USRE36289E - Umbrella shaped suture anchor device with actuating ring member - Google Patents

Umbrella shaped suture anchor device with actuating ring member Download PDF

Info

Publication number
USRE36289E
USRE36289E US08880133 US88013397A USRE36289E US RE36289 E USRE36289 E US RE36289E US 08880133 US08880133 US 08880133 US 88013397 A US88013397 A US 88013397A US RE36289 E USRE36289 E US RE36289E
Authority
US
Grant status
Grant
Patent type
Prior art keywords
shaft
wing members
suture
anchor member
assembly according
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
US08880133
Inventor
Thu Anh Le
Sung Sok Yi
William Zwaskis
Jack S. Pedlick
Brian H. Luscombe
Dennis D. Jamiolkowski
John Di Giovanni
Keith A. Seritella
Mark G. Steckel
Steven F. Harwin
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.)
Ethicon Inc
Original Assignee
Ethicon Inc
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
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/06Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/048Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/148Materials at least partially resorbable by the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Threaded wires, pins or screws; Nuts therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004(bio)absorbable, (bio)resorbable, resorptive
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409Instruments for applying suture anchors
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414Suture 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
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/042Suture 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
    • A61B2017/0422Suture 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
    • A61B2017/0424Suture 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
    • 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
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06019Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/30299Three-dimensional shapes umbrella-shaped or mushroom-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0093Umbrella-shaped, e.g. mushroom-shaped

Abstract

A suture anchor device having an anchor member with outwardly extending wing members and an actuating wedge member. The suture anchor device is inserted into a bore hole in a bone as part of an orthopedic surgical procedure wherein soft tissue such as a tendon or ligament is attached to the surface of the bone. The wing members are spread outwardly by the wedge member to lock the suture anchor device in the bone. The suture anchor has similar utility in soft tissue applications.

Description

CROSS-REFERENCE

This is a continuation-in-part of application Ser. No. 08/166,493, filed Dec. 13, 1993, .Iadd.now U.S. Pat. No. 5,618,314 .Iaddend.the contents of which are incorporated herein by reference thereto.

TECHNICAL FIELD

The field of art to which this invention relates is suture anchors, more specifically, to suture anchors for attaching soft tissue to bone.

BACKGROUND ART

As the treatment of injuries to joints and soft tissue has progressed in the orthopedic medical arts, there has been a need for medical devices which can be used to attach tendons, ligaments and other soft tissue to bone. When surgically repairing an injured joint, it is preferable to restore the joint by reattaching the damaged soft tissues rather than replacing them with an artificial material. Such restorations typically require the attachment of soft tissue such as ligaments and tendons to bone.

An increase in the incidence of injuries to joints involving soft tissue has been observed. This increased incidence may be due, at least in part, to an increase in participation by the public in various physical activities such as sports and other recreational activities. These types of activities may increase the loads and stress placed upon joints, sometimes resulting in joint injuries with corresponding damage to associated soft tissue. In 1991, for example, there were approximately 560,000 surgical procedures performed in the United States in which soft tissue was attached to a bone in various joints including the shoulder, hip and knee.

One conventional orthopedic procedure for reattaching soft tissue to bone is performed by initially drilling holes or tunnels at predetermined locations through a bone in the vicinity of a joint. Then, the surgeon approximates soft tissue to the surface of the bone using sutures threaded through these holes or tunnels. This method, although effective, is a time consuming procedure resulting in the generation of numerous bone tunnels. The bone tunnels, which are open to various body fluids and infectious agents, may become infected or break. Other known complications may arise including a longer bone-healing period, etc. A known complication of drilling tunnels across bone is that nerves and other soft tissue structures may be injured by the drill bit or orthopaedic pin as it exits the far side of the bone. Also, it may be anatomically impossible or at least very difficult to reach and/or secure a suture/wire that has been passed through a tunnel. When securing the suture or wire on the far side of the bone, nerves and soft tissues can become entrapped and damaged.

Another conventional orthopaedic procedure is that of repairing torn or injured soft tissues such as menisci in the knee. Various kinds of devices has been designed to facilitate insertion of sutures through both sides of the meniscus, but they have been fraught with technical difficulty and some complications such as injury to the blood vessels and nerves. In order to overcome some of the problems associated with the use of the conventional bone tunnel procedures, suture anchors have been developed and are frequently used to attach soft tissue to bone or bone to bone. A suture anchor is an orthopedic, medical device which is typically implanted into a cavity drilled into a bone. These devices are also referred to as bone anchors. In use, the suture anchor is emplaced within the bone and a suture is attached to a portion thereof which is in turn attached to the soft tissue or bone to keep the soft tissue or bone in place against the anchoring bone, for healing purposes. The tension exerted upon the suture, resisted on one end by the emplaced suture anchor, maintains contact between bone and soft tissue. The cavity is typically referred to as a bore hole and usually does not extend through the bone. This type of bore hole is typically referred to as a "blind hole". The bore hole is typically drilled through the outer cortex layer of the bone and into the inner cancellous layer. The suture anchor may be engaged in the bore hole by a variety of mechanisms including friction fit, barbs which are forced into the cancellous layer of bone, etc. Suture anchors are known to have many advantages including reduced bone trauma, simplified application procedures, and decreased likelihood of suture failure. Suture anchors may be used in the Bankart shoulder reconstruction for repairing a lesion of the labrum of the glenoid ligament and may also be used in various orthopedic surgical procedures including those involving rotator cuff repair, ankle, elbow, foot, knee, hand and wrist repair, hip replacement, knee replacement and other bony procedures, such as sternotomy.

Suture anchors typically have a hole or opening for receiving a suture. The suture extends out from the bore hole and is used to attach soft tissue. The suture anchors presently described in the art may be made of absolute materials that absorb over time, or they may be made from various non-absorbable, biocompatible materials. Although most suture anchors described in the art are made from non-absorbable materials, the use of absorbable suture anchors may result in fewer complications since the suture anchor is absorbed and replaced by bone over time. In addition, the use of absorbable suture anchors may reduce the likelihood of damage to local joints caused by anchor migration. Moreover, when an absorbable suture anchor is fully absorbed it will no longer be present as a foreign body.

Although suture anchors for attaching soft tissue to bone are available for use by the orthopedic surgeon, there is a constant need in this art for novel suture anchors having improved performance characteristics, such as ease of insertion and greater resistance to "pull-out".

DISCLOSURE OF THE INVENTION

Therefore, it is an object of the present invention to provide a suture anchor device that is mechanically stable when implanted in bone and which is simple to apply.

It is a further object of the present invention to provide a suture anchor device that is easy to manufacture.

It is a further object of the present invention to provide an absorbable suture anchor device.

The present invention now provides a suture anchor device, comprising an elongated anchor member having a distal end and a proximal end, a shaft extending proximally away from said anchor member proximal end, and a plurality of wing members extending proximally and radially outward from said anchor member proximal end and terminating in a free end, said wing members being spaced from said shaft; and an operating member comprising a slidable member such as a ring or an elongated sleeve (with either full or partial enclosure) slidably mounted on said shaft for sliding movement relative to said anchor member from a normal position remote from said anchor member to an operative position in which said sleeve is lodged between said shaft and said wing members to thereby retain said wing members from moving inwardly toward said shaft from the radially outward extending position; and suture retaining means.

Preferably, the sleeve has a wedge-shaped distal portion that tapers inwardly toward the distal end of the sleeve.

The sleeve and the shaft preferably have cooperating locking means for locking the sleeve to the shaft when the sleeve is in the pre-actuated position.

Further, the sleeve and the shaft preferably have cooperating locking means for locking the sleeve to the shaft when the sleeve is in the operative position, whereby the wing members are prevented by the locked sleeve from deflecting inwardly from the radially outward extending position.

In another embodiment, the sleeve is lodged between the shaft and the wing members to thereby further extend and hold the wing members in a radially outward further extending position.

The present invention also provides a method of inserting the suture anchor device into a bone, and a suitable applicator for so doing.

The present invention is illustrated in terms of its preferred embodiments in the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective exploded view of a suture anchor device of the present invention comprising an anchor member and an operating member;

FIG. 2 is a top view of the anchor member of FIG. 1;

FIG. 3 is a side view of the anchor member of FIG. 1;

FIG. 4 is a bottom view of the anchor member of FIG. 1;

FIG. 5 is a cross-sectional view along View Line 5--5 of the anchor member of FIG. 2;

FIG. 6 is a top view of the operating member of FIG. 1;

FIG. 7 is a side view of the operating member of FIG. 1;

FIG. 8 is a cross-sectional view along View Line 8--8 of FIG. 6;

FIG. 9 is a bottom view of the operating member of FIG. 6;

FIG. 10 is a top view of the suture anchor device of the invention in fully assembled form;

FIG. 11 is a side view of the suture anchor device of FIG. 10;

FIG. 12 is a cross-sectional view along View Line 12--12 of FIG. 10;

FIG. 12A is a view similar to FIG. 12 showing the operating member locking the wing members in an anchoring position;

FIGS. 12B and 12C are views similar to FIGS. 12 and 12A, respectively, of another embodiment of the invention;

FIG. 13 is a schematic views similar to FIGS. 12 and 12A, respectively, showing the suture anchor device being inserted into a bone;

FIGS. 14, 14A and 14B are schematic views similar to FIG. 12 showing the suture anchor device emplaced in bone at various depths of the bone bore hole;

FIG. 15 is a view similar to FIG. 1 of another embodiment of the invention;

FIG. 16 is a top view of the suture anchor device of FIG. 15 in fully assembled form;

FIG. 17 is a side view of the suture anchor device of FIG. 16;

FIG. 18 is a cross-sectional view along View Line 18--18 of FIG. 16;

FIG. 19 is a perspective view, similar to that of FIG. 1, showing a further embodiment of the suture anchor of the present invention with a break-away insertion element;

FIG. 20 is a perspective view of the operating member used in conjunction with the suture anchor of FIG. 19;

FIG. 21 is a perspective view of the suture anchor of FIG. 19 and the operating member of FIG. 20 assembled with suture therein, prior to activation; and

FIG. 22 is a perspective view of the assembled suture anchor of FIG. 21 after activation.

BEST MODE FOR CARRYING OUT THE INVENTION

The suture anchor device 1 of the present invention is seen in FIGS. 1-12. Referring to FIGS. 1-5, the suture anchor device comprises an operating member 8 and an anchor member 10. Anchor member 10 includes a distal end 14 and proximal end 12. Anchor member 10 preferably has a circular cross-section which may vary in diameter along its longitudinal axis. The anchor member 10 may have other geometric cross-sections including square, rectangular, triangular, polyhedral, elliptical, etc. A central shaft 20 having proximal end 22 and distal end 24 extends from the proximal end 12 of anchor member 10. The shaft 20 is seen to have longitudinal axis 25. The shaft 20 has suture hole 30 extending therethrough transverse to longitudinal axis 25. Suture hole 30 is preferably positioned below retaining groove 31 and is preferably circular in configuration but may have other geometric configurations or other shape such as geometric, blunted, etc. Extending from the distal end 14 of anchor member 10 is blunt distal nose section 40. If desired, distal nose 40 may be tapered or pointed.

Extending from the proximal end 12 of anchor member 10 are the wing members 60. The wing members 60 are spaced from shaft 20 and each extends proximally and radially outward from proximal end 12. Wing members 60 have a fixed distal end 62 and a free proximal end 64 as well as opposed sides 68 and 69. The wing members 60 are separated from each other by slots 80. The wing members may vary in number size and shape from those shown with equal effect.

Referring now to FIGS. 6-9, operating member 8 comprises a slidable member such as a ring or an elongated sleeve 9 having a central bore 11 therethrough. Sleeve 9 comprises a proximal portion 9a of preferably circular cross-section and a preferably inwardly tapering distal portion 9b. Opposed slots 9c are formed in tubular body 9 extending through proximal portion 9a and into distal portion 9b. Slots 9c cooperate with suture hole 30 as will be described hereinafter.

Two substantially semi-circular, opposed ribs 13a, 13b extend from inner surface 9d into bore 11. Ribs 13a, 13b cooperate with preferred, though optional groove 31 of anchor member 10 as will be described hereinafter.

Referring now to FIGS. 10-12A, the operating member 8 is mounted to the anchor member 10 to form the suture anchor device 1 of the present invention by slidingly inserting shaft 20 into bore 11 of operating member 8 until ribs 13a, 13b snap into grooves 31, as best shown in FIG. 12. The sleeve 9 is sufficiently resiliently deformable to allow the ribs 13a, 13b to ride over shaft 20 and to snap into groove 31.

As the operating member 8 and anchor member 10 are moved relative to one another as shown by arrows A and/or B, respectively, in FIG. 12, ribs 13a, 13b will be disengaged from groove 31 and the distal portion 9b will enter each passageway 61 (FIG. 12) formed between shaft 20 and the wing 60 adjacent thereto. Continued relative movement between operating member 8 and anchor member 10 will cause the distal portion 9b first to engage the inner surface 63 (FIG. 12) of each wing 60 and then become wedged between wings 60 and shaft 20, thereby locking the wings 60, as shown in FIG. 12A, in an anchoring position. It is preferred that such anchoring position be that of the normal unstressed configuration of the wings 60. In such embodiment, distal portion 9b is sized to fit within passageway 61, without spreading wings 60 beyond the normal resting position. Alternatively, as shown in FIG. 12C, the distal portion 9b is slightly larger than passageway 61, to thereby cause the wings 60 to deflect outwardly from the at rest position. Overextending the deflection of the wings beyond the resting state may result in residual stress which may be less desirable. In either embodiment, slots 9c expose opening 30 when the operating member 8 is in the position shown in FIG. 12A or 12C.

While distal portion 9b is shown as wedge-shaped in the drawings, it may be of any shape, such as cylindrical, so long as the sleeve 9 is capable of spreading the wing members 60 to their further outward position.

The alternative embodiment of the invention shown in FIGS. 12B and 12C employs a second groove 33 below groove 31, whereby ribs 13a and 13b lock the member 8 to shaft 20 before insertion into a bore, as shown in FIG. 12B, and the ribs 13a and 13b then engage second groove 33, after operating member 8 spreads wing members 60 to the further outward position (FIG. 12C). When the operating member 8 is moved or locked in place in the positions shown in FIG. 12A or 12C, the wing members 60 cannot be deflected inwardly.

FIGS. 13 and 14 also illustrate the spreading action of operating member 8. Referring to FIG. 13, a bore hole 315 of sufficient depth is drilled into a bone using conventional surgical drilling instruments. The hole 315 will extend through the outer cortex layer 305 of the bone and into the underlying cancellous layer 306. The suture anchor device 1 is then prepared for insertion into the hole 315 by threading suture 350 through suture hole 30, so that the suture anchor device 1 and a section of suture 350 are inserted as a unit into the hole 315. The diameter of hole 315 drilled into the bone is preferably sized to be less than that of the suture anchor, such that the wing members 60 of the anchor member 10 are compressed and deflected radially inwardly as the suture anchor device is inserted into the hole 315. The wing members 60 are returned to their original position, as shown in FIG. 14, by means of operating member 8. Alternatively, the diameter of hole 315 is equal to or slightly larger than that of the suture anchor, whereby the wing members 60 are not deflected radially inwardly as the suture anchor device 1 is inserted into the hole 315. In such embodiment, operating member 8 spreads the wing members 60 outwardly for anchoring engagement with the bone. Any suitable grasping instrument, such as a pair of conventional surgical tweezers or a suitable surgical grasper can be appropriately utilized for applying or positioning the anchor in place.

FIGS. 13 and 14 illustrate one means of inserting the suture anchor device 1 into the bore hole 315. In particular, a rod 100 having a square cross-section at its distal end is first inserted into the square socket 26 (FIG. 1) of shaft 20, whereby the suture anchor device 1 is securely but releasably held on rod 100. (If socket 26 is of a cross-section other than square, then the distal end of rod 100 will be of a complementary cross-section.) Other means for releasably fastening the suture anchor device to an applicator include press fits, snap-fits (e.g., with a detentable bearing), clamps, etc. Rod 100 is urged in the direction of arrow C in FIG. 13 to move the operating member 8 and anchor member 10 as a unit into bore hole 315. A cannula 101 is slidingly positioned over the rod 100 so that the distal end 101a of cannula 101 engages the top surface of the proximal portion 9a of operating member 8. When the blunt nose 40 is fully inserted or reaches the bottom of bore hole 315, cannula 101 is urged in the direction of arrow D in FIG. 14 to move operating member 8 relative to anchor member 10 such that the ribs 13a, 13b move out of groove 31 and the distal portion 9b moves into spreading engagement with the inner surfaces of wings 60 to force the wings 60 further outwardly and away from the shaft 20. This spreading action will cause the free ends 64 of wings 60 to engage the cancellous bone 306 (the wings may also engage cortical bone or a combination of the cancellous and cortical bone) as the ends 64 move outwardly. Since the free ends 64 are engaged with the cancellous bone, 306, the anchor member 10 is firmly secured in place. The free ends 64 are spaced apart in the FIG. 14 position by a distance greater than the diameter of the bore hole 315, thereby further preventing the suture anchor device 1 from being pulled out of the bone.

It is noted that the diameter of the bore hole 315 is preferably smaller than the largest outside diameter of the suture anchor device 1 whereby the wing members 60 are in unstressed position during anchoring (FIG. 12). Alternatively, the diameter of the bore hole 315 (as described above) is the same as or slightly larger than the largest outside diameter of the suture anchor device 1, when it is desired that the force required to insert the suture anchor device 1 be minimal and the suture anchor device 1 will not be damaged during insertion. After the operating member 8 is engaged, suture anchor device 1 is locked into place in the bone by means of the wing members 60 being in their original extended position or slightly overextended position, which increases the pull-out force required to dislodge device 1. Further, the operating member 8 may act as a centering device.

Once the suture anchor device 1 is locked into place in the bone, the suture 350 is used in a conventional manner to secure a tendon or ligament to bone.

FIG. 15-18 illustrate another embodiment of the invention, in which shaft 20 is provided at its proximal end 22 with an extension 23 rather than the socket 26 shown in FIG. 1. As shown in FIG. 18, a wedge clamp 102 shown in phantom line may be used to insert the suture anchor device 1 of FIG. 18 into a bore hole, the clamp 102 engages extension 23, while cannula 101 may be used to move operating member 8 into spreading engagement with wing members 60 to force the wing members 60 away from rod 20, in the manner described above.

FIG. 19-22 depict a preferred embodiment structure of the suture anchor of the present invention. In this embodiment, suture anchor member 210 embodies an integral break away shaft 211 which aids in proper positioning and which breaks away at narrow section 212 for removal thereof. The shaft 211 embodies integral recesses 211a and 211b to accommodate suture 350 out of the way of the operative emplacement of the anchor in bone. Operating member 208 is similar in function to that of the operating member 8 as described with the previously described embodiments and is comprised of a cylinder 208a with a tapered section 208b. Closed slots 209a and 209b accommodate and respectively hold both ends of the suture 350 (as more clearly seen in FIG. 21 and 22) in the longitudinal direction even after shaft 211 has been broken and removed. Proximal ears 214a and 214b on shaft 211 are adapted for ready engagement with an applier (not shown). In operation, the operating member 208 and anchor member 210 are moved relative to each other. The operating member 208 may be restrained while the anchor member 210 is moved. They may be moved in opposite directions relative to each other, or the operating member 208 may be moved while the anchor member 210 remains stationary.

As shown in FIG. 21 and 22, tapered section 208b is pressed into the head of suture anchor 210 into wedged engagement with wings 260, to maintain them in position for anchoring, such as described above with the previous embodiments.

The operating member and anchor member of the present invention may be made from either conventional bioabsorbable materials or conventional non-absorbable materials, combinations thereof and equivalents thereof. Examples of absorbable materials include homopolymers and copolymers of lactide, glycolide, trimethylene carbonate, caprolactone, and p-dioxanone and blends or other combinations thereof and equivalent thereof. Of particular utility are the polylactides, especially poly L(-)lactide!, and the lactide-rich lactide/glycolide copolymers, especially 95/5 poly L(-)lactide-co-glycolide!.

Other types of absorbable materials include the calcium-phosphate ceramics, such as hydroxyapatite (HA), which may be sintered into three-dimensional geometries, or calcium-phosphate based glasses, which may be molded into solid forms. An additional advantage of this approach would be the osteogenic potential of the implant during absorption, due to the similarity in composition of the calcium-phosphate materials to the mineral constituents of cortical bone. In addition, the invention may be comprised of absorbable composites of the listed absorbable polymers and absorbable ceramics, which would offer the advantages of superior mechanical properties (higher strength and modulus) relative to the non-filled polymer, in addition to the osteogenic potential. Examples of such composites are described by Steckel in: "Physio-Mechanical Properties of Absorbable Composites: CSM Short Fiber Reinforced PDS and PGA" (Ph.D. Thesis, Drexel University, 1992).

Examples of non-absorbable materials from which the suture anchors of the present invention may be made include metallic biocompatible materials including stainless steel, Nitinol, titanium, Ti-6Al-4V and its related alloys, Co--Cr alloys, Vitalium, and equivalents thereof, polymeric materials such as non-absorbable polyesters, polyamides, polyolefins, polyurethanes, and polyacetals and equivalents thereof, and ceramic materials such as alumina and equivalents thereof.

The suture anchor devices of the present invention, when made from an absorbable material, are preferably manufactured by molding and using conventional injection molding equipment and conventional injection molding processes. A typical molding process includes the steps of (1) injecting a suitable polymer melt into an appropriately designed mold or cavity at process conditions conventionally employed for such polymer systems, (2) releasing from the mold, after the melt cools in the mold, polymer shaped in the proper configuration to meet the design criteria of the device. Additionally the anchor molded from the absorbable polymeric material, may be advantageously subjected to an annealing process to increase its mechanical or biological performance. Thermal annealing can also be used to increase the dimensional stability of molded parts by increasing the crystallinity levels in the parts. One or more surgical sutures, or one or more sutures with surgical needles attached, may be used in combination with the suture anchor and may be assembled prior to sterilization. The device can then be sterilized using conventional methods to render the anchor suitable for surgical applications.

The bonding of the anchors of the present invention to bone may be advantageously increased by promoting bone growth. This can be accomplished by having a microporous surface into which the bone can rapidly grow to aid fixation. This may be particularly advantageous in the case of a metallic anchor, especially a titanium or titanium alloy anchor, but may also provide benefit in the case of polymeric anchors of the present invention, especially those made of absorbable materials. Other methods include the coating of the anchor's surface with a substance to promote adhesion to the bone. Examples of such coatings include calcium-phosphate based materials, either crystalline or glassy, adhered to the surface of the anchor. One such approach is the plasma spraying of hydroxyapatite to the anchor surface, although other techniques are available such as electrophorotic deposition, sputtering, or sol-gel deposition. Such coatings include the hydroxyapatite-containing-glass coatings described by Ishikawa, et al., in the article "Effect of Hydroxyapatite Containing Glass Coatings on the Bonding between Bone and Titanium Implants" appearing in Clinical Materials, Volume 14, (1993) pages 277-285, the teachings of which are incorporated herein by reference thereto.

It is further noted that the anchors of the present invention can be made to contain growth factors, especially bone growth factors, that can advantageously increase the effectiveness of the anchors, especially in the area of fixation. This may be accomplished in a number of ways, including via coatings or, in the case of absorbable materials, by incorporating the growth factors within the device and allowing them to diffuse out.

The surgical needles 360 and sutures 350 which may be used with the suture anchor device of the present invention include conventional sutures and conventional surgical needles and equivalents thereof. The sutures 350 may be absorbable or non-absorbable. The non-absorbable sutures 350 may be made from conventional materials including polyester, nylon, polypropylene, stainless steel, Vitalium alloy, Nitinol and the like and combinations thereof and equivalents thereof. The absorbable sutures 350 may be made from conventional materials such as poly(p-dioxanone), 95/5 poly L(-)lactide-co-glycolide! or combinations thereof and equivalents thereof.

The surgical needles 360 which may be used include conventional surgical needles such as stainless steel needles having conventional straight or curved configurations with conventional points such as taper points or cutting points or blunt points.

The surface anchor device of the present invention has numerous advantages. The suture anchor device of the present invention is very easy to manufacture. The suture anchor device has stability when emplaced in bone and is easy to use. The suture anchor device of the present invention does not simply rely on the friction between the device and the side walls of a hole drilled through bone to maintain its position within a bone, rather, it utilizes a mechanical lock between the proximal edges of the wing members and the bone surrounding the bore hole.

The suture anchor device of the present invention can be used to reattach soft tissue to bone and other soft tissues at various anatomical locations including the shoulder joint, elbow, wrist, hand, ankle, hip joint, knee joint, etc., in either open or arthroscopic or endoscopic surgical procedures. The suture anchor device, preferably when or a larger size, may also be used for fixation of bone fractures, or attachment of soft tissue to soft tissue, or even attachment of medical devices to bone, or soft tissue.

The suture anchor device of the present invention may be used in a variety of surgical techniques including open procedures, arthroscopic procedures, laparoscopic procedures and endoscopic procedures, including closure of sternotomy incisions.

EXAMPLE 1

A patient is prepared for surgery using conventional surgical preparatory techniques. The patient is anesthetized with a sufficient dose of a conventional anesthesia to induce an effective anesthetized state. An incision is made into the patent's knee joint in accordance with conventional surgical procedures and the end of the patient's femur adjacent to the knee joint is exposed. A bone hole is bored into the patient's femur using a conventional boring instrument such as an orthopaedic drill. After a blind hole has been bored into the patent's femur and the bone surface has been cleaned of tissue debris, a surgical anchor device of the present invention having a suture and surgical needle is inserted into the bore hole using an applicator such that the proximal end of the central shaft (or break-off position of the shaft) and suture hole are positioned below the outer surface of the cortex of the bone surrounding the bore hole. The proximal ends of the wing member are positioned below the innermost surface of the cortex and are within the cancellous layer. The diameter of the bore hole is selected so that the wing members of the anchor are deflected sufficiently radially inward during insertion to effectively prevent the anchor from moving within the bore hole. The deflection is a substantially elastic deformation. The operating member is then deployed to effectively cause the wings to open to their original diameter, with further prevention of inward deflection. The cutting edges on the sides of each wing cut into the cancellous layer thereby enlarging the diameter of the bore hole in the proximity of the wing member to allow the wing member to move radially outwardly to its original position. The anchor is released from the grasping apparatus. The wing members now have a maximum outside diameter greater than the diameter of the bore hole, but equal to their original undeformed diameter. Therefore, a proximal force exerted upon the bone anchor is resisted by the wing member digging into the cancellous layer and preferably engaging the inner surface of the cortex thereby preventing the anchor from being withdrawn from the bore hole. A tendon or ligament is then secured to the anchor using the surgical needle and suture. The incision in the patient's knee is then closed in accordance with conventional surgical procedures.

EXAMPLE 2

A patient is prepared for arthroscopic shoulder surgery using conventional surgical preparatory techniques. The patient is anesthetized with a sufficient dose of a conventional anesthesia to induce an effective anesthetized state. Arthroscopic trocar cannulas are placed into the patient's shoulder in accordance with conventional arthroscopic techniques. An arthroscope is inserted through one cannula and upon examination, a soft tissue lesion is identified. An appropriately sized hole is drilled into the patient's scapula, in the area of the glenoid rim, using a conventional boring instrument such as a drill bit or orthopaedic pin inserted through a trocar cannula. After the patient's scapula and the bone surface have been cleaned of tissue debris, a surgical anchor device of the present invention having a suture and surgical needle is inserted through a trocar cannula and into the bore hole using an applicator (the distal end of which is inserted into the trocar cannula) such that the proximal end of the central shaft (or break-off position of the shaft) and suture hole are positioned below the outer surface of the cortex of the bone surrounding the bore hole. The proximal ends of the wing member are positioned below the innermost surface of the cortex and are within the cancellous layer. The diameter of the bore hole is selected so that the wing members of the anchor are deflected sufficiently radially inward during insertion to effectively prevent the anchor from moving within the bore hole. The deflection is a substantially elastic deformation. The operating member is then deployed to effectively cause the wings to open to their original diameter, with further prevention of inward deflection. The cutting edges on the sides of each wing cut into the cancellous layer thereby enlarging the diameter of the bore hole in the proximity of the wing member to allow the wing member to move radially outwardly to its original position. The anchor is released from the grasping apparatus through the trocar cannula. The wing members now have a maximum outside diameter greater than the diameter of the bore hole. Therefore, a proximal force exerted upon the bone anchor is resisted by the wing member digging into the cancellous layer and preferably engaging the inner surface of the cortex thereby preventing the anchor from being withdrawn from the bore hole. A tendon or ligament is then secured to the anchor using the surgical needle and suture. The arthroscopic trocar cannulas are removed and the incisions in the patient's shoulder are then closed in accordance with conventional arthroscopic surgical procedures.

EXAMPLE 3

A standard arthroscopy of the knee is carried out under sterile conditions. A repairable meniscal "red-red" tear is found and identified. The edges of the tear are prepared in the appropriate manner to enhance healing. A modified drill guide of the present invention is then taken. This drill guide encompasses two sharp points which can puncture the proximal edge of the meniscal tear to hold it in place. At this point a small drill or wire is used to perform both proximal and distal edges of the meniscal tissue. A stop is placed on the drill to prevent deep penetration.

The drill is removed with the drill guide left in place so that the bore hole is not lost. A suture anchor of this embodiment is inserted through the guide to come out behind the peripheral rim. The anchor is then set and the suture is pulled through the standard arthroscopic wound. At this point the appropriate number of anchors are inserted, consistent with how many sutures are needed. Typically this would be two or three sutures requiring three to six anchors, depending on whether or not one or two sutures are available on each anchor.

The appropriate sutures are then tied to each other using standard arthroscopic technique with the use of know tying and knot pushing equipment.

The suture anchors of the present invention may be used in a variety of surgical techniques including open procedures, arthroscopic procedures, laparoscopic procedures and endoscopic procedures. Although this invention has been shown and described with respect to detailed embodiments thereof, it will be understood by those skilled in the art that various changes in form and detail thereof may be made without departing from the spirit and scope of the claimed invention.

Claims (27)

What is claimed is:
1. A suture anchor assembly, comprising
an elongated anchor member having
a distal end and a proximal end,
a shaft extending proximally away from said anchor member proximal end, and
a plurality of wing members extending proximally and radially outward from said anchor member proximal end . .and.!..Iadd., each of said wing members .Iaddend.terminating in a free end, said wing members being spaced from said shaft;
an operating member slidably mounted on said shaft for sliding movement relative to said anchor member from a first normal position remote from said . .anchor member.!. .Iadd.wing members .Iaddend.to an operative position in which said operating member is lodged between said shaft and said wing members to thereby restrain said wing members from moving inwardly toward said shaft from . .the.!. .Iadd.a .Iaddend.radially outward . .extending.!. position; and
.Iadd.wherein said elongated anchor member has a passage for receiving the .Iaddend.suture . .retaining means in said shaft.!..
2. The assembly of claim 1, wherein said operating member is a sleeve.
3. The assembly according to claim 2, wherein said sleeve has opposed proximal and distal ends, said sleeve having a wedge-shaped distal portion that tapers inwardly toward said sleeve distal end.
4. The assembly according to claim 3, wherein said . .suture retaining means comprises.!. .Iadd.sleeve has .Iaddend.two slots . .in said cylinder, with each slot.!. extending from the distal to proximal ends of said . .operating member.!. .Iadd.sleeve.Iaddend., and wherein each of said slots overlies an aperture in said shaft, through which the suture is adapted to extend.
5. The assembly according to claim 2, wherein said sleeve and said shaft have cooperating locking means for locking said sleeve to said shaft when said sleeve is in said normal position.
6. The assembly accordingly to claim 5, wherein said sleeve and said shaft have cooperating locking means for locking said sleeve to said shaft when said sleeve is in said operative position, whereby said wing members are prevented by said locked sleeve from deflecting inwardly from said outward position.
7. The assembly according to claim 2, wherein said sleeve and said shaft have cooperating locking means for locking said sleeve to said shaft when said sleeve is in said operative position, whereby said wing members are prevented by said locked sleeve from deflecting inwardly from said outward position.
8. The assembly according to claim 2, wherein said anchor member and said sleeve each comprises a bioabsorbable material.
9. The assembly according to claim 8, wherein the bioabsorbable material comprises a member selected from the group consisting of homopolymers and copolymers of lactide, glycolide, trimethylene carbonate, caprolactone, and p-dioxanone and blends thereof.
10. The assembly according to claim 2, wherein said anchor member and said sleeve each comprises a biocompatible nonabsorbable material.
11. The assembly according to claim 10, wherein the nonabsorbable material comprises a member selected from the group consisting of polyesters, polyamides. polyolefins, polyurethanes, and polyacetals. . .12. The assembly according to claim 2, wherein said sleeve is lodged between said shaft and said wing members to thereby further extend and hold said wing
members in a radially outward further extending position..!.13. The assembly according to claim 1, wherein said anchor member is adapted for anchoring in a bone and wherein said anchor member comprises means to promote bone growth, whereby bonding of the anchor member to the bone is
increased thereby. 14. The assembly according to claim 13, wherein said means to promote bone growth comprises a microporous surface of said
anchor member which is in contact with said bone. 15. The assembly according to claim 14, wherein said anchor member is comprised of titanium
or titanium alloy. 16. The assembly according to claim 13, wherein the
anchor member comprises bone growth factors. 17. The assembly according to claim 1, wherein said shaft terminates in a proximal end remote from said anchor member, said shaft proximal end having a socket therein for
receiving a rod. 18. The assembly according to claim 1, further comprising a surgical suture mounted in the . .suture retaining means.!.
.Iadd.passage for receiving the suture.Iaddend.. 19. The assembly according to claim 1, wherein said . .suture retaining means.!. .Iadd.passage for receiving the suture .Iaddend.is adjacent to the
proximal end of said shaft. 20. The assembly according to claim 19, wherein said . .suture retaining means.!. .Iadd.passage for receiving the
suture .Iaddend.comprises a hole through said shaft. 21. The assembly according to claim 1, wherein said shaft comprises a proximally extending breakaway portion thereof, wherein said breakaway portion is adapted to facilitate placement of said device in a bone or soft tissue and, after
such placement, is adapted to be broken from the shaft and removed. 22. The assembly according to claim 1, wherein said shaft terminates in a proximal end remote from said anchor member, said shaft proximal end being
adapted for engagement with a removable clamping member. 23. The assembly according to claim 1, wherein the anchor member is adapted for anchoring in a bone and wherein a surface of the anchor member, in contact with the bone, is coated with a substance to promote adhesion thereof to the bone.
4. The assembly according to claim 1, wherein said operating member is a
ring. 25. The assembly according to claim 1, wherein the anchor member comprises means for anchoring in soft tissue for repair of soft tissue.
A method of implanting a suture anchor assembly in a bone, comprising:
I) inserting a suture anchor assembly in a bore hole drilled in a bone, wherein the suture anchor assembly comprises an elongated anchor member having a distal end and a proximal end, a shaft extending proximally away from said anchor member proximal end, and a plurality of wing members extending proximally and radially outward from said anchor member proximal end . .and.!..Iadd., each of said wing members .Iaddend.terminating in a free end, said wing members being spaced from said shaft; an operating member slidably mounted on said shaft for sliding movement relative to said anchor member from a first normal position remote from said . .anchor member.!. .Iadd.wing members .Iaddend.to an operative position in which said operating member is lodged between said shaft and said wing members to thereby restrain said wing members from moving inwardly toward said shaft from . .the.!. .Iadd.a .Iaddend.radially outward . .extending.!. position; and . .suture retaining means in said shaft.!. .Iadd.said elongated anchor member has a passage for receiving the suture.Iaddend., and
II) sliding said operating member of said suture anchor assembly relative to said anchor member thereof from said first position to said operative position. .Iadd.27. The assembly according to claim 1, wherein said radially outward position of said wing members corresponds to a normal resting position of said wing members. .Iaddend..Iadd.28. The assembly according to claim 1, wherein said radially outward position of said wing members corresponds to an overextended position of said wing members. .Iaddend..Iadd.29. The assembly according to claim 1, wherein said passage for receiving the suture is formed from a recess in said shaft.
.Iaddend..Iadd.30. The assembly according to claim 1, wherein said shaft has an axis alone which said shaft is elongated, and said recess is aligned along said axis. .Iaddend..Iadd.31. The method of claim 26, wherein said bore hole has a diameter that is greater than a largest outside diameter of the suture anchor assembly. .Iaddend..Iadd.32. The method of claim 26, wherein said bore hole has a diameter that is smaller than a largest outside diameter of the suture anchor member. .Iaddend..Iadd.33. The method of claim 26, wherein said bore hole has a diameter equal to a largest outside diameter of the suture anchor member. .Iaddend..Iadd.34. The method of claim 26, wherein said passage for receiving the suture is formed from a recess in said shaft. .Iaddend..Iadd.35. The method of claim 34, wherein said shaft has an axis along which said shaft is elongated, and said recess is aligned along said axis. .Iaddend..Iadd.36. An assembly for anchoring a suture, comprising
an elongated anchor member for receiving the suture, said elongated anchor member having
a distal end and a proximal end,
a shaft extending proximally away from said anchor member proximal end, and
a plurality of wing members extending proximally and radially outward from said anchor member proximal end, each of said wing members terminating in a free end, said wing members being spaced from said shaft; and
an operating member slidably mounted on said shaft for sliding movement relative to said anchor member from a first normal position remote from said wing members to an operative position in which said operating member is lodged between said shaft and said wing members to thereby restrain said wing members from moving inwardly toward said shaft from a radially
outward position. .Iaddend..Iadd.37. The assembly according to claim 36, wherein said radially outward position of said wing members corresponds to a normal resting position of said wing members. .Iaddend..Iadd.38. The assembly according to claim 36, wherein said radially outward position of said wing members corresponds to an overextended position of said wing members. .Iaddend.
US08880133 1993-12-13 1997-06-20 Umbrella shaped suture anchor device with actuating ring member Expired - Lifetime USRE36289E (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US08166493 US5618314A (en) 1993-12-13 1993-12-13 Suture anchor device
US08235024 US5545180A (en) 1993-12-13 1994-04-28 Umbrella-shaped suture anchor device with actuating ring member
US08880133 USRE36289E (en) 1993-12-13 1997-06-20 Umbrella shaped suture anchor device with actuating ring member

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US08880133 USRE36289E (en) 1993-12-13 1997-06-20 Umbrella shaped suture anchor device with actuating ring member

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
US08166493 Continuation-In-Part US5618314A (en) 1993-12-13 1993-12-13 Suture anchor device
US08235024 Reissue US5545180A (en) 1993-12-13 1994-04-28 Umbrella-shaped suture anchor device with actuating ring member

Publications (1)

Publication Number Publication Date
USRE36289E true USRE36289E (en) 1999-08-31

Family

ID=26862312

Family Applications (1)

Application Number Title Priority Date Filing Date
US08880133 Expired - Lifetime USRE36289E (en) 1993-12-13 1997-06-20 Umbrella shaped suture anchor device with actuating ring member

Country Status (1)

Country Link
US (1) USRE36289E (en)

Cited By (114)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1261284A1 (en) * 2000-02-23 2002-12-04 Ethicon, Inc. System and method for attaching soft tissue to bone
US20030088270A1 (en) * 1996-09-13 2003-05-08 Tendon Technology, Ltd. Implantable tissue fixation devices and methods of tissue approximation
US20030105489A1 (en) * 2000-04-29 2003-06-05 Aesculap Ag & Co. Kg Suture anchor system for joining pieces of tissue and instrument for inserting an anchor implant
US20030120309A1 (en) * 2001-11-08 2003-06-26 Dennis Colleran Reattachment of tissue to base tissue
US6656183B2 (en) 2001-11-08 2003-12-02 Smith & Nephew, Inc. Tissue repair system
US20040002735A1 (en) * 2002-06-27 2004-01-01 Lizardi Jose E. Suture anchor
US6689153B1 (en) 1999-04-16 2004-02-10 Orthopaedic Biosystems Ltd, Inc. Methods and apparatus for a coated anchoring device and/or suture
US20040138706A1 (en) * 2003-01-09 2004-07-15 Jeffrey Abrams Knotless suture anchor
US20040158125A1 (en) * 2002-09-06 2004-08-12 Aznoian Harold M. Integrated endoscope and accessory treatment device
US20040193217A1 (en) * 1996-09-13 2004-09-30 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
WO2005037112A1 (en) * 2003-09-10 2005-04-28 Linvatec Corporation Knotless suture anchor new
US20050245967A1 (en) * 2004-04-29 2005-11-03 Genesee Biomedical, Inc. Suture retainer attachment for use with a surgical retractor
US20060155287A1 (en) * 2004-11-18 2006-07-13 Montgomery Kenneth D Devices, systems and methods for material fixation
US20060276841A1 (en) * 2005-03-10 2006-12-07 Barbieri Thomas J Suture anchors
US20070167950A1 (en) * 2005-12-22 2007-07-19 Tauro Joseph C System and method for attaching soft tissue to bone
US20070219557A1 (en) * 2006-03-17 2007-09-20 Bourque Bernard J Soft tissue fixation
US20070288023A1 (en) * 2006-06-12 2007-12-13 Greg Pellegrino Soft tissue repair using tissue augments and bone anchors
US20080077161A1 (en) * 2006-07-20 2008-03-27 Kaplan Lee D Surgical instruments
US7585311B2 (en) 2004-06-02 2009-09-08 Kfx Medical Corporation System and method for attaching soft tissue to bone
US20100185283A1 (en) * 2006-10-24 2010-07-22 Cayenne Medical, Inc. Methods and systems for material fixation
US7780701B1 (en) * 2003-08-13 2010-08-24 Biomet Sports Medicine, Llc Suture anchor
US7815659B2 (en) 2005-11-15 2010-10-19 Ethicon Endo-Surgery, Inc. Suture anchor applicator
US7867264B2 (en) 2000-11-16 2011-01-11 Ethicon, Inc. Apparatus and method for attaching soft tissue to bone
US20110009885A1 (en) * 2009-07-09 2011-01-13 Graf Ben K Tissue Graft Anchor Assembly and Instrumentation For Use Therewith
US20110005046A1 (en) * 2009-07-10 2011-01-13 Shenzhen Futaihong Precision Industry Co., Ltd. Accessory securing mechanism for portable electronic device
US7896907B2 (en) 1999-07-23 2011-03-01 Ethicon, Inc. System and method for attaching soft tissue to bone
US20110071627A1 (en) * 2006-03-31 2011-03-24 Imi Intelligent Medical Implants Ag Device for reversibly attaching an implant in an eye
US20110106253A1 (en) * 2009-04-17 2011-05-05 Shane Barwood Tenodesis fixation method
US20110112550A1 (en) * 2009-10-13 2011-05-12 Kfx Medical Corporation System and method for securing tissue to bone
US20110118837A1 (en) * 2009-11-16 2011-05-19 George Delli-Santi Graft pulley and methods of use
US7951157B2 (en) 2000-05-19 2011-05-31 C.R. Bard, Inc. Tissue capturing and suturing device and method
US7967861B2 (en) 2006-03-20 2011-06-28 Cayenne Medical, Inc. Devices, systems and methods for material fixation
US7993368B2 (en) 2003-03-13 2011-08-09 C.R. Bard, Inc. Suture clips, delivery devices and methods
US8062334B2 (en) 2004-06-02 2011-11-22 Kfx Medical Corporation Suture anchor
US8075573B2 (en) 2003-05-16 2011-12-13 C.R. Bard, Inc. Single intubation, multi-stitch endoscopic suturing system
US8100920B2 (en) 2000-03-03 2012-01-24 C.R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
US8105351B2 (en) 2001-05-18 2012-01-31 C.R. Bard, Inc. Method of promoting tissue adhesion
US8105355B2 (en) 2006-05-18 2012-01-31 C.R. Bard, Inc. Suture lock fastening device
US8123806B1 (en) 2008-05-09 2012-02-28 Cayenne Medical, Inc Method of tensioning a tissue graft having suture bundles using a cleated bar
US8206446B1 (en) 2009-03-10 2012-06-26 Cayenne Medical, Inc. Method for surgically repairing a damaged ligament
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8273106B2 (en) 2006-02-03 2012-09-25 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US8292921B2 (en) 2006-02-03 2012-10-23 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
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
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
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8444674B2 (en) 2006-07-20 2013-05-21 Lee D. Kaplan Surgical instruments
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
US8523902B2 (en) 2009-01-30 2013-09-03 Kfx Medical Corporation System and method for attaching soft tissue to bone
US8545535B2 (en) 2009-05-12 2013-10-01 Foundry Newco Xi, Inc. Suture anchors with one-way cinching mechanisms
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling 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
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
WO2013181212A1 (en) * 2012-05-29 2013-12-05 Smith & Nephew, Inc. Hybrid anchor
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8672968B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Method for implanting soft tissue
US20140128983A1 (en) * 2011-03-14 2014-05-08 Topsfield Medical Gmbh Implantable glenoid prostheses
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8858565B1 (en) 2008-05-08 2014-10-14 Cayenne Medical, Inc. Inserter for soft tissue or bone-to-bone fixation device and methods
US8882785B2 (en) 2008-09-29 2014-11-11 Paul C. DiCesare Endoscopic suturing device
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
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9005220B2 (en) 2006-04-04 2015-04-14 C.R. Bard, Inc. Suturing devices and methods with energy emitting elements
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
EP2275048B1 (en) * 2009-07-16 2015-04-29 Covidien LP Composite fixation device
US9044313B2 (en) 2010-10-08 2015-06-02 Kfx Medical Corporation System and method for securing tissue to bone
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9089379B2 (en) 2012-07-18 2015-07-28 Jmea Corporation Multi-impact system for prosthesis deployment device
US9113868B2 (en) 2011-12-15 2015-08-25 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
US9132016B2 (en) 2010-05-26 2015-09-15 Topsfield Medical Gmbh Implantable shoulder prostheses
US9138220B2 (en) * 2011-12-19 2015-09-22 Medos International Sarl Knotless suture anchor
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
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
US9333020B2 (en) 2009-07-09 2016-05-10 Smith & Nephew, Inc. Tissue graft anchor assembly and instrumentation for use therewith
US9345467B2 (en) 2007-10-25 2016-05-24 Smith & Nephew, Inc. Anchor assembly
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
US9463010B2 (en) 2009-05-12 2016-10-11 The Foundry, Llc Methods and devices to treat diseased or injured musculoskeletal tissue
US9486205B2 (en) 2008-07-17 2016-11-08 Smith & Nephew, Inc. Surgical devices
US9510816B2 (en) 1999-08-10 2016-12-06 Depuy Mitek, Llc Self-locking suture anchor
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
US20170156876A1 (en) * 2014-06-06 2017-06-08 In2Bones Surgical implant, and associated installation tool, surgical kit and method of production
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9750492B2 (en) 2006-08-04 2017-09-05 Depuy Mitek, Llc Suture anchor system with tension relief mechanism
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9775597B2 (en) 2011-10-04 2017-10-03 Conmed Corporation Dual expansion anchor
US9788825B2 (en) 2006-08-04 2017-10-17 Depuy Mitek, Llc Suture anchor with relief mechanism
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9924935B2 (en) 2015-10-23 2018-03-27 Smith & Nephew, Inc. Suture anchor assembly with slip fit tip
US9925036B2 (en) 2013-03-15 2018-03-27 Conmed Corporation System and method for securing tissue to bone
US9936940B2 (en) 2013-06-07 2018-04-10 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9936939B2 (en) 2009-11-10 2018-04-10 Smith & Nephew, Inc. Tissue repair devices
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9968349B2 (en) 2011-04-13 2018-05-15 Conmed Corporation System and method for securing tissue to bone
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor

Citations (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4011602A (en) * 1975-10-06 1977-03-15 Battelle Memorial Institute Porous expandable device for attachment to bone tissue
US4013071A (en) * 1974-11-11 1977-03-22 Lior Rosenberg Fasteners particularly useful as orthopedic screws
WO1986003666A1 (en) * 1984-12-14 1986-07-03 Klaus Draenert Implant intended to bone reinforcement and to anchoring of tirefonds, implants and implant parts
US4632100A (en) * 1985-08-29 1986-12-30 Marlowe E. Goble Suture anchor assembly
US4721103A (en) * 1985-01-31 1988-01-26 Yosef Freedland Orthopedic device
US4738255A (en) * 1986-04-07 1988-04-19 Biotron Labs, Inc. Suture anchor system
US4759765A (en) * 1986-03-17 1988-07-26 Minnesota Mining And Manufacturing Company Tissue augmentation device
US4772286A (en) * 1987-02-17 1988-09-20 E. Marlowe Goble Ligament attachment method and apparatus
US4784126A (en) * 1983-10-04 1988-11-15 South African Inventions Development Corporation Surgical device
WO1988009157A1 (en) * 1987-05-18 1988-12-01 Mitek Surgical Products, Inc. Suture anchor
US4828562A (en) * 1988-02-04 1989-05-09 Pfizer Hospital Products Group, Inc. Anterior cruciate ligament prosthesis
US4851005A (en) * 1980-09-25 1989-07-25 South African Invention Development Corporation Surgical implant
US4870957A (en) * 1988-12-27 1989-10-03 Marlowe Goble E Ligament anchor system
US4895148A (en) * 1986-05-20 1990-01-23 Concept, Inc. Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member
US4924865A (en) * 1986-05-20 1990-05-15 Concept, Inc. Repair tack for bodily tissue
US4927421A (en) * 1989-05-15 1990-05-22 Marlowe Goble E Process of endosteal fixation of a ligament
US5002550A (en) * 1989-06-06 1991-03-26 Mitek Surgical Products, Inc. Suture anchor installation tool
US5013316A (en) * 1990-03-26 1991-05-07 Marlowe Goble E Soft tissue anchor system
US5037422A (en) * 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
US5041129A (en) * 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
US5064425A (en) * 1986-02-12 1991-11-12 The Institute For Applied Biotechnology Anchoring member for anchorage in bone tissue
EP0464479A1 (en) * 1990-07-02 1992-01-08 American Cyanamid Company Bone anchor
EP0464480A1 (en) * 1990-07-02 1992-01-08 American Cyanamid Company Improved slotted suture anchor
US5100417A (en) * 1990-07-13 1992-03-31 American Cyanamid Company Suture anchor and driver assembly
US5102414A (en) * 1988-12-10 1992-04-07 Imz Fertigungs-Und Vertriebsgesellschaft Fur Dentale Technologie Mbh Implantable fixing device for extraoral applications
US5116337A (en) * 1991-06-27 1992-05-26 Johnson Lanny L Fixation screw and method for ligament reconstruction
US5129906A (en) * 1989-09-08 1992-07-14 Linvatec Corporation Bioabsorbable tack for joining bodily tissue and in vivo method and apparatus for deploying same
US5141520A (en) * 1991-10-29 1992-08-25 Marlowe Goble E Harpoon suture anchor
EP0502509A1 (en) * 1991-03-04 1992-09-09 Liebscher Kunststofftechnik Bone dowel for fixing threads
US5147362A (en) * 1991-04-08 1992-09-15 Marlowe Goble E Endosteal ligament fixation device
US5152790A (en) * 1991-03-21 1992-10-06 American Cyanamid Company Ligament reconstruction graft anchor apparatus
US5167665A (en) * 1991-12-31 1992-12-01 Mckinney William W Method of attaching objects to bone
USD331463S (en) 1990-01-31 1992-12-01 American Cyanamid Company Suture anchor peg
US5176682A (en) * 1992-06-01 1993-01-05 Chow James C Y Surgical implement
US5236445A (en) * 1990-07-02 1993-08-17 American Cyanamid Company Expandable bone anchor and method of anchoring a suture to a bone
US5258016A (en) * 1990-07-13 1993-11-02 American Cyanamid Company Suture anchor and driver assembly
US5268001A (en) * 1990-09-25 1993-12-07 Innovasive Devices, Inc. Bone fastener
US5354298A (en) * 1991-03-22 1994-10-11 United States Surgical Corporation Suture anchor installation system
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device
EP0504915B1 (en) * 1991-03-22 1996-01-31 United States Surgical Corporation Orthopaedic fastener

Patent Citations (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4013071A (en) * 1974-11-11 1977-03-22 Lior Rosenberg Fasteners particularly useful as orthopedic screws
US4011602A (en) * 1975-10-06 1977-03-15 Battelle Memorial Institute Porous expandable device for attachment to bone tissue
US4851005A (en) * 1980-09-25 1989-07-25 South African Invention Development Corporation Surgical implant
US4784126A (en) * 1983-10-04 1988-11-15 South African Inventions Development Corporation Surgical device
WO1986003666A1 (en) * 1984-12-14 1986-07-03 Klaus Draenert Implant intended to bone reinforcement and to anchoring of tirefonds, implants and implant parts
US5084050A (en) * 1984-12-14 1992-01-28 Klaus Draenert Implant for bone reinforcement and for anchoring bone screws, implants and implant parts
US4721103A (en) * 1985-01-31 1988-01-26 Yosef Freedland Orthopedic device
US4632100A (en) * 1985-08-29 1986-12-30 Marlowe E. Goble Suture anchor assembly
US5064425A (en) * 1986-02-12 1991-11-12 The Institute For Applied Biotechnology Anchoring member for anchorage in bone tissue
US4834752A (en) * 1986-03-17 1989-05-30 Minnesota Mining And Manufacturing Tissue augmentation device and method of repairing a ligament or tendon
US4759765A (en) * 1986-03-17 1988-07-26 Minnesota Mining And Manufacturing Company Tissue augmentation device
US4738255A (en) * 1986-04-07 1988-04-19 Biotron Labs, Inc. Suture anchor system
US4976715A (en) * 1986-05-20 1990-12-11 Concept, Inc. Repair tack for bodily tissue
US4895148A (en) * 1986-05-20 1990-01-23 Concept, Inc. Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member
US4924865A (en) * 1986-05-20 1990-05-15 Concept, Inc. Repair tack for bodily tissue
US4772286A (en) * 1987-02-17 1988-09-20 E. Marlowe Goble Ligament attachment method and apparatus
WO1988009157A1 (en) * 1987-05-18 1988-12-01 Mitek Surgical Products, Inc. Suture anchor
US5192303A (en) * 1987-05-18 1993-03-09 Mitek Surgical Products, Inc. Suture anchor
US4898156A (en) * 1987-05-18 1990-02-06 Mitek Surgical Products, Inc. Suture anchor
US4828562A (en) * 1988-02-04 1989-05-09 Pfizer Hospital Products Group, Inc. Anterior cruciate ligament prosthesis
US5102414A (en) * 1988-12-10 1992-04-07 Imz Fertigungs-Und Vertriebsgesellschaft Fur Dentale Technologie Mbh Implantable fixing device for extraoral applications
US4870957A (en) * 1988-12-27 1989-10-03 Marlowe Goble E Ligament anchor system
US4927421A (en) * 1989-05-15 1990-05-22 Marlowe Goble E Process of endosteal fixation of a ligament
US5002550A (en) * 1989-06-06 1991-03-26 Mitek Surgical Products, Inc. Suture anchor installation tool
US5203784A (en) * 1989-09-08 1993-04-20 Linvatec Corporation Bioabsorbable tack for joining bodily tissue and apparatus for deploying same
US5129906A (en) * 1989-09-08 1992-07-14 Linvatec Corporation Bioabsorbable tack for joining bodily tissue and in vivo method and apparatus for deploying same
USD331463S (en) 1990-01-31 1992-12-01 American Cyanamid Company Suture anchor peg
US5013316A (en) * 1990-03-26 1991-05-07 Marlowe Goble E Soft tissue anchor system
US5041129A (en) * 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
EP0464480A1 (en) * 1990-07-02 1992-01-08 American Cyanamid Company Improved slotted suture anchor
EP0464479A1 (en) * 1990-07-02 1992-01-08 American Cyanamid Company Bone anchor
US5236445A (en) * 1990-07-02 1993-08-17 American Cyanamid Company Expandable bone anchor and method of anchoring a suture to a bone
US5224946A (en) * 1990-07-02 1993-07-06 American Cyanamid Company Bone anchor and method of anchoring a suture to a bone
US5037422A (en) * 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
US5100417A (en) * 1990-07-13 1992-03-31 American Cyanamid Company Suture anchor and driver assembly
US5258016A (en) * 1990-07-13 1993-11-02 American Cyanamid Company Suture anchor and driver assembly
USD331626S (en) 1990-07-13 1992-12-08 American Cyanamid Company Bone anchor
US5268001A (en) * 1990-09-25 1993-12-07 Innovasive Devices, Inc. Bone fastener
EP0502509A1 (en) * 1991-03-04 1992-09-09 Liebscher Kunststofftechnik Bone dowel for fixing threads
US5152790A (en) * 1991-03-21 1992-10-06 American Cyanamid Company Ligament reconstruction graft anchor apparatus
US5354298A (en) * 1991-03-22 1994-10-11 United States Surgical Corporation Suture anchor installation system
EP0504915B1 (en) * 1991-03-22 1996-01-31 United States Surgical Corporation Orthopaedic fastener
US5147362A (en) * 1991-04-08 1992-09-15 Marlowe Goble E Endosteal ligament fixation device
US5116337A (en) * 1991-06-27 1992-05-26 Johnson Lanny L Fixation screw and method for ligament reconstruction
US5141520A (en) * 1991-10-29 1992-08-25 Marlowe Goble E Harpoon suture anchor
US5167665A (en) * 1991-12-31 1992-12-01 Mckinney William W Method of attaching objects to bone
US5176682A (en) * 1992-06-01 1993-01-05 Chow James C Y Surgical implement
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device

Non-Patent Citations (19)

* Cited by examiner, † Cited by third party
Title
Patent Search Abstracts, AU 918 7367 (Apr. 15, 1992), all for the WPAT database on Orbit by Charles G. Fritz, Nov. 25, 1992. *
Patent Search Abstracts, EP 502 509, (Sep. 9, 1992). *
Patent Search Abstracts, EP 502 698 (Sep. 9, 1992). *
Patent Search Abstracts, US 4,409,974 (Oct. 18, 1985) all from The WPAT database on Orbit by Charles G. Fritz, Nov. 25, 1992. *
Patent Search Abstracts, US 4,537,185 (Aug. 27, 1985). *
Patent Search Abstracts, US 4,632,100 (Dec. 30, 1986.). *
Patent Search Abstracts, US 4,738,255 (Apr. 19, 1998). *
Patent Search Abstracts, US 4,741,330 (May 03, 1988). *
Patent Search Abstracts, US 4,744,353 (May 17, 1988). *
Patent Search Abstracts, US 4,899,743 (Feb. 13, 1990). *
Patent Search Abstracts, US 4,946,468 (Aug. 7, 1990). *
Patent Search Abstracts, US 4,968,315 (Nov. 6, 1990). *
Patent Search Abstracts, US 4,988,351 (Jan. 29, 1991). *
Patent Search Abstracts, US 5,046,513 (Sep. 10, 1991). *
Patent Search Abstracts, US 5,100,417 (Mar. 31, 1992). *
Patent Search Abstracts, US 5,102,421 (Apr. 7, 1992). *
Patent Search Abstracts, US 5,139,520 (Aug. 18, 1992). *
Patent Search Abstracts, US 5,141,520 (Aug. 25, 1992). *
Patent Search Abstracts, US 5,156,616 (Oct. 20, 1992). *

Cited By (230)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040024420A1 (en) * 1996-09-13 2004-02-05 Tendon Technology, Ltd. Apparatus and methods for securing tendons or ligaments to bone
US20030088270A1 (en) * 1996-09-13 2003-05-08 Tendon Technology, Ltd. Implantable tissue fixation devices and methods of tissue approximation
US20040193217A1 (en) * 1996-09-13 2004-09-30 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US7708759B2 (en) 1996-09-13 2010-05-04 Tendon Technology, Ltd. Apparatus and methods for securing tendons or ligaments to bone
US6984241B2 (en) 1996-09-13 2006-01-10 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US6689153B1 (en) 1999-04-16 2004-02-10 Orthopaedic Biosystems Ltd, Inc. Methods and apparatus for a coated anchoring device and/or suture
US7896907B2 (en) 1999-07-23 2011-03-01 Ethicon, Inc. System and method for attaching soft tissue to bone
US8491600B2 (en) 1999-07-23 2013-07-23 Depuy Mitek, Llc System and method for attaching soft tissue to bone
US8518091B2 (en) 1999-07-23 2013-08-27 Depuy Mitek, Llc System and method for attaching soft tissue to bone
US9510816B2 (en) 1999-08-10 2016-12-06 Depuy Mitek, Llc Self-locking suture anchor
EP2298179A3 (en) * 2000-02-23 2011-04-20 DePuy Mitek, Inc. System for attaching soft tissue to bone
EP1261284A4 (en) * 2000-02-23 2008-11-05 Ethicon Inc System and method for attaching soft tissue to bone
EP2862522A1 (en) * 2000-02-23 2015-04-22 DePuy Mitek, LLC System for attaching soft tissue to bone
EP1261284A1 (en) * 2000-02-23 2002-12-04 Ethicon, Inc. System and method for attaching soft tissue to bone
US8992570B2 (en) 2000-03-03 2015-03-31 C.R. Bard, Inc. Suture clips, delivery devices and methods
US8100920B2 (en) 2000-03-03 2012-01-24 C.R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
US6818010B2 (en) * 2000-04-29 2004-11-16 Aesculap Ag & Co. Kg Suture anchor system for joining pieces of tissue and instrument for inserting an anchor implant
US20030105489A1 (en) * 2000-04-29 2003-06-05 Aesculap Ag & Co. Kg Suture anchor system for joining pieces of tissue and instrument for inserting an anchor implant
US7951157B2 (en) 2000-05-19 2011-05-31 C.R. Bard, Inc. Tissue capturing and suturing device and method
US9757114B2 (en) 2000-11-16 2017-09-12 Depuy Mitek, Llc Apparatus and method for attaching soft tissue to bone
US8834543B2 (en) 2000-11-16 2014-09-16 Depuy Mitek, Llc Apparatus and method for attaching soft tissue to bone
US7867264B2 (en) 2000-11-16 2011-01-11 Ethicon, Inc. Apparatus and method for attaching soft tissue to bone
US8105351B2 (en) 2001-05-18 2012-01-31 C.R. Bard, Inc. Method of promoting tissue adhesion
US6656183B2 (en) 2001-11-08 2003-12-02 Smith & Nephew, Inc. Tissue repair system
US7309337B2 (en) 2001-11-08 2007-12-18 Smith & Nephew, Inc. Tissue repair system
US7867251B2 (en) 2001-11-08 2011-01-11 Smith & Nephew, Inc. Reattachment of tissue to base tissue
US20030120309A1 (en) * 2001-11-08 2003-06-26 Dennis Colleran Reattachment of tissue to base tissue
US6986781B2 (en) 2001-11-08 2006-01-17 Smith & Nephew, Inc. Tissue repair system
US9060762B2 (en) 2001-11-08 2015-06-23 Smith & Nephew, Inc. Reattachment of tissue to base tissue
US20040002735A1 (en) * 2002-06-27 2004-01-01 Lizardi Jose E. Suture anchor
US6932834B2 (en) 2002-06-27 2005-08-23 Ethicon, Inc. Suture anchor
US8057386B2 (en) 2002-09-06 2011-11-15 C.R. Bard, Inc. Integrated endoscope and accessory treatment device
US8206284B2 (en) 2002-09-06 2012-06-26 C.R. Bard, Inc. Integrated endoscope and accessory treatment device
US20040158125A1 (en) * 2002-09-06 2004-08-12 Aznoian Harold M. Integrated endoscope and accessory treatment device
US7517357B2 (en) * 2003-01-09 2009-04-14 Linvatec Biomaterials Knotless suture anchor
US20040138706A1 (en) * 2003-01-09 2004-07-15 Jeffrey Abrams Knotless suture anchor
US7993368B2 (en) 2003-03-13 2011-08-09 C.R. Bard, Inc. Suture clips, delivery devices and methods
US8075573B2 (en) 2003-05-16 2011-12-13 C.R. Bard, Inc. Single intubation, multi-stitch endoscopic suturing system
US7780701B1 (en) * 2003-08-13 2010-08-24 Biomet Sports Medicine, Llc Suture anchor
WO2005037112A1 (en) * 2003-09-10 2005-04-28 Linvatec Corporation Knotless suture anchor new
EP1663015A4 (en) * 2003-09-10 2010-05-05 Linvatec Corp Knotless suture anchor new
US7837710B2 (en) 2003-09-10 2010-11-23 Linvatec Corporation Knotless suture anchor
EP1663015A1 (en) * 2003-09-10 2006-06-07 Linvatec Corporation Knotless suture anchor new
US7883462B2 (en) * 2004-04-29 2011-02-08 Genesee Biomedical, Inc. Suture retainer attachment for use with a surgical retractor
US20050245967A1 (en) * 2004-04-29 2005-11-03 Genesee Biomedical, Inc. Suture retainer attachment for use with a surgical retractor
US9655611B2 (en) 2004-06-02 2017-05-23 Kfx Medical, Llc System and method for attaching soft tissue to bone
US8529601B2 (en) 2004-06-02 2013-09-10 Kfx Medical Corporation System and method for attaching soft tissue to bone
US8951287B1 (en) 2004-06-02 2015-02-10 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
US8267964B2 (en) 2004-06-02 2012-09-18 Kfx Medical Corporation System and method for attaching soft tissue to bone
US8062334B2 (en) 2004-06-02 2011-11-22 Kfx Medical Corporation Suture anchor
US8512378B2 (en) 2004-06-02 2013-08-20 Kfx Medical Corporation Suture anchor
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
US9044226B2 (en) 2004-06-02 2015-06-02 Kfx Medical Corporation System and method for attaching soft tissue to bone
US7585311B2 (en) 2004-06-02 2009-09-08 Kfx Medical Corporation System and method for attaching soft tissue to bone
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to 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
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
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US20100152850A1 (en) * 2004-11-18 2010-06-17 Cayenne Medical, Inc. Devices, systems and methods for material fixation
US7651528B2 (en) 2004-11-18 2010-01-26 Cayenne Medical, Inc. Devices, systems and methods for material fixation
US20060155287A1 (en) * 2004-11-18 2006-07-13 Montgomery Kenneth D Devices, systems and methods for material fixation
US8435294B2 (en) 2004-11-18 2013-05-07 Cayenne Medical, Inc. Devices, systems and methods for material fixation
US8277484B2 (en) 2005-03-10 2012-10-02 Tyco Healthcare Group Lp Suture anchors
US20060276841A1 (en) * 2005-03-10 2006-12-07 Barbieri Thomas J Suture anchors
US7588587B2 (en) * 2005-03-10 2009-09-15 Tyco Healthcare Group Lp Suture anchors
US7850712B2 (en) 2005-11-15 2010-12-14 Ethicon Endo-Surgery, Inc. Self-shielding suture anchor
US7815659B2 (en) 2005-11-15 2010-10-19 Ethicon Endo-Surgery, Inc. Suture anchor applicator
US20070167950A1 (en) * 2005-12-22 2007-07-19 Tauro Joseph C System and method for attaching soft tissue to bone
US8273106B2 (en) 2006-02-03 2012-09-25 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8771316B2 (en) 2006-02-03 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9561025B2 (en) 2006-02-03 2017-02-07 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US10004489B2 (en) 2006-02-03 2018-06-26 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
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8292921B2 (en) 2006-02-03 2012-10-23 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9510821B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US8632569B2 (en) 2006-02-03 2014-01-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9492158B2 (en) 2006-02-03 2016-11-15 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
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US8721684B2 (en) 2006-02-03 2014-05-13 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
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
US20070219557A1 (en) * 2006-03-17 2007-09-20 Bourque Bernard J Soft tissue fixation
US7967861B2 (en) 2006-03-20 2011-06-28 Cayenne Medical, Inc. Devices, systems and methods for material fixation
US8465545B2 (en) 2006-03-20 2013-06-18 Cayenne Medical, Inc. Devices, systems, and methods for material fixation
US9636212B2 (en) * 2006-03-31 2017-05-02 Pixium Vision Sa Device for reversibly attaching an implant in an eye
US20110071627A1 (en) * 2006-03-31 2011-03-24 Imi Intelligent Medical Implants Ag Device for reversibly attaching an implant in an eye
US9005220B2 (en) 2006-04-04 2015-04-14 C.R. Bard, Inc. Suturing devices and methods with energy emitting elements
US8105355B2 (en) 2006-05-18 2012-01-31 C.R. Bard, Inc. Suture lock fastening device
US8425555B2 (en) 2006-05-18 2013-04-23 C.R. Bard, Inc. Suture lock fastening device
US20070288023A1 (en) * 2006-06-12 2007-12-13 Greg Pellegrino Soft tissue repair using tissue augments and bone anchors
US8663280B2 (en) 2006-07-20 2014-03-04 Lee D. Kaplan Surgical instruments
US20110009884A1 (en) * 2006-07-20 2011-01-13 Kaplan Lee D Surgical instruments
US20080077161A1 (en) * 2006-07-20 2008-03-27 Kaplan Lee D Surgical instruments
US9757112B2 (en) 2006-07-20 2017-09-12 Lee D. Kaplan Surgical instruments
US8444674B2 (en) 2006-07-20 2013-05-21 Lee D. Kaplan Surgical instruments
US9788825B2 (en) 2006-08-04 2017-10-17 Depuy Mitek, Llc Suture anchor with relief mechanism
US9750492B2 (en) 2006-08-04 2017-09-05 Depuy Mitek, Llc Suture anchor system with tension relief mechanism
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
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US20140200583A1 (en) * 2006-09-29 2014-07-17 Biomet Sports Medicine, Llc Fracture Fixation Device
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
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9788876B2 (en) * 2006-09-29 2017-10-17 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
US7879094B2 (en) 2006-10-24 2011-02-01 Cayenne Medical, Inc. Systems for material fixation
US8192490B2 (en) 2006-10-24 2012-06-05 Cayenne Medical, Inc. Methods and systems for material fixation
US20110184517A1 (en) * 2006-10-24 2011-07-28 Cayenne Medical, Inc. Methods and systems for material fixation
US9597175B2 (en) 2006-10-24 2017-03-21 Cayenne Medical, Inc. Methods and systems for material fixation
US20100185283A1 (en) * 2006-10-24 2010-07-22 Cayenne Medical, Inc. Methods and systems for material fixation
US20110184516A1 (en) * 2006-10-24 2011-07-28 Cayenne Medical, Inc. Methods and systems for material fixation
US8652208B2 (en) 2006-10-24 2014-02-18 Cayenne Medical, Inc. Methods and systems for material fixation
US8414647B2 (en) 2006-10-24 2013-04-09 Cayenne Medical, Inc. Systems for material fixation
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
US9345467B2 (en) 2007-10-25 2016-05-24 Smith & Nephew, Inc. Anchor assembly
US8858565B1 (en) 2008-05-08 2014-10-14 Cayenne Medical, Inc. Inserter for soft tissue or bone-to-bone fixation device and methods
US9901437B1 (en) 2008-05-08 2018-02-27 Cayenne Medical, Inc. Inserter for soft tissue or bone-to-bone fixation device and methods
US8790357B1 (en) 2008-05-09 2014-07-29 Cayenne Medical, Inc. Manual soft tissue T-shape tensioning device
US8123806B1 (en) 2008-05-09 2012-02-28 Cayenne Medical, Inc Method of tensioning a tissue graft having suture bundles using a cleated bar
US9486205B2 (en) 2008-07-17 2016-11-08 Smith & Nephew, Inc. Surgical devices
US8882785B2 (en) 2008-09-29 2014-11-11 Paul C. DiCesare Endoscopic suturing device
US8523902B2 (en) 2009-01-30 2013-09-03 Kfx Medical Corporation System and method for attaching soft tissue to bone
US9706984B2 (en) 2009-01-30 2017-07-18 Conmed Corporation System and method for attaching soft tissue to bone
US8870955B1 (en) 2009-03-10 2014-10-28 Cayenne Medical, Inc. Methods and systems for material fixation
US8206446B1 (en) 2009-03-10 2012-06-26 Cayenne Medical, Inc. Method for surgically repairing a damaged ligament
US8845725B2 (en) * 2009-04-17 2014-09-30 Lumaca Orthopaedics Pty Ltd Tenodesis system
US9468518B2 (en) 2009-04-17 2016-10-18 Lumaca Orthopaedics Pty Ltd Tenodesis system
US20110106252A1 (en) * 2009-04-17 2011-05-05 Shane Barwood Tenodesis system
US8932354B2 (en) * 2009-04-17 2015-01-13 Shane Barwood Tenodesis fixation method
US20110106253A1 (en) * 2009-04-17 2011-05-05 Shane Barwood Tenodesis fixation method
US8545535B2 (en) 2009-05-12 2013-10-01 Foundry Newco Xi, Inc. Suture anchors with one-way cinching mechanisms
US9539000B2 (en) 2009-05-12 2017-01-10 The Foundry, Llc Knotless suture anchor and methods of use
US9463010B2 (en) 2009-05-12 2016-10-11 The Foundry, Llc Methods and devices to treat diseased or injured musculoskeletal tissue
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
US20110009885A1 (en) * 2009-07-09 2011-01-13 Graf Ben K Tissue Graft Anchor Assembly and Instrumentation For Use Therewith
US9364276B2 (en) 2009-07-09 2016-06-14 Smith & Nephew, Inc Tissue graft anchor assembly and instrumentation for use therewith
US8663325B2 (en) * 2009-07-09 2014-03-04 Smith & Nephew, Inc. Tissue graft anchor assembly and instrumentation for use therewith
US9333020B2 (en) 2009-07-09 2016-05-10 Smith & Nephew, Inc. Tissue graft anchor assembly and instrumentation for use therewith
US20110005046A1 (en) * 2009-07-10 2011-01-13 Shenzhen Futaihong Precision Industry Co., Ltd. Accessory securing mechanism for portable electronic device
EP2275048B1 (en) * 2009-07-16 2015-04-29 Covidien LP Composite fixation device
US20110112550A1 (en) * 2009-10-13 2011-05-12 Kfx Medical Corporation System and method for securing tissue to bone
US9826970B2 (en) 2009-10-13 2017-11-28 Conmed Corporation System and method for securing tissue to bone
US9936939B2 (en) 2009-11-10 2018-04-10 Smith & Nephew, Inc. Tissue repair devices
US8449612B2 (en) * 2009-11-16 2013-05-28 Arthrocare Corporation Graft pulley and methods of use
US20110118837A1 (en) * 2009-11-16 2011-05-19 George Delli-Santi Graft pulley and methods of use
US9132016B2 (en) 2010-05-26 2015-09-15 Topsfield Medical Gmbh Implantable shoulder prostheses
US9044313B2 (en) 2010-10-08 2015-06-02 Kfx Medical Corporation System and method for securing tissue to bone
US20140128983A1 (en) * 2011-03-14 2014-05-08 Topsfield Medical Gmbh Implantable glenoid prostheses
US9968349B2 (en) 2011-04-13 2018-05-15 Conmed Corporation System and method for securing tissue to bone
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9775597B2 (en) 2011-10-04 2017-10-03 Conmed Corporation Dual expansion anchor
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US9445827B2 (en) 2011-10-25 2016-09-20 Biomet Sports Medicine, Llc Method and apparatus for intraosseous membrane reconstruction
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
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
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9173657B2 (en) 2011-12-15 2015-11-03 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113868B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
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
US9113866B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113867B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9138220B2 (en) * 2011-12-19 2015-09-22 Medos International Sarl Knotless suture anchor
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US9980716B2 (en) 2012-03-21 2018-05-29 Ethicon Llc Methods and devices for creating tissue plications
WO2013181212A1 (en) * 2012-05-29 2013-12-05 Smith & Nephew, Inc. Hybrid anchor
US9198704B2 (en) 2012-07-18 2015-12-01 Jmea Corporation Impact and drive system for prosthesis deployment device
US9463009B2 (en) 2012-07-18 2016-10-11 Jmea Corporation Expandable prosthesis for a tissue repair system
US9089379B2 (en) 2012-07-18 2015-07-28 Jmea Corporation Multi-impact system for prosthesis deployment device
US9433456B2 (en) 2012-07-18 2016-09-06 Jmea Corporation Method and system for implanting multiple prostheses
US9572615B2 (en) 2012-07-18 2017-02-21 Jmea Corporation Detachable front delivery assembly for a tissue repair system
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
US9925036B2 (en) 2013-03-15 2018-03-27 Conmed Corporation System and method for securing tissue to bone
US9936940B2 (en) 2013-06-07 2018-04-10 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
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
US20170156876A1 (en) * 2014-06-06 2017-06-08 In2Bones Surgical implant, and associated installation tool, surgical kit and method of production
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
US9924935B2 (en) 2015-10-23 2018-03-27 Smith & Nephew, Inc. Suture anchor assembly with slip fit tip

Similar Documents

Publication Publication Date Title
US7037324B2 (en) Knotless tissue anchor
US5782864A (en) Knotless suture system and method
US7896907B2 (en) System and method for attaching soft tissue to bone
US6554852B1 (en) Multi-anchor suture
US5702462A (en) Method of meniscal repair
US6632224B2 (en) Bone fixation system
US5464427A (en) Expanding suture anchor
US8632569B2 (en) Soft tissue repair device and associated methods
US7651528B2 (en) Devices, systems and methods for material fixation
US5814071A (en) Suture anchor assembly and methods
US5725556A (en) Suture locking apparatus
US6887259B2 (en) Suture anchor system and method of use
US7232448B2 (en) Minimally invasive stitching device
US6041485A (en) System and method for anchoring a cord-like element to a workpiece
EP0415915B1 (en) Apparatus for anchoring tissue
US20070088362A1 (en) Apparatus and methods for surgery
US5374268A (en) Device and method for repairing torn tissue
US20060282085A1 (en) Soft tissue conduit device
US20090043342A1 (en) Flat Shaft Fasteners
US5441502A (en) System and method for re-attaching soft tissue to bone
US20060229623A1 (en) Tissue fixation system and method
US20040138706A1 (en) Knotless suture anchor
US6814741B2 (en) Suture buttress
US6152928A (en) Ligament fixation device and method
US20090118734A1 (en) Implantation System for Tissue Repair

Legal Events

Date Code Title Description
FPAY Fee payment

Year of fee payment: 4

FPAY Fee payment

Year of fee payment: 8

FPAY Fee payment

Year of fee payment: 12