Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone
A suture assembly including a first suture having a generally O-shaped configuration having a first arm, a second arm, a first bridge connecting the first arm to the second arm, and a second bridge connecting the first arm to the second arm. The first bridge opposes the second bridge so that the first suture includes a closed loop. A second suture having a first arm, a second arm and a bridge connecting the first arm to the second arm. The first arm of the second suture is wrapped around the first arm of the first suture in a first direction, and the second arm of the second suture is wrapped around the second arm of the first suture in a second, opposite direction. The suture assembly is capable of assuming (i) a longitudinally-extended, radially-contracted first configuration, and (ii) a longitudinally-contracted, radially-expanded second configuration.
1. A suture assembly comprising:
a suture anchor comprising:
a first suture having a generally U-shaped configuration comprising a first arm, a second arm and a bridge connecting the first arm to the second arm;
a second solid and cylindrically shaped suture comprising a first arm, a second arm and a bridge connecting the first arm to the second arm, and forming a plurality of holes, wherein at least two of the plurality of holes is formed by the first arm of the second suture through which the first arm of the first suture is passed and through which a first central longitudinal axis extends, and at least two of the plurality of holes is formed by the second arm of the second suture through which the second arm of the first suture is passed and through which a second central longitudinal axis extends, wherein the second central longitudinal axis is a different axis from the first central longitudinal axis;
the second suture being capable of sliding along the first suture from a first configuration to a second configuration.
2. The suture assembly according to claim 1 , wherein the first arm of the second suture terminates in a first end, the second arm of the second suture terminates in a second end, and further wherein the first and second ends are free relative to one another.
3. The suture assembly according to claim 1 , wherein the first and second arms of the second suture are connected to one another so as to form a loop.
4. The suture assembly according to claim 1 , wherein the first suture comprises woven suture.
5. The suture assembly according to claim 1 , wherein the second suture comprises woven suture.
6. The suture assembly according to claim 1 , wherein the first suture comprises a hollow tubular structure.
7. The suture assembly according to claim 1 , further comprising an inserter assembly for deploying the suture anchor in an anatomical structure, the inserter assembly comprising:
an insertion tube for carrying at least a portion of the suture assembly within the insertion tube when the second suture is in its first configuration; and
a push rod for engaging the suture assembly when the suture assembly is disposed within the insertion tube.