Two-Bodied Suture Anchor With Expansion Wings

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Solution Overview

Problem

Smaller suture anchors used in surgical repairs have reduced fixation strength due to lower surface area for frictional engagement with bone, leading to potentially unstable tissue repairs.

Innovation Solution

A suture securing assembly with a two-bodied anchor system, where a proximal body is fixed to an inserter and a distal body with expansion wings is moved to enhance suture lock within the bone hole, using a combination of threaded and barbed features for mechanical engagement, allowing for improved fixation and stability.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If smaller suture anchors are used to reduce invasiveness and accelerate patient healing, then ease of operation and patient recovery are improved, but fixation strength is reduced due to lower surface area for frictional engagement with bone

Engineering Contradiction:
Improveease of operationVSAvoidfixation strength
Core Design Contradiction:
Ease of operationVSStrength

Solution Approach 1:

The anchor is divided into two separate bodies: a proximal body that provides frictional engagement with the bone hole wall and a distal body that provides suture retention. This segmentation allows each body to be optimized for its specific function, enabling the anchor to maintain fixation strength despite reduced overall size.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The invention transitions from relying solely on frictional engagement (surface area dependent) to incorporating mechanical interlocking through the two-bodied structure with expansion wings and suture retention features. This adds a dimensional aspect of mechanical engagement that compensates for reduced surface area in smaller anchors.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Duration of action of stationary object

If smaller suture anchors are used to reduce invasiveness and accelerate patient healing, then patient recovery is improved, but stability of tissue repair is worsened due to reduced fixation strength

Engineering Contradiction:
Improvepatient recoveryVSAvoidstability of tissue repair
Core Design Contradiction:
Duration of action of stationary objectVSStability of the object's composition

Solution Approach 1:

By segmenting the anchor into proximal and distal bodies with distinct functions, the design maintains stable tissue repair through reliable suture retention in the distal body while allowing the proximal body to provide consistent frictional engagement, ensuring long-term stability despite smaller anchor size.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The two-bodied structure acts as an intermediary mechanism between the suture and the bone hole, providing multiple engagement points (frictional engagement at proximal body, mechanical interlocking at distal body) that ensure stable tissue repair even when the overall anchor size is reduced for faster patient recovery.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Strength

If a two-bodied anchor system with expansion wings is used to enhance suture lock and fixation strength, then fixation strength and suture lock are improved, but device complexity increases

Engineering Contradiction:
Improvefixation strengthVSAvoiddevice complexity
Core Design Contradiction:
StrengthVSDevice complexity

Solution Approach 1:

The anchor is segmented into two functional bodies that work together to provide enhanced fixation strength and suture lock. The proximal body handles frictional engagement while the distal body handles suture retention, with the segmentation enabling improved performance despite the increased structural complexity.

Inventive Principle:
Principle #1Segmentation

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The two-bodied anchor system increases the fixation strength of micro anchors in bone holes and improves suture lock, providing enhanced stability and security for tissue repairs, even with smaller anchors.

Implementation Method 1

The inner shaft defines a second locking feature for mechanical engagement with the first locking feature. In examples, the first locking feature is a first plurality of threads formed on an inner surface of the cavity, and the second locking feature is a second plurality of threads formed on an outer surface of the inner shaft

Methodology Applied
Scientific EffectThreaded engagement: Screw

Implementation Method 2

In other examples, the first locking feature is a hole formed in the cavity and the second locking feature is a plurality of barbs on an outer surface of the inner shaft, the hole being configured to press over the barbs

Methodology Applied
Scientific EffectBarbed mechanical engagement: Mechanical Fastener

Implementation Method 3

A problem arises with the user of smaller anchors, though, in that less surface area is available for frictional engagement with the surrounding bone. Thus, lower fixation strength is often observed in smaller anchors

Methodology Applied
Scientific EffectFrictional engagement: Friction

Data Source

PatentEP3490467B1Suture securing assemblies
Publication Date: 2022.07.13 SMITH & NEPHEW INC
  • EP3490467B1 patent drawingFigure 1~2
  • EP3490467B1 patent drawingFigure 3
  • EP3490467B1 patent drawingFigure 4

AI summary

A suture securing assembly comprises a two-bodied anchor and an associated delivery system which enhances fixation of a micro anchor in a bone hole or tunnel, as well as improving suture lock within bone. Initially, the two bodies are separated by a length of an inner shaft of the delivery system. The proximal body is fixed on the inner shaft of the delivery system and cannot move relative to the handle until after insertion into the bone, when the delivery system is disengaged from the anchor. The distal body further includes expansion wings and/or other features for increasing suture lock within the bone hole.