US20060271105A1 - Devices and methods for repairing soft tissue - Google Patents
Devices and methods for repairing soft tissue Download PDFInfo
- Publication number
- US20060271105A1 US20060271105A1 US11/498,460 US49846006A US2006271105A1 US 20060271105 A1 US20060271105 A1 US 20060271105A1 US 49846006 A US49846006 A US 49846006A US 2006271105 A1 US2006271105 A1 US 2006271105A1
- Authority
- US
- United States
- Prior art keywords
- suture
- anchor
- length
- bone
- anchoring device
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
- A61B2017/0422—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
- A61B2017/0424—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor the separate member staying in the anchor after placement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
- A61B2017/0435—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
- A61B2017/0437—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0448—Additional elements on or within the anchor
- A61B2017/045—Additional elements on or within the anchor snug fit within the anchor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0448—Additional elements on or within the anchor
- A61B2017/0451—Cams or wedges holding the suture by friction
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0448—Additional elements on or within the anchor
- A61B2017/0453—Additional elements on or within the anchor threaded elements, e.g. set screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
Definitions
- the present invention relates to devices and methods for repairing soft tissue, and more particularly to devices and methods for arthroscopic repair of a torn rotator cuff.
- tear or detachment It is an increasingly common problem for tendons and other soft, connective tissues to tear or to detach from associated bone.
- One such type of tear or detachment is a “rotator cuff” tear, wherein the supraspinatus tendon separates from the humerus, causing pain and loss of ability to elevate and externally rotate the arm. Complete separation can occur if the shoulder is subjected to gross trauma, but typically, the tear begins as a small lesion, especially in older patients.
- the humeral head is abraded or notched at the proposed soft tissue to bone reattachment point, as healing is enhanced on a raw bone surface.
- a series of small diameter holes referred to as “transosseous tunnels”, are “punched” through the bone laterally from the abraded or notched surface to a point on the outside surface of the greater tuberosity, commonly a distance of 2 to 3 cm.
- the cuff is sutured and secured to the bone by pulling the suture ends through the transosseous tunnels and tying them together using the bone between two successive tunnels as a bridge, after which the deltoid muscle must be surgically reattached to the acromion. Because of this maneuver, the deltoid requires postoperative protection, thus retarding rehabilitation and possibly resulting in residual weakness. Complete rehabilitation takes approximately 9 to 12 months.
- the mini-open technique which represents the current growing trend and the majority of all surgical repair procedures, differs from the classic approach by gaining access through a smaller incision and splitting rather than detaching the deltoid. Additionally, this procedure is typically performed in conjunction with arthroscopic acromial decompression.
- the deltoid is split, it is retracted to expose the rotator cuff tear. As before, the cuff is debrided, the humeral head is abraded, and the so-called “transosseous tunnels”, are “punched” through the bone or suture anchors are inserted. Following the suturing of the rotator cuff to the humeral head, the split deltoid is surgically repaired.
- Intracorporeal suturing is clumsy and time consuming, and only the simplest stitch patterns can be utilized.
- Extracorporeal knot tying is somewhat less difficult, but the tightness of the knots is difficult to judge, and the tension cannot later be adjusted.
- the knots that secure the soft tissues to the anchor by necessity leave the knot bundle on top of the soft tissues. In the case of rotator cuff repair, this means that the knot bundle is left in the shoulder capsule where it can be felt by the patient postoperatively when the patient exercises the shoulder joint.
- knots tied arthroscopically are difficult to achieve, impossible to adjust, and are located in less than optimal areas of the shoulder. Suture tension is also impossible to measure and adjust once the knot has been fixed. Consequently, because of the technical difficulty of the procedure, presently less than 1% of all rotator cuff procedures is of the arthroscopic type, and is considered investigational in nature.
- Suture eyelets in bone anchors available today which like the eye of a needle are threaded with the thread or suture, are small in radius, and can cause the suture to fail at the eyelet when the anchor is placed under high tensile loads.
- Another approach is to utilize the difference in density in the cortical bone (the tough, dense outer layer of bone) and the cancellous bone (the less dense, airy and somewhat vascular interior of the bone).
- the cortical bone presents a kind of hard shell over the less dense cancellous bone.
- the aspect ratio of the anchor is such that it typically has a longer axis and a shorter axis and usually is pre-threaded with a suture.
- the hole is drilled such that the shorter axis of the anchor will fit through the diameter of the hole, with the longer axis of the anchor being parallel to the axis of the drilled hole.
- the anchor is rotated 90 B so that the long axis is aligned perpendicularly to the axis of the hole.
- the suture is pulled, and the anchor is seated up against the inside surface of the cortical layer of bone. Due to the mismatch in the dimensions of the long axis of the anchor and the hole diameter, the anchor cannot be retracted proximally from the hole, thus providing resistance to pull-out.
- any of the anchor points for sutures mentioned above require that a length of suture be passed through an eyelet fashioned in the anchor and then looped through the soft tissues and tied down to complete the securement.
- Much skill is required, however, to both place the sutures in the soft tissues, and to tie knots while working through a trocar under endoscopic visualization.
- the inventors have developed new and novel approaches for securing soft tissue to bone, and particularly for axially anchoring suture which attaches the soft tissue to adjacent bone structure.
- a suture anchoring device comprising an anchor housing having an outer wall, a compressible plug member disposed within the housing and extending proximally of the housing, and a channel extending through the plug member for accommodating a length of suture.
- a cap member is provided for enclosing a proximal end of the housing. In operation, the compressible plug member is compressed in order to anchor the length of suture when the cap member is engaged with the housing.
- a suture anchoring device which comprises an anchor body having an interior threaded wall, as well as a suture return member associated with the body, such as a pin, for returning a distally extending length of suture in a proximal direction.
- a length of fiber is provided, having a first end secured to a distal portion of the body, and a second end extending from an end of the body, the fiber being wrapped about the interior threaded wall of the body a plurality of times. In operation, when the length of fiber is pulled in a predetermined direction, the wrapped fiber becomes tightly engaged about the suture to anchor the suture.
- a suture anchoring device which comprises an anchor body having an outer wall, and a suture return member disposed at a distal end of the anchor body, for receiving a length of suture extending distally through the body, and returning a portion of the suture length in a proximal direction.
- a passage extends along an interior surface of the wall for accommodating the length of suture. The passage tapers in width in a proximal direction, for the purpose of permitting the suture to be moved axially when pulled in a first direction, for approximating a portion of soft tissue to which the suture was attached to adjacent bone, and anchoring the suture axially in place when the suture is pulled in an opposing direction.
- a suture anchoring device comprising an anchor body having an outer wall, as well as a lumen for accommodating a length of suture within the outer wall.
- a plurality of members are disposed within the anchor body for contacting the length of suture and creating a tortuous path therefor, in order to anchor the length of suture in place.
- the device further comprises a member radially extending from the body for anchoring the device in adjacent bone.
- a suture anchoring device which comprises an axially extending spring, as well as a suture return member or pin disposed distally of said spring.
- a length of suture extends axially within the spring and about the suture return member.
- An actuator is disposed at a proximal end of the device for actuating the spring to a compressed state wherein the suture becomes clamped within the spring.
- a suture anchoring device which comprises a suture return member and a length of suture extending axially through the device about the suture return member.
- a plurality of axially stacked, spaced plates, comprising leaf springs, are disposed proximally of the suture return member.
- the aforementioned length of suture extends through apertures in each of the plates.
- a mandrel is provided for moving the plurality of stacked plates between a first generally planar orientation, wherein the suture is free to move axially therethrough, and a second folded orientation, wherein the suture is axially clamped within the apertures.
- a suture anchoring device which comprises a body, a core disposed within the body, and a length of suture attached to a piece of soft tissue and extending into the body. A portion of the length of suture is wrapped about the core and attached to a distal end thereof.
- the core is rotatable to adjustably tension the length of suture, and may be rotationally locked in order to anchor the length of suture in place.
- a suture anchoring device which comprises an outer tube, as well as a first plate having a suture receiving aperture disposed therein.
- a second plate has a suture receiving aperture disposed therein.
- a connection between the first and second plates is designed to break when a predetermined force is applied thereto.
- the system is designed so that axial displacement of one of the plates relative to the other of the plates causes application of the predetermined force, to separate the plates, and thus create a tortuous path for a length of suture passing therethrough.
- a suture anchoring device comprising an outer tube having a lumen extending axially therethrough, and a length of suture extending distally through the outer tube, about a suture return member, and proximally back through the outer tube.
- An inner expandable member extends axially through the lumen, between portions of the length of suture, the inner expandable member being actuatable to a radially expanded state in order to compress and clamp the length of suture in place.
- the inner expandable member comprises a split elastomeric tube, while in a second embodiment, the inner expandable member comprises a spring coil.
- FIG 1 A is a partial sectional view through the left shoulder of a human as seen from the front showing the use of a minimally invasive soft tissue to bone attachment system, or suture anchor system, of the present invention
- FIG. 1B is an enlarged sectional view taken within the circle denoted 1 B in FIG. 1A ;
- FIGS. 1C-1F are enlarged sectional views of several steps in the use of the suture anchor system of FIG. 1A to reattach a rotator cuff tendon;
- FIG. 2 is a cross-sectional view of a suture anchor comprising a compliant plug, in accordance with one embodiment of the present invention, wherein the suturing material is not secured in place;
- FIG. 3 is a cross-sectional view similar to FIG. 2 , wherein the cap is secured to the housing of the suture anchor in order to secure the suturing material in place;
- FIG. 4 is a perspective view of a suture anchor comprising a drum spinning apparatus, in accordance with another embodiment of the present invention, wherein the suturing material is not yet secured in place;
- FIG. 5 is a perspective view similar to FIG. 4 , wherein the suturing material is secured in place;
- FIG. 6 is a cross-sectional view illustrating a cam cleat suture anchoring apparatus, in accordance with yet another embodiment of the present invention.
- FIG. 7 is a perspective view of a jam cleat suture anchoring apparatus, in accordance with still another embodiment of the present invention.
- FIG. 8 is a cross-sectional view showing another suture lock embodiment, comprising a multi-lock anchor, prior to deployment;
- FIG. 9 is a cross-sectional view of the multi-lock anchor shown in FIG. 8 , after it has been deployed to lock the suture;
- FIG. 10 is a perspective view of a spring-locking suture anchor embodiment, wherein it has not yet been deployed to anchor the suture in place;
- FIG. 11 is a perspective view of the spring-locking suture anchor embodiment of FIG. 10 , showing the anchor is a deployed orientation;
- FIG. 12 is a front perspective view of yet another suture lock embodiment, comprising a plurality of leaf springs in an undeployed state;
- FIG. 13 is a view similar to FIG. 12 , showing the springs in a deployed state for locking the suture;
- FIG. 14 is a front view of a modified leaf spring suture locking system, shown in an undeployed state
- FIG. 15 is a front view similar to FIG. 14 , wherein the leaf springs have been deployed to lock the suture in place;
- FIG. 16 is a perspective view of a vertical knotless bone and suture anchor which functions to wrap suture around a shaft in order to lock it in place;
- FIG. 17 is a cross-sectional view of still another suture anchoring device, shown in an undeployed position
- FIG. 18 is a cross-sectional view similar to FIG. 17 , illustrating the suture anchoring device after it has been deployed to anchor the suture in place;
- FIG. 19 is a cross-sectional view taken along lines 19 - 19 of FIG. 17 ;
- FIG. 20 is a cross-sectional view taken along lines 20 - 20 of FIG. 18 ;
- FIG. 21 is a cross-sectional view of still another embodiment of a suture anchoring device constructed in accordance with the principles of the present invention, showing the inventive device prior to insertion of a length of suture;
- FIG. 22 is a cross-sectional view similar to that of FIG. 21 , wherein suture is disposed within a cylinder comprising a portion of the inventive anchoring device;
- FIG. 23 is a cross-sectional view similar to those of FIGS. 21 and 22 , wherein a second split tube has been inserted into the cylinder;
- FIG. 24 is a cross-sectional view similar to that of FIG. 23 , wherein the split tube has been expanded to lock the suture in place;
- FIG. 25 is a cross-sectional end view of another suture anchoring embodiment, comprising a cylinder in which is disposed a spring coil and suturing material;
- FIG. 26 is a cross-sectional view similar to FIG. 25 , wherein the spring coil has been expanded to anchor the suturing material in place;
- FIG. 27 is a cross-sectional view of still another suture anchoring embodiment, comprising a binding tapered threaded anchor.
- the present invention provides improved knotless suture anchor devices and methods for anchoring a length of suture with respect to a body cavity.
- the inventive devices are used to anchor a length of suture to a bone structure, specifically the humeral bone of the human shoulder.
- the length of suture is desirably looped through soft tissue, such as a rotator cuff tendon, to approximate and fix the soft tissue with respect to the body cavity (e.g., bone structure).
- the suture anchor apparatus described herein may be utilized to secure a length of suture to body cavities other than in a bone structure, and may even be used to anchor the suture outside of a body cavity, or merely to a predetermined location within the body.
- the various inventive embodiments include an anchor body within which the length of suture may be anchored without knots. If the anchor body is to be implanted within the body cavity, structure on its exterior or coupled therewith may also be provided for securing the anchor body therein.
- the present invention is particularly well-suited for repairing rotator cuff injuries by re-attaching the rotator cuff tendon to the outside of the humeral head.
- the invention permits minimally invasive surgeries on such injuries and greatly facilitates rapid and secure fixation of the rotator cuff tendon to the humeral head. It should be understood that the same principles described herein apply to the repair of other injuries in which soft tissue is to be re-attached to a bone structure.
- FIGS. 1A-1F are cross-sectional views through the left shoulder of a human as viewed from the front and illustrate the use of an exemplary soft tissue to bone attachment system, or suture anchor system 20 , for repairing a rotator cuff tendon injury.
- the rotator cuff tendon 22 is shown in its natural position overlying the bulbous humeral head 24 of the humerus bone 26 .
- the tendon 22 partially or completely separates from its attachment point to the humeral head 24 , which point of attachment is typically located along an angled shelf, the greater tuberosity 28 .
- the surgeon threads one or more sutures through the rotator cuff tendon 22 and anchors them to the greater tuberosity 28 .
- the suture anchor system 20 of the present invention facilitates this latter step of anchoring the sutures to the greater tuberosity 28 .
- a generally tubular trocar 30 provides a conduit through the soft tissue of the shoulder for passage of the suture anchor system 20 of the present invention.
- the trocar has a proximal end outside of the patient that the surgeon manipulates, and a distal probe or end that enters the body and through which the surgery is performed.
- the surgeon makes an incision or stab wound through the outer dermal layers of sufficient size to permit passage of the trocar 30 through the skin and the deltoid muscle, into proximity with the humeral head 24 .
- Various trocars and techniques for creating the approach passageway are known and may be utilized with the present invention.
- more than one incision and conduit may be necessary to perform the several suturing and anchoring steps.
- the surgeon passes a length of suture through the soft tissue of the rotator cuff tendon 22 so that a loop 32 of suture material is embedded therein, as seen in FIG. 1B .
- the two free ends 34 a , 34 b of the length of suture are withdrawn from the patient and coupled to the suture anchor system 20 .
- the specifics of this coupling and subsequent manipulation of the two free ends of the suture will be described more fully below, in conjunction with each of the described embodiments.
- the two free ends 34 a , 34 b pass through or about the suture anchor system 20 . Therefore, the two free ends 34 a , 34 b are shown at the top of FIG. 1B projecting from a proximal end of the system 20 .
- the exemplary suture anchor system 20 as illustrated is particularly suitable for anchoring a suture to a body cavity, specifically the humeral head 24 as shown.
- a conventional technique is to first form a blind hole or cavity 40 through the cortical layer 42 and into the soft cancellous matter 44 , as seen in Figs. 1B and 1C . The surgeon then positions a suture anchor 46 within the cavity 40 and secures it therein to prevent removal from the cavity.
- the suture anchor 46 performs two functions: anchoring itself within the body cavity and anchoring the sutures therein.
- the former finction is accomplished using an expandable anchoring member 48 located at the proximal end of the suture anchor 46 .
- the anchoring member 48 functions like a toggle bolt used in ceiling fixtures, and specifically expands to a larger dimension in the cavity 40 beyond the hard cortical bone 42 .
- FIG. 1D shows the anchoring member 48 after having been radially expanded from proximal movement of the suture anchor 46 (compare to the axial location of the suture anchor in FIG. 1C ). In this manner, the suture anchor 46 is prevented from being removed from the cavity 40 once the anchoring member 48 is deployed.
- the present invention illustrates a particular anchoring member 48 , although any similar expedient will work.
- a different toggle-like anchoring member may be used such as shown in-co-pending application Ser. No. 09/876, 488 filed on Mar. 2, 2001, expressly incorporated by reference herein.
- an anchoring structure that expands into contact with the cancellous matter 44 or a body resembling a screw may also be used.
- the present invention is not considered to be limited by the particular anchoring structure that secures the suture locking portion to the bone or other body cavity.
- the second function of the suture anchor 46 is the anchoring or fixation of the suture with respect to the suture anchor itself, without the use of knots.
- the particular manner of anchoring the suture with respect to the suture anchor 46 permits easy adjustment of the length of suture between the suture anchor 46 and the loop 32 formed in the soft tissue prior to anchoring the suture. This adjustment allows the surgeon to establish the proper tension in the length of suture for effective repair of the soft tissue, and reattachment of the rotator cuff tendon 22 in the illustrated embodiment.
- FIG. 1D also illustrates the two free ends 34 a , 34 b of the length of suture having been pulled taught prior to securing within the suture anchor 46 (see comparison with FIG.1C ).
- FIG. 1E shows the fully deployed suture anchor 46 after the free ends 34 a , 34 b have been placed in tension and locked within the suture anchor, in various manners to be described below in connection with the descriptions of each of the several disclosed embodiments.
- the remaining steps in the procedure involve withdrawing portions of the suture anchor from the surgical site as seen in FIG. 1F and severing the free ends 34 a ′, 34 b ′ close to the suture anchor 46 . It should be noted that no portion of the suture anchor 46 or sutures 34 a ′, 34 b ′ projects above the outer surface of the humeral head 24 , and in addition no knots are left to irritate the patient.
- the apparatus and method could also be used in arthroscopic repair at other sites, such as the knee, elbow, or hip, for example, as well as in conjunction with other surgical techniques, such as traditional open or mini-open surgical procedures.
- a suture anchor 46 a comprises a rigid outer housing 50 , which may be fabricated of any suitable rigid biocompatible material. It should be noted that the usage of the reference numeral 46 a is intended to convey that the inventive embodiment is usable in the procedure discussed in connection with FIGS. 1A-1F , in place of the suture anchor 46 disclosed therein, which is illustrative only.
- a compliant plug 52 within the housing 50 is a compliant plug 52 , comprised of a suitable elastomeric material. Channels 54 and 56 extend axially through the plug 52 and a lower housing portion 58 , for accommodating a length of suture 34 extending therethrough, as shown.
- the suture anchor 46 a further comprises a rigid cap 60 , which is engageable with an upper portion of the housing 50 .
- the cap 60 is initially separated from the housing 50 , to permit the length of suture 34 to be disposed through the channels 54 , 56 , as shown.
- the suture length 34 is freely movable through the housing 50 , by applying a tensile force to one end or the other of the suture length, in order to tension the suture and approximate the soft tissue 22 ( Figs. 1A-1F ) to the bone 24 , as desired.
- the cap 60 is engaged with the housing 50 of the compliant plug suture anchor 46 , by moving it in the direction of the arrows 62 until lower engaging portions 64 of the cap 60 and upper engaging portions 66 may be snap-fitted together, as shown in FIG. 3 , or otherwise connected in ways well known in the art, such as a threaded fitting or other suitable means.
- the purpose of this step is to anchor the suture in place, as illustrated in FIG. 1E . Because there is excess plug material within the housing 50 , with a portion 68 extending above the upper engaging portions 66 of the housing 50 , as shown in FIG.
- the placement of the cap 60 on the housing 50 causes the compliant plug material 52 to be significantly compressed within the housing 50 , such that the channels 54 , 56 are also compressed, thereby clamping or locking the suture in place, so that it is no longer slidable through the channels 54 and 56 .
- an alternative suture anchoring device 46 b which comprises a cylindrical insert or body 68 having an interior wall 70 , which may be threaded, as shown.
- the insert 68 is adapted for disposition within the blind hole or cavity 40 ( FIG. 1D ).
- a suture return member or primary pin 72 is disposed across the inner diameter of the insert 68 , and may be suitably secured to the interior wall 70 in either a rotatable or fixed fashion, as desired.
- a secondary pin 74 protrudes from the interior wall 70 at a location above the primary pin 72 .
- One end 76 of a length of monofilament fiber 78 is secured to the primary pin 72 , and a second end thereof is disposed about the secondary pin 74 and extends upwardly out of a proximal end of the insert 68 .
- the majority of the length of monofilament fiber 78 forms a drum 80 which is threadedly engaged with the interior wall 70 , as illustrated in FIG. 4 .
- the suture length 34 is disposed in the insert 68 , from a proximal direction, and wrapped around the primary pin 72 , as shown in FIG. 4 .
- the soft tissue 22 is approximated to the bone 24 , as described in connection with FIGS. 1A-1F , by tensioning the suture 34 such that it moves axially about the primary pin 72 .
- the length of monofilament fiber 78 is pulled proximally, in the direction of arrow 81 , thereby causing the drum 80 of monofilament fiber to spin circumferentially.
- the result of this process is that the monofilament fiber 78 becomes tightly wrapped about the suture 34 , with multiple loops, as shown in FIG. 5 , thus locking the suture 34 in place lengthwise.
- FIG. 7 illustrates still another suture anchor 46 c which may be identified as a “jam cleat” or “boat cleat”—type mechanism. More particularly, the anchor 46 c comprises a generally cylindrical body portion 82 , which preferably includes threads 84 on at least a portion of its outer surface for engaging adjacent bone within the blind hole or cavity 40 ( FIG. 1B ). A pin 86 is disposed across the internal diameter of the body portion 82 , in a manner similar to the pin 72 in FIGS. 4 and 5 , secured at each end to the inner cylindrical wall 88 in either a fixed or rotatable manner.
- the suture 34 extends axially through the cylinder 84 and about the pin 86 , with a first end being attached to the soft tissue 22 ( FIGS. 1A-1F ) in the direction of arrow 90 , and the second end extending proximally out of the patient's body through an access cannula (not shown).
- the portion of the suture length 34 which extends between the pin 86 and the soft tissue extends through a cleat portion 92 , which comprises a“V” shaped passage 94 that progressively narrows in a proximal direction, as well as a plurality of ribs 96 .
- This suture anchoring system operates in a manner similar to that of a boat cleat, in that the suture 34 may be pulled proximally through the cannula to tension the soft tissue against the bone, as desired.
- the V-shaped passage 94 permits movement of the suture in this direction, in order to provide the practitioner performing the procedure with the ability to selectively tension the soft tissue.
- the suture cannot be moved in the direction of the arrow 90 , thus effectively locking the suture in place, as well as the soft tissue 22 .
- a suture anchor 46 d which comprises, once again, a generally cylindrical anchor body 94 , within which are disposed a pair of cam cleats 96 , 98 .
- a pin 100 is disposed within the cylindrical body 94 as well, in the same manner as is the case for pin 86 in the embodiment of FIG. 7 .
- the suture length 34 extends distally through the cylindrical body 94 , is wrapped about the pin 100 , which functions as a suture return member, and is returned proximally through the cannula (not shown).
- the first end 102 of the suture 34 is attached to the soft tissue to be repaired, while the second end 104 is available for the practitioner to use in tensioning the suture, by applying tension proximally thereon.
- a body cap portion 106 is disposed above the main body portion 94 .
- the cam cleats 96 , 98 are pivotally attached to the main body portion or housing 94 by means of pivot pins 107 a , 107 b , respectively.
- This action separates the cleats 96 , 98 sufficiently to permit the suture to be tightened to tension the soft tissue, by pulling proximally on the second suture end 104 .
- Tension on the suture 34 creates a force which attempts to pull the anchor out of the bone cavity 40 .
- This force creates a moment on the cleats 96 , 98 , which increases the radially outward pivoting thereof described above, thus extending them substantially into the cancellous bone matter 44 , as shown in FIG. 6 , so that the device 46 d becomes anchored within the bone.
- the body 94 is permitted to float upwardly in a proximal direction, thereby pushing the interior toothed surfaces 108 , 110 of each respective cleat 96 , 98 together and locking the suture 34 in place.
- FIGS. 8 and 9 A somewhat similar embodiment to that of FIG. 6 is illustrated in FIGS. 8 and 9 .
- This embodiment 46 e includes a generally cylindrical body 112 .
- Two suture free ends 34 a , 34 b extend axially through a lumen 114 of the body 112 .
- the body 112 comprises an outer cylinder 116 having bone lock apertures 118 and 120 , and an inner member 122 comprising internal bone lock members 124 , 126 , together with designed points of weakness 128 and 130 .
- the device 46 e is shown in an undeployed state.
- FIG. 9 illustrates the device 46 e in a deployed condition.
- Deployment is initiated, in a preferred method, by actuating a mandrel 132 in a distal direction, as shown by arrows 134 , until the mandrel 132 engages external lock edges 136 , 138 on the outer cylindrical body 116 , thereby moving the outer cylinder 116 in a distal direction as well.
- the inner member 122 is pulled in a proximal direction, as shown by arrows 140 .
- outer cylinder 116 in combination with the proximal movement of inner member 122 , causes contact of the internal bone lock members 124 , 126 with portions of the outer cylinder 116 which define the proximal edges of apertures 118 , 120 , respectively, thereby causing the bone lock members 124 , 126 to be pushed radially outwardly so that their ends are engaged with adjacent cancellous bone 44 ′, as shown in FIG. 9 .
- the device 46 e is now locked (anchored) axially in the bone and prevented from proximal movement.
- an inner member locking portion 144 which has an increased width relative to the width of remaining portions of the inner member 122 , has moved proximally along an axis of the device 46 e sufficiently to be co-incident with the aperture 120 . Consequently, a portion of the locking portion 144 is caused to slip radially outwardly into the aperture 120 , as shown, in order to axially lock the inner member relative to the outer member.
- the forces involved in deploying the bone lock members 124 and 126 also function to compress the distal end of the outer wall of the inner member 122 , causing the locking portion 144 , and a bulbous portion 146 on an opposing side of the inner member 122 , which is axially offset from the locking portion 144 , to overlap one another, as shown in FIG. 9 , thus creating a tortuous path 148 for the suture 34 .
- This tortuous path functions as a suture lock, preventing the suture 34 from moving axially within the device 46 e .
- FIGS. 10 and 11 Yet another suture anchoring device 46 f, which may be called a “spring-lock” anchor, is illustrated in FIGS. 10 and 11 .
- the device 46 e is shown in an undeployed state, and comprises a driver 148 disposed within an anchor body 150 .
- a suture return pin 152 is disposed within the body 150 , in either a fixed or rotatable fashion, as has been discussed in connection with previously described embodiments, about which lengths of suture 34 a and 34 b are disposed, as shown.
- the suture lengths 34 a and 34 b are threaded through a spring 154 , one end of which is secured to the anchor body at an anchor point 156 .
- the wire forming the spring 154 can be of a number of different shapes, including round, square, hexagonal, rectangular, and the like.
- a free end 157 of the spring 154 abuts a distal portion of the driver 148 , as shown.
- the driver 148 is rotated in a clockwise direction, as shown by arrow 158 . This action causes the free end 157 of the spring to move in a clockwise direction as well, thus expanding the inside diameter of the spring 154 , thereby permitting axial movement of the suture 34 a , 34 b as desired.
- the driver 148 is retracted proximally, in the direction of arrow 160 , as shown in FIG. 11 .
- This causes the spring to want to relax to its normal state, thus moving in a counter-clockwise direction as shown by arrow 162 .
- the spring 154 wraps itself about the suture lengths 34 a , 34 b to compress and lock them in place within the spring.
- a compressible sleeve around which the spring 154 may be wrapped, and through which the suture 34 may be threaded. When the spring collapses, the sleeve also collapses on the suture, thereby locking it in place.
- FIGS. 12 and 13 there is shown still another suture anchor embodiment, wherein a plurality of stacked leaf springs 164 are employed to lock a suture length 34 in place.
- the leaf springs 164 may be made of any biocompatible material, including stainless steel, absorbable or non-absorbable plastic materials, and the like.
- the device 46 f is shown in an undeployed state, the leaf springs 164 being in a flat, stacked, axially spaced configuration.
- Each spring 164 includes a pair of apertures 166 , 168 , for accommodating the suture 34 therethrough.
- the suture length 34 extends distally through the first set of apertures 166 , about a suture return pin 170 , then proximally through the second set of apertures 168 .
- a mandrel 172 is pressed distally against the proximal-most leaf spring 164 to maintain the leaf springs 164 in the aforementioned flat configuration, which is also the deformed state for the leaf springs.
- the suture 34 may be freely threaded through the apertures 166 , 168 of each leaf spring 164 , and tensioned as desired to approximate the soft tissue 22 to the bone 24 .
- the mandrel 172 is withdrawn proximally, thereby releasing the leaf springs 164 , so that they may return to their undeformed state, as shown in FIG. 13 .
- the suture 34 is trapped and bound within the apertures 166 and 168 , which have now assumed an elliptical shape, and about the pin 170 , thus functioning as a suture anchor.
- FIGS. 14 and 15 there is shown another embodiment of a suture anchor 46 g , which is similar in many respects to the embodiment of FIGS. 12 and 13 .
- FIG. 14 illustrates the suture anchor in an undeployed state, comprising a length of suture 34 which extends both distally and proximally through a stack of leaf springs 164 ′, in a manner similar to the embodiment of FIGS. 12 and 13 , as well as about a suture return member 170 ′.
- a major difference between this embodiment, and the embodiment of FIGS. 12 and 13 is that in this embodiment the leaf springs 164 ′ are undeformed in their flat state, as shown in FIG. 12 .
- leaf springs 164 ′ may be manufactured are similar to those from which the leaf springs 164 in the embodiment of FIGS. 12 and 13 may be manufactured.
- the device 46 g is inserted into the bone cavity 40 (not shown in FIGS. 14 and 15 ) sufficiently distally such that the mandrel 172 ′ is disposed beneath the cortical bone 42 .
- the proximal cap portion 174 of the mandrel 172 ′ is rotated to extend beyond the width of the cavity 40 , and thus anchor the stack of leaf springs 164 ′ axially beneath the cortical bone layer.
- the soft tissue 22 is then approximated to the adjacent bone 24 by tensioning the suture 34 as desired, since it is freely movable through the leaf spring stack in the undeployed state.
- the mandrel 172 ′ is moved distally, relative to the suture return member 170 ′, by pulling a wire running through the stack of leaf springs 164 ′ or other suitable method.
- a distal portion 176 of the mandrel 172 ′ comprises a wedge shape which impacts the leaf springs 164 ′, causing them to deform into the folded configuration shown in FIG. 15 . This folding action causes a reduction in cross-section of the apertures 166 ′, 168 ′ through which the suture length 34 extends, thereby locking the suture in place.
- FIG. 16 there is shown yet another embodiment of a suture anchoring device 46 h , which comprises a body 178 , on which is disposed a plurality of sleeves 180 which are adapted to extend into adjacent cancellous bone (not shown), for anchoring the body within the bone.
- a core 182 is disposed within the body 178 .
- Three fins 184 (two are shown) are disposed in an equally spaced fashion about the circumference of the body 178 , between the core 182 and the inner surface of the body 178 .
- Suture 34 is attached to soft tissue 22 , such as a rotator cuff tendon (see FIGS. 1A-1F ), and extends through the body 178 , being wrapped about the core 182 along its length, as shown.
- One end of the suture 34 is attached to a distal end of the core 182 at an anchor point 186 .
- a driver (not shown) having a hex head engages a hexagonal aperture 188 , and rotates the core 182 , in order to further wrap the suture 34 about the core, and to thus tension the suture 34 and approximate the tendon 22 to adjacent bone (not shown).
- the core is rotationally locked in place, to thereby anchor the suture in place.
- the fins 184 function to snag the suture and to act as bearings for the core 182 .
- FIGS. 17-20 Another embodiment of a suture anchoring device 46 i is shown in FIGS. 17-20 .
- the device comprises a first plate 190 and a second plate 192 , with the first plate 190 being disposed beneath the second plate 192 .
- the device is shown in an undeployed state.
- the plates 190 and 192 are disposed within a hypotube 194 .
- Welds 196 join the two plates.
- a length of suture 34 is threaded through the device 46 i , as shown in FIG. 17 , including apertures 198 , 200 , and 202 in the plates 190 and 192 , respectively.
- the upper plate 192 is retracted proximally, as shown by arrow 204 .
- the welds 196 fracture, thereby separating the plates 190 , 192 , and creating a space 206 therebetween.
- the axial displacement of the upper plate 192 relative to the lower plate 190 creates a tortuous path through the apertures 198 , 200 , and 202 , as well as the space 206 , through which the suture 34 traverses, thereby anchoring the suture in place.
- FIGS. 21-24 Yet another suture anchoring device 46 j is shown in FIGS. 21-24 .
- an outer tube 208 having a lumen 210 , as shown in FIG. 21 , in cross-section.
- the tube 208 is disposed in a blind hole 40 within bone, as discussed in connection with previously disclosed embodiments.
- Suture lengths 34 a , 34 b are disposed through the lumen 210 , as shown in FIG. 22 , for attaching soft tissue 22 to bone 24 .
- each suture length extends distally through the lumen 210 , about a suture return member, such as a pin (not shown), disposed at a distal end of the device 46 j , and then extends proximally through the lumen and out of a proximal end of the device 46 j .
- FIG. 23 illustrates a next step in the inventive sequence, wherein a tube 212 having a split 214 therein is introduced into the lumen 210 , separating the proximally-extending legs of each suture length 34 a , 34 b from the distally-extending lengths of the same suture lengths.
- the tube 212 is formed of a suitable deformable or elastomeric biocompatible material.
- a tapered actuation pin 216 ( FIG. 24 ) is introduced distally into a lumen 218 of the split tube 212 .
- the pin 216 could be pulled proximally through the lumen 218 . This activity causes the outer diameter of the tube 212 to expand, because of separation at the split 214 , as shown, thereby compressing, and thus anchoring the suture lengths 34 a , 34 b in place, as shown in FIG. 24 .
- FIGS. 25-26 Yet another embodiment of a suture anchoring device 46 k is illustrated in FIGS. 25-26 .
- a tube 220 having a lumen 222 is disposed in a blind hole 40 within bone, as discussed in connection with previously disclosed embodiments.
- Suture lengths 34 a , 34 b are disposed through the lumen 222 , as shown in FIG. 25 , for attaching soft tissue 22 to bone 24 .
- FIGS. 25-26 Yet another embodiment of a suture anchoring device 46 k is illustrated in FIGS. 25-26 .
- a tube 220 having a lumen 222 is disposed in a blind hole 40 within bone, as discussed in connection with previously disclosed embodiments.
- Suture lengths 34 a , 34 b are disposed through the lumen 222 , as shown in FIG. 25 , for attaching soft tissue 22 to bone 24 .
- each suture length extends distally through the lumen 222 , about a suture return member, such as a pin (not shown), disposed at a distal end of the device 46 k , and then extends proximally through the lumen and out of a proximal end of the device 46 k .
- a spring coil 224 is disposed axially through the lumen 222 , again as shown in FIG. 25 .
- FIG. 27 Another alternative suture anchoring embodiment 461 is illustrated in FIG. 27 .
- This binding tapered thread anchor comprises an anchor body 228 adapted for disposition within a bone cavity 40 , including bone anchor wings 230 for axially anchoring the body 228 within said cavity, as discussed in connection with prior embodiments.
- Suture lengths 34 a , 34 b extend distally through a center portion of the body 228 , and continue about a suture return member or pin (not shown), extending proximally out of the body 228 .
- the portions of suture lengths 34 a and 34 b which extend proximally out of the body 228 are not illustrated, for clarity.
- the interior wall 232 of the body 228 includes threads 234 , and is tapered such that the interior diameter of the body 228 decreases in a distal direction, as shown.
- a tapered plug 236 having external threads 238 which complement the threads 234 , and are adapted for engagement therewith, is adapted for disposition within the body 228 , as shown in the figure.
- the plug 236 is threaded into the body 228 , in order to create a zig-zag shaped binding lock on the suture 34 , by forcing the suture ends 34 a , 34 b against the interior wall 232 of the body 228 , such that the suture ends 34 a , 34 b are forced into the tortuous path created by the engaged threads 234 , 238 .
Abstract
Devices and methods are disclosed for securing soft tissue to bone, and particularly for axially anchoring suture which attaches the soft tissue to adjacent bone structure.
Description
- This application is a continuation application of co-pending U.S. patent application Ser. No. 10/299,171 to Seth Foerester, et al. filed Nov. 19, 2002, the subject matter being incorporated herein by reference in its entirety.
- The present invention relates to devices and methods for repairing soft tissue, and more particularly to devices and methods for arthroscopic repair of a torn rotator cuff.
- It is an increasingly common problem for tendons and other soft, connective tissues to tear or to detach from associated bone. One such type of tear or detachment is a “rotator cuff” tear, wherein the supraspinatus tendon separates from the humerus, causing pain and loss of ability to elevate and externally rotate the arm. Complete separation can occur if the shoulder is subjected to gross trauma, but typically, the tear begins as a small lesion, especially in older patients.
- To repair a torn rotator cuff, the typical course today is to do so surgically, through a large incision. This approach is presently taken in almost 99% of rotator cuff repair cases. There are two types of open surgical approaches for repair of the rotator cuff, one known as the “classic open” and the other as the “mini-open”. The classic open approach requires a large incision and complete detachment of the deltoid muscle from the acromion to facilitate exposure. The cuff is debrided to ensure suture attachment to viable tissue and to create a reasonable edge approximation. In addition, the humeral head is abraded or notched at the proposed soft tissue to bone reattachment point, as healing is enhanced on a raw bone surface. A series of small diameter holes, referred to as “transosseous tunnels”, are “punched” through the bone laterally from the abraded or notched surface to a point on the outside surface of the greater tuberosity, commonly a distance of 2 to 3 cm. Finally, the cuff is sutured and secured to the bone by pulling the suture ends through the transosseous tunnels and tying them together using the bone between two successive tunnels as a bridge, after which the deltoid muscle must be surgically reattached to the acromion. Because of this maneuver, the deltoid requires postoperative protection, thus retarding rehabilitation and possibly resulting in residual weakness. Complete rehabilitation takes approximately 9 to 12 months.
- The mini-open technique, which represents the current growing trend and the majority of all surgical repair procedures, differs from the classic approach by gaining access through a smaller incision and splitting rather than detaching the deltoid. Additionally, this procedure is typically performed in conjunction with arthroscopic acromial decompression. Once the deltoid is split, it is retracted to expose the rotator cuff tear. As before, the cuff is debrided, the humeral head is abraded, and the so-called “transosseous tunnels”, are “punched” through the bone or suture anchors are inserted. Following the suturing of the rotator cuff to the humeral head, the split deltoid is surgically repaired.
- Although the above described surgical techniques are the current standard of care for rotator cuff repair, they are associated with a great deal of patient discomfort and a lengthy recovery time, ranging from at least four months to one year or more. It is the above described manipulation of the deltoid muscle together with the large skin incision that causes the majority of patient discomfort and an increased recovery time.
- Less invasive arthroscopic techniques are beginning to be developed in an effort to address the shortcomings of open surgical repair. Working through small trocar portals that minimize disruption of the deltoid muscle, a few surgeons have been able to reattach the rotator cuff using various bone anchor and suture configurations. The rotator cuff is sutured intracorporeally and an anchor is driven into bone at a location appropriate for repair. Rather than thread the suture through transosseous tunnels which are difficult or impossible to create arthroscopically using current techniques, the repair is completed by tying the cuff down against bone using the anchor and suture. Early results of less invasive techniques are encouraging, with a substantial reduction in both patient recovery time and discomfort.
- Unfortunately, the skill level required to facilitate an entirely arthroscopic repair of the rotator cuff is inordinately high. Intracorporeal suturing is clumsy and time consuming, and only the simplest stitch patterns can be utilized. Extracorporeal knot tying is somewhat less difficult, but the tightness of the knots is difficult to judge, and the tension cannot later be adjusted. Also, because of the use of bone anchors to provide a suture fixation point in the bone, the knots that secure the soft tissues to the anchor by necessity leave the knot bundle on top of the soft tissues. In the case of rotator cuff repair, this means that the knot bundle is left in the shoulder capsule where it can be felt by the patient postoperatively when the patient exercises the shoulder joint. So, knots tied arthroscopically are difficult to achieve, impossible to adjust, and are located in less than optimal areas of the shoulder. Suture tension is also impossible to measure and adjust once the knot has been fixed. Consequently, because of the technical difficulty of the procedure, presently less than 1% of all rotator cuff procedures is of the arthroscopic type, and is considered investigational in nature.
- Another significant difficulty with current arthroscopic rotator cuff repair techniques is shortcomings related to currently available suture anchors. Suture eyelets in bone anchors available today, which like the eye of a needle are threaded with the thread or suture, are small in radius, and can cause the suture to fail at the eyelet when the anchor is placed under high tensile loads.
- There are various bone anchor designs available for use by an orthopedic surgeon for attachment of soft tissues to bone. The basic commonality between the designs is that they create an attachment point in the bone for a suture that may then be passed through the soft tissues and tied, thereby immobilizing the soft tissue. This attachment point may be accomplished by different means. Screws are known for creating such attachments, but existing designs suffer from a number of disadvantages, including their tendency to loosen over time, requiring a second procedure to later remove them, and their requirement for a relatively flat attachment geometry.
- Another approach is to utilize the difference in density in the cortical bone (the tough, dense outer layer of bone) and the cancellous bone (the less dense, airy and somewhat vascular interior of the bone). There is a clear demarcation between the cortical bone and cancellous bone, where the cortical bone presents a kind of hard shell over the less dense cancellous bone. The aspect ratio of the anchor is such that it typically has a longer axis and a shorter axis and usually is pre-threaded with a suture. These designs use a hole in the cortical bone through which an anchor is inserted. The hole is drilled such that the shorter axis of the anchor will fit through the diameter of the hole, with the longer axis of the anchor being parallel to the axis of the drilled hole. After deployment in to the cancellous bone, the anchor is rotated 90B so that the long axis is aligned perpendicularly to the axis of the hole. The suture is pulled, and the anchor is seated up against the inside surface of the cortical layer of bone. Due to the mismatch in the dimensions of the long axis of the anchor and the hole diameter, the anchor cannot be retracted proximally from the hole, thus providing resistance to pull-out. These anchors still suffer from the aforementioned problem of eyelet design that stresses the sutures.
- Still other prior art approaches have attempted to use a “pop rivet” approach. This type of design requires a hole in the cortical bone into which a split shaft is inserted. The split shaft is hollow, and has a tapered plug leading into its inner lumen. The tapered plug is extended out through the top of the shaft, and when the plug is retracted into the inner lumen, the tapered portion causes the split shaft to be flared outwardly, ostensibly locking the device into the bone.
- Other methods of securing soft tissue to bone are known in the prior art, but are not presently considered to be feasible for shoulder repair procedures, because of physicians' reluctance to leave anything but a suture in the capsule area of the shoulder. The reason for this is that staples, tacks, and the like could possibly fall out and cause injury during movement. As a result ofthis constraint, the attachment point often must be located at a less than ideal position. Also, the tacks or staples require a substantial hole in the soft tissue, and make it difficult for the surgeon to precisely locate the soft tissue relative to the bone.
- As previously discussed, any of the anchor points for sutures mentioned above require that a length of suture be passed through an eyelet fashioned in the anchor and then looped through the soft tissues and tied down to complete the securement. Much skill is required, however, to both place the sutures in the soft tissues, and to tie knots while working through a trocar under endoscopic visualization.
- What is needed, therefore, are new approaches for repairing the rotator cuff or fixing other soft tissues to bone, wherein both the bone and suture anchors reside completely below the cortical bone surface, there is no requirement for the surgeon to tie a knot to attach the suture to the bone anchor, and wherein suture tension can be adjusted and possibly measured. The procedures associated with the new approaches should be better for the patient than existing procedures, should save time, be uncomplicated to use, and be easily taught to practitioners having skill in the art.
- Accordingly, the inventors have developed new and novel approaches for securing soft tissue to bone, and particularly for axially anchoring suture which attaches the soft tissue to adjacent bone structure.
- More particularly, in one aspect of the invention there is disclosed a suture anchoring device, comprising an anchor housing having an outer wall, a compressible plug member disposed within the housing and extending proximally of the housing, and a channel extending through the plug member for accommodating a length of suture. A cap member is provided for enclosing a proximal end of the housing. In operation, the compressible plug member is compressed in order to anchor the length of suture when the cap member is engaged with the housing.
- In another aspect of the invention, there is disclosed a suture anchoring device which comprises an anchor body having an interior threaded wall, as well as a suture return member associated with the body, such as a pin, for returning a distally extending length of suture in a proximal direction. A length of fiber is provided, having a first end secured to a distal portion of the body, and a second end extending from an end of the body, the fiber being wrapped about the interior threaded wall of the body a plurality of times. In operation, when the length of fiber is pulled in a predetermined direction, the wrapped fiber becomes tightly engaged about the suture to anchor the suture.
- In yet another aspect of the invention, there is provided a suture anchoring device, which comprises an anchor body having an outer wall, and a suture return member disposed at a distal end of the anchor body, for receiving a length of suture extending distally through the body, and returning a portion of the suture length in a proximal direction. A passage extends along an interior surface of the wall for accommodating the length of suture. The passage tapers in width in a proximal direction, for the purpose of permitting the suture to be moved axially when pulled in a first direction, for approximating a portion of soft tissue to which the suture was attached to adjacent bone, and anchoring the suture axially in place when the suture is pulled in an opposing direction.
- In still another aspect of the invention, there is provided a suture anchoring device, comprising an anchor body having an outer wall, as well as a lumen for accommodating a length of suture within the outer wall. A plurality of members are disposed within the anchor body for contacting the length of suture and creating a tortuous path therefor, in order to anchor the length of suture in place. The device further comprises a member radially extending from the body for anchoring the device in adjacent bone.
- In another aspect of the invention, there is provided a suture anchoring device, which comprises an axially extending spring, as well as a suture return member or pin disposed distally of said spring. A length of suture extends axially within the spring and about the suture return member. An actuator is disposed at a proximal end of the device for actuating the spring to a compressed state wherein the suture becomes clamped within the spring.
- In yet another aspect of the invention, there is provided a suture anchoring device, which comprises a suture return member and a length of suture extending axially through the device about the suture return member. A plurality of axially stacked, spaced plates, comprising leaf springs, are disposed proximally of the suture return member. The aforementioned length of suture extends through apertures in each of the plates. A mandrel is provided for moving the plurality of stacked plates between a first generally planar orientation, wherein the suture is free to move axially therethrough, and a second folded orientation, wherein the suture is axially clamped within the apertures.
- In still another aspect of the invention, there is provided a suture anchoring device, which comprises a body, a core disposed within the body, and a length of suture attached to a piece of soft tissue and extending into the body. A portion of the length of suture is wrapped about the core and attached to a distal end thereof. The core is rotatable to adjustably tension the length of suture, and may be rotationally locked in order to anchor the length of suture in place.
- In another aspect of the invention, there is provided a suture anchoring device, which comprises an outer tube, as well as a first plate having a suture receiving aperture disposed therein. A second plate has a suture receiving aperture disposed therein. A connection between the first and second plates is designed to break when a predetermined force is applied thereto. The system is designed so that axial displacement of one of the plates relative to the other of the plates causes application of the predetermined force, to separate the plates, and thus create a tortuous path for a length of suture passing therethrough.
- In still another aspect of the invention, there is provided a suture anchoring device. This device comprises an outer tube having a lumen extending axially therethrough, and a length of suture extending distally through the outer tube, about a suture return member, and proximally back through the outer tube. An inner expandable member extends axially through the lumen, between portions of the length of suture, the inner expandable member being actuatable to a radially expanded state in order to compress and clamp the length of suture in place. In one embodiment, the inner expandable member comprises a split elastomeric tube, while in a second embodiment, the inner expandable member comprises a spring coil.
- The invention, together with additional features and advantages thereof, may best be understood by reference to the following description taken in conjunction with the accompanying illustrative drawing.
- FIG 1A is a partial sectional view through the left shoulder of a human as seen from the front showing the use of a minimally invasive soft tissue to bone attachment system, or suture anchor system, of the present invention;
-
FIG. 1B is an enlarged sectional view taken within the circle denoted 1B inFIG. 1A ; -
FIGS. 1C-1F are enlarged sectional views of several steps in the use of the suture anchor system ofFIG. 1A to reattach a rotator cuff tendon; -
FIG. 2 is a cross-sectional view of a suture anchor comprising a compliant plug, in accordance with one embodiment of the present invention, wherein the suturing material is not secured in place; -
FIG. 3 is a cross-sectional view similar toFIG. 2 , wherein the cap is secured to the housing of the suture anchor in order to secure the suturing material in place; -
FIG. 4 is a perspective view of a suture anchor comprising a drum spinning apparatus, in accordance with another embodiment of the present invention, wherein the suturing material is not yet secured in place; -
FIG. 5 is a perspective view similar toFIG. 4 , wherein the suturing material is secured in place; -
FIG. 6 is a cross-sectional view illustrating a cam cleat suture anchoring apparatus, in accordance with yet another embodiment of the present invention; -
FIG. 7 is a perspective view of a jam cleat suture anchoring apparatus, in accordance with still another embodiment of the present invention; -
FIG. 8 is a cross-sectional view showing another suture lock embodiment, comprising a multi-lock anchor, prior to deployment; -
FIG. 9 is a cross-sectional view of the multi-lock anchor shown inFIG. 8 , after it has been deployed to lock the suture; -
FIG. 10 is a perspective view of a spring-locking suture anchor embodiment, wherein it has not yet been deployed to anchor the suture in place; -
FIG. 11 is a perspective view of the spring-locking suture anchor embodiment ofFIG. 10 , showing the anchor is a deployed orientation; -
FIG. 12 is a front perspective view of yet another suture lock embodiment, comprising a plurality of leaf springs in an undeployed state; -
FIG. 13 is a view similar toFIG. 12 , showing the springs in a deployed state for locking the suture; -
FIG. 14 is a front view of a modified leaf spring suture locking system, shown in an undeployed state; -
FIG. 15 is a front view similar toFIG. 14 , wherein the leaf springs have been deployed to lock the suture in place; -
FIG. 16 is a perspective view of a vertical knotless bone and suture anchor which functions to wrap suture around a shaft in order to lock it in place; -
FIG. 17 is a cross-sectional view of still another suture anchoring device, shown in an undeployed position; -
FIG. 18 is a cross-sectional view similar toFIG. 17 , illustrating the suture anchoring device after it has been deployed to anchor the suture in place; -
FIG. 19 is a cross-sectional view taken along lines 19-19 ofFIG. 17 ; -
FIG. 20 is a cross-sectional view taken along lines 20-20 ofFIG. 18 ; -
FIG. 21 is a cross-sectional view of still another embodiment of a suture anchoring device constructed in accordance with the principles of the present invention, showing the inventive device prior to insertion of a length of suture; -
FIG. 22 is a cross-sectional view similar to that ofFIG. 21 , wherein suture is disposed within a cylinder comprising a portion of the inventive anchoring device; -
FIG. 23 is a cross-sectional view similar to those ofFIGS. 21 and 22 , wherein a second split tube has been inserted into the cylinder; -
FIG. 24 is a cross-sectional view similar to that ofFIG. 23 , wherein the split tube has been expanded to lock the suture in place; -
FIG. 25 is a cross-sectional end view of another suture anchoring embodiment, comprising a cylinder in which is disposed a spring coil and suturing material; -
FIG. 26 is a cross-sectional view similar toFIG. 25 , wherein the spring coil has been expanded to anchor the suturing material in place; and -
FIG. 27 is a cross-sectional view of still another suture anchoring embodiment, comprising a binding tapered threaded anchor. - The present invention provides improved knotless suture anchor devices and methods for anchoring a length of suture with respect to a body cavity. In the exemplary embodiments described herein, the inventive devices are used to anchor a length of suture to a bone structure, specifically the humeral bone of the human shoulder. The length of suture is desirably looped through soft tissue, such as a rotator cuff tendon, to approximate and fix the soft tissue with respect to the body cavity (e.g., bone structure). It should be understood, however, that the suture anchor apparatus described herein may be utilized to secure a length of suture to body cavities other than in a bone structure, and may even be used to anchor the suture outside of a body cavity, or merely to a predetermined location within the body. In this regard, the various inventive embodiments include an anchor body within which the length of suture may be anchored without knots. If the anchor body is to be implanted within the body cavity, structure on its exterior or coupled therewith may also be provided for securing the anchor body therein.
- As mentioned, the present invention is particularly well-suited for repairing rotator cuff injuries by re-attaching the rotator cuff tendon to the outside of the humeral head. The invention permits minimally invasive surgeries on such injuries and greatly facilitates rapid and secure fixation of the rotator cuff tendon to the humeral head. It should be understood that the same principles described herein apply to the repair of other injuries in which soft tissue is to be re-attached to a bone structure.
-
FIGS. 1A-1F are cross-sectional views through the left shoulder of a human as viewed from the front and illustrate the use of an exemplary soft tissue to bone attachment system, orsuture anchor system 20, for repairing a rotator cuff tendon injury. Therotator cuff tendon 22 is shown in its natural position overlying the bulboushumeral head 24 of thehumerus bone 26. In rotator cuff injuries, thetendon 22 partially or completely separates from its attachment point to thehumeral head 24, which point of attachment is typically located along an angled shelf, thegreater tuberosity 28. In minimally invasive surgeries to repair the rotator cuff injury, the surgeon threads one or more sutures through therotator cuff tendon 22 and anchors them to thegreater tuberosity 28. Thesuture anchor system 20 of the present invention facilitates this latter step of anchoring the sutures to thegreater tuberosity 28. - With reference first to FIG 1A, a generally
tubular trocar 30 provides a conduit through the soft tissue of the shoulder for passage of thesuture anchor system 20 of the present invention. Per convention, the trocar has a proximal end outside of the patient that the surgeon manipulates, and a distal probe or end that enters the body and through which the surgery is performed. Typically, the surgeon makes an incision or stab wound through the outer dermal layers of sufficient size to permit passage of thetrocar 30 through the skin and the deltoid muscle, into proximity with thehumeral head 24. Various trocars and techniques for creating the approach passageway are known and may be utilized with the present invention. In addition, more than one incision and conduit may be necessary to perform the several suturing and anchoring steps. - After establishing one or more direct conduits to the
humeral head 24, the surgeon passes a length of suture through the soft tissue of therotator cuff tendon 22 so that aloop 32 of suture material is embedded therein, as seen inFIG. 1B . The twofree ends suture anchor system 20. The specifics of this coupling and subsequent manipulation of the two free ends of the suture will be described more fully below, in conjunction with each of the described embodiments. For the purpose of explaining the exemplary method of use, it is sufficient to understand that the twofree ends suture anchor system 20. Therefore, the twofree ends FIG. 1B projecting from a proximal end of thesystem 20. - The exemplary
suture anchor system 20 as illustrated is particularly suitable for anchoring a suture to a body cavity, specifically thehumeral head 24 as shown. When anchoring sutures to such a bone structure, a conventional technique is to first form a blind hole orcavity 40 through thecortical layer 42 and into the softcancellous matter 44, as seen inFigs. 1B and 1C . The surgeon then positions asuture anchor 46 within thecavity 40 and secures it therein to prevent removal from the cavity. - The
suture anchor 46 performs two functions: anchoring itself within the body cavity and anchoring the sutures therein. In the embodiment as illustrated inFigs. 1C and 1D , the former finction is accomplished using anexpandable anchoring member 48 located at the proximal end of thesuture anchor 46. The anchoringmember 48 functions like a toggle bolt used in ceiling fixtures, and specifically expands to a larger dimension in thecavity 40 beyond the hardcortical bone 42.FIG. 1D shows the anchoringmember 48 after having been radially expanded from proximal movement of the suture anchor 46 (compare to the axial location of the suture anchor inFIG. 1C ). In this manner, thesuture anchor 46 is prevented from being removed from thecavity 40 once the anchoringmember 48 is deployed. - The present invention illustrates a particular anchoring
member 48, although any similar expedient will work. For example, a different toggle-like anchoring member may be used such as shown in-co-pending application Ser. No. 09/876, 488 filed on Mar. 2, 2001, expressly incorporated by reference herein. Alternatively, an anchoring structure that expands into contact with thecancellous matter 44 or a body resembling a screw may also be used. In short, the present invention is not considered to be limited by the particular anchoring structure that secures the suture locking portion to the bone or other body cavity. - The second function of the
suture anchor 46 is the anchoring or fixation of the suture with respect to the suture anchor itself, without the use of knots. Desirably, the particular manner of anchoring the suture with respect to thesuture anchor 46 permits easy adjustment of the length of suture between thesuture anchor 46 and theloop 32 formed in the soft tissue prior to anchoring the suture. This adjustment allows the surgeon to establish the proper tension in the length of suture for effective repair of the soft tissue, and reattachment of therotator cuff tendon 22 in the illustrated embodiment. So, for example,FIG. 1D also illustrates the twofree ends FIG.1C ). -
FIG. 1E shows the fully deployedsuture anchor 46 after the free ends 34 a, 34 b have been placed in tension and locked within the suture anchor, in various manners to be described below in connection with the descriptions of each of the several disclosed embodiments. - Although not shown, the remaining steps in the procedure involve withdrawing portions of the suture anchor from the surgical site as seen in
FIG. 1F and severing the free ends 34 a′, 34 b ′ close to thesuture anchor 46. It should be noted that no portion of thesuture anchor 46 orsutures 34 a′, 34 b ′ projects above the outer surface of thehumeral head 24, and in addition no knots are left to irritate the patient. - Although the present invention is described primarily in conjunction with the repair of a torn rotator cuff, the apparatus and method could also be used in arthroscopic repair at other sites, such as the knee, elbow, or hip, for example, as well as in conjunction with other surgical techniques, such as traditional open or mini-open surgical procedures.
- Now with reference to
FIGS. 2 and 3 , there is shown a first embodiment of the present invention. In this embodiment, a suture anchor 46 a comprises a rigidouter housing 50, which may be fabricated of any suitable rigid biocompatible material. It should be noted that the usage of the reference numeral 46 a is intended to convey that the inventive embodiment is usable in the procedure discussed in connection withFIGS. 1A-1F , in place of thesuture anchor 46 disclosed therein, which is illustrative only. Within thehousing 50 is acompliant plug 52, comprised of a suitable elastomeric material.Channels plug 52 and alower housing portion 58, for accommodating a length ofsuture 34 extending therethrough, as shown. The suture anchor 46 a further comprises arigid cap 60, which is engageable with an upper portion of thehousing 50. - In operation, as shown in
FIG. 2 , thecap 60 is initially separated from thehousing 50, to permit the length ofsuture 34 to be disposed through thechannels cap 60 is disengaged from thehousing 50, thesuture length 34 is freely movable through thehousing 50, by applying a tensile force to one end or the other of the suture length, in order to tension the suture and approximate the soft tissue 22 (Figs. 1A-1F ) to thebone 24, as desired. Once the attachment procedure described in connection withFIGS. 1A-1F has been completed, and thesoft tissue 22 is satisfactorily in place relative to thebone 24, thecap 60 is engaged with thehousing 50 of the compliantplug suture anchor 46, by moving it in the direction of thearrows 62 until lowerengaging portions 64 of thecap 60 and upper engagingportions 66 may be snap-fitted together, as shown inFIG. 3 , or otherwise connected in ways well known in the art, such as a threaded fitting or other suitable means. The purpose of this step is to anchor the suture in place, as illustrated inFIG. 1E . Because there is excess plug material within thehousing 50, with aportion 68 extending above the upper engagingportions 66 of thehousing 50, as shown inFIG. 2 , the placement of thecap 60 on thehousing 50 causes thecompliant plug material 52 to be significantly compressed within thehousing 50, such that thechannels channels - Now with reference to
FIGS. 4 and 5 , there is shown an alternativesuture anchoring device 46 b, which comprises a cylindrical insert orbody 68 having aninterior wall 70, which may be threaded, as shown. Theinsert 68 is adapted for disposition within the blind hole or cavity 40 (FIG. 1D ). A suture return member orprimary pin 72 is disposed across the inner diameter of theinsert 68, and may be suitably secured to theinterior wall 70 in either a rotatable or fixed fashion, as desired. Asecondary pin 74 protrudes from theinterior wall 70 at a location above theprimary pin 72. Oneend 76 of a length ofmonofilament fiber 78 is secured to theprimary pin 72, and a second end thereof is disposed about thesecondary pin 74 and extends upwardly out of a proximal end of theinsert 68. The majority of the length ofmonofilament fiber 78 forms adrum 80 which is threadedly engaged with theinterior wall 70, as illustrated inFIG. 4 . - In operation, the
suture length 34 is disposed in theinsert 68, from a proximal direction, and wrapped around theprimary pin 72, as shown inFIG. 4 . Thesoft tissue 22 is approximated to thebone 24, as described in connection withFIGS. 1A-1F , by tensioning thesuture 34 such that it moves axially about theprimary pin 72. When this process is completed, and it is desired to lock the suture in place, the length ofmonofilament fiber 78 is pulled proximally, in the direction ofarrow 81, thereby causing thedrum 80 of monofilament fiber to spin circumferentially. The result of this process is that themonofilament fiber 78 becomes tightly wrapped about thesuture 34, with multiple loops, as shown inFIG. 5 , thus locking thesuture 34 in place lengthwise. -
FIG. 7 illustrates still another suture anchor 46 c which may be identified as a “jam cleat” or “boat cleat”—type mechanism. More particularly, the anchor 46 c comprises a generallycylindrical body portion 82, which preferably includesthreads 84 on at least a portion of its outer surface for engaging adjacent bone within the blind hole or cavity 40 (FIG. 1B ). Apin 86 is disposed across the internal diameter of thebody portion 82, in a manner similar to thepin 72 inFIGS. 4 and 5 , secured at each end to the innercylindrical wall 88 in either a fixed or rotatable manner. In use, thesuture 34 extends axially through thecylinder 84 and about thepin 86, with a first end being attached to the soft tissue 22 (FIGS. 1A-1F ) in the direction ofarrow 90, and the second end extending proximally out of the patient's body through an access cannula (not shown). The portion of thesuture length 34 which extends between thepin 86 and the soft tissue extends through acleat portion 92, which comprises a“V” shapedpassage 94 that progressively narrows in a proximal direction, as well as a plurality ofribs 96. This suture anchoring system operates in a manner similar to that of a boat cleat, in that thesuture 34 may be pulled proximally through the cannula to tension the soft tissue against the bone, as desired. The V-shapedpassage 94 permits movement of the suture in this direction, in order to provide the practitioner performing the procedure with the ability to selectively tension the soft tissue. However, because of the progressively narrowing passage diameter in the opposing direction, the suture cannot be moved in the direction of thearrow 90, thus effectively locking the suture in place, as well as thesoft tissue 22. - Now with reference to
FIG. 6 , there is shown yet another modified embodiment of a suture anchor 46d, which comprises, once again, a generallycylindrical anchor body 94, within which are disposed a pair ofcam cleats pin 100 is disposed within thecylindrical body 94 as well, in the same manner as is the case forpin 86 in the embodiment ofFIG. 7 . Thesuture length 34 extends distally through thecylindrical body 94, is wrapped about thepin 100, which functions as a suture return member, and is returned proximally through the cannula (not shown). Thefirst end 102 of thesuture 34 is attached to the soft tissue to be repaired, while the second end 104 is available for the practitioner to use in tensioning the suture, by applying tension proximally thereon. Abody cap portion 106 is disposed above themain body portion 94. The cam cleats 96, 98 are pivotally attached to the main body portion orhousing 94 by means of pivot pins 107 a, 107 b, respectively. In operation, once thecylindrical body portion 94 is in position within thebone cavity 40, below the cortical bone layer, the device is pushed down to release thecleats cleats suture 34 creates a force which attempts to pull the anchor out of thebone cavity 40. This force creates a moment on thecleats cancellous bone matter 44, as shown inFIG. 6 , so that the device 46 d becomes anchored within the bone. Subsequently, once the soft tissue has been properly positioned and suitably tensioned, thebody 94 is permitted to float upwardly in a proximal direction, thereby pushing the interior toothed surfaces 108, 110 of eachrespective cleat suture 34 in place. - A somewhat similar embodiment to that of
FIG. 6 is illustrated inFIGS. 8 and 9 . Thisembodiment 46 e includes a generallycylindrical body 112. Two suture free ends 34 a, 34 b extend axially through alumen 114 of thebody 112. Thebody 112 comprises anouter cylinder 116 havingbone lock apertures inner member 122 comprising internalbone lock members weakness FIG. 8 , thedevice 46 e is shown in an undeployed state. -
FIG. 9 illustrates thedevice 46 e in a deployed condition. Deployment is initiated, in a preferred method, by actuating amandrel 132 in a distal direction, as shown byarrows 134, until themandrel 132 engages external lock edges 136, 138 on the outercylindrical body 116, thereby moving theouter cylinder 116 in a distal direction as well. At the same time, theinner member 122 is pulled in a proximal direction, as shown byarrows 140. The distal movement ofouter cylinder 116, in combination with the proximal movement ofinner member 122, causes contact of the internalbone lock members outer cylinder 116 which define the proximal edges ofapertures bone lock members cancellous bone 44′, as shown inFIG. 9 . Thus, thedevice 46 e is now locked (anchored) axially in the bone and prevented from proximal movement. - Once the bone lock feature has been deployed, a predetermined applied tensile force proximally on the
inner member 122 will cause separation of aproximal portion 142 from the remaining portion of theinner member 122 at the designed point ofweakness 128, as shown inFIG. 9 . At this juncture, an innermember locking portion 144, which has an increased width relative to the width of remaining portions of theinner member 122, has moved proximally along an axis of thedevice 46 e sufficiently to be co-incident with theaperture 120. Consequently, a portion of the lockingportion 144 is caused to slip radially outwardly into theaperture 120, as shown, in order to axially lock the inner member relative to the outer member. The forces involved in deploying thebone lock members inner member 122, causing the lockingportion 144, and abulbous portion 146 on an opposing side of theinner member 122, which is axially offset from the lockingportion 144, to overlap one another, as shown inFIG. 9 , thus creating atortuous path 148 for thesuture 34. This tortuous path functions as a suture lock, preventing thesuture 34 from moving axially within thedevice 46 e. - Yet another
suture anchoring device 46f, which may be called a “spring-lock” anchor, is illustrated inFIGS. 10 and 11 . InFIG. 10 , thedevice 46 e is shown in an undeployed state, and comprises adriver 148 disposed within ananchor body 150. Asuture return pin 152 is disposed within thebody 150, in either a fixed or rotatable fashion, as has been discussed in connection with previously described embodiments, about which lengths ofsuture 34 aand 34 b are disposed, as shown. Thesuture lengths 34 aand 34 b are threaded through aspring 154, one end of which is secured to the anchor body at ananchor point 156. The wire forming thespring 154 can be of a number of different shapes, including round, square, hexagonal, rectangular, and the like. Afree end 157 of thespring 154 abuts a distal portion of thedriver 148, as shown. In operation, when it is desired to tension thesuture 34, thus also approximating thesoft tissue 22 to the bone 24 (FIGS. 1A-1F ), thedriver 148 is rotated in a clockwise direction, as shown byarrow 158. This action causes thefree end 157 of the spring to move in a clockwise direction as well, thus expanding the inside diameter of thespring 154, thereby permitting axial movement of thesuture - Then, when it is desired to anchor the suture in place, the
driver 148 is retracted proximally, in the direction ofarrow 160, as shown inFIG. 11 . This causes the spring to want to relax to its normal state, thus moving in a counter-clockwise direction as shown byarrow 162. As a result, thespring 154 wraps itself about thesuture lengths - Not illustrated, but contemplated within the scope of the invention, is the inclusion of a compressible sleeve around which the
spring 154 may be wrapped, and through which thesuture 34 may be threaded. When the spring collapses, the sleeve also collapses on the suture, thereby locking it in place. - Now, with reference to
FIGS. 12 and 13 , there is shown still another suture anchor embodiment, wherein a plurality of stackedleaf springs 164 are employed to lock asuture length 34 in place. The leaf springs 164 may be made of any biocompatible material, including stainless steel, absorbable or non-absorbable plastic materials, and the like. InFIG. 12 , thedevice 46 f is shown in an undeployed state, theleaf springs 164 being in a flat, stacked, axially spaced configuration. Eachspring 164 includes a pair ofapertures suture 34 therethrough. Thesuture length 34 extends distally through the first set ofapertures 166, about asuture return pin 170, then proximally through the second set ofapertures 168. Amandrel 172 is pressed distally against theproximal-most leaf spring 164 to maintain theleaf springs 164 in the aforementioned flat configuration, which is also the deformed state for the leaf springs. In this deformed configuration, thesuture 34 may be freely threaded through theapertures leaf spring 164, and tensioned as desired to approximate thesoft tissue 22 to thebone 24. - When the tensioning step has been completed as desired, the
mandrel 172 is withdrawn proximally, thereby releasing theleaf springs 164, so that they may return to their undeformed state, as shown inFIG. 13 . In this configuration, thesuture 34 is trapped and bound within theapertures pin 170, thus functioning as a suture anchor. - In
FIGS. 14 and 15 , there is shown another embodiment of a suture anchor 46 g, which is similar in many respects to the embodiment ofFIGS. 12 and 13 .FIG. 14 illustrates the suture anchor in an undeployed state, comprising a length ofsuture 34 which extends both distally and proximally through a stack ofleaf springs 164′, in a manner similar to the embodiment ofFIGS. 12 and 13 , as well as about asuture return member 170′. A major difference between this embodiment, and the embodiment ofFIGS. 12 and 13 , is that in this embodiment theleaf springs 164′ are undeformed in their flat state, as shown inFIG. 12 . The materials from whichleaf springs 164′ may be manufactured are similar to those from which theleaf springs 164 in the embodiment ofFIGS. 12 and 13 may be manufactured. The device 46 g is inserted into the bone cavity 40 (not shown inFIGS. 14 and 15 ) sufficiently distally such that themandrel 172′ is disposed beneath thecortical bone 42. Theproximal cap portion 174 of themandrel 172′ is rotated to extend beyond the width of thecavity 40, and thus anchor the stack ofleaf springs 164′ axially beneath the cortical bone layer. Thesoft tissue 22 is then approximated to theadjacent bone 24 by tensioning thesuture 34 as desired, since it is freely movable through the leaf spring stack in the undeployed state. Then, as shown inFIG. 15 , when the tensioning step is completed, themandrel 172′ is moved distally, relative to thesuture return member 170′, by pulling a wire running through the stack ofleaf springs 164′ or other suitable method. Adistal portion 176 of themandrel 172′ comprises a wedge shape which impacts theleaf springs 164′, causing them to deform into the folded configuration shown inFIG. 15 . This folding action causes a reduction in cross-section of theapertures 166′, 168′ through which thesuture length 34 extends, thereby locking the suture in place. - In
FIG. 16 , there is shown yet another embodiment of asuture anchoring device 46 h, which comprises abody 178, on which is disposed a plurality ofsleeves 180 which are adapted to extend into adjacent cancellous bone (not shown), for anchoring the body within the bone. Acore 182 is disposed within thebody 178. Three fins 184 (two are shown) are disposed in an equally spaced fashion about the circumference of thebody 178, between the core 182 and the inner surface of thebody 178.Suture 34 is attached tosoft tissue 22, such as a rotator cuff tendon (seeFIGS. 1A-1F ), and extends through thebody 178, being wrapped about thecore 182 along its length, as shown. One end of thesuture 34 is attached to a distal end of the core 182 at ananchor point 186. - In operation, a driver (not shown) having a hex head engages a
hexagonal aperture 188, and rotates thecore 182, in order to further wrap thesuture 34 about the core, and to thus tension thesuture 34 and approximate thetendon 22 to adjacent bone (not shown). When thesuture 34 is tensioned as desired, the core is rotationally locked in place, to thereby anchor the suture in place. During the tensioning step, thefins 184 function to snag the suture and to act as bearings for thecore 182. - Another embodiment of a suture anchoring device 46i is shown in
FIGS. 17-20 . The device comprises afirst plate 190 and asecond plate 192, with thefirst plate 190 being disposed beneath thesecond plate 192. InFIGS. 17 and 19 , the device is shown in an undeployed state. Theplates hypotube 194.Welds 196 join the two plates. A length ofsuture 34 is threaded through the device 46 i, as shown inFIG. 17 , includingapertures plates - As shown in
FIGS. 18 and 20 , to deploy the device 46 i and anchor thesuture 34, theupper plate 192 is retracted proximally, as shown byarrow 204. In the presently preferred embodiment, when a force in excess of 60 lb. is applied, thewelds 196 fracture, thereby separating theplates space 206 therebetween. The axial displacement of theupper plate 192 relative to thelower plate 190 creates a tortuous path through theapertures space 206, through which thesuture 34 traverses, thereby anchoring the suture in place. - Yet another
suture anchoring device 46 jis shown inFIGS. 21-24 . In this embodiment, there is provided anouter tube 208 having alumen 210, as shown inFIG. 21 , in cross-section. Thetube 208 is disposed in ablind hole 40 within bone, as discussed in connection with previously disclosed embodiments.Suture lengths lumen 210, as shown inFIG. 22 , for attachingsoft tissue 22 tobone 24. As in prior embodiments, each suture length extends distally through thelumen 210, about a suture return member, such as a pin (not shown), disposed at a distal end of thedevice 46 j, and then extends proximally through the lumen and out of a proximal end of thedevice 46 j.FIG. 23 illustrates a next step in the inventive sequence, wherein atube 212 having asplit 214 therein is introduced into thelumen 210, separating the proximally-extending legs of eachsuture length tube 212 is formed of a suitable deformable or elastomeric biocompatible material. Then, once thesuture soft tissue 22 to thebone 24, a tapered actuation pin 216 (FIG. 24 ) is introduced distally into alumen 218 of thesplit tube 212. Alternatively, thepin 216 could be pulled proximally through thelumen 218. This activity causes the outer diameter of thetube 212 to expand, because of separation at thesplit 214, as shown, thereby compressing, and thus anchoring thesuture lengths FIG. 24 . - Yet another embodiment of a
suture anchoring device 46 k is illustrated inFIGS. 25-26 . In this embodiment, atube 220 having alumen 222 is disposed in ablind hole 40 within bone, as discussed in connection with previously disclosed embodiments.Suture lengths lumen 222, as shown inFIG. 25 , for attachingsoft tissue 22 tobone 24. As in prior embodiments, and particularly as in the embodiment ofFIGS. 21 -24 , each suture length extends distally through thelumen 222, about a suture return member, such as a pin (not shown), disposed at a distal end of thedevice 46 k, and then extends proximally through the lumen and out of a proximal end of thedevice 46 k. In this embodiment, aspring coil 224 is disposed axially through thelumen 222, again as shown inFIG. 25 . Once thesuture FIG. 26 ), similar toactuation pin 216, and preferably including a taper, is inserted through thespring coil 224, as shown, either proximally or distally, in order to expand the outer diameter of thespring coil 224, and thereby compress and anchor thesutures - Finally, another alternative
suture anchoring embodiment 461 is illustrated inFIG. 27 . This binding tapered thread anchor comprises ananchor body 228 adapted for disposition within abone cavity 40, includingbone anchor wings 230 for axially anchoring thebody 228 within said cavity, as discussed in connection with prior embodiments.Suture lengths body 228, and continue about a suture return member or pin (not shown), extending proximally out of thebody 228. The portions ofsuture lengths 34 aand 34 b which extend proximally out of thebody 228 are not illustrated, for clarity. Theinterior wall 232 of thebody 228 includesthreads 234, and is tapered such that the interior diameter of thebody 228 decreases in a distal direction, as shown. Atapered plug 236, havingexternal threads 238 which complement thethreads 234, and are adapted for engagement therewith, is adapted for disposition within thebody 228, as shown in the figure. After the suture has been appropriately tensioned, as discussed in connection with prior embodiments, theplug 236 is threaded into thebody 228, in order to create a zig-zag shaped binding lock on thesuture 34, by forcing the suture ends 34 a, 34 b against theinterior wall 232 of thebody 228, such that the suture ends 34 a, 34 b are forced into the tortuous path created by the engagedthreads - The apparatus and method of the present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.
Claims (8)
1. A suture anchoring device, comprising:
an anchor housing having an outer wall;
a compressible plug member disposed within said housing and extending proximally of said housing;
a channel extending through said plug member for accommodating a length of suture; and
a cap member for enclosing a proximal end of said housing;
wherein said plug member is compressed in order to anchor the length of suture when said cap member is engaged with said housing.
2. A suture anchoring device, comprising:
an anchor body having an interior threaded wall;
a suture return member associated with said body for returning a distally extending length of suture in a proximal direction;
a length of fiber having a first end secured to a distal portion of said body, and a second end extending from an end of said body, said fiber being wrapped about the interior threaded wall of said body a plurality of times;
whereby when said length of fiber is pulled in a predetermined direction, the wrapped fiber becomes tightly engaged about said suture to anchor said suture.
3. The suture anchoring device as recited in claim 2 , wherein said first end of said fiber is secured to said suture return member.
4. The suture anchoring device as recited in claim 3 , and fuirther comprising a pin disposed on a proximal end of said body about which the second end of fiber is disposed.
a first plate having a suture receiving aperture disposed therein;
a second plate having a suture receiving aperture disposed therein, and
a connection between said first and second plates which is designed to break when a predetermined force is applied thereto;
wherein axial displacement of one of said plates relative to the other of said plates creates a tortuous path for a length of suture passing therethrough.
5. A suture anchoring device, comprising:
an outer tube having a lumen extending axially therethrough;
a length of suture extending distally through said outer tube, about a suture return member, and proximally back through said outer tube; and
an inner expandable member extending axially through said lumen, between portions of said length of suture, said inner expandable member being actuatable to a radially expanded state in order to compress and clamp said length of suture in place.
6. The suture anchoring device as recited in claim 5 , wherein said inner expandable member comprises a split elastomeric tube.
7. The suture anchoring device as recited in claim 5 , wherein said inner expandable member comprises a spring coil.
8. The suture anchoring device as recited in claim 5 , and further comprising a tapered pin for actuating said inner expandable member to said radially expanded state.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/498,460 US20060271105A1 (en) | 2002-11-19 | 2006-08-02 | Devices and methods for repairing soft tissue |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/299,171 US7090690B2 (en) | 2002-11-19 | 2002-11-19 | Devices and methods for repairing soft tissue |
US11/498,460 US20060271105A1 (en) | 2002-11-19 | 2006-08-02 | Devices and methods for repairing soft tissue |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/299,171 Continuation US7090690B2 (en) | 2002-11-19 | 2002-11-19 | Devices and methods for repairing soft tissue |
Publications (1)
Publication Number | Publication Date |
---|---|
US20060271105A1 true US20060271105A1 (en) | 2006-11-30 |
Family
ID=32297629
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/299,171 Expired - Lifetime US7090690B2 (en) | 2002-11-19 | 2002-11-19 | Devices and methods for repairing soft tissue |
US11/498,460 Abandoned US20060271105A1 (en) | 2002-11-19 | 2006-08-02 | Devices and methods for repairing soft tissue |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/299,171 Expired - Lifetime US7090690B2 (en) | 2002-11-19 | 2002-11-19 | Devices and methods for repairing soft tissue |
Country Status (4)
Country | Link |
---|---|
US (2) | US7090690B2 (en) |
EP (1) | EP1562487A4 (en) |
AU (1) | AU2003291404A1 (en) |
WO (1) | WO2004045367A2 (en) |
Cited By (49)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20090171400A1 (en) * | 2007-12-28 | 2009-07-02 | Ross Creek Medical | Apparatus for discrete tissue anchoring for soft tissue repair and method of use |
US7674274B2 (en) | 2001-06-06 | 2010-03-09 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device |
US20100063542A1 (en) * | 2008-09-08 | 2010-03-11 | Van Der Burg Erik | Knotless suture anchor for soft tissue repair and method of use |
US7682374B2 (en) | 2003-10-21 | 2010-03-23 | Arthrocare Corporation | Knotless suture lock and bone anchor implant method |
US7695494B2 (en) | 2001-02-12 | 2010-04-13 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US20100121348A1 (en) * | 2008-11-12 | 2010-05-13 | Ross Creek Medical | Insertion tool for knotless suture anchor for soft tissue repair and method of use |
US20110046733A1 (en) * | 2007-12-27 | 2011-02-24 | Mathys Ag Bettlach | device for implanting a system for loading a cruciate ligament in a knee joint |
US7963972B2 (en) | 2007-09-12 | 2011-06-21 | Arthrocare Corporation | Implant and delivery system for soft tissue repair |
CN102113901A (en) * | 2009-10-30 | 2011-07-06 | 德普伊米特克公司 | Knotless suture anchor |
US8062334B2 (en) | 2004-06-02 | 2011-11-22 | Kfx Medical Corporation | Suture anchor |
US8070772B2 (en) | 2008-02-15 | 2011-12-06 | Rex Medical, L.P. | Vascular hole closure device |
US8100942B1 (en) | 2004-06-02 | 2012-01-24 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8105343B2 (en) | 2008-06-30 | 2012-01-31 | Arthrocare Corporation | Independent suture tensioning and snaring apparatus |
US8109966B2 (en) | 1999-12-30 | 2012-02-07 | Arthrocare Corporation | Methods for attaching connective tissues to bone using a multi-component anchor |
US8133258B2 (en) | 2006-08-03 | 2012-03-13 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US8137381B2 (en) * | 2007-04-25 | 2012-03-20 | Arthrocare Corporation | Knotless suture anchor having discrete polymer components and related methods |
US20120083848A1 (en) * | 2010-10-05 | 2012-04-05 | Eduardo Gonzalez-Hernandez | System and method for facilitating repair and reattachment of comminuted bone portions |
WO2013096411A1 (en) * | 2011-12-19 | 2013-06-27 | Edwards Lifesciences Corporation | Knotless suture anchoring devices and tools for implants |
US8491629B2 (en) | 2008-02-15 | 2013-07-23 | Rex Medical | Vascular hole closure delivery device |
US8617207B1 (en) | 2010-05-14 | 2013-12-31 | University Of South Florida | Surgical needle with jam cleat |
US8657854B2 (en) | 2001-02-12 | 2014-02-25 | Arthrocare Corporation | Knotless suture anchoring device having deforming section to accommodate sutures of various diameters |
US8870963B2 (en) | 2010-10-27 | 2014-10-28 | Toby Orthopaedics, Inc. | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US8920462B2 (en) | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
US8920463B2 (en) | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
US9023083B2 (en) | 2012-01-27 | 2015-05-05 | Arthrocare Corporation | Method for soft tissue repair with free floating suture locking member |
US9034014B2 (en) | 2012-01-27 | 2015-05-19 | Arthrocare Corporation | Free floating wedge suture anchor for soft tissue repair |
US9186133B2 (en) | 2001-12-06 | 2015-11-17 | Arthrocare Corporation | Bone anchor insertion device |
US9198649B2 (en) | 2012-01-27 | 2015-12-01 | Arthrocare Corporation | Rotating locking member suture anchor and method for soft tissue repair |
US9226742B2 (en) | 2012-01-27 | 2016-01-05 | Arthrocare Corporation | Restricted wedge suture anchor and method for soft tissue repair |
US9226738B2 (en) | 2008-02-15 | 2016-01-05 | Rex Medical, L.P. | Vascular hole closure delivery device |
US9254154B2 (en) | 2011-03-03 | 2016-02-09 | Toby Orthopaedic, Inc. | Anterior lesser tuberosity fixed angle fixation device and method of use associated therewith |
US9271772B2 (en) | 2011-10-27 | 2016-03-01 | Toby Orthopaedics, Inc. | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US9283008B2 (en) | 2012-12-17 | 2016-03-15 | Toby Orthopaedics, Inc. | Bone plate for plate osteosynthesis and method for use thereof |
US9333014B2 (en) | 2013-03-15 | 2016-05-10 | Eduardo Gonzalez-Hernandez | Bone fixation and reduction apparatus and method for fixation and reduction of a distal bone fracture and malunion |
US9357996B2 (en) * | 2010-09-08 | 2016-06-07 | DePuy Synthes Products, Inc. | Fixation device with magnesium core |
US9364210B2 (en) | 2012-01-27 | 2016-06-14 | Arthrocare Corporation | Biased wedge suture anchor and method for soft tissue repair |
US9402667B2 (en) | 2011-11-09 | 2016-08-02 | Eduardo Gonzalez-Hernandez | Apparatus and method for use of the apparatus for fracture fixation of the distal humerus |
US9463005B2 (en) | 2008-02-15 | 2016-10-11 | Rex Medical, L.P. | Vascular hole closure device |
US20160331367A1 (en) * | 2004-05-07 | 2016-11-17 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
US9504466B2 (en) | 2011-12-19 | 2016-11-29 | Edwards Lifesciences Corporation | Methods of deploying knotless suture anchoring clamps |
US9636101B2 (en) | 2011-09-01 | 2017-05-02 | Arthrocare Corporation | Bone anchor having an integrated stress isolator |
US9730797B2 (en) | 2011-10-27 | 2017-08-15 | Toby Orthopaedics, Inc. | Bone joint replacement and repair assembly and method of repairing and replacing a bone joint |
US9855028B2 (en) | 2012-04-06 | 2018-01-02 | Arthrocare Corporation | Multi-suture knotless anchor for attaching tissue to bone and related method |
US9936940B2 (en) | 2013-06-07 | 2018-04-10 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US10292696B2 (en) | 2012-08-03 | 2019-05-21 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
US11304730B2 (en) | 2017-12-22 | 2022-04-19 | Orthopediatrics Corp. | Tethered restraint of vertebral bodies |
US11311284B2 (en) | 2019-03-06 | 2022-04-26 | Speed Clip Solutions, LLC | Suture tensioning and securement device, system, and methods |
WO2022155464A1 (en) * | 2021-01-15 | 2022-07-21 | Rafael Holdings, Inc. | Compression anchor systems, devices, instruments, implants and methods of assembly and use |
US11504105B2 (en) | 2019-01-25 | 2022-11-22 | Rex Medical L.P. | Vascular hole closure device |
Families Citing this family (331)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6475230B1 (en) * | 1997-08-01 | 2002-11-05 | Peter M. Bonutti | Method and apparatus for securing a suture |
US20050216059A1 (en) | 2002-09-05 | 2005-09-29 | Bonutti Peter M | Method and apparatus for securing a suture |
US6045551A (en) | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US8821541B2 (en) | 1999-02-02 | 2014-09-02 | Arthrex, Inc. | Suture anchor with insert-molded rigid member |
US8343186B2 (en) | 2004-04-06 | 2013-01-01 | Arthrex, Inc. | Fully threaded suture anchor with transverse anchor pin |
US9521999B2 (en) | 2005-09-13 | 2016-12-20 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
EP1196093B1 (en) | 1999-07-02 | 2006-06-14 | Quickpass, Inc. | Suturing device |
US6447516B1 (en) | 1999-08-09 | 2002-09-10 | Peter M. Bonutti | Method of securing tissue |
US6368343B1 (en) | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US7094251B2 (en) | 2002-08-27 | 2006-08-22 | Marctec, Llc. | Apparatus and method for securing a suture |
US8932330B2 (en) * | 2000-03-13 | 2015-01-13 | P Tech, Llc | Method and device for securing body tissue |
US9138222B2 (en) | 2000-03-13 | 2015-09-22 | P Tech, Llc | Method and device for securing body tissue |
US7993369B2 (en) | 2000-06-22 | 2011-08-09 | Arthrex, Inc. | Graft fixation using a plug against suture |
US6660008B1 (en) * | 2001-06-07 | 2003-12-09 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a suture anchoring device |
US7491217B1 (en) * | 2001-10-16 | 2009-02-17 | Hendren Ronald D | Graft anchoring device |
US6719765B2 (en) | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
US7280865B2 (en) * | 2001-12-20 | 2007-10-09 | Accuray Incorporated | Anchored fiducial apparatus and method |
WO2003077772A1 (en) | 2002-03-14 | 2003-09-25 | Yeung Jeffrey E | Suture anchor and approximating device |
US9155544B2 (en) | 2002-03-20 | 2015-10-13 | P Tech, Llc | Robotic systems and methods |
US20060122633A1 (en) | 2002-06-13 | 2006-06-08 | John To | Methods and devices for termination |
US7883538B2 (en) | 2002-06-13 | 2011-02-08 | Guided Delivery Systems Inc. | Methods and devices for termination |
US7517357B2 (en) * | 2003-01-09 | 2009-04-14 | Linvatec Biomaterials | Knotless suture anchor |
US7497864B2 (en) | 2003-04-30 | 2009-03-03 | Marctec, Llc. | Tissue fastener and methods for using same |
US7255700B2 (en) * | 2003-06-18 | 2007-08-14 | Biomet Sports Medicine, Inc. | Device and method of fastening a graft to a bone |
US8211142B2 (en) * | 2003-09-30 | 2012-07-03 | Ortiz Mark S | Method for hybrid gastro-jejunostomy |
US7452363B2 (en) * | 2003-09-30 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Applier for fastener for single lumen access anastomosis |
US7361180B2 (en) | 2004-05-07 | 2008-04-22 | Usgi Medical, Inc. | Apparatus for manipulating and securing tissue |
US7347863B2 (en) | 2004-05-07 | 2008-03-25 | Usgi Medical, Inc. | Apparatus and methods for manipulating and securing tissue |
JP4212494B2 (en) * | 2004-03-02 | 2009-01-21 | 日本シャーウッド株式会社 | Medical suture tool |
US20080039873A1 (en) | 2004-03-09 | 2008-02-14 | Marctec, Llc. | Method and device for securing body tissue |
US7938847B2 (en) * | 2006-01-04 | 2011-05-10 | Tornier, Inc. | Ring cinch assembly to attach bone to tissue |
US20050245932A1 (en) * | 2004-04-16 | 2005-11-03 | Fanton Gary S | Apparatus and methods for securing tissue to bone |
US8057511B2 (en) * | 2004-05-07 | 2011-11-15 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
US8444657B2 (en) | 2004-05-07 | 2013-05-21 | Usgi Medical, Inc. | Apparatus and methods for rapid deployment of tissue anchors |
US8114127B2 (en) | 2004-06-22 | 2012-02-14 | Hs West Investments, Llc | Bone anchors for use in attaching soft tissue to bone |
US7582105B2 (en) * | 2004-06-30 | 2009-09-01 | Silhouette Lift Societad Limitada | Suture for wound closure, tissue approximation, tissue support, suspension and/or fixation |
US8118835B2 (en) * | 2004-09-28 | 2012-02-21 | Surgical Solutions, Llc | Suture anchor |
JP2006102255A (en) * | 2004-10-06 | 2006-04-20 | Nippon Sherwood Medical Industries Ltd | Connecting structure of infusion line and connector with the connecting structure |
JP4669315B2 (en) * | 2005-04-21 | 2011-04-13 | 日本シャーウッド株式会社 | Organ fixture and organ fixture set |
US20060089646A1 (en) | 2004-10-26 | 2006-04-27 | Bonutti Peter M | Devices and methods for stabilizing tissue and implants |
US9463012B2 (en) | 2004-10-26 | 2016-10-11 | P Tech, Llc | Apparatus for guiding and positioning an implant |
US9271766B2 (en) | 2004-10-26 | 2016-03-01 | P Tech, Llc | Devices and methods for stabilizing tissue and implants |
US9173647B2 (en) | 2004-10-26 | 2015-11-03 | P Tech, Llc | Tissue fixation system |
US8118836B2 (en) | 2004-11-05 | 2012-02-21 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8298262B2 (en) | 2006-02-03 | 2012-10-30 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US7749250B2 (en) | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
US7909851B2 (en) | 2006-02-03 | 2011-03-22 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US7905904B2 (en) | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US8128658B2 (en) | 2004-11-05 | 2012-03-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US9017381B2 (en) | 2007-04-10 | 2015-04-28 | Biomet Sports Medicine, Llc | Adjustable knotless loops |
US8303604B2 (en) | 2004-11-05 | 2012-11-06 | Biomet Sports Medicine, Llc | Soft tissue repair device and method |
US8088130B2 (en) | 2006-02-03 | 2012-01-03 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8361113B2 (en) | 2006-02-03 | 2013-01-29 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8137382B2 (en) | 2004-11-05 | 2012-03-20 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US7144415B2 (en) | 2004-11-16 | 2006-12-05 | The Anspach Effort, Inc. | Anchor/suture used for medical procedures |
US8096303B2 (en) | 2005-02-08 | 2012-01-17 | Koninklijke Philips Electronics N.V | Airway implants and methods and devices for insertion and retrieval |
US8371307B2 (en) | 2005-02-08 | 2013-02-12 | Koninklijke Philips Electronics N.V. | Methods and devices for the treatment of airway obstruction, sleep apnea and snoring |
US9089323B2 (en) | 2005-02-22 | 2015-07-28 | P Tech, Llc | Device and method for securing body tissue |
EP1855616A4 (en) | 2005-03-10 | 2013-07-03 | Covidien Lp | Suture anchors |
US20090306777A1 (en) * | 2005-03-31 | 2009-12-10 | Bachler Feintech Ag | Apparatus for fixing a ligament |
CA2605251C (en) * | 2005-04-20 | 2014-09-30 | Arthroscopic Innovations Llc | Suture fixation device and method for surgical repair |
US8668705B2 (en) | 2005-05-20 | 2014-03-11 | Neotract, Inc. | Latching anchor device |
US7909836B2 (en) | 2005-05-20 | 2011-03-22 | Neotract, Inc. | Multi-actuating trigger anchor delivery system |
US9549739B2 (en) | 2005-05-20 | 2017-01-24 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
US8603106B2 (en) | 2005-05-20 | 2013-12-10 | Neotract, Inc. | Integrated handle assembly for anchor delivery system |
US8945152B2 (en) | 2005-05-20 | 2015-02-03 | Neotract, Inc. | Multi-actuating trigger anchor delivery system |
US7645286B2 (en) | 2005-05-20 | 2010-01-12 | Neotract, Inc. | Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures |
US7758594B2 (en) | 2005-05-20 | 2010-07-20 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
US10925587B2 (en) | 2005-05-20 | 2021-02-23 | Neotract, Inc. | Anchor delivery system |
US8333776B2 (en) | 2005-05-20 | 2012-12-18 | Neotract, Inc. | Anchor delivery system |
US10195014B2 (en) | 2005-05-20 | 2019-02-05 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
US9149266B2 (en) | 2005-05-20 | 2015-10-06 | Neotract, Inc. | Deforming anchor device |
US8834492B2 (en) | 2005-05-20 | 2014-09-16 | Neotract, Inc. | Continuous indentation lateral lobe apparatus and method |
US9364212B2 (en) | 2005-05-20 | 2016-06-14 | Neotract, Inc. | Suture anchoring devices and methods for use |
US8425535B2 (en) | 2005-05-20 | 2013-04-23 | Neotract, Inc. | Multi-actuating trigger anchor delivery system |
US9504461B2 (en) | 2005-05-20 | 2016-11-29 | Neotract, Inc. | Anchor delivery system |
US7896891B2 (en) | 2005-05-20 | 2011-03-01 | Neotract, Inc. | Apparatus and method for manipulating or retracting tissue and anatomical structure |
US8157815B2 (en) | 2005-05-20 | 2012-04-17 | Neotract, Inc. | Integrated handle assembly for anchor delivery system |
US8491606B2 (en) | 2005-05-20 | 2013-07-23 | Neotract, Inc. | Median lobe retraction apparatus and method |
US8394113B2 (en) | 2005-05-20 | 2013-03-12 | Neotract, Inc. | Coiled anchor device |
US8628542B2 (en) | 2005-05-20 | 2014-01-14 | Neotract, Inc. | Median lobe destruction apparatus and method |
US8529584B2 (en) | 2005-05-20 | 2013-09-10 | Neotract, Inc. | Median lobe band implant apparatus and method |
US9585651B2 (en) | 2005-05-26 | 2017-03-07 | Usgi Medical, Inc. | Methods and apparatus for securing and deploying tissue anchors |
US20060271060A1 (en) * | 2005-05-26 | 2006-11-30 | Arthrocare Corporation | Threaded knotless suture anchoring device and method |
US8298291B2 (en) | 2005-05-26 | 2012-10-30 | Usgi Medical, Inc. | Methods and apparatus for securing and deploying tissue anchors |
US8197497B2 (en) | 2005-06-20 | 2012-06-12 | Medtronic Vascular, Inc. | Method and apparatus for applying a knot to a suture |
US7875056B2 (en) * | 2005-07-22 | 2011-01-25 | Anpa Medical, Inc. | Wedge operated retainer device and methods |
JP4488981B2 (en) * | 2005-08-23 | 2010-06-23 | 日本シャーウッド株式会社 | Extractor and medical suture tool set |
FR2890850B1 (en) * | 2005-09-20 | 2009-04-17 | Abbott Spine Sa | VERTEBRAL FASTENING SYSTEM |
US7899533B2 (en) * | 2005-10-25 | 2011-03-01 | Medtronic, Inc. | System and method of AV interval selection in an implantable medical device |
US7798992B2 (en) * | 2005-11-04 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Lumen traversing device |
US20070112385A1 (en) * | 2005-11-15 | 2007-05-17 | Conlon Sean P | Expandable suture anchor |
US20070118130A1 (en) * | 2005-11-22 | 2007-05-24 | Depuy Spine, Inc. | Implant fixation methods and apparatus |
US20070118129A1 (en) * | 2005-11-22 | 2007-05-24 | Depuy Spine, Inc. | Implant fixation methods and apparatus |
US20070118128A1 (en) * | 2005-11-22 | 2007-05-24 | Depuy Spine, Inc. | Implant fixation methods and apparatus |
US20070118127A1 (en) * | 2005-11-22 | 2007-05-24 | Depuy Spine, Inc. | Implant fixation methods and apparatus |
US7651017B2 (en) * | 2005-11-23 | 2010-01-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with a bendable end effector |
US20070123917A1 (en) * | 2005-11-29 | 2007-05-31 | Ortiz Mark S | Anastomotic device promoting tissue necrosis |
WO2007076018A2 (en) * | 2005-12-22 | 2007-07-05 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
JP4614451B2 (en) * | 2005-12-26 | 2011-01-19 | 日本シャーウッド株式会社 | Medical suture tool |
US9078644B2 (en) | 2006-09-29 | 2015-07-14 | Biomet Sports Medicine, Llc | Fracture fixation device |
US8801783B2 (en) | 2006-09-29 | 2014-08-12 | Biomet Sports Medicine, Llc | Prosthetic ligament system for knee joint |
US8652171B2 (en) * | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Method and apparatus for soft tissue fixation |
US10517587B2 (en) | 2006-02-03 | 2019-12-31 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US8562645B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US8968364B2 (en) | 2006-02-03 | 2015-03-03 | Biomet Sports Medicine, Llc | Method and apparatus for fixation of an ACL graft |
US8562647B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for securing soft tissue to bone |
US9468433B2 (en) | 2006-02-03 | 2016-10-18 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US11259792B2 (en) | 2006-02-03 | 2022-03-01 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US11311287B2 (en) | 2006-02-03 | 2022-04-26 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US7967820B2 (en) | 2006-02-07 | 2011-06-28 | P Tech, Llc. | Methods and devices for trauma welding |
US11278331B2 (en) | 2006-02-07 | 2022-03-22 | P Tech Llc | Method and devices for intracorporeal bonding of implants with thermal energy |
US8496657B2 (en) | 2006-02-07 | 2013-07-30 | P Tech, Llc. | Methods for utilizing vibratory energy to weld, stake and/or remove implants |
US11253296B2 (en) | 2006-02-07 | 2022-02-22 | P Tech, Llc | Methods and devices for intracorporeal bonding of implants with thermal energy |
US8221438B2 (en) * | 2006-02-17 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Lumen reduction methods and devices |
US20070198032A1 (en) * | 2006-02-22 | 2007-08-23 | Ethicon Endo-Surgery, Inc. | Methods and devices for fastener removal |
US20070219557A1 (en) * | 2006-03-17 | 2007-09-20 | Bourque Bernard J | Soft tissue fixation |
EP1996084A1 (en) | 2006-03-22 | 2008-12-03 | Sapphire Medical, Inc. | Suture passer devices and uses thereof |
US20070225556A1 (en) * | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Disposable endoscope devices |
US7615004B2 (en) | 2006-03-30 | 2009-11-10 | Ethicon Endo-Surgery, Inc. | Endoscopic ancillary attachment devices |
US20070239179A1 (en) * | 2006-03-31 | 2007-10-11 | Ethicon Endo-Surgery, Inc. | Compliant Gastroplasty: Devices And Methods |
US7862582B2 (en) | 2006-05-02 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Suture management |
US11246638B2 (en) | 2006-05-03 | 2022-02-15 | P Tech, Llc | Methods and devices for utilizing bondable materials |
US8105355B2 (en) | 2006-05-18 | 2012-01-31 | C.R. Bard, Inc. | Suture lock fastening device |
JP5389337B2 (en) | 2006-05-18 | 2014-01-15 | オーソレクス,インコーポレイテッド | Swivel anchor for tissue nodule fixation |
US8876842B2 (en) * | 2006-05-22 | 2014-11-04 | Covidien Lp | Meniscal repair device |
JP5306184B2 (en) * | 2006-05-22 | 2013-10-02 | スカンジウス バイオメディカル, インコーポレイテッド | Method and apparatus for meniscal repair |
US20070276409A1 (en) * | 2006-05-25 | 2007-11-29 | Ethicon Endo-Surgery, Inc. | Endoscopic gastric restriction methods and devices |
US7635373B2 (en) * | 2006-05-25 | 2009-12-22 | Ethicon Endo-Surgery, Inc. | Absorbable gastric restriction devices and methods |
WO2007140309A2 (en) * | 2006-05-25 | 2007-12-06 | Mitralign, Inc. | Lockers for surgical tensioning members and methods of using the same to secure surgical tensioning members |
ATE518484T1 (en) * | 2006-05-31 | 2011-08-15 | Covidien Ag | MEDICAL SUTURE INSTRUMENT WITH GRIPPER DEVICE |
US8870916B2 (en) | 2006-07-07 | 2014-10-28 | USGI Medical, Inc | Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use |
CA2657619A1 (en) * | 2006-07-20 | 2008-01-24 | Lee D. Kaplan | Surgical instruments |
US8202295B2 (en) | 2006-07-20 | 2012-06-19 | Kaplan Lee D | Surgical instruments |
US8894661B2 (en) | 2007-08-16 | 2014-11-25 | Smith & Nephew, Inc. | Helicoil interference fixation system for attaching a graft ligament to a bone |
EP2047813A1 (en) * | 2007-10-11 | 2009-04-15 | Abbott Spine | Bone fixing system and method of use |
US8672969B2 (en) | 2006-09-29 | 2014-03-18 | Biomet Sports Medicine, Llc | Fracture fixation device |
US11259794B2 (en) | 2006-09-29 | 2022-03-01 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
JP4536698B2 (en) * | 2006-10-05 | 2010-09-01 | 日本シャーウッド株式会社 | Medical suture tool |
US7674276B2 (en) * | 2006-10-06 | 2010-03-09 | Biomet Sports Medicine, Llc | Rotational securing of a suture |
EP2086433B1 (en) | 2006-10-24 | 2015-10-21 | Cayenne Medical, Inc. | Tendon Anchor |
US8083769B2 (en) | 2006-11-01 | 2011-12-27 | Depuy Mitek, Inc. | Wired sutures |
US20080125815A1 (en) * | 2006-11-13 | 2008-05-29 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8540734B2 (en) * | 2006-11-21 | 2013-09-24 | Cayenne Medical, Inc. | Suture management and tensioning devices and methods for soft tissue reconstruction or bone-to-bone fixation |
US20080132944A1 (en) * | 2006-12-01 | 2008-06-05 | Donald Walter Kress | Suture re-tensioning device |
US9603968B2 (en) | 2006-12-27 | 2017-03-28 | Shriners Hospitals For Children | Methods of making high-strength NDGA polymerized collagen fibers and related collagen-prep methods, medical devices and constructs |
US8617185B2 (en) | 2007-02-13 | 2013-12-31 | P Tech, Llc. | Fixation device |
JP4565576B2 (en) * | 2007-02-20 | 2010-10-20 | 日本シャーウッド株式会社 | Puncture needle assist tool |
EP2131880B1 (en) | 2007-02-20 | 2012-08-08 | Shriners Hospitals for Children | In vivo hydraulic fixation including bio-rivets using biocompatible expandable fibers |
US8758406B2 (en) * | 2007-03-05 | 2014-06-24 | Tomier, Inc. | Tack anchor systems, bone anchor systems, and methods of use |
US8246636B2 (en) | 2007-03-29 | 2012-08-21 | Nobles Medical Technologies, Inc. | Suturing devices and methods for closing a patent foramen ovale |
US7803166B2 (en) * | 2007-04-04 | 2010-09-28 | Ethicon Endo-Surgery, Inc. | Method for plicating and fastening gastric tissue |
US7722628B2 (en) * | 2007-04-04 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Device for plicating and fastening gastric tissue |
US7815653B2 (en) * | 2007-04-04 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Method for plicating and fastening gastric tissue |
US7951159B2 (en) * | 2007-04-04 | 2011-05-31 | Ethicon Endo-Surgery, Inc. | Method for plicating and fastening gastric tissue |
US7799040B2 (en) * | 2007-04-04 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Device for plicating and fastening gastric tissue |
US20110319933A1 (en) * | 2007-04-21 | 2011-12-29 | Slobodan Tepic | Suture bone anchor |
US8758366B2 (en) * | 2007-07-09 | 2014-06-24 | Neotract, Inc. | Multi-actuating trigger anchor delivery system |
US8882801B2 (en) * | 2007-09-14 | 2014-11-11 | Depuy Mitek, Llc | Dual thread cannulated suture anchor |
US8702754B2 (en) | 2007-09-14 | 2014-04-22 | Depuy Mitek, Llc | Methods for anchoring suture to bone |
EP2197360B1 (en) | 2007-09-26 | 2018-06-27 | Redyns Medical LLC | Apparatus for attaching soft tissue to bone |
US8771314B2 (en) * | 2007-09-28 | 2014-07-08 | Ethicon, Inc. | Surgical anchor device |
CA2702044C (en) * | 2007-10-12 | 2013-09-10 | Edward Jordan Stoll, Jr. | Toggle bolt suture anchor kit |
WO2009055800A1 (en) | 2007-10-25 | 2009-04-30 | Smith & Nephew, Inc. | Anchor assembly |
US9295460B2 (en) * | 2007-12-31 | 2016-03-29 | Cayenne Medical, Inc. | Anchors and method for securing suture to bone |
US9681869B2 (en) | 2008-02-22 | 2017-06-20 | Mimedx Group, Inc. | Biostaples suitable for wrist, hand and other ligament replacements or repairs |
US9131939B1 (en) | 2008-02-27 | 2015-09-15 | Mitralign, Inc. | Device for percutaneously delivering a cardiac implant through the application of direct actuation forces external to the body |
US8303591B1 (en) * | 2008-03-18 | 2012-11-06 | Dallen Medical, Inc. | Load shaping for dynamic tensioning mechanisms and methods |
US20090275980A1 (en) * | 2008-05-01 | 2009-11-05 | Zeiner Mark S | Method and apparatus for the formation of tissue folds |
US8858565B1 (en) | 2008-05-08 | 2014-10-14 | Cayenne Medical, Inc. | Inserter for soft tissue or bone-to-bone fixation device and methods |
EP2291125B1 (en) | 2008-05-09 | 2021-04-21 | Nobles Medical Technologies, Inc. | Suturing devices for suturing an anatomic valve |
US8123806B1 (en) | 2008-05-09 | 2012-02-28 | Cayenne Medical, Inc | Method of tensioning a tissue graft having suture bundles using a cleated bar |
US9216077B2 (en) | 2008-05-16 | 2015-12-22 | Mimedx Group, Inc. | Medical constructs of twisted lengths of collagen fibers and methods of making same |
US9314237B2 (en) * | 2008-05-20 | 2016-04-19 | DePuy Synthes Products, Inc. | Knotless suture anchor and receptacle combination |
US11812951B2 (en) | 2008-06-17 | 2023-11-14 | Apollo Endosurgery Us, Inc. | Endoscopic needle assembly |
JP5763531B2 (en) | 2008-06-17 | 2015-08-12 | アポロ エンドサージェリー,インコーポレイティド | Endoscopic suture system |
US9486126B2 (en) | 2008-06-17 | 2016-11-08 | Apollo Endosurgery, Inc. | Endoscopic helix tissue grasping device |
US8679136B2 (en) | 2008-06-17 | 2014-03-25 | Apollo Endosurgery, Inc. | Needle capture device |
JP5185706B2 (en) * | 2008-06-24 | 2013-04-17 | 日本コヴィディエン株式会社 | Puncture needle assist tool |
EP2303143A1 (en) * | 2008-07-17 | 2011-04-06 | Smith & Nephew, Inc. | Surgical devices |
US9402707B2 (en) | 2008-07-22 | 2016-08-02 | Neuravi Limited | Clot capture systems and associated methods |
US20100023118A1 (en) * | 2008-07-24 | 2010-01-28 | Edwards Lifesciences Corporation | Method and apparatus for repairing or replacing chordae tendinae |
WO2010014821A2 (en) | 2008-07-30 | 2010-02-04 | Neotract, Inc. | Anchor delivery system with replaceable cartridge |
WO2010014825A1 (en) | 2008-07-30 | 2010-02-04 | Neotract, Inc. | Slotted anchor device |
JP2012501757A (en) * | 2008-09-08 | 2012-01-26 | セテリックス オーソペディクス インコーポレイテッド | Knotless suture anchor |
CA2740008C (en) | 2008-10-09 | 2017-01-31 | Mimedx, Inc. | Methods of making biocomposite medical constructs and related constructs including artificial tissues, vessels and patches |
EP2349019B1 (en) | 2008-10-10 | 2020-03-25 | Ancora Heart, Inc. | Termination devices and related methods |
US8795298B2 (en) | 2008-10-10 | 2014-08-05 | Guided Delivery Systems Inc. | Tether tensioning devices and related methods |
US20100121355A1 (en) | 2008-10-24 | 2010-05-13 | The Foundry, Llc | Methods and devices for suture anchor delivery |
WO2010099222A1 (en) | 2009-02-24 | 2010-09-02 | P Tech, Llc | Methods and devices for utilizing bondable materials |
US8206446B1 (en) | 2009-03-10 | 2012-06-26 | Cayenne Medical, Inc. | Method for surgically repairing a damaged ligament |
US20100262185A1 (en) * | 2009-04-10 | 2010-10-14 | Suspension Orthopaedic Solutions, Llc | Method and apparatus for aperture fixation by securing flexible material with a knotless fixation device |
EP2421445B1 (en) * | 2009-04-19 | 2019-05-29 | Slobodan Tepic | Suture attachment |
DE102009051367B4 (en) * | 2009-04-28 | 2016-07-28 | Mathys Ag Bettlach | Implantable system with continuous dissolution mechanism during healing |
US20100292733A1 (en) | 2009-05-12 | 2010-11-18 | Foundry Newco Xi, Inc. | Knotless suture anchor and methods of use |
EP2429411B1 (en) | 2009-05-12 | 2017-03-08 | The Foundry, LLC | Devices to treat diseased or injured musculoskeletal tissue |
US20110004242A1 (en) * | 2009-07-01 | 2011-01-06 | Stchur Robert P | Knotless suture fixation device and method |
US11246585B2 (en) | 2009-07-17 | 2022-02-15 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US10058319B2 (en) | 2009-07-17 | 2018-08-28 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a novel locking element |
US10238379B2 (en) | 2009-07-17 | 2019-03-26 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US10426456B2 (en) | 2009-07-17 | 2019-10-01 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US9179905B2 (en) | 2009-07-17 | 2015-11-10 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US9149268B2 (en) | 2009-07-17 | 2015-10-06 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US11197663B2 (en) | 2009-07-17 | 2021-12-14 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US10136884B2 (en) | 2009-07-17 | 2018-11-27 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath |
DK200970073A (en) | 2009-07-22 | 2011-01-23 | Coloplast As | Suturing system and assembly |
US8348966B2 (en) * | 2009-08-07 | 2013-01-08 | Thayer Intellectual Property, Inc. | Systems and methods for treatment of compressed nerves |
US8753364B2 (en) | 2009-08-07 | 2014-06-17 | Thayer Intellectual Property, Inc. | Systems and methods for treatment of compressed nerves |
US8652157B2 (en) | 2009-08-07 | 2014-02-18 | Thayer Intellectual Property, Inc. | Systems and methods for treatment of compressed nerves |
US20110046642A1 (en) * | 2009-08-21 | 2011-02-24 | Coloplast A/S | Suture assembly and system |
BR112012010073A2 (en) | 2009-10-28 | 2017-08-08 | Smith & Nephew Inc | threaded suture anchors |
US8956391B2 (en) * | 2009-10-29 | 2015-02-17 | Cook Medical Technologies Llc | External retention mechanics for suture anchor |
RU2562601C2 (en) | 2009-11-10 | 2015-09-10 | Смит Энд Нефью, Инк. | Device for tissue repair (versions) |
EP2501299B1 (en) | 2009-11-16 | 2016-03-23 | Tornier, Inc. | Bone implant with convertible suture attachment |
WO2011097672A1 (en) * | 2010-02-09 | 2011-08-18 | Macropace Products Pty Ltd | Suture anchor |
US9775702B2 (en) | 2010-03-10 | 2017-10-03 | Smith & Nephew, Inc. | Composite interference screws and drivers |
US9579188B2 (en) | 2010-03-10 | 2017-02-28 | Smith & Nephew, Inc. | Anchor having a controlled driver orientation |
US9308080B2 (en) | 2010-03-10 | 2016-04-12 | Smith & Nephew Inc. | Composite interference screws and drivers |
US20120065648A1 (en) * | 2010-09-10 | 2012-03-15 | Abbott Cardiovascular Systems, Inc. | Suture closure device |
USD673683S1 (en) | 2010-09-15 | 2013-01-01 | Thayer Intellectual Property, Inc. | Medical device |
USD666725S1 (en) | 2010-09-15 | 2012-09-04 | Thayer Intellectual Property, Inc. | Handle for a medical device |
USD674489S1 (en) | 2010-09-15 | 2013-01-15 | Thayer Intellectual Property, Inc. | Handle for a medical device |
WO2012052982A1 (en) | 2010-10-22 | 2012-04-26 | Neuravi Limited | Clot engagement and removal system |
US9307978B2 (en) | 2010-11-04 | 2016-04-12 | Linvatec Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone |
US9307977B2 (en) | 2010-11-04 | 2016-04-12 | Conmed Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing suture to bone |
US8814905B2 (en) | 2010-11-23 | 2014-08-26 | Depuy Mitek, Llc | Surgical filament snare assemblies |
US9345468B2 (en) | 2010-11-23 | 2016-05-24 | Medos International Sárl | Surgical filament snare assemblies |
US8821543B2 (en) | 2010-12-23 | 2014-09-02 | Depuy Mitek, Llc | Adjustable anchor systems and methods |
US8540735B2 (en) | 2010-12-16 | 2013-09-24 | Apollo Endosurgery, Inc. | Endoscopic suture cinch system |
WO2012088496A2 (en) | 2010-12-23 | 2012-06-28 | Depuy Mitek, Inc. | Adjustable anchor systems and methods |
US9138219B2 (en) | 2010-12-29 | 2015-09-22 | Tarsus Medical Inc. | Methods and devices for treating a syndesmosis injury |
US9713463B2 (en) | 2011-01-13 | 2017-07-25 | Howmedica Osteonics Corp | Toggle bolt assembly and method of assembly |
EP2675363B1 (en) | 2011-02-16 | 2018-05-23 | Linvatec Corporation | Apparatus for securing an object to bone |
EP2683864B1 (en) | 2011-03-08 | 2016-08-17 | MiMedx Group, Inc. | Collagen fiber ribbons with integrated fixation sutures and methods of making the same |
US11259824B2 (en) | 2011-03-09 | 2022-03-01 | Neuravi Limited | Clot retrieval device for removing occlusive clot from a blood vessel |
EP2683309B1 (en) | 2011-03-09 | 2021-04-21 | Neuravi Limited | A clot retrieval device for removing occlusive clot from a blood vessel |
RU2594812C2 (en) | 2011-03-11 | 2016-08-20 | Смит Энд Нефью, Инк. | Trephine |
US8840644B2 (en) | 2011-03-24 | 2014-09-23 | Howmedica Osteonics Corp. | Toggle bolt suture anchor |
EP2688491B1 (en) * | 2011-03-25 | 2020-04-22 | Redyns Medical LLC | Suture anchor |
US9161749B2 (en) | 2011-04-14 | 2015-10-20 | Neotract, Inc. | Method and apparatus for treating sexual dysfunction |
EP2697721B1 (en) | 2011-04-15 | 2019-09-18 | Heartstitch, Inc. | Suturing devices for suturing an anatomic valve |
EP2699179B1 (en) | 2011-04-16 | 2023-06-07 | Kyon AG | Prosthetic system for orthopedic repair |
MX2013014423A (en) | 2011-06-07 | 2014-05-28 | Smith & Nephew Inc | Surgical anchor delivery system. |
WO2012177759A1 (en) | 2011-06-20 | 2012-12-27 | Rdc Holdings, Llc | System and method for repairing joints |
US8998925B2 (en) | 2011-06-20 | 2015-04-07 | Rdc Holdings, Llc | Fixation system for orthopedic devices |
EP2726001A4 (en) | 2011-06-29 | 2015-08-12 | Pivot Medical Inc | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US9694106B2 (en) | 2011-07-11 | 2017-07-04 | Mimedx Group, Inc. | Synthetic collagen threads for cosmetic uses including skin wrinkle treatments and associated methods |
US8992550B2 (en) * | 2011-07-20 | 2015-03-31 | Coloplast A/S | Suture system with capsule eyelet providing multiple suture tissue fixation |
US9192368B2 (en) * | 2011-08-04 | 2015-11-24 | Smith & Nephew, Inc. | Suspension device to anchor tissue graft |
AT12927U1 (en) * | 2011-10-20 | 2013-02-15 | Harald Platzer Ges M B H | CLOSURE |
EP2773388A4 (en) | 2011-11-02 | 2015-07-15 | Mimedx Group Inc | Implantable collagen devices and related methods and systems of making same |
US9357991B2 (en) | 2011-11-03 | 2016-06-07 | Biomet Sports Medicine, Llc | Method and apparatus for stitching tendons |
US9381013B2 (en) | 2011-11-10 | 2016-07-05 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
US9119615B2 (en) | 2011-12-15 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9113879B2 (en) | 2011-12-15 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9107655B2 (en) | 2012-02-16 | 2015-08-18 | Cook Medical Technologies Llc | External suture securement devices and methods |
US8992547B2 (en) | 2012-03-21 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Methods and devices for creating tissue plications |
US10292801B2 (en) | 2012-03-29 | 2019-05-21 | Neotract, Inc. | System for delivering anchors for treating incontinence |
US8790370B2 (en) | 2012-03-30 | 2014-07-29 | Depuy Mitek, Llc | Surgical filament assemblies |
US9192369B2 (en) | 2012-03-30 | 2015-11-24 | Depuy Mitek, Llc | Stacked plate suture anchor |
US9345567B2 (en) | 2012-05-07 | 2016-05-24 | Medos International Sàrl | Systems, devices, and methods for securing tissue using snare assemblies and soft anchors |
US9060764B2 (en) | 2012-05-07 | 2015-06-23 | Medos International Sàrl | Systems, devices, and methods for securing tissue |
US9060763B2 (en) | 2012-05-07 | 2015-06-23 | Medos International Sàrl | Systems, devices, and methods for securing tissue |
US8894684B2 (en) | 2012-05-07 | 2014-11-25 | Medos International Sàrl | Systems, devices, and methods for securing tissue using a suture having one or more protrusions |
EP2852332B1 (en) | 2012-05-11 | 2019-06-26 | Heartstitch, Inc. | Suturing devices for suturing an anatomic structure |
WO2013177488A1 (en) * | 2012-05-24 | 2013-11-28 | Suspension Orthopaedic Solutions, Llc | Collapsible suture anchor |
US10130353B2 (en) | 2012-06-29 | 2018-11-20 | Neotract, Inc. | Flexible system for delivering an anchor |
US9480475B2 (en) | 2012-08-15 | 2016-11-01 | DePuy Synthes Products, Inc. | Bone plate suture anchor |
US9597068B2 (en) | 2012-09-20 | 2017-03-21 | Depuy Mitek, Llc | Self-cinching suture anchors, systems, and methods |
US9138221B2 (en) * | 2012-09-20 | 2015-09-22 | Medos International Sarl | Anti-backup suture anchor |
US9763655B2 (en) | 2012-09-20 | 2017-09-19 | Medos International Sarl | Systems, devices, and methods for securing tissue using hard anchors |
US9271716B2 (en) | 2012-12-27 | 2016-03-01 | Medos International Sàrl | Surgical constructs and methods for securing tissue |
US10076377B2 (en) | 2013-01-05 | 2018-09-18 | P Tech, Llc | Fixation systems and methods |
US9402622B2 (en) | 2013-01-15 | 2016-08-02 | Cook Medical Technologies Llc | External suture securement devices and methods |
CN105188562B (en) | 2013-03-06 | 2019-02-26 | 史密夫和内修有限公司 | Miniature anchor |
US10448946B2 (en) | 2013-03-12 | 2019-10-22 | Apollo Endosurgery Us, Inc. | Endoscopic suture cinch |
WO2014164955A2 (en) | 2013-03-12 | 2014-10-09 | Apollo Endosurgery, Inc. | Endoscopic suture cinch system with replaceable cinch |
WO2014140092A2 (en) | 2013-03-14 | 2014-09-18 | Neuravi Limited | Devices and methods for removal of acute blockages from blood vessels |
US9433429B2 (en) | 2013-03-14 | 2016-09-06 | Neuravi Limited | Clot retrieval devices |
US9918827B2 (en) | 2013-03-14 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
TR201820525T4 (en) | 2013-03-14 | 2019-01-21 | Neuravi Ltd | A clot removal device for removing an occlusive clot from a blood vessel. |
US9155531B2 (en) | 2013-03-15 | 2015-10-13 | Smith & Nephew, Inc. | Miniaturized dual drive open architecture suture anchor |
US20140277131A1 (en) * | 2013-03-15 | 2014-09-18 | Mimosa Medical, Inc. | Tissue anchoring and deployment systems |
US9737293B2 (en) | 2013-03-15 | 2017-08-22 | Medos International Sàrl | Surgical constructs with collapsing suture loop and methods for securing tissue |
MX2015014219A (en) | 2013-04-09 | 2015-12-11 | Smith & Nephew Inc | Open-architecture interference screw. |
WO2014176270A1 (en) | 2013-04-22 | 2014-10-30 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone |
DE102013008156A1 (en) * | 2013-05-13 | 2014-11-13 | Michael Jagodzinski | Anchoring means for fixing suture material |
US10016192B2 (en) | 2013-06-14 | 2018-07-10 | Tornier, Inc. | Suture for connecting a human or animal tissue, soft anchor and method for attaching a tissue to a bone |
EP3473189A1 (en) | 2013-07-02 | 2019-04-24 | Med-venture Investments, LLC | Suturing devices for suturing an anatomic structure |
ES2924389T3 (en) | 2013-10-25 | 2022-10-06 | Kyon Ag | Surgical cord fastening and adjustment mechanism |
WO2015085145A1 (en) | 2013-12-06 | 2015-06-11 | Med-Venture Investments, Llc | Suturing methods and apparatuses |
CA2933061A1 (en) | 2013-12-12 | 2015-06-18 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
CN108618872B (en) * | 2014-03-05 | 2019-07-02 | 北京泰德制药股份有限公司 | A kind of equipment for percutaneously conveying cardiac implant by directly applying driving force in vitro |
US9693809B2 (en) * | 2014-03-20 | 2017-07-04 | Warsaw Orthopedic, Inc. | Spinal correction implant system and method |
US10245017B2 (en) | 2014-05-30 | 2019-04-02 | Biomet Manufacturing, Llc | Knotless twist suture anchor |
US10178993B2 (en) | 2014-07-11 | 2019-01-15 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
ES2920773T3 (en) | 2014-11-26 | 2022-08-09 | Neuravi Ltd | A clot removal device to remove an occlusive clot from a blood vessel |
US11253278B2 (en) | 2014-11-26 | 2022-02-22 | Neuravi Limited | Clot retrieval system for removing occlusive clot from a blood vessel |
US10617435B2 (en) | 2014-11-26 | 2020-04-14 | Neuravi Limited | Clot retrieval device for removing clot from a blood vessel |
JP6769985B2 (en) * | 2015-04-10 | 2020-10-14 | ボード オブ スーパーバイザーズ オブ ルイジアナ ステイト ユニバーシティ アンド アグリカルチュラル アンド メカニカル カレッジBoard Of Supervisors Of Louisiana State University And Agricultural And Mechanical College | Soft tissue tension application and attachment device |
US10058393B2 (en) | 2015-10-21 | 2018-08-28 | P Tech, Llc | Systems and methods for navigation and visualization |
US9924935B2 (en) | 2015-10-23 | 2018-03-27 | Smith & Nephew, Inc. | Suture anchor assembly with slip fit tip |
US10349996B2 (en) | 2015-12-07 | 2019-07-16 | Cable Fix LLC | Apparatus, system, and method for securing a tensioned cable through or around bone |
WO2017180092A1 (en) | 2016-04-11 | 2017-10-19 | Nobles Medical Technologies Ii, Inc. | Suture spools for tissue suturing device |
US10463356B2 (en) | 2016-06-30 | 2019-11-05 | Medos International Sarl | Devices, systems, and methods for anchoring sutures |
US10842480B2 (en) | 2016-07-05 | 2020-11-24 | Crossroads Extremity Systems, Llc | Multiple suture threader and methods of use |
US11051800B2 (en) | 2016-08-10 | 2021-07-06 | Apollo Endosurgery Us, Inc. | Endoscopic suturing system having external instrument channel |
US11141147B2 (en) | 2016-08-10 | 2021-10-12 | Apollo Endosurgery Us, Inc. | Endoscopic suturing system having external instrument channel |
AU2017324233A1 (en) | 2016-09-06 | 2019-04-04 | Neuravi Limited | A clot retrieval device for removing occlusive clot from a blood vessel |
US10349929B2 (en) * | 2017-03-24 | 2019-07-16 | Medos International Sarl | Cannula with cap |
EP3641660A1 (en) | 2017-06-19 | 2020-04-29 | Heartstitch, Inc. | Suturing devices and methods for suturing an opening in the apex of the heart |
WO2019035095A1 (en) | 2017-08-18 | 2019-02-21 | Nobles Medical Technologies Ii, Inc. | Apparatus for applying a knot to a suture |
US10925654B2 (en) | 2017-09-19 | 2021-02-23 | Cable Fix LLC | Apparatus, system, and method for crimping a cable for bone fixation |
US10179016B1 (en) * | 2017-09-19 | 2019-01-15 | Cable Fix LLC | Apparatus, system, and method for crimping a cable for bone fixation |
JP7150871B2 (en) | 2017-12-23 | 2022-10-11 | テレフレックス ライフ サイエンシズ リミテッド | Expandable tissue engagement device and method |
US10842498B2 (en) | 2018-09-13 | 2020-11-24 | Neuravi Limited | Systems and methods of restoring perfusion to a vessel |
US11406416B2 (en) | 2018-10-02 | 2022-08-09 | Neuravi Limited | Joint assembly for vasculature obstruction capture device |
WO2021011659A1 (en) | 2019-07-15 | 2021-01-21 | Ancora Heart, Inc. | Devices and methods for tether cutting |
US11712231B2 (en) | 2019-10-29 | 2023-08-01 | Neuravi Limited | Proximal locking assembly design for dual stent mechanical thrombectomy device |
US11517340B2 (en) | 2019-12-03 | 2022-12-06 | Neuravi Limited | Stentriever devices for removing an occlusive clot from a vessel and methods thereof |
US11717308B2 (en) | 2020-04-17 | 2023-08-08 | Neuravi Limited | Clot retrieval device for removing heterogeneous clots from a blood vessel |
US11730501B2 (en) | 2020-04-17 | 2023-08-22 | Neuravi Limited | Floating clot retrieval device for removing clots from a blood vessel |
US11871946B2 (en) | 2020-04-17 | 2024-01-16 | Neuravi Limited | Clot retrieval device for removing clot from a blood vessel |
US11737771B2 (en) | 2020-06-18 | 2023-08-29 | Neuravi Limited | Dual channel thrombectomy device |
US11395669B2 (en) | 2020-06-23 | 2022-07-26 | Neuravi Limited | Clot retrieval device with flexible collapsible frame |
US11439418B2 (en) | 2020-06-23 | 2022-09-13 | Neuravi Limited | Clot retrieval device for removing clot from a blood vessel |
DK3989844T3 (en) | 2020-08-03 | 2023-10-30 | Teleflex Life Sciences Ltd | Handle and cartridge system for medical inventions |
US11864781B2 (en) | 2020-09-23 | 2024-01-09 | Neuravi Limited | Rotating frame thrombectomy device |
CN116648197A (en) | 2020-10-23 | 2023-08-25 | 想象内窥镜公司 | Endoscopic suture fastener |
WO2023019004A1 (en) * | 2021-08-13 | 2023-02-16 | Ventrimend, Inc. | Edge to edge repair of the mitral valve |
Citations (93)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US918570A (en) * | 1908-05-11 | 1909-04-20 | Lewis Vurnam Mather | Seal. |
US2269963A (en) * | 1940-06-01 | 1942-01-13 | Wappler Frederick Charles | Implanting device |
US3942407A (en) * | 1969-05-30 | 1976-03-09 | Aackersberg Mortensen | Expandable screw anchoring devices |
US3946740A (en) * | 1974-10-15 | 1976-03-30 | Bassett John W | Suturing device |
US4319428A (en) * | 1979-12-28 | 1982-03-16 | Fox Daniel W | Adjustable tree tie down |
US4373530A (en) * | 1980-04-04 | 1983-02-15 | Lisa Ann Kilejian | Surgical stitching instrument |
US4493323A (en) * | 1982-12-13 | 1985-01-15 | University Of Iowa Research Foundation | Suturing device and method for using same |
US4580936A (en) * | 1983-03-07 | 1986-04-08 | Advel Limited | Blind rivet assembly |
US4635637A (en) * | 1984-03-29 | 1987-01-13 | Schreiber Saul N | Surgical suture |
US4657461A (en) * | 1984-10-26 | 1987-04-14 | Smith Gareth J | Anchoring bolt |
US4721103A (en) * | 1985-01-31 | 1988-01-26 | Yosef Freedland | Orthopedic device |
US4731084A (en) * | 1986-03-14 | 1988-03-15 | Richards Medical Company | Prosthetic ligament |
US4738255A (en) * | 1986-04-07 | 1988-04-19 | Biotron Labs, Inc. | Suture anchor system |
US4809408A (en) * | 1987-09-21 | 1989-03-07 | Abrahamson Thomas C | Shielded wedge-type cable clamp |
US4823780A (en) * | 1984-03-14 | 1989-04-25 | Odensten Magnus G | Drill guiding and aligning device |
US4917700A (en) * | 1988-08-01 | 1990-04-17 | Zimmer, Inc. | Prosthetic ligament |
US4981149A (en) * | 1989-05-16 | 1991-01-01 | Inbae Yoon | Method for suturing with a bioabsorbable needle |
US4987665A (en) * | 1986-03-03 | 1991-01-29 | American Cyanamid Company | Prosthetic tubular article |
US5002550A (en) * | 1989-06-06 | 1991-03-26 | Mitek Surgical Products, Inc. | Suture anchor installation tool |
US5085661A (en) * | 1990-10-29 | 1992-02-04 | Gerald Moss | Surgical fastener implantation device |
US5195542A (en) * | 1989-04-27 | 1993-03-23 | Dominique Gazielly | Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person |
US5203787A (en) * | 1990-11-19 | 1993-04-20 | Biomet, Inc. | Suture retaining arrangement |
US5275176A (en) * | 1991-12-30 | 1994-01-04 | Chandler Eugene J | Stabilization device and method for shoulder arthroscopy |
US5304184A (en) * | 1992-10-19 | 1994-04-19 | Indiana University Foundation | Apparatus and method for positive closure of an internal tissue membrane opening |
US5383905A (en) * | 1992-10-09 | 1995-01-24 | United States Surgical Corporation | Suture loop locking device |
US5405352A (en) * | 1991-04-09 | 1995-04-11 | Weston; Peter V. | Suture knot, method for its formation and use, and knot forming apparatus |
US5405359A (en) * | 1994-04-29 | 1995-04-11 | Pierce; Javi | Toggle wedge |
US5480403A (en) * | 1991-03-22 | 1996-01-02 | United States Surgical Corporation | Suture anchoring device and method |
US5486197A (en) * | 1994-03-24 | 1996-01-23 | Ethicon, Inc. | Two-piece suture anchor with barbs |
US5499991A (en) * | 1994-12-19 | 1996-03-19 | Linvatec Corporation | Endoscopic needle with suture retriever |
US5501683A (en) * | 1993-06-18 | 1996-03-26 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5501695A (en) * | 1992-05-27 | 1996-03-26 | The Anspach Effort, Inc. | Fastener for attaching objects to bones |
US5505735A (en) * | 1993-06-10 | 1996-04-09 | Mitek Surgical Products, Inc. | Surgical anchor and method for using the same |
US5591207A (en) * | 1995-03-30 | 1997-01-07 | Linvatec Corporation | Driving system for inserting threaded suture anchors |
US5593189A (en) * | 1996-02-12 | 1997-01-14 | Little; Joe | Knot-tying device |
US5601558A (en) * | 1993-02-17 | 1997-02-11 | Smith & Nephew Endoscopy, Inc. | Soft tissue anchors and systems for implantation |
US5609597A (en) * | 1993-12-09 | 1997-03-11 | Lehrer; Theodor | Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures |
US5611801A (en) * | 1994-11-29 | 1997-03-18 | Pioneer Laboratories, Inc. | Method and apparatus for bone fracture fixation |
US5613974A (en) * | 1992-12-10 | 1997-03-25 | Perclose, Inc. | Apparatus and method for vascular closure |
US5618290A (en) * | 1993-10-19 | 1997-04-08 | W.L. Gore & Associates, Inc. | Endoscopic suture passer and method |
US5618314A (en) * | 1993-12-13 | 1997-04-08 | Harwin; Steven F. | Suture anchor device |
US5707362A (en) * | 1992-04-15 | 1998-01-13 | Yoon; Inbae | Penetrating instrument having an expandable anchoring portion for triggering protrusion of a safety member and/or retraction of a penetrating member |
US5707394A (en) * | 1996-02-07 | 1998-01-13 | Bristol-Myers Squibb Company | Pre-loaded suture anchor with rigid extension |
US5709708A (en) * | 1997-01-31 | 1998-01-20 | Thal; Raymond | Captured-loop knotless suture anchor assembly |
US5720765A (en) * | 1995-06-06 | 1998-02-24 | Thal; Raymond | Knotless suture anchor assembly |
US5725529A (en) * | 1990-09-25 | 1998-03-10 | Innovasive Devices, Inc. | Bone fastener |
US5725541A (en) * | 1996-01-22 | 1998-03-10 | The Anspach Effort, Inc. | Soft tissue fastener device |
US5733307A (en) * | 1996-09-17 | 1998-03-31 | Amei Technologies, Inc. | Bone anchor having a suture trough |
US5741282A (en) * | 1996-01-22 | 1998-04-21 | The Anspach Effort, Inc. | Soft tissue fastener device |
US5741281A (en) * | 1992-11-17 | 1998-04-21 | Smith & Nephew, Inc. | Suture securing apparatus |
US5860992A (en) * | 1996-01-31 | 1999-01-19 | Heartport, Inc. | Endoscopic suturing devices and methods |
US5860978A (en) * | 1990-09-25 | 1999-01-19 | Innovasive Devices, Inc. | Methods and apparatus for preventing migration of sutures through transosseous tunnels |
US5868789A (en) * | 1997-02-03 | 1999-02-09 | Huebner; Randall J. | Removable suture anchor apparatus |
US5879372A (en) * | 1993-09-20 | 1999-03-09 | Bartlett; Edwin C. | Apparatus and method for anchoring sutures |
US5885294A (en) * | 1997-09-22 | 1999-03-23 | Ethicon, Inc. | Apparatus and method for anchoring a cord-like element to a workpiece |
US5893850A (en) * | 1996-11-12 | 1999-04-13 | Cachia; Victor V. | Bone fixation device |
US6010525A (en) * | 1997-08-01 | 2000-01-04 | Peter M. Bonutti | Method and apparatus for securing a suture |
US6013083A (en) * | 1997-05-02 | 2000-01-11 | Bennett; William F. | Arthroscopic rotator cuff repair apparatus and method |
US6017346A (en) * | 1997-07-18 | 2000-01-25 | Ultraortho, Inc. | Wedge for fastening tissue to bone |
US6022373A (en) * | 1996-09-10 | 2000-02-08 | Li Medical Technologies, Inc. | Surgical anchor and package and cartridge for surgical anchor |
US6022360A (en) * | 1997-08-06 | 2000-02-08 | Ethicon, Inc. | Suture retrograder |
US6024758A (en) * | 1998-02-23 | 2000-02-15 | Thal; Raymond | Two-part captured-loop knotless suture anchor assembly |
US6033430A (en) * | 1996-11-15 | 2000-03-07 | Bonutti; Peter M. | Apparatus and method for use in positioning a suture anchor |
US6036699A (en) * | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US6045571A (en) * | 1999-04-14 | 2000-04-04 | Ethicon, Inc. | Multifilament surgical cord |
US6045575A (en) * | 1997-09-10 | 2000-04-04 | Amt, Inc. | Therapeutic method and internally illuminated garment for the management of disorders treatable by phototherapy |
US6045574A (en) * | 1999-04-01 | 2000-04-04 | Thal; Raymond | Sleeve and loop knotless suture anchor assembly |
US6045573A (en) * | 1999-01-21 | 2000-04-04 | Ethicon, Inc. | Suture anchor having multiple sutures |
US6045572A (en) * | 1998-10-16 | 2000-04-04 | Cardiac Assist Technologies, Inc. | System, method and apparatus for sternal closure |
US6048351A (en) * | 1992-09-04 | 2000-04-11 | Scimed Life Systems, Inc. | Transvaginal suturing system |
US6051006A (en) * | 1999-04-12 | 2000-04-18 | Smith & Nephew, Inc. | Suture-passing forceps |
US6053935A (en) * | 1996-11-08 | 2000-04-25 | Boston Scientific Corporation | Transvaginal anchor implantation device |
US6171317B1 (en) * | 1999-09-14 | 2001-01-09 | Perclose, Inc. | Knot tying device and method |
US6200893B1 (en) * | 1999-03-11 | 2001-03-13 | Genus, Inc | Radical-assisted sequential CVD |
US6200329B1 (en) * | 1998-08-31 | 2001-03-13 | Smith & Nephew, Inc. | Suture collet |
US6206895B1 (en) * | 1999-07-13 | 2001-03-27 | Scion Cardio-Vascular, Inc. | Suture with toggle and delivery system |
US6217592B1 (en) * | 1998-10-06 | 2001-04-17 | Vincent Freda | Laproscopic instrument for suturing tissue |
US6221107B1 (en) * | 1998-08-03 | 2001-04-24 | Mark E. Steiner | Ligament fixation device and method |
US6355053B1 (en) * | 1998-06-02 | 2002-03-12 | Li Medical Technologies, Inc. | Anchor, tool and method and apparatus for emplacing anchor in a borehole |
US6517542B1 (en) * | 1999-08-04 | 2003-02-11 | The Cleveland Clinic Foundation | Bone anchoring system |
US6520980B1 (en) * | 2000-11-02 | 2003-02-18 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a self-locking knotless suture anchoring device |
US6524317B1 (en) * | 1999-12-30 | 2003-02-25 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US6527794B1 (en) * | 1999-08-10 | 2003-03-04 | Ethicon, Inc. | Self-locking suture anchor |
US6679896B2 (en) * | 1998-11-02 | 2004-01-20 | Scimed Life Systems, Inc. | Transvaginal suture spacer devices and methods of use |
US6682549B2 (en) * | 1999-03-02 | 2004-01-27 | Edwin C. Bartlett | Suture anchor and associated method of implantation |
US6692516B2 (en) * | 2000-11-28 | 2004-02-17 | Linvatec Corporation | Knotless suture anchor and method for knotlessly securing tissue |
US20050033364A1 (en) * | 2001-12-06 | 2005-02-10 | Opus Medical, Inc. | Bone anchor insertion device |
US6855157B2 (en) * | 2002-02-04 | 2005-02-15 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US6860887B1 (en) * | 2001-11-05 | 2005-03-01 | Mark A. Frankle | Suture management method and system |
US20060004364A1 (en) * | 2004-06-02 | 2006-01-05 | Green Michael L | System and method for attaching soft tissue to bone |
US7329272B2 (en) * | 2000-06-22 | 2008-02-12 | Arthrex, Inc. | Graft fixation using a plug against suture |
US20080051836A1 (en) * | 2006-08-03 | 2008-02-28 | Seth Foerster | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US20090069823A1 (en) * | 2007-09-12 | 2009-03-12 | Foerster Seth A | Implant and delivery system for soft tissue repair |
Family Cites Families (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4898156A (en) * | 1987-05-18 | 1990-02-06 | Mitek Surgical Products, Inc. | Suture anchor |
US4946468A (en) * | 1989-06-06 | 1990-08-07 | Mitek Surgical Products, Inc. | Suture anchor and suture anchor installation tool |
US5037422A (en) * | 1990-07-02 | 1991-08-06 | Acufex Microsurgical, Inc. | Bone anchor and method of anchoring a suture to a bone |
US5191899A (en) * | 1991-12-12 | 1993-03-09 | Baal Associates, Inc. | Pap smear collection device with bristles oriented in a plane |
US5330442A (en) * | 1992-10-09 | 1994-07-19 | United States Surgical Corporation | Suture retaining clip |
US5584835A (en) | 1993-10-18 | 1996-12-17 | Greenfield; Jon B. | Soft tissue to bone fixation device and method |
US5584695A (en) | 1994-03-07 | 1996-12-17 | Memory Medical Systems, Inc. | Bone anchoring apparatus and method |
US5364407A (en) | 1994-03-21 | 1994-11-15 | Poll Wayne L | Laparoscopic suturing system |
US5630824A (en) * | 1994-06-01 | 1997-05-20 | Innovasive Devices, Inc. | Suture attachment device |
US5514159A (en) | 1994-09-13 | 1996-05-07 | United States Surgical Corporation | Guillotine suture clip |
US5464427A (en) * | 1994-10-04 | 1995-11-07 | Synthes (U.S.A.) | Expanding suture anchor |
US6086608A (en) | 1996-02-22 | 2000-07-11 | Smith & Nephew, Inc. | Suture collet |
US5702397A (en) | 1996-02-20 | 1997-12-30 | Medicinelodge, Inc. | Ligament bone anchor and method for its use |
US5718717A (en) | 1996-08-19 | 1998-02-17 | Bonutti; Peter M. | Suture anchor |
US6083522A (en) | 1997-01-09 | 2000-07-04 | Neucoll, Inc. | Devices for tissue repair and methods for preparation and use thereof |
EP1006886B1 (en) * | 1997-02-13 | 2003-07-09 | Boston Scientific Limited | Dilator for minimally invasive pelvic surgery |
US6475230B1 (en) | 1997-08-01 | 2002-11-05 | Peter M. Bonutti | Method and apparatus for securing a suture |
US6585730B1 (en) | 2000-08-30 | 2003-07-01 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US7083638B2 (en) * | 2001-02-12 | 2006-08-01 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
-
2002
- 2002-11-19 US US10/299,171 patent/US7090690B2/en not_active Expired - Lifetime
-
2003
- 2003-11-07 EP EP03768800A patent/EP1562487A4/en not_active Withdrawn
- 2003-11-07 AU AU2003291404A patent/AU2003291404A1/en not_active Abandoned
- 2003-11-07 WO PCT/US2003/035695 patent/WO2004045367A2/en not_active Application Discontinuation
-
2006
- 2006-08-02 US US11/498,460 patent/US20060271105A1/en not_active Abandoned
Patent Citations (99)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US918570A (en) * | 1908-05-11 | 1909-04-20 | Lewis Vurnam Mather | Seal. |
US2269963A (en) * | 1940-06-01 | 1942-01-13 | Wappler Frederick Charles | Implanting device |
US3942407A (en) * | 1969-05-30 | 1976-03-09 | Aackersberg Mortensen | Expandable screw anchoring devices |
US3946740A (en) * | 1974-10-15 | 1976-03-30 | Bassett John W | Suturing device |
US4319428A (en) * | 1979-12-28 | 1982-03-16 | Fox Daniel W | Adjustable tree tie down |
US4373530A (en) * | 1980-04-04 | 1983-02-15 | Lisa Ann Kilejian | Surgical stitching instrument |
US4493323A (en) * | 1982-12-13 | 1985-01-15 | University Of Iowa Research Foundation | Suturing device and method for using same |
US4580936A (en) * | 1983-03-07 | 1986-04-08 | Advel Limited | Blind rivet assembly |
US4823780A (en) * | 1984-03-14 | 1989-04-25 | Odensten Magnus G | Drill guiding and aligning device |
US4635637A (en) * | 1984-03-29 | 1987-01-13 | Schreiber Saul N | Surgical suture |
US4657461A (en) * | 1984-10-26 | 1987-04-14 | Smith Gareth J | Anchoring bolt |
US4721103A (en) * | 1985-01-31 | 1988-01-26 | Yosef Freedland | Orthopedic device |
US4987665A (en) * | 1986-03-03 | 1991-01-29 | American Cyanamid Company | Prosthetic tubular article |
US4731084A (en) * | 1986-03-14 | 1988-03-15 | Richards Medical Company | Prosthetic ligament |
US4738255A (en) * | 1986-04-07 | 1988-04-19 | Biotron Labs, Inc. | Suture anchor system |
US4809408A (en) * | 1987-09-21 | 1989-03-07 | Abrahamson Thomas C | Shielded wedge-type cable clamp |
US4917700A (en) * | 1988-08-01 | 1990-04-17 | Zimmer, Inc. | Prosthetic ligament |
US5195542A (en) * | 1989-04-27 | 1993-03-23 | Dominique Gazielly | Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person |
US4981149A (en) * | 1989-05-16 | 1991-01-01 | Inbae Yoon | Method for suturing with a bioabsorbable needle |
US5002550A (en) * | 1989-06-06 | 1991-03-26 | Mitek Surgical Products, Inc. | Suture anchor installation tool |
US5725529A (en) * | 1990-09-25 | 1998-03-10 | Innovasive Devices, Inc. | Bone fastener |
US5860978A (en) * | 1990-09-25 | 1999-01-19 | Innovasive Devices, Inc. | Methods and apparatus for preventing migration of sutures through transosseous tunnels |
US5085661A (en) * | 1990-10-29 | 1992-02-04 | Gerald Moss | Surgical fastener implantation device |
US5203787A (en) * | 1990-11-19 | 1993-04-20 | Biomet, Inc. | Suture retaining arrangement |
US5480403A (en) * | 1991-03-22 | 1996-01-02 | United States Surgical Corporation | Suture anchoring device and method |
US5405352A (en) * | 1991-04-09 | 1995-04-11 | Weston; Peter V. | Suture knot, method for its formation and use, and knot forming apparatus |
US5275176A (en) * | 1991-12-30 | 1994-01-04 | Chandler Eugene J | Stabilization device and method for shoulder arthroscopy |
US5882340A (en) * | 1992-04-15 | 1999-03-16 | Yoon; Inbae | Penetrating instrument having an expandable anchoring portion for triggering protrusion of a safety member and/or retraction of a penetrating member |
US5707362A (en) * | 1992-04-15 | 1998-01-13 | Yoon; Inbae | Penetrating instrument having an expandable anchoring portion for triggering protrusion of a safety member and/or retraction of a penetrating member |
US5501695A (en) * | 1992-05-27 | 1996-03-26 | The Anspach Effort, Inc. | Fastener for attaching objects to bones |
US6048351A (en) * | 1992-09-04 | 2000-04-11 | Scimed Life Systems, Inc. | Transvaginal suturing system |
US5383905A (en) * | 1992-10-09 | 1995-01-24 | United States Surgical Corporation | Suture loop locking device |
US5304184A (en) * | 1992-10-19 | 1994-04-19 | Indiana University Foundation | Apparatus and method for positive closure of an internal tissue membrane opening |
US5741281A (en) * | 1992-11-17 | 1998-04-21 | Smith & Nephew, Inc. | Suture securing apparatus |
US5613974A (en) * | 1992-12-10 | 1997-03-25 | Perclose, Inc. | Apparatus and method for vascular closure |
US5860991A (en) * | 1992-12-10 | 1999-01-19 | Perclose, Inc. | Method for the percutaneous suturing of a vascular puncture site |
US6036699A (en) * | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US5601558A (en) * | 1993-02-17 | 1997-02-11 | Smith & Nephew Endoscopy, Inc. | Soft tissue anchors and systems for implantation |
US5505735A (en) * | 1993-06-10 | 1996-04-09 | Mitek Surgical Products, Inc. | Surgical anchor and method for using the same |
US5501683A (en) * | 1993-06-18 | 1996-03-26 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5879372A (en) * | 1993-09-20 | 1999-03-09 | Bartlett; Edwin C. | Apparatus and method for anchoring sutures |
US5618290A (en) * | 1993-10-19 | 1997-04-08 | W.L. Gore & Associates, Inc. | Endoscopic suture passer and method |
US5609597A (en) * | 1993-12-09 | 1997-03-11 | Lehrer; Theodor | Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures |
US5618314A (en) * | 1993-12-13 | 1997-04-08 | Harwin; Steven F. | Suture anchor device |
US5486197A (en) * | 1994-03-24 | 1996-01-23 | Ethicon, Inc. | Two-piece suture anchor with barbs |
US5405359A (en) * | 1994-04-29 | 1995-04-11 | Pierce; Javi | Toggle wedge |
US5611801A (en) * | 1994-11-29 | 1997-03-18 | Pioneer Laboratories, Inc. | Method and apparatus for bone fracture fixation |
US5499991A (en) * | 1994-12-19 | 1996-03-19 | Linvatec Corporation | Endoscopic needle with suture retriever |
US5591207A (en) * | 1995-03-30 | 1997-01-07 | Linvatec Corporation | Driving system for inserting threaded suture anchors |
US5720765A (en) * | 1995-06-06 | 1998-02-24 | Thal; Raymond | Knotless suture anchor assembly |
US5728136A (en) * | 1995-06-06 | 1998-03-17 | Thal; Raymond | Knotless suture anchor assembly |
US5741282A (en) * | 1996-01-22 | 1998-04-21 | The Anspach Effort, Inc. | Soft tissue fastener device |
US5725541A (en) * | 1996-01-22 | 1998-03-10 | The Anspach Effort, Inc. | Soft tissue fastener device |
US5860992A (en) * | 1996-01-31 | 1999-01-19 | Heartport, Inc. | Endoscopic suturing devices and methods |
US5707394A (en) * | 1996-02-07 | 1998-01-13 | Bristol-Myers Squibb Company | Pre-loaded suture anchor with rigid extension |
US5593189A (en) * | 1996-02-12 | 1997-01-14 | Little; Joe | Knot-tying device |
US6022373A (en) * | 1996-09-10 | 2000-02-08 | Li Medical Technologies, Inc. | Surgical anchor and package and cartridge for surgical anchor |
US5733307A (en) * | 1996-09-17 | 1998-03-31 | Amei Technologies, Inc. | Bone anchor having a suture trough |
US6053935A (en) * | 1996-11-08 | 2000-04-25 | Boston Scientific Corporation | Transvaginal anchor implantation device |
US5893850A (en) * | 1996-11-12 | 1999-04-13 | Cachia; Victor V. | Bone fixation device |
US6033430A (en) * | 1996-11-15 | 2000-03-07 | Bonutti; Peter M. | Apparatus and method for use in positioning a suture anchor |
US5891168A (en) * | 1997-01-31 | 1999-04-06 | Thal; Raymond | Process for attaching tissue to bone using a captured-loop knotless suture anchor assembly |
US5709708A (en) * | 1997-01-31 | 1998-01-20 | Thal; Raymond | Captured-loop knotless suture anchor assembly |
US5868789A (en) * | 1997-02-03 | 1999-02-09 | Huebner; Randall J. | Removable suture anchor apparatus |
US6013083A (en) * | 1997-05-02 | 2000-01-11 | Bennett; William F. | Arthroscopic rotator cuff repair apparatus and method |
US6017346A (en) * | 1997-07-18 | 2000-01-25 | Ultraortho, Inc. | Wedge for fastening tissue to bone |
US6010525A (en) * | 1997-08-01 | 2000-01-04 | Peter M. Bonutti | Method and apparatus for securing a suture |
US6022360A (en) * | 1997-08-06 | 2000-02-08 | Ethicon, Inc. | Suture retrograder |
US6045575A (en) * | 1997-09-10 | 2000-04-04 | Amt, Inc. | Therapeutic method and internally illuminated garment for the management of disorders treatable by phototherapy |
US5885294A (en) * | 1997-09-22 | 1999-03-23 | Ethicon, Inc. | Apparatus and method for anchoring a cord-like element to a workpiece |
US6024758A (en) * | 1998-02-23 | 2000-02-15 | Thal; Raymond | Two-part captured-loop knotless suture anchor assembly |
US6355053B1 (en) * | 1998-06-02 | 2002-03-12 | Li Medical Technologies, Inc. | Anchor, tool and method and apparatus for emplacing anchor in a borehole |
US6221107B1 (en) * | 1998-08-03 | 2001-04-24 | Mark E. Steiner | Ligament fixation device and method |
US6200329B1 (en) * | 1998-08-31 | 2001-03-13 | Smith & Nephew, Inc. | Suture collet |
US6217592B1 (en) * | 1998-10-06 | 2001-04-17 | Vincent Freda | Laproscopic instrument for suturing tissue |
US6045572A (en) * | 1998-10-16 | 2000-04-04 | Cardiac Assist Technologies, Inc. | System, method and apparatus for sternal closure |
US6679896B2 (en) * | 1998-11-02 | 2004-01-20 | Scimed Life Systems, Inc. | Transvaginal suture spacer devices and methods of use |
US6045573A (en) * | 1999-01-21 | 2000-04-04 | Ethicon, Inc. | Suture anchor having multiple sutures |
US6689154B2 (en) * | 1999-03-02 | 2004-02-10 | Edwin C. Bartlett | Suture anchor and associated method of implantation |
US6682549B2 (en) * | 1999-03-02 | 2004-01-27 | Edwin C. Bartlett | Suture anchor and associated method of implantation |
US6200893B1 (en) * | 1999-03-11 | 2001-03-13 | Genus, Inc | Radical-assisted sequential CVD |
US6045574A (en) * | 1999-04-01 | 2000-04-04 | Thal; Raymond | Sleeve and loop knotless suture anchor assembly |
US6051006A (en) * | 1999-04-12 | 2000-04-18 | Smith & Nephew, Inc. | Suture-passing forceps |
US6045571A (en) * | 1999-04-14 | 2000-04-04 | Ethicon, Inc. | Multifilament surgical cord |
US6206895B1 (en) * | 1999-07-13 | 2001-03-27 | Scion Cardio-Vascular, Inc. | Suture with toggle and delivery system |
US6517542B1 (en) * | 1999-08-04 | 2003-02-11 | The Cleveland Clinic Foundation | Bone anchoring system |
US6527794B1 (en) * | 1999-08-10 | 2003-03-04 | Ethicon, Inc. | Self-locking suture anchor |
US6171317B1 (en) * | 1999-09-14 | 2001-01-09 | Perclose, Inc. | Knot tying device and method |
US20080015594A1 (en) * | 1999-12-30 | 2008-01-17 | Arthrocare Corporation | Methods for attaching connective tissues to bone using a multi-component anchor |
US6524317B1 (en) * | 1999-12-30 | 2003-02-25 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US7329272B2 (en) * | 2000-06-22 | 2008-02-12 | Arthrex, Inc. | Graft fixation using a plug against suture |
US6520980B1 (en) * | 2000-11-02 | 2003-02-18 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a self-locking knotless suture anchoring device |
US6692516B2 (en) * | 2000-11-28 | 2004-02-17 | Linvatec Corporation | Knotless suture anchor and method for knotlessly securing tissue |
US6860887B1 (en) * | 2001-11-05 | 2005-03-01 | Mark A. Frankle | Suture management method and system |
US20050033364A1 (en) * | 2001-12-06 | 2005-02-10 | Opus Medical, Inc. | Bone anchor insertion device |
US6855157B2 (en) * | 2002-02-04 | 2005-02-15 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US20060004364A1 (en) * | 2004-06-02 | 2006-01-05 | Green Michael L | System and method for attaching soft tissue to bone |
US20080051836A1 (en) * | 2006-08-03 | 2008-02-28 | Seth Foerster | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US20090069823A1 (en) * | 2007-09-12 | 2009-03-12 | Foerster Seth A | Implant and delivery system for soft tissue repair |
Cited By (120)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8109966B2 (en) | 1999-12-30 | 2012-02-07 | Arthrocare Corporation | Methods for attaching connective tissues to bone using a multi-component anchor |
US7695494B2 (en) | 2001-02-12 | 2010-04-13 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US8657854B2 (en) | 2001-02-12 | 2014-02-25 | Arthrocare Corporation | Knotless suture anchoring device having deforming section to accommodate sutures of various diameters |
US8685060B2 (en) | 2001-02-12 | 2014-04-01 | Arthrocare Corporation | Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device |
US8444672B2 (en) | 2001-02-12 | 2013-05-21 | Arthrocare Corporation | Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device |
US7674274B2 (en) | 2001-06-06 | 2010-03-09 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device |
US9186133B2 (en) | 2001-12-06 | 2015-11-17 | Arthrocare Corporation | Bone anchor insertion device |
US7682374B2 (en) | 2003-10-21 | 2010-03-23 | Arthrocare Corporation | Knotless suture lock and bone anchor implant method |
US20160331367A1 (en) * | 2004-05-07 | 2016-11-17 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
US10172608B2 (en) * | 2004-05-07 | 2019-01-08 | USGI Medical LLC | Apparatus and methods for positioning and securing anchors |
US10561409B2 (en) | 2004-06-02 | 2020-02-18 | Kfx Medical, Llc | System and method for attaching soft tissue to bone |
US8062334B2 (en) | 2004-06-02 | 2011-11-22 | Kfx Medical Corporation | Suture anchor |
US8529601B2 (en) | 2004-06-02 | 2013-09-10 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US9044226B2 (en) | 2004-06-02 | 2015-06-02 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8109969B1 (en) | 2004-06-02 | 2012-02-07 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8100942B1 (en) | 2004-06-02 | 2012-01-24 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8512378B2 (en) | 2004-06-02 | 2013-08-20 | Kfx Medical Corporation | Suture anchor |
US8951287B1 (en) | 2004-06-02 | 2015-02-10 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8267964B2 (en) | 2004-06-02 | 2012-09-18 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US9655611B2 (en) | 2004-06-02 | 2017-05-23 | Kfx Medical, Llc | System and method for attaching soft tissue to bone |
US8926663B2 (en) | 2004-06-02 | 2015-01-06 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US9414835B1 (en) | 2004-06-02 | 2016-08-16 | Kfx Medical, Llc | System and method for attaching soft tissue to bone |
US8133258B2 (en) | 2006-08-03 | 2012-03-13 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US8317829B2 (en) | 2006-08-03 | 2012-11-27 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US8137381B2 (en) * | 2007-04-25 | 2012-03-20 | Arthrocare Corporation | Knotless suture anchor having discrete polymer components and related methods |
US8425536B2 (en) | 2007-09-12 | 2013-04-23 | Arthrocare Corporation | Implant and delivery system for soft tissue repair |
US7963972B2 (en) | 2007-09-12 | 2011-06-21 | Arthrocare Corporation | Implant and delivery system for soft tissue repair |
US8808374B2 (en) | 2007-12-27 | 2014-08-19 | Mathys Ag Bettlach | Device for implanting a system for loading a cruciate ligament in a knee joint |
DE102008016607B4 (en) * | 2007-12-27 | 2020-10-29 | Mathys Ag Bettlach | Device for implantation in a bone and a system for stressing a reconstructed anterior cruciate ligament during the healing phase, comprising the device |
US9289285B2 (en) | 2007-12-27 | 2016-03-22 | Mathys Ag Bettlach | Device for implanting a system for loading a cruciate ligament in a knee joint |
US20110046733A1 (en) * | 2007-12-27 | 2011-02-24 | Mathys Ag Bettlach | device for implanting a system for loading a cruciate ligament in a knee joint |
US20090171400A1 (en) * | 2007-12-28 | 2009-07-02 | Ross Creek Medical | Apparatus for discrete tissue anchoring for soft tissue repair and method of use |
US8597336B2 (en) | 2007-12-28 | 2013-12-03 | Howmedica Osteonics Corp. | Apparatus for discrete tissue anchoring for soft tissue repair and method of use |
US10390807B2 (en) | 2008-02-15 | 2019-08-27 | Rex Medical, L.P. | Vascular hole closure device |
US9924930B2 (en) | 2008-02-15 | 2018-03-27 | Rex Medical, L.P. | Vascular hole closure device |
US9463005B2 (en) | 2008-02-15 | 2016-10-11 | Rex Medical, L.P. | Vascular hole closure device |
US9339261B2 (en) | 2008-02-15 | 2016-05-17 | Rex Medical, L.P. | Vascular hole closure delivery device |
US9295458B2 (en) | 2008-02-15 | 2016-03-29 | Rex Medical, L.P. | Vascular hole closure delivery device |
US11064986B2 (en) | 2008-02-15 | 2021-07-20 | Rex Medical, L.P. | Vascular hole closure device |
US9782155B2 (en) | 2008-02-15 | 2017-10-10 | Rex Medical, L.P. | Vascular hole closure device |
US8920462B2 (en) | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
US8920463B2 (en) | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
US9943300B2 (en) | 2008-02-15 | 2018-04-17 | Rex Medical, L.P. | Vascular hole closure device |
US11123059B2 (en) | 2008-02-15 | 2021-09-21 | Rex Medical, L.P. | Vascular hole closure delivery device |
US9226738B2 (en) | 2008-02-15 | 2016-01-05 | Rex Medical, L.P. | Vascular hole closure delivery device |
US8968361B2 (en) | 2008-02-15 | 2015-03-03 | Rex Medical, L.P. | Vascular hole closure device |
US10004486B2 (en) | 2008-02-15 | 2018-06-26 | Rex Medical, L.P. | Vascular hole closure delivery device |
US10390808B2 (en) | 2008-02-15 | 2019-08-27 | Rex Medical, L.P | Vascular hole closure device |
US8491629B2 (en) | 2008-02-15 | 2013-07-23 | Rex Medical | Vascular hole closure delivery device |
US8070772B2 (en) | 2008-02-15 | 2011-12-06 | Rex Medical, L.P. | Vascular hole closure device |
US10342524B2 (en) | 2008-02-15 | 2019-07-09 | Rex Medical, L.P. | Vascular hole closure device |
US11369354B2 (en) | 2008-02-15 | 2022-06-28 | Rex Medical L.P. | Vascular hole closure delivery device |
US10108646B2 (en) | 2008-02-15 | 2018-10-23 | Rex Medical, L.P. | Vascular hole closure delivery device |
US11020104B2 (en) | 2008-02-15 | 2021-06-01 | Rex Medical L.P. | Vascular hole closure delivery device |
US10098621B2 (en) | 2008-02-15 | 2018-10-16 | Rex Medical, Lp. | Vascular hole closure delivery device |
US8828029B2 (en) | 2008-06-30 | 2014-09-09 | Arthrocare Corporation | Independent suture tensioning and snaring apparatus |
US8105343B2 (en) | 2008-06-30 | 2012-01-31 | Arthrocare Corporation | Independent suture tensioning and snaring apparatus |
US8617186B2 (en) | 2008-06-30 | 2013-12-31 | Arthrocare Corporation | Independent suture tensioning and snaring apparatus |
US8834495B2 (en) | 2008-06-30 | 2014-09-16 | Arthrocare Corporation | Independent suture tensioning and snaring apparatus |
US20130072976A1 (en) * | 2008-09-08 | 2013-03-21 | Howmedica Osteonics Corp. | Knotless suture anchor for soft tissue repair and method of use |
US8777990B2 (en) | 2008-09-08 | 2014-07-15 | Howmedica Osteonics Corp. | Knotless suture anchor for soft tissue repair and method of use |
US9867606B2 (en) * | 2008-09-08 | 2018-01-16 | Howmedica Osteonics Corp. | Knotless suture anchor for soft tissue repair and method of use |
US10729422B2 (en) | 2008-09-08 | 2020-08-04 | Howmedica Osteonics Corp. | Knotless suture anchor for soft tissue repair and method of use |
US8992573B2 (en) * | 2008-09-08 | 2015-03-31 | Howmedica Osteonics Corp. | Knotless suture anchor for soft tissue repair and method of use |
US20100063542A1 (en) * | 2008-09-08 | 2010-03-11 | Van Der Burg Erik | Knotless suture anchor for soft tissue repair and method of use |
US20130072975A1 (en) * | 2008-09-08 | 2013-03-21 | Howmedica Osteonics Corp. | Knotless suture anchor for soft tissue repair and method of use |
US20100121348A1 (en) * | 2008-11-12 | 2010-05-13 | Ross Creek Medical | Insertion tool for knotless suture anchor for soft tissue repair and method of use |
US9451942B2 (en) | 2008-11-12 | 2016-09-27 | Howmedica Osteonics Corp. | Insertion tool for knotless suture anchor for soft tissue repair and method of use |
US8613756B2 (en) | 2009-10-30 | 2013-12-24 | Depuy Mitek, Llc | Knotless suture anchor |
US9855030B2 (en) | 2009-10-30 | 2018-01-02 | Depuy Mitek, Llc | Knotless suture anchor |
CN102113901A (en) * | 2009-10-30 | 2011-07-06 | 德普伊米特克公司 | Knotless suture anchor |
US9078646B2 (en) | 2009-10-30 | 2015-07-14 | Depuy Mitek, Llc | Knotless suture anchor |
AU2010236109B2 (en) * | 2009-10-30 | 2015-10-08 | Depuy Mitek, Inc. | Knotless suture anchor |
US10617407B2 (en) | 2009-10-30 | 2020-04-14 | DePuy Synthes Products, Inc. | Knotless suture anchor |
US8617207B1 (en) | 2010-05-14 | 2013-12-31 | University Of South Florida | Surgical needle with jam cleat |
US9357996B2 (en) * | 2010-09-08 | 2016-06-07 | DePuy Synthes Products, Inc. | Fixation device with magnesium core |
US20150164566A1 (en) * | 2010-10-05 | 2015-06-18 | Toby Orthopaedics, Inc. | System and method for facilitating repair and reattachment of comminuted bone portions |
US20120083848A1 (en) * | 2010-10-05 | 2012-04-05 | Eduardo Gonzalez-Hernandez | System and method for facilitating repair and reattachment of comminuted bone portions |
US9271776B2 (en) * | 2010-10-05 | 2016-03-01 | Toby Orthopaedics, Inc. | System and method for facilitating repair and reattachment of comminuted bone portions |
US8961573B2 (en) * | 2010-10-05 | 2015-02-24 | Toby Orthopaedics, Inc. | System and method for facilitating repair and reattachment of comminuted bone portions |
US8870963B2 (en) | 2010-10-27 | 2014-10-28 | Toby Orthopaedics, Inc. | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US9757240B2 (en) | 2010-10-27 | 2017-09-12 | Toby Orthopaedics, Inc. | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US10524919B2 (en) | 2010-10-27 | 2020-01-07 | Toby Orthopaedics, Inc. | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US11266506B2 (en) | 2010-10-27 | 2022-03-08 | Toby Orthopaedics, Inc. | System for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US9254154B2 (en) | 2011-03-03 | 2016-02-09 | Toby Orthopaedic, Inc. | Anterior lesser tuberosity fixed angle fixation device and method of use associated therewith |
US9636101B2 (en) | 2011-09-01 | 2017-05-02 | Arthrocare Corporation | Bone anchor having an integrated stress isolator |
US10299939B2 (en) | 2011-10-27 | 2019-05-28 | Toby Orthopaedics, Inc. | Bone joint replacement and repair assembly and method of repairing and replacing a bone joint |
US11129723B2 (en) | 2011-10-27 | 2021-09-28 | Toby Orthopaedics, Inc | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US9271772B2 (en) | 2011-10-27 | 2016-03-01 | Toby Orthopaedics, Inc. | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US11285020B2 (en) | 2011-10-27 | 2022-03-29 | Toby Orthopaedics, Inc. | Bone joint replacement and repair assembly and method of repairing and replacing a bone joint |
US9730797B2 (en) | 2011-10-27 | 2017-08-15 | Toby Orthopaedics, Inc. | Bone joint replacement and repair assembly and method of repairing and replacing a bone joint |
US10188522B2 (en) | 2011-10-27 | 2019-01-29 | Toby Orthopaedics, Inc. | System for replacement of at least a portion of a carpal articular surface of a radius |
US9402667B2 (en) | 2011-11-09 | 2016-08-02 | Eduardo Gonzalez-Hernandez | Apparatus and method for use of the apparatus for fracture fixation of the distal humerus |
US9848984B2 (en) | 2011-12-19 | 2017-12-26 | Edwards Lifesciences Corporation | Methods of anchoring cardiac implants using knotless suture fasteners |
US9936947B2 (en) | 2011-12-19 | 2018-04-10 | Edwards Lifesciences Corporation | Systems for deploying knotless suture anchoring clamps |
WO2013096411A1 (en) * | 2011-12-19 | 2013-06-27 | Edwards Lifesciences Corporation | Knotless suture anchoring devices and tools for implants |
US9504466B2 (en) | 2011-12-19 | 2016-11-29 | Edwards Lifesciences Corporation | Methods of deploying knotless suture anchoring clamps |
US11576667B2 (en) | 2011-12-19 | 2023-02-14 | Edwards Lifesciences Corporation | Methods of securing a cardiac implant using knotless suture clamps |
CN104135973A (en) * | 2011-12-19 | 2014-11-05 | 爱德华兹生命科学公司 | Knotless suture anchoring devices and tools for implants |
US10631854B2 (en) | 2011-12-19 | 2020-04-28 | Edwards Lifesciences Corporation | Methods of securing a cardiac implant using knotless suture clamps |
US9034014B2 (en) | 2012-01-27 | 2015-05-19 | Arthrocare Corporation | Free floating wedge suture anchor for soft tissue repair |
US9364210B2 (en) | 2012-01-27 | 2016-06-14 | Arthrocare Corporation | Biased wedge suture anchor and method for soft tissue repair |
US9023083B2 (en) | 2012-01-27 | 2015-05-05 | Arthrocare Corporation | Method for soft tissue repair with free floating suture locking member |
US9226742B2 (en) | 2012-01-27 | 2016-01-05 | Arthrocare Corporation | Restricted wedge suture anchor and method for soft tissue repair |
US9198649B2 (en) | 2012-01-27 | 2015-12-01 | Arthrocare Corporation | Rotating locking member suture anchor and method for soft tissue repair |
US9855028B2 (en) | 2012-04-06 | 2018-01-02 | Arthrocare Corporation | Multi-suture knotless anchor for attaching tissue to bone and related method |
US10292696B2 (en) | 2012-08-03 | 2019-05-21 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
US11504111B2 (en) | 2012-08-03 | 2022-11-22 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
US10595853B2 (en) | 2012-08-03 | 2020-03-24 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
US10835302B2 (en) | 2012-12-17 | 2020-11-17 | Toby Orthopaedics, Inc. | Bone plate for plate osteosynthesis and method for use thereof |
US11583324B2 (en) | 2012-12-17 | 2023-02-21 | Toby Orthopaedics, Llc | Bone plate for plate osteosynthesis and method for use thereof |
US9956017B2 (en) | 2012-12-17 | 2018-05-01 | Toby Orthopaedics, Inc. | Bone plate for plate osteosynthesis and method for use thereof |
US9283008B2 (en) | 2012-12-17 | 2016-03-15 | Toby Orthopaedics, Inc. | Bone plate for plate osteosynthesis and method for use thereof |
US9333014B2 (en) | 2013-03-15 | 2016-05-10 | Eduardo Gonzalez-Hernandez | Bone fixation and reduction apparatus and method for fixation and reduction of a distal bone fracture and malunion |
US10842481B2 (en) | 2013-06-07 | 2020-11-24 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US9936940B2 (en) | 2013-06-07 | 2018-04-10 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US11304730B2 (en) | 2017-12-22 | 2022-04-19 | Orthopediatrics Corp. | Tethered restraint of vertebral bodies |
US11504105B2 (en) | 2019-01-25 | 2022-11-22 | Rex Medical L.P. | Vascular hole closure device |
US11311284B2 (en) | 2019-03-06 | 2022-04-26 | Speed Clip Solutions, LLC | Suture tensioning and securement device, system, and methods |
WO2022155464A1 (en) * | 2021-01-15 | 2022-07-21 | Rafael Holdings, Inc. | Compression anchor systems, devices, instruments, implants and methods of assembly and use |
Also Published As
Publication number | Publication date |
---|---|
AU2003291404A1 (en) | 2004-06-15 |
US20040098050A1 (en) | 2004-05-20 |
US7090690B2 (en) | 2006-08-15 |
EP1562487A4 (en) | 2011-06-29 |
WO2004045367A3 (en) | 2005-04-07 |
AU2003291404A8 (en) | 2004-06-15 |
WO2004045367A2 (en) | 2004-06-03 |
EP1562487A2 (en) | 2005-08-17 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7090690B2 (en) | Devices and methods for repairing soft tissue | |
US6855157B2 (en) | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device | |
US7682374B2 (en) | Knotless suture lock and bone anchor implant method | |
AU2002306478B2 (en) | Methods and devices for attaching connective tissues to bone using a knotless suture anchoring device | |
US6520980B1 (en) | Method and apparatus for attaching connective tissues to bone using a self-locking knotless suture anchoring device | |
US9357993B2 (en) | Knotless suture anchoring device having deforming section to accommodate sutures of various diameters | |
US7083638B2 (en) | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device | |
US6652561B1 (en) | Method and apparatus for attaching connective tissues to bone using a perforated suture anchoring device | |
US6585730B1 (en) | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device | |
AU2001275086A1 (en) | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: OPUS MEDICAL, INC., CALIFORNIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:FOERSTER, SETH A.;GORDON, NORMAN S.;RITCHART, MARK A.;AND OTHERS;REEL/FRAME:021568/0391;SIGNING DATES FROM 20021112 TO 20021118 |
|
AS | Assignment |
Owner name: ARTHROCARE CORPORATION, TEXAS Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:OPUS MEDICAL, INC.;REEL/FRAME:021584/0320 Effective date: 20041221 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |