Devices, systems and methods for material fixation
Devices, systems and methods for fixation of tendon to bone are described. An exemplary surgical implant is a modified bone anchor that is able to grasp the tendon and hold it firmly in a bone tunnel. Once deployed, the anchor delivers lateral compression to the tendon, providing direct tendon to bone compression to facilitate healing. The anchor has different versions which allow it to be attached to the tendon prior to insertion into the bone tunnel, or be inserted between tendon arms when the surgical procedure dictates. The resulting tendon to bone compression allows for the firm fixation in a manner markedly simpler than traditional techniques. A modification of this anchor can also allow the anchor to grasp and hold suture. This variation facilitates the technique for knotless rotator cuff repair.
1. A material fixation system, comprising an implant which is placeable in a space defined by bone, said implant comprising:
a body having a distal end and a proximal end;
a first member on said body which is expandable outwardly to engage portions of the bone; and
a second member on said body which is distal to said first member, wherein said second member is actuated by application of tension thereon, said second member comprising a surface for receiving soft tissue thereon which is to be anchored within the space defined by bone, wherein tension may be applied to the soft tissue to thereby apply tension to said second member;
said second member being movable in a proximal direction relative to said first member, wherein proximal movement of said second member actuates said first member to expand outwardly to engage the bone, thereby securing the implant in place within the space.
2. The material fixation system as recited in claim 1 , wherein said first member comprises a plurality of mating pieces.
3. The material fixation system as recited in claim 2 , wherein said mating pieces are hinged to one another.
4. The material fixation system as recited in claim 2 , wherein said mating pieces are free moving and slide outwardly relative to one another.
5. The material fixation system as recited in claim 1 , wherein said second member comprises a distal tip about which soft tissue may be looped.
6. A material fixation system, comprising an implant which is placeable in a space defined by bone, said implant comprising:
a body having a longitudinal axis, a distal end, and a proximal end;
a first member on said body which is movably expandable outwardly;
a second member on said body which is disposed axially from said first member and is also movably expandable outwardly, said second member being of a substantially different construction than said first member;
a distal end of said body comprising a space for receiving soft tissue therethrough, said space being defined by surfaces of said body which are oriented both generally parallel to said longitudinal axis and generally transverse to said longitudinal axis; and
a deployment device which is movable in a generally axial direction to deploy at least one of said first and second members.
7. The material fixation system as recited in claim 6 , wherein said second member is disposed distally of said first member.
8. The material fixation system as recited in claim 6 , wherein said second member is proximal to said distal end.
9. The material fixation system as recited in claim 6 , wherein said first member comprises an arm which is pivotable outwardly, said arm having a portion which is adapted to engage bone to anchor the body to the bone.
10. The material fixation system as recited in claim 9 , wherein a distal end of the arm is attached to the body, and comprises the pivoting end, and a proximal end of the arm pivots outwardly and comprises the portion which is adapted to engage bone.
11. The material fixation system as recited in claim 9 , wherein said first member comprises a plurality of said arms.
12. The material fixation system as recited in claim 6 , wherein said second member comprises a mid-section which may be actuated to a collapsed orientation, wherein it is expanded outwardly.
13. The material fixation system as recited in claim 6 , wherein said deployment device deploys both said first and second members.
14. A method of anchoring soft tissue to bone, comprising;
placing the soft tissue on an implant and disposing the implant within a space at a desired location within a portion of bone; and
moving a first member on said implant in a proximal direction in order to actuate a second member on said implant to an expanded orientation, wherein portions of the second member engage adjacent bone, wherein the soft tissue is disposed about said first member and said moving step is performed by applying tension to the soft tissue.
15. The method as recited in claim 14 , wherein the wherein the first member initially contacts a distal end of the second member during the moving step to actuate the second member to its expanded orientation.
16. A method of anchoring soft tissue to bone, comprising:
placing the soft tissue on an implant having a longitudinal axis extending from a distal end of the implant to a proximal end of the implant, and disposing the implant within a space at a desired location within a portion of bone;
deploying a first member on said implant outwardly to engage adjacent bone; and
deploying a second member, disposed on said implant in axially spaced relationship from the first member, outwardly to engage adjacent bone;
wherein the outward deployment of one of said first and second members compresses the soft tissue between said one of said first and second members and adjacent bone.
17. The method as recited in claim 16 , wherein each of said deploying steps are performed by moving a deployment device in a generally axial direction.
18. The method as recited in claim 16 , wherein said second member is disposed distally of said first member.