US-20260123923-A1 - Reinforced Anchors and Methods of Tissue Repair

Abstract

Reinforced surgical constructs and methods of reinforced anchor fixation in bone, as well as associated surgical repairs are disclosed. A reinforcement (anchoring device) is loaded onto a fixation device. The fixation device can be a knotless fixation device such as a hard-body anchor, or a knotless soft anchor such as an all-suture knotless anchor. The reinforcement can consist of an anchoring device that integrates with the fixation device, to improve and aid the fixation of the device into an existing tissue hole.

Inventors

• Shaun G. LEBLANC
• Jason A. Valentin
• Thomas Dooney, JR.
• Matthew Herrington
• Kyle Anderson

Assignees

• ARTHREX, INC.

Dates

Publication Date

20260507

Application Date

20260102

Claims (20)

1. 1 . A reinforced surgical construct, comprising: a deployed anchor that has previously failed fixation in tissue; and a reinforcement attached to the deployed anchor.
2. 2 . The reinforced surgical construct of claim 1 , wherein the deployed anchor is a hard-body anchor or a soft-body anchor.
3. 3 . The reinforced surgical construct of claim 1 , wherein the deployed anchor is a soft-body anchor formed essentially of suture.
4. 4 . The reinforced surgical construct of claim 3 , wherein the reinforcement is a sheath, a sleeve, a flexible coupler, or a hard-body coupler.
5. 5 . The reinforced surgical construct of claim 4 , wherein the hard-body coupler is an anchor.
6. 6 . The reinforced surgical construct of claim 4 , wherein the flexible coupler is provided with at least one hole or perforation.
7. 7 . The reinforced surgical construct of claim 1 , wherein the deployed anchor is a hard-body anchor.
8. 8 . The reinforced surgical construct of claim 7 , wherein the hard-body anchor is a threaded anchor or a barbed anchor.
9. 9 . The reinforced surgical construct of claim 7 , wherein the reinforcement is a sheath, a sleeve, a flexible coupler, or a basket.
10. 10 . The reinforced surgical construct of claim 9 , wherein the flexible coupler is provided with at least one hole or perforation.
11. 11 . The reinforced surgical construct of claim 1 , wherein the deployed anchor comprises at least one flexible limb.
12. 12 . The reinforced surgical construct of claim 11 , wherein the at least one flexible limb is attached to the reinforcement.
13. 13 . The reinforced surgical construct of claim 12 , further comprising an inserter attached to the at least one flexible limb and to the reinforcement.
14. 14 . The reinforced surgical construct of claim 1 , wherein the tissue is cortical bone.
15. 15 . The reinforced surgical construct of claim 1 , wherein the deployed anchor is a knotless anchor.
16. 16 . The reinforced surgical construct of claim 1 configured to be reinserted and secured into the tissue at a same location where the deployed anchor has previously failed fixation.
17. 17 . A tissue repair system, comprising: a knotless fixation device that has failed to achieve fixation within soft tissue or bone; and an anchoring device attached to the knotless fixation device.
18. 18 . The tissue repair system of claim 17 , wherein the anchoring device is an attachable sleeve, a ribbed sleeve, a sheath, a flexible coupler, or a cap.
19. 19 . The tissue repair system of claim 18 , wherein the flexible coupler is a suture or suture tape.
20. 20 . The tissue repair system of claim 17 , wherein the knotless fixation device is a soft-body anchor or a hard-body anchor.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS This application is a continuation of U.S. patent application Ser. No. 18/329,077 filed Jun. 5, 2023, the disclosure of which is hereby incorporated by reference in its entirety herein. BACKGROUND The disclosure relates to the field of surgery and, more specifically, to knotless anchor constructs and associated methods of tissue repairs and anchor fixation. SUMMARY Reconstruction systems, assemblies, constructs, and methods for anchor fixation and soft tissue repairs are disclosed. A reinforced surgical construct can create a reinforced, knotless, tensionable repair. A reinforced surgical construct includes a reinforcement (anchoring device) loaded onto a fixation device. The fixation device can be a knotless fixation device such as a hard-body anchor, or a knotless soft anchor such as an all-suture knotless anchor. The reinforcement can consist of an anchoring device that integrates with the fixation device, to improve and aid the fixation of the device into an existing tissue hole. The reinforced surgical construct can be employed to securely fixate an anchor into tissue. The reinforced surgical construct can be employed in knotless fixation of first tissue to second tissue, for example, fixation of tendon to bone. Methods of anchor fixation and tissue repair are also disclosed. In an embodiment, a knotless surgical construct provides reinforced soft tissue to bone fixation without any knot formation and with overall increased fixation of the anchoring device in bone. BRIEF DESCRIPTION OF THE DRAWINGS FIGS. 1-4 illustrate schematic steps of a tissue repair with an exemplary surgical construct. FIGS. 5-7 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 8-11 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 12-16 illustrate schematic steps of tissue repairs with other exemplary surgical constructs. FIGS. 17-20 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 21-25 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 26-29 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 30-32 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 33-35 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 36-40 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIGS. 41-44 illustrate schematic views of surgical constructs according to exemplary embodiments. FIGS. 45-58 illustrate additional views of the surgical constructs of FIGS. 1-40. FIGS. 59-67 illustrate tissue repairs with the surgical constructs of FIGS. 1-40. FIGS. 68-70 illustrate schematic steps of a tissue repair with another exemplary surgical construct. FIG. 71 illustrates an exemplary surgical construct. FIG. 72 illustrates another exemplary surgical construct. DETAILED DESCRIPTION Reinforced surgical constructs can create reinforced repairs. The constructs provide surgeons with means to improve bone fixation with an anchor after one or more attempts to achieve fixation of the anchor within soft tissue or bone have failed. An anchoring device (reinforcement) can integrate with an anchor after a failed attempt at fixation. The anchoring device can be used to improve the fixation of the original anchor in bone and/or tissue. The present disclosure provides various embodiments of an anchoring device integrating with a fixation device (a soft anchor or hard anchor). An anchoring device can be in the form of an attachable sleeve, ribbed sleeve, sheath, flexible coupler in the form of suture, tape or suture tape with or without perforations, cap or similar structures that can be attached to a soft anchor for bad bone or when the soft anchor pulls out. The disclosure has particular application for the use of anchors into humeral bone. The disclosure has particular application for the use of anchors into cortical bone or low-density bones. A surgical tissue repair system includes a reinforced surgical construct with a fixation device loaded with a reinforcement (anchoring device). The fixation device can be a knotless fixation device. The fixation device can be a hard-body anchor. The fixation device can be a soft anchor such as an all-suture knotless anchor. The reinforcement (anchoring device) can include one or more sheaths or sleeves, sutures or suture tapes with or without perforations (such as a button-hole suture or an enlarged suture tape), a hard body interference device (such as an interference cap, a threaded cap or anchor body), or combinations thereof. The surgical construct can be employed in knotless fixation of first tissue to second tissue, for example, fixation of soft tissue to bone. The surgical construct can be tensionable, knotless, self-locking. The reinforcement (anc