensile member strands.
8. The method of claim 1 further comprising, prior to the step of applying final tension to the tensile member strands:
applying a provisional tension to the first and second tensile member strands;
evaluating the provisional tension; and
increasing or decreasing the provisional tension.
9. The method of claim 1 wherein each of the first and second tensile member strands comprises a portion of a suture or a portion of a surgical cable.
10. The method of claim 1 wherein the step of driving the sleeve from the first position towards the second position is carried out using an insertion instrument including:
two or more moveable jaws cooperatively defining a housing extending along a central axis between open first and second ends, and having a hollow interior sized to receive the clamp; and
a driving mechanism operable to move the sleeve from the first position towards the second position.