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Suture retaining means (e.g., buttons)

Subclass of:

606 - Surgery

606001000 - INSTRUMENTS

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DocumentTitleDate
20080262543Systems and methods for approximating surfaces - Tissue is approximated by adhering anchors to opposing sides of a wound and coupling the anchors together.10-23-2008
20130030463SYSTEM AND METHOD FOR ALL-INSIDE SUTURE FIXATION FOR IMPLANT ATTACHMENT AND SOFT TISSUE REPAIR - A system for repairing a meniscus includes a suture that includes a first anchor, a second anchor, and a flexible portion connecting the first anchor and the second anchor. The flexible portion includes a self-locking slide knot between the first anchor and the second anchor. The system also includes a needle having a longitudinal extending bore and an open end. The bore is configured to receive the first anchor and the second anchor. The system further includes a body portion operatively connected to the needle at a distal end of the body portion. The body portion has a lumen. The system also includes a pusher configured to rotate and slide within the lumen of the body portion and the longitudinal extending bore of the needle. The pusher has first and second stop surfaces, each of which is constructed and arranged to engage a proximal end of the body portion.01-31-2013
20080208252BUNION REPAIR USING SUTURE-BUTTON CONSTRUCT - A method for bunion repair using a suture-button construct. The suture-button construct includes a first button, a second button, a first suture strand, a pull-through suture strand and a needle. The first and second buttons have apertures to facilitate the suture strands to pass through the buttons. The first suture strand is double looped through the first and second buttons and the pull-through suture strand is looped through one of the apertures of the first button. The pull-through suture strand also loops through an eyelet of the needle and thus, is operatively associated with the needle. A suture anchor-button construct can also be used for bunion repair.08-28-2008
20130085527ATTACHMENT DEVICE TO ATTACH TISSUE GRAFT - A tissue graft attachment device includes a platform member including a leading edge and a trailing edge connected to the leading edge by a pair of sides. The platform member defines a pair of slots extending along a longitudinal axis passing between the leading edge and the trailing edge, and an opening between the pair of slots and the leading edge. The device includes a first suture passing through the opening, a second suture passing through one of the slots, and an attachment member passing through the pair of slots to form a loop. A method for attaching a tissue graft includes providing the tissue graft attachment device, forming a bone tunnel, pulling on the first suture to pull the platform member through the bone tunnel, and pulling on the second suture to position the platform member on the bone tunnel.04-04-2013
20130085526ATTACHMENT DEVICE TO ATTACH TISSUE GRAFT - A tissue graft attachment device includes a platform member including a first edge and a second edge connected to the first edge by a top side and a substantially curved bottom side. The platform member defines a slot extending between the first edge and the second edge, a first opening between the slot and the first edge, and a second opening between the slot and the second edge. The tissue graft attachment device includes a first filament passing through the first opening, a second filament passing through the second opening, and a graft connecting element passing through the slot to form a loop.04-04-2013
20100152773Composite Anchor - The present disclosure relates to a composite anchor. The anchor includes a cannulated proximal portion having a threaded outer surface and a distal portion coupled to the proximal portion, the distal portion including a top portion, a bottom portion, and a through hole, wherein the top portion is configured to be disposed within the cannulation of the proximal portion.06-17-2010
20090125059COMPRESSION MEMBER SUTURE SLEEVE - An implantable medical system includes a medical lead including an insulating sheath and a conductor and an anchoring device. The anchoring device defines an inner lumen adapted to coaxially receive the medical lead, where the inner lumen has an effective diameter. The anchoring device includes a sleeve including a substantially elongate body defining an outer surface and an inner bore. The anchoring device also has a compression member including a first end, a second end, and an intermediate portion between the first and second ends. The compression member is at least partially embedded in the sleeve such that compression of the first and second ends of the compression member toward one another causes the effective diameter of at least a portion of the inner lumen of the anchoring device to reversibly increase.05-14-2009
20100100128METHODS AND APPARATUS FOR PREVENTING MIGRATION OF SUTURES THROUGH TRANSOSSEOUS TUNNELS - An improved method for attaching soft tissue to bone by passing a suture through an opening in the bone, e.g., a transosseous tunnel, and affixing the soft tissue with the suture. The improvement, for preventing the suture from migrating through the bone at the end of the opening, includes placing a eyelet into an end of the bone opening and passing the suture through the eyelet, as well as through the opening in the bone, in order to affix the soft tissue to the bone with the suture.04-22-2010
20100076487Kit Containing Combination Absorbable Staple and Non-absorbable Suture, And Method Of Using Same - A soft tissue attachment kit, for attaching a patient's soft tissue to a patient's bone at a soft tissue attachment site that is underneath muscle and fat, includes: 03-25-2010
20100076489WOUND CLOSURE MATERIAL - Articles are provided having no orientation or a multi-directional orientation. Such articles may be in the form of films, ribbons, sheets, and/or tapes and may be utilized as buttresses with a surgical stapling apparatus or as reinforcing means for suture lines. The articles may be produced with a polymeric material having an agent, such as a chemotherapeutic agent or a radiotherapeutic agent, incorporated therein or applied as a coating thereon.03-25-2010
20100076488METHODS AND DEVICES FOR DELIVERING AND APPLYING MULTIPLE SUTURE ANCHORS - Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.03-25-2010
20120245634SURGICAL INSTRUMENTS - A surgical instrument having an anchor and a plug is capable of anchoring a suture. The suture anchor has an anchor body having a top surface, a bottom surface distal to the top surface, a transverse bore and a well, the well having an outer surface, an inner surface, and an inner bottom surface. The plug has a post, a head, and a bottom face. The anchor body and the anchor plus form a suture anchor. The suture anchor may be used during surgical procedures and can be used in the re-tensioning of a suture.09-27-2012
20120245633SYSTEMS AND METHODS FOR BONE ANCHOR INSERTER DEPTH INDICATION - A bone anchor inserter according to embodiments of the present invention includes a shaft configured to interface with a bone anchor, a proper depth indicator on the shaft, an upper visual indicator on the shaft, the upper visual indicator located adjacent to the proper depth indicator on a first side of the proper depth indicator furthest from the bone anchor, and a lower visual indicator on the shaft, the lower visual indicator located adjacent to the proper depth indicator on a second side of the proper depth indicator opposite from the first side, the lower visual indicator being visually distinct from the upper visual indicator.09-27-2012
20120245632BONE ANCHOR - A bone anchor comprises a screw body and a flange, which are joined together in a way to keep their rotation independent from each other. In implanting the screw body into a bone, the flange does not rotate to prevent twisting and/or snarling of the suture in wounded bone from occurring.09-27-2012
20120245631FLAT SUTURE ANCHOR - A suture anchor for anchoring a suture to a bone, including a distal end having a bifurcated tip, in which the bifurcated tip defines a suture-engaging slot, a proximal end, a longitudinal axis between the distal end and the proximal end, and two substantially flat surfaces extending between the distal end and the proximal end, in which the two substantially flat surfaces are substantially parallel, in which the two substantially flat surfaces are separated by a thickness of no more than about 0.1 inches, and in which the two substantially flat surfaces extend along an axis perpendicular to the longitudinal axis by a width of no more than about 0.4 inches.09-27-2012
20130085529KNOTLESS SUTURE ANCHOR - Methods and apparatus described herein provide for a knotless suture anchor that captures and secures a suture by pinching on an inserted suture with a flexible element disposed within the knotless suture anchors body. The knotless suture anchor has an integrated flexible element that is formed as a plastic part within the knotless suture anchor's body. The free end of the flexible element terminates near a suture eyelet and can be compressed by a driver rod that is inserted into the knotless suture anchor to allow for insertion of a suture. With the flexible element compressed by the driver rod, the suture can be passed through the eyelet(s). When the driver rod is withdrawn, the flexible element expands thereby pinching the suture against the eyelet(s). If the driver rod is reinserted, the flexible element is recompressed and the suture can thereby be released or adjusted.04-04-2013
20130085528KNOTLESS SUTURE ANCHOR - A suture anchor comprises a distal anchor body which can be placed into bone and has a suture leading therefrom to adjacent soft tissue and a proximal anchor body. After placement of the distal anchor body the suture is tensioned and the proximal anchor body is then driven into the bone behind the distal anchor body to lock the suture in a knotless technique.04-04-2013
20130079819SUTURE ANCHOR - A suture anchor comprising a one piece blank folded to form a body. The body has a floor, a first sidewall extending from one end of the floor and a second sidewall extending from an opposite end of the floor. A recess is defined by the floor, first sidewall and second sidewall. A crossbar extends inwardly from the second sidewall across the recess such that a free end of the crossbar is normally disposed distally of a transverse edge of the body. The crossbar is flexible such that when a distally directed force is applied, the free end of the crossbar is positionable in the recess. The free end of the crossbar is engageable with the transverse edge to limit the proximal motion of the crossbar from a proximally directed force.03-28-2013
20130079821Device For Stretching Skin - A device for stretching skin, has a plate-shaped main body, comprising a tensioning element thereon. The tensioning element is rotatable about an axis of rotation, as a result of which a pulling thread affixed to the tensioning element can be wound up. A latching lock serves for fixing the rotatable tensioning element and comprises a securing for securing the latching lock against inadvertent release. The tensioning element can be moved in a direction of said axis of rotation against a force of a spring. The latching lock can be removed from a latching position, and return to the latching position as a result of a force from the spring, The securing can be actioned by a securing lever arranged on the rotatable tensioning element, A movement of the securing lever can action the tensioning element at the same time.03-28-2013
20130079820SUTURE CLAMP - Among other things, there is disclosed embodiments of devices to hold sutures extending from the skin, such as suture portions of a suture anchor. Methods of using such devices are also disclosed.03-28-2013
20130079817COMPLIANT INSERTER FOR IMPLANTS - An improved implant inserter, and method of using same, with an elongated, substantially rigid shaft having a proximal surface which is capable of receiving a driving force, and a substantially rigid tip portion having a distal end and a proximal end. At least the distal end of the tip portion is capable of being placed within an implant such as a suture anchor. The inserter further includes a compliant region disposed between the tip portion and the shaft which requires less lateral force to bend than the tip portion, at least when the tip portion has been placed within the implant.03-28-2013
20130079818KNOTLESS SUTURE ANCHOR - A suture anchor comprises a shell and an anchor member. The shell comprises a body having a distal end, a proximal end and sidewalls therebetween defining an axial cannulation therethrough. The anchor member comprises a body having a distal end and a proximal end which is sized to fit within the cannulation. The sidewalls define a lateral cut-out such that with the anchor member received within the cannulation a first lateral portion of the anchor member is exposed laterally and a second, laterally opposite, lateral portion of the anchor member is enclosed by the sidewalls. A friction enhancement on the first lateral portion frictionally engages a bone surface when the suture anchor is disposed within a bone tunnel defined by the bone surface. Suture is trapped between the shell and the anchor and also between the anchor and the bone surface.03-28-2013
20130035720SUSPENSION DEVICE TO ANCHOR TISSUE GRAFT - A tissue graft suspension device includes a platform member defining an opening, a suture having a first portion and a second portion, and a fixation member mating with the opening in the platform member. The first portion and the second portion pass through the opening such that a third portion of the suture forms a loop for attachment to a tissue graft. The fixation member includes a retaining mechanism configured to allow the first portion or the second portion to pass through the opening in a manner that decreases a size of the loop and to prevent the first portion or the second portion of the suture from passing through the opening in a manner that increases a size of the loop.02-07-2013
20130035721SURGICAL ANCHOR - Surgical anchors can be utilized to approximate and hold soft tissue in, at, or near a boney insertion site. In some examples, the surgical anchors include a receiving body and a fixation member such as, for example, a fixation screw. The receiving body may include an elongated connecting member and an aperture defined at a distal end of the elongated connecting member. The aperture may be configured to receive a surgical attachment element. Depending on the configuration, the receiving body may be connected to the fixation member via the elongated connecting member such that the fixation member can move relative to the receiving body. Movement of the fixation member relative to the receiving body may allow a user to control and adjust the amount of tension placed on the surgical attachment element, which may enhance the mechanics of a repair operation.02-07-2013
20130035722METHOD AND APPARATUS FOR SECURING AN OBJECT TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL SUTURE ASSEMBLY FOR SECURING AN OBJECT TO BONE - Apparatus for attaching an object to bone, the apparatus comprising: 02-07-2013
20090149883Suture anchor - An anchor device and system for coupling soft tissue to osseous tissue includes a stopper member that supports a loop of suture material. A fixing member includes features that allow it to be rigidly coupled to surrounding bone and thus hold the stopper member in a cavity within the bone. The loop of suture material, in turn, supports a second suture device, which is coupled to, and thus retains, the soft tissue. In certain embodiments, the stopper member includes a mechanical linkage for coupling it to the fixing member, and surface features that resist withdrawal of the fixing member from the bone.06-11-2009
20100030263SLOTTED ANCHOR DEVICE - A slotted anchor that secures to a connector as part of an anchor assembly is disclosed. The slotted anchor includes a pair of spaced apart prongs which join together at a slot inception. The prongs are shaped and sized of a configuration and of a rigidity to substantially prevent deflection of the prongs. The prongs include inwardly facing protrusions that are configured to capture and deform the connector between the protrusions and prevent the connector from disengaging from the slotted anchor once engaged.02-04-2010
20120184992BIOABSORBABLE SUTURE ANCHOR SYSTEM FOR USE IN SMALL JOINTS - A bioabsorbable suture anchor for anchoring soft tissue to a bone is provided. The suture anchor is configured to toggle and anchor itself inside a bone cavity of a small joint. The anchor comprises an elongate body defined by a longitudinal axis, a first, leading end and a second, trailing end. The elongate body also has two opposed surfaces between the first and second ends, and a plurality of sidewalls extending between the two opposed surfaces. Extending from one of the sidewalls is a flared portion that is formed on the second end of the elongate body. A suture channel extends between the two opposed surfaces. The suture channel is formed in the elongate body for passage of a suture strand therethrough, such that pulling on an attached suture strand effects toggling of the anchor inside a bone cavity.07-19-2012
20120184991SUTURE LOCKING DEVICE AND METHODS - Devices and methods for securing a pair of suture lengths together or for using a single strand of suture to secure tissue(s) together at an operative site in a patient without necessarily tying a knot. The suture lock device includes a suturing securing device having an outer body member having a lumen extending therethrough. The lumen defines a suture path through the outer body. An inner wedge member is axially insertable into the outer body member to secure a portion of a suture between the wedge and the interior surface of the lock member. An outer tube has a proximal end and a distal end. The outer tube carries the outer body member at the distal end of the outer tube. The outer tube carries the wedge proximal to the outer body member.07-19-2012
20090125058LEAD STABILIZER WITH RETENTION FEATURES - An anchoring device for anchoring a medical lead implanted in a patient includes a substantially elongate, hollow, tubular, and elastically compressible body. The body has a longitudinal axis, a groove formed circumferentially about the body for receiving a suture and an inner bore forming a recessed portion. The anchoring device also has a surrounding portion adjacent the recessed portion, where the recessed portion has increased retention characteristics on a medical lead relative to the surrounding portion of the inner bore.05-14-2009
20120165869SURGICAL INSTRUMENTS - A surgical instrument having an anchor and a plug is capable of anchoring a suture. The suture anchor has an anchor body having a top surface, a bottom surface distal to the top surface, a transverse bore and a well, the well having an outer surface, an inner surface, and an inner bottom surface. The plug has a post, a head, and a bottom face. The anchor body and the anchor plus form a suture anchor. The suture anchor may be used during surgical procedures and can be used in the re-tensioning of a suture.06-28-2012
20100063542KNOTLESS SUTURE ANCHOR FOR SOFT TISSUE REPAIR AND METHOD OF USE - A knotless suture anchor provides a method for securing soft tissue to a rigid structure such as bone. The anchor has an inner member that receives suture thread and rotates within an outer tubular member. As the inner member rotates, the suture thread is wrapped onto the inner member thereby increasing contact with the outer tubular member which applies pressure to the wrapped suture thread to retain it in position on the inner member while simultaneously and adjustably tensioning the suture thread. A ratchet prevents undesirable counter-rotation, although the ratchet can be released to permit loosening of the suture thread. Also described is a suture bridge and suture platform for providing further stabilization of a tendon. A method for repairing rotator cuff tears is also described.03-11-2010
20130046341Soft Tissue Repair Device And Associated Methods - A device for repairing tissue includes a first tubular anchor having a first central longitudinal axis and a first bore along the first central longitudinal axis, the first bore having a first curved surface and a first flat surface, and a first transverse bore perpendicular to the first central longitudinal axis and parallel to the first flat surface. The device includes a second tubular anchor having a second central longitudinal axis and a second longitudinal bore along the second central longitudinal axis, the second bore having a second curved surface and a second flat surface, and a second transverse bore perpendicular to the second central longitudinal axis and parallel to the second flat surface. A flexible strand couples the first and second tubular anchors and passes through the first and second transverse bores.02-21-2013
20130046340MEDICAL DEVICE AND PROCEDURE FOR ATTACHING TISSUE TO BONE - A bone anchor device comprising a main anchor body defining a longitudinal axis and having an external formation for engaging the main anchor body to a bone and a receiving formation, and an eyelet pin defining a longitudinal axis and having a passage substantially transverse to the longitudinal axis through which a length of suture can be threaded, wherein the eyelet pin is longitudinally insertable in the receiving formation from an open position, in which a suture passing through the eyelet would not be fixed in the passage and may translate within the passage, into a closed position, in which a suture passing through the passage in the eyelet pin would be fixed in the passage.02-21-2013
20090043337Suture-Retaining Device And Anchor - A device for repairing a rotator cuff tendon injury provides a robust means for reattaching the rotator cuff tendon to the underlying humeral head. The device includes a suture-retaining device and an anchor that is mechanically coupled to a cortex of the humerus and the suture-retaining device. The anchor is attached to the cortex of the humerus to provide a robust means of holding the rotator cuff tendon in the desired position against the humeral head. The suture-retaining device, which is positioned in the intramedullary cavity of the humerus, allows a plurality of sutures that are sewn into the rotator cuff tendon to be tied thereto, and allows any suture knots to be located inside the intramedullary cavity.02-12-2009
20090306711Method for Tissue Fixation - A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes a channel on an exterior surface and an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member.12-10-2009
20130072976KNOTLESS SUTURE ANCHOR FOR SOFT TISSUE REPAIR AND METHOD OF USE - In one embodiment, the present invention includes a knotless suture anchor for implanting in bone including an outer tubular member having a distal end, a proximal end, an outer wall, and an at least one aperture through the outer wall; an inner member being rotatably disposed within the outer tubular member, the inner member having an at least one aperture for receiving at least one suture thread; a pointed tip configured to facilitate impaction of the anchor into the bone; and at least one suture thread guide positioned on the outer tubular member, wherein the at least one suture thread is positioned through the at least one suture thread guide, the at least one aperture of the outer tubular member, and the at least one aperture of the inner member.03-21-2013
20130072975KNOTLESS SUTURE ANCHOR FOR SOFT TISSUE REPAIR AND METHOD OF USE - In one embodiment, the present invention includes a method for holding soft tissue in apposition with a bone using a suture, the method including engaging the soft tissue with an engaging portion of a suture thread; engaging an end of the suture thread with a rotatable shaft of an anchor; implanting the rotatable shaft in the bone; and rotating the shaft in a first direction to wrap the engaged suture thread onto the shaft thereby increasing tension on the suture and on the soft tissue.03-21-2013
20110015675SUTURE ANCHOR IMPLANTATION INSTRUMENTATION SYSTEM - A system for implanting an anchor into bone, the system comprising a curved cannulated guide for percautaneous insertion, having a proximal end and a distal end; a flexible drill insertable through the curved guide from the proximal end to the distal end, the flexible drill having a shaft having a flexible portion; and a flexible inserter for inserting a suture anchor into a bore at the anatomical site formed by the flexible drill, the flexible inserter having a shaft having a flexible portion, wherein the flexible portions of both the flexible drill and flexible inserter include a series of discrete, interlocking segments.01-20-2011
20110015674Suture anchor implantation instrumentation system - An apparatus for inserting a suture anchor into an internal anatomical site through a cannula, or percutaneously, has a curved hollow guide for insertion into the cannula and/or tissue. The guide has a proximal end and a distal end. The distal end has a “parabolic ” shape for engaging the intended anatomical site such as a glenoid. A flexible obturator is insertable through the curved guide from the proximal end to the distal end to facilitate insertion of the guide through the cannula. A flexible drill is insertable through the curved guide from the proximal to the distal end once the guide is in place. A flexible inserter is provided for inserting a suture anchor into a bore at the anatomical site formed by the flexible drill.01-20-2011
20130060280BONE ANCHOR HAVING AN INTEGRATED STRESS ISOLATOR - The present disclosure includes a knotless suture anchoring system for anchoring a suture with respect to a body cavity, including a bone anchor body with at least one rigid anchoring structure to secure the anchor body within the body cavity. The anchor body has a longitudinal bore and cross-pin extending across the bore. A retention member is coupled to the anchor body with a break notch therebetween, which may selectively fracture to separate the body from the retention member. Additionally there is a suture cutout on the retention member and a relief feature positioned along the break notch and approximately diametrically opposed from the suture cutout, the relief feature acting to alter the force dissipation along the break notch during the separation of the retention member from the anchor body.03-07-2013
20090076547TISSUE ANCHOR AND ANCHORING SYSTEM - A tissue anchor includes an anchor member formed from a generally flexible material. An activation member, which may be a tensioning member, causes proximal and distal end portions of the anchor member to move toward each other into a shortened configuration suitable for anchoring against the tissue. The tissue anchor can optionally be deployed and activated using a catheter device.03-19-2009
20130066371BONE GRAFT PLACEMENT DEVICE - A surgical assembly includes a first guidewire and a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop. The locking component has a hole formed therethrough, in which the hole of the locking component is configured to receive the suture, and may be tethered to a suture by knots engaging a counterbore at opposed ends of a bore defined by the hole.03-14-2013
20110022087SUTURE FIXATION DEVICE AND METHOD FOR SURGICAL REPAIR - An apparatus and method for suture fixation. A suture fixation device includes a body having an inner end and an outer end and a pathway. A restriction may be provided in the pathway that relatively freely permits movement of a suture through the pathway in a first direction and inhibits movement of the suture through the pathway in a second direction. A suture provided in a passageway formed in bone may be secured at an opening into the passageway using a suture fixation device that has a portion positioned outside of and adjacent the opening in contact with portions of cortical bone. The suture fixation device may include a flange portion adapted to be positioned outside to of and adjacent a suitably sized hole formed in tissue, such as bone. An inner end of the suture fixation device may extend from the flange portion and be positioned in the hole adjacent cancellous bone.01-27-2011
20120116452Method and Apparatus for Soft Tissue Fixation - A positioning member may be released to move an anchor member to a holding position. The positioning member being operable to be held in a selected orientation until the anchor member is in a selected position.05-10-2012
20120116451SUTURE ATTACHMENT METHOD AND APPARATUS - A bone anchor has a central bore allowing for uniquely attaching a suture thereto. The bore is shaped so that it is wider at the bottom of the anchor than at the top of the anchor. A peg fits within the bore. The suture is looped around the peg and the peg is inserted into the bore. Friction between the bore, peg and suture holds the suture in place. A suture for use with the bone anchor may be formed by fusing together the ends of a plurality of fibers to form a loop.05-10-2012
20120116450METHOD AND APPARATUS FOR SECURING AN OBJECT TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL SUTURE ASSEMBLY FOR SECURING SUTURE TO BONE - A suture assembly comprising: 05-10-2012
20090234386Suture Cleat for Soft Tissue Injury Repair - Various suture cleats are disclosed for repairing soft tissue injuries. The cleats have a body and one or more spikes extending from one side and embedding into the soft tissue. A suture has a distal end attached to one of the suture cleats and passes through passages in one or more other suture cleats in repairing the soft tissue injury. The spikes are designed to embed only partially into the soft tissue. For example, two cleats can position on the top and bottom sides of the soft tissue on one side of the injury with a portion of suture interconnecting the two cleats though the tissue. In another example, one of the cleats can include a post that is positioned through the soft tissue and to which the suture connects. The distal end of the suture can fix to another suture cleat, a suture anchor, a bone tunnel, or a screw.09-17-2009
20130165973COMPACT LINE LOCKS AND METHODS - A line lock includes a body at least partially bounding two passageways that cooperate to receive a locking portion of a line such as a suture in such a manner that the locking portion can only be drawn through the passageways along one direction. A second suture locking portion may also be received by the passageways, or by one of the two passageways in combination with a third passageway. The body may have an elongated, compact shape that is easily implantable in the body.06-27-2013
20130165972TENSIONABLE KNOTLESS ANCHOR SYSTEMS AND METHODS OF TISSUE REPAIR - Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices and loops that are pre-loaded onto modified knotless anchors (for example, swivel and/or screw-in suture anchors and/or push-in suture anchors with a distal eyelet) to position the self-locking, adjustable construct at the repair site. The systems allow for knotless tensioning of the tissue after the knotless anchors have been implanted.06-27-2013
20100087857Soft Tissue Repair Device and Method - A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.04-08-2010
20120101526Surgical Suture System - A surgical suture system, suture, and tissue engaging member for tissue repair and reattachment of torn tissue to a tissue substrate, medical prosthesis or medical implant. The system includes the elongated flexible suture member having a plurality of longitudinally spaced protuberances along a length thereof and one or a plurality of the tissue engaging members each of which include two closely spaced apart locking apertures sized and configured to receive one of the suture members passed therethrough or a unique single locking aperture to allow longitudinal tensioning and/or restraining movement of the suture member in only one direction through the locking apertures for suture member tightening.04-26-2012
20130018416SOFT SUTURE ANCHOR MADE OF BRAIDED OR MONOFILAMENT SUTURE - A soft suture anchor is described that includes a first section of suture bent to define a first vertex separating a first standing end and a second standing end. The first standing end and the second standing end being legs of an acute angle. A second section of suture circumscribes the first standing end and the second standing end with at least one wrap. A first end of said second section is wrapped a plurality of times about the first standing end, and a second end of the second section is wrapped a plurality of times about the second standing end.01-17-2013
20100211098Compound Barb Medical Device and Method - A compound barb medical device includes a body portion and at least one barb extending therefrom. The at least one barb defines an inner surface. The inner surface includes a first portion disposed at a first orientation relative to a longitudinal axis of the body portion and a second portion disposed at a second orientation relative to the longitudinal axis. The at least one barb is made from a shape memory material which can be deformed into a temporary shape from a permanent shape. The barb projects from the body portion in a first position relative to the body portion when in the permanent shape and in a second position when in the temporary shape.08-19-2010
20090292313Knotless suture anchor and receptacle combination - A threaded receptacle for receiving a commercially available knotless suture anchor is designed to secure sutures for tying soft tissue in patience that have bone characteristics where the typical anchor is avulsed because of the weakness of the bone structure, a cavity exists in the bone where an anchor has been rev. The threaded receptacle includes a helical thread that is maximized to provide sustaining surface and includes a central bore and an internal flange that is dimensioned to provide a central opening to allow the knotless suture anchor to pass into a cavity and prevent the knotless suture anchor from being expulsed when deployed. The internal dimension of the cavity is designed to cause the tips of the wings of the anchor to fold to assure sufficient holding structure. In a second embodiment the reduced diameter portion is at the end of the receptacle so that the anchor passes through the end of the receptacle and the locking portion remains within the receptacle having both the receptacle and anchor serving as a means for securing the mechanism to the bone.11-26-2009
20090069847SUTURE LOCK - A suture lock, as well as related methods, are provided for fixing strands of one or more sutures relative to tissue. The suture lock and method are simple and reliable in use, facilitate complete perforation closure and adjustment of the suture strands, and are adaptable to a variety of suture fixation and perforation closure situations. The suture lock includes a locking cylinder and a retaining sleeve. The locking cylinder has a tubular body defining an interior surface and an exterior surface. The interior surface defines a first interior passageway. The tubular body defines a first aperture and a second aperture that are spaced apart and in communication with the first interior passageway. The retaining sleeve defines a second interior passageway sized to receive the tubular body of the locking cylinder. The suture strands are compressed between the tubular body and the retaining sleeve.03-12-2009
20080208253SELF-PUNCHING SWIVEL ANCHOR AND METHOD FOR KNOTLESS FIXATION OF TISSUE - A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, over the body of the implant.08-28-2008
20100268273ADJUSTABLE SUTURE BUTTON CONSTRUCT AND METHODS OF TISSUE RECONSTRUCTION - An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.10-21-2010
20110288584TISSUE REPAIR DEVICE - A tissue repair device includes a closed knotless loop of multifilament flexible material, and a fixation member having a structure that defines a cavity that receives at least a part of the closed loop. The tissue repair device may include a flexible member traversing the loop. The loop may include a portion in which ends of the multifilament flexible material are thermally fused together. The multifilament flexible material may be braided or twisted.11-24-2011
20130190817COMPRESSION SCREW SYSTEM - A compression screw comprising a threaded shaft and a head associated with the proximal end of the shaft. The head has a plurality of outwardly extending projections spaced from one another so as to define a plurality of recesses there between for receiving a screw drive in such a way that rotational force may be transferred from the screw drive to the screw. The projections of the head may be provided with suture fixation holes or a suture coupling may be positioned over the shaft so as to extend between the projections of the head.07-25-2013
20120089182SUTURE LOCK FASTENING DEVICE - A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.04-12-2012
20100036416Suture-Retaining Device and Anchor - A rotator cuff tendon injury is repaired using a flexible fastener and an anchor. The flexible fastener is attached to the rotator cuff tendon and also secured to the anchor. The anchor is attached to or supported by various locations on the humerus other than the humeral head, to provide a robust means for holding the rotator cuff tendon in the desired position against the humeral head.02-11-2010
20090099598SELF-LOCKING SUTURE ANCHOR - A tissue anchor having a length of filament held so that an applied force greater than a threshold force will cause the filament to move longitudinally, while an applied force less than the threshold force will not move the filament, and methods of attaching soft tissue to bone using such an anchor.04-16-2009
20090125061PRE-SELECTED COMPRESSION LEAD ANCHORING DEVICE - An implantable medical system for anchoring a medical lead implanted in a patient includes a medical lead, an anchoring device received coaxially over the medical lead, and at least one fastener secured circumferentially about the anchoring device to cause compression of the anchoring device on the medical lead. The anchoring device includes an elastomeric sleeve having a substantially elongate, hollow, and tubular body and a compression governor coaxially secured about the elastomeric sleeve. The compression governor is adapted to limit compressive forces exerted on the lead by the anchoring device at a predetermined limit and provides a visual indicator that the predetermined limit has been reached.05-14-2009
20090125060COMPRESSION CONTROL LEAD ANCHORING DEVICE - An implanted medical system includes a medical lead, an anchoring device and at least one suture secured circumferentially about the anchoring device to cause compression of the anchoring device on the medical lead. In particular, the anchoring device is received coaxially over the medical lead and includes an elastomeric sleeve and a compression governor. The elastomeric sleeve has a substantially elongate, hollow, and tubular body. The compression governor is substantially more rigid than the elastomeric sleeve and is coaxially secured to the elastomeric sleeve. The compression governor defines an inner bore having an effective diameter and is adapted to limit compression at a pre-selected minimum effective diameter to limit compressive forces exerted on the lead by the anchoring device.05-14-2009
20090287246KNOTLESS INTERFACE FOR THREADED ANCHOR - Devices and methods for anchoring tissue to bone are provided. In one embodiment, a suture anchor is provided that includes a bone screw and a collar that can be configured to rotate independent of the bone screw. In one aspect, the collar can be rotatably disposed on a cylindrical seating portion of the bone screw. The collar can include an eyelet and a hook that is angularly offset from the eyelet. In use, a suture loop can be fixedly attached to the collar through the eyelet.11-19-2009
20100114163T-TYPE SUTURE ANCHOR - A suture anchor of a T-type is inserted into and through a small-diameter hole formed in a bone and, when deployed, is oriented substantially transversely with respect to the small-diameter hole. Prior to deployment, the suture anchor is coupled to an insertion shaft through a deformable portion and is aligned with the shaft axis so that the insertion shaft and the suture anchor can be inserted into the small-diameter hole.05-06-2010
20100094341NEEDLE-ELECTRODE AND TISSUE ANCHOR SYSTEM - The disclosure provides a needle-electrode anchor system having a needle and an optional electrode with one or more anchors. The system can provide an electrical cutting current to the needle-electrode to create an opening in a tissue portion. An anchor coupled to the needle-electrode can be pushed through the opening with a pusher and pulled into position to set the anchor on a distal surface of the opening. If the tissue portion is to be approximated to another tissue portion, the system can be relocated to another tissue portion and another opening created with the cutting current with another anchor pushed through the opening and secured on a distal surface. Lines coupled to the anchors can be pulled together, approximating the tissue portions. If the tissue portion is to be retracted, an anchor line can be grasped to retract the tissue portion from an adjacent tissue portion.04-15-2010
20100121375SUTURE ANCHORING SYSTEM AND METHOD - A suture anchoring system having an anchor structure through which at least one suture can extend, the anchor being compressible or deformable to anchor the suture, and a method for using the suture anchoring system by attaching one end of a suture to a muscle, ligament or bone; threading the suture through an osteal tunnel; providing a surgical anchor comprising a cuff of deformable material suitably shaped to receive a suture, wherein said cuff, when compressed, tightly grips a suture and forms a point of support, whereby said deformed anchor prevents a suture from being pulled through a drilled osteal tunnel; threading the other end of the suture through the anchor; and deforming said anchor tightly about the suture to form a point of support.05-13-2010
20120035654METHODS AND SYSTEMS FOR ADVANCING AND ANCHORING SUTURE IN TISSUE - Suture constructs have a distal suture anchor and optionally a proximal suture anchor for mobilizing the sutures within tissue. The suture may be implanted using conventional straight, curved, or helical needles. Coupling elements may be provided in the suture constructs in order to indicate the amount of pulling force being applied to the suture when it is being manually manipulated.02-09-2012
20100121376Suture Anchoring System and Method - A suture anchoring system and method includes a plurality of anchor members interconnected to form an anchor assembly with a suture extending therefrom. The anchor assembly has an insertion configuration wherein the anchor members are aligned in a substantially linear arrangement for delivery through an aperture in bodily tissue and an expanded configuration wherein the anchor members are transitioned to a non-linear arrangement to prevent passage of the anchor assembly back through the aperture.05-13-2010
20100100127VARIABLE TENSION POST FIXATION - A variable tension post fixation device includes an outer body including a shaft, a tip, and a central core, and an inner body including a suture hole and configured to be advanceable within the central core, wherein the outer body is configured for allowing insertion of the outer body into a pilot hole in a bone, and wherein the outer body and inner body cooperate to secure sutures in the bone.04-22-2010
20120109196SUTURE LOCKS AND SUTURE LOCK SYSTEMS - A suture lock including a first bore, a first restriction member extending into the first bore for restricting the movement of a suture element within the first bore, an optional second bore, and a second restriction member extending into the second bore for restricting the movement of a suture element. The suture lock may be provided in a system including a suture element. Methods of using the suture locks are also described.05-03-2012
20120109195ELASTOMERIC THREAD HAVING ANCHORING STRUCTURES FOR ANCHORING IN BIOLOGICAL TISSUES - An elastomeric thread for use as a knotless or self-fixating wound closure system includes on its surface anchoring structures for anchoring in biological, more particularly human and/or animal, tissues.05-03-2012
20100100129KNOTLESS SUTURE ANCHOR AND METHOD FOR KNOTLESSLY SECURING TISSUES - A method for securing first and second tissues with a suture anchor comprising the steps of forming a borehole in the first tissue; threading a suture through the second tissue forming a loop in the suture with the tissue thereby secured in the loop, the loop defining two suture portions; attaching the two suture portions to the anchor whereby the two suture portions are threaded through the anchor and initially movable with respect to the anchor; and providing a force to a shaft of the anchor, the force causing clamping of the two suture portions in the anchor and deformation of a deformable portion of the anchor to cause the deformable portion to engage a wall of the borehole thereby to secure the suture anchor in the first tissue and the loop holding the second tissue to the suture anchor.04-22-2010
20120109194Suspensory graft fixation with adjustable loop length - A suspensory graft ligament fixation device is shown to be particularly suitable for maximizing the contact between a soft tissue graft and the bone tunnel prepared to receive the graft. The suspensory fixation device has an elongated anchor member adapted to be transversely situated at the exit of the bone tunnel. A loop member is suspended transversely from the anchor member and has a loop length which is adjustable. When a graft ligament is attached to the saddle end of the loop, the length of the loop member may be shortened to pull the graft member into the bone tunnel until it bottoms out at the floor of the bone tunnel.05-03-2012
20120239087REMOVABLE LOCALIZING WIRE - A localizing wire includes an anchor portion that can change shape from a collapsed shape to an expanded shape and thereby anchor within a tissue mass. The localizing wire has an exterior portion that can lie flat against the tissue mass. The localizing wire can be repositioned or withdrawn without the need for the reinsertion of an introducer.09-20-2012
20120239086NONLINEAR SELF SEATING SUTURE ANCHOR FOR CONFINED SPACES - A self-seating, non-linear suture anchor system and method of insertion is disclosed where the anchor is made up of a non-linear or curved anchor. The anchor has at least one hole for one or more sutures such that the anchor can be introduce through a small opening, incision, channel or cannula in a confined space and inserted at an angle different than, or divergent from, the angle determined by the cannula, opening or the confines of the space.09-20-2012
20130079822Knotted Suture End Effector - A suture including a knotted end effector is provided. The suture includes a body portion defining a longitudinal axis and an end effector formed from the body portion. The end effector includes first and second extensions which extend outwardly from the longitudinal axis in opposite directions when the end effector is in a permanent configuration. The extensions of the end effector extend substantially along the longitudinal axis when the end effector is in a temporary position. In embodiments, at least a portion of the end effector includes a shape memory material.03-28-2013
20090248072SURGICAL THREADING DEVICE - A threading device that includes an elongated tube having first and second opposite ends and a fiberoptic core. The elongated tube includes an interior and a suture securing location defined therein. At least one of the ends of the elongated tube includes a blunt tip that is translucent. The fiberoptic core includes at least one fiberoptic strand extending through the interior of the elongated tube that illuminates the translucent tip when the at least one fiberoptic strand is energized.10-01-2009
20120143251SYSTEM AND METHOD FOR ATTACHING SOFT TISSUE TO BONE - Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A bone anchor is described that comprises a base and a top such that suture material may be compressed between surfaces on the base and top to secure the suture to the anchor. Also described is an inserter that can be used to insert the bone anchor into bone and move the anchor top relative to the anchor base to clamp suture material there between. Also described is a soft-tissue and bone piercing anchor and associated inserter. Methods are described that allow use of the bone anchors to provide multiple lengths of suture material to compress a large area of soft tissue against bone.06-07-2012
20090088798METHOD AND APPARATUS FOR ATTACHING SOFT TISSUE TO BONE - A soft tissue repair system comprising: 04-02-2009
20090088797SURGICAL ANCHOR DEVICE - A tissue anchor comprising a body having a longitudinal axis, a proximal end with one set of dimensions and a projected surface area, a distal end with a second set of dimensions and a projected surface area where the respective dimensions of the first and second ends are not identical and the projected areas are substantially the same. The tissue anchor may further have a fixing member to attach the anchor and one or more tissues together or to attach the other structures to tissue.04-02-2009
20090299409ENDOSCOPIC SUTURING TENSION CONTROLLING AND INDICATION DEVICES - Various exemplary methods and devices are provided for tensioning sutures. The methods and devices are particularly useful in surgical suturing applications in which it is desirable to maintain tension on a suture being delivered. In various embodiments, the device is incorporated into the handle of a suture device configured to deliver a suture to a surgical site. Other embodiments comprise a device that is separate from, but may be used in connection with, a suture device configured to deliver a suture to a surgical site. A suture locking device is also provided which enables the surgeon to ascertain when a desired amount of tension has been applied to a suture prior to affixing knotting tying elements thereto.12-03-2009
20120296376DIGITAL SUTURE FIXATION SYSTEM - A digital suture fixation system includes an anchor, an introducer that is attachable to a finger of a person such that at least a distal tip of the finger is available to palpate tissue and identify a landmark within a patient, and a delivery device attached to the introducer. The anchor is removably attached to the delivery device. The anchor is exposed on an exterior of the delivery device and the delivery device is positioned to allow the finger to push the anchor into the landmark.11-22-2012
20110270308PARTIAL THICKNESS ROTATOR CUFF REPAIR SYSTEM AND METHOD - A method and system is provided for of attaching a rotator cuff tendon to its associated humeral head. The method includes the steps of passing a positional guide through the tendon toward the humeral head at a target site and positioning a suture anchor between the humeral head and the tendon at the target site by passing the suture anchor under the tendon. The suture anchor is driven into the humeral head and suture is passed from the suture anchor and through the tendon to attach the tendon to the humeral head at the target site.11-03-2011
20120296375MULTI-LOOP ADJUSTABLE KNOTLESS ANCHOR ASSEMBLY, ADJUSTABLE CAPTURE MECHANISM, AND METHOD FOR REPAIR - A suture anchoring system includes a mounting sleeve having an open distal end and an open proximal end defining a passageway therethrough. The system also includes a first elongated member with an anchor suture secured thereto and a tissue suture loop. A method for securing tissue includes passing a tissue suture loop through the tissue such that opposed first and second loop sections are formed, passing an anchor suture through first and second openings respectively defined by the opposed first and second loop sections, capturing the anchor suture after passing through the first and second openings with a first elongated member attached to the anchor suture, and securing the first elongated member attached to the anchor suture to a desired anchor hole in an anatomical site.11-22-2012
20130218205EXTERNAL SUTURE SECUREMENT DEVICES AND METHODS - Described are devices, methods and systems for securing sutures external to the body. In certain aspects, a suture securement device includes a base paddle defining a slot and a suture aperture in communication with the slot, and a rotating paddle having an extension arm with a suture aperture. In such embodiments, the extension arm can rotate within the slot to frictionally crimp a suture, such that the suture is substantially prevented from moving with the apertures.08-22-2013
20080312689METHOD AND APPARATUS FOR COUPLING SOF TISSUE TO A BONE - A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops, A collapsible tube is positioned about the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel and the collapse of the tube to form an anchor.12-18-2008
20080306511Suture Anchor - A suture anchor assembly with an anchor and a driver locatable in an axial longitudinal opening in the anchor, the driver having a through hole at its distal end. A suture is provided extending through the opening and outside of the anchor at its distal end, and passing proximally along longitudinal grooves on the outside of the anchor. Once the anchor has been inserted into a body, the driver can be withdrawn providing a loop of suture extending from the opening, plus the suture ends extending from the grooves.12-11-2008
20080281357Looped tissue-grasping device - A looped tissue-grasping device includes a looped suture having two ends swaged to a needle and a plurality of tissue-grasping elements provided on the looped suture. The device is used for joining bodily tissue in surgical applications and wound repair. The configuration of the tissue-grasping elements permit movement of the suture through the tissue in the direction the needle is pulled and, prevent slippage or movement of the suture in a direction opposite to the direction of movement of the needle.11-13-2008
20080281356SUTURE-FASTENING CLIP - A clip for securing suture to tissue includes a generally tubular body, with at least one bend area along the length of the generally tubular body and one or more tabs cut from the wall of the generally tubular body. The clip in the open configuration is generally straight along the length of the generally tubular body, and the tabs are in general alignment with the tab out wall. The tab in a closed configuration assumes a shape having at least one bend along its length, and the tabs are bent or otherwise positioned to extend into and at least partially obstruct the inner lumen. The clip can be formed from memory material such as nitinol, and the clip may be biased toward its closed configuration.11-13-2008
20090306710DEVICES FOR TENSIONING BARBED SUTURES AND METHODS THEREFOR - A device for tensioning barbed sutures used for securing tissue or prosthetic devices includes a handle, and a shaft having a proximal end connected with the handle and a distal end remote therefrom. The distal end of the shaft includes a pressure applying surface for pressing against the tissue and the prosthetic devices. The tensioning device includes a pair of grooves extending through the shaft from the pressure applying surface at the distal end of the shaft toward the proximal end of the shaft. A barbed suture is tensioned by aligning a first section of the suture in the first groove and a second section of the suture in the second groove. After the first and second suture sections are aligned in the grooves, the proximal ends of the sections may be pulled for applying tension to the suture.12-10-2009
20100145385TISSUE ANCHORS FOR PURSE-STRING CLOSURE OF PERFORATIONS - Medical devices for attaching suture to tissue and that provides reliable and complete closure of perforations and increases the versatility of the device for various other procedures. Embodiments of the medicals devices include a tissue anchor having a crossbar with opposing ends and structure for slidably receiving a suture.06-10-2010
20090062853Suture Retention Hub - A suture retention hub is provided. It includes a base configured to moveably hold a handle within at least a portion of the base. The base has an aperture which extends through the base. The hub also includes a handle configured to moveably fit into the portion of the base. The handle has an aperture formed therethough as well. When a suture is positioned in the apertures and the base and handle are positioned such that the apertures are substantially in an axial alignment, the suture moves readily through the apertures in the hub. Then the base and handle are positioned such that the apertures are not in a substantial axial alignment, the suture is frictionally crimped and it is prevented from moving through the hub.03-05-2009
20110208240Method and Apparatus for Soft Tissue Fixation - A surgical method can include passing at least two adjustable loops of a flexible construct through at least the first tissue to extend from an outer surface of the first tissue opposite a tissue engaging surface facing the second tissue, and attaching the two adjustable loops to a first selected area of the second tissue. The method can further include positioning an elongated locking member within the two adjustable loops such that the locking member extends between the two adjustable loops adjacent the outer surface, engaging the locking member with the outer surface by drawing the two adjustable loops towards the outer surface, and compressing the first tissue between the locking member and the second tissue by tensioning the two adjustable loops. Related tissue fixation devices are also provided.08-25-2011
20100004683ANCHORS AND METHOD FOR SECURING SUTURE TO BONE - A method for securing suture to bone comprises drilling a hole in a desired portion of bone at a desired procedural site, passing a strand of suture through a portion of soft tissue to be approximated to the portion of bone, and extending the free suture ends proximally from the soft tissue. The suture is loaded into an anchor implant. Using an inserter, on a distal end of which is attached the anchor implant, the anchor implant is manipulated into the bone hole. The suture is then tensioned to a desired level by pulling on the free suture ends, after the anchor implant is positioned in the bone hole. The free suture ends are wrapped about a suture cleat on an inserter handle once the desired tension level is achieved. A proximal anchor component is moved distally to engage with a distal anchor component to lock the anchor in place within the bone hole, and to lock the suture in place within the anchor. Then, the inserter is removed from the procedural site.01-07-2010
20090138042Adjustable loop knotless anchor - An adjustable loop knotless anchor assembly having an adjustable loop suture element that utilizes an adjustable or sliding knot for length adjustment during a tissue repair. The slidable knot is located on a sleeve that is placed into a bone mass for capturing an anchor element. The anchor element captures the adjustable loop and then is inserted into the sleeve. The anchor element is adjusted for securing it in a locked position within the sleeve for secure attachment of the anchor element therein.05-28-2009
20110224729HALLUX VALGUS REPAIRS USING SUTURE-BUTTON CONSTRUCT - A technique and associated instrumentation for correcting large intermetatarsal angles that result from hallux valgus. The system includes a button and a suture loop attached to the button. A suture strand is threaded through holes in the button to attach the button to the suture. The suture ends are then brought together (by being swaged, spliced or cinched together, for example) to form the suture loop comprising a continuous, uninterrupted suture loop with a single strand of swaged-together ends. The swaged-together ends may be attached to a suture passing instrument such as a K-wire (Kirschner wire) that may be further used to drill a hole through the first and second metatarsals. The swaged-together ends of the suture are then passed through the drill holes in the first and second metatarsals; and the ends of the suture are pulled until the button abuts the second metatarsal. The swaged together portion of the suture loop is then cut, and the free suture ends are passed through holes in another (second) button. The suture ends are pulled to adjust the first metatarsal to a correct intermetatarsal angle, and the first metatarsal is secured in place by tying the ends of the suture together against the second button.09-15-2011
20090187216FENESTRATED SWIVEL ANCHOR FOR KNOTLESS FIXATION OF TISSUE - A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fenestrated fixation device, such as a cannulated interference screw, over the body of the implant.07-23-2009
20090143821Device for repositioning cartilage and method of use - A device comprising a plate with attached suture including a portal and possibly including a fastener for the suture which can be used to dynamically reposition nasal cartilage to repair upper lateral cartilage, to splint septal cartilage, or to aid in scar inhibition in wound closure.06-04-2009
20090012561Tissue Anchor - The invention provides a tissue anchor comprising a first portion and a second portion. At least one point is provided on the first portion and a resilient device is provided between the first and second portions. The one or more points on the first portion can be sharpened and capable of penetrating dense tissue. The resilient device biases the first and second portions apart from one another in order to urge them into a second open configuration. The first and second portions are movable to a closed delivery configuration. The first and second portions are urged towards one another against the bias of the resilient device in the closed delivery configuration.01-08-2009
20080319478KNOTLESS SUTURE ANCHOR HAVING DISCRETE POLYMER COMPONENTS AND RELATED METHODS - A knotless bone anchor and method for securing soft tissue, such as tendons, to bone, includes a plurality of discrete components. In one variation of the invention, the bone anchor includes a proximal toggle component, an intermediate plug component, and a distal sleeve component. Suture is looped around the plug component and once the anchor is actuated, the suture is compressed between the plug and the sleeve components. Advantageously, one or more of the components may be made of a biocompatible polymer. The polymeric components may be detachably joined to a drive shaft using a plurality of sacrificial fills. The sacrificial fills are broken or severed during deployment of the anchor. Related instruments and methods are also described.12-25-2008
20080319477Anchor extenders for minimally invasive surgical procedures - Systems for positioning a connecting element adjacent the spinal column in minimally invasive surgical procedures include one or more extenders removably engaged to one or more anchors engaged to a bony segment. The anchor extenders provide a reference to the respective anchor locations within the patient even when the anchor is obstructed by skin and/or tissue of the patient. An inserter can be movably mounted to the one or more anchor extenders, or an inserter can be employed without mounting to the one or more anchor extenders. In either form, the inserter is operable to position a stabilization element relative to the anchors for engagement to the anchors to stabilize the bony segment to which the anchors are engaged. At least one of the one or more anchor extenders includes a reduction assembly that is operable to move one or more portions of the bony segment while maintaining the minimally invasive character of the procedure.12-25-2008
20090326579SUTURE ANCHOR, GUIDE FOR LOCATING A HOLE IN A BONE, AND SUTURE ANCHOR DELIVERY TOOL - A suture anchor includes two clamping surfaces that secure one or more suture strands between them. Cooperating engaging structures, such as recesses and a projection enable the clamping surfaces to be incrementally moved closer together such that the force applied between the clamping surfaces is increased in predetermined increments to secure the suture strands. If the applied force is too high, the clamping surfaces can be released from a fixed position, and the force applied by the clamping surfaces can again be incrementally increased to the desired clamping force. A guide is provided to mark the location of the hole that has been drilled in the bone. A suture anchor delivery tool is provided to insert and secure the suture anchor in the hole in the bone. The suture anchor delivery tool enables the surgeon to move the clamping surfaces of the suture anchor towards each other.12-31-2009
20110224728CLOSURE SYSTEM AND USES THEREOF - The present invention relates generally to a closure system for use in surgical procedures.09-15-2011
20110224726SUTURE ANCHOR - There is described a suture anchor with anchor members moveable as between a suture-unlocked configuration and suture-locked configuration. In one embodiment, the anchor members include an outer anchor member with features, e.g., flexible barbs, configured to secure the suture anchor in the suture-locked configuration to material proximate a pre-formed hole in bone material. The outer anchor member is also configured with a bore to receive suture material, and which is sized and shaped to receive an inner anchor member therein. The inner anchor member includes securing features such as projections that compress the suture material against the surface of the bore when the suture anchor is actuated from the suture-unlocked configuration to the suture-locked configuration.09-15-2011
20100268275Soft Tissue Repair Assembly and Associated Method - A soft tissue repair assembly. The assembly includes a flexible member having first and second ends, and a strand passing through the flexible member. The strand has first and second strand ends extending through the flexible member, such that pulling at least one of the first and second strand ends changes the flexible member from a first shape suitable for insertion through soft tissue to a second shape suitable for securely lodging the soft tissue repair assembly relative to soft tissue.10-21-2010
20100268274SUTURE ANCHOR LOADING DEVICE - A suture anchor member manual loading device may include a body comprising first and second portions preventing operator contact with a tip of a needle. An anchor receiving portion shaped to receive and restrain a suture anchor member is disposed in the first portion of the body. A suture receiving portion has a first end connected to the anchor receiving portion and a second end disposed on an outer surface of the body such that the suture receiving portion extends away from the anchor receiving portion at a non-parallel angle. When the suture is tensioned the anchor member is translationally and rotationally restrained against the anchor receiving portion. A needle receiving portion disposed in the second portion of the body is shaped to receive the needle such that the suture anchor member is received into a lumen of the needle when the needle is advanced through the needle receiving portion.10-21-2010
20110224727Threaded Suture Anchor - The present disclosure relates to a suture anchor. The suture anchor includes a body having a proximal end and a distal end, the body including threads along at least a partial length of the body and at least one through hole, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape. Delivery devices and anchor dilators are also disclosed.09-15-2011
20090024163HYBRID ENDOSCOPIC/LAPAROSCOPIC METHOD FOR FORMING SEROSA TO SEROSA PLICATIONS IN A GASTRIC CAVITY - A method for treating obesity by reducing the volume and/or alter the functioning of the gastric cavity to limit food consumption and induce early satiety. The method includes accessing the cavity endoscopically to visualize the interior of the cavity. The peritoneal cavity is accessed through a small incision in the abdominal wall. Using endoscopic visualization, suture anchoring devices are introduced into the peritoneal cavity through the incision and deployed from the exterior surface through the gastric cavity wall. Suture from pairs of the anchoring devices is drawn through the gastric cavity wall and tightened outside of the cavity to form a serosa to serosa plication. Any number of plications may be formed in the cavity wall and the contacting tissue within a plication may be treated to promote healing and a more durable bond.01-22-2009
20090198274METHOD AND APPARATUS FOR RE-ATTACHING THE LABRUM OF A HIP JOINT - A system for securing soft tissue to bone, the system comprising: 08-06-2009
20090054928METHOD AND APPARATUS FOR COUPLING ANATOMICAL FEATURES - A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel.02-26-2009
20090192545Curved suture anchor guide and method of use - A rigid, curved and hollow guide that can be used to facilitate a variety of arthroscopic surgeries is provided as well as a method of using the guide. In one embodiment, the guide (07-30-2009
20090082806MENISCAL REPAIR SYSTEM - A meniscal repair system including a pair of elongate needles with a suture filament attached between respective proximal ends of the needles. Two implants are attached to the suture (e.g., molded thereon) between the needles so as to form a suture bridge between the implants. One implant may comprise a barbed shaft aligned with the suture, while the other may be in the form of a T-bar that can be deployed so as to be perpendicular to a portion of the suture filament. The system may further include one or more dilators (e.g., one or more suture knots or molded beads) disposed along the length of the suture filament to aid in passage of the implant after the associated needle.03-26-2009
20120078300SUTURE ANCHOR AND METHOD FOR FIXATING A SUTURE RELATIVE TO HARD TISSUE - A suture anchor includes a material having thermoplastic properties and is fixated in a hard tissue opening by liquefying at least part of this material and letting it penetrate into walls of the hard tissue opening. During the named fixation and preferably towards the end of it, the suture being held in a distal suture conduit is locked relative to the hard tissue by being clamped between the suture anchor and the wall of the hard tissue opening or by being clamped or braked through collapse of the suture conduit.03-29-2012
20120078299SURGICAL RETRACTING DEVICE AND METHOD FOR THE MANUFACTURE THEREOF - A surgical retracting device includes a linking element and support element, characterised in that the linking element is a thread (03-29-2012
20120078298KNOTLESS SUTURE ANCHOR FOR SECURING SOFT TISSUE TO BONE - A suture anchor comprising an elongated body having a distal end surface, a proximal end surface, an exterior sidewall extending between the distal end surface and the proximal end surface, and an interior passageway extending between the distal and proximal end surfaces; an actuator comprising a hook; the elongated body and the actuator being configured so that: (i) when the actuator is in a first, extended position relative to the elongated body, the hook may hook a length of suture; (ii) when the actuator is in a second, intermediate position, the suture is slidably captured between the hook and the elongated body; and (iii) when the actuator is in a third, retracted position relative to the elongated body, the suture is securely captured between the hook and the elongated body; and a control mechanism for selectively holding the actuator in one of its first, second and third positions.03-29-2012
20080262544SELF-REINFORCING TISSUE FIXATION - Self-reinforcing mechanical systems with application to biological fixation of a first tissue (for example, soft tissue) to a second tissue (for example, bone). As a repair construct is stressed, there is a feedback mechanism (self-reinforcing) against failure that is initially triggered by early failure. The construct “detects” its early/impending failure and utilizes the potentially destructive force to reinforce itself.10-23-2008
20090118762Disposable cartridge for use in a gastric volume reduction procedure - A cartridge containing a fastener, wherein the cartridge releasably connected to a fastener deploying device. The cartridge has a housing which houses at least one tissue penetrating member. The penetrating member at least partially houses a fastener. The fastener has at least two rigid anchors connected together by a flaccid member. The cartridge further includes a means for removably attaching the cartridge to a deployment device.05-07-2009
20090222040METHODS AND DEVICES FOR ATTACHING CONNECTIVE TISSUES TO BONE USING A KNOTLESS SUTURE ANCHORING DEVICE - A device for attaching connective tissue to bone has a longitudinal axis and comprises an annular toggle member and a body member disposed distally of the toggle member, such that there is an axial space between the toggle member and the body member. The toggle member is movable between an undeployed position wherein the toggle member has a smaller profile in a direction transverse to the axis and a deployed position wherein the toggle member has a larger profile in the direction transverse to the axis. When installed in a desired procedural site, in suitable bone, suturing material extends axially through a center aperture in the annular toggle member, without being secured to or contacting the toggle member. This approach permits a suture attachment which lies entirely beneath the cortical bone surface, and which further permit the attachment of suture to the bone anchor without the necessity for tying knots, which is particularly arduous and technically demanding in the case of arthroscopic procedures.09-03-2009
20120197296METHOD AND DEVICE FOR FIXATING A SUTURE ANCHOR WITH A SUTURE IN HARD TISSUE - A suture anchor retaining a suture is fixated in hard tissue, in particular in bone tissue, using any per se known method and is then secured using a securing element including a material having thermoplastic properties, which is liquefied in situ and made to penetrate the hard tissue in which the suture anchor is fixated. The securing element is e.g. a thermoplastic plug or thermoplastic sleeve which is anchored above the suture anchor in a mouth area of the same hard tissue opening. Alternatively the securing element is a thermoplastic pin which is introduced into an inner cavity of the suture anchor, wherein the material having thermoplastic properties is liquefied in this cavity and, in a liquid state is pressed through passages connecting the cavity with outer surfaces of the anchor.08-02-2012
20090248071MINIMALLY INVASIVE TISSUE SUPPORT - Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast is supported. In some embodiments, the methods provide ways of supporting and adjusting tissue, and the apparatus includes components and embodiments for supporting and adjusting the tissue. Some embodiments include a supporting device, having a first portion, a second portion, and a support member positioned between the first portion and second portion. Some embodiments include advancing the first portion of the supporting device into the body to a first location in the body; advancing the second portion of the supporting device into the body to a second location in the body; securing the first portion of the supporting device at the first location; and shifting soft tissue in the body with the support member.10-01-2009
20090248068Non-metallic knotless suture anchor - A polymeric suture anchor for deployment in a preformed bone hole to secure soft tissue to bone in a knotless manner. The suture anchor comprises a hollow outer member and a hollow inner member longitudinally movable within the outer member. Suture is directed along a tortuous path distally through the lumens of both the inner and outer members, transversely across an eyelet situated at the distal end of the inner member and proximally through the lumens of both the inner and outer members. A suture-locking mechanism is provided along the tortuous path to crimp the suture by placing the anchor in a suture locked configuration. This is accomplished by moving the inner member proximally relative to the outer member in order to engage the suture-locking mechanism. The anchor is maintained in this configuration by the engagement of interlocking surfaces on the inner and outer members. Simultaneously, the inner member is provided with radially outwardly extending prongs which pass through slots in the outer member in order to engage bone surrounding the bone hole.10-01-2009
20090275980METHOD AND APPARATUS FOR THE FORMATION OF TISSUE FOLDS - A suture anchoring device includes a fastener body composed of a tube and a spool is mounted within the tube for rotation relative to the tube. Suture material is wrapped about the spool such that pulling of the suture material causes rotation of the spool within the tube. A one-way locking mechanism allows the spool to rotate freely in a first direction and prevents rotation in an opposite direction. A method for creating a tissue fold includes deploying a first suture anchoring device within the tissue with suture material extending proximally from the first suture anchoring device, deploying a second suture anchoring device within the tissue with a distal portion of the suture material extending between the first suture anchoring device and a proximal portion of the suture material extending proximally from the second suture anchoring device, and applying tension to the suture material to draw portions of the tissue together to form a tissue fold.11-05-2009
20100160963System and Method for Anchoring Suture to Bone - A system for attaching soft tissue to bone includes an anchor, a suture, and a tissue retainer. The anchor may have a threaded tip that engages the bone, and a suture retention portion with passageways arranged such that each of first and second anchor portions of the suture can be drawn through the passageways along only a single direction. The tissue retainer has passageways through which the suture can freely move in either direction. Thus, the anchor and the tissue retainer may be attached to bone and tissue, respectively, and the suture may be drawn to substantially irreversibly draw the bone and tissue together. In alternative embodiments, an anchor may receive only one portion of suture and/or one suture end may be affixed to the anchor. The anchor may alternatively permit free motion of the suture, while the tissue retainer permits passage of the suture along only one direction.06-24-2010
20100262185Method and apparatus for aperture fixation by securing flexible material with a knotless fixation device - A knotless aperture fixation system, and method for use thereof, for securing a flexible material (i.e., suture, cable, fiber tape, or any other suitable flexible material) to a nearby tissue using knotless fixation achieved by a compression fit of the flexible material between two smooth surfaces. The system comprises a cylindrical or spherical flanged sleeve with threaded upper portion and smooth tapered lower portion is used in conjunction with a headless set screw with a bullet-shaped tip to achieve a compression fit of the flexible material between the smooth tapered lower portion of the sleeve and the smooth bullet-shaped tip of the headless set screw. The system may be used in conjunction with an expanded washer with a recessed lip, a flanged washer, or a bone plate with an opening containing a recessed lip.10-14-2010
20090048629Apparatus and methods for attaching soft tissue to bone - Suture anchors and methods for using the suture anchors for attaching soft tissue, such as ligaments, tendons, and muscles, to bone are disclosed herein. A suture anchor for attaching soft tissue to bone includes a catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, wherein the catheter has at least one inner lumen capable of allowing a light curable adhesive to pass therethrough; a balloon portion engaging the distal end of the catheter, wherein the balloon portion expands from a deflated state to an inflated state when a light curable adhesive is delivered to the balloon portion; and at least one suture material for passing through soft tissue to attach the soft tissue to a bone.02-19-2009
20120245630TOGGLE BOLT SUTURE ANCHOR - In one embodiment, the present invention may include a system for securing soft tissue relative to a bone including a tissue anchor having a substantially planar body having a channel and at least one bore hole; an inserter rod having a longitudinal length and adapted to be positioned within the channel of the tissue anchor; and an engagement structure on at least one of the channel or the inserter rod adapted to removeably affix the tissue anchor to the inserter rod.09-27-2012
20100185238CANNULATED SUTURE ANCHOR - Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.07-22-2010
20090076546Suture lock - A suture lock according to the present invention provides sufficiently secures a suture thread in place in a quick and efficient manner. It eliminates the need for a laproscopic surgeon to tie complex or multi-step knots. The suture lock generally comprises a suture lock body having a suture channel that allows a suture thread to be drawn into the suture lock body. A plurality of teeth extends into an opening of the suture channel in such a manner that an inserted suture thread will be locked in place. In addition, a guide portion eases insertion of a suture thread free end by simplifying relative rotational adjustment of the lock. An embodiment of the present invention may be fabricated from a material or materials that naturally dissolve within the human body.03-19-2009
20090076544DUAL THREAD CANNULATED SUTURE ANCHOR - Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The suture anchor can also include at least a proximal portion having dual threads to facilitate engagement with bone. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.03-19-2009
20100222812Method and Apparatus for Suture Anchors With a Vertical Eyelet - A suture anchor for anchoring a suture in the selected portion of an anatomical portion for fixing a suture thereto. The suture anchor including an anatomical engaging portion and a suture engaging portion wherein both the anatomical engaging portion and a suture engaging portion are adopted to be substantially disposed below an exterior of the anatomical portion after implantation. Suture eyelets are provided in the suture engaging section and a suture passage is formed to interconnect the eyelets to allow a suture to be easily threaded in the suture engaging section from the first eyelet to the second eyelet.09-02-2010
20100211097Compound Barb Medical Device and Method - Barbed medical devices include a crown interconnecting a pair of legs and at least one barb extending from each of the legs. The at least one barb may define an inner surface with a first portion disposed at a first orientation relative to a longitudinal axis of the leg, a second portion disposed at a second orientation relative to the longitudinal axis, and optionally, a third portion disposed at a third orientation relative to the longitudinal axis of the leg.08-19-2010
20130218206SUTURE RETENTION DEVICE - A suture retention device is provided for retaining a suture. The device has a locked state and an unlocked state. In the locked state, a spring biases a first gripping surface and second gripping surface together to enmesh a suture to prevent the suture from sliding through the device. In the unlocked state, an actuator may be engaged to bias the spring and separate the first and second gripping surfaces to allow the suture to freely slide through the device.08-22-2013
20120143250BONE ANCHORS WITH THREAD PATTERN OPTIMIZED FOR ATTACHMENT TO HARD AND SOFT BONE TISSUE - Bone anchors useful in rotator cuff repair optimize the thread pattern for engaging different types of bone tissues, including harder cortical bone and softer cancellous bone. Bone anchors may include fine threads for engaging cortical bone and coarse threads for engaging cancellous bone. Threads can be made finer by increasing root diameter and surface angle of the threads. The pitches of the fine and coarse threads are kept the same, which allows fine threads to follow the impression created by coarse threads as the anchor is driven into a bone. Threads that engage cortical bone can be multi-fluted and include a first flute that follows the same thread pattern as coarse threads such that first flute follows the groove created by the coarse threads as the bone anchor is driven into a bone. Bone anchors can have a distal non-threaded stabilizing extension at the distal end.06-07-2012
20100198258SYSTEM AND METHOD FOR ATTACHING SOFT TISSUE TO BONE - Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A bone anchor is described that comprises an anchor body with expandable tines and a spreader that expands the tines into bone. Also disclosed is a bone anchor that comprises a base and a top such that suture material may be attached to apertures in the anchor top or else compressed between surfaces on the base and top to secure the suture to the anchor. Also described is an inserter that can be used to insert the bone anchor into bone and move the spreader relative to the anchor body attach suture material. Also described is an inserter that can be used to insert the bone anchor into bone and move the anchor top relative to the anchor body or anchor base to attach to or clamp suture material there between. Methods are described that allow use of single bone anchor to secure tissue to bone or also to use more than one bone anchor to provide multiple lengths of suture material to compress a large area of soft tissue against bone.08-05-2010
20090204147METHODS AND APPARATUSES FOR DELIVERING ACHORING DEVICES INTO BODY PASSAGE WALLS - Described, in certain embodiments, are methods and apparatuses for delivering anchoring devices such as T-anchors into body passage walls. Some inventive methods involve inserting one or more anchoring devices into a wall of an organ in a direction from a luminal surface to an abluminal surface of the wall. In some instances, inserting a device in this manner, while providing at least part of the device implanted between the luminal surface and the abluminal surface of the wall, is conducted without the device exiting the wall's abluminal surface. In these and other inventive methods, delivering an anchoring device into a body passage wall may involve manipulating the wall in some manner before, during and/or after placing the device in the wall. Various forms of manipulation are described in this regard.08-13-2009
20090210006COMPOUND BARB MEDICAL DEVICE AND METHOD - A compound barb medical device is provided which includes an elongated body having at least one barb formed along the length of the body, the barb defining an inner surface with a first portion disposed at a first orientation relative to a longitudinal axis of the elongated body, and a second portion disposed at a second orientation relative to the longitudinal axis. Optionally, the barb defines a third portion disposed at a third orientation relative to the longitudinal axis. A method for forming a compound barb on a medical device is also provided.08-20-2009
20090318965TECHNIQUE FOR TISSUE FIXATION BY REELING IN AND ANCHORING SUTURE ATTACHED TO TISSUE - A method and device for knotless fixation of tissue. The method utilizes a push-in type anchor (for example, a self-punching anchor) and a suture chain that includes a loop or a plurality of loops. A first portion of the suture chain is secured to the tissue to be fixated. The suture chain is next secured to the push-in type anchor (for example, by passing the suture chain through an eyelet of the anchor). The anchor is then advanced along the suture chain to bring a tip of the anchor above a chosen loop or link of the suture chain. The tip of the anchor is pushed through the chosen loop so that the tip locks the chosen loop in place (for example, by capturing both sides of the link above a shoulder of the anchor). With the captured link, the anchor is advanced into a pilot hole or socket formed in the bone, and then the anchor is rotated within the hole or socket to reel in the suture chain and to tension, therefore, the suture chain.12-24-2009
20090177229SUTURE ANCHOR WITH DRUG/GROWTH FACTOR DELIVERY RESERVOIR - A surgical device for use in attaching a first member (e.g., soft-tissue) to a second member (e.g., a bone) includes a suture anchor that has a body having a first end; a pointed tip at an opposite second end; and a contoured outer surface. An anchor head that is coupled to the body at the first end has an opening to permit attachment of one or more suture to the body. The suture anchor also includes a reservoir formed in the body and being open at the first end thereof and closed at an opposite end. The reservoir is configured to store and release at least one of a drug, a therapeutic agent, a growth factor, or a combination thereof from a top surface of the anchor body into a site of an interface between the first and second members to promote healing or therebetween or limit post-operative pain.07-09-2009
20090318966SYSTEM AND METHOD FOR ATTACHING SOFT TISSUE TO BONE - Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A bone anchor is described that comprises a base and a top such that suture material may be compressed between surfaces on the base and top to secure the suture to the anchor. Also described is an inserter that can be used to insert the bone anchor into bone and move the anchor top relative to the anchor base to clamp suture material there between. Also described is a soft-tissue and bone piercing anchor and associated inserter. Methods are described that allow use of the bone anchors to provide multiple lengths of suture material to compress a large area of soft tissue against bone.12-24-2009
20090318964KNOTLESS SUTURE ANCHOR - An anchoring device for deployment in a pre-formed hole to secure soft tissue to bone. Embodiments of the anchoring device include an outer member and an inner member that moves relative to the outer member from a suture-unlocked position to a suture-locked position. The inner member further includes an elongated projection with a proximal end that defines an outer dimension. In one embodiment, the elongated projection is configured to interface with a portion of the outer member so as to change the outer dimension in a manner that causes the elongated projection to displace a portion of the bone.12-24-2009
20110112576Tissue Repair Devices - The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity; and a headless insertion member configured for arrangement within the anchor cavity, the insertion member including a body having a threaded proximal portion, a non-threaded distal portion, and a cannulation extending a partial length of the insertion member. Other anchor assemblies, anchors, and delivery devices are also disclosed.05-12-2011
20120143249CLOSURE DEVICE - The present disclosure provides closure devices for closing an opening in a body lumen, systems for closing an opening in a body lumen, and methods of making a closure device for closing an opening in a body lumen. The closure device may include a plug, an anchor, a cinch button, and a suture coupled to the anchor, the suture having a plurality of elongate filaments with a predefined cutting segment for cutting the suture, where the plurality of elongate filaments of the predefined cutting segment are bonded together to prevent their relative motion.06-07-2012
20130131723BONE IMPLANT WITH CONVERTIBLE SUTURE ATTACHMENT - Some embodiments of the present invention include a suture anchor with both knotless and knotted suture attachment capabilities, as well as methods for loading the suture in knotless and knotted configurations. Some embodiments of the present invention include a suture anchor with an inner implant body with a spreader that slides in relation to an outer expandable collar, such that pushing the expandable collar distally with an inserter causes the spreader to expand the collar against the surrounding bone to secure the suture anchor in place. Such embodiments may also include a detachment or breakaway feature between the inserter and the suture anchor to permit separation after anchor deployment. Some embodiments of the present invention include methods for deploying such suture anchors and expanding the expandable collars and/or detaching the inserter tools. Embodiments of the present invention may be used in various orthopedic applications such as, for example, shoulder repair.05-23-2013
20130138149LARGE BORE ANCHOR DEVICE - A vascular closure system includes a suture and an anchor assembly. The anchor assembly includes a first anchor portion having a plurality of petal members automatically expandable from a retracted position for delivery through a vessel puncture in a vessel, and an expanded position when deployed within the vessel. The anchor assembly also includes a second anchor portion connected to the suture and positioned distal of the first anchor portion within the vessel. Withdrawing the suture pulls the second anchor portion against the first anchor portion to contact the first anchor portion against an inner surface of the vessel adjacent to the vessel puncture. The vascular closure system may also include an automatic compaction assembly that automatically compacts a sealing member against the anchor assembly to seal closed the vessel puncture upon withdrawal of the vascular closure system.05-30-2013
20130138150HALLUX VALGUS REPAIRS USING SUTURE-BUTTON CONSTRUCT - A technique and associated instrumentation for correcting large intermetatarsal angles that result from hallux valgus. The system includes a button and a suture loop attached to the button. A suture strand is threaded through holes in the button to attach the button to the suture. The suture ends are then brought together (by being swaged, spliced or cinched together, for example) to form the suture loop comprising a continuous, uninterrupted suture loop with a single strand of swaged-together ends. The swaged-together ends may be attached to a suture passing instrument such as a K-wire (Kirschner wire) that may be further used to drill a hole through the first and second metatarsals. The swaged-together ends of the suture are then passed through the drill holes in the first and second metatarsals; and the ends of the suture are pulled until the button abuts the second metatarsal. The swaged together portion of the suture loop is then cut, and the free suture ends are passed through holes in another (second) button. The suture ends are pulled to adjust the first metatarsal to a correct intermetatarsal angle, and the first metatarsal is secured in place by tying the ends of the suture together against the second button.05-30-2013
20130138151COMPRESSIBLE TISSUE ANCHOR ASSEMBLIES - Apparatus and methods optimize anchoring force in securing tissue folds. Over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchors having expandable designs configured to minimize contact area between the anchor and tissue. When the anchor is in its expanded configuration, a load is applied to the anchor until it is optimally configured to accommodate a range of deflections while the anchor itself exerts a substantially constant force against the tissue.05-30-2013
20130138152Method And Apparatus For Suture Anchors With A Vertical Eyelet - A suture anchor for anchoring a suture in the selected portion of an anatomical portion for fixing a suture thereto. The suture anchor including an anatomical engaging portion and a suture engaging portion wherein both the anatomical engaging portion and a suture engaging portion are adopted to be substantially disposed below an exterior of the anatomical portion after implantation. Suture eyelets are provided in the suture engaging section and a suture passage is formed to interconnect the eyelets to allow a suture to be easily threaded in the suture engaging section from the first eyelet to the second eyelet.05-30-2013
20110213417IMPLANT AND DELIVERY SYSTEM FOR SOFT TISSUE REPAIR - Implant and delivery systems for soft tissue repair which affix soft tissue portions to a region of bone are described. Generally, the assembly includes two bone anchors preloaded through an inserter handle such that each anchor is penetrated into the bone directly. The first anchor is inserted through the tissue and into the bone, where it is locked into position. The first anchor has a suture or wire that protrudes through the tissue and threads through the second anchor and is secured to a rotatable suture reel located along the handle. The second anchor is inserted through the tissue and into the bone independently of the first anchor. Once the second anchor is deployed, the suture or wire is tensioned to secure the soft tissue to the bone and a suture plug within the second anchor is deployed to lock the suture or wire in place.09-01-2011
20110213416Adjustable Knotless Loops - Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. At least one adjustable loop of a flexible construct is passed through the soft tissue. The at least one adjustable loop is passed through a passage construct. A locking member is passed through the at least one adjustable loop and the adjustable loop is reduced about or within the locking member such that the at least one loop is frictionally retained in the passage construct and locked in place by the locking member to thereby secure the soft tissue.09-01-2011
20100331881Method And Apparatus For Soft Tissue Fixation To Bone - A bone anchor having a rivet having a proximal end and a head distal to an elongate body, a sleeve having an internal channel for slidably receiving the body, and an expansion nut having a channel therethrough for slidably receiving said body, proximal of said sleeve is provided. The sleeve further has a shoulder provided within the internal channel in the region of the proximal end for engaging the expansion nut. The rivet, sleeve and expansion nut are arranged such that movement of the rivet from a first position to a second position causes the sleeve to cam over the rivet head and expansion nut until said expansion nut engages said shoulder, forcing the sleeve to expand into a wall of a bone hole.12-30-2010
20100262186TWIST-IN SUTURE ANCHOR - A pound-in suture anchor that self-twists upon insertion into a drilled pilot hole. The suture anchor is provided with threads that allow the anchor to be inserted within a pilot hole without tapping the pilot hole and without turning (or twisting) the driver handle. The suture anchor of the present invention is designed to twist by itself as it is advanced into the pre-drilled pilot hole by malleting the driver handle. The suture anchor has an eyelet for receiving one or more suture strands for securing soft tissue to bone.10-14-2010
20110040327KNOTLESS SUTURE ANCHOR AND METHOD FOR KNOTLESSLY SECURING TISSUES - A method for securing first and second tissues with a suture anchor comprising the steps of forming a borehole in the first tissue; threading a suture through the second tissue forming a loop in the suture with the tissue thereby secured in the loop, the loop defining two suture portions; attaching the two suture portions to the anchor whereby the two suture portions are threaded through the anchor and initially movable with respect to the anchor; and providing a force to a shaft of the anchor, the force causing clamping of the two suture portions in the anchor and deformation of a deformable portion of the anchor to cause the deformable portion to engage a wall of the borehole thereby to secure the suture anchor in the first tissue and the loop holding the second tissue to the suture anchor.02-17-2011
20110040326COILED ANCHOR DEVICE - A coiled anchor that secures to a connector as part of an anchor assembly is disclosed. The coiled anchor includes windings which capture and deform the connector between the windings and prevent the connector from disengaging from the coiled anchor once engaged.02-17-2011
20110245869Suture anchor device, kit and method - A suture anchor and kit for anchoring a suture member to human bone in an interference fit. A suture anchor includes a threaded portion and has a head at the proximal end thereof, the head being generally circular. A tip is located at a distal end of the shank. The shank is at least partially threaded and includes walls defining a reel portion. The shank also includes walls for engaging a suture, the walls for engaging the suture typically adjacent walls defining the reel portion. The head typically includes walls for engaging a drive tool. The kit includes a drive tool for rotating the suture anchor when a suture member is engaged with the walls for engaging the suture such that rotation of the anchor causes the suture material to wrap around the reel portion of the shank.10-06-2011
20090062854METHOD AND APPARATUS FOR COUPLING SOFT TISSUE TO BONE - A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. A bone engaging fastener is coupled to bone. A second fastener is coupled to a suture construction. The second fastener is coupled to the first fastener. Soft tissue is coupled to the suture construction.03-05-2009
20100191285Compact Line Locks and Methods - A line lock includes a body at least partially bounding two passageways that cooperate to receive a locking portion of a line such as a suture in such a manner that the locking portion can only be drawn through the passageways along one direction. A second suture locking portion may also received by the passageways, or by one of the two passageways in combination with a third passageway. The body may have an elongated, compact shape that is easily implantable in the body.07-29-2010
20090082807Suture anchor having a suture engaging structure and inserter arrangement - A suture anchor and inserter arrangement, including a suture anchor for implanting in hard tissue, such as bone, and an inserter device for installing the suture anchor in hard tissue. The suture anchor carries thereon a suture-engaging structure formed from suture, which structure cooperates with working suture associated with the inserter device so as to attach the working suture to the suture anchor.03-26-2009
20090248069SUTURE ANCHORING ASSEMBLIES AND METHODS OF USE - A suture anchor assembly and methods of use will now are disclosed for the repair of human or animal tissue defects. The suture anchor assembly is capable of being inserted into a tissue or bone while also being able to create an expanded profile when subjected to a retrograde force. This expanded profile anchors the assembly into the tissue or bone by a changing of position of elements of the assembly relative to other assembly elements. Embodiments of the suture anchor assembly and methods are capable of precisely positioning assembly elements in the tissue or bone to effectively repair the defects.10-01-2009
20090248070Anchoring Suture - A medical device having an elongate body having a proximal portion and a distal portion, the proximal portion of the elongate body terminating in a free end; the distal portion of the elongate body terminating in a loop. The loop further includes a first plurality of anchors disposed along a surface of the loop.10-01-2009
20090312795SUTURE ANCHORS - A suture anchor includes an outer sleeve having a longitudinal throughbore and defining leading and trailing ends and an insert positionable within the longitudinal throughbore of the outer sleeve. The insert defines at least one suture track for slidably supporting a suture whereby opposed free ends of the suture extend from the at least one suture track through the longitudinal throughbore to extend beyond the trailing end of the outer sleeve to be tensioned and secured relative to the tissue. The outer sleeve may include an external thread for threaded rotation and advancement into the tissue.12-17-2009
20090312794ANCHORS AND METHODS FOR SECURING SUTURE TO BONE - A method for securing suture to bone comprises drilling a hole in a desired portion of bone at a desired procedural site, passing a strand of suture through a portion of soft tissue to be approximated to the portion of bone, and extending the free suture ends proximally from the soft tissue. The suture is loaded into an anchor implant. Using an inserter, on a distal end of which is attached the anchor implant, the anchor implant is manipulated into the bone hole. The suture is then tensioned to a desired level by pulling on the free suture ends, after the anchor implant is positioned in the bone hole. The free suture ends are wrapped about a suture cleat on an inserter handle once the desired tension level is achieved. A proximal anchor component is moved distally to engage with a distal anchor component to lock the anchor in place within the bone hole, and to lock the suture in place within the anchor. Then, the inserter is removed from the procedural site.12-17-2009
20090312793MEDICAL DEVICE AND PROCEDURE FOR ATTACHING TISSUE TO BONE - The invention pertains to medical devices for anchoring a suture engaged with soft tissue to a bone, the devices including tissue fastening medical devices, bone anchor medical devices, bone anchor driving tools and impactor tools, and procedures for using the same.12-17-2009
20110152929SYSTEM AND METHOD FOR ATTACHING SOFT TISSUE TO BONE - A system and method for attaching soft tissue to bone is provided. In general, the apparatus includes an expandable body that is configured to expand into bone, and an expander pin that is adapted to be driven into the expandable body. The device can also include a tissue attachment apparatus that can be used to secure tissue to the device, thereby providing a method for attaching tissue to bone.06-23-2011
20100063541OBLONG CROSS-SECTIONAL TISSUE FIXATION PEG - Disclosed are fixation devices that can be utilized to approximate and hold a soft tissue in, at, or near a bony insertion site. Disclosed devices can define an oblong cross-section, and can include ribs defining sharp edges on the periphery of one aspect of the cross section that can tightly fix the device to surrounding bone so as to avoid pull out of the device. Devices can also include ribs defining rounded ridges on the periphery of a second, perpendicular aspect of the cross section that can allow soft tissue or a portion of an approximation device, for instance a soft tissue graft or cellular scaffolding material, to be fixed within a bone without damage to the soft tissue.03-11-2010
20090216271Device and Method for Securing Sutures and the Like - A bandage and method for securing a tension member comprising a central body and a plurality of tabs disposed about the central body. A tension member may be disposed across or through a slit or aperture of the central body. A body adhesive on the lower surface of the central body may secure the bandage to the patient. The tension member may then be pulled across the upper surface of the central body and a first tab may be folded over and adhered to the tension member and central body. The tension member may then be pulled back across the first tab and a second tab may be folded over and adhered to the tension member and first tab. Likewise, the tension member may then be pulled back across the second tab and a third tab may be folded over and adhered to the tension member and second tab.08-27-2009
20090216270FIXABLE SUTURE ANCHOR PLATE AND METHOD FOR TENDON-TO-BONE REPAIR - A fixable suture anchor plate including an anchor plate having a tunnel aperture that aligns with one or more bone tunnels formed in the bone. The anchor plate also includes one or more suture passages that align with one or more grooves formed along an edge of the anchor plate to permit passing a suture through the anchor plate after the anchor plate is fixed to the bone. The anchor plate also includes a screw hole that allows the anchor plate to be fixed to a bone with a screw. A method for tendon-to-bone repair includes sewing a medial row of stitches proximate to a medial line of tendon-to-bone attachment and securing the suture to the anchor plate through a bone tunnel and sewing a lateral row of stitches along a lateral line of tendon-to-bone attachment and securing the second suture to the anchor plate.08-27-2009
20100057124High Aspect Ratio Surgical Anchor and Method of Use - A high aspect ratio surgical anchor comprises a body defined in part along a major longitudinal axis, a fin coupled to the body, and a channel in the body along the longitudinal axis. The channel is configured to receive and removably secure a tip of an introducer therewithin. A slot is provided through the body that is generally parallel to the longitudinal axis, with the slot being configured to receive and pass implantable material therethrough and to secure a portion of the implantable material therein.03-04-2010
20110160767Soft Tissue Repair Device and Associated Methods - A fibrous tissue repair device includes first and second tubular anchors having corresponding longitudinal passages. The tissue repair device includes corresponding first and second inserters. Each inserter has a shaft with a distal portion received in the longitudinal passage of the corresponding tubular anchor. A flexible strand couples the first and second anchors.06-30-2011
20100069958Tenodesis Implant - The present disclosure relates to a two-piece implant. The implant includes a first piece having at least two prongs and a protrusion located between the prongs and a second piece coupled to the first piece, wherein the second piece is configured to rotate relative to the first piece. A method of tissue repair is also disclosed.03-18-2010
20110152930SUTURE ANCHOR INSERTER - An inserter for inserting a suture anchor into bone. The inserter has external markings that uniquely identify the orientations and the relative longitudinal positions of at least two suture passages through a suture anchor releasably engaged with the inserter. The markings assist a surgeon in determining a preferred placement and orientation of the anchor at an operative site during a surgical procedure.06-23-2011
20110152927KNOTLESS SUTURE DEVICE - A knotted suture device is disclosed. The device may have a surgical needle attached to one or both ends of the suture. The device has a plurality of loops formed by knots. An anchor member is attached to the device. The device when used in a surgical procedure can be secured without the need to tie a knot.06-23-2011
20110098743SUTURE LOCK - A suture lock to be used with a suture thread. The suture lock comprises at least one passageway for receiving a suture thread, with the passageway having at least a portion of its length having a longitudinal side opening arranged to slidably receive the suture. The passageway is tapered inwardly and including an interior surface having inwardly converging teeth. The invention may also comprise a suture lock having an adjustable channel located within the suture lock. The channel may be adjusted between an open and a closed position, thereby allowing the suture to be secured. Translation of the suture itself may be utilized to adjust the positioning of the channel. The suture lock may contain a releasable device to retain the channel in multiple positions between the closed and open position.04-28-2011
20100125297AC JOINT REPAIR USING SUTURE BUTTON GRAFT CONSTRUCT AND METHOD OF SURGERY - Apparatus and methods for fixation of bone to bone, or soft tissue to bone. The apparatus comprises two fixation devices (for example, two buttons) joined by a biologic material (for example, a graft or tendon). Each fixation device is provided with at least one opening that allows the passage of the flexible material attached to the biologic material. The button may be formed, for example, of metal, PEEK or PLLA.05-20-2010
20120123474ADJUSTABLE SUTURE-BUTTON CONSTRUCT FOR ANKLE SYNDESMOSIS REPAIR - An adjustable, knotless button/loop construct for fixation of ankle syndesmosis tibio-fibular diastasis and an associated method of ankle repair using the same. The knotless construct comprises a pair of buttons attached to a flexible, continuous, self-cinching, adjustable loop integrated with two splices that are interconnected. The knotless construct is passed through fibular and tibia tunnels and the buttons are secured on the cortical surfaces of tibia and fibula. One of the buttons (for example, an oblong button) is secured on the medial side of the tibia by passing the button and the flexible, adjustable loop though the fibular and tibia tunnels and then flipping and seating the button outside the tibia. The length of the flexible adjustable loop is adjusted so that the second button (for example, a round button) is appropriately secured on the lateral fibula.05-17-2012
20120123473CANNULA SYSTEM AND METHOD FOR PARTIAL THICKNESS ROTATOR CUFF REPAIR - A trans-soft tissue anchor implantation system in one embodiment includes a positioning wire having a tissue penetrating distal tip, a cannula for passage through the soft tissue and a suture anchor. The cannula has an axial lumen therethrough sized to accommodate at least the positioning wire, a thin-walled distal portion and a tissue engaging feature, such as an arcuate groove, on at least a portion of an outer surface of the cannula proximal of and adjacent to the distal portion. Tissue, such as a tendon, expands into the groove allowing a surgeon to manipulate the tissue with the cannula.05-17-2012
20120303059APPARATUS AND METHODS FOR POSITIONING AND SECURING ANCHORS - Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism, either within the anchor itself or positioned proximally of the anchor, may allow for the uni-directional translation of the anchor while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This uni-directional anchor locking mechanism facilitates cinching of the tissue plication between the anchors, and it may be utilized in one or several anchors in cinching a tissue fold.11-29-2012
20120303058THERMOFORMING PROCESS AND PRODUCTS OBTAINABLE BY THE PROCESS - The invention concerns composite surgical devices and a method of manufacturing thereof. The device comprises a tissue fixation implant and a protruding member attached to the implant. The method comprises providing a polymeric implant preform comprising a fixation zone for the protruding member, inserting a protruding member into the fixation zone of the preform, inserting the preform into a mold cavity corresponding to desired shape of the tissue fixation implant and comprising at least one orifice for receiving the protruding member and subjecting the preform to heat and pressure for giving the tissue fixation implant the desired shape and attaching the protruding member to the tissue fixation implant.11-29-2012
20110251642MEDICAL ANCHOR DEVICE - An endoscopically-deployable tissue-manipulation device including an elongate, generally tubular outer body having a proximal portion and a distal end portion that may be configured as sufficiently flexible to traverse the working channel of a flexible endoscope (e.g., side-viewing duodenoscope). The outer body may include an outer body lumen extending longitudinally between the proximal and distal portions. An anchoring structure of the device will include an elongate inner body that may extend through the outer body lumen and be configured to include a first linkage member attached to the inner body, a second linkage member that is pivotably attached to the first linkage member and to the outer body.10-13-2011
20120203276INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES, TRANSFASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING - An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having first and second segments and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the suture segment. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.08-09-2012
20090222041METHODS AND DEVICES FOR ATTACHING CONNECTIVE TISSUES TO BONE USING A KNOTLESS SUTURE ANCHORING DEVICE - A device for attaching connective tissue to bone has a longitudinal axis and comprises an annular toggle member and a body member disposed distally of the toggle member, such that there is an axial space between the toggle member and the body member. The toggle member is movable between an undeployed position wherein the toggle member has a smaller profile in a direction transverse to the axis and a deployed position wherein the toggle member has a larger profile in the direction transverse to the axis. When installed in a desired procedural site, in suitable bone, suturing material extends axially through a center aperture in the annular toggle member, without being secured to or contacting the toggle member. This approach permits a suture attachment which lies entirely beneath the cortical bone surface, and which further permit the attachment of suture to the bone anchor without the necessity for tying knots, which is particularly arduous and technically demanding in the case of arthroscopic procedures.09-03-2009
20110160768Soft Tissue Repair Device and Associated Methods - A method for repairing a defect in a fibrous soft tissue includes passing a distal portion of an inserter through corresponding longitudinal bores of first and second anchors. The method includes coupling the first and second anchors with a flexible strand, and forming an adjustable knotless loop with the flexible strand.06-30-2011
20080306510FIXATION SUTURE DEVICE AND METHOD - A fixation suture device (12-11-2008
20080215091GRAFT FIXATION USING A PLUG AGAINST SUTURE - A method for securing soft tissue to bone which does not require the surgeon to tie suture knots to secure the tissue to the bone. Suture is passed through the graft at desired points. A cannulated plug or screw is pre-loaded onto the distal end of a driver provided with an eyelet implant at its distal end. Suture attached to the graft is passed through the eyelet of the implant located at the distal end of the driver. The distal end of the driver together with the eyelet implant is inserted into the bone. Tension is applied to the suture to position the graft at the desired location relative to the bone. The screw or plug is advanced into the pilot hole by turning the interference screw or tapping the plug until the cannulated screw or plug securely engages and locks in the eyelet implant, so that the cannulated plug or screw with the engaged eyelet implant is flush with the bone. Once the screw or plug is fully inserted and the suture is impacted into the bone, the driver is removed and any loose ends of the sutures protruding from the anchor site are then clipped short.09-04-2008
20110054526Methods and Apparatuses for Securing Suture - Various suture anchors and surgical methods are provided. A two-part suture anchor is provided having a continuously threaded anchor body defining an axial bore and a pin. The pin includes a tip and a plate defining at least two suture receiving openings aligned in a single plane that is perpendicular to the longitudinal axis of the axial bore is disposed in anchor body. Methods of attaching soft tissue to bone are also provided.03-03-2011
20110054525SUTURE ANCHOR AND METHOD OF USE - A suture anchor 03-03-2011
20110087280Z-SHAPED BUTTON FOR TISSUE REPAIR - Techniques and reconstruction systems for tissue repairs employing a Z-shaped button with a flexible strand or loop (which may have a fixed or adjustable length). The Z-shaped button has a distinctive Z-shape or an S-shape configuration, that allows a smaller length button to achieve comparable contact area as with a longer length button. The Z-shaped button allows for truncated flipping distance yet permits maximum cortical bone contact. The continuous loop/Z-shaped button construct may be used for fixation of bone to bone, or of soft tissue to bone.04-14-2011
20100292732SUTURE ANCHORS WITH ONE-WAY CINCHING MECHANISMS - Various devices, systems and methods for knotless anchoring of sutures to repair bodily tissue are disclosed. These devices allow sutures to be anchored to bone or other tissues, and more specifically provide a suture anchor which eliminates the need for the operator to knot the suture to secure the suture under tension. Thus, damaged tissue may be re-attached to a substrate tissue. The anchors have a minimum of moving parts and find particular utility in hip and shoulder arthroscopy, e.g. labral re-attachment, rotator cuff repair, and similar procedures.11-18-2010
20100292731METHODS AND DEVICES TO TREAT DISEASED OR INJURED MUSCULOSKELETAL TISSUE - A knotless suture anchoring system includes an outer anchor having a central channel and a distal tip adapted to penetrate tissue. An inner anchor is positionable in the central channel of the outer anchor and a locking feature on one or both of the inner and outer anchors retains the inner anchor within the central channel. A continuous length of suture is coupled with the inner and outer suture anchors and has a free end. At least one of the inner and the outer anchors also has a cinching mechanism that allows the suture to be tensioned by passage of the suture through the cinching mechanism in a first direction while movement of the suture through the cinching mechanism in a second direction opposite the first direction is constrained.11-18-2010
20110118781METHOD AND SUTURE-BUTTON CONSTRUCT FOR STABILIZATION OF CRANIAL CRUCIATE LIGAMENT DEFICIENT STIFLE - An apparatus and method for stabilization of a cranial cruciate ligament deficient stifle in canines using a suture-button construct. The method includes the steps of drilling a femoral hole across a distal femur, passing a needle with a pull-through suture strand of a suture-button construct through the femoral hole, and applying a tensile force to the pull-through suture strand and a suture tape or strand of the construct such that a first button of the suture-button construct lies sideways for passage through the femoral hole, advancing the first button through the femoral hole by pulling the pull-through suture strand until the first button exits the femoral hole, drilling a tibial hole and passing the needle with the pull-through suture strand through the tibial hole, applying a tensile force to the pull-through suture strand and the suture tape or strand of the construct such that the first button lies sideways for passage through the tibial hole, flipping the first button to engage the first button against the medial tibial cortex and subsequently cutting and removing the pull-through suture strand, pulling free ends of the suture tape or strand to advance a second button of the suture-button construct and to seat the second button against the femur, and securing the second button against the femur.05-19-2011
20110125189TOGGLE BOLT SUTURE ANCHOR KIT - A toggle bolt suture anchor kit and method of using the kit is presented. The kit comprises a toggle bolt suture anchor and a toggle bolt delivery device. The toggle bolt suture anchor has at least one toggle bolt delivery device interconnection means. The toggle bolt delivery device has at least one toggle bolt suture anchor interconnection means. The toggle bolt delivery device enables the toggle bolt suture anchor to be pushed into its final position.05-26-2011
20120150226SELF-PUNCHING SWIVEL ANCHOR AND METHOD FOR KNOTLESS FIXATION OF TISSUE - A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, over the body of the implant.06-14-2012
20120150222Apparatus and method for anchoring sutures - A suture anchor having a conical surface and a bore in which an end of an insertion tool is inserted. The insertion end of the insertion tool is made of material having elastic properties. The bore and base of the suture anchor are angled with respect to the central axis of the suture anchor and preferably are parallel to each other. During insertion, the suture anchor is reoriented to fit into the hole, thereby bending the elastic end of the insertion tool. When the suture anchor is within cancellous bone tissue, the elastic properties of the insertion tool deploys the suture anchor to an orientation in which the suture anchor cannot fit through the bone hole, thereby firmly anchoring the suture anchor in the human bone.06-14-2012
20110137342Button Anchor System for Moving Tissue - A system of non-reactive components for moving or for moving and stretching plastic tissue that exerts a relatively constant dynamic force over a variety of distances and geometries, that is easily adjustable, and is self-adjusting. This system includes a “button anchor system” for moving tissue, particularly including deep fascia and muscle layers of the abdominal or thoracic cavity wall, in surgical, post surgical, and post traumatic reconstruction where the wound margins are beyond a distance that permits normal re-approximation. Button anchor assemblies allow re-approximation of severely retracted abdominal wall and full thickness thoracic wounds where a closure force is required to be applied to the sub-dermal layers. Systems of this invention allow for such a force to be applied and externally controlled during treatment.06-09-2011
20100305609IMPLANTABLE PURSE STRING SUTURE TENSIONING DEVICE - An implantable purse string suture tensioning device is provided, such that a hemostatic seal can be maintained without further manual adjustment over a range of purse string circumferences, including that surrounding a minimally invasive device, or a control or guidewire, and after complete removal of objects within the purse string suture, wherein the device is sized and shaped for in-dwelling implantation in a patient.12-02-2010
20100305610SUTURE ANCHOR - Devices and methods for locking a suture to an anchor are disclosed. In certain embodiments, a suture anchor includes a first body configured to be driven into a bone, and a second body also configured to engage the bone and coupled to the first body. At a selected embedded depth of the anchor, the second body moves towards the trailing end of the first body to facilitate a suture-lock configuration as the anchor is driven in deeper. A suture retainer such as a ring, and a flared portion at or near the trailing end of the first body, facilitate locking of a suture between the ring and either or both of the second body and the flared portion as the second body pushes on the ring that in turn pushes against the flared end. In certain embodiments, such suture-lock can be achieved substantially simultaneously as the suture anchor is driven into its final embedded depth.12-02-2010
20100324598MULTI ELEMENT BIASED SUTURE CLIP - A suture clamp comprising a plurality of elements positioned together in a row, each element of the plurality of elements having a lower portion separated from an upper portion by a flexible neck, each element of the plurality of elements including a slot having an outwardly facing opening, the slots from the plurality of elements configured to accept a suture element through the row of elements and secure the suture element. A method of clamping a suture, including applying a biasing force to at least one element into the first position to provide access to the outwardly facing opening of the slot, passing the suture through a tissue layer, receiving the suture into the slot through the outward facing opening, and removing the biasing force to form a tortuous path between adjacently positioned elements of the plurality of elements.12-23-2010
20100324597CRIMPING AND CUTTING DEVICE - A method and apparatus for securing and cutting suture material is disclosed. Suture material is preferably threaded through a ferrule in the crimping and cutting device which includes a hammer head slidable within a tip of the device for crimping the ferrule and trapping the suture material therein. The tip further preferably includes a cutting edge such that the ferrule is crimped and the suture material is cut in one proximal movement of the hammer head. The suture material may be threaded through the ferrule using a suture loading assembly which includes a flexible loop pre-threaded through the ferrule. A handle assembly having a safety button for preventing movement of the trigger until the safety button is depressed is also disclosed. An adjustment screw within the handle assembly allows for a change in length of a rod within the device during manufacture.12-23-2010
20110087282Atraumatic Tissue Anchor - A tissue anchor assembly includes a quantity of material, an anchoring object and a securing member. The quantity of material is configured for positioning adjacent a face of tissue. The anchoring object is configured for positioning adjacent an opposite face of tissue. The securing member is configured to fixedly retain the quantity of material about the anchoring object to thereby secure tissue between the quantity of material and the anchoring object.04-14-2011
20100179592SUTURE ANCHOR INSTALLATION SYSTEM AND METHOD - An apparatus for placement of a suture anchor having a suture connected thereto includes a handle dimensioned for engagement by the user and an elongated member connected to the handle and extending therefrom. The elongated member has an anchor mount for mounting a suture anchor. The handle includes a frame having a suture retainer adapted for retaining a suture, at least one cover releasably mounted to the frame to at least partially enclose the suture retainer and a release button mounted to the frame and movable to release the at least one cover from the frame to expose the suture portion.07-15-2010
20110137341ACROMIOCLAVICULAR JOINT FIXATION TECHNIQUE - A reconstruction system and method for fixation of bone to bone, or soft tissue to bone. The reconstruction system comprises two fixation devices (for example, two buttons) joined by a continuous loop of flexible material. Each button is provided with at least one opening that allows the passage of the flexible material. The button may be formed, for example, of metal, PEEK or PLLA. The flexible material may be FiberWire® suture.06-09-2011
20110087284Soft Tissue Repair and Conduit Device - A soft tissue repair device includes a deformable tubular member having a longitudinal bore extending between first and second open ends and a flexible strand passing through the longitudinal bore of the tubular member. The flexible strand has a first end portion extending outside the first open end of the tubular member and a second portion forming a first loop that passes through the second open end of the tubular member and an intermediate opening between the first and second open ends of the tubular member. Pulling the first end portion of the flexible strand away from the tubular member deforms a portion of the tubular member between the second open end and the intermediate opening into a folded shape forming a soft tissue anchor.04-14-2011
20110087281Tissue anchor applicator - A tissue anchor applicator includes an end effector assembly having first and second jaw members. The first jaw member includes a pair of spaced-apart arms configured to releasably retain a fastening member thereon. The second jaw member is configured for releasably retaining an anchor member thereon. One (or both) of the first and second jaw members is moveable with respect to the other from a spaced-apart position to an approximated position for securing tissue between the fastening member and the anchor member.04-14-2011
20100191284FULLY THREADED SUTURE ANCHOR WITH TRANSVERSE ANCHOR PIN - A suture anchor has a pin that is disposed transversely within the suture anchor, over which one or more strands of suture is looped. The anchor body is threaded and has a tapered distal portion. The proximal end portion of the suture anchor body has a hexagonally shaped opening to accept a hexagonal drive head. The peripheral surface defining hexagonally shaped opening is rounded and smooth to prevent abrading sutures placed in contact therewith.07-29-2010
20110190815KNOTLESS SUTURE ANCHORS - Described herein are knotless suture anchors, and systems and methods for using knotless suture anchors. In general, a knotless suture anchor includes an anchor body configured to be anchored or embedded into bone, and a loop that extends from the anchor body as well as a loop-puller string that also extends from the anchor body. The loop can be contracted by pulling on the loop-puller string extending from the anchor. The anchor device is configured so that the loop can only be retracted into the anchor body, but not protracted or expanded. A suture (which may also be attached to the suture anchor) may be passed through the loop before it is contracted. The loop may be contracted so that it is drawn into the anchor body. Thereafter, the suture may be cut or trimmed.08-04-2011
20110152928REATTACHMENT OF TISSUE TO BASE TISSUE - An anchor includes an anchor body configured to be retained within base tissue. The anchor body includes a unidirectional mechanism to selectively restrict passage of a flexible member through the anchor. The flexible member includes a loop to enable attachment of candidate tissue to base tissue without the use of knots.06-23-2011
20110264141Flexible Anchors for Tissue Fixation - An anchor for securing tissue to bone can include a flexible first tubular member, a flexible second tubular member, and a first suture member. The first tubular member can include a first wall defining a first passage between first and second ends. The second tubular member can include a second wall defining a second passage between first and second ends. The first suture member can couple the first tubular member and the second tubular member. The first suture member can pass through the first wall and the first passage and the second wall and the second passage. The first tubular member and the second tubular member can engage each other and deform to form an anchoring mass upon tensioning the first suture member. A method of preparing an anchor for securing tissue to bone and a method of securing a tissue to a bone are also provided.10-27-2011
20100030262ANCHOR DELIVERY SYSTEM WITH REPLACEABLE CARTRIDGE - A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.02-04-2010
20120150223STITCH LOCK FOR ATTACHING TWO OR MORE STRUCTURES - An anchor assembly can include at least one anchor member, such as a pair of anchor members that are configured to be implanted in a target anatomical location in a first configuration, and can subsequently be actuated to an expanded configuration that secures the anchor members in the target anatomy. The anchor assembly can further include a connector member configured as a stitch lock that attaches the pair of anchor members together across a gap so as to approximate the anatomical defect.06-14-2012
20110218568VESSEL CLOSURE DEVICES, SYSTEMS, AND METHODS - A vessel closure system is provided that can include a plurality of shape memory anchors configured to close a puncture in a vessel wall. The shape memory anchors can be at least partially disposed within a guide member and can be comprised of materials having shape memory properties. The shape memory anchors can be configured to change from a first configuration suitable for deployment from the guide member and through the vessel wall to a second configuration adapted to resist proximal movement against a distal surface of the vessel wall. The shape memory anchors can be coupled to at least one suture. The vessel closure system can also include a plurality of carriers having a distal end and a proximal end. The carriers can be disposed at least partially within the guide member. Each of the carrier members can be configured to deploy at least one of the shape memory anchors from the guide member.09-08-2011
20100016894ANCHORING AND FIXING IMPLANT AND SURGICAL ASSEMBLY FOR ITS IMPLANTATION - The anchoring and fixing implant is constituted by a continuous wire with rectilinear portions and curved portions. It comprises: a) a central curved portion forming a winding of substantially 1.5n turns, n being, for example, equal to 1, b) on either side and in extension of said central portion, a set of two rectilinear portions, specifically an intermediate portion and an end portion, connected to one another by a bent portion at an angle of the order of 30° to 90°. Also, the rectilinear end portions are oriented divergently so as to make an angle of the order of 60° to 180° between them. The surgical assembly comprises an implant as above, a fixing thread intended to be threaded in the central curved portion of the implant and an ancillary device.01-21-2010
20100016893METHOD AND APPARATUS FOR ENHANCING THE FIXATION OF BONE AND SOFT TISSUE ANCHORS - Apparatus for enhancing the fixation of an anchor in a body part, wherein the body part comprises an interior portion and an exterior surface, and wherein the anchor is disposed within the interior portion of the body part, the apparatus comprising: 01-21-2010
20100016892METHOD AND APPARATUS FOR SECURING SOFT TISSUE TO BONE - Apparatus for securing an object to bone, the apparatus comprising: 01-21-2010
20110118780BUNION REPAIR USING SUTURE-BUTTON CONSTRUCT - A method for bunion repair using a suture anchor-button construct. The suture anchor-button construct includes a suture anchor, a button, and a suture strand attached through the suture anchor and passing through holes in the button. A first diameter hole is drilled through the first metatarsal and a second, smaller diameter hole is drilled through the second metatarsal. The suture anchor of the construct is passed through the hole in the first metatarsal and into the hole in the second metatarsal, and the suture anchor is screwed into the second metatarsal. The first metatarsal and the second metatarsal are pushed together to correct the intermetatarsal angular deformity. The button of the construct is then advanced against the medial surface of the first metatarsal, and the button is secured in place by tying the suture ends together.05-19-2011
20090192546FENESTRATED SUTURE ANCHOR AND METHOD FOR KNOTLESS FIXATION OF TISSUE - A fenestrated suture anchor for fixation of tissue to bone. In a preferred embodiment, the suture includes an implant, such a swivel implant with a forked tip for capturing suture. The implant is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, to engage and fully seat the implant. The cannulated fixation device is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the anchor (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.07-30-2009
20120041486Method and Apparatus for Fracture Fixation - A method for supporting a first bone portion relative to a second bone portion can include: (a) aligning the first bone portion relative to the second bone portion, (b) forming a bore extending through the first bone portion and the second bone portion through a void defined by opposing surfaces of the first and second bone portions after the aligning of the first bone portion with the second bone portion, (c) disposing a pin in the bore to span the void, wherein the pin includes a coupler, (d) drawing a self-locking, adjustable suture construct coupled to the coupler through the bore by withdrawing the pin from the bore, and (e) compressing the first bone portion and the second bone portion between a first anchor and a second anchor coupled to the suture construct by tensioning the suture construct.02-16-2012
20120041485Method and Apparatus for Coupling Soft Tissue to a Bone - A method for coupling soft tissue to bone including: positioning a first anchor in a first bone bore, the first anchor having a first self-locking adjustable suture construct including a first adjustable loop, a second adjustable loop, and a pair of first ends; positioning a second anchor in a second bone bore, the second anchor having a second self-locking adjustable suture construct including a third adjustable loop, a fourth adjustable loop, and a second end; positioning the first adjustable loop relative to the soft tissue; positioning the second adjustable loop about the third adjustable loop; and tensioning the pair of first ends and the second end to pull the first adjustable loop against the soft tissue, couple the second adjustable loop to the third adjustable loop, pull the second adjustable loop against the soft tissue, and pull the third adjustable loop against the soft tissue.02-16-2012
20120041484MEDICAL DEVICE AND PROCEDURE FOR ATTACHING TISSUE TO BONE - The invention pertains to a method and apparatus for attaching tissue to bone. Particularly, the invention relates to bone anchors for receiving (or being pre-loaded with) sutures for connecting to soft tissue that is to be attached to bone, including tools for implanting the bone anchors and facilitating the attachment of soft tissue to bone via the bone anchors and procedures for using the same.02-16-2012
20120310281SUTURE ANCHOR WITH IMPROVED DRIVE HEAD - A suture anchor is provided including an elongate shank defining a longitudinal axis and having at least one bone-engaging thread formed thereon, and a drive head having a proximal end and a distal end mated to the elongate shank. The drive head has a substantially oval shape and includes at least one suture attachment member formed in a portion of the drive head. The configuration of the drive head is particularly advantages in that it provides a suture anchor having improved physical properties, including a high failure torque and a high stripping strength.12-06-2012
20120310280Device and Method for Nasal Surgery - Methods, devices and systems for the treatment of nasal valve collapse or other conditions of the ear, nose or throat.12-06-2012
20120310279SURGICAL FASTENING - A surgical device includes a first fastener having a planar profile, a second fastener having a concave surface, and a suture that can be manipulated to change a distance between the first and second fasteners. The second fastener has a curvature that substantially matches the curvature of a top surface of a clavicle bone in a direction perpendicular to a long axis of the clavicle bone. A method of treating an acromioclavicular joint injury includes forming axially aligned passages through a patient's clavicle and coracoid process, passing a fastener having a concave surface through the passages, positioning the concave surface of the fastener against a top surface of the patient's clavicle with a long axis of the fastener extending perpendicular to a long axis of the clavicle, positioning a fastener having a planar profile below the patient's coracoid process, and adjusting a suture that couples the fasteners.12-06-2012
20120010657SUTURE ANCHORING ASSEMBLIES AND METHODS OF USE - A suture anchor assembly and methods of use will now are disclosed for the repair of human or animal tissue defects. The suture anchor assembly is capable of being inserted into a tissue or bone while also being able to create an expanded profile when subjected to a retrograde force. This expanded profile anchors the assembly into the tissue or bone by a changing of position of elements of the assembly relative to other assembly elements. Embodiments of the suture anchor assembly and methods are capable of precisely positioning assembly elements in the tissue or bone to effectively repair the defects.01-12-2012
20120046693Method and Apparatus for Forming a Self-Locking Adjustable Loop - An apparatus can include a first flexible member having first and second ends and a first body extending therebetween, where the first body defines a first passage portion. A second flexible member can have first and second ends and a second body extending therebetween, where the second body defines second and third passage portions. The first end of the first flexible member passes into and through the second passage portion such that the first end extends outside of the second passage portion, and the second end of the first flexible member passes into and through the third passage portion such that the second end extends outside of the third passage portion. The first and second ends of the second flexible member pass into and through the first passage portion to form a self-locking adjustable flexible member construct.02-23-2012
20120004687CORKSCREW SUTURE ANCHOR - A suture anchor has a continuous thread spiraling around a tapering central core. At the distal end, the suture anchor terminates in a rounded point. At the proximal end of the suture anchor is an eye for receiving suture. The suture anchor has a large thread surface per turn of thread. Anti-backout ridges can be formed on the front and/or back faces of the threads. A driver for the suture anchor is provided, the driver including a shaft having a central axis, a length, a distal end, and a proximal end. The shaft is provided at its distal end with an opening aligned with the central axis of the shaft, for receiving the hexagonal proximal end of the suture anchor. One or more sutures threaded through the suture eye are threaded through the hollow tubular shaft. The suture is pulled into and captured by V-shaped notches on the proximal end of the handle to hold the suture anchor in place on the distal end of the driver under the tension of the captured sutures.01-05-2012
20120065679WIRED SUTURES - Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.03-15-2012
20110166599WEDGE OPERATED RETAINER DEVICE AND METHODS - This invention relates generally to retainers and methods of using retainers. In particular, the invention relates to a suture retainer adapted for application on a subject by use of an introducing device, such as a catheter. The suture retainer comprises two elements, such as wedge-shaped or substantially wedge-shaped elements, that are positioned such that the elements are juxtaposed with respect to each other. In operation the two elements are engaged by a spring which forces the two elements into contact. Additionally, a housing can be provided.07-07-2011
20120016415SYSTEM AND METHOD FOR ATTACHING SOFT TISSUE TO BONE - Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A bone anchor is described that comprises a base and a top such that suture material may be compressed between surfaces on the base and top to secure the suture to the anchor. Also described is an inserter that can be used to insert the bone anchor into bone and move the anchor top relative to the anchor base to clamp suture material there between. Also described is a soft-tissue and bone piercing anchor and associated inserter. Methods are described that allow use of the bone anchors to provide multiple lengths of suture material to compress a large area of soft tissue against bone.01-19-2012
20120016414SYSTEM AND METHOD FOR ATTACHING SOFT TISSUE TO BONE - Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A bone anchor is described that comprises a base and a top such that suture material may be compressed between surfaces on the base and top to secure the suture to the anchor. Also described is an inserter that can be used to insert the bone anchor into bone and move the anchor top relative to the anchor base to clamp suture material there between. Also described is a soft-tissue and bone piercing anchor and associated inserter. Methods are described that allow use of the bone anchors to provide multiple lengths of suture material to compress a large area of soft tissue against bone.01-19-2012
20080234730Fixation Devices and Method of Repair - In one aspect, the present disclosure relates to a surgical device including an anchor body having an opening, the anchor body having a copolymer composition including polylactide-co-glycolide and calcium carbonate, wherein the calcium carbonate comprises more than 30% but less than 40% of the weight of the composition; and a flexible member passing through the opening, wherein deformation of the device occurs at body temperature. The present disclosure also relates to an oriented polymer material having a copolymer composition including a polylactide-co-glycolide and calcium carbonate, the calcium carbonate comprising more than 30% but less than 40% of the weight of the composition, wherein the material changes shape upon introduction to an environment having a temperature that is lower than a relaxation temperature of the material. A method of repairing soft tissue and other surgical devices are also disclosed.09-25-2008
20100324596Method for anchoring suture and approximating tissue - An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.12-23-2010
20110087283ABSORBABLE BONE ANCHOR - A bone anchor is provided that can toggle in two planes for secure anchorage within a bone cavity. The bone anchor includes an oblique suture channel configured such that a suture strand extending through the bone anchor can be tensioned to toggle the bone anchor inside the bone cavity. The suture strand can be located on the same side of the anchor body to maximize the area of the anchor surface which engages bone, resulting in increased engagement into bone and resistance to tensile forces.04-14-2011
20120022588METHOD FOR SECURING SUTURES TO BONES - A method for securing a repair, such as a rotator cuff repair and includes an anchor placed within a hole formed in bone and a cannulated screw inserted into the hole after the anchor has been inserted to effectuate a firm and secure connection of tissue to bone, particularly when the quality of the bone does not permit optimal fixation. The method allows superior tissue fixation to bone with the ease of knotless suture anchor application.01-26-2012
20100023056TETHER-ANCHOR ASSEMBLIES - Anchors, tethers, knot configurations and other coupling mechanisms used to secure tethers to anchors or other implants are described. The knot configurations described may provide enhanced knot security and/or tensile strength, while also occupying relatively little volume. In some variations, the surfaces of a tether and/or an anchor or other implant may be at least partially coated with one or more agents and/or may be at least partially textured.01-28-2010
20120059415KNOTLESS SUTURE ANCHOR FOR SECURING SOFT TISSUE TO BONE - A suture anchor for anchoring a length of suture to bone, the suture anchor comprising: 03-08-2012
20120059414LARGE HOLE CLOSURE DEVICE - A closure device and system for closing openings in tissue. After placing sutures in the tissue, the sutures are clamped by the closure device to hold the sutures in place and close the opening in the tissue.03-08-2012
20120059416INTRA-OPERATIVE ACL GRAFT INSTRUMENTATION - A line lock system may include a line routed through a plate. The plate may have an elongated body with a plurality of passageways. The line is routed to form at least one one-way slide so no knots are required. The system may include filaments routed through the passageways of the plate or around a dogbone feature of the plate. The filaments may be used to toggle the plate after passage through a hole to prevent withdrawal of the plate back through the hole. The system may include a line lock stabilizer or counter-tension tool to stabilize the line lock as the line is adjusted, a compression limiter to selectively reduce compression in the one-way slide to facilitate adjustment of the line, means for adjusting the line, or a line cutter.03-08-2012
20120059418Method and Apparatus for Tensioning a Suture - An apparatus can include a tensioning member having a body defining a first bone engaging surface, a second opposite suture receiving surface, and an outer perimeter. First and second suture attachment members can be positioned relative to the second surface and spaced apart from each other, and can be configured to be coupled to a suture. First and second suture engaging members can extend from the second surface and can be positioned in spaced relation to the first and second suture attachment members. Rotation of the tensioning member in a first direction can selectively engage the first and second suture receiving members with the suture, thereby forming a non-linear path of travel of the suture relative to the first and second suture attachment members and suture engaging members and increasing the tension in the suture.03-08-2012
20120059417Method and Apparatus for Coupling Soft Tissue to a Bone - A method can include forming a bore in a bone of a patient and positioning a first anchor in the bore. The first anchor can have a self-locking adjustable suture construct extending therefrom that can include first and second adjustable loops. The first adjustable loop can be positioned about a first portion of the soft tissue and the second adjustable loop can be positioned about a second portion of the soft tissue different than the first portion. A coupling element carried by the second adjustable loop can be coupled to the first adjustable loop. An end of the adjustable suture construct can be tensioned to reduce a size of the first and second adjustable loops to couple the soft tissue to the bone.03-08-2012
20120065677BONE ANCHORS FOR USE IN ATTACHING SOFT TISSUE TO BONE - Bone anchors are provided having three suture attachment sites disposed within a bore. The bone anchors are suitable for use in rotator cuff repair procedures. The bone anchors comprise an anchor body having a bore that opens at a proximal end of the anchor body. At least three attachment sites are positioned within the bore. Each attachment site is capable of slidably receiving a respective suture thereon. The three attachment sites are spaced apart and configured such that the portions of the respective sutures that are in contact with the three attachment sites are maintained separated during use. In one embodiment, the three suture attachment sites are provided by two transverse pins placed within the bore. In another embodiment, the bore opens at a distal end and a longitudinal pin is inserted into the opening at the distal end. The at least three attachment sites are provided by the longitudinal pin disposed within the bore. The bone anchors can be fully threaded and can have fine thread and coarse threads for engaging cortical and cancellous bone tissue, respectively.03-15-2012
20120065680SUTURE ANCHOR - A bone anchor is described having pre-attached suture material. After insertion, lateral wings can be deployed on the bone anchor to prevent anchor pull-out. The suture may be attached at the tip of the anchor by tying it to a wire hook secured in a cavity in the anchor tip. The anchor may be inserted and deployed using an anchor inserter that is configured to apply an axial force to the anchor, thereby deforming the anchor to form the lateral wings.03-15-2012
20120065678SUTURE RETAINER WITH MULTIPLE CIRCUMFERENTIALLY SPACED ATTACHMENT POINTS - What is claimed is a suture retainer having a retainer body and a plurality of suture attachment mechanisms spaced circumferentially about the retainer body, each adapted to hold a suture strand at a discrete attachment point. One embodiment has a wheel portion and a plug portion. The wheel portion has a center aperture that the plug portion is configured to be insertable in and to engage with. The plug portion is configured to receive the non-needle end of a suture strand, securing it in place upon insertion of the plug into the wheel portion. The plug portion has a latch member extending therefrom which pushes the moveable arm into a flexed position during insertion. When the plug portion is fully inserted, the notch engagement ledge associates with the latch member and allows the moveable arm to return to a neutral position and secure the plug portion within the wheel portion.03-15-2012
20120158053SUTURE ANCHORING ASSEMBLIES AND METHODS OF USE - A suture anchor assembly and methods of use will now are disclosed for the repair of human or animal tissue defects. The suture anchor assembly is capable of being inserted into a tissue or bone while also being able to create an expanded profile when subjected to a retrograde force. This expanded profile anchors the assembly into the tissue or bone by a changing of position of elements of the assembly relative to other assembly elements. Embodiments of the suture anchor assembly and methods are capable of precisely positioning assembly elements in the tissue or bone to effectively repair the defects. Some embodiments of the suture anchor assembly may include pliable buttons. And some embodiments of the suture anchor assembly may also include buttons made of bioabsorbable or resorbable materials.06-21-2012
20120158051RE-TENSIONABLE KNOTLESS SUTURE SYSTEM - Systems and methods for a knotless suture system, so that soft tissue may be secured to bone without the need of a suture knot. The system may include a bone anchor that engages bone tissue, and an eyelet through which a suture loop bundle may or may not pass. This bundle includes a snare and at least one loop of a tail of a length of suture that is secured to the soft tissue. The snare may have a variable diameter with at least two sections, a first one having a smaller dimension and a second section having a second, larger dimension and the suture loop bundle may pass through the eyelet when the snare includes the first, smaller section, but not the second section.06-21-2012
20120158050SUTURE REPAIRING SYSTEM AND METHOD - A suture repair system and method for repairing a planned or unplanned opening in a human tissue plane. A handle having a deployable working end accommodates a re-loadable cartridge containing a suture and anchor in order to form an anchored limb at an edge of the tissue to be repaired. An end plate at a distal end of the suture cartridge slips into the tissue edge and deploys an anchor under the edge of the tissue that receives and prevents the suture from backing out. The handle can be shifted to an opposite edge of the tissue and sutured. A closure clip further joins the two anchored limbs of the suture via a one-way locking mechanism. An approximating tool pushes down the clip towards the defected tissue in order to achieve appropriate tissue approximation.06-21-2012
20120071921SYSTEM FOR PROVIDING SURGICAL ACCESS - One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising: a delivery member having proximal and distal ends; a first helical member having proximal and distal ends and a helical shape, the proximal end coupled to the delivery member distal end, the distal end extending distally of the delivery member distal end; an anchor member removably coupled to the helical member distal end; a suture member coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; and a tissue interface indentor member coupled to the delivery member and operatively coupled to the first helical member, the tissue interface indentor member comprising a distally protruding shape feature configured to contact one or more portions of the tissue structure adjacent to the distal end of the helical member and change an available angle of penetration between such portions and the distal tip of the first helical member as the distal tip is inserted into the tissue structure; wherein upon rotation of the delivery member in a first direction, the indentor member is urged against the tissue structure and the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member.03-22-2012
20120071920SYSTEM FOR PROVIDING SURGICAL ACCESS - One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising a delivery member having proximal and distal ends; a first helical member having proximal and distal ends and a helical shape, the proximal end coupled to the delivery member distal end, the distal end extending distally of the delivery member distal end; an anchor member removably coupled to the helical member distal end; and a suture member coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member, the deployed suture pattern being characterized in that it is substantially helical and represents a number of helical loops encapsulated by the wall of the tissue structure that is greater than about one helical loop, and is less than about three helical loops.03-22-2012
20120071922SYSTEM FOR PROVIDING SURGICAL ACCESS - One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising: a delivery member having proximal and distal ends; a plurality of helical members, each having proximal and distal ends and a helical shape, each proximal end coupled to the delivery member distal end, each distal end extending distally of the delivery member distal end; a plurality of anchor members removably coupled to the helical member distal ends; and a plurality of suture members coupled distally to a portion of one of the anchor members and extending proximally to a position wherein at least a portion of each may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the helical members and coupled anchor members are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portions of the suture members in a deployed suture pattern which remains coupled to the anchor member.03-22-2012
20100185237DEVICE FOR ATTACHING SUTURE THREADS - An embodiment of a device for fixation of a suture thread includes a fixation element with a base and a hole, the fixation element including a first surface for placement against the structure, and a second surface opposite the first surface. Such an embodiment may further include an anchoring element for anchoring within the structure, which includes a head and a stem, the stem configured for placement through the hole with the head facing the second surface, wherein the fixation element includes a locking element comprising an aperture configured to receive the suture thread, the aperture having an unlocked configuration permitting free passage of the suture and a locked configuration inhibiting suture movement, wherein the locking element is located at least partially between the head and the second surface, such that the head of the anchoring element compresses the locking element from the unlocked configuration into the locked configuration.07-22-2010
20120158052METHOD AND APPARATUS FOR ATTACHING CONNECTIVE TISSUES TO BONE USING A KNOTLESS SUTURE ANCHORING DEVICE - An innovative bone anchor and methods for securing soft tissue, such as tendons, to bone are described herein. Such devices and methods permit a suture attachment that lies beneath the cortical bone surface and does not require tying of knots in the suture.06-21-2012
20110106154PARTIAL THICKNESS ROTATOR CUFF REPAIR SYSTEM AND METHOD - A suture anchor is disclosed which has an elongated body having a distal end, a proximal end and an exterior surface. An axially oriented bore extends into the body from the proximal end and a proximal portion of the bore has a plurality of abutment surfaces for engaging a tool. The bore includes one or more axially oriented suture passages leading to a suture attachment within the bore. A length of suture extends into the at least one suture passage from the body proximal end and extends to the suture attachment. A screw thread spirals about a portion of the exterior surface of the body adjacent the at least one suture passage. Between the bore and the exterior surface of the body the body has a wall thickness and wherein the suture passage comprises the area where the wall thickness goes to zero.05-05-2011
20080287992Surgical method for suturing soft tissue to a bone, in particular the rotator cuff to the humerus - The aim of this method is to improve the efficiency and ease of implanting a means for suturing a soft tissue to a bone, while allowing it to be carried out by arthroscopy in particular. In accordance with the method according to the invention: 11-20-2008
20130012990KNOTLESS LOCKING TISSUE FASTENING SYSTEM AND METHOD - Systems and methods for fastening tissue include a tissue fastening device comprising an elongate element and a delivery device including a cone, suture, and needle arranged at a delivery end of the elongate element. At least one of the tissue locking features and a tissue lock device are arranged at an end of the elongate element opposite the delivery end. The system includes a locking feature near the delivery end, and a lock device having a mating feature that corresponds to the locking feature. When the delivery device is passed through the lock device, the mating feature engages the locking feature and locks the lock device in an axial direction along the elongate element.01-10-2013
20100249833METHOD OF FORMING KNOTLESS DOUBLE ROW CONSTRUCT WITH GRAFT OR PATCH FIXED UNDER REPAIR SITE - Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair includes the steps of (i) providing a medial row formed of a plurality of medial anchors, the medial anchors comprising suture or tape attached to each of the bodies of the medial anchors, the suture or tape forming a loop when the medial anchors are placed within tissue; (ii) passing traction sutures through each of the corresponding loop of the nearest medial anchor; (iii) passing through the tissue (rotator cuff) the free limbs of the suture or tape attached to each of the medial anchors, and one end of the traction suture (passed through the corresponding loop) at their respective points; (iv) bringing the other end of the traction suture (through a lateral cannula) underneath the tissue (the rotator cuff) and then securing the passed end of the traction suture to a graft or patch located underneath the tissue (rotator cuff); and (v) adjusting the position of the graft or patch by pulling end of the traction suture passed through the tissue (rotator cuff).09-30-2010
20100249835MEDICAL DEVICE FOR REPAIR OF TISSUE AND METHOD FOR IMPLANTATION AND FIXATION - The present invention relates to medical devices for repairing tissue and more specifically to devices which facilitate tissue regeneration and to surgical methods for the implantation and fixation of such devices. In one embodiment, the medical device is an elongate conduit that includes a longitudinal bore extending therethrough to facilitate the transfer of blood from a vascular region of tissue to a tear or damaged area located in an avascular and/or semi-vascular region of tissue. A filament and/or filaments are attached to the conduit and are positioned to secure the conduit and fixate the adjacent tear walls in mutual engagement. In another embodiment, a series of conduits are connected via a filament and/or filaments to facilitate the implantation of multiple conduits.09-30-2010
20100249832Multizone Implants - Medical devices having more than one degradation zone or degradation mechanism are used for orthopedic repair devices and soft tissue fixation devices.09-30-2010
20100249834DOUBLE ROW CONSTRUCT WITH MEDIAL ROW CLOSURE - Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair includes the steps of (i) securing first and second knotless fixation devices in bone, wherein the first fixation device is provided with a first loop and a first set of tails extending therefrom, and wherein the second fixation device is provided with a second loop and a second set of tails extending therefrom; (ii) passing one tail of the first fixation device through the second loop of the second fixation device; (iii) passing one tail of the second fixation device through the first loop of the first fixation device; and (iv) securing the first set of tails with a third fixation device and the second set of tails with a fourth fixation device.09-30-2010
20120232590SUTURE ANCHOR HAVING A SUTURE ENGAGING STRUCTURE AND INSERTER ARRANGEMENT - A suture anchor and inserter arrangement, including a suture anchor for implanting in hard tissue, such as bone, and an inserter device for installing the suture anchor in hard tissue. The suture anchor carries thereon a suture-engaging structure formed from suture, which structure cooperates with working suture associated with the inserter device so as to attach the working suture to the suture anchor.09-13-2012
20120165865TISSUE LIGATING DEVICE - A tissue ligating device to which a suture is attached and which ligates a tissue includes a suture fix member which is attached to the suture, and which includes a housing part which one part of the suture can be hooked; and a hooked suture locking part configured to prevent the suture hooked in the housing part from disengaging from the housing part.06-28-2012
20120130423SURGICAL FILAMENT SNARE ASSEMBLIES - A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose on a first portion of at least a first limb and has a second portion connected to the filament engagement feature of the anchor. Preferably, at least one free filament limb, which in some embodiments is a length of the first filament and in other embodiments is a second filament, is capable of being passed through tissue to be repaired and has at least one end passable through the noose to enable incremental tensioning of the tissue after the anchor is fixated in bone. The noose strangulates the free filament limb when tension is applied to at least one of the free filament limb and the noose.05-24-2012
20120130424SURGICAL FILAMENT SNARE ASSEMBLIES - A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably connected, to the filament engagement feature of the anchor. The first and second noose limbs emerge from the anchor as first and second free filament limbs which are capable of being passed through tissue to be repaired and then passable through the noose. The noose, such as one or more half-hitches, is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after the anchor is fixated. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs at least through the tissue as a single unit.05-24-2012
20120165868FENESTRATED SUTURE ANCHOR AND METHOD FOR KNOTLESS FIXATION OF TISSUE - A fenestrated suture anchor for fixation of tissue to bone. In a preferred embodiment, the suture includes an implant, such a swivel implant with a forked tip for capturing suture. The implant is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, to engage and fully seat the implant. The cannulated fixation device is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the anchor (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.06-28-2012
20120165867Method and Apparatus for Coupling Anatomical Features - An assembly for coupling a first portion of an anatomy to a second portion of the anatomy includes an anchor having an anchor body and a first and second bores through the anchor body. A first adjustable suture construct having a body portion passes through the first bore of the anchor and includes first and second adjustable loops slidable relative to a passage portion defined in the body portion of the first adjustable suture construct. A similar second adjustable suture construct passes through the second bore of the anchor.06-28-2012
20120165866Method and Apparatus for Coupling Soft Tissue to Bone - A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone. The method includes the following: implanting in bone a first anchor including a first suture construct connected to the first anchor; passing a first adjustable loop of the first suture construct at least one of over or through the soft tissue; coupling the first adjustable loop to one of a first locking feature of the first anchor or a second locking feature of a second anchor; adjusting the first adjustable loop by pulling a first end of the first suture construct; and securing the soft tissue against bone by pulling the first end of the first suture construct.06-28-2012
20120165864ADJUSTABLE ANCHOR SYSTEMS AND METHODS - An adjustable anchor system for securing tissue to bone, including an anchor having at least one passage extending from a proximal end toward a distal end. The passage defines a restriction such as a restricted opening. The anchor has at least one bone-engaging feature disposed between the proximal and distal ends. The system further includes a first material formed as a closed loop and capable of being placed through a portion of the tissue, and a second filament having a terminal end, a post limb and a sliding knot tied between the terminal end and the post limb to establish an elongated, adjustable-length loop which extends beyond the proximal end of the anchor and captures the closed loop of the first material. The knot of the second filament is restrained by the restricted opening when tension is applied as desired to the post limb to shorten the elongated loop to draw the tissue toward the anchor.06-28-2012
20100204731Suture Holding System - A suture holding system including a suture and a block having first, second and third regions for receiving the suture, having proximal and distal ends, is provided. The suture is received in the first and second regions of the block, defining a first suture portion, and is then received in the third region before passing between the block and the first suture portion, defining a second suture portion. In this configuration, pulling on the distal end of the suture selectively locks the suture to block, whereas pulling on the proximal end of the suture allows the suture to advance freely in that direction. Suture holding system may also include a second block, being rotated 180 degrees with respect to the first block. A delivery device for implanting the suture holding system in soft tissue and methods for repairing a tear in soft tissue are also provided.08-12-2010
20120083841SUTURE ANCHOR WITH SUTURE MANAGEMENT - A suture anchor comprises an anchor body comprising a longitudinal axis and bone engaging external threads oriented for rotation about the longitudinal axis; and a suture attachment on the anchor body rotational with respect to the body about the longitudinal axis whereby to help reduce twisting of one or more sutures which may be attached to the suture attachment as the anchor body is threaded into a bone.04-05-2012
20120083840SUTURE ANCHOR WITH ENHANCED FIXATION - A suture anchor comprises an anchor body having a proximal end, a distal end, a longitudinal axis and bone engaging external threads oriented for rotation about the longitudinal axis. A longitudinal axial bore extends into the body from its proximal end and at least one lateral passage passes from the axial bore outwardly through the body. A suture attachment element disposed within the axial bore has at least one protruding member having a first position disposed within the axial bore and a second position protruding outwardly from the anchor body through the at least one lateral passage. The protruding member inhibits rotation of the suture anchor body within the bone.04-05-2012
20120136389SUTURE LOCK - A suture lock according to the present invention provides sufficiently secures a suture thread in place in a quick and efficient manner. It eliminates the need for a laproscopic surgeon to tie complex or multi-step knots. The suture lock generally comprises a suture lock body having a suture channel that allows a suture thread to be drawn into the suture lock body. A plurality of teeth extends into an opening of the suture channel in such a manner that an inserted suture thread will be locked in place. In addition, a guide portion eases insertion of a suture thread free end by simplifying relative rotational adjustment of the lock. An embodiment of the present invention may be fabricated from a material or materials that naturally dissolve within the human body.05-31-2012
20120253388Anchor Member For Looped Sutures - Anchor members for use with a suture having a loop are provided. The anchor member may include an elongate body having first and second ends. The elongate body is configured for reception within the loop formed in the suture. The anchor member further including an engagement portion spaced from the first and second ends configured to secure the elongate body relative to the loop. Also provided are anchor assemblies including a looped suture and an anchor member.10-04-2012
20100298880ANASTOMOSIS METHOD USING SELF-RETAINING SUTURES - An anastomosis procedure utilizes a self-retaining suture to secure one vessel to another vessel. One or more self-retaining sutures are deployed around the interface between the vessels. The self-retaining sutures have tissue-grasping surface features which allow passage of the sutures in one direction through tissue, but not in the opposite direction. The self-retaining sutures may be deployed using a needle attached to the end of the sutures. The anastomosis technique may be performed without using knots.11-25-2010
20100049247SUTURE FIXATION KIT OF PARTS, SYSTEM, AND DEVICE - A suture fixation system that is configured to secure a suture includes a pad and a suture fixation device configured to clamp and retain at least one end of a suture. The pad includes a suture surface opposite a tissue surface and defines an opening formed through the suture and tissue surfaces that is sized to provide a margin around a tissue lesion to be sutured. The suture is employed to stitch the tissue lesion closed, the suture having at least one free end that is held in place by the suture fixation device, and the pad configured to elevate a portion of the suture away from the tissue.02-25-2010
20100049249Suture anchor extension - A suture anchor extension for converting a non-fully threaded base suture anchor to a fully threaded suture anchor. The extension comprises a hollow tubular sleeve adapted to be axially aligned with and attached to the base suture anchor. One end of the sleeve engages the non-circular drive member on the base suture anchor and the other end engages a driver for turning the extension and base anchor into tissue at the work site. Suture attached to the base anchor is directed through the interior of the sleeve and, during installation, through the cannulation of the driver.02-25-2010
20100049248Suture tensioning device - A suture tensioning apparatus for tightening the suture used to tie a tissue of a patient to the bone of the patient so that the tissue will cinch to the bone. A lever is mounted on a stub shaft that is supported to a base member and is movable in a lateral position. A pair of spaced spools are mounted on the lever and the reach of the suture is wrapped around each of the spools. Means, including a coil spring wrapped around the stub shaft is connected to the lever and a rotatable dome. The movement of the lever causes the lower portion of the coils to unwrap around the stub shaft, and rotation of the dome causes the upper portion of the coils to unwrap whereby the movement of the coil spring forces the lever to return to its original position. The tensioning apparatus can be incorporated into an existing suture gun or can be made integral therewith.02-25-2010
20100298878DOUBLE ENDED BARBED SUTURE WITH AN INTERMEDIATE BODY - A suture system has a double ended barbed suture with a first plurality of barbs located adjacent to a first end and a second plurality of barbs located adjacent to a second end, and a body located between the first plurality of barbs and the second plurality of barbs. The body provides an anchor that can hold tissue relative to the first end and the second end of the suture. The body can slide and be positioned on said suture.11-25-2010
20100298879SUTURE WITH AN INTERMEDIATE BARBED BODY - A suture system has a suture with a first plurality of barbs located adjacent to a first end and a second plurality of barbs located adjacent to a second end, and a body located between the first plurality of barbs and the second plurality of barbs. The body provides an anchor that can hold tissue relative to the first end and the second end of the suture. The body can slide and be positioned on said suture.11-25-2010
20120179200SUTURE ANCHOR WITH PULLEY - Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.07-12-2012
20120179199ADJUSTABLE ANCHOR SYSTEMS AND METHODS - An adjustable anchor system provides for securing tissue to bone and includes an anchor with a collapsible suture loop affixed thereto and a tissue suture connected to the collapsible suture loop. After the tissue suture is loaded into the tissue and the anchor implanted into the bone the collapsible loop is collapsed to tension the tissue suture.07-12-2012
20110106155EXTERNAL RETENTION MECHANISM FOR SUTURE ANCHOR - Among other things, embodiments of a retaining mechanism for holding a portion of the suture of a suture anchor are disclosed. When a suture anchor is inserted into a patient, the portion of the suture extending from the body is held in tension by a two-piece snap-fit mechanism. One piece has a base with an extending shaft portion and a bulbous head, and a lumen runs through the shaft. The second piece has a hole or space for snapping the second piece onto the first piece. The extending portion of the suture runs through the lumen in the first piece and can be wrapped around the shaft. Snapping the second piece onto the first contains the suture and prevents loss of tension in it.05-05-2011
20120253392METHOD AND APPARATUS FOR THE TREATMENT OF TISSUE - This disclosure presents methods and devices for treating a defect in soft tissue of a patient. The methods and devices can employ fixation delivery apparatuses and fixation apparatuses positioned, at least in part, in or on the soft tissue to be repaired. In some aspects, these techniques include the use of this includes a fixation apparatus that includes at least one bone anchor connected to at least one tissue anchor by a shortenable elongate member.10-04-2012
20120253389SURGICAL FILAMENT SNARE ASSEMBLIES - A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.10-04-2012
20120226310SUTURE RETENTION DEVICE - A suture retention device is provided for retaining a suture. The device includes a body with a channel and two retention members within the channel. The retention members are movable between an unlocked state to a locked state in which the suture is restrained with respect to the body.09-06-2012
20120259361SUTURE ANCHOR WITH IMPROVED TORSIONAL DRIVE HEAD - The present invention provides a suture anchor that includes an elongate shank defining a longitudinal axis and having at least one engaging member for applying the suture anchor within the bone and securing the suture anchor in the bone once implanted formed thereon, and a drive head having a proximal end, a distal end and a radial cross-sectional geometry, where the drive head is mated to the elongate shank, includes at least one suture attachment element formed in a portion thereof and at least one anti-rotational member integral therewith, suture anchor kits utilizing the suture anchors and methods of attaching bone to gone.10-11-2012
20120191134METHODS AND DEVICES FOR ANCHORING SUTURE IN BONE - An elongate rigid suture anchor is provided which is driven and impacted directly into bone. It has two ends, a distal end, which forms a hole in the bone, and a proximal end that penetrates the sidewall of the bone hole as the anchor is displaced proximally in the hole. A proximal force is applied to the suture anchor to displace the anchor proximally and cause tilting of the anchor. As the anchor is displaced proximally, the proximal end of the anchor enters obliquely into the sidewall of the hole.07-26-2012
20090018581SOFT TISSUE FIXATION ASSEMBLY AND METHOD - A soft tissue fixation assembly comprises an anchor element which is installed in a bone or other tissue and a suture joiner element which mates with the anchor element. The suture joiner element includes a suture retaining element that securely retains suture and which is connected to the anchor element. Energy is transmitted through the suture joiner element to cause relative vibratory motion between the respective components and localized collapsing and compressing of the suture joiner element to secure the suture within the suture joiner element and to secure the suture joiner element within the anchor element. The soft tissue segment is thus fixed to the bone via the sutures secured in the bone anchor.01-15-2009
20080300629SUTURE LOCK - Suture Locks, as well as related systems and methods, are provided for fixing strands of one or more sutures relative to tissue. The suture locks, systems and methods are simple and reliable in use, facilitate complete perforation closure and adjustment of the suture strands, and are adaptable to a variety of suture fixation and perforation closure situations. The suture lock includes a locking pin and a retaining sleeve. The locking pin has a main body and a grip. The retaining sleeve has a tubular body with an internal wall defining an internal passageway sized to receive the locking pin therein. The suture lock is operable between a locked configuration and unlocked configuration. In the locked configuration, the suture strands are compressed between the grip and the internal wall of the tubular body.12-04-2008
20110004243SEGMENTED SUTURE ANCHOR - A segmented suture anchor for fixation of soft tissue to bone. The segmented suture anchor is formed of multiple body segments that allow the suture anchor to be inserted and passed through a curved instrument such as a curved cannulated guide. At least two of the multiple body segments are connected by a strand of material (for example, a flexible suture strand, a suture tape, nitinol strand, or high-strength suture). The strand of material may be attached to the anchor by a connecting region (for example, a bonded or knotted region). The strand of material may also form a closed loop or eyelet attached to the suture anchor, to allow additional suture strands to be loaded through the closed loop or eyelet and aid in the fixation of soft tissue.01-06-2011
20110004242KNOTLESS SUTURE FIXATION DEVICE AND METHOD - A knotless suture fixation device (01-06-2011
20120239088SURGICAL INSTRUMENTS - A method of using a knotless suture anchor includes boring a nest in a bone, driving the suture anchor into the nest, tensioning an unknotted suture; and securing the unknotted suture in an anchor body by contacting the unknotted suture with an inner bottom surface of the well and a bottom face of an anchor plug, where the suture anchor includes the anchor body including a well, a top surface, a bottom surface distal to the top surface, a transverse bore proximal to the inner bottom surface of the well, and he unknotted suture threaded through the transverse bore; where the well includes an outer surface; an inner surface; and the inner bottom surface; and where the anchor plug includes a post; and the bottom face.09-20-2012
20110130789LISPRANC REPAIR USING SUTURE ANCHOR-BUTTON CONSTRUCT - An apparatus and method for Lisfranc repair using a suture anchor-button construct. The method includes the steps of drilling a hole in a medial cuneiform and through the second metatarsal base, passing the suture anchor of the suture anchor-button construct through the hole from the medial aspect of the medial cuneiform into the hole in the base of the second metatarsal, screwing the suture anchor into the second metatarsal base, advancing the button of the suture anchor-button construct such that the button rests against the medial aspect of the medial cuneiform, and securing the button against the medial aspect of the medial cuneiform.06-02-2011
20120330356SUTURE CLIP STAPLER FOR SOFT TISSUE CLOSURE - A suture clip is comprised of a length of suture material with a male clip on one side and a female clip on the other side. The male clip may contain ratchets that, when engaged with the female clip, hold it in place and allow the male clip to adjustably lit within the female clip or even through it to “tighten” the suture when the male and female clips are engaged. The suture clips are configured to be used in a suture clip applicator that contains paired and opposing needles configured to hold the male clip on one side and the female clip on the other side and to cause the engagement of male and female clips and form a continuous loop through the suture material to enable the closure of fascia or other body tissues.12-27-2012
20120330355MULTI-DUROMETER REINFORCED SUTURE SLEEVE - A suture anchor for securing a therapy delivery element in a desired location within a living body using a suture material. The suture anchor includes an inner sleeve with a primary lumen sized to receive the therapy delivery element. The inner sleeve includes a compliant material having a first durometer. An anchor body extends around at least a portion of the inner sleeve and includes a portion of the primary lumen. The anchor body includes a compliant material having a second durometer less than the first durometer. At least one exterior suture groove is located on the anchor body to receive the suture material. The exterior suture groove extends substantially to the inner sleeve so the suture material engages directly with the inner sleeve.12-27-2012
20110046670DEVICE FOR ANCHORING A SUTURE IN TISSUE - A device for the anchoring of a suture in tissue includes a guide sleeve, a sonotrode, an anchor and the suture. The guide sleeve has a distal part with a smaller cross section and a proximal part with a larger cross section. The sonotrode extends through the lumen of the guide sleeve and has a distal end and a proximal end, the proximal end being designed for coupling the sonotrode to a vibration source (e.g. an ultrasonic device). The anchor is arranged at the distal end of the device and includes an anchor foot and an anchoring sleeve sitting on a shoulder of the anchor foot. The anchoring sleeve consists of a material which is liquefiable through mechanical vibrations. A middle portion of the suture runs through the anchor foot and two end portions of the suture are attached to the guide sleeve. The anchoring sleeve is clamped or clampable between the anchor foot and a pushing sleeve or the sonotrode or the guide sleeve. The device is particularly suitable for the anchoring of sutures in bone tissue.02-24-2011
20120271349Suture Anchor and Method of Use - A suture anchor 10-25-2012
20120323275METHOD AND DEVICE FOR APPROXIMATING TISSUE - A wound closure assembly and method for its use. The wound closure assembly includes a curved inserter having a distal end and a proximal end, a filamentary element extending between a proximal end and a distal end, wherein the proximal end is coupled to the proximal end of the curved inserter, a first anchor coupled to the filamentary element between its first and second ends, and a second anchor positioned at the distal end of the filamentary element. The filamentary element is configured to form a slip knot between the first and second anchors so as to enable the distance between the first and second anchors to be decreased by pulling on the proximal end of the filamentary element. The distal end of the curved inserter is received within a channel in the first anchor that extends along its longitudinal length.12-20-2012
20120330357MULTI-LOOP ADJUSTABLE KNOTLESS ANCHOR ASSEMBLY AND METHOD FOR REPAIR - A suture anchor assembly with an adjustable suture loop for securing a bone mass to soft tissue. The suture anchor system achieves secure, tensioned attachment of soft tissue to a bone mass using a suture anchor assembly in conjunction with an adjustable suture loop composed of loop member with a tensioning suture component extending therefrom and coupled thereto through the creation of a pre-tied slip (or sliding) knot.12-27-2012
20120330354MULTI DUROMETER REINFORCED SUTURE SLEEVE - Suture anchors for securing therapy delivery elements, such as stimulation leads or catheters, within a living body. The suture anchor includes an inner sleeve constructed with an inner layer of a softer, more pliable material that easily conforms to the therapy delivery element to reduce slippage and an outer layer constructed from a harder, stiffer durometer material that protects the therapy delivery elements from damage due to over-tightening the tie down sutures. A suture material located in the suture groove is tensioned to apply a radial compressive force. The reinforcing structure spreads the radial compressive force along a greater surface area of the therapy delivery element.12-27-2012
20110238113RING CINCH ASSEMBLY TO ATTACH BONE TO TISSUE - Systems, apparatuses and methods for securing tissue to bone using a bone anchoring system are described. Methods and apparatuses may allow transformation between locked and unlocked states, thereby allowing adjustment of the tension in the suture. The apparatus and/or methods may allow unidirectional movement of a suture, while preventing slippage or movement of the suture and tissue in the opposite direction. Ends of a suture may be individually tensioned to adjust positioning of a tissue with respect to a bone.09-29-2011
20110238112SUTURE ANCHOR - Devices and methods for locking a suture to an anchor are disclosed. In certain embodiments, a suture anchor includes a first body configured to be driven into a bone, and a second body also configured to engage the bone and coupled to the first body. At a selected embedded depth of the anchor, the second body moves towards the trailing end of the first body to facilitate a suture-lock configuration as the anchor is driven in deeper. A suture retainer such as a ring, and a flared portion at or near the trailing end of the first body, facilitate locking of a suture between the ring and either or both of the second body and the flared portion as the second body pushes on the ring that in turn pushes against the flared end. In certain embodiments, such suture-lock can be achieved substantially simultaneously as the suture anchor is driven into its final embedded depth. In certain embodiments, the second body can be dimensioned to engage substantially the entire thickness of a cortical layer of the bone to allow the first body to be driven in deeper into a cancellous region to facilitate an easier separation between the first and second bodies.09-29-2011
20110264140KNOTLESS SUTURE ANCHOR - A suture anchor is disclosed having an outer body with an axial bore which receives and inner body for rotation. Suture passes between the inner body and outer body and rotation of the inner body wraps the suture thereabout locking the suture thereto. Rotation of the inner body also effects radial expansion of at least a portion of the outer body to engage to anchor into a bone hole.10-27-2011
20110276092GRAFT FIXATION USING A PLUG AGAINST SUTURE - A method for securing soft tissue to bone which does not require the surgeon to tie suture knots to secure the tissue to the bone. Suture is passed through the graft at desired points. A cannulated plug or screw is pre-loaded onto the distal end of a driver provided with an eyelet implant at its distal end. Suture attached to the graft is passed through the eyelet of the implant located at the distal end of the driver. The distal end of the driver together with the eyelet implant is inserted into the bone. Tension is applied to the suture to position the graft at the desired location relative to the bone. The screw or plug is advanced into the pilot hole by turning the interference screw or tapping the plug until the cannulated screw or plug securely engages and locks in the eyelet implant, so that the cannulated plug or screw with the engaged eyelet implant is flush with the bone. Once the screw or plug is fully inserted and the suture is impacted into the bone, the driver is removed and any loose ends of the sutures protruding from the anchor site are then clipped short.11-10-2011
20110276091Anchors with Biodegradable Constraints - An implant includes a collapsible anchor to be deployed within a lumen and a protrusion coupled to the anchor. The protrusion, in a constrained state, extends a distance from an exterior surface of the anchor and, in an unconstrained state, extends further from the exterior surface of the anchor. Also included is a biodegradable constraint, such as a biodegradable tube or suture, configured to maintain the protrusion in the constrained state until the constraint releases. The implant may include additional biodegradable constraints, each constraint configured to maintain the protrusion in a different constrained state and to degrade over a different predetermined period after the implant has been deployed within the lumen. The protrusion may include a bi-directional barb or an open loop. The protrusion may be configured to penetrate a wall of the lumen and to allow tissue to grow about the protrusion. The implant may also include an unsupported, thin-walled sleeve coupled to the anchor and configured to extend into the lumen upon deployment of the collapsible anchor.11-10-2011
20120101525FIBROUS CONTAINMENT FOR HEMOSTASIS PLUG - A device for sealing an opening in a vessel includes an anchor attached to a suture. The anchor is inserted through the opening into the vessel, and the suture pulls the anchor against the vessel wall, forming a seal. A plug is inserted over the suture and is axially compressed toward the anchor, locking the elements in place. The suture is braided or woven outside of the anchor so that it may be stored and handled easily, and is unbraided, unwoven and/or untangled at its distal end inside the anchor, so that individual filaments within the suture may extend laterally within the anchor. The laterally extending filaments subtend a larger footprint within the anchor than a comparable footprint if the suture were to remain braided or tied into a knot within the anchor, which may more effectively distribute the retaining forces within the anchor.04-26-2012
20120101524Surgical Suture System - A surgical suture system for tissue repair and reattachment of torn tissue to a tissue substrate, medical prosthesis or medical implant. The system includes an elongated flexible suture member having a plurality of longitudinally spaced protuberances along a length thereof and a plurality of tissue engaging members each including two spaced apart locking apertures sized to receive the suture member passed therethrough to allow longitudinal movement of the suture member in only one direction through the locking apertures for suture member tightening.04-26-2012
20120290005SUTURE FASTENING DEVICE - An apparatus is operable to secure suture fasteners to sutures to eliminate the need to tie knots in the sutures. The apparatus comprises a shaft, an end effector disposed at the distal end of the shaft, and a suture fastener removably secured to the end effector. The end effector may include a pivoting jaw or a suture cutter. The suture fastener may be secured to one, two, or more strands of suture. The apparatus may include several suture fasteners and may secure those fasteners to one or more sutures in a serial fashion without having to remove the apparatus from the patient for reloading. A plurality of fasteners may be arranged within the apparatus in an end-to-end configuration. The suture fastener may include an inner fastener member and an outer fastener member, and may capture one or more strands of suture between the inner and outer fastener members.11-15-2012
20120290002TISSUE GRAFT ANCHORING - A method of securing a tissue graft includes providing a fixation member having a suture attached thereto, attaching the suture to the tissue graft, and adjusting the length of the suture between the fixation member and the tissue graft by pulling an end of the suture. A fixation device includes a member defining at least two openings and a suture passing through the at least two openings. The suture has a first end received within the suture through an open second end of the suture and exits the suture through a first opening in the suture between the first and second suture ends. A fixation device includes a suture having two closed loop portions that pass through openings in a member. A first suture end is received within the suture through a first opening in the suture, and a second suture end is received within the suture through a second opening in the suture.11-15-2012
20120290004SOFT ANCHOR MADE FROM SUTURE FILAMENT AND SUTURE TAPE - An anchor is provided for placement in or against tissue. The anchor includes a fibrous construct and at least a first filament. Each filament passes through the construct in at least three passing locations including a first location nearest a first end of the construct, a last location nearest a second end of said construct, and at least one intermediate location between said first passing location and said last passing location. In an undeployed state, each filament extends a first length between said first location and said last location. In a deployed state, each filament extends a second length between the first location and the last location. The second length is shorter than said first length.11-15-2012
20120290003WEDGE KNOTLESS SUTURE ANCHOR - A wedge knotless anchor that is suture/wire activated. The anchor includes an anchor body and at least two flexible strands attached to the body. One of the flexible strands is a tying strand (attached to tissue to be fixated) and the other strand is a locking strand having a first end (a wedge end) and a second end. The wedge end has a larger cross-section than the second end. In the “locked position,” the locking strand is pulled so that the wedge end (the larger portion) is pulled into the anchor body and plugs up an opening in the anchor body, preventing movement (sliding) of the tying tissue strand which also passes through the opening.11-15-2012
20120290006Adjustable Suture Lock Loop - The present disclosure relates to an adjustable suture lock loop for use in soft tissue repair and, more particularly, an adjustable suture lock loop constructed from a suture material having a lumen and one or more anchors. The adjustable suture lock loop can include a strand of braided suture material having a first end and a second end, and a lumen; and one or more anchors, wherein each anchor has two or more holes disposed therethrough that are large enough to permit the suture to pass therethrough; and both ends of the suture material pass through the lumen of a first section of the suture material, and wherein the first end of the suture material is free, while the second end is secured to form a loop.11-15-2012
20100049250STITCHING REINFORCEMENT MATERIAL FOR AUTOMATIC STITCHING DEVICE - It is an object of the present invention to provide a suture reinforcement material for an automatic suturing device, which has excellent loadability into an automatic suturing device and excellent cuttability with a cutter.02-25-2010
20100168792Stylet Locking Mechanism For Medical Delivery Devices - A stylet locking mechanism for preventing axial movement of a stylet relative to a needle of a medical delivery device is disclosed. The locking mechanism comprises first and second ends that may be removably attached to the device, and a hinge for allowing the locking mechanism to be disengaged from a locking position without being completely disconnected from the delivery device.07-01-2010
20130012989Anchor and Anchor Deployment Apparatus - An anchor fir maintaining a portion of a therapy delivery element within a desired location of a patient has (i) a first opening, (ii) a second opening, (iii) a body member formed of elastic material disposed between the first and second opening, (iv) and a lumen extending though the body member from the first opening to the second opening, and (v) a retention element secured to or integrally formed with the body member for retaining the anchor within a tissue location of a patient.01-10-2013
20120150225FENESTRATED SWIVEL ANCHOR FOR KNOTLESS FIXATION OF TISSUE - A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fenestrated fixation device, such as a cannulated interference screw, over the body of the implant.06-14-2012
20120150224SURGICAL TECHNIQUES AND CLOSURE DEVICES FOR DIRECT CARDIAC CATHETERIZATION - A surgical closure device (06-14-2012
20110160766Medical Affixation Device - A medical affixation device for affixing a first body tissue portion to a second body tissue portion in vivo includes a main body portion having a first surface operably oriented in facing relationship with a first body tissue, wherein the first surface has a non-planar contour forming one or more body tissue contact portions and one or more non-contacting portion. The body tissue contact portions have an effective tissue contact surface area that is sufficiently large to prevent the body tissue contact portions from penetrating the first body tissue when the device is fully installed. The device further includes one or more prongs extending from the main body portion, and which are configured to penetrate the first body tissue upon installation of the device.06-30-2011
20130023929TENSIONABLE KNOTLESS ACROMIOCLAVICULAR REPAIRS AND CONSTRUCTS - Systems and methods for AC joint dislocation surgical repairs, without knot tying. The surgical systems include two fixation devices (for example, a button and an anchor) joined by strand of flexible material having a knotless, self-cinching, adjustable loop with two splices that attach to the two fixation devices. The knotless, adjustable loop/fixation devices allow for tensioning of the AC repair after the anchor implantation.01-24-2013
20130023930Method for Tissue Fixation - A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes a channel on an exterior surface and an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member.01-24-2013
20080255613Adjustable knotless loops - Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. An adjustable loop region of a flexible construct contained in a bore defined by a fastener is passed through a tissue. The adjustable loop is passed through the tissue. The fastener is passed back through the adjustable loop to fold the adjustable loop upon itself. The fastener is attached to the bone. An adjusting arm on the flexible construct is engaged to reduce the size of the adjustable loop and secure the soft tissue to the bone.10-16-2008
20080249567SURGICAL INSTRUMENTS - A surgical instrument having an anchor and a plug is capable of anchoring a suture. The suture anchor has an anchor body having a top surface, a bottom surface distal to the top surface, a transverse bore and a well, the well having an outer surface, an inner surface, and an inner bottom surface. The plug has a post, a head, and a bottom face. The anchor body and the anchor plus form a suture anchor. The suture anchor may be used during surgical procedures and can be used in the re-tensioning of a suture.10-09-2008
20080243184CANNULATED SUTURE ANCHOR SYSTEM - A system and associated method for arthroscopic repair is particularly adapted in reattaching a ligament and/or tendon to cortical bone of the shoulder. A suture anchor system includes a suture anchor, preferably, a screw anchor, and an installation tool for installing the suture anchor in tissue. The suture anchor defines a longitudinal axis and has a longitudinal cannulation for reception and passage of a guide wire. The suture anchor has trailing and leading ends, and an anchor head adjacent the trailing end thereof. The anchor head includes at least one eyelet for reception of a suture and an internal bore therein. The installation tool includes a main body and a driver head extending from the main body. The main body includes an outer surface having a longitudinal recess therein to accommodate the suture. The driver head is correspondingly dimensioned to be received within the internal bore of the anchor head of the suture anchor whereby movement of the installation tool about a longitudinal axis, e.g., rotational movement, thereof causes corresponding movement, e.g., rotational, of the suture anchor. The installation tool may also define a longitudinal cannulation for reception and passage of the guide wire.10-02-2008
20080234731SUTURE ANCHOR AND METHOD - A suture anchor is provided for approximating tissue to bone or other tissue. The suture anchor comprises an anchor member to fixedly engage the bone for securing the anchor member relative to the bone. A plurality of sutures are mounted to the proximal end of the anchor member so that the sutures extend outwardly from the anchor member. Each suture has a sharp pointed distal end for penetrating the tissue and a plurality of barbs extending from the periphery and disposed along the length of the body of the suture. The barbs permit movement of the sutures through the tissue in a direction of movement of the pointed end and prevent movement of the sutures relative to the tissue in a direction opposite the direction of movement of the pointed end. At least one pointed distal end of at least one suture comprises a needle.09-25-2008
20080234729Suture lock fastening device - A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.09-25-2008
20080221619Surgical suture anchors and deployment device - A suture anchor is provided which includes a hollow member having an outer surface defining an enclosure therein, the member having a longitudinal axis and a slot through a portion of the outer surface in a direction transverse to the longitudinal axis, the slot providing an opening into the enclosure. The suture anchor further includes a one-way valve positioned within the enclosure at the slot to allow entry of a suture through the slot into the enclosure and to prevent the exit of the suture from the enclosure. A device is provided for deploying the suture anchor. The deployment device includes an elongate hollow member having a suture anchor release zone positioned at the distal end thereof, a launch bar having at least a portion thereof positioned in the release zone, wherein the launch bar is movable within the release zone between a resting position and a launching position and is operatively connected to an actuation member positioned proximally to the elongate member. The hollow elongate member defines a housing for receiving a plurality of suture anchors in tandem along the longitudinal axis of the hollow member, wherein each of the suture anchors is configured for release from the release zone when such suture anchor is positioned within the release zone upon movement of the launch bar from the resting position to the launching position.09-11-2008
20130178900Porous Implants - A porous PEEK implant system which may provide tissue ingrowth throughout the body of the implant. The implant may comprise a solid or porous PEEK core. The porous PEEK implants may be of general shape and size but provide the structure necessary to carry out the function of the implant. The porous PEEK implant pores may be seeded with agents to encourage tissue ingrowth as well as other agents such as antibiotics, anesthetics, analgesics and the like.07-11-2013
20120253391Instrument Kit For Knotless Fixing Of Tissue To A Bone - An instrument kit serves for knotless fitting of a tissue to a bone. A pin-shaped anchor element has a suture connected to it. The suture has a loop portion formed into an annular body. An internal diameter of said annular body is chosen in that the pin-shaped anchor element can be moved along its longitudinal axis through said annular body. A length of a section of the suture between the anchor element and the annular body is chosen in that after said anchor element has moved through said annular body, a resulting new loop lies circumferentially and tightly around a strand-shaped tissue section to be fixed at said bone.10-04-2012
20120253390Surgical Filament Snare Assemblies - A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.10-04-2012
20090076545METHODS FOR ANCHORING SUTURE TO BONE - Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The suture anchor can also include at least a proximal portion having dual threads to facilitate engagement with bone. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.03-19-2009
20130090687TISSUE GRAFT FIXATION - A surgical device includes a member having first and second opposing surfaces. The member includes an intermediate portion in which the first surface has a recessed surface portion. The intermediate portion defines a hole extending from the recessed surface portion to the second surface. End portions extend from the intermediate portion, and each end portion defines a hole extending from the first surface to the second surface. The member has a tapered surface portion on the second surface. The surgical device includes a second member sized to be received within the recessed surface portion. A method includes locating a tissue fixation device at an opening to a bone hole, and increasing the size of the tissue fixation device by placing the tissue fixation device within a larger device.04-11-2013
20130178899Attachment Device for Tissue Approximation and Retraction - An attachment system for tissue apposition or manipulation and a method of attaching a suture to a tissue for apposition or manipulation of the tissue are provided. The system includes an attachment device including a body having a proximal portion and a distal portion. The attachment device further includes a tissue attachment portion operably connected to the distal portion wherein the tissue attachment portion has a shape that is maintained throughout a tissue apposition procedure. The attachment device also includes a suture operably connected to the body and having an unconnected proximal end and a retaining structure at the proximal portion of the body. The retaining structure configured to releasably mate with a complementary retaining structure on a stylet.07-11-2013
20130096613Suture Holder Delivery System - A suture holder delivery system including a housing having a distal end and a proximal end, a first driver mechanism and a second driver mechanism, each movable in a longitudinal direction with respect to the housing, a first delivery needle and a second delivery needle, the first delivery needle connected at a proximal end to the first driver mechanism and the second delivery needle connected at a proximal end to the second driver mechanism, the first driver mechanism and said second driver mechanism each having fully retracted and fully extended positions and a toggle assembly operable to fix at least one of the first driver mechanism and second driver mechanism in at least one longitudinal position. The delivery system may alternatively or additionally include a locking mechanism operable to prevent the second driver mechanism from being moved in a distal direction until the first driver mechanism is longitudinally advanced to the extended position.04-18-2013
20130096612ADJUSTABLE SELF-LOCKING LOOP CONSTRUCTS FOR TISSUE REPAIRS AND RECONSTRUCTIONS - Systems and methods for bone to bone, or soft tissue to bone, repairs without knot tying. The repair systems include self-cinching constructs which are tensionable and which include a flexible strand with a knotless, adjustable loop with at least one splice and a shuttle/pull device attached to the flexible strand. A final splice is formed by pulling on the shuttle/pull device subsequent to the knotless, adjustable loop being assembled with or secured to tissue (for example, a soft tissue graft or BTB graft), to allow desired tensioning of the graft to be fixated relative to the bone.04-18-2013
20130096611TENSIONABLE KNOTLESS ANCHORS WITH SPLICE AND METHODS OF TISSUE REPAIR - Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with a fixation device, a flexible strand and a shuttle/pull device attached to the flexible strand and provided within the body of the fixation device. A splice is formed by pulling on the shuttle/pull device subsequent to the fixation device being secured into the bone, to allow desired tensioning of soft tissue to be fixated or repaired relative to the bone.04-18-2013
20130103083Suture anchors and methods of use - An anchoring system for securing tissue to bone includes an implant having a body through which a suture eyelet extends transversely, a suture recess extending along a portion of a length of the body, having a predetermined depth below an outer surface of the body, and a suture pinch ramp disposed at a proximal end of the suture recess. The suture pinch ramp has a depth approximately equal to the predetermined depth at a distal end thereof and sloping outwardly in a proximal direction so that a depth of a proximal end of the suture pinch ramp approaches zero. An insertion member includes an insertion tube and a handle which is engageable with the anchor body to deploy the anchor in a selected bone site.04-25-2013
20130103081SUTURE ANCHOR ASSEMBLY WITH COMPRESSIBLE DISTAL TIP - Methods and devices for fixation of soft tissue to bone are provided. In one embodiment, a suture anchor is provided having an elongate cylindrical body with proximal and distal ends and an inner lumen extending therethrough. The elongate body can be configured so that upon partial insertion into a bone hole, it is securely anchored within the bone hole and a suture extending through the inner lumen is freely slidable. It can also configured so that, upon further insertion into the bone hole, at least a portion of the elongate body compresses to lock the suture within the inner lumen such that the suture is prevented from sliding. In another embodiment, a suture anchor is provided having arms that have an open position for receiving a suture therebetween, and a closed position in which the suture is retained but allowed to slide freely.04-25-2013
20130103084METHOD AND APPARATUS FOR RE-ATTACHING THE LABRUM TO THE ACETABULUM, INCLUDING THE PROVISION AND USE OF A NOVEL SUTURE ANCHOR SYSTEM - Apparatus for securing a first object to a second object, the apparatus comprising: an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, the lumen comprising a first section and a second section, the first section of the lumen being disposed distal to the second section of the lumen, and with the first section of the lumen having a wider diameter than the second section of the lumen; at least one longitudinally-extending slit extending through the side wall of the elongated body and communicating with the lumen, the at least one longitudinally-extending slit having a distal end and a proximal end, with the distal end of the at least one longitudinally-extending slit being spaced from the distal end of the elongated body; and an elongated element extending through the lumen of the elongated body.04-25-2013
20130103082Method and Apparatus for Interosseous Membrane Reconstruction - A method for repairing a defect in an interosseous membrane located between a first bone and a second bone. The method includes: coupling a flexible member to the first bone and the second bone, the flexible member extending past a first area of the interosseous membrane between the first bone and the second bone; and orienting the flexible member such that the flexible member extends generally parallel to fibers of the first area of the interosseous membrane.04-25-2013
20130103080SUTURE ANCHOR SYSTEM WITH COMPRESSIBLE DISTAL TIP - Methods and devices for fixation of soft tissue to bone are provided. In one embodiment, a suture anchor is provided having an elongate cylindrical body with proximal and distal ends and an inner lumen extending therethrough. The elongate body can be configured so that upon partial insertion into a bone hole, it is securely anchored within the bone hole and a suture extending through the inner lumen is freely slidable. It can also configured so that, upon further insertion into the bone hole, at least a portion of the elongate body compresses to lock the suture within the inner lumen such that the suture is prevented from sliding. In another embodiment, a suture anchor is provided having arms that have an open position for receiving a suture therebetween, and a closed position in which the suture is retained but allowed to slide freely.04-25-2013
20130123843METHOD OF ANCHORING A SUTURE - Suture anchors and associated methods are disclosed having suture locking features able to lock multiple suture ends extending from a body tissue, such as from a bone tunnel, with a single device.05-16-2013
20130123842SUTURE ANCHOR - Suture anchors are disclosed having suture locking features able to lock multiple suture ends extending from a body tissue, such as from a bone tunnel, with a single device.05-16-2013
20130123841Apparatus and Method for a Suture Button - A suture button apparatus is described that comprises a first button, a plate, a second button and a set of sutures. The first button includes a tubular wall that includes a proximal end portion and an opposed distal end portion that define a central longitudinal axis. An inner surface of the tubular wall defines an aperture aligned with the central longitudinal axis and an outer surface of the tubular wall includes threads. The plate defines at least one aperture that receives and connects with the first button. The set of sutures connect the first button and the second button. The set of sutures connect the first and second buttons.05-16-2013
20130123845ANCHOR - The present disclosure relates to an anchor. The anchor includes an outer member including a body having an inner cavity, wherein the inner cavity includes a proximal portion configured for receipt of a delivery device and a distal portion having area of increased diameter. The anchor also includes an inner member coupled to the outer member, wherein the inner member includes a proximal portion having a projection configured for receipt in the area of increased diameter and a distal portion having a transverse through hole. A delivery device and method for tissue repair are also disclosed.05-16-2013
20130131722FILAMENTARY SUTURE ANCHOR - In one embodiment of the present invention, a fixation device including a sleeve member including an interior and an exterior surface along a length defined between a first end and a second end, and at least two openings positioned along the length and extending from the interior and through the exterior surface; and a filament including a first free end and a second free end and a length therebetween, the filament positioned relative to the sleeve member such that the free ends extend from the sleeve member at the first and second ends of the sleeve member, the filament being disposed inside the interior from the first end to a first opening, outside the sleeve member from the first opening to a second opening, and inside the interior from the second opening to the second end of the sleeve member.05-23-2013
20130144335SUTURE ANCHOR - When ligaments or tendons detach from associated bone, or become damaged by way of being torn, surgical intervention can be used to assist repair and reattachment (restoration). An anchor in the cortical portion of the bone is provided which is used to secure a suture with respect to the bone wherein the suture is attached at one end to a tendon or other portion of the body and the free end is secured to the anchor without the use of a knot. An arthroscopic transosseous knotless suture anchoring arrangement for holding a suture includes, a hollow body for at least partial insertion into a cortical portion of a hone and a holding dement having an elongate body sized for fitment with and within the hollow of the body for holding a suture located in the hollow body with respect to the cortical portion of the bone.06-06-2013
20130144334SUTURE ANCHOR SYSTEM AND METHOD - A suture anchor system and method including a suture anchor and a suture anchor drive. The suture anchor is positionable on a rod of the suture anchor drive. The rod defines an awl for forming a hole in a bone. The suture anchor drive further has an impactor for moving the suture anchor along the rod between a retracted position and an advanced position so as to implant the suture anchor in the bone with the awl positioned in the bone.06-06-2013
20130144336METHOD AND APPARATUS FOR ATTACHING SOFT TISSUE TO BONE - A method of connecting a suture to a bone including the steps of inserting at least one suture anchor into the bone, and disposing a suture loop about a crossbar of the suture anchor in such a way that when a proximally directed force is applied to the suture loop, a free end of the crossbar engages a transverse edge of the body of the suture anchor to limit proximal motion of the crossbar and capture the suture loop.06-06-2013
20130144337Method for Coupling Soft Tissue to a Bone - A method for coupling tissue with a flexible member including a tail and a self-locking construct coupled to the tail. The self-locking construct includes a first loop and an adjustable second loop coupled thereto. The method includes implanting an anchor in bone. The anchor is slidably mounted to the tail. The tail is positioned relative to the tissue. An end of the tail is inserted through the first loop. The tail is passed through the first loop. The second loop is pulled into the anchor. The self-locking construct is positioned relative to the tissue. The self-locking construct is tightened against the tissue by pulling on an end of the self-locking construct.06-06-2013
20130144338Apparatus for Coupling Soft Tissue to a Bone - A flexible member for coupling tissue. The flexible member includes a tail and a self-locking construct. The tail includes a first end and a second end opposite to the first end. The tail defines a tail passageway proximate to the second end. The self-locking construct includes a first loop and an adjustable second loop. The second loop is slidably threaded through the tail passageway defined by the tail. The self-locking construct is configured such that passing the tail through the first loop so that the second loop extends into the first loop forms a tissue capture region defined by the self-locking construct. The tail passageway defined by the tail defines a locking member configured to secure the second loop to the first loop.06-06-2013
20130158599Knotless Instability Anchor - Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a suture anchor is provided that includes one or more bone-engaging surfaces features and an external sidewall. The external sidewall can allow a suture coupled to the suture anchor and located between the anchor and bone to be movable relative to the suture anchor, even when the suture anchor is partially or fully disposed within a bone hole. Suture threaders and suture anchor drivers are also provided that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.06-20-2013
20080200951NUCLEUS REPLACEMENT SECURING DEVICE AND METHOD - There is disclosed systems and methods for spinal nucleus replacement by constructing channels through vertebral segments on either side of an area into which the spinal nucleus is to be positioned, the channels running from a channel end outside of the area to a channel end abutting the area. One end of a suture is inserted into the outside channel end of a first one of the channels and passed through the first channel and into the area and out of the area through the second channel until it emerges from the second channel. The suture is then used to pull the nucleus into the area.08-21-2008
20130150885KNOTLESS GRAFT FIXATION USING AN IMPLANT HAVING A POINTED TIP - A method for securing soft tissue to bone which does not require the surgeon to tie suture knots to secure the tissue to the bone. Suture is passed through the graft at desired points. A cannulated plug or screw is pre-loaded onto the distal end of a driver provided with an eyelet implant at its distal end. Suture attached to the graft is passed through the eyelet of the implant located at the distal end of the driver. The distal end of the driver together with the eyelet implant is inserted into the bone. Tension is applied to the suture to position the graft at the desired location relative to the bone. The screw or plug is advanced into the pilot hole by turning the interference screw or tapping the plug until the cannulated screw or plug securely engages and locks in the eyelet implant, so that the cannulated plug or screw with the engaged eyelet implant is flush with the bone. Once the screw or plug is fully inserted and the suture is impacted into the bone, the driver is removed and any loose ends of the sutures protruding from the anchor site are then clipped short.06-13-2013
20100292733KNOTLESS SUTURE ANCHOR AND METHODS OF USE - Various devices, systems and methods for knotless suturing of tissue are disclosed. These devices allow sutures to be anchored to bone, and more specifically provide a suture anchor which eliminates the need for knotting the suture. Thus, damaged tissue may be re-attached to a substrate tissue. The anchors have a minimum of moving parts may be suited to being a single molded polymer construction. The anchors will find particular utility in hip and shoulder arthroscopy, e.g. labral re-attachment and similar procedures.11-18-2010
20130123844LARGE BORE CLOSURE DEVICE WITH INNER AND OUTER SEALS - A vascular closure system includes a suture carrying portion, a plurality of needles, and an internal sealing member. The suture carrying portion is insertable through a vessel puncture of a vessel and carries first and second suture ends of at least a first suture member. The plurality of needles are extendable through a wall of the vessel adjacent to the vessel puncture and are configured to connect to the first and second suture ends. Withdrawal of the plurality of needles draws the first and second suture ends through the vessel wall. The internal sealing member is configured to advance along the first suture member through the vessel puncture and into the vessel. Applying a withdrawal force to the first and second suture ends draws the internal sealing member against an internal surface of the vessel wall to at least partially seal closed the vessel puncture.05-16-2013
20100318126LINE LOCK THREADING SYSTEMS AND METHODS - A line lock includes a body at least partially bounding a plurality of passageways such that a suture can only be drawn through the passageways along one direction. The suture may be inserted through the passageways through the use of a cartridge designed to contain the line lock. Threaders may pass through the line lock within the cartridge. Each threader may have a leading end and a trailing end that can be coupled to a suture end. Thus, two suture ends may be drawn through the passageways by coupling them to the threaders and drawing the leading ends of the threaders to cause the suture ends to pass through the passageways according to the desired pattern. The cartridge may then be opened to permit easy removal of the suture and the line lock.12-16-2010
20100318125Anchor Device For Knot-Free Attachment Of Tissue To A Bone - An anchor device serves for knot-free attachment of a tissue to a bone by means of at least one suture threaded through that anchor device. The device comprises an anchor body and a transverse bore for receiving a suture passing through said anchor body in a distal end region. The anchor body is provided with a longitudinal bore extending axially from a proximal end up to said transverse bore, and an axially displaceable clamping element is held in said longitudinal bore. An expanding element is provided for radially expanding at least one section of a wall surrounding said longitudinal bore.12-16-2010
20130158596METHODS AND SYSTEMS FOR ATTACHING TISSUE TO BONE - A system and method for attaching tissue to bone are provided. In one embodiment, a system for attaching tissue to bone includes a suture, suture anchor, inserter tool, drill, and drill guide having an outer guide and an inner guide. A method for attaching tissue to bone includes attaching a suture to tissue, nesting the suture in a notch on the distal end of the outer guide, passing the suture through a lumen formed in the outer guide, and inserting an inner guide in a lumen formed in the outer guide. The drill guide protects the suture from rotational movement of the drill and allows a user to maintain alignment between the drill guide and the drilled hole. As a result, a suture anchor can be more easily positioned within the drilled hole.06-20-2013
20130158598SYSTEMS AND METHODS FOR REPAIRING TISSUE - Devices and methods for anchoring tissue to bone are provided herein. In various embodiments, the tissue anchor systems and methods can provide a length of suture having terminal ends coupled to one another via a sliding knot so as to define a suture loop having an adjustable length. After passing a portion of the suture loop through a damaged tissue and coupling the suture loop to bone, the sliding knot can be advanced to shorten the suture loop in order to secure the tissue to bone.06-20-2013
20130158600KNOTLESS SUTURE ANCHORING DEVICES AND TOOLS FOR IMPLANTS - Devices for securing prostheses such as heart valves or annuloplasty rings with sutures and without using knots are disclosed. The devices are particularly well suited for traditional surgery or minimally invasive surgery, and improve the ease of implantation by eliminating surgical knots a clinician would normally tie in the limited space in and around the implant site. The devices have opposed the clamp halves surrounded by a coil spring. Sutures pass between the clamp halves and the coil spring has an inner coil diameter sufficient to compress the sutures between the clamp. A retention member positioned between the clamp halves maintains a minimum space and therebetween to enable the locking device to be slid along the sutures into position, and to adjust the tension of the sutures therethrough. A delivery tool may be used to deliver and deploy the locking devices.06-20-2013
20130158601Soft Tissue Repair Assembly And Associated Method - A soft tissue repair assembly. The assembly includes a flexible member having first and second ends, and a strand passing through the flexible member. The strand has first and second strand ends extending through the flexible member, such that pulling at least one of the first and second strand ends changes the flexible member from a first shape suitable for insertion through soft tissue to a second shape suitable for securely lodging the soft tissue repair assembly relative to soft tissue.06-20-2013
20130158597Knotless Suture Anchor - Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a suture anchor is provided that includes a proximal component, a distal component, and an intermediate component positioned between the distal component and the proximal component. The proximal and distal components can each be configured to move independent of one another and to move relative to the intermediate component. In this way, the proximal, intermediate, and distal components of the suture anchor can be configured to cooperate with one another to prevent removal of the suture anchor from a bone hole in which the suture anchor is disposed and to lock a suture relative to the suture anchor and to the bone hole.06-20-2013
20130184748KNOTLESS SUTURE ANCHOR - A suture anchor comprises a tubular body having an axial bore therethrough and having one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, such as threads. A lateral port passes through the body from the bore to the exterior surface and is formed of a slot entering the body from its proximal end. A length of suture for attaching soft tissue to bone passes down along the exterior surface over the one or more purchase enhancements, over a distal end of the body, up into the bore through and then back out of the bore and up along the exterior surface over the one or more purchase enhancements.07-18-2013
20130184747KNOTLESS SUTURE ANCHOR AND DRIVER - A suture anchor comprises a tubular body having an axial bore therethrough and having one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, such as threads. A lateral port passes through the body from the bore to the exterior surface. A length of suture for attaching soft tissue to bone passes down along the exterior surface over the one or more purchase enhancements, over a distal end of the body, up into the bore through and then back out of the bore and up along the exterior surface over the one or more purchase enhancements.07-18-2013
20110313455METHOD FOR DOUBLE ROW FIXATION OF TENDON TO BONE - A system and method for soft tissue to bone repair employing at least one suture anchor combined with at least one knotless fixation device. The method for soft tissue to bone fixation includes: (i) providing a first medial row constructed with a first plurality of fixation devices, at least one of the first plurality of fixation devices is an anchor; and (ii) providing a second lateral row constructed with a second plurality of fixation devices, at least one of the second plurality of fixation devices is a knotless fixation device, and suture or tape or allograft/biological component extending over the soft tissue and secured in place by the anchors in the first and second medial rows.12-22-2011
20110313454APPARATUS AND METHODS FOR ACHILLES TENDON REPAIR - Apparatus and methods for Achilles tendon repair are described where an elongate tendon repair assembly may be introduced into a single incision to access the damaged tissue. The assembly may define a channel for receiving a portion of the tendon and which may provide support to the tissue during repair. One or more retractable needles each carrying a length of suture may be deployed within the channel for piercing through the tendon and a cinching member may secure each of the suture lengths for tensioning the suture against the damaged tendon. Once the suture lengths have been deployed, the needles may be retracted and the device removed from the incision.12-22-2011
20110313453BONE ANCHOR COMPRISING A SHAPE MEMORY ELEMENT AND UTILIZING TEMPERATURE TRANSITION TO SECURE THE BONE ANCHOR IN BONE - A bone anchor that uses temperature transition of a shape memory material to expand the anchor within a bone. Thermal transformation of the metallic crystal state (and hence the stress/strain properties) of shape memory alloy (e.g., Nitinol, NiTi) expands engagement elements within the bone to fix the bone anchor in place. Various self-locking assemblies for attached suture material to the bone anchor are also disclosed.12-22-2011
20130190815ADJUSTABLE RACHETING SUTURE ANCHORS - Knotless suture anchors are disclosed for surgical use, which contain one or more types of ratcheting mechanisms that will allow a surgeon to pull a suture strand through an anchor device in one direction, without allowing the suture strand to travel or creep backward, in the other direction. This will allow a surgeon to emplace a number of such anchors in hard bone(s) or soft tissue(s), during installation of an implant device, while the various suture strands remain loose and do not interfere with proper positioning of the implant. When the implant device is roughly in position, the surgeon can gently “snug” all of the suture strands (which preferably should be braided, to provide a non-smooth surface that will enable a stronger and more secure grip by the ratcheting mechanism), so that they will all reach a moderate plateau of gentle yet firm tension. After the surgeon has ensured that the implant is in proper position, with all of the anchoring sutures in a “snug” status, a series of final tightening and tensioning steps can be carried out on all of the suture strands.07-25-2013
20130190816SUTURE AND ANCHOR ENGAGEMENT METHODS AND RESULTING DEVICES - Described are methods and systems for engaging sutures and anchors and the resulting suture and anchor sets. In certain aspects, an end of the suture may be heated to create a melted mass of suture material. The melted mass may act as a shoulder to resist backing out of a hole in the anchor through which the suture is threaded, thereby engaging the suture and the anchor. Adhesive material may optionally be used to enhance the engagement between the suture and anchor.07-25-2013
20130190818Apparatus For Coupling Soft Tissue To A Bone - A flexible member for coupling tissue. The flexible member includes a tail and a self-locking construct. The tail includes a first end and a second end opposite to the first end. The tail defines a tail passageway proximate to the second end. The self-locking construct includes an adjustable first loop and an adjustable second loop. The second loop is slidably threaded through the tail passageway defined by the tail. The self-locking construct is configured such that passing the tail through the first loop so that the second loop extends into the first loop forms a tissue capture region defined by the self-locking construct. The tail passageway defines a locking member configured to secure the second loop to the first loop.07-25-2013
20130190819Method For Coupling Soft Tissue To A Bone - A method for coupling tissue with a flexible member including a tail and a self-locking construct coupled to the tail. The self-locking construct includes an adjustable first loop and an adjustable second loop coupled thereto. The method includes implanting an anchor in bone, the anchor slidably mounted to the tail. The tail is positioned relative to the tissue. An end of the tail is inserted through the first loop. The tail is passed through the first loop, the second loop is pulled into the anchor, and the self-locking construct is positioned relative to the tissue. The self-locking construct is tightened against the tissue by pulling on an end of the self-locking construct. The first loop is tightened onto the second loop.07-25-2013
20110319933SUTURE BONE ANCHOR - A bone anchor provides stable, durable anchorage of sutures used for repair of soft tissues torn, or cut, away from bones. The anchor includes a plurality of prongs angled in the direction of loading. The prongs are inserted into holes drilled in the bone. The angled nature of the prongs causes them to dig into the bone under functional loading. A suture is attached to the anchor via an integral bead and led through the anchor eyelet. In use, the suture does not glide anywhere at its interface to the anchor, nor does if flex on itself at a knot. Instead, it only flexes around the pillar of the eyelet with a fully circular cross-section. The suture is preferably of multi-filament type and the diameter of the individual filaments is preferably no more than 1% of the diameter of the eyelet's circular pillar. Filaments of the suture are preferably loose; i.e. they are not bonded or braided. This is to prevent strains in the filaments in excess of their fatigue limit when flexing around the pillar of the anchor.12-29-2011
20120029562BIOLOGIC ANCHOR DELIVERY SYSTEM - A biologic anchor delivery system includes an exteriorly threaded cylindrical anchor having a plurality of fenestrations formed through a wall thereof, a driver to releasably engage the anchor and rotate the anchor, and a sheath to concentrically receive the driver and releasably connect with a proximal end of the anchor.02-02-2012
20130197580TISSUE GRAFT ANCHORING - A fixation device includes a member defining at least two openings, and a suture tied to the member by passing the suture through the at least two openings in the member to form two suture loops through which ends of the suture pass. The two suture loops are interconnected. A method of securing a tissue graft includes providing the fixation member, attaching the suture to a tissue graft, and adjusting the length of the suture between the fixation member and the tissue graft by pulling the suture.08-01-2013
20130197578BIASED WEDGE SUTURE ANCHOR AND METHOD FOR SOFT TISSUE REPAIR - A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. Tension applied to one side of a suture causes the suture locking wedge to translate and rotate into a position which compresses the suture, thereby locking the suture in the anchor. A resilient or spring biasing member within the anchor device urges the suture locking wedge to compress the suture, facilitating suture locking.08-01-2013
20130197579METHOD FOR SOFT TISSUE REPAIR WITH FREE FLOATING SUTURE LOCKING MEMBER - A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.08-01-2013
20130197575ROTATING LOCKING MEMBER SUTURE ANCHOR AND METHOD FOR SOFT TISSUE REPAIR - A suture anchor apparatus and method for anchoring a length of suture with respect to a target tissue has an anchor body with an anchoring structure for fixing the anchor body within the target tissue and a suture locking member. The moveable suture locking member is disposed at least partially within an anchor body lumen while a portion of the length of suture is looped around the suture locking member such that a first and second limb of suture exits the lumen. A suture locking member includes at least two elongate arms, and each arm has an extension dimension respectively, such that the first arm extension dimension is substantially greater than the second arm extension dimension.08-01-2013
20130197576FREE FLOATING WEDGE SUTURE ANCHOR FOR SOFT TISSUE REPAIR - A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.08-01-2013
20130197577RESTRICTED WEDGE SUTURE ANCHOR AND METHOD FOR SOFT TISSUE REPAIR - A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. Tension applied to one side of a suture causes the suture locking wedge to move in a translational and angular dimension to a position which compresses the suture, thereby locking the suture in the anchor. The anchor body includes tracks or slots which guide the suture locking wedge from the unlocked open configuration to the locked configuration.08-01-2013
20130103085Suture Anchor Kit - A suture anchor kit including first and second suture anchors, each having two eyelets, and first and second sutures, each having a free end and a fixed end, where the first suture is received in a first of the two eyelets of the first suture anchor and a first of the two eyelets of the second suture anchor and where the second suture is received in a second of said two eyelets of the first suture anchor and a second of the two eyelets of the second suture anchor, the fixed end of the first suture being connected to the free end of the second suture via a first knot and the fixed end of the second suture being connected to the free end of the first suture via a second knot is provided. The kit may also include a delivery device including a housing, a first driver mechanism and a second driver mechanism, each movable in a longitudinal direction with respect to the housing, the first suture anchor being in communication with said the driver mechanism and the second suture anchor being in communication with the second driver mechanism..04-25-2013
20130204296Absorbable Suture Device - A suture device including one or more sutures and one or more suture retention members, each suture retention member anchoring a portion of a fiber of the one or more sutures. The suture device may be adapted to hold together and approximate skin edges. The suture may be situated both within the skin and subcutaneous tissue. The suture device may be anchored to the undersurface of one or more of the skin and the subcutaneous layer.08-08-2013
20130204298METHOD AND APPARATUS FOR ATTACHING TISSUE TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL KNOTLESS SUTURE ANCHOR SYSTEM - Apparatus for securing a first object to a second object, the apparatus comprising: 08-08-2013
20130204299FIXING DEVICE FOR SUTURE THREADS TO BE INSERTED INTO A BONE TISSUE - A fixing device for suture threads to be inserted into a bone tissue comprises: a first portion (08-08-2013
20130204297RELEASABLE SUTURE CLAMP AND SUTURE ANCHOR ASSEMBLY INCLUDING SAME - A suture anchor assembly includes a length of suture having an anchor attached to an end thereof. A releasable suture clamp is disposed in a clamped configuration about the suture. The releasable suture clamp includes a plurality of independent stackable components rotatable about a common axis, which is transverse to opposing faces of the stackable components. Each of the stackable components has a first opening passing through the opposing faces, spaced from the common axis, and sized for receiving the suture therethrough. The releasable suture clamp has an unclamped configuration in which the first openings are aligned relative to an alignment axis and the clamped configuration in which the first openings are misaligned relative to the alignment axis, wherein the alignment axis is parallel to the common axis.08-08-2013
20080287991ENDOBUTTON CONTINUOUS LOOP FOR BONE TENDON WITH DOUBLE LOOP KNOT - A method of securing a tissue graft within a bone passage includes providing a graft fixation member comprising a closed double-loop having a pair of differently sized loop sections and capturing both sections of the closed-loop within the fixation member. The longer loop section is passed through an opening in the tissue graft then is passed through the smaller loop and thrown11-20-2008
20120095507INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS - In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.04-19-2012
20120095506DEVICE AND METHOD FOR FIXATING A SUTURE ANCHOR IN HARD TISSUE - A tool for fixating a suture anchor in a hard tissue opening with the aid of a material having thermoplastic properties and energy transmitted to the suture anchor for in situ liquefaction of at least part of the material having thermoplastic properties, includes a distal face, an axial channel and a substantially tube-shaped interface piece fitting into the axial channel of the tool, wherein the axial channel and a proximal end of the interface piece are equipped with catch elements cooperating for catching the interface piece in the axial channel when the interface piece is moved in a proximal direction in the axial channel.04-19-2012
20120095505METHOD FOR TENSIONING A SURGICAL CLOSURE - One embodiment is directed to a method for tensioning a suture member that crosses a portion of a wall of a tissue structure, comprising: advancing a distal portion of the suture member across at least a portion of a wall of the tissue structure; advancing a tensioning assembly, through which the suture member is threaded, toward the wall of the tissue structure, the tensioning assembly comprising: a tensioning member base having a tissue interface surface configured to engage a portion of the tissue structure when coupled to a suture member that may be threaded through the tensioning member base and into the tissue structure; a suture clamping member configured to be switched from a first mode, wherein a suture may be tensioned back and forth through a space defined at least in part by the clamping member, to a second mode, wherein a suture may only be tensioned in one direction relative to the suture clamping member; and a mode switching member movably coupled to the suture clamping member and configured to be operable to switch the suture clamping member from the first mode to the second mode; adjusting the physical relationship between the tensioning assembly, suture member, and tissue structure wall by modulating the position of the tensioning member base relative to the suture member and tissue structure wall with the tensioning mode switching member in the first mode; and controllably switching the tensioning mode switching member to the second mode.04-19-2012
20130211451BONE ANCHOR AND RELATED INSTRUMENTATION AND METHODS - An implantable bone anchor assembly comprises an outer anchor tube and a tubular insert. The outer anchor tube defines a longitudinal axis of the bone anchor assembly and a longitudinal channel. The outer anchor tube has a first portion including a first end, and a plurality of fingers circumferentially spaced from one another about the longitudinal axis. Each of the fingers extends from the first portion and has a free end, wherein the fingers are configured to project laterally at an oblique angle relative to the longitudinal axis, and are further configured to be deflectable radially inward to allow the anchor tube to be disposed within a tubular cannula for deployment. The tubular insert has a head having an opening therein, a shank extending from the head having an open end, and a longitudinal bore extending from the opening in the head to the open end of the shank. The longitudinal bore is configured to receive a portion of a suture assembly for an orthopedic treatment. The shank is sized to be received in the longitudinal channel, and the outer anchor tube and the tubular insert are configured to be locked together upon complete insertion of the shank into the longitudinal channel.08-15-2013
20130211452Soft Tissue Repair Device And Associated Methods - A fibrous tissue repair device includes first and second tubular anchors having corresponding longitudinal passages. The tissue repair device includes corresponding first and second inserters. Each inserter has a shaft with a distal portion received in the longitudinal passage of the corresponding tubular anchor. A flexible strand couples the first and second anchors.08-15-2013

Patent applications in class Suture retaining means (e.g., buttons)