US3648705A - Retention bar means for surgical incision closure - Google Patents

Retention bar means for surgical incision closure Download PDF

Info

Publication number
US3648705A
US3648705A US3648705DA US3648705A US 3648705 A US3648705 A US 3648705A US 3648705D A US3648705D A US 3648705DA US 3648705 A US3648705 A US 3648705A
Authority
US
Grant status
Grant
Patent type
Prior art keywords
retention
incision
flesh
bar
element
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.)
Expired - Lifetime
Application number
Inventor
Banning G Lary
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BANNING G LARY
Original Assignee
BANNING G LARY
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Grant date

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0466Suture bridges

Abstract

For use in retaining a surgical incision against inadvertent rupture or disruption, a pair of retention bar elements which provides reinforcing means for the retention thread loops of an incision closure and provides means for reducing flesh tearing and necrosis at the thread loop penetrations of the skin and body tissue. The pair of retention bar elements are adapted to be located parallel and on opposite sides of the line of incision of a surgical wound and preferably are formed of pliable tear resistant material, such as extruded polyvinyl plastic material. A preferred form is generally of a figure of eight configuration as seen in transverse section so that each retention bar element includes parallel dual tubular portions connected by a thin web portion. In use of the retention bar elements of the invention, retention thread loops pass through the web portions of the pair of bars, extend transversely over the incision, and encircle the confrontingly extending tubular inner portions respectively of the retention bar elements, the bar providing purchase so that the forces uniting the loops and holding the incision are oriented away from the flesh surface and do not tear it, but rather the tearing forces are transferred to the bars, and the pliability of the material yields so as to conform to the flesh surface and distribute the load of the retention loops as the contour of the flesh surface changes during the healing process as swelling occurs and then diminishes.

Description

United States Patent Lary 1 Mar. M, 1072 [54] RETENTION BAR MEANS FOR SURGICAL INCISION CLOSURE Banning G. Lary, 7400 N. Kendall, Miami, Fla. 33156 July 16, 1970 inventor:

Filed:

App]. No.:

10.8. C1 ..l128/335 lint. Cl. Field of Search.....

References Cited UNITED STATES PATENTS Primary Examiner-Dalton L. Truluck AttomeyJohn Cyril Malloy [57] ABSTRACT For use in retaining a surgical incision against inadvertent rupture or disruption, a pair of retention lbar elements which provides reinforcing means for the retention thread loops of an incision closure and provides means for reducing flesh tearing and necrosis at the thread loop penetrations of the skin and body tissue. The pair of retention bar elements are adapted to be located parallel and on opposite sides of the line of incision of a surgical wound and preferably are formed of pliable tear resistant material, such as extruded polyvinyl plastic material. A preferred form is generally of a figure of eight configuration as seen in transverse section so that each retention bar ele ment includes parallel dual tubular portions connected by a thin web portion. In use of the retention bar elements of the invention, retention thread loops pass through the web portions of the pair of bars, extend transversely over the incision, and encircle the confrontingly extending tubular inner portions respectively of the retention bar elements, the bar providing purchase so that the forces uniting the loops and holding the incision are oriented away from the flesh surface and do not tear it, but rather the tearing forces are transferred to the bars, and the pliability of the material yields so as to conform to the flesh surface and distribute the load of the retention loops as the contour of the flesh surface changes during the healing process as swelling occurs and then diminishes.

10 Claims, 7 Drawing Figum Patented March 14, 1972 3,648,705

INVENTOR. BAw/w/us 6. L4H) HTTORA/EX RETENTTON B MEANS FOR SURGTCAJL llNCllSllON CLOSURE BACKGROUND OF THE INVENTION Field of the Invention This invention relates to surgical incision closure retention suture means generally and more particularly relates to retention bar elements for use in operating procedures for preventing elongation or eroding of skin and tissue at ,the thread loop penetrations and is designed to increase the effectiveness of retention loop sutures.

Description of the Prior Art Although the use of heavy thread retention stitches or retention loop sutures have long been recognized as a principal means for safeguarding an incision against inadvertent disruption, the prior art techniques which use retention sutures have had certain undesirable effects resulting in use: since the retention loop must be drawn tautly across the incision and maintained in such condition for effectiveness, there is often a tendency of the thread loop to elongate or erode into the skin and tissue at the thread loop penetrations of the incision injuring it and resulting in skin necrosis and causing objectionable scar tissue of the wound after healing. Various devices have heretofore been employed to prevent such occurences and include the use of gauze padding, buttons, segments of rubber tubing, and plastic bridges. Such devices have as a principal purpose, to lift the retention suture thread loops away from the skin surface and to reinforce or distribute the cutting pressure of the thread loops over a wider area of the skin tissue at the suture perforations. While the use of gauze padding, buttons, and other such devices have been helpful in many applications in reducing the disadvantages referred to above generally, serious problems have remained. Also, as healing of the incision wound initiates in a normal process, it tends to swell being more apt to be damaged in this condition and the application of certain of the prior art retention loop reinforcing devices may hold the retention suture thread in a continuously taut and unyielding manner which further aggravates the tissue tearing tendency of the retention suture prior art ligation and does not provide structure which yields to adjust to such swelling as healing takes place, with the swelling gradually diminishing.

The retention bar means of the instant invention obviates many of the above-mentioned objectionable features noted in the use of the retention suture reinforcing devices of buttons, gauze padding, or the like, and provides an effective means for reducing the tissue cutting tendency of retention thread sutures by providing an effective means for spreading the thread pulling pressure over a wider area of the skin adjacent the thread loop penetrations; and, additionally, is easily applied. Also the use of the retention bar means of the invention reduces substantially the formation of objectionable scar tissue surrounding a healed wound, improving the cosmetics of the field or area of the operation and confining it, by reason of the fact that the improved retention bar elements of this invention permits the retention loops at their penetration in opposed relation with the flesh of the skin to be closer together. The retention bar means firmly retains the incision wound against disruption and yet permits yielding movement to accommodate normal swelling and permits controlled ligation of the wound during normal body movements of a patient or when undue stress is placed on the incision by coughing, sneezing, or other such occurences. The retention bar structure of the instant invention and its procedure of use, also admits of ready inspection or attendance to a surgical incision and effective postoperative procedure.

BRIEF DESCRIPTION OF THE DRAWING FIG. 1 is an environmental view of the retention bar means of the instant invention in conjunction with a series of retention loop elements in a retention suture development closing an incision;

FIG. 2 is a perspective view of a preferred configuration of a retention bar element;

FIGS 3, 4i, 5, n and 7 are alternative constructions of retention bar elements.

DESCRIPTION OF Til-TIE PREFED EMBODIMENT The retention bar means of the instant invention is generally designated by numeral 12 in MG. 1 and is shown and described in conjunction with a series of retention suture loop elements R providing postoperative retention means for a typical abdominal incision ll. Generally, the procedure and particular configuration of the retention thread suture means of the drawing do not constitute a part of the invention; however, for illustrative purposes, the general method of suturing an incision is performed by placing incision sutures such as S1, S2, S3, in the manner shown. The retention bar elements of the present invention are designated by the numerals Ml and 114i and are used in reinforcing the series of retention thread sutures or loops.

Each of the retention bar elements M and M of the pair are preferably of like transverse design and companionate length and may be formed by severing a single length of retention bar stock material. For this reason, the following specific description of a preferred configuration of the left retention bar element 141 will suffice as to a description of the right retention bar element, which is also characteristic of the other embodiments which will also be discussed hereinafter.

The retention bar 1141 is preferably formed of polyvinyl extruded plastic material of resilient or cushioning character. The polyvinyl material preferably is of a firm resilient constituency permitting resilient lateral deformation and longitudinal biaxial flexure of the bar. This illustrated retention bar Ml FIG. 2, is of a generally symmetrical figure eight transverse section and preferably includes parallel dual-arranged inner and outer rib portions 16 and 118 and a web portion 20] integrally connecting the rib portions in parallel longitudinally extending disposition. The inner and outer rib portions 116 and 1d of the retention bar element 14 preferably are respectively of tubular thin-wall ellipsoidal form and with the lateral axes of the element through the web being adapted to overlay the field in spaced relation above it when in a normal unstressed condition with the pair of elements aligned and on opposite sides of the incision line. The retention bar element 11 optionally may be provided with a series of thread apertures 26 uniformly intermittently arranged in spaced relation along the length of the web 20 of the retention bar. The thread apertures 26 may be formed during manufacture of the retention bar or optionally, the thread apertures may be formed during surgical procedure by the needle means used to form the retention thread ligation or network.

The retention bar elements 114 and M may be applied in a surgical procedure in the following manner: Prior to the closing of the incision, the several retention thread lengths are embeddedly placed transversely in the wound area and with the opposite free ends of the retention threads anchored as in conventional manner by hemostat and towel means. The several series of incision stitches Sl, S2, S3 are applied to close the incision openings respectively of the several layers Ll, L2, L3 of the abdomen wall structure. The pair of retention bar elements M, and M are then located parallel and each respectively on opposite sides of the line of incision; the loose end portions respectively of the retention sutures R are passed upwardly through the web apertures 26 or by perforating the web portions respectively by the needle means of the retention sutures (the arrow 2% in FIG. ll illustrates this step of the procedure).

The adjacent loose ends R1, R2 of each pair of retention sutures are tied together along the respective web portions 20, 20', forming respectively the longitudinal ties T, T (this step is indicated by arrow 30 in FIG. 1). At this state, an elongate padding of gauze material (not shown) may be placed over the incision and between the parallel retention bars. The double strand segments RR of each adjacent pair of retention sutures, are brought together and tied, forming the double strand retention ties RR (this step is indicated by arrow 32). The wound surface is now closed and with the several double strand cross sutures RR each being tied and tautly spanning the tubular inner rib portions 16, 16' of the pair of retention bars (indicated by arrow 34). To the extent that the area around the wound excessively swells, and at the first dressing change the transverse retention sutures RR may be cut to accommodate the swelling beyond that which is relatively normal. At this stage, the retention bar elements remain in position along the opposite side of the incision line being fastened to the flesh by the suture loop segments R passing transversely and being embedded in the flesh beneath the incision line and by virtue of the longitudinally spaced portions of the loops T and T' which are above the flesh surface and secured along the web portions 20 and 20' of the retention bars. The wound is held in a firm but relaxed disposition, and the gauze material may be removed and the wound attended to. After a period of 4 to 10 days, the pair of retention bars may be removed by clipping the retention sutures R underneath a respective one of the retention bars; clipping the thread from underneath one bar permits removal of that bar, and then the opposite bar may be lifted and removed, thereby withdrawing the series of embedded suture thread segments from the wound area.

While the embodiment of FIG. 2 illustrates a preferred configuration with each bar element being characterized by dual or parallel zones 56 and S8 for flesh contact, other configurations are suitable, it being pointed out, however, that the lower or flesh confronting surface generally designated by the nu meral 66 is elevated as at 62, 64, 66, 68 and 70 by reason of the curvature of the lower surface, it is thus seen that the united ends of the loops passed beneath the incision are arranged such that the zone of contact with the flesh is somewhat adjustable as the curved surface of the zone gently nests over the flesh along opposite sides of the wound and does not bite into or present sharp edges so that as swelling occurs injury is not caused to it. Also, opposing united ends of the spaced loops embedded in the flesh when connected by the retention portions R are oriented so that forces drawing the tied ends T and T together are constrained by reason of the purchase obtained by the bar elements to forces at the skin surface and that the tendency of such forces to tear the flesh is transferred to the retention bar elements by reason of the configuration of them. The zone of contact is of an area which changes as swelling occurs in the field, that is, the pliable material of the bar elements as seen in cross section flexes downwardly to increase the zone of contact. Also, the axial length of the retention bar elements tends to conform to the surface of the flesh as swelling occurs and diminishes during the healing process, providing retention bar elements which while maintaining a purchase to resist tearing and consequent scarring, simultaneously yield to healing forces conforming to the changing contour of the flesh surface. It will be noted that as swelling occurs the zone of contact is increased, in the embodiment of FIGS. 2 and 3 particularly, and by so doing distributes the load over a wider area without significant effect on the purchase obtained by reason of the configuration of the retention bar element. Therefore, by reason of this invention, the field subjected to scarring may be reduced since the retention bar elements permit the retention sutures to be more closely spaced to the incision line causing a reduction in the field and consequently a reduction of the area which is cosmetically affected as well as improving the cosmetic appearance of it by reason of reducing the tear force effect on the flesh itself.

Referring to FIG. 3, an alternative embodiment is shown which comprises a pair of retention elements, each of which are similar and therefore only that designated by numeral 75 will be referred to in this paragraph. It includes a body.77 which is tubular and preferably of uniform cross section and generally ellipsoidal in form. It is provided with a longitudinally extending flange 79 which extends outwardly from the major axis of the tubular body 77 and which is adapted to receive the opposite ends of the retention loops referred to above along the region of juncture 81 between the flange and the body. This configuration is oriented in the manner indicated in FIG. 3 with respect to the incision line which is designated by the letter I. It is thus seen that by reason of the passage of the opposite end portions of the loops R through the region 81, a purchase is obtained at each thread loop by reason of the curvature of the upper surface 83 of the bar elements.

Referring to FIGS. 4 and 5, the retention bar elements are shown on opposite sides of an incision line again designated by the numeral I and are, in the case of FIG. 4, of generally circular section, while in the case of FIG. 5, are of generally elliptical section, the elements of FIG. 4 being designated generally by the numeral 86 and the elements of FIG. 5 being generally designated by the numeral 88. These elements are provided on opposite sides of the length of the incision and receive the ends of the loops R passing therethrough. While the embodiments of FIGS. 4 and 5 are tubular, that is provided with an extending column therethrough as at 89 and 90 respectively, in certain embodiments not shown, the same may be of solid configuration. By reason of the foregoing, it is seen that there is provided, in the embodiments shown in FIGS. 4 and 5, a thin walled deformable retention bar element which is adapted to yield to the forces of swelling and thread tautness in installation so as to present a lower surface having a zone of contact 92 and 94 to distribute the load while at the same time being of a sufficient height to cause a purchase or force orienting to resist tearing and transfer the thread forces to the retention element body. Also, the bar elements, configured as in FIGS. 4 and 5, are yieldable to vertical forces caused by swelling, and also by reason of the pliability of the material of which they are constructed, vary in contour along the axial length when installed, in response to swelling so as to uniformly distribute the thread pulling forces. The bar elements 86 and 88 each may be provided with a plurality of intermittently spaced thread apertures along the length thereof, corresponding in form and function with the thread apertures 26 in the embodiment of FIG. 1. While the bar elements 86 and 88 of the embodiments of FIGS. 4 and 5 are not as preferred as that of FIG. 2, by reason of the fact that there is an unfavorable contour presented to the flesh skin to accommodate swelling, the bar elements 86 and 88 each provide a zone of contact and force distribution and orienting means which is yieldable and in a sense floatable on the flesh surface in response to the adjustment required as swelling and healing processes occur. The utilization, however, of a retention bar element of dual-tube form, as shown in FIG. 2, is preferred since the orientation of such retention bar is fool-proof, which is not the case with respect to the retention bar embodiment of FIG. 3, the use of which requires the flanged portion 79 to be arranged outboard of the tubular body 77 and with respect to the incision line.

Referring to FIG. 6, there is shown a pair of spaced retention bar elements and 102 which are aligned parallel to an incision line I and which are generally of the same tear resistant pliable material, in strip form and of a sufficient thickness 114 so as to provide purchase for the purposes described above while at the same time being yieldable to conform to the flesh surface. In the embodiment of FIG. 6, it is preferred that the longitudinal medial length of the oppositely oriented main surfaces 104 and 106 be recessed, defining longitudinal grooves 108 and 110 and a relatively thin web area 112 to accommodate passage of a needle used in the development of the sutures. In use, the thickness 114 of the retention elements 100 and 102, between the upper and lower surfaces 104 and 106, is such as to provide purchase in that the elongate symmetrical mass 116 on the inboard sides of the elements is sufficient to distribute the load along the opposite sides of the wound. In this embodiment, the longitudinally extending corner edges 118 preferably are somewhat rounded so as not to present sharp surfaces, and by reason of the cushioning material of construction, do not chaffe the skin surface.

The retention means described above provide a pair of elongate companionate retention bar elements adapted to be placed on the opposite sides of an incision with each of the elements being of a pliable tear resistant material, which are flexible with respect to the longitudinal axis and deformable with respect to the cross sectional areas. lEach retention bar element preferably is formed to transparent surgical quality polyvinyl chloride, and extruded with a thin web or flange portion through which a needle is adapted to be passed and which is therefore penetratable by the same, and includes a purchase causing portion, compressible in cross sectional area, and which is of a height between the flesh abutting surface and the outer surface sufficient to cause a purchase effect orienting the retention sutures outwardly of the incision area. Also, each retention element is deformable to conform to the varying contour of the surface of the flesh and to follow the contour thereof as the healing process takes place, and in a sense to float to a degree generally conforming thereto.

In a preferred embodiment, the stitch receiving portion or plate of the elements is in the order of between and 60 thousandths of an inch thick and in any event is sufficient to resist the tearing or slicing forces of the suture threads passing through the stitch receiving portion. The air columns of the hollow bar elements shown may be bounded by walls of varying thickness to achieve the results and purposes set forth herein and to define a stitch receiving portion and a purchase causing portion; and preferably the elements are all of flexible pliable tear resistant plastic material and of uniform cross section throughout their lengths. A thin recess or guide line designated by the numeral 115 in FlG. and 1117 in FIG. 5 may be provided to designate the stitch receiving portion in contradistinction to the purchase causing portion, this being achieved in N68. 2 and 6 by the longitudinally extending recesses formed in the exterior surface of the bar elements, and as by the crotch of the angle between the stitch plate or flange 79 and the body 77 of the element shown in FIG. 3. Additionally, color coding may be provided to designate various retention element lengths for selection of them from suitable swrage facilities or to indicate the orientation of the stitch plate or the stitch receiving portion of the elements. The embodiment of lFllG. 7, provided with the cite line 1115 may also be used as an alternative embodiment.

What is claimed is:

ll. For use in a surgical incision wound closure procedure wherein retention thread loop sutures are applied transversely of the incision area as a precautionary measure for preventing wound disruption, with a portion of the loop being embedded in the flesh beneath the incision line and a portion above the line and spanning the incision,

retention bar means for reinforcing the retention thread loops developed in closing the incision comprising,

a pair of separate elongate retention bar elements of flexible, pliable, rubbery material resistant to slicing forces and adapted for placement in parallel relation longitudinally extending respectively on opposite sides of the wound incision,

each of said elements being of a companionate length to overlay opposite sides of said incision line in spaced rela tion thereto,

each bar element being generally of a configuration in cross section having an upper and a lower nonadhesive surface with said lower surface being configured in cross section so that when the element is in normal unstressed condition, a portion of the lower surface contacts the surface of the underlying flesh and the remainder of the lower surface is above the flesh,

the pair of retention bar elements each including a stitch receiving portion extending longitudinally of the bar element for passage therethrough at spaced portions the suture loops along the element and with opposite sides of the loops being opposingly arranged, with loop portions transversely spanning the flesh surface in a network of tie threads, and each of the bar elements including a relatively thick portion to constrain forces drawing the suture loops tautly to be applied generally outwardly of the flesh surface to resist tearing of the flesh and to transfer slicing forces to the element and resist tearing of the flesh,

said elements being deformable in cross section and longitudinally flexible to conform to and yield in response to various stages of swelling as the healing process takes place.

2. The device as set forth in claim ll wherein said lower surface of each retention bar element is arcuate in transverse extension and defines a fair curve.

3. The device as set forth in claim 2 wherein the portion of the lower surface to contact the flesh surface is continuous along the length of each of the bar elements.

il. The device as set forth in claim 35 wherein the lower portion of each bar element comprises a pair of spaced rib sur faces with each of the rib surfaces having a central zone extending along the lower surface to contact the flesh and with a portion of the lower surface lying between the rib surfaces when said bar element is in a normal unstressed condition.

5. The device as set forth in claim l wherein the relatively thick portion of said retention bar is provided with a through recess extending coincident to the length thereof, weakening the cross sectional area of the element and rendering it yieldable to forces of compression.

is. The device as set forth in claim ll wherein guide line means extending longitudinally of each bar element is provided to designate the stitch receiving portion.

'7. The device as set forth in claim l including a longitudinally extending plate extending outwardly of the stitch receiving portion and adapted to overlay the zone of contact of the lower portion of the lower surface of each bar element when applied in an unstressed condition in parallel relation of an incision line.

ft. The improvement as set forth in claim 7 wherein said plate extends outwardly in flange form of the relatively thick portion of the retention element.

9. The device as set forth in claim ll wherein the configuration of the retention element defines a figure of eight area in cross section, with the centralzone defining said stitch receiving portion and with either of the flanking portions thereof being adapted for use as the relatively thick portion for causing purchase advantage.

lltl. The device as set forth in claim ll wherein the exterior surfaces of the retention bar elements are defined in part by a longitudinally extending recess for orientating the stitch receiving portion during use of the elements.

t =l l =7: l

Claims (10)

1. For use in a surgical incision wound closure procedure wherein retention thread loop sutures are applied transversely of the incision area as a precautionary measure for preventing wound disruption, with a portion of the loop being embedded in the flesh beneath the incision line and a portion above the line and spanning the incision, retention bar means for reinforcing the retention thread loops developed in closing the incision comprising, a pair of separate elongate retention bar elements of flexible, pliable, rubbery material resistant to slicing forces and adapted for placement in parallel relation longitudinally extending respectively on opposite sides of the wound incision, each of said elements being of a companionate length to overlay opposite sides of said incision line in spaced relation thereto, each bar element being generally of a configuration in cross section having an upper and a lower nonadhesive surface with said lower surface being configured in cross section so that when the element is in normal unstressed condition, a portion of the lower surface contacts the surface of the underlying flesh and the remainder of the lower surface is above the flesh, the pair of retention bar elements each including a stitch receiving portion extending longitudinally of the bar element for passage therethrough at spaced portions the suture loops along the element and with opposite sides of the loops being opposingly arranged, with loop portions transversely spanning the flesh surface in a network of tie threads, and each of the bar elements including a relatively thick portion to constrain forces drawing the suture loops tautly to be applied generally outwardly of the flesh surface to resist tearing of the flesh and to transfer slicing forces to the element and resist tearing of the flesh, said elements being deformable in cross section and longitudinally flexible to conform to and yield in response to various stages of swelling as the healing process takes place.
2. The device as set forth in claim 1 wherein said lower surface of each retention bar element is arcuate in transverse extension and defines a fair curve.
3. The device as set forth in claim 2 wherein the portion of the lower surface to contact the flesh surface is continuous along the length of each of the bar elements.
4. The device as set forth in claim 3 wherein the lower portion of each bar element comprises a pair of spaced rib surfaces with each of the rib surfaces having a central zone eXtending along the lower surface to contact the flesh and with a portion of the lower surface lying between the rib surfaces when said bar element is in a normal unstressed condition.
5. The device as set forth in claim 1 wherein the relatively thick portion of said retention bar is provided with a through recess extending coincident to the length thereof, weakening the cross sectional area of the element and rendering it yieldable to forces of compression.
6. The device as set forth in claim 1 wherein guide line means extending longitudinally of each bar element is provided to designate the stitch receiving portion.
7. The device as set forth in claim 1 including a longitudinally extending plate extending outwardly of the stitch receiving portion and adapted to overlay the zone of contact of the lower portion of the lower surface of each bar element when applied in an unstressed condition in parallel relation of an incision line.
8. The improvement as set forth in claim 7 wherein said plate extends outwardly in flange form of the relatively thick portion of the retention element.
9. The device as set forth in claim 1 wherein the configuration of the retention element defines a figure of eight area in cross section, with the central zone defining said stitch receiving portion and with either of the flanking portions thereof being adapted for use as the relatively thick portion for causing purchase advantage.
10. The device as set forth in claim 1 wherein the exterior surfaces of the retention bar elements are defined in part by a longitudinally extending recess for orientating the stitch receiving portion during use of the elements.
US3648705A 1970-07-16 1970-07-16 Retention bar means for surgical incision closure Expired - Lifetime US3648705A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US5553070 true 1970-07-16 1970-07-16

Publications (1)

Publication Number Publication Date
US3648705A true US3648705A (en) 1972-03-14

Family

ID=21998465

Family Applications (1)

Application Number Title Priority Date Filing Date
US3648705A Expired - Lifetime US3648705A (en) 1970-07-16 1970-07-16 Retention bar means for surgical incision closure

Country Status (1)

Country Link
US (1) US3648705A (en)

Cited By (87)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2183621A1 (en) * 1972-05-12 1973-12-21 Coilform Cy Retaining rods for incision - in surgical suturing, to prevent stretching or breaking of skin at entry point of stitches
US4210148A (en) * 1978-11-03 1980-07-01 Stivala Oscar G Retention suture system
US4526173A (en) * 1982-04-12 1985-07-02 Kells Medical, Inc. Skin closure device
US4535772A (en) * 1983-03-10 1985-08-20 Kells Medical, Incorporated Skin closure device
US4896668A (en) * 1986-04-10 1990-01-30 Peters Plate set for osteal fixation, equipped with suture strands
US5009663A (en) * 1990-03-22 1991-04-23 Brava Patient Och Invent Ab Method for performing a surgical closure of a skin incision or wound and means for carrying out the method
EP0506992A1 (en) * 1990-03-07 1992-10-07 Detlef Behrend Abdominal wall closure multipart plate
US5366480A (en) * 1990-12-24 1994-11-22 American Cyanamid Company Synthetic elastomeric buttressing pledget
FR2707476A1 (en) * 1993-07-12 1995-01-20 Delacroix Chevalier Device for bringing together the two halves of a sectioned sternum
US5464426A (en) * 1993-05-14 1995-11-07 Bonutti; Peter M. Method of closing discontinuity in tissue
US5496348A (en) * 1993-05-14 1996-03-05 Bonutti; Peter M. Suture anchor
US5534012A (en) * 1993-05-14 1996-07-09 Bonutti; Peter M. Method and apparatus for anchoring a suture
US6485504B1 (en) * 2000-06-22 2002-11-26 James A. Magovern Hard or soft tissue closure
US20030181800A1 (en) * 2002-03-20 2003-09-25 Bonutti Peter M. Methods of securing body tissue
US6712839B1 (en) * 1999-11-24 2004-03-30 Loenne Greger Frame and method for suturing of a wound
US20060241695A1 (en) 2000-03-13 2006-10-26 Bonutti Peter M Method of using ultrasonic vibration to secure body tissue with fastening element
US20080039845A1 (en) * 2006-02-07 2008-02-14 Bonutti Peter M Methods and devices for intracorporeal bonding of implants with thermal energy
US20080114399A1 (en) * 2000-05-03 2008-05-15 Bonutti Peter M Method of securing body tissue
US20080195145A1 (en) * 2007-02-13 2008-08-14 Bonutti Peter M Tissue fixation system and method
US7601165B2 (en) 2006-09-29 2009-10-13 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable suture loop
US7608092B1 (en) 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8496657B2 (en) 2006-02-07 2013-07-30 P Tech, Llc. Methods for utilizing vibratory energy to weld, stake and/or remove implants
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US20140214080A1 (en) * 2013-01-28 2014-07-31 Cartiva, Inc. Method and system for orthopedic repair
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US8936621B2 (en) 2006-02-03 2015-01-20 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
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9226828B2 (en) 2004-10-26 2016-01-05 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US10092288B2 (en) 2016-09-28 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US784018A (en) * 1903-04-06 1905-02-28 Orville O Witherbee Suture-supporting plate.
US2196296A (en) * 1938-07-22 1940-04-09 Owen E Flynn Bandage
US2199025A (en) * 1936-06-08 1940-04-30 Carl E Conn Means and method of closing surgical incisions
US3541591A (en) * 1968-04-26 1970-11-17 Henry J Hoegerman Method and apparatus for closing wounds

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US784018A (en) * 1903-04-06 1905-02-28 Orville O Witherbee Suture-supporting plate.
US2199025A (en) * 1936-06-08 1940-04-30 Carl E Conn Means and method of closing surgical incisions
US2196296A (en) * 1938-07-22 1940-04-09 Owen E Flynn Bandage
US3541591A (en) * 1968-04-26 1970-11-17 Henry J Hoegerman Method and apparatus for closing wounds

Cited By (179)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2183621A1 (en) * 1972-05-12 1973-12-21 Coilform Cy Retaining rods for incision - in surgical suturing, to prevent stretching or breaking of skin at entry point of stitches
US4210148A (en) * 1978-11-03 1980-07-01 Stivala Oscar G Retention suture system
US4526173A (en) * 1982-04-12 1985-07-02 Kells Medical, Inc. Skin closure device
US4535772A (en) * 1983-03-10 1985-08-20 Kells Medical, Incorporated Skin closure device
US4896668A (en) * 1986-04-10 1990-01-30 Peters Plate set for osteal fixation, equipped with suture strands
EP0506992A1 (en) * 1990-03-07 1992-10-07 Detlef Behrend Abdominal wall closure multipart plate
US5009663A (en) * 1990-03-22 1991-04-23 Brava Patient Och Invent Ab Method for performing a surgical closure of a skin incision or wound and means for carrying out the method
US5366480A (en) * 1990-12-24 1994-11-22 American Cyanamid Company Synthetic elastomeric buttressing pledget
US5584862A (en) * 1993-05-14 1996-12-17 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5464426A (en) * 1993-05-14 1995-11-07 Bonutti; Peter M. Method of closing discontinuity in tissue
US5496348A (en) * 1993-05-14 1996-03-05 Bonutti; Peter M. Suture anchor
US6500195B2 (en) 1993-05-14 2002-12-31 Peter M. Bonutti Method and apparatus for anchoring a suture
US5527343A (en) * 1993-05-14 1996-06-18 Bonutti; Peter M. Suture anchor
US5534012A (en) * 1993-05-14 1996-07-09 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5549631A (en) * 1993-05-14 1996-08-27 Bonutti; Peter M. Method of closing discontinuity in tissue
US5549630A (en) * 1993-05-14 1996-08-27 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5569305A (en) * 1993-05-14 1996-10-29 Bonutti; Peter M. Apparatus for anchoring a suture
US5522846A (en) * 1993-05-14 1996-06-04 Bonutti; Peter M. Suture anchor
USRE36974E (en) * 1993-05-14 2000-11-28 Bonutti; Peter M. Suture anchor
FR2707476A1 (en) * 1993-07-12 1995-01-20 Delacroix Chevalier Device for bringing together the two halves of a sectioned sternum
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US6712839B1 (en) * 1999-11-24 2004-03-30 Loenne Greger Frame and method for suturing of a wound
US9986994B2 (en) 2000-03-13 2018-06-05 P Tech, Llc Method and device for securing body tissue
US20080108916A1 (en) * 2000-03-13 2008-05-08 Bonutti Peter M Method of using ultrasonic vibration to secure body tissue with fastening element
US9067362B2 (en) 2000-03-13 2015-06-30 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US9884451B2 (en) 2000-03-13 2018-02-06 P Tech, Llc Method of using ultrasonic vibration to secure body tissue
US20060241695A1 (en) 2000-03-13 2006-10-26 Bonutti Peter M Method of using ultrasonic vibration to secure body tissue with fastening element
US8747439B2 (en) 2000-03-13 2014-06-10 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US20080114399A1 (en) * 2000-05-03 2008-05-15 Bonutti Peter M Method of securing body tissue
US6485504B1 (en) * 2000-06-22 2002-11-26 James A. Magovern Hard or soft tissue closure
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
US20030181800A1 (en) * 2002-03-20 2003-09-25 Bonutti Peter M. Methods of securing body tissue
US9629687B2 (en) 2002-03-20 2017-04-25 P Tech, Llc Robotic arthroplasty system
US9877793B2 (en) 2002-03-20 2018-01-30 P Tech, Llc Robotic arthroplasty system
US9149281B2 (en) 2002-03-20 2015-10-06 P Tech, Llc Robotic system for engaging a fastener with body tissue
US9808318B2 (en) 2002-03-20 2017-11-07 P Tech, Llc Robotic arthroplasty system
US9192395B2 (en) 2002-03-20 2015-11-24 P Tech, Llc Robotic fastening system
US9271741B2 (en) 2002-03-20 2016-03-01 P Tech, Llc Robotic ultrasonic energy system
US9585725B2 (en) 2002-03-20 2017-03-07 P Tech, Llc Robotic arthroplasty system
US9271779B2 (en) 2002-03-20 2016-03-01 P Tech, Llc Methods of using a robotic spine system
US9486227B2 (en) 2002-03-20 2016-11-08 P Tech, Llc Robotic retractor system
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9962162B2 (en) 2003-04-30 2018-05-08 P Tech, Llc Tissue fastener and methods for using same
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US7608092B1 (en) 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
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
US9999449B2 (en) 2004-10-26 2018-06-19 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9980761B2 (en) 2004-10-26 2018-05-29 P Tech, Llc Tissue fixation system and method
US9814453B2 (en) 2004-10-26 2017-11-14 P Tech, Llc Deformable fastener system
US9867706B2 (en) 2004-10-26 2018-01-16 P Tech, Llc Tissue fastening system
US9545268B2 (en) 2004-10-26 2017-01-17 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9579129B2 (en) 2004-10-26 2017-02-28 P Tech, Llc 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
US9226828B2 (en) 2004-10-26 2016-01-05 P Tech, Llc Devices and methods for stabilizing tissue and implants
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9980717B2 (en) 2005-02-22 2018-05-29 P Tech, Llc Device and method for securing body tissue
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8771316B2 (en) 2006-02-03 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8721684B2 (en) 2006-02-03 2014-05-13 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8936621B2 (en) 2006-02-03 2015-01-20 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
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8632569B2 (en) 2006-02-03 2014-01-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9561025B2 (en) 2006-02-03 2017-02-07 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9510821B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9173651B2 (en) 2006-02-03 2015-11-03 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10004489B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8292921B2 (en) 2006-02-03 2012-10-23 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8273106B2 (en) 2006-02-03 2012-09-25 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US9421005B2 (en) 2006-02-07 2016-08-23 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US9743963B2 (en) 2006-02-07 2017-08-29 P Tech, Llc Methods and devices for trauma welding
US20080039845A1 (en) * 2006-02-07 2008-02-14 Bonutti Peter M Methods and devices for intracorporeal bonding of implants with thermal energy
US9610073B2 (en) 2006-02-07 2017-04-04 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US9173650B2 (en) 2006-02-07 2015-11-03 P Tech, Llc Methods and devices for trauma welding
US8496657B2 (en) 2006-02-07 2013-07-30 P Tech, Llc. Methods for utilizing vibratory energy to weld, stake and/or remove implants
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8777956B2 (en) 2006-08-16 2014-07-15 Biomet Sports Medicine, Llc Chondral defect repair
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US8672968B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8231654B2 (en) 2006-09-29 2012-07-31 Biomet Sports Medicine, Llc Adjustable knotless loops
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US7601165B2 (en) 2006-09-29 2009-10-13 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable suture loop
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9414925B2 (en) 2006-09-29 2016-08-16 Biomet Manufacturing, Llc Method of implanting a knee prosthesis assembly with a ligament link
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US8617185B2 (en) 2007-02-13 2013-12-31 P Tech, Llc. Fixation device
US20080195145A1 (en) * 2007-02-13 2008-08-14 Bonutti Peter M Tissue fixation system and method
US9402668B2 (en) 2007-02-13 2016-08-02 P Tech, Llc Tissue fixation system and method
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8900314B2 (en) 2009-05-28 2014-12-02 Biomet Manufacturing, Llc Method of implanting a prosthetic knee joint assembly
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9445827B2 (en) 2011-10-25 2016-09-20 Biomet Sports Medicine, Llc Method and apparatus for intraosseous membrane reconstruction
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9433407B2 (en) 2012-01-03 2016-09-06 Biomet Manufacturing, Llc Method of implanting a bone fixation assembly
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US20140214080A1 (en) * 2013-01-28 2014-07-31 Cartiva, Inc. Method and system for orthopedic repair
US9737294B2 (en) * 2013-01-28 2017-08-22 Cartiva, Inc. Method and system for orthopedic repair
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10092288B2 (en) 2016-09-28 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone

Similar Documents

Publication Publication Date Title
US3570475A (en) Surgical retractor
US3628536A (en) Tourniquet
US3103218A (en) Dressing retainer or strap
US3472228A (en) Apparatus for preparing skin grafts
Browne An operation for hypospadias
US3541591A (en) Method and apparatus for closing wounds
US4487205A (en) Non-metallic, bio-compatible hemostatic clips
US5186711A (en) Hemostasis apparatus and method
US4592357A (en) Septal splint
US5779659A (en) Elastic bandage with tension indicator
US5007921A (en) Surgical staple
US5713839A (en) Pre-operative nasal splint for endoscopic sinus surgery
US6010524A (en) Process and device for stimulating the formation of new tissues in extensive and deep wounds
US7857829B2 (en) Suture method
US4592339A (en) Gastric banding device
US4217665A (en) Prosthesis for use in valvuloplasty
US4736746A (en) Method of fastening tissues
US5611814A (en) Resorbable surgical appliances and endoscopic soft tissue suspension procedure
US4696300A (en) Fastener for joining materials
US4823794A (en) Surgical pledget
US2760488A (en) Internal bone fixation apparatus
US4747393A (en) Visceral retractor
US6106544A (en) Cutaneous harness for sutureless wound closing
US3845772A (en) Retention suture device and method
US5554107A (en) Elastic footwrap