# US 10,245,020 B2 · Methods and systems for knotless suture anchoring

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- Number: US 10,245,020 B2
- Document ID: US10245020B2
- Status: Granted
- Kind: B2
- Application number: 15/458,007
- Filed: 2017-03-13
- Published: 2018-09-13
- Granted: 2019-04-02
- Earliest claimed: 2017-03-13
- Assignees: Medos International Sarl
- Applicants: Medos International Sárl
- Inventors: Adam Gustafson; Gerome Miller; Benjamin Cleveland; Stefan Gabriel
- Web page: https://patentgrep.com/patent/US10245020B2

## CPC

- A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)}
- A61B 17/0485: {Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet}
- A61B 2017/0403: {Dowels}
- A61B 2017/0409: {Instruments for applying suture anchors}
- A61B 2017/0412: {having anchoring barbs or pins extending outwardly from suture anchor body}
- A61B 2017/0414: {having a suture-receiving opening, e.g. lateral opening}
- A61B 2017/0427: {having anchoring barbs or pins extending outwardly from the anchor body}
- A61B 2017/0441: {the shaft being a rigid coil or spiral}
- A61B 2017/0445: {cannulated, e.g. with a longitudinal through-hole for passage of an instrument}
- A61B 2017/0453: {threaded elements, e.g. set screws}
- A61B 2017/0458: {Longitudinal through hole, e.g. suture blocked by a distal suture knot}
- A61B 2017/0464: {for soft tissue}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Methods and systems are provided for securing tissue to bone. A surgical system can include an outer shaft, an elongate inner shaft, and an implantable suture anchor assembly including first and second anchor bodies. The second, more proximal, anchor body has one or more openings extending through a side wall or through opposed side walls thereof. The inner shaft is configured to be received within the outer shaft and through the first and second anchor bodies such that a distal end of the inner shaft protrudes beyond a distal end of the first anchor body. The inner shaft is configured to be removably coupled to the first anchor body such that the inner shaft is configured to be rotated to cause a proximal portion of the first anchor body to move proximally into a lumen extending through the second anchor body and to occlude the opening in the second anchor body.

## Claims

### Claim 1

A method of performing a surgical repair, comprising:
distally driving an anchor assembly comprising a proximal anchor body mated to a proximal end of a distal anchor body of the anchor assembly into a hole in a bone, the proximal anchor body having at least one suture passed through at least one opening formed through at least one side wall of the proximal anchor body, the suture being passed through the opening such that terminal end portions of the suture pass alongside a driver shaft removably attached to the anchor assembly, the suture having a portion thereof that is attached to soft tissue;
and rotating the distal anchor body to cause the distal anchor body to move proximally towards the proximal anchor body such that a proximal portion of the distal anchor body is received within the proximal anchor body so as to occlude the opening and thereby cause the suture to be secured between an inner wall of the proximal anchor body and an outer wall of the distal anchor body.

### Claim 2 (depends on 1)

The method of claim 1, wherein the opening comprises a single opening formed through the outer wall of the proximal anchor body.

### Claim 3 (depends on 1)

The method of claim 1, wherein the opening comprises first and second openings formed through opposed side walls of the proximal anchor body.

### Claim 4 (depends on 1)

The method of claim 1, further comprising forming the hole in the bone using a distal end of the driver shaft, the driver shaft extending through the anchor assembly.

### Claim 5 (depends on 1)

The method of claim 1, further comprising tensioning the suture while driving the anchor assembly into the hole.

### Claim 6 (depends on 1)

The method of claim 1, further comprising tensioning the suture while rotating the distal anchor body.

### Claim 7 (depends on 1)

The method of claim 1, wherein rotating the distal anchor body comprises rotating the driver shaft.