# US 10,368,857 B2 · Methods and devices for knotless suture anchoring

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- Number: US 10,368,857 B2
- Document ID: US10368857B2
- Status: Granted
- Kind: B2
- Application number: 15/457,944
- Filed: 2017-03-13
- Published: 2018-09-13
- Granted: 2019-08-06
- Earliest claimed: 2017-03-13
- Assignees: Medos International Sarl
- Applicants: Medos International Sárl
- Inventors: Gerome Miller; Justin M. Piccirillo; Benjamin Cleveland
- Web page: https://patentgrep.com/patent/US10368857B2

## 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 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 2017/044: {with a threaded shaft, e.g. screws}
- 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 2017/0464: {for soft tissue}
- A61B 2017/0496: {for tensioning sutures}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Methods and devices are provided for securing tissue to bone. A surgical system can include a guide, a suture anchor including a sheath and a screw, a first driver shaft, and a second driver shaft. The first driver shaft can be configured to be removably received within a lumen of the guide such that an awl tip thereof extends beyond a distal end of the sheath. The sheath and the guide can have first and second side openings, respectively, that can receive at least one suture therethrough. The second driver shaft can be configured to be removably received within the lumen of the guide when the first elongate shaft is removed therefrom, the second driver shaft having a distal driver member configured to be removably received within a proximal channel formed in the screw to drive the screw into mating engagement with the sheath.

## Claims

### Claim 1

A method for performing a surgical repair, comprising:
inserting a distal end of a first driver into a bone, the first driver extending through a proximal channel in a sheath portion of an implantable suture anchor and through a lumen of a guide removably coupled proximally to the sheath portion, the sheath portion and the guide having a suture extending through the lumen and the proximal channel and between first and second openings extending through sides of the sheath portion and the guide, respectively, wherein the suture anchor also includes a screw portion; and
removing the first driver from the proximal channel and the lumen, and then inserting a distal driver member of a second driver through the lumen of the guide and into the proximal channel of the sheath portion, the distal driver member having the screw portion coupled distally thereto, wherein the insertion causes the screw portion to be driven distally into the proximal channel and the suture to be secured between an outer wall of the sheath portion and the bone and between an outer wall of the screw portion and an inner wall of the sheath portion.

### Claim 2 (depends on 1)

The method of claim 1, wherein inserting the distal driver member through the lumen and into the proximal channel of the sheath portion comprises rotating the second driver to cause the distal driver member to insert the screw portion into the proximal channel of the sheath portion.

### Claim 3 (depends on 1)

The method of claim 1, wherein the suture is engaged using the implantable suture anchor such that the suture extends between the bone and an outer wall of a proximal portion of the sheath portion, along a proximal inner wall of the first opening, and between an inner wall of the proximal portion of the sheath portion and an outer wall of the screw portion.

### Claim 4 (depends on 1)

The method of claim 1, further comprising tensioning the suture while inserting the distal end of the first driver into the bone.

### Claim 5 (depends on 1)

The method of claim 1, further comprising tensioning the suture while inserting the distal driver member through the lumen of the guide and into the proximal channel of the sheath portion.

### Claim 6 (depends on 1)

The method of claim 1, wherein the screw portion being received within the proximal channel of the sheath portion causes expansion of the sheath portion.