Sewn-on buttons and methods for using them

Abstract

A suture button includes, for example, a body having a first side, a second side, and a peripheral side positioned between the first and second sides. A first passage extends through the body from the first side to the second side, and a second passage extends through the body from the first side to the second side. An open groove extends into the body along the first side, between the first and second passages. The body may include a third passage extending through the body from the first side to the second side, and an open groove extending into the body along the second side, between the second and third passages. Suture material can be passed through the passages and fixed in place by passing the suture material over and beneath the open groove.

Description

Cross - reference to related applications

[0001] This application claims priority to U.S. Provisional Patent Application No. 63 / 502,156, filed May 15, 2023, "Suturing Button and Method of Using the Same", the entire content of which is incorporated herein by reference.

[0002] This application is a continuation of U.S. Design Patent Application No. 29 / 875,978, filed May 15, 2023, "Suturing Button" by Kevin Crews and Lawrence Binder, the entire content of which is incorporated herein by reference.

[0003] This application is a continuation of U.S. Design Patent Application No. 29 / 875,979, filed May 15, 2023, "Suturing Button" by Kevin Crews and Lawrence Binder, the entire of which is incorporated herein by reference.

Technical Field

[0004] The present disclosure generally relates to devices and methods for performing surgery, and more specifically, to suturing buttons and methods for securing and tensioning sutures during and after surgery.

Background Art

[0005] Button suturing is a suturing method in which a thread is passed through a hole in a button and then fixed or ligated. Suturing buttons are used to reduce the risk that the thread cuts tissue. In some applications, suturing buttons provide fixation for ankle ligament injuries. Button suturing involves a fibrous thread attached between two buttons.

Summary of the Invention

Problems to be Solved by the Invention

[0006] The shortcomings of the prior art are overcome, for example, by providing a suture button having a body in one embodiment, and additional advantages are provided. The suture button having a body comprises a first side surface, a second side surface facing the first side surface, a peripheral side surface positioned between the first side surface and the second side surface, a first passage extending through the body from the first side surface to the second side surface, a second passage extending through the body from the first side surface to the second side surface (the second passage is positioned at a distance from the first passage), and a first open groove extending into the body along the first side surface and extending between the first passage and the second passage. [Means for solving the problem]

[0007] In some embodiments, the body of the suture button includes a third passage that penetrates the body and extends from a first side to a second side, the third passage being spaced apart from the first and second passages. In some embodiments, the second side includes a second open groove extending between the second and third passages. In some embodiments, the suture button includes an irregularly shaped button and / or includes a projection and / or includes one or more recesses.

[0008] In another embodiment, the suture button comprises a longitudinal body having a first side surface, a second side surface opposite the first side surface, and a peripheral side surface positioned between the first and second sides; a row of first passages penetrating the body from the first side surface to the second side surface; a row of second passages penetrating the body from the first side surface to the second side surface; and a number of open grooves that are spaced apart from the row of second passages, extending into the body along the first side surface, and extending between the row of first passages and the row of second passages.

[0009] In another embodiment, the surgical repair device includes, for example, the suture button described above and the suture material.

[0010] In another embodiment, the method includes, for example, providing a sewn button. The sewn button has a body having a first passage through the body, a second passage through the body, the second passage being spaced apart from the first passage and extending into the body along a first side surface, and a first open groove extending between the first passage and the second passage. A sewn material is provided, and the sewn material is woven through the passage in such a manner that when one sewn end is pulled, the friction between the sewn material and the button is higher than when the other end is pulled.

[0011] In another embodiment, the method includes, for example, providing a suture button having first, second, and third passages penetrating from a first side and a second side, and having an open groove connecting the first passage and the second passage on the first side of the body, and a second open groove connecting the second passage and the third passage on the second side of the body. The method also includes providing a suture material, passing the suture material through the first, second, and third passages, extending the suture material from the first passage, crossing the first open groove and passing through the second passage, crossing the second open groove and passing through the third passage, and also passing through the second open groove connecting the second passage and the third passage on the second side of the body, passing under the suture material and over the first open groove. [Brief explanation of the drawing]

[0012] [Figure 1] Schematic diagram of a suture button suspension system according to an embodiment of the disclosure. [Figure 2] Figure 1 shows an anatomical structure in which multiple sutures can be used to fix soft tissue to bone using the suture button according to an embodiment of the present disclosure. [Figure 3] Enlarged front right perspective view of the suture button shown in Figures 1 and 2 according to the embodiments of this disclosure. [Figure 4] A rear left perspective view showing the sewn button according to an embodiment of the present disclosure. [Figure 5] Front view showing the sutured button of Figure 3 according to an embodiment of the present disclosure. [Figure 6] Right side view showing the suture button of Figure 3 according to an embodiment of the present disclosure. [Figure 7] Rear perspective view showing the stitching button of FIG. 3 according to an embodiment of the present disclosure [Figure 8] Left side view showing the stitching button of FIG. 3 according to an embodiment of the present disclosure [Figure 9] Cross-sectional view of the stitching button along line 9-9 of FIG. 5 according to an embodiment of the present disclosure [Figure 10] Cross-sectional view of the stitching button along line 10-10 of FIG. 7 according to an embodiment of the present disclosure [Figure 11] Front right perspective view showing the stitching button according to an embodiment of the present disclosure [Figure 12] Right side view showing the stitching button of FIG. 11 according to an embodiment of the present disclosure [Figure 13] Left rear perspective view showing the stitching button of FIG. 11 according to an embodiment of the present disclosure [Figure 14] Left side view showing the stitching button of FIG. 11 according to an embodiment of the present disclosure [Figure 15] Cross-sectional view of the stitching button along line 15-15 of FIG. 11 according to an embodiment of the present disclosure [Figure 16] Front right perspective view showing the stitching button according to an embodiment of the present disclosure [Figure 17] Right side view showing the stitching button of FIG. 16 according to an embodiment of the present disclosure [Figure 18] Left rear perspective view showing the stitching button of FIG. 16 according to an embodiment of the present disclosure [Figure 19] Left side view showing the stitching button of FIG. 16 according to an embodiment of the present disclosure [Figure 20] Cross-sectional view of the stitching button along line 20-20 of FIG. 16 according to an embodiment of the present disclosure [Figure 21] Front right perspective view showing the stitching button according to an embodiment of the present disclosure [Figure 22] Rear left perspective view showing the stitching button of FIG. 21 according to an embodiment of the present disclosure [Figure 23] Front right perspective view showing the stitching button according to an embodiment of the present disclosure [Figure 24] Left rear perspective view showing the stitching button of FIG. 23 according to an embodiment of the present disclosure [Figure 25] Front view showing the suture button of FIG. 23 according to an embodiment of the present disclosure [Figure 26] Rear view showing the suture button of FIG. 23 according to an embodiment of the present disclosure [Figure 27] Cross-sectional view of the suture button along line 27-27 of FIG. 25 according to an embodiment of the present disclosure [Figure 28] Front right perspective view showing the suture button according to an embodiment of the present disclosure [Figure 29] Left rear perspective view showing the suture button of FIG. 28 according to an embodiment of the present disclosure [Figure 30] Showing the suture button and suture material according to an embodiment of the present disclosure [Figure 31] Showing the suture button and suture material according to an embodiment of the present disclosure [Figure 32] Front perspective view showing the suture button according to an embodiment of the present disclosure [Figure 33] Rear perspective view showing the suture button of FIG. 32 according to an embodiment of the present disclosure [Figure 34] Front view showing the suture button of FIG. 32 according to an embodiment of the present disclosure [Figure 35] Right side view showing the suture button of FIG. 32 according to an embodiment of the present disclosure [Figure 36] Left side view showing the suture button of FIG. 32 according to an embodiment of the present disclosure [Figure 37] Rear view showing the suture button of FIG. 32 according to an embodiment of the present disclosure [Figure 38] Cross-sectional view of the suture button along line 38-38 of FIG. 37 according to an embodiment of the present disclosure [Figure 39] Showing the suture button and suture material of FIG. 32 according to an embodiment of the present disclosure [Figure 40] Showing the suture button and suture material of FIG. 32 according to an embodiment of the present disclosure [Figure 41] Flowchart of a process for surgical repair according to an embodiment of the present disclosure

Mode for Carrying Out the Invention

[0013] Generally speaking, this specification discloses suture buttons or implants, as well as suture button systems or implant systems. Suture button and implant systems may include one or more suture buttons or implants. Furthermore, surgical methods using these are also disclosed.

[0014] In this specification and the following claims, the terms “proximal,” “distal,” “anterior,” “posterior,” “medial,” “lateral,” “supra,” and “subcutaneous” are defined by standard usage to indicate a particular portion of bone or an implant according to the relative arrangement or orientation of natural bone.

[0015] In this specification, location or orientation may be used with reference to anatomical structures or surfaces. For example, the current devices and methods are described herein with reference to their use with the patient's bone. The surface, location, orientation, or setting of implant devices, implant placement devices, and surgical techniques can be described using the patient's bone. Furthermore, the devices and surgical techniques disclosed herein, as well as their aspects, components, features, etc., are described in relation to one side of the body for the sake of brevity. However, because the structure of the human body is relatively bilateral or mirror-image symmetrical with respect to the axis of symmetry (midline), it is expressly assumed that the devices and surgical techniques described and / or illustrated herein, as well as their aspects, components, features, etc., may be modified, altered, modified, reconfigured, or otherwise changed for use or association on the opposite side of the body for the same or similar purposes, without departing from the spirit and scope of the disclosure. For example, devices and surgical techniques described herein in relation to the left foot, as well as their aspects, components, features, etc., can be mirrored to function similarly on the right foot, and vice versa.

[0016] Figure 1 shows a suture button suspension system 10 employing a pair of suture buttons 100 according to an embodiment of the present disclosure. In this illustrated embodiment, a surgeon can treat ligament injuries using a knotless, adjustable button system. For example, the system 10 is operable to treat injuries to the syndesmosis ligament complex of the ankle. For example, the system 10 may include a plate 12, sutures 20 passing through holes 32 in the tibia 30 and holes 42 in the fibula 40, and buttons 100. It will be understood that the suture buttons described herein can also be used in other surgical procedures, such as wound repair and other suspension and suturing.

[0017] Figure 2 shows multiple fixation sutures 50 passing through a bone tunnel 62. According to embodiments of the present disclosure, all lead wires are bundled together in a loop of convergent sutures and fixed to laterally positioned anchors within the bone tunnel, after which the tension is locked by suture buttons 100. For example, the sutures may be inserted through one hole and withdrawn through another, passing through a tunnel from the cortical bone through the cancellous bone and exiting from the cortical bone.

[0018] In some of the various embodiments, ligation of the sutures may be unnecessary. Instead, the sutures and buttons are held in place by the wedge action of the sutures and buttons.

[0019] A sewn button having two or more passages allows for a configuration in which one or more sewing materials are woven into the passages, and when one end of the sewing is pulled, the friction between the sewing material and the button is higher than when the other end is pulled.

[0020] A suture button with two or more passages allows one or more suture materials to be threaded through these passages and interwoven. This interwoven structure causes the suture materials to tighten around each other and increase friction when one end of the suture is pulled. When pulled in the opposite direction, the suture slides more easily.

[0021] For example, in some embodiments, the suture button includes a first passage and a second passage on either the surface of the suture button, each having a groove or open channel connecting them. This groove or open channel causes the suture to bend, increasing friction when pulled in one direction compared to when pulled in the other direction.

[0022] In some embodiments, the suture buttons include second and third passages having grooves or open channels connecting them on the upper or dorsal surface of the base. The grooves or open channels on the dorsal surface provide clearance on the dorsal or opposite side of the suture button, thereby allowing the suture button to make flat contact with the surface of the tissue or bone.

[0023] In some embodiments, the suture button has a first group of rows of multiple passages, a second group of rows of multiple passages, and a single third passage. The third passage may fully or partially connect the upper and lower surfaces.

[0024] In some embodiments, the passage can be circular, square, triangular, elliptical, rectangular, or other suitable shape. The suture button can be formed from medical implant-grade materials such as plastic, metal, or ceramic. The suture button is implantable and can be used for soft tissue repair by connecting sutures.

[0025] The disclosure also relates to methods for individually tensioning sutures passing through a suture button. These methods may include weaving one or more sutures from the bottom of the suture button through a first passage (A) within the suture button and then through a second passage (B) on the top surface, leaving an opening loop (Z) between the two passages on the top surface of the button. The sutures are then pulled up through a third passage (C) on the bottom surface and through the opening loop (Z). This opening loop (Z) now acts as a clamping ring, increasing the sliding resistance when the suture is pulled in one direction compared to when it is pulled in the opposite direction.

[0026] In a sutured button having rows of multiple passages, one or more sutures are passed through a first passage (A) from the bottom of the button, then through a second passage (B) from the top, leaving an opening loop (Z) between the two passages on the top of the button. This is called a group of passages. Next, the sutures are woven through one or more additional groups of passages in the same manner as above. Finally, the sutures are pulled up through a third passage (C) on the bottom and pass through the opening loop (Z). The opening loop (Z) now becomes a clamping ring, increasing the sliding resistance of the suture when pulled in one direction compared to when pulled in the opposite direction.

[0027] The same explanation applies when sliding a suture button instead of pulling the suture thread.

[0028] Figures 3 to 10 show a suture button or implant 100 according to an embodiment of the present disclosure. In this illustrated embodiment, the suture button 100 has a body 110 and may include three passages passing through the body 110, an open channel extending between two passages on one side of the suture button 100, and an open channel extending between two other passages on the opposite side of the suture button 100.

[0029] For example, the main body 110 may include a first side surface 120 and a second side surface 140 positioned opposite the first side surface 120. A peripheral side surface 130 is positioned between the first side surface 120 and the second side surface 140. In this illustrated embodiment, the main body 110 may have a disc-shaped configuration. It will be understood that other configurations are also possible.

[0030] The main body 110 includes a first passage 150 having an axis A1, which penetrates the main body 110 and extends from a first side surface 120 to a second side surface 140. It also includes a second passage 160 having an axis A2 that penetrates the main body 110 from the first side surface 120 to the second side surface 140, and a third passage 170 having an axis A3 that penetrates the main body 110 from the first side surface 120 to the second side surface 140. These passages may be spaced apart from each other. The axes and passages may be parallel to each other. For example, the passages may be spaced 60 degrees apart from each other with respect to the center or center point of the suture button.

[0031] For example, the first passage 150 may include a first opening 152 that opens to the first side surface 120 and a second opening 154 that opens to the second side surface 140. The second passage 160 includes a first opening 162 that opens to the first side surface 120 and a second opening 164 that opens to the second side surface 140, and the third passage 170 includes a first opening 172 that opens to the first side surface 120 and a second opening 174 that opens to the second side surface 140.

[0032] The body 110 may include a first open groove 180 that extends inward along the first side surface 120 and extends between and opens to the first passage 150 and the second passage 160. The body 110 may also include a second open groove 190 that extends inward along the second side surface 140 and extends between and opens to the second passage 160 and the third passage 170. The first open groove 180 and the second open groove 190 may be curved open grooves. As shown in Figures 9 and 10, the depth L1 of the open groove may be less than half, about half, half, or more than half of the body thickness L2 of the suture button 100.

[0033] The first side surface 120 and the second side surface 140 of the main body 110 are generally flat, and the peripheral side surface 130 may be cylindrical. The edge between the first side surface and the peripheral side surface is rounded, and the edge between the second side surface and the peripheral side surface may also be rounded.

[0034] Figures 11-15 show suture buttons or implants 200 according to embodiments of the present disclosure. In these illustrated embodiments, the suture button 200 may include three passages penetrating the body 210, an open groove extending between two passages on one side of the suture button 200, and an open groove extending between two other passages on the opposite side of the suture button 200.

[0035] For example, the main body 210 may include a first side surface 220 and a second side surface 240 positioned opposite the first side surface 220. A peripheral side surface 230 is positioned between the first side surface 220 and the second side surface 240. In this illustrated embodiment, the main body 210 may have a disc-shaped configuration. It will be understood that other configurations are also possible.

[0036] The main body 210 includes a first passage 250 having an axis B1, which penetrates the main body 210 and extends from a first side surface 220 to a second side surface 240. It also includes a second passage 260 having an axis B2 extending from the second side surface 240 to the first side surface 220, and a third passage 270 having an axis B3 extending from the first side surface 220 to the second side surface 240. The passages may be spaced apart from each other. The axes and passages may be parallel to each other. The passages may be spaced 60 degrees apart from each other with respect to the center or center point of the suture button.

[0037] For example, the first passage 250 may include a first opening 252 that opens to the first side surface 220 and a second opening 254 that opens to the second side surface 240. The second passage 260 may include a first opening 262 that opens to the first side surface 220 and a second opening 264 that opens to the second side surface 240, and the third passage 270 may include a first opening 272 that opens to the first side surface 220 and a second opening 274 that opens to the second side surface 240.

[0038] The body 210 may include a first open groove 280 that extends inward along the first side surface 220 and extends between and opens to the first passage 250 and the second passage 260. The body 210 may also include a second open groove 290 that extends inward along the second side surface 240 and extends between and opens to the second passage 260 and the third passage 270. The first open groove 280 and the second open groove 290 may be curved open grooves. As shown in Figure 15, the depth L3 of the open groove may be less than half, about half, half, or greater than half the body thickness L4 of the suture button 200.

[0039] The first side surface 220 and the second side surface 240 of the main body 210 are generally flat, and the peripheral side surface 230 may be cylindrical. The edge between the first side surface and the peripheral side surface is rounded, and the edge between the second side surface and the peripheral side surface may also be rounded.

[0040] In this illustrated embodiment, the peripheral side surface 230 may include a concave surface 232 extending between the first side surface 220 and the second side surface 240. A first notch 242 may be positioned along the first side surface 220 and the peripheral side surface 230. The first notch 242 may have a curved wall 243. A second notch 244 may be positioned along the second side surface 240 and the peripheral side surface 230. The second notch 244 may have a curved wall 245. The first notch 242 may have a stepped portion 247 positioned midway through the thickness of the body of the suture button. The second notch 244 may have a stepped portion 249 positioned midway through the thickness of the body of the suture button. These notches allow the surgeon to easily grasp or hold the suture button 200 and to hold it during suturing to the patient.

[0041] In this illustrated embodiment, the first notch 242 may be located between the second passage 260 and the third passage 270. The second notch 244 may be located between the first passage 250 and the second passage 260.

[0042] Figures 16 to 20 show a suture button or implant 300 according to an embodiment of the present disclosure. In this illustrated embodiment, the suture button 300 has a body 310 and may include three passages passing through the body 310, an open groove extending between two passages on one side of the suture button 300, and an open groove extending between two other passages on the opposite side of the suture button 300.

[0043] For example, the main body 310 may include a first side surface 320 and a second side surface 340 positioned opposite the first side surface 320. A peripheral side surface 330 is positioned between the first side surface 320 and the second side surface 340. In this illustrated embodiment, the main body 310 may have a disc-shaped configuration. It will be understood that other configurations are also possible.

[0044] The main body 310 includes a first passage 350 having an axis C1, which penetrates the main body 310 and extends from a first side surface 320 to a second side surface 340. It also includes a second passage 360 ​​having an axis C2 extending from the second side surface 340 to the first side surface 320, and a third passage 370 having an axis C3 extending from the first side surface 320 to the second side surface 340. The passages may be spaced apart from each other. The axes and passages may be parallel to each other. The passages may be spaced 60 degrees apart from each other with respect to the center or center point of the suture button.

[0045] For example, the first passage 350 may include a first opening 352 that opens to the first side surface 320 and a second opening 354 that opens to the second side surface 340. The second passage 360 ​​may include a first opening 362 that opens to the first side surface 320 and a second opening 364 that opens to the second side surface 340, and the third passage 370 may include a first opening 372 that opens to the first side surface 320 and a second opening 374 that opens to the second side surface 340.

[0046] The body 310 may include a first open groove 380 that extends inward along the first side surface 320 and extends between and opens to the first passage 350 and the second passage 360. The body 310 may also include a second open groove 390 that extends inward along the second side surface 340 and extends between and opens to the second passage 360 ​​and the third passage 370. The first open groove 380 and the second open groove 390 may be curved open grooves. As shown in Figure 20, the depth L5 of the open groove may be less than half, about half, half, or more than half of the thickness L6 of the body of the suture button.

[0047] The first side surface 320 and the second side surface 340 of the main body 310 are generally flat, and the peripheral side surface 330 may be cylindrical. The edge between the first side surface and the peripheral side surface is rounded, and the edge between the second side surface and the peripheral side surface may also be rounded.

[0048] In this illustrated embodiment, the peripheral side surface 330 may include a concave surface extending between the first side surface 320 and the second side surface 340. A first notch 342 may be positioned along the first side surface 320 and the peripheral side surface 330. The first notch 342 may have a curved wall 343. A second notch 344 may be positioned along the second side surface 340 and the peripheral side surface 330. The second notch 344 may have a curved wall 345. The first notch 342 may have a step positioned midway through the thickness of the body of the suture button. The second notch 344 may have a step positioned midway through the thickness of the body of the suture button. These notches allow the surgeon to easily grasp or hold the suture button 300 and hold it during suturing to the patient.

[0049] In this illustrated embodiment, the first notch 342 may be located between the first passage 350 and the second passage 360. The second notch 344 may be located between the first passage 350 and the third passage 370.

[0050] Figures 21 and 22 show a suture button or implant 400 according to an embodiment of the present disclosure. In this illustrated embodiment, the suture button 400 is essentially identical to the suture button or implant 100, except that it has an open groove on only one side of the suture button or implant. For example, the suture button or implant 400 has a body 410 with three passages passing through the body 410, and the open groove extends between the two passages on one side of the suture button 400.

[0051] Figures 23 to 27 show suture buttons or implants 500 according to embodiments of the present disclosure. In these illustrated embodiments, the suture button 500 may have a body 510 and include a plurality of passages passing through the body 510 and a plurality of open grooves extending between the plurality of adjacent passages on one side of the suture button 100.

[0052] For example, the body 510 may include a first side surface 520 and a second side surface 540 positioned opposite the first side surface 520. A peripheral side surface 530 is positioned between the first side surface 520 and the second side surface 540. In this illustrated embodiment, the body 510 may have a longitudinal or rectangular shape. It will be understood that other configurations are also possible.

[0053] The main body 510 may include a first row or more of passages 550 having an axis D1 that penetrates the main body 510 from the first side surface 520 to the second side surface 540, and a second row or more of passages 560 having an axis D2 that penetrates the main body 510 from the first side surface 520 to the second side surface 540. The first and second rows of passages 550 and 560 may be arranged in rows, spaced apart from each other, forming multiple rows along the main body 510. A third passage 570 may be located between the rows of passages, with an axis D3 that penetrates the main body 510 and extends from the first side surface 520 to the second side surface 540. The axes and passages may be parallel to each other.

[0054] For example, the first passage 550 may include a first opening 552 that opens to the first side surface 520 and a second opening 554 that opens to the second side surface 540. The second passage 560 may include a first opening 562 that opens to the first side surface 520 and a second opening 564 that opens to the second side surface 540. The passage 570 may include a first opening 572 that opens to the first side surface 520 and a second opening 574 that opens to the second side surface 540.

[0055] The body 510 may include a plurality of open grooves 580 that extend inward along the first side surface 520 and open between adjacent passages, the first passage 550 and the second passage 560. The body 510 may include a second side surface 540 that does not have open grooves. The open grooves 580 may be V-shaped grooves or grooves of other shapes. As shown in Figure 27, the depth L7 of the open grooves may be less than half, about half, half, or more than half of the thickness L6 of the body of the suture button.

[0056] The first side surface 520 and the second side surface 540 of the main body 510 are generally flat, and the peripheral side surface 530 may be rectangular or elliptical. The edge between the first side surface and the peripheral side surface is rounded, and the edge between the second side surface and the peripheral side surface may also be rounded.

[0057] Figures 28 and 29 show a suture button or implant 600 according to an embodiment of the present disclosure. In this illustrated embodiment, the suture button 600 may have a body 610 and include two passages passing through the body 610 and an open groove extending between the two passages on one side of the suture button 100.

[0058] Figures 30 and 31 show a sutured button 700 and suture material 790 according to embodiments of the present disclosure. For example, the suture material may be woven through a passage, woven under the suture material, and woven over an open groove.

[0059] Figures 32 to 38 show a suture button or implant 800 according to an embodiment of the present disclosure. In this illustrated embodiment, the suture button 800 may include a body 810, three passages passing through the body 810, an open groove extending between two passages on one side of the suture button 800, and an open groove extending between two other passages on the opposite side of the suture button 800. Furthermore, in this embodiment, the suture button or implant 800 may have an irregular disc-shaped configuration and may further include a relief groove along a second side, as will be described later.

[0060] For example, the body 810 may include a first side surface 820 and a second side surface 840 positioned opposite the first side surface 820. A peripheral side surface 830 is positioned between the first side surface 820 and the second side surface 840. In this illustrated embodiment, the body 810 may have a generally irregular disc shape, such as an irregular disc shape. In some embodiments, the body 810 may have a generally disc shape with outwardly bulging side portions 812. The portions 812, particularly along the bottom or the second side surface, may act as a retaining function and contribute to reducing the rotation of the implant when the suture button is positioned on the bone. In other embodiments, the suture buttons described herein may be provided having an elliptical, oblong, rectangular, egg-shaped, teardrop-shaped, rectangular, trapezoidal, or other shape that is asymmetrical in one or more directions with respect to the axis of rotation passing through the second side surface of the suture button.

[0061] The body 810 includes a first passage 850 having an axis E1, which penetrates the body 810 and extends from a first side 820 to a second side 840. It may also include a second passage 860 having an axis E2 that penetrates the body 810 from a first side 820 to a second side 840, and a third passage 870 having an axis E3 that penetrates the body 810 from a first side 820 to a second side 840. These passages may be spaced apart from each other. The axes and passages may be parallel to each other. The passages may be spaced 60 degrees apart from each other with respect to the center or center point of the suture button. In this illustrated embodiment, the passages may have an elliptical or elliptical cross-section (best shown in Figures 33 and 34) or other suitable cross-section.

[0062] For example, the first passage 850 may include a first opening 852 (Figures 32 and 33) that opens to the first side surface 820 and a second opening 854 (Figure 34) that opens to the second side surface 840. The second passage 860 may include a first opening 862 (Figures 32 and 33) that opens to the first side surface 820 and a second opening 864 (Figure 34) that opens to the second side surface 840. The third passage 870 may include a first opening 872 (Figures 32 and 33) that opens to the first side surface 820 and a second opening 874 (Figure 34), the second opening 874 opening to the second side surface 840.

[0063] The body 810 may include a first open groove 880 (Figure 32) that extends inward along a first side surface 820 and extends between a first passage 850 and a second passage 860, opening to them. The body 810 may also include a second open groove 890 (Figure 33) that extends inward along a second side surface 840 and extends between a second passage 860 and a third passage 870, leading to them. The first open groove 880 and the second open groove 890 may be curved open grooves. The depth of the open grooves may be less than half, about half, less than half, equal to half, or more than half the thickness of the body of the suture button 800.

[0064] The first side surface 820 and the second side surface 840 of the main body 810 are generally flat, and the peripheral side surface 830 can have an irregular shape. The edge between the first side surface and the peripheral side surface may be rounded, and the edge between the second side surface and the peripheral side surface may also be rounded.

[0065] For example, according to embodiments of the present disclosure, as similarly shown in Figures 30 and 31, the suture material can be woven through the passage, pass beneath the suture material, and pass over the open groove. The relief groove 895 extends along the second side surface 840, from a first portion of the peripheral side surface 830 across the passage 850 to a second portion of the peripheral side surface 830. The relief groove 895 allows the suture to settle within the implant, helps reduce rotation, and allows the implant to be stably positioned on the bone surface. In some embodiments, the suture button 800 has one or more recesses arranged along the peripheral side of the suture button, which function to allow the surgeon to grasp and hold the suture button. For example, the suture button 800 may have multiple recesses, e.g., a pair of recesses 835 and 837, arranged along the peripheral side 830. It will be understood that the suture buttons described herein may incorporate the relief grooves and / or recesses described above in relation to the suture button 800.

[0066] Figures 39 and 40 show a sutured button 800 and suture materials 898 and 899 according to embodiments of the present disclosure. For example, suture materials may be woven through a passage, woven under suture materials, and woven over an open groove. In other embodiments, the suture may employ a single suture material or multiple suture materials. For example, up to about eight suture materials may be used. In some embodiments, the number of suture materials extending from both sides of the raised portion of the sutured button 800 may differ. For example, two suture materials may extend in one direction and six suture materials may extend in the opposite direction.

[0067] Figure 41 shows a suturing method 900 using a suturing button (e.g., a suturing button as described herein) according to an embodiment of the present disclosure. In this illustrated embodiment, the method 900 includes providing a suturing button in 910 having a plurality of passages penetrating from a first side to a second side, and having an open groove connecting the plurality of passages on the first side of the body. In 920, providing suturing material, and in 930, weaving the suturing material through the plurality of passages, passing through the first passage, across the open groove, and through the second passage. In 940, weaving the suturing material under the suturing material and over the open groove, for example, between the suturing material and the open groove.

[0068] In other embodiments, the suture button may be formed from a non-metallic, nylon, or other suitable plastic material. The suture button has an axial opening through which a suture thread passes, and this axial passage or opening intersects with radial openings that penetrate diametrically to receive a locking pin that engages with the suture thread to firmly hold the suture thread within the suture button in a wedge-like manner.

[0069] The suture button may include a pad made of a soft, spongy material such as sponge rubber. This pad is covered with a cloth or woven fabric cover to prevent irritation and maceration in contact with the skin and is fixed to one side of the disc.

[0070] In various embodiments, disc-shaped or irregularly shaped suture buttons may generally have a diameter of about 5 mm to about 15 mm, about 5 mm to about 10 mm, about 5 mm, about 7.5 mm, about 10 mm, about 15 mm, or other suitable diameters. Disc-shaped or irregularly shaped suture buttons may have a thickness of about 1 mm to about 5 mm, about 2 mm to about 4 mm, about 1 mm, about 2 mm, about 3 mm, about 4 mm, about 5 mm, or other suitable thicknesses. Disc-shaped or irregularly shaped suture buttons may generally have passages having a diameter of about 1 mm to about 3 mm, about 1.5 mm to about 2.5 mm, about 1 mm, about 2 mm, about 2.5 mm, about 3 mm, or other suitable diameters. The spacing between passages may be between about 0.5 mm and 1.5 mm, between about 1 mm and 1.5 mm, about 0.5 mm, about 1 mm, about 1.5 mm, about 2 mm, or other suitable distances. Open grooves may have concave surfaces with radii ranging from approximately 0.5 mm to approximately 1.5 mm, approximately 1 mm, or other suitable radii. Disc-shaped or irregularly shaped suture buttons may have peripheral sides with concave surfaces with radii ranging from approximately 0.5 mm to approximately 1.5 mm, approximately 1 mm, or other suitable radii. Notches may have concave surfaces with radii ranging from approximately 0.5 mm to approximately 1.5 mm, approximately 1 mm, or other suitable radii. Projections and recesses may be appropriately dimensioned and configured in relation to other features of the suture button.

[0071] In various embodiments, the longitudinal suture button may have a width between approximately 5 mm and approximately 15 mm, between approximately 5 mm and approximately 10 mm, approximately 5 mm, approximately 7.5 mm, approximately 10 mm, approximately 15 mm, or other suitable widths. The longitudinal suture button may have a length between approximately 5 mm and approximately 25 mm, between approximately 5 mm and approximately 20 mm, between approximately 10 mm and approximately 20 mm, approximately 5 mm, approximately 7.5 mm, approximately 10 mm, approximately 15 mm, approximately 20 mm, approximately 25 mm, or other suitable lengths. The longitudinal suture button may have a thickness of approximately 1 mm to approximately 5 mm, approximately 2 mm to approximately 4 mm, approximately 1 mm, approximately 2 mm, approximately 3 mm, approximately 4 mm, approximately 5 mm, or other suitable thicknesses. The longitudinal suture button may have a passage having a diameter between approximately 1 mm and approximately 3 mm, between approximately 1.5 mm and approximately 2.5 mm, approximately 1 mm, approximately 2 mm, approximately 2.5 mm, approximately 3 mm, or other suitable diameters. The spacing between rows of aisles can be approximately 0.5 mm to 2 mm, approximately 1 mm to 1.5 mm, approximately 0.5 mm, approximately 1 mm, approximately 1.5 mm, approximately 2 mm, or other appropriate distances. Multiple aisles within a row can be spaced between approximately 0.5 mm to 2 mm, between approximately 1 mm to 1.5 mm, approximately 0.5 mm, approximately 1 mm, approximately 1.5 mm, approximately 2 mm, or other appropriate spacings. The open grooves have a V-shape, and the angle of the inclined side is set to approximately 30 to 60 degrees, approximately 30 to 45 degrees, approximately 45 to 60 degrees, approximately 30 degrees, approximately 45 degrees, approximately 60 degrees, or other appropriate angles.

[0072] The embodiments described above may include passages having circular, elliptical, other cross-sectional shapes, and / or combinations thereof.

[0073] Suture buttons can be made of metal, plastic, or other materials. They may have a soft pad or covering to prevent skin irritation. Suture buttons can be used to fix bone, ligaments, or other tissues in various surgical procedures. The suture material may be ultra-high molecular weight polyethylene (UHMWPE) suture thread.

[0074] As those skilled in the art will recognize based on the disclosure herein, numerous changes and modifications can be made to the above and other embodiments without departing from the scope of the invention. Suture buttons or implants, sutures, and other components and devices and / or configurations of devices may be replaced by alternative components or features, such as those disclosed in other embodiments, including the accompanying abstract and drawings. These will serve the same, equivalent, or similar purposes, and such alternative components or features will achieve the same, equivalent, or similar results and provide similar functionality for the intended purpose. Furthermore, devices, instruments, and systems may have more or fewer components or features than those described and illustrated herein. Therefore, this detailed description of currently preferred embodiments should be understood as illustrative and not limiting to the invention.

[0075] The terms used herein are for the purpose of describing specific embodiments and are not intended to limit the invention. In this specification, the singular forms "a," "an," and "the" are to be interpreted as including the plural unless the context clearly indicates otherwise. Furthermore, the terms "comprise" (and all forms of "comprise," such as "comprises" and "comprising"), "have" (and all forms of "have," such as "has" and "having"), "include" (and all forms of "include," such as "includes" and "including"), and "contain" (and all forms of "contains," such as "contains" and "containing") will be understood to be open linking verbs. Therefore, a method or apparatus that identifies one or more steps or elements using expressions such as “includes,” “has,” “incorporates,” or “contains” will have, but will not be limited to having only, those steps or elements. Similarly, components of a step or apparatus of a method that “includes,” “has,” “incorporates,” or “contains” one or more features will have, but will not be limited to having only, those features. Furthermore, an apparatus or structure configured in a particular way will be configured in at least that way, but may also be configured in ways not described.

[0076] The present invention has been described with reference to preferred embodiments. It will be understood that the configurations and operational embodiments described herein are examples of multiple possible configurations to provide the same general features, characteristics, and general device operation. Others will also make changes and modifications by reading and understanding the preceding detailed descriptions. The present invention is intended to be construed as including all such changes and modifications.

Claims

1. It is a sewn-on button, The main body of the sewn-on button is: First aspect and; The first side and the second side opposite it; A peripheral side positioned between the first side and the second side; A first passage extends through the main body from the first side to the second side; A second passage extending through the main body from a first side to a second side, the second passage being spaced apart from the first passage; and It includes a first open groove that extends into the main body along the first side surface and extends between the first passage and the second passage, Sewn-on buttons.

2. The aforementioned main body further, It comprises a second open groove that extends into the main body along the second side surface and extends between the first passage and the second passage, The suture button according to claim 1.

3. The aforementioned main body further, It comprises a first notch arranged along the first side surface and the peripheral edge side portion, The suture button according to claim 1.

4. The aforementioned main body further, It comprises a second notch arranged along the second side surface and the peripheral edge side portion, The suture button according to claim 3.

5. The aforementioned main body further, The first side surface and the first notch positioned along the peripheral edge; It comprises the second side surface and a second notch arranged along the peripheral edge side, These notch depths are at least half the thickness of the body of the sewn button. The suture button according to claim 1.

6. The first open groove and / or the second open groove are composed of curved open grooves. The suture button according to claim 2.

7. The first open groove and / or the second open groove are composed of V-shaped open grooves. The suture button according to claim 2.

8. The peripheral surface has a concave surface extending between the first surface and the second surface. The suture button according to claim 1.

9. The aforementioned main body is It has a disc-shaped body, The first and second passages are circular passages. The suture button according to claim 1.

10. The aforementioned main body is It is provided with a third passage that is spaced apart from the first and second passages and extends through the main body from the first side to the second side, The suture button according to claim 1.

11. The aforementioned main body is It has a third open groove that extends inward along the second side and between the second and third passages, The suture button according to claim 10.

12. The aforementioned main body is It has a first notch arranged along the first side and the peripheral side, The suture button according to claim 10.

13. The first notch is positioned between the first passage and the second passage. The sutured button according to claim 12.

14. The aforementioned main body is The second notch is provided along the second side surface and the peripheral edge side portion, The sutured button according to claim 12.

15. The second notch is positioned between the second passage and the third passage. The suture button according to claim 14.

16. The first open groove and / or third open groove are composed of curved open grooves. The sutured button according to claim 11.

17. The first open groove and / or the third open groove are composed of V-shaped open grooves. The sutured button according to claim 11.

18. The peripheral surface has a concave surface extending between the first surface and the second surface. The suture button according to claim 10.

19. The aforementioned main body is It has a disc-shaped body, The first, second, and third passages are passages having a circular cross-section. The suture button according to claim 10.

20. In the aforementioned main body, The second side has an irregular shape. The suture button according to claim 10.

21. In the aforementioned main body, The first, second, and third passages have an elliptical cross-section. The suture button according to claim 10.

22. The aforementioned main body is It has a relief groove that extends from a first portion of the peripheral side across the first passage and along the second side to a second portion of the peripheral side, The suture button according to claim 10.

23. The aforementioned main body is It comprises a first recess and a second recess arranged along the circumferential surface, The suture button according to claim 10.

24. The aforementioned main body is The second side has an irregular shape, A first passage, a second passage, and a third passage having an elliptical cross-section, A relief groove extends from the first part of the peripheral side across the first passage and along the second side to the second part of the peripheral side, It comprises a first recess and a second recess arranged along the circumferential surface. The suture button according to claim 10.

25. It is a sewn-on button, The long side of the sewn button is: First aspect and; The first side and the second side opposite it; A peripheral side positioned between the first side and the second side; The first row of multiple passages extends through the main body from the first side to the second side; A second row of multiple passages extending through the main body from a first side to a second side, comprising a second row of multiple passages arranged at intervals from the aforementioned second row of multiple passages; and It is provided with a plurality of open grooves that extend inward along the first side surface and between the first row of the plurality of passages and the second row of the plurality of passages, Sewn-on buttons.

26. The aforementioned main body is The device includes passages that are offset from the first row of the plurality of passages and the second row of the plurality of passages, and that extend through the main body from the first side to the second side. The suture button according to claim 25.

27. The aforementioned plurality of open grooves are composed of curved open grooves. The suture button according to claim 25.

28. The aforementioned multiple open grooves are composed of V-shaped open grooves. The suture button according to claim 25.

29. The aforementioned main body is It has a long, plate-shaped body, The multiple passages in the first and second rows are formed by circular passages. The suture button according to claim 25.

30. The aforementioned body is made of medically implantable grade plastic, metal, or ceramic material. The suture button according to claim 1.

31. Surgical restorative instruments: The suture button described in claim 1; Suture material and, Surgical repair instruments.

32. The suture penetrates the soft tissue. The surgical restorative instrument according to claim 31.

33. The surface of the main body having the open groove is positioned adjacent to the soft tissue. The surgical restorative instrument according to claim 32.

34. The aforementioned suture button is positioned adjacent to the bone. The surgical restorative instrument according to claim 32.

35. The surface of the main body having the open groove is positioned adjacent to the bone. The surgical restorative instrument according to claim 34.

36. Method: The steps of providing a suture button as described in claim 1; Steps include providing suture material; The first part of the suture material is positioned on the first opening groove and the second part of the suture material is positioned below it, and the suture material is knitted through the first and second passages; A method that includes this.

37. Method: The steps of providing a suture button as described in claim 10; Steps include providing suture material; The steps include passing the suture material through the first, second, and third passages; A method that includes this.

38. Method: The steps of providing a suture button as described in claim 20; Steps include providing suture material; The steps include passing the suture material through the first, second, and third passages; A method that includes this.

39. Method: The steps of providing a suture button as described in claim 24; Steps include providing suture material; The steps include passing the suture material through the first, second, and third passages; A method that includes this.

40. Method: Steps include providing a suture button; Here, the main body of the sewn button is: The first passage extends through the main body; A second passage extending through the main body, the second passage being spaced apart from the first passage; It comprises a first open groove that extends into the main body along the first side surface and extends between the first passage and the second passage, Steps include providing suture material; Includes, Here, the sewing material is knitted through the first and second passages such that the friction between the sewing material and the button is higher when one end of the sewing material is pulled than when the other end of the sewing material is pulled. method.

41. Furthermore, Steps include repairing soft tissue with suture material; The method according to claim 40, including the method described in claim 40.

42. Furthermore, The steps include: bringing the surface of the main body having an open groove adjacent to soft tissue; The method according to claim 41, including the method described in claim 41.

43. Furthermore, Steps include: positioning the suture button adjacent to the bone; The method according to claim 40, including the method described in claim 40.

44. Furthermore, The steps include: positioning the surface of the main body having an open groove adjacent to the bone; The method according to claim 43, including the method described in claim 43.

45. Method: The step of providing a suture button having a body through which first passages, second passages, and third passages extend from a first side to a second side, a first open groove connecting the first passage and the second passage on the first side of the body, and a second open groove connecting the second passage and the third passage on the second side of the body; Steps include providing suture material; The steps include: knitting the suture material through the first, second, and third passages, such that the suture material passes through the first passage across the open groove, through the second passage, through the second open groove, through the third passage, and extends beneath the suture material positioned on the first open groove; A method that includes this.

46. The aforementioned main body is: It has an irregular, disc-shaped body; The first passage, the second passage, and the third passage have an elliptical cross-section; It comprises a relief groove that extends from a first portion of the peripheral side across the first passage and along the second side to a second portion of the peripheral side; It comprises a first recess and a second recess arranged along the circumferential surface; The method according to claim 45.

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