Systems and methods for repairing soft tissues using nanofiber material
An anchoring system is a combination of a nanofiber scaffold material and an arthroscopically deployable suture anchor. The anchor is deployed into a bone tunnel using common techniques. The nanofiber material extends out of the proximal end of the implant, once deployed. The implant also includes pre-loaded sutures or has the ability to accept and lock sutures to the implant. For an implant pre-loaded with suture, the implant is placed into the bone, the material is deployed above the anchor onto the surface of the bone, suture is passed through the soft tissue, and knots are tied to secure the tissue against the bone, sandwiching the material between the bone and tissue, to provide a pathway for cells from the bone marrow to the soft tissue-bone interface, promote the healing response, provide a biomimetic structure that cells readily adhere to, and create a larger healing footprint.
1. An anchoring system for securing soft tissue to bone, comprising:
an implant deliverable arthroscopically into a bone tunnel through an opening in an outer surface of a bone; and
a flexible insert coupled to the implant, the flexible insert comprising a fiber material and including a proximal head portion that is to reside outside the bone tunnel sandwiched between the soft tissue and the bone for promoting a healing response between the soft tissue and the bone when the implant is received in the tunnel, the proximal head portion comprising a flexible sheet material, the flexible insert also including a distal portion that comprises a first elongated sheet and a second elongated sheet that both extend away from the proximal head portion for receipt in the bone tunnel along with the implant, the first elongated sheet and the second elongated sheet having a first width and a second width, respectively, the proximal head portion having a proximal head width that is wider than each of said first width and said second width.
2. The anchoring system of claim 1 , wherein the implant is pre-loaded with a suture that extends away from the implant for extending back out of the bone tunnel through the opening in the outer surface of the bone when the implant is received in the tunnel.
3. The anchoring system of claim 2 further comprising a delivery sheath through which the suture extends.
4. The anchoring system of claim 2 , wherein the flexible insert is movable along the suture.
5. The anchoring system of claim 1 , wherein the fiber material is a nanofiber material.
6. The anchoring system of claim 1 , wherein the fiber material provides a pathway for cell travel from bone marrow within the bone tunnel to an area between the soft tissue and the bone.
7. The anchoring system of claim 1 , wherein the implant includes two halves with the flexible insert extending between the two halves.
8. The anchoring system of claim 1 , wherein the implant comprises an anchor securable within the bone tunnel.
9. The anchoring system of claim 8 , wherein the distal portion of the flexible insert is disposed within the anchor.
10. The anchoring system of claim 8 , wherein the distal portion of the flexible insert extends through the anchor.
11. The anchoring system of claim 8 , wherein the anchor has a longitudinal axis, and wherein the distal portion of the flexible insert includes fibers aligned axially with the longitudinal axis of the anchor to facilitate cell travel from bone marrow within the bone tunnel toward the opening in the outer surface of the bone.
12. The anchoring system of claim 8 , wherein the anchor includes a longitudinal axis that extends between a leading end and a trailing end of the anchor, the anchor further including a hollow interior portion open to: (i) the trailing end of the anchor; and (ii) a distal opening in an exterior of the anchor proximate the leading end of the anchor.
13. The anchoring system of claim 12 , wherein the flexible insert extends into the anchor through the trailing end of the anchor.
14. The anchoring system of claim 12 , wherein the distal portion of the flexible insert extends within the anchor to the distal opening in the exterior of the anchor.
15. The anchoring system of claim 12 , wherein the distal portion of the flexible insert extends longitudinally within the anchor along the hollow interior portion of the anchor.
16. The anchoring system of claim 12 , wherein the distal portion of the flexible member extends within the anchor and is visible from outside the anchor through the distal opening in the exterior of the anchor.
17. The anchoring system of claim 1 , wherein the flexible sheet material has slits formed therein.
18. The anchoring system of claim 1 , wherein the first elongated sheet and the second elongated sheet are stacked together as sheets along the distal portion of the flexible insert.
19. The anchoring system of claim 1 , wherein the proximal head portion comprises a first head portion for extending along the outer surface of the bone radially away from the opening in the outer surface of the bone in a first direction and a second head portion for extending along the outer surface of the bone radially away from the opening in the outer surface of the bone in a second direction opposite the first direction.
20. The anchoring system of claim 19 , wherein the first head portion is connected to the first elongated sheet and the second head portion is connected to the second elongated sheet.