Connect public, paid and private patent data with Google Patents Public Datasets

Manipulating and anchoring tissue

Info

Publication number
WO1989010096A1
WO1989010096A1 PCT/US1988/001286 US8801286W WO1989010096A1 WO 1989010096 A1 WO1989010096 A1 WO 1989010096A1 US 8801286 W US8801286 W US 8801286W WO 1989010096 A1 WO1989010096 A1 WO 1989010096A1
Authority
WO
Grant status
Application
Patent type
Prior art keywords
anchor
member
suture
needle
tissue
Prior art date
Application number
PCT/US1988/001286
Other languages
French (fr)
Inventor
John O. Hayhurst
Original Assignee
Hayhurst John O
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

Links

Classifications

    • 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
    • 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
    • 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
    • A61B2017/0404Buttons
    • 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
    • A61B2017/0417T-fasteners
    • 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
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448Additional elements on or within the anchor
    • A61B2017/0451Cams or wedges holding the suture by friction
    • 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
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458Longitudinal through hole, e.g. suture blocked by a distal suture kno
    • 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
    • A61F2/0805Implements for inserting 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
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0876Position of anchor in respect to the bone
    • A61F2002/0888Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

An apparatus and method for manipulating and anchoring tissue is provided. The invention is directed to solving the problem of manipulating and anchoring tissue within a joint when access to that tissue is limited, for example, during arthroscopic surgery. The apparatus includes an anchor member (10, 50) with attached suture (12, 52). The anchor member (10, 50) is lodged within the tip of a needle (14, 54), which is inserted into a joint. A tube (16, 55) fits within the needle (14, 54) and is pushed toward the needle tip to expel the anchor member (10, 50) into or behind the tissue to be manipulated or anchored. The suture (12, 52) is thereafter available for manipulating or anchoring the tissue. In one embodiment, the anchor member (80) is configured to provide anchorage of its attached suture (82) within a hole (100) drilled into a bone (96). A retainer (68, 69) slides over the suture (12, 52, 82) and secures tissue to the anchor member (12, 52) or to the bone (96) in which the anchor member (82) is anchored.

Description

Manipulating and Anchoring tissue

Technical Field

This invention relates to an apparatus and method for manipulating and anchoring cartilage and similar fibrous tissue within a joint.

Background Art

Conventional medical clamps have certain disadvantages when used for manipulating cartilage or other tissue within a joint during arthroscopic surgery. Primarily, the clamps have a tendency to slip off the cartilage. Additionally, the size of the clamps in relation to the relatively small space within the joint makes it difficult to maneuver other surgical instruments, such as a scalpel or arthroscope, within the confined space of the joint. Such clamps can also interfere with the view of the inside of the joint afforded by the arthroscope. Since the clamps must be introduced into the joint through an incision, they are limited in their range of manipulation by the location of the incision. In order to apply a desired directional traction to the cartilage, it may be necessary to release the clamp from the cartilage, reintroduce the clamp through another incision, and reclamp the cartilage.

It is often necessary to repair torn fibrous tissue, such as a ligament or tendon, or reattach such tissue to bone. While in some instances it is possible to insert two needles into the joint and then thread both of them with a suture to form a loop to reattach torn parts of fibrous tissue, that procedure is undesirable because it is complex and time- consuming. The alternative of more radical arthrotomy is also undesirable because of the increased amount of trauma and resultant increased morbidity encountered in the use of such a procedure.

As is explained.in the following summary and description, the present invention provides a rela- tively compact and easy* to use apparatus for manipulating cartilage and other fibrous tissue, and for anchoring the tissue to other tissue or to bone. Some technical references that may be of general in¬ terest are as follow: Allen, U.S. Patent 3,69S»,969; Shein, U.S. Patent 3,527,223; Woo, U.S. Patent

3,943,932; Almen, U.S. Patent 3,500,820; Johnson et al., U.S. Patent 3,871,368; and Smith, U.S. Patent 4,243,037. None of these references discloses a method or apparatus suitable for manipulating fibrous tissue during arthroscopic surgery, or for effectively reattaching fibrous tissue to bone or to other fibrous tissue.

Disclosure of Invention

The aforementioned problems associated with use of conventional medical clamps for manipulating tissue are overcome by the present invention, which provides an apparatus and an associated method for manipulating and anchoring tissue during arthroscopic surgery. The apparatus provides adequate fixation of the tissue during such surgery and minimally inter¬ feres with the use of other instruments within the joint.

The apparatus particularly comprises an elongated anchor member having a suture attached proximate the midpoint of its length. The anchor mem¬ ber is inserted through the tissue with the suture ex¬ tending therefrom to provide a mechanism for manipulating the tissue within the joint. The end faces of the anchor member may be slanted to facilitate movement of the anchor member through the tissue. The preferred means of inserting the anchor member includes a hollow needle having a sharp tip and an open butt. A hollow tube of equal or greater length than the needle slides within the needle. A limiting mechanism is provided at the butt of the needle and at the corresponding portion of the hollow tube to selectively position the tube within the needle so that the tube does not extend outwardly beyond the tip of the needle. The anchor member is located within the tip of the hollow needle in either a deformed U shape, or in its normal, substantially straight shape. The suture extends from the anchor member through the bore of the tube. A removable shield fits over the tip of the needle to prevent the sharp tip from cutting the suture or the anchor member during the process of inserting the anchor member into the hollow needle. With the anchor member located within the tip of the needle, the needle tip is inserted into a joint during a surgical procedure. The needle tip pierces the tissue to be anchored and passes substantially through the tissue. The limiting mechanism is manipulated so that the tube may be pushed forward to the tip of the needle, thereby expelling the anchor member from the tip of the needle into or behind the piece of tissue to be anchored. As the anchor member is expelled from the tip of the needle it assumes an orientation generally perpendicular to the length of the suture. The needle and tube are then removed from the joint, leaving the suture extending through the tissue and out of the joint. The tissue is manipulated by the application of tension on the suture. If it is desirable to push the tissue, the suture may be rethreaded or left threaded in the tube and the tissue may then be securely held between the tube and the anchor member by applying tension to the suture. If it is desirable to control the tissue from a different angle, or through a different incision, a hook-ended instrument may be passed through another incision to hook the suture and pull the tissue. It will be apparent that moving the tissue in this manner is possible without detaching the anchor member from the tissue. If necessary, the tissue may be removed from the joint by tension on the suture once the tissue has been surgically freed from the joint.

It is often desirable to permanently reattach to bone fibrous tissue, such as tendons or ligaments. An alternative embodiment of a tissue anchoring apparatus is provided for that purpose.

More particularly, the apparatus of this embodiment includes a deformable anchor member that has a base and at least two legs. Each leg is attached to the base and extends therefrom to terminate in an outer end. A suture is attached to the base of the anchor member. The anchor member is formed of resilient material for urging the anchor member into a relaxed position wherein the ends of the legs are spaced apart a maximum distance. The anchor member is deformable into a deformed position wherein the ends of the legs are spaced apart a minimum distance that is less than the maximum distance.

While in the deformed position, the anchor member is insertable into a hole that is drilled into the bone at the location the tissue is to be attached to the bone. The hole has a diameter that is less than the maximum distance between the ends of the anchor member legs. Consequently, upon insertion of the anchor member into the hole, the ends of the anchor member legs bear upon the bone within the hole, and the suture extends from the hole. Whenever tension is applied to the suture, the ends of the legs dig into the bone and resist removal of the anchor member from the hole.

With the anchor member anchored in the hole, the suture is available for securing the tissue to the bone. One way of using the suture to secure the tissue to the bone is to attach a retainer to the suture for pressing the tissue against the bone. The retainer includes resilient suture-engaging edges and corners, and is slidable along the suture in one direction, but grips the suture to resist sliding in the opposite direction. The retainer thereby holds tissue against the bone during healing so that the tissue will properly reattach to the bone.

To avoid prolonged irritation of surrounding tissues, the anchor member, suture, and retainer of the present invention may be made of material that is gradually absorbable by the body.

The foregoing and other features of the invention will be more readily understood upon consideration of the following detailed description of the invention, taken in conjunction with the accompanying drawings.

Brief Description of the Drawings Fig. 1 is an elevational view of an apparatus for manipulating and anchoring tissue according to the present invention, with a portion of the apparatus sectionally cut away.

Fig. 2 is a sectional elevational view of the apparatus shown in Fig. 1, illustrating the manner of deformably lodging an anchor member within the tip of a hollow needle.

Fig. 3 is a fragmentary, sectional elevational view of the apparatus of Fig. 1, showing the apparatus piercing cartilage. Fig. 4 is a fragmentary, sectional elevational view of the apparatus of Fig. 1, illustrating the manner of expelling the anchor member between cartilage and bone.

Fig. 5 is a sectional elevational view of the apparatus of Fig. 1, showing cartilage secured by the anchor member and suture components of the apparatus.

Fig. 6 is an enlarged perspective view of the anchor member and suture, showing the normal and deformed configuration of the anchor member. Fig. 7 is a foreshortened perspective view of a hook-ended instrument usable with the apparatus of Fig. 1.

Fig. 8 is a sectional elevational view of an apparatus for manipulating and anchoring tissue, illustrating an alternative manner of lodging the anchor member within the tip of the needle.

Fig. 9 is a sectional elevational view of the apparatus shown in Fig. 8, illustrating expulsion of the anchor member from the tip of the needle. Fig. 10 is a perspective view of the inner surface and an edge of a retainer used in association with the suture and the anchor member for securing tissue to bone or to other tissue.

Fig. 11 is a perspective view of the outer surface and an edge of the retainer shown in Fig. 10.

Fig. 12 is a perspective view of an alternative retainer.

Fig. 13 illustrates a portion of a joint in which the anchor member, suture, and retainer are used to connect and retain a piece of cartilage in position against another piece of cartilage from which it had been torn.

Fig. 14 is a sectional view taken along line 14-14 of Fig. 13. Fig. 15 is a side elevational view, partly in section, of an anchor member and suture that can be anchored to a bone.

Fig. 16 is a sectional elevational view of the anchor member and suture of Fig. 15, positioned within the preferred mechanism for inserting the an¬ chor member into a hole in a bone.

Fig. 17 is a sectional elevational view showing the anchor member of Fig. 16 anchored within a hole in a bone and used, in conjunction with the su¬ ture and a retainer, to hold tissue against the bone.

Fig. 18 is a sectional elevational view showing an alternative method of using an anchor mem¬ ber and suture to hold tissue against the bone. Fig. 19 is a side cross-sectional view of an alternative embodiment of an anchor member that has a hole formed therethrough to permit a suture to be looped through it.

Fig. 20 is a cross-sectional view of another alternative embodiment of an anchor member that can be anchored to a bone.

Fig. 21 is a top view of the anchor member of Fig. 20.

Modes for Carrying Out the Invention One preferred embodiment of the present in¬ vention, shown assembled in Figs. 1 and 2, provides a resiliently deformable anchor member 10, which is at¬ tached to a suture 12 and adapted to fit deformably within the tip 26 of a hollow needle 14. A hollow tube 16, also adapted to fit within the needle 14, is used to expel the anchor member from the tip 26 of the needle after the needle has pierced a piece of fibrous tissue, such as the cartilage 18, as shown in Figs. 3 and 4. Once expelled between the cartilage 18 and bone 38, the anchor member resiliently resumes its normal shape, as shown in Fig. 5. The anchor member normal shape, as shown in Fig. 5. The anchor member of the invention might also be used to secure ligament or tendon, as will be described hereinafter, and the term tissue will be broadly used herein to encompass cartilage, tendons, ligaments and similar tissue.

The anchor member 10, shown in perspective view in Fig. 6, is an elongated cylindrical member. The anchor member 10 has end faces 20 and 22 at the respective extremities thereof. The end faces 20 and 22 are slanted relative to the longitudinal axis of the anchor member and preferably lie in respective planes that intersect one another. The suture 12 is attached to the anchor member 10 at a location 24 between the end faces 20 and 22. The suture 12 may be attached to the anchor member 10 during formation of the anchor member.

The anchor member 10 is preferably comprised of a resilient material such as a plastic. As a result, the anchor member is capable of being deformed from its relaxed, straight shape into a U-shape as shown in broken line in Fig. 6. Although the anchor member is shown to have a circular cross section, other cross-sectional shapes could be utilized without departing from the principles of this invention. The anchor member 10 is formed with sufficient rigidity to cause it to resist deformation under moderate pressure, but not so rigid as to prohibit the U-shaped deformation when the anchor member is lodged within the needle as shown in Figs. 2 and 3. The material comprising the anchor member has sufficient elasticity to restore the anchor member substantially to its relaxed, straight configuration shown in Figs. 1, 4, 5 and 6.

The needle 14 shown in Figs. 1 and 2 has a hollow cylindrical shape with a sharp-edged open tip 26, an open butt 27, and a bore extending longitudinally therethrough from the tip 26 to the butt 27. The sharp tip 26 is beveled to create a sharp edge at its outer circumference and is thereby adapted to pierce and penetrate tissue. Alternatively, the sharp tip 26 could be beveled to create a sharp edge at its inner circumference.

An annular collar 28, which includes an open keyway 30 formed therein, encircles the butt of the needle. The keyway extends a short distance toward the needle tip through the cylindrical wall of the needle as shown in Fig. 2.

The hollow tube 16, which is at least as long as the needle 14, and has an elongate cylindrical shape with an open tip 17 and an open butt 19, is adapted to slide within the hollow needle. The tube 16 has an interior bore diameter large enough to receive the suture 12 therethrough so that the free end 13 of the suture extends from the open butt 19 of the tube. The tube 16 has an annular flange 32 encircling the butt 19 thereof to prevent the tube, when pushed toward the needle tip 26, from protruding more than a predetermined distance beyond the tip. The tube is preferably such a length that when the flange 32 is positioned immediately adjacent the collar 28, the tip 17 of the tube is proximate the needle tip 26, as shown in Fig. 4.

A limiting mechanism for controlling movement of the tube 16 is provided in the form of a key 34 that is mounted on the outer cylindrical wall of the tube 16. The key 34 is adapted to mate with the keyway 30 associated with the needle 14. The key

34 will prevent the tip 17 of the tube 16 from moving proximal to the tip 26 of the needle 14 unless the key 34 is aligned with the keyway 30. This alignment is accomplished by rotation of the tube 16 within the needle 14. If the tube 16 is of the aforementioned preferred length, the key 34 should be located close enough to the tip 17 of the tube 16 to permit the anchor member 10 to be fully drawn into the needle tip 26 when the tube is positioned inside the needle with the key and keyway out of alignment, as shown in Figs. 2 and 3. As will be apparent, the keyway 30 should be of sufficient length to allow the flange 32 to contact the collar 28 when the key 34 is positioned in the keyway 30. It should be recognized that, while the aforedescribed key and keyway arrangement is believed to be particularly suitable, other mechanisms for limiting the movement of the tube 16 within the needle 14 could be utilized without departing from the principles of this invention.

As shown in Figs. 1 and 2, a shield 36 having a generally cylindrical shape with open ends is adapted to fit removably on the sharp needle tip 26. The inner walls of the shield have three distinct sections: an upper section 29, an intermediate section 31, and a lower section 33. The upper section 29 is cylindrical and has an inner diameter substantially equal to the outer diameter of the needle tip 26 so as to permit the shield to be mounted over the tip 26. The intermediate section 31 is cylindrical and has an inner diameter slightly smaller than the outer diameter of the needle tip 26, to shield the anchor member from the sharp edge of the needle tip 26. The lower section 33 has a bell-like flared shape to encourage appropriate deformation of the anchor member 10 as it is drawn into the needle tip 26 as shown in Fig. 2. Prior to use, the apparatus is first assembled as shown in Figs. 1 and 2, the shield 36 being mounted upon the tip 26 prior to the suture 12 being threaded through the tube 16 so that the free end 13 protrudes out the butt end 19 of the tube. Tension on the free end 13 of the suture 12 will pull the anchor member 10 into the needle tip 26 as shown in Fig. 2, the inner surface of the bell-shaped lower section 33 of the shield guiding the anchor member into the appropriate U-shape, the anchor member being protected from the sharp tip by the shield 36.

The tube 16 is axially positioned within the needle with the key 34 abutting the collar 28 so that there is appropriate space for the anchor member to lodge deformably within the needle tip 26. Positioning the tube 16 within the needle as shown in Figs. 1 and 2 is not necessary prior to introducing the free end 13 of the suture 12 into and through the bore of the needle 14, but having the tube so positioned when the anchor member 10 is drawn into the tip 26 is helpful to ensure that the anchor member 10 is not positioned an unnecessary distance from the needle tip 26. Once the anchor member 10 is deformably lodged in the tip 26, the shield 36 may be removed.

The assembled apparatus may then be introduced into the joint of a patient, either through an incision or by using the needle tip 26 to pierce the skin and surrounding tissue. The tip 26 of the needle 14 is thereafter used to pierce the cartilage 18 which is to be manipulated or anchored, as shown in Fig. 3. Once the tip 26 has pierced the cartilage

18, the tube 16 may be axially rotated within the needle 14 so that the key 34 aligns with the keyway 30. The tube 16 may then be pushed toward the tip 26 of the needle 14, the key 34 entering the keyway 30, and the tip 17 of the tube 16 expelling the anchor member 10 from the needle tip 26 as shown in Fig. 4. As the anchor member 10 is pushed from the needle tip 26, it resumes its normal elongated shape. Where the cartilage 18 is very near bone 38, the slanted end faces 20, 22 of the anchor member facilitate movement of the longitudinal extremities of the anchor member through the space 40 between the bone 38 and cartilage 18.

Once the anchor member 10 has generally resumed its normal elongate shape behind the cartilage 18, the needle 14 and the tube 16 may be withdrawn from the joint, allowing the cartilage 18 to partially collapse around the anchor member 10 and suture 12 as shown in Fig. 5. The suture 12 is now anchored to the cartilage 18, and the cartilage may be securely held and manipulated by tension on the suture 12 to facilitate further surgical procedures on and around the cartilage.

The relatively small size of the suture 12 allows virtually unobstructed vision of the interior of the joint through an arthroscope, and also permits the insertion of other surgical instruments, such as an arthroscope or scalpel, through the same incision as the suture. Due to the flexibility of the suture 12, tension may be applied from many directions as dictated by the needs of the surgical process. Further control of the cartilage 18 is available by rethreading the suture 12 through the tube 16 and applying tension to the suture, thereby effectively clamping the cartilage 18 between the anchor member 10 and the tip 17 of the tube 16, and allowing the cartilage to be pushed, rather than pulled, into a desired position.

A hook-ended instrument 42, shown in Fig. 7, may be used to achieve even greater maneuverability of the anchored cartilage 18 by introducing the instrument 42 into the joint through a separate incision, capturing the suture 12 in the hooked end of the instrument, and drawing the suture 12 out of the joint through such other incision. The cartilage may then be manipulated and controlled in the manner described above, through a different incision, without detaching the anchor member 10 from the anchored cartilage 18.

If necessary, the anchored cartilage 18 may be surgically freed, and removed from the joint by tension on the suture 12.

Referring now to Figs. 8 and 9, an anchor member 50, which is similar to the anchor member 10 described above, has fixedly attached thereto a suture 52. The anchor member 50 is held within the tip 53 of a hollow needle 54, ahead of the tip 56 of a hollow tube 55. The edge of the hollow needle 54 at the tip 53 is formed in a plane that is slanted relative to the longitudinal axis of the needle, thereby to form a sharp leading edge 51 for piercing tissue. The free end 57 of the suture 52 extends from the hollow tube 55.

As shown in Figs. 8 and 9, the anchor member 50 may be used in essentially the same fashion as is the anchor member 10, with the hollow needle 54 piercing a piece of fibrous tissue, such as cartilage 60. The anchor member 50 is expelled from the tip 53 of the hollow needle 54 as the hollow tube 55 is slid toward the tip 53 of the hollow needle 54. The anchor member 50 thereafter assumes a position between the cartilage 60 and a bone 62, where it extends generally perpendicular to the suture 52. The slanted end faces 64, 65 of the anchor member 50 assist in directing the anchor member 50 to this position. Once the anchor member 50 has been expelled from the needle 54, the suture 52 is pulled outwardly to move the anchor member 50 to the position shown in broken line in Fig. 9, where it extends laterally along the lower surface of the cartilage 60. It is noteworthy that the anchor member 50 depicted in Figs. 8 and 9 may be formed of substantially rigid material. A rigid anchor member can be inserted into the space between the cartilage and bone by moving the needle 54 so that it is inclined to the bone surface and then expelling the anchor member from the needle. A rigid anchor member may be lodged within cartilage or other tissue (i.e. , as opposed to being inserted between cartilage and bone) by expelling the anchor member substantially straight into the tissue and pulling on the suture. Because the suture is attached between the ends of the anchor member, tension on the suture tends to rotate the anchor member into a position substantially perpendicular to the suture, thereby causing the anchor member to become firmly lodged within the tissue. In this regard, rotational movement of the anchor member 50 into a position substantially perpendicular to the suture 52 most readily occurs when the end face 65 that last enters the tissue is slanted so that a force applied perpendicular to that surface (that force being a component of the reaction force of the tissue against the surface 65 as tension is applied to the suture of the expelled anchor member) tends to move that face 65 of the anchor member 50 away from the suture 52. This preferred slanting of the end face 65 is shown in Figs. 8 and 9.

Referring now to Figs. 10-14, retainer devices 68 and 69, each having a pair of generally parallel surfaces, are made of resilient material and have slits 70 and 72, respectively, which intersect near the central points of the parallel surfaces, defining pointed corner flaps 71 and 73, respectively. The retainers 68 and 69 are preferably circular because the circular shape may reduce the possibility of irritation of surrounding tissue. It will be understood, however, that this shape is a matter of choice and that other shapes would also be acceptable. Raised points 74 are provided on the inner surface of the retainer 68 to bear against tissue, and to assist in immobilizing the tissue while the anchor member is in use. In many instances, however, the raised points 74 will not be required and a flat inner surface will suffice. The following discussion of retainer use is directed to the anchor member 50 of Fig. 8; however, it is understood that the discussion applies to all embodiments of the anchor member described herein.

The retainer 68 (or retainer 69) may be used in conjunction with the anchor member 50 by inserting the free end 57 of the suture through the retainer at the intersection of the slits 70 after the hollow needle and hollow tube have been withdrawn from around the suture. When the suture 52 is inserted through the retainer 68, the flaps 71 that are defined between adjacent slits 70 are resiliently deformed toward the direction of movement of the suture therethrough. Thereafter, the flaps wedge against the suture 52 and resist withdrawal of the suture through the slits. By applying tension to the suture 52 (see Figs. 13 and 14) and urging the retainer 68 along the suture to the surface of cartilage 76 from which the suture extends, the retainer may be used to maintain tension in the suture, thereby holding a loose piece of cartilage 76 against the stable piece of cartilage 78 from which the loose piece of cartilage 76 had been torn or fractured. The anchor member 50, suture 52, and retainer 68 may be left permanently in the joint to retain the torn cartilage 76 in its proper location against the stable cartilage 78, with the retainer 68 resting against the outside of the stable cartilage 78, between the surface of the stable cartilage 78 and muscle tissue 79 adjacent thereto. It is noteworthy that in many instances the needle 54 may be inserted into a joint from opposing directions. For example, the anchor member 50 was deposited in the position shown in Figs. 13 and 14 by a needle that penetrated the muscle tissue 79. The needle could have been inserted from the opposing side of the joint (and not through muscle tissue 79) to deposit the anchor member 50 in the position occupied by the retainer 68 in Figs. 13 and 14. Accordingly, the positions of the anchor member 50 and the retainer 68 would be reversed from those shown in Figs. 13 and 14, but the loose cartilage 76 would still be held against the secure cartilage 78. One reason for inserting the needle from the opposing side of the joint, as just explained, would be to avoid damaging any nerves or blood vessels that are present in the region of the muscle tissue 79.

To prevent prolonged irritation of the surrounding tissue by the presence of the anchor member 50 and retainer 68, it is particularly desirable to form the anchor member and retainer of material that can be gradually absorbed by the body of the patient as healing occurs. Resilient, synthetic materials that are gradually absorbable by the body are known for use in sutures and are desirable as materials for the anchor member and retainers of the present invention. One such material is an absorbable polymer known as poly-diaxanone (PDS) , which is available from Ethicon, Inc. , of Summerville, New Jersey.

Referring now to Figs. 15-17, an anchor member 80 is particularly adapted for use in anchoring a suture 82 to bone 96 so that the suture 82 may be used to reattach tissue 98 to the bone. The anchor member 80 is generally bullet-shaped having a rounded convex base 84 with two attached legs 86 extending from the base. The outer ends 85 of the legs are tapered and terminate in a sharp outer edges 87. The anchor member 80 is formed of resilient material, and whenever the anchor member is in its relaxed state (Fig. 15) , the legs 86 diverge outwardly so that the outer edges 87 of the legs are spaced apart a maximum distance D. One end of a suture 82 is embedded within, or otherwise attached to, the base 84 of the anchor member 80. Suture 82 extends outwardly from the base 84 between the legs 86. Preferably, the outer surface of the anchor member 80 carries a plurality of barbs 88. The barbs 88 point outwardly, and away from the rounded convex base 84. As a result, the exposed sharp point of each barb 88 is directed generally toward the direction in which the suture 82 extends away from the base 84 of the anchor member 80.

As shown in Fig. 16, the anchor member 80 is inserted within the tip 93 of a hollow needle 90 ahead of the tip 91 of a tube 92 that is used to expel the anchor member 80 from the needle. The suture 82 extends through the bore of the tube 92.

The anchor member 80 and the bore of the needle 90 are sized so that the anchor member is in a deformed position whenever it is lodged within the tip 93 of the needle. In the deformed position, the legs 86 of the anchor member are pressed together with the outer edges 87 of the legs being spaced apart a minimum distance d corresponding to the needle bore diameter. This distance d is less than the maximum distance D between the outer edges 87 as measured when the anchor member is in the relaxed position (Fig. 15) .

As noted, the anchor member 80 is formed of resilient material. Consequently, whenever the anchor member 80 is expelled from the needle 90, the intrinsic resilience of the anchor member urges it into the relaxed position. As will now be explained, the tendency of the anchor member 80 to move from the deformed into the relaxed position provides a simple mechanism for anchoring the anchor member 80 in bone so that, in conjunction with the attached suture, there is provided a means for reattaching tissue to the bone to promote healing.

More particularly, with reference to Fig. 17, a hole 100 is drilled into the bone 96 in the region where the tissue 98 is to be reattached to the bone. The hole diameter is less than the maximum distance D between the outer edges 87 of the anchor member, but greater than or equal to the bore diameter of the needle 90. With the anchor member 80 within the tip 93 of the needle 90, the tissue 98 is pierced by the needle in a manner as described earlier. The tip 93 of the needle is forced through the tissue 98 and then aligned with the hole 100. Next, the anchor member 80 is expelled from the needle into the hole 100 by sliding the tube 92 toward the tip 93 of the needle 90 as described earlier with respect to Figs. 3-5.

Once expelled from the needle 90 into the hole 100, the resilience of the anchor member 80 urges the outer edges 87 of the legs 86 to bear upon the bone within the hole 100. With the outer edges 87 of the legs bearing upon the bone, any tension applied to the suture 82 causes the sharp edges 87 to dig into the bone to secure the anchor member within the hole. The barbs 88 also dig into the bone to supplement the anchoring effect of the legs 86.

Preferably, the anchor member 80 is sized so that when it is positioned within the hole 100, the outer edges 87 of the legs 86 are beneath a relatively dense bone layer 97 that is located at the surface of the bone 96, and is known as the cortical layer 97. As a result, tension in the suture (in conjunction with the intrinsic resilient force of the anchor member 80 that forces the leg edges 87 apart) tends to lodge the edges 87 of the anchor member legs beneath the cortical layer 97, rendering the anchor member substantially irremovable from the hole 100. As shown in Fig. 17, a retainer 68, as described earlier, may be employed with the suture 82 to secure the tissue 98 to the bone 96.

Fig. 18 illustrates another technique for securing tissue 99 to the bone 96, wherein two anchor members 80 are anchored in holes 101, 103, and the free ends of the sutures 82 are tied together over the tissue.

It is noted that it may not be necessary to first pierce the tissue 99 before depositing the anchor member 80 into the hole 101, 103. For instance, the anchor member 80 may be deposited within the hole 101, 103 in the manner described above, and the free end of the suture 82 may be threaded through a conventional surgical needle that is used to pierce the tissue. The surgical needle is then removed and the free ends of the sutures 82 are secured as described above.

Fig. 19 depicts an alternative embodiment of an anchor member 110 suitable for anchoring in bone. The anchor member 110 is substantially similar to the anchor member 80 described earlier, except that it includes a continuous passage 112 formed therein to pass into one leg 114, through the base 116, and out the other leg 115. The suture 118 is threaded through the hole passage 112 so that two suture segments 120 extend from the anchor member. This configuration of the anchor member 110 allows the user to select any type of suture for use with the anchor member 110, depending upon the particular surgical needs. Further, having two suture segments 120 available for securing the tissue to the bone is often desirable. For example, whenever an odd number of anchor members 116 is used, the resulting even number of available suture segments 120 permits each segment of one anchor member to be tied to a corresponding segment of an adjacent anchor member, without the need for tying more than two suture segments together.

Figs. 20 and 21 illustrate a side sectional view and top view, respectively, of another alternative embodiment of an anchor member 130 formed in accordance with this invention. This embodiment is a generally cup-shaped piece of resilient material, such as plastic, having a base 132 with four legs 134 extending upwardly therefrom. The sharp outer edge 136 of each leg is spaced apart from an opposing edge 136 by a maximum distance D whenever the anchor member is in the relaxed position as shown in Fig. 20. As noted earlier, distance D is greater than the diameter of the hole into which the anchor member 130 is deposited. Preferably, two holes 138 are formed in the base 132 of the anchor member 130. A suture 140 is threaded through the holes 138.

The anchor member 130 is deposited within a hole in a bone in a manner similar to that explained with respect to the apparatus of Fig. 16. Specifically, the anchor member 130 is positioned within the tip of a hollow needle (not shown) where it assumes a deformed position. In the deformed position, the outer edge 136 of each leg is held near the outer edge 136 of the opposing leg a distance d that is less than the "relaxed" distance D and corresponds to the diameter of the needle bore in which the anchor member is lodged. When the anchor member 130 is expelled from the needle and deposited within the hole in the bone, the intrinsic resilience of the anchor member 130 forces the outer edges 136 against the bone, thereby anchoring the anchor member within the hole. The suture 140 is thereafter available to secure tissue against the bone as discussed above.

The anchor members 80, 110, 130 just described may be formed of material that is absorbable by the body. Alternatively, the anchor members may be formed of non-absorbable material (e.g. , stainless steel of suitable resilience) that remains in the bone indefinitely. The terms and expressions that have been employed in the foregoing specification are used herein as terms of description and not of limitation, and there is no intention, in the use of such terms and expressions, of excluding equivalents of the features shown and described or portions thereof, it being recognized that the scope of the invention is defined and limited only by the claims that follow.

Claims

Claims
1. An apparatus for insertion into a hole of predetermined diameter drilled into a bone, the apparatus providing a mechanism for anchoring tissue to the bone and characterized by:
(a) a deformable anchor member having a base and at least two legs attached to the base, each leg extending from the base to terminate in an outer end, at least a portion of the anchor member being formed of resilient material for urging the anchor member into a relaxed position wherein the ends of the legs are spaced apart a maximum distance that is larger than the diameter of the hole, the anchor member being deformable into a deformed position wherein the ends of the legs are spaced apart a minimum distance that is less than the diameter of the hole thereby permitting insertion of the anchor member into the hole, while the anchor member is in the deformed position; and
(b) a suture attached to the anchor member to extend from the hole in which the anchor member is inserted.
2. The apparatus of claim 1 further characterized in that the base has formed in it at least one aperture through which the suture is removably threaded to provide two suture segments extending from the anchor member and hole.
3. The apparatus of claim 1 further characterized in that the ends of the legs are formed into sharp edges that bear upon the bone when the anchor member is positioned within the hole, the edges being shaped to dig into the bone whenever tension is applied to the suture.
4. The apparatus of claim 1 further characterized in that the anchor member is sized so that when the anchor member is positioned within the hole the ends of the legs are beneath the cortical layer of the bone.
5. The apparatus of claim 1 further characterized in that the legs have outer surfaces having barbs formed therein that contact the bone to resist removal of the anchor member from the hole whenever tension is applied to the suture.
6. The apparatus of claim 1 further characterized by insertion means for inserting the anchor member into the hole, the insertion means including:
(a) a hollow needle having a tip and a butt, the needle configured for receiving the anchor member within the tip while the anchor member is in the deformed position and with the suture extending through the butt; and
(b) an expulsion tube positionable within the hollow needle to be slidable therein and operatively associated with the needle for expelling the anchor member from the needle tip.
7. The apparatus of claim 6 wherein the anchor member is inserted through tissue into the hole and wherein the suture extends from the hole through the tissue, the apparatus further characterized by a retainer slidable around the suture and configured for securing the tissue against the bone near the hole.
8. A method for anchoring tissue to a bone characterized by the steps of:
(a) drilling a hole having a predetermined diameter into the bone;
(b) attaching to a deformable anchor member a suture, wherein the deformable anchor member has a base and at least two legs attached to the base, each leg extending from the base to terminate in an outer end, at least a portion of the anchor member being formed of resilient material for urging the anchor member into a relaxed position wherein the outer ends of the legs are spaced apart a maximum distance that is larger than the hole diameter;
(c) deforming the anchor member into the deformed position; 5 (d) inserting the deformed anchor member into the hole; and
(e) securing the tissue with the suture so that the tissue is anchored near the bone.
9. The method of claim 8 further 0 characterized in that the step of attaching the suture includes the substeps of forming at least one aperture in the anchor member and removably threading the suture therethrough to provide two suture segments extending from the anchor member. 5
10. The method of claim 8 further characterized in that between steps (c) and (d) is included the substep of passing the anchor member with attached suture through the tissue to be anchored.
11. The method of claim 8 further 0 characterized in that the step of securing the tissue with the suture includes the substeps of repeating steps (a) through (d) of claim 8 for a second anchor member and second suture, and tying the first- mentioned suture to the second suture to hold the 5 tissue near the bone.
12. An apparatus for insertion into and through tissue to provide a mechanism for manipulating and anchoring tissue within a joint of a patient, characterized by: -0 (a) an elongated anchor member insertable into and through the tissue; and
(b) a suture having one end attached to the anchor member and the other end free for manipulating and anchoring the tissue within the joint. 5
13. The apparatus of claim 12 further characterized by insertion means for inserting the anchor member into and through the tissue, including: (a) a hollow needle having a tip and a butt;
(b) an expulsion tube positionable within the hollow needle to be slidable therein, the anchor member being positionable within the needle tip and expellable therefrom by the expulsion tube, the free end of the suture extending from the interior of the needle butt when the anchor member is positioned within the needle.
14. The apparatus of claim 13 further characterized by a retainer that is slidable with relatively little resistance along the suture toward the anchor member and slidable with relatively high resistance away from the anchor member, the retainer and suture configured for retaining tissue near the anchor member.
15. The apparatus of claim 14 further characterized in that the anchor member is formed of resilient material and is deformable into a deformed position within the needle tip, wherein the opposing ends of the anchor member are near each other when the anchor member is in the deformed position, the ends of the anchor member moving apart when the anchor member is expelled from the needle.
16. The apparatus of claim 15 further characterized in that the anchor member has opposing end faces, at least one end face being formed in a plane that is slanted relative to the longitudinal axis of the anchor member.
17. The apparatus of claim 16 further characterized in that the anchor member and suture are formed of material that is absorbable by the tissue.
18. The apparatus of claim 12 further characterized in that the anchor member has opposing end faces, at least one end face being formed in a plane that is slanted relative to the longitudinal axis of the anchor member.
19. The apparatus of claim 18 further characterized in that the anchor member is formed of resilient material that is absorbable by the tissue.
20. A method for manipulating tissue within a joint characterized by the steps of:
(a) positioning within a hollow needle an elongate anchor member having a suture attached thereto, the anchor member having at least one slanted end face; (b) inserting the hollow needle into the tissue;
(c) expelling the anchor member from the hollow needle; and
(d) applying tension to the suture to manipulate the tissue into a preselected position relative to the suture.
21. The method of claim 20 further characterized by the steps of forming the anchor member of resilient material and deforming the anchor member from a substantially straight, relaxed position into a bent, deformed position before positioning the anchor member within the hollow needle.
22. The method of claim 21 further characterized by the steps of placing a retainer over the suture and pushing the retainer along the suture until the retainer presses against the tissue with the suture in tension between the anchor member and the retainer.
PCT/US1988/001286 1983-05-19 1988-04-20 Manipulating and anchoring tissue WO1989010096A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US06848341 US4741330A (en) 1983-05-19 1986-04-04 Method and apparatus for anchoring and manipulating cartilage

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
EP19880904139 EP0415915B1 (en) 1986-04-04 1988-04-20 Apparatus for anchoring tissue
DE19883855610 DE3855610D1 (en) 1986-04-04 1988-04-20 Device for fixation of tissue
DE19883855610 DE3855610T2 (en) 1986-04-04 1988-04-20 Device for fixation of tissue
FI905197A FI103948B1 (en) 1986-04-04 1990-10-22 Manipulation and anchorage of tissue

Publications (1)

Publication Number Publication Date
WO1989010096A1 true true WO1989010096A1 (en) 1989-11-02

Family

ID=25303017

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1988/001286 WO1989010096A1 (en) 1983-05-19 1988-04-20 Manipulating and anchoring tissue

Country Status (6)

Country Link
US (1) US4741330A (en)
JP (1) JP2722096B2 (en)
DE (2) DE3855610T2 (en)
EP (1) EP0415915B1 (en)
FI (1) FI103948B1 (en)
WO (1) WO1989010096A1 (en)

Cited By (69)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0464479A1 (en) * 1990-07-02 1992-01-08 American Cyanamid Company Bone anchor
EP0465910A1 (en) * 1990-07-13 1992-01-15 American Cyanamid Company Improved suture anchor and driver assembly
EP0502509A1 (en) * 1991-03-04 1992-09-09 Liebscher Kunststofftechnik Bone dowel for fixing threads
US5236445A (en) * 1990-07-02 1993-08-17 American Cyanamid Company Expandable bone anchor and method of anchoring a suture to a bone
EP0558993A2 (en) * 1992-02-18 1993-09-08 Mitek Surgical Products, Inc Suture anchor and installation tool
US5258016A (en) * 1990-07-13 1993-11-02 American Cyanamid Company Suture anchor and driver assembly
EP0599772A1 (en) * 1992-11-13 1994-06-01 Technion Research And Development Foundation Ltd. Stapler device particularly useful in medical suturing
US5354298A (en) * 1991-03-22 1994-10-11 United States Surgical Corporation Suture anchor installation system
US5423856A (en) * 1990-09-13 1995-06-13 United States Surgical Corporation Apparatus and method for subcuticular stapling of body tissue
FR2718012A1 (en) * 1994-03-30 1995-10-06 T2C Sarl Anchoring intraosseous.
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
US5810848A (en) * 1996-08-21 1998-09-22 Hayhurst; John O. Suturing system
US5860425A (en) * 1991-12-03 1999-01-19 Boston Scientific Technology, Inc. Bladder neck suspension procedure
US5948001A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
US6241736B1 (en) 1998-05-12 2001-06-05 Scimed Life Systems, Inc. Manual bone anchor placement devices
US6660010B2 (en) 1998-01-27 2003-12-09 Scimed Life Systems, Inc. Bone anchor placement device with recessed anchor mount
EP1392187A2 (en) * 2001-06-06 2004-03-03 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device
US6955678B2 (en) * 2002-06-28 2005-10-18 Smith & Nephew, Inc. Soft tissue repair tool
US7037324B2 (en) 2000-09-15 2006-05-02 United States Surgical Corporation Knotless tissue anchor
US8690898B2 (en) 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8900314B2 (en) 2009-05-28 2014-12-02 Biomet Manufacturing, Llc Method of implanting a prosthetic knee joint assembly
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
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9023083B2 (en) 2012-01-27 2015-05-05 Arthrocare Corporation Method for soft tissue repair with free floating suture locking member
US9034014B2 (en) 2012-01-27 2015-05-19 Arthrocare Corporation Free floating wedge suture anchor for soft tissue repair
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9149267B2 (en) 2006-02-03 2015-10-06 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
US9198649B2 (en) 2012-01-27 2015-12-01 Arthrocare Corporation Rotating locking member suture anchor and method for soft tissue repair
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9226742B2 (en) 2012-01-27 2016-01-05 Arthrocare Corporation Restricted wedge suture anchor and method for soft tissue repair
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9364210B2 (en) 2012-01-27 2016-06-14 Arthrocare Corporation Biased wedge suture anchor and method for soft tissue repair
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
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US9414925B2 (en) 2006-09-29 2016-08-16 Biomet Manufacturing, Llc Method of implanting a knee prosthesis assembly with a ligament link
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9445827B2 (en) 2011-10-25 2016-09-20 Biomet Sports Medicine, Llc Method and apparatus for intraosseous membrane reconstruction
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9532775B2 (en) 2003-07-02 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for suture anchors with a vertical eyelet
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9622851B2 (en) 2004-06-09 2017-04-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue attachment
US9636101B2 (en) 2011-09-01 2017-05-02 Arthrocare Corporation Bone anchor having an integrated stress isolator
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9855028B2 (en) 2012-04-06 2018-01-02 Arthrocare Corporation Multi-suture knotless anchor for attaching tissue to bone and related method
US9861355B2 (en) 2004-06-16 2018-01-09 Smith & Nephew, Inc. Suture passing

Families Citing this family (493)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5417691A (en) * 1982-05-20 1995-05-23 Hayhurst; John O. Apparatus and method for manipulating and anchoring tissue
US6656182B1 (en) 1982-05-20 2003-12-02 John O. Hayhurst Tissue manipulation
US5601557A (en) * 1982-05-20 1997-02-11 Hayhurst; John O. Anchoring and manipulating tissue
US4898156A (en) * 1987-05-18 1990-02-06 Mitek Surgical Products, Inc. Suture anchor
US4968315A (en) * 1987-12-15 1990-11-06 Mitek Surgical Products, Inc. Suture anchor and suture anchor installation tool
US4899743A (en) * 1987-12-15 1990-02-13 Mitek Surgical Products, Inc. Suture anchor installation tool
US5053046A (en) * 1988-08-22 1991-10-01 Woodrow W. Janese Dural sealing needle and method of use
US5013292A (en) * 1989-02-24 1991-05-07 R. Laborie Medical Corporation Surgical correction of female urinary stress incontinence and kit therefor
US4938760A (en) * 1989-03-29 1990-07-03 American Medical Systems, Inc. Female suspension procedure
US20070135842A1 (en) * 1991-10-22 2007-06-14 Kensey Nash Corporation Sealing device
US4946468A (en) * 1989-06-06 1990-08-07 Mitek Surgical Products, Inc. Suture anchor and suture anchor installation tool
US5123913A (en) * 1989-11-27 1992-06-23 Wilk Peter J Suture device
US4950285A (en) * 1989-11-27 1990-08-21 Wilk Peter J Suture device
US5021059A (en) * 1990-05-07 1991-06-04 Kensey Nash Corporation Plug device with pulley for sealing punctures in tissue and methods of use
US5041129A (en) * 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
US5037422A (en) * 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
US5269809A (en) * 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
US5100417A (en) * 1990-07-13 1992-03-31 American Cyanamid Company Suture anchor and driver assembly
US5860978A (en) 1990-09-25 1999-01-19 Innovasive Devices, Inc. Methods and apparatus for preventing migration of sutures through transosseous tunnels
US7074203B1 (en) 1990-09-25 2006-07-11 Depuy Mitek, Inc. Bone anchor and deployment device therefor
US5268001A (en) * 1990-09-25 1993-12-07 Innovasive Devices, Inc. Bone fastener
US5725529A (en) * 1990-09-25 1998-03-10 Innovasive Devices, Inc. Bone fastener
US5372146A (en) * 1990-11-06 1994-12-13 Branch; Thomas P. Method and apparatus for re-approximating tissue
US5203787A (en) * 1990-11-19 1993-04-20 Biomet, Inc. Suture retaining arrangement
EP0492172A1 (en) * 1990-12-24 1992-07-01 American Cyanamid Company Molded or extruded buttressing pledget
US5366480A (en) * 1990-12-24 1994-11-22 American Cyanamid Company Synthetic elastomeric buttressing pledget
CA2063159C (en) * 1991-03-22 1999-06-15 Thomas W. Sander Orthopedic fastener
US5720753A (en) * 1991-03-22 1998-02-24 United States Surgical Corporation Orthopedic fastener
US5203864A (en) * 1991-04-05 1993-04-20 Phillips Edward H Surgical fastener system
US5269783A (en) 1991-05-13 1993-12-14 United States Surgical Corporation Device and method for repairing torn tissue
FR2678823B1 (en) * 1991-07-11 1995-07-07 Legrand Jean Jacques A device for reinforcing a ligament in a ligamentoplasty.
EP0525791A1 (en) * 1991-08-02 1993-02-03 DeMatteis, Ralph A. Method and apparatus for laparoscopic repair of hernias
US5282827A (en) * 1991-11-08 1994-02-01 Kensey Nash Corporation Hemostatic puncture closure system and method of use
US5676689A (en) * 1991-11-08 1997-10-14 Kensey Nash Corporation Hemostatic puncture closure system including vessel location device and method of use
US5242456A (en) * 1991-11-21 1993-09-07 Kensey Nash Corporation Apparatus and methods for clamping tissue and reflecting the same
FR2684289B1 (en) * 1991-12-03 1998-04-24 Christian Mai intra-cortical implant, particularly for fixing ligament.
GB9218754D0 (en) * 1992-09-04 1992-10-21 Univ London Device for use in securing a thread
CA2100532C (en) 1992-09-21 2004-04-20 David T. Green Device for applying a meniscal staple
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device
EP0598219B1 (en) * 1992-11-17 1997-12-17 SMITH & NEPHEW, INC. Suture securing device
US5693060A (en) * 1992-11-17 1997-12-02 Smith & Nephew, Inc. Suture securing device and method
US5467786A (en) * 1992-12-10 1995-11-21 William C. Allen Method for repairing tears and incisions in soft tissue
US5540698A (en) * 1993-04-21 1996-07-30 Amei Technologies Inc. System and method for securing a medical cable
US5449361A (en) * 1993-04-21 1995-09-12 Amei Technologies Inc. Orthopedic cable tensioner
US5476465A (en) * 1993-04-21 1995-12-19 Amei Technologies Inc. Surgical cable crimp
US6241747B1 (en) 1993-05-03 2001-06-05 Quill Medical, Inc. Barbed Bodily tissue connector
US5464426A (en) * 1993-05-14 1995-11-07 Bonutti; Peter M. Method of closing discontinuity in tissue
US5845645A (en) * 1993-05-14 1998-12-08 Bonutti; Peter M. Method of anchoring a suture
US5549630A (en) * 1993-05-14 1996-08-27 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5403348A (en) * 1993-05-14 1995-04-04 Bonutti; Peter M. Suture anchor
US5423860A (en) * 1993-05-28 1995-06-13 American Cyanamid Company Protective carrier for suture anchor
US5632748A (en) 1993-06-14 1997-05-27 Linvatec Corporation Endosteal anchoring device for urging a ligament against a bone surface
US7060021B1 (en) * 1998-07-23 2006-06-13 Wilk Patent Development Corporation Method and device for improving cardiac function
US5372604A (en) * 1993-06-18 1994-12-13 Linvatec Corporation Suture anchor for soft tissue fixation
CA2124996C (en) * 1993-06-21 2006-01-31 Thomas W. Sander Orthopedic fastener applicator
US5824011A (en) * 1993-06-23 1998-10-20 Kevin R. Stone Suture anchor assembly
US5370662A (en) * 1993-06-23 1994-12-06 Kevin R. Stone Suture anchor assembly
US5500000A (en) * 1993-07-01 1996-03-19 United States Surgical Corporation Soft tissue repair system and method
US5540718A (en) * 1993-09-20 1996-07-30 Bartlett; Edwin C. Apparatus and method for anchoring sutures
CA2117967A1 (en) * 1993-10-27 1995-04-28 Thomas W. Sander Tissue repair device and apparatus and method for fabricating same
FR2712798A1 (en) * 1993-11-22 1995-06-02 Le Foll Dominique Fastening formation for endoscope against internal body tissue
US5527342A (en) * 1993-12-14 1996-06-18 Pietrzak; William S. Method and apparatus for securing soft tissues, tendons and ligaments to bone
US5391173A (en) * 1994-02-10 1995-02-21 Wilk; Peter J. Laparoscopic suturing technique and associated device
US5464425A (en) * 1994-02-23 1995-11-07 Orthopaedic Biosystems, Ltd. Medullary suture anchor
US5522843A (en) * 1994-02-23 1996-06-04 Orthopaedic Biosystems Limited, Inc. Apparatus for attaching soft tissue to bone
US5431666A (en) * 1994-02-24 1995-07-11 Lasersurge, Inc. Surgical suture instrument
GB9405790D0 (en) * 1994-03-23 1994-05-11 Univ London Sewing device
US5512037A (en) * 1994-05-12 1996-04-30 United States Surgical Corporation Percutaneous surgical retractor
US5573548A (en) * 1994-06-09 1996-11-12 Zimmer, Inc. Suture anchor
US5843127A (en) * 1994-08-22 1998-12-01 Le Medical Technologies, Inc. Fixation device and method for installing same
US5474573A (en) * 1994-08-22 1995-12-12 Hatcher; Charles W. Toggle suture handling means and method
US5472452A (en) * 1994-08-30 1995-12-05 Linvatec Corporation Rectilinear anchor for soft tissue fixation
US5814071A (en) * 1994-11-10 1998-09-29 Innovasive Devices, Inc. Suture anchor assembly and methods
US5649963A (en) * 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
US5643321A (en) * 1994-11-10 1997-07-01 Innovasive Devices Suture anchor assembly and methods
US5643266A (en) * 1995-06-05 1997-07-01 Li Medical Technologies, Inc. Method and apparatus for securing ligaments
US5702215A (en) * 1995-06-05 1997-12-30 Li Medical Technologies, Inc. Retractable fixation device
US5569306A (en) * 1995-06-06 1996-10-29 Thal; Raymond Knotless suture anchor assembly
US6117161A (en) * 1995-06-06 2000-09-12 Li Medical Tecnologies, Inc. Fastener and fastening method, particularly for fastening sutures to bone
WO1996039082A1 (en) * 1995-06-06 1996-12-12 Raymond Thal Knotless suture anchor assembly
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US20110077672A1 (en) * 1995-06-07 2011-03-31 Fleischman Sidney D Devices For Installing Stasis Reducing Means In Body Tissue
US6132438A (en) * 1995-06-07 2000-10-17 Ep Technologies, Inc. Devices for installing stasis reducing means in body tissue
US5782775A (en) * 1995-10-20 1998-07-21 United States Surgical Corporation Apparatus and method for localizing and removing tissue
US5800445A (en) * 1995-10-20 1998-09-01 United States Surgical Corporation Tissue tagging device
CA2187975C (en) * 1995-10-20 2001-05-01 Lisa W. Heaton Surgical apparatus and method for marking tissue location
DE69612507D1 (en) * 1995-10-30 2001-05-17 Childrens Medical Center Self-centering umbrella-type septal closure device of a defective-
US5645568A (en) * 1995-11-20 1997-07-08 Medicinelodge, Inc. Expandable body suture
US5725556A (en) * 1995-12-15 1998-03-10 M & R Medical, Inc. Suture locking apparatus
US5662657A (en) * 1996-01-17 1997-09-02 Sunmed, Inc. Intramedullary bone plug
US5702462A (en) * 1996-01-24 1997-12-30 Oberlander; Michael Method of meniscal repair
US5707394A (en) * 1996-02-07 1998-01-13 Bristol-Myers Squibb Company Pre-loaded suture anchor with rigid extension
US5697950A (en) * 1996-02-07 1997-12-16 Linvatec Corporation Pre-loaded suture anchor
US5814070A (en) * 1996-02-20 1998-09-29 Howmedica Inc. Suture anchor and driver
US6086608A (en) * 1996-02-22 2000-07-11 Smith & Nephew, Inc. Suture collet
US5961538A (en) 1996-04-10 1999-10-05 Mitek Surgical Products, Inc. Wedge shaped suture anchor and method of implantation
US5718717A (en) 1996-08-19 1998-02-17 Bonutti; Peter M. Suture anchor
US6007567A (en) * 1996-08-19 1999-12-28 Bonutti; Peter M. Suture anchor
US5741300A (en) * 1996-09-10 1998-04-21 Li Medical Technologies, Inc. Surgical anchor and package and cartridge for surgical anchor
US6984241B2 (en) * 1996-09-13 2006-01-10 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US7611521B2 (en) 1996-09-13 2009-11-03 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US5948000A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
CA2217406C (en) * 1996-10-04 2006-05-30 United States Surgical Corporation Suture anchor installation system with disposable loading unit
EP0834280B1 (en) * 1996-10-04 2004-01-02 United States Surgical Corporation Tissue fastener implantation apparatus
US6053935A (en) * 1996-11-08 2000-04-25 Boston Scientific Corporation Transvaginal anchor implantation device
US6264676B1 (en) 1996-11-08 2001-07-24 Scimed Life Systems, Inc. Protective sheath for transvaginal anchor implantation devices
US5948002A (en) * 1996-11-15 1999-09-07 Bonutti; Peter M. Apparatus and method for use in positioning a suture anchor
US5814072A (en) * 1996-11-15 1998-09-29 Bonutti; Peter M. Method and apparatus for use in anchoring a suture
CA2272251C (en) * 1996-11-21 2009-07-07 Innovasive Devices, Inc. Apparatus and methods for anchoring autologous or artificial tendon grafts in bone
US8496705B2 (en) 1996-11-21 2013-07-30 DePuy Mitek, LLCR Method of anchoring autologous or artificial tendon grafts in bone
US5814073A (en) * 1996-12-13 1998-09-29 Bonutti; Peter M. Method and apparatus for positioning a suture anchor
US5707395A (en) * 1997-01-16 1998-01-13 Li Medical Technologies, Inc. Surgical fastener and method and apparatus for ligament repair
JP3134288B2 (en) * 1997-01-30 2001-02-13 株式会社ニッショー Intracardiac suture surgical instruments
DE69808614D1 (en) * 1997-02-13 2002-11-14 Boston Scient Ltd Stabilization loop for use in minimally invasive surgery beck
US5935129A (en) * 1997-03-07 1999-08-10 Innovasive Devices, Inc. Methods and apparatus for anchoring objects to bone
US5931855A (en) 1997-05-21 1999-08-03 Frank Hoffman Surgical methods using one-way suture
US6010525A (en) * 1997-08-01 2000-01-04 Peter M. Bonutti Method and apparatus for securing a suture
US20050216059A1 (en) * 2002-09-05 2005-09-29 Bonutti Peter M Method and apparatus for securing a suture
US6592609B1 (en) * 1999-08-09 2003-07-15 Bonutti 2003 Trust-A Method and apparatus for securing tissue
US5980558A (en) * 1997-09-30 1999-11-09 Biomet Inc. Suture anchor system
US5954747A (en) 1997-11-20 1999-09-21 Clark; Ron Meniscus repair anchor system
US6068648A (en) * 1998-01-26 2000-05-30 Orthodyne, Inc. Tissue anchoring system and method
US6096041A (en) 1998-01-27 2000-08-01 Scimed Life Systems, Inc. Bone anchors for bone anchor implantation device
FR2774277B1 (en) 1998-02-03 2000-06-30 Cogent Sarl Resorbable prosthetic mounting clip
US6045551A (en) 1998-02-06 2000-04-04 Bonutti; Peter M. Bone suture
US6146406A (en) * 1998-02-12 2000-11-14 Smith & Nephew, Inc. Bone anchor
US5944739A (en) * 1998-03-12 1999-08-31 Surgical Dynamics, Inc. Suture anchor installation system
US5931844A (en) * 1998-03-31 1999-08-03 Smith & Nephew, Inc. Surgical drive tool
US6099530A (en) * 1998-04-09 2000-08-08 Smith & Nephew, Inc. Soft-tissue intra-tunnel fixation device
US6099553A (en) * 1998-05-21 2000-08-08 Applied Medical Resources Corporation Suture clinch
US6113611A (en) * 1998-05-28 2000-09-05 Advanced Vascular Technologies, Llc Surgical fastener and delivery system
US6102934A (en) * 1998-06-02 2000-08-15 Li; Lehmann K. Anchor tool and method and apparatus for emplacing anchor in a borehole
US6221107B1 (en) 1998-08-03 2001-04-24 Mark E. Steiner Ligament fixation device and method
US6332889B1 (en) * 1998-08-27 2001-12-25 Onux Medical, Inc. Surgical suturing instrument and method of use
US7011668B2 (en) * 2001-07-23 2006-03-14 Dvl Acquistion Sub, Inc. Surgical suturing instrument and method of use
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US6146407A (en) * 1998-09-11 2000-11-14 Bio Innovation, Ltd. Suture anchor installation devices and methods
US20010004704A1 (en) 1998-11-02 2001-06-21 Barry N. Gellman Transvaginal suture spacer devices and methods of use
US6482210B1 (en) 1998-11-12 2002-11-19 Orthopaedic Biosystems, Ltd., Inc. Soft tissue/ligament to bone fixation device with inserter
US6306159B1 (en) * 1998-12-23 2001-10-23 Depuy Orthopaedics, Inc. Meniscal repair device
DE69931018D1 (en) 1998-12-30 2006-06-01 Ethicon Inc Thread belay device
US6723107B1 (en) 1999-04-19 2004-04-20 Orthopaedic Biosystems Ltd. Method and apparatus for suturing
US7273497B2 (en) * 1999-05-28 2007-09-25 Anova Corp. Methods for treating a defect in the annulus fibrosis
US20060247665A1 (en) 1999-05-28 2006-11-02 Ferree Bret A Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft
US20070038231A1 (en) * 1999-05-28 2007-02-15 Ferree Bret A Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft
US7959649B2 (en) 2003-03-31 2011-06-14 Arthrex, Inc. Suture anchor device, kit and method
US6660022B1 (en) 1999-06-01 2003-12-09 Smith & Nephew, Inc. Rotor blade anchor and tool for installing same
US7963966B2 (en) * 2000-06-06 2011-06-21 Cole J Dean Bone fixation system and method of use
US6206895B1 (en) 1999-07-13 2001-03-27 Scion Cardio-Vascular, Inc. Suture with toggle and delivery system
US6245080B1 (en) 1999-07-13 2001-06-12 Scion Cardio-Vascular, Inc. Suture with toggle and delivery system
US6596014B2 (en) 1999-07-13 2003-07-22 Scion Cardio-Vascular, Inc. Suture with toggle and method of manufacture therefor
US6398796B2 (en) 1999-07-13 2002-06-04 Scion Cardio-Vascular, Inc. Suture with toggle and delivery system
US6319252B1 (en) 1999-07-23 2001-11-20 Mcdevitt Dennis System and method for attaching soft tissue to bone
CA2484870A1 (en) * 2002-05-17 2003-11-27 Dvl Acquisition Sub, Inc. Surgical suturing instrument and method of use
US6447516B1 (en) 1999-08-09 2002-09-10 Peter M. Bonutti Method of securing tissue
US6635073B2 (en) 2000-05-03 2003-10-21 Peter M. Bonutti Method of securing body tissue
US6527794B1 (en) * 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
US7998213B2 (en) 1999-08-18 2011-08-16 Intrinsic Therapeutics, Inc. Intervertebral disc herniation repair
US7220281B2 (en) * 1999-08-18 2007-05-22 Intrinsic Therapeutics, Inc. Implant for reinforcing and annulus fibrosis
US7553329B2 (en) 1999-08-18 2009-06-30 Intrinsic Therapeutics, Inc. Stabilized intervertebral disc barrier
EP1624832A4 (en) 1999-08-18 2008-12-24 Intrinsic Therapeutics Inc Devices and method for augmenting a vertebral disc nucleus
US7717961B2 (en) 1999-08-18 2010-05-18 Intrinsic Therapeutics, Inc. Apparatus delivery in an intervertebral disc
WO2002054978A3 (en) 1999-08-18 2002-11-07 Intrinsic Therapeutics, Inc. Devices and method for nucleus pulposus augmentation and retention
US6425919B1 (en) 1999-08-18 2002-07-30 Intrinsic Orthopedics, Inc. Devices and methods of vertebral disc augmentation
US20040024465A1 (en) 1999-08-18 2004-02-05 Gregory Lambrecht Devices and method for augmenting a vertebral disc
US6554852B1 (en) * 1999-08-25 2003-04-29 Michael A. Oberlander Multi-anchor suture
CA2287112C (en) 1999-09-02 2008-02-19 Kieran Murphy Method and apparatus for strengthening vertebral bodies
US7935147B2 (en) 1999-10-20 2011-05-03 Anulex Technologies, Inc. Method and apparatus for enhanced delivery of treatment device to the intervertebral disc annulus
US6592625B2 (en) * 1999-10-20 2003-07-15 Anulex Technologies, Inc. Spinal disc annulus reconstruction method and spinal disc annulus stent
US7052516B2 (en) 1999-10-20 2006-05-30 Anulex Technologies, Inc. Spinal disc annulus reconstruction method and deformable spinal disc annulus stent
US8632590B2 (en) 1999-10-20 2014-01-21 Anulex Technologies, Inc. Apparatus and methods for the treatment of the intervertebral disc
US8128698B2 (en) 1999-10-20 2012-03-06 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7951201B2 (en) 1999-10-20 2011-05-31 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7004970B2 (en) 1999-10-20 2006-02-28 Anulex Technologies, Inc. Methods and devices for spinal disc annulus reconstruction and repair
US8163022B2 (en) 2008-10-14 2012-04-24 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7615076B2 (en) 1999-10-20 2009-11-10 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US6679895B1 (en) * 1999-11-05 2004-01-20 Onux Medical, Inc. Apparatus and method for placing suture wires into tissue for the approximation and tensioning of tissue
US6736829B1 (en) 1999-11-11 2004-05-18 Linvatec Corporation Toggle anchor and tool for insertion thereof
US7887551B2 (en) * 1999-12-02 2011-02-15 Smith & Nephew, Inc. Soft tissue attachment and repair
US7153312B1 (en) 1999-12-02 2006-12-26 Smith & Nephew Inc. Closure device and method for tissue repair
CA2392188A1 (en) 1999-12-02 2001-06-07 Steven Ek Wound closure devices and methods
US6524317B1 (en) 1999-12-30 2003-02-25 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US6623492B1 (en) * 2000-01-25 2003-09-23 Smith & Nephew, Inc. Tissue fastener
ES2435094T3 (en) * 2000-05-19 2013-12-18 C.R. Bard, Inc. Device and method for capturing and suture tissue
US7399304B2 (en) 2000-03-03 2008-07-15 C.R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
US6599289B1 (en) 2000-03-10 2003-07-29 Smith & Nephew, Inc. Graft anchor
US6368343B1 (en) 2000-03-13 2002-04-09 Peter M. Bonutti Method of using ultrasonic vibration to secure body tissue
US8932330B2 (en) 2000-03-13 2015-01-13 P Tech, Llc Method and device for securing body tissue
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US6805695B2 (en) 2000-04-04 2004-10-19 Spinalabs, Llc Devices and methods for annular repair of intervertebral discs
US6533795B1 (en) 2000-04-11 2003-03-18 Opus Medical, Inc Dual function suturing apparatus and method
WO2001076456A3 (en) 2000-04-11 2003-08-14 Us Surgical A Division Of Tyco Single shot meniscal repair device
DE20007777U1 (en) * 2000-04-29 2000-07-06 Aesculap Ag & Co Kg Thread-and-anchor system for connecting tissue parts and instrument for inserting an implant anchor
US8105351B2 (en) 2001-05-18 2012-01-31 C.R. Bard, Inc. Method of promoting tissue adhesion
DE60117977D1 (en) * 2000-06-05 2006-05-11 Boston Scient Ltd Devices for treating urinary incontinence
US7993369B2 (en) 2000-06-22 2011-08-09 Arthrex, Inc. Graft fixation using a plug against suture
US6451030B2 (en) 2000-06-30 2002-09-17 Li Medical Technologies, Inc. Rotor blade anchor and tool for installing same particularlly for arthroscopic installation
US6585730B1 (en) * 2000-08-30 2003-07-01 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
CA2422464C (en) * 2000-09-07 2008-10-28 Synthes (U.S.A.) Device for fixing surgical implants
US6551330B1 (en) * 2000-09-21 2003-04-22 Opus Medical, Inc. Linear suturing apparatus and methods
US6994725B1 (en) * 2000-10-03 2006-02-07 Medicinelodge, Inc. Method and apparatus for reconstructing a ligament
US6776754B1 (en) 2000-10-04 2004-08-17 Wilk Patent Development Corporation Method for closing off lower portion of heart ventricle
US7682374B2 (en) 2003-10-21 2010-03-23 Arthrocare Corporation Knotless suture lock and bone anchor implant method
JP4139221B2 (en) 2000-10-20 2008-08-27 ディーヴイエル アクイジション エスユービー,インク Surgical suturing instrument and methods of use thereof
US6689047B2 (en) * 2000-11-15 2004-02-10 Scimed Life Systems, Inc. Treating urinary incontinence
US6733506B1 (en) * 2000-11-16 2004-05-11 Ethicon, Inc. Apparatus and method for attaching soft tissue to bone
US6511487B1 (en) * 2000-11-28 2003-01-28 T. A. G. Medical Products Ltd. Suturing instrument and method
US6623509B2 (en) 2000-12-14 2003-09-23 Core Medical, Inc. Apparatus and methods for sealing vascular punctures
US6896692B2 (en) 2000-12-14 2005-05-24 Ensure Medical, Inc. Plug with collet and apparatus and method for delivering such plugs
US6846319B2 (en) 2000-12-14 2005-01-25 Core Medical, Inc. Devices for sealing openings through tissue and apparatus and methods for delivering them
US8083768B2 (en) 2000-12-14 2011-12-27 Ensure Medical, Inc. Vascular plug having composite construction
US6890343B2 (en) * 2000-12-14 2005-05-10 Ensure Medical, Inc. Plug with detachable guidewire element and methods for use
US7131980B1 (en) 2001-01-18 2006-11-07 Dvl Acquisitions Sub, Inc. Surgical suturing instrument and method of use
EP1906840A2 (en) 2005-06-01 2008-04-09 Arthrocare Corporation Knotless suture anchoring device having deforming section to accommodate sutures of various diameters
US6770076B2 (en) 2001-02-12 2004-08-03 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US8915927B2 (en) * 2001-03-09 2014-12-23 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US7364541B2 (en) * 2001-03-09 2008-04-29 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US8033983B2 (en) 2001-03-09 2011-10-11 Boston Scientific Scimed, Inc. Medical implant
US20050131393A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
JP4181410B2 (en) 2001-03-09 2008-11-12 ボストン サイエンティフィック リミテッドBoston Scientific Limited System and method for implanting an implant
US9149261B2 (en) * 2001-03-09 2015-10-06 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US8617048B2 (en) 2001-03-09 2013-12-31 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US6595911B2 (en) * 2001-04-03 2003-07-22 Lovuolo Michael Method and device for anchor implantation and support of bodily structures
JP4255288B2 (en) * 2001-05-18 2009-04-15 ユーシーエル、バイオメディカ、パブリック、リミテッド、カンパニーUcl Biomedica Plc Flexible device for puncture joining tissue
US20020198544A1 (en) * 2001-06-22 2002-12-26 Renan Uflacker Percutaneous facelift device
US7056331B2 (en) 2001-06-29 2006-06-06 Quill Medical, Inc. Suture method
EP1416886A4 (en) * 2001-07-16 2007-04-18 Depuy Products Inc Cartilage repair and regeneration scaffold and method
US7163563B2 (en) * 2001-07-16 2007-01-16 Depuy Products, Inc. Unitary surgical device and method
US7819918B2 (en) * 2001-07-16 2010-10-26 Depuy Products, Inc. Implantable tissue repair device
US8025896B2 (en) * 2001-07-16 2011-09-27 Depuy Products, Inc. Porous extracellular matrix scaffold and method
JP2005515802A (en) * 2001-07-16 2005-06-02 デピュイ・プロダクツ・インコーポレイテッド Hybrid biological / synthetic type porous extracellular matrix scaffold
US8337537B2 (en) * 2001-07-16 2012-12-25 Depuy Products, Inc. Device from naturally occurring biologically derived materials
JP4294474B2 (en) * 2001-07-16 2009-07-15 デピュイ・プロダクツ・インコーポレイテッド Meniscal reproducing apparatus
US6605096B1 (en) * 2001-07-20 2003-08-12 Opus Medical Inc, Percutaneous suturing apparatus and method
US6755781B2 (en) 2001-07-27 2004-06-29 Scimed Life Systems, Inc. Medical slings
US6848152B2 (en) 2001-08-31 2005-02-01 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
EP1435822A4 (en) * 2001-09-14 2009-09-09 Dvl Acquisition Sub Inc Surgical suturing instrument and method of use
JP2005525862A (en) * 2002-05-17 2005-09-02 オーナックス・メディカル・インコーポレーテッド Surgical suturing instrument and methods of use thereof
EP1429689A4 (en) * 2001-09-24 2006-03-08 Medtronic Ave Inc Rational drug therapy device and methods
US6736819B2 (en) * 2001-10-18 2004-05-18 Kishore Tipirneni System and method for fixation of bone fractures
US8702768B2 (en) * 2001-10-18 2014-04-22 Orthoip, Llc Cannulated bone screw system and method
US20090254129A1 (en) * 2007-04-30 2009-10-08 Kishore Tipirneni Bone screw system and method for the fixation of bone fractures
US20090131990A1 (en) * 2001-10-18 2009-05-21 Kishore Tipirneni Bone screw system and method
US8679167B2 (en) * 2001-10-18 2014-03-25 Orthoip, Llc System and method for a cap used in the fixation of bone fractures
US20080147126A1 (en) * 2001-10-18 2008-06-19 Fxdevices, Llc System and method for a cap used in the fixation of bone fractures
US20080243191A1 (en) * 2001-10-18 2008-10-02 Fx Devices, Llc Adjustable bone plate fixation system and metho
US20080243132A1 (en) * 2001-10-18 2008-10-02 Fx Devices, Llc Tensioning system and method for the fixation of bone fractures
US8828067B2 (en) * 2001-10-18 2014-09-09 Orthoip, Llc Bone screw system and method
US20090131991A1 (en) * 2001-10-18 2009-05-21 Kishore Tipirneni System and method for the fixation of bone fractures
US20090048606A1 (en) * 2001-10-18 2009-02-19 Fxdevices Llc Guide system and method for the fixation of bone fractures
US20090306718A1 (en) * 2001-10-18 2009-12-10 Orthoip, Llc Filament and cap systems and methods for the fixation of bone fractures
US20090131936A1 (en) * 2001-10-18 2009-05-21 Kishore Tipirneni System and method for the fixation of bone fractures
US20100312292A1 (en) * 2001-10-18 2010-12-09 Orthoip, Llc Lagwire system and method for the fixation of bone fractures
US9060809B2 (en) 2001-10-18 2015-06-23 Orthoip, Llc Lagwire system and method for the fixation of bone fractures
US6645227B2 (en) 2001-11-21 2003-11-11 Stryker Endoscopy Suture anchor
US6719765B2 (en) 2001-12-03 2004-04-13 Bonutti 2003 Trust-A Magnetic suturing system and method
US6780198B1 (en) 2001-12-06 2004-08-24 Opus Medical, Inc. Bone anchor insertion device
US6855157B2 (en) 2002-02-04 2005-02-15 Arthrocare Corporation Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US20030163143A1 (en) * 2002-02-26 2003-08-28 Akio Wakabayashi Apparatus and method for suturing in restricted space
DE60207893T2 (en) * 2002-03-14 2006-08-17 Yeung, Jeffrey E., San Jose Suture anchors and adaptation device
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
CA2479974A1 (en) * 2002-03-25 2003-10-09 Dvl Acquisition Sub, Inc. Surgical suturing instrument and method of use
GB2387040B (en) * 2002-03-28 2004-03-10 Wheeler & Clinch Ltd A contact
US7131973B2 (en) * 2002-05-16 2006-11-07 Boston Scientific Scimed, Inc. Bone anchor implantation device
WO2003105727A1 (en) * 2002-06-12 2003-12-24 Scimed Life Systems, Inc. Medical slings
US6770084B1 (en) * 2002-06-26 2004-08-03 Opus Medical, Inc. Suture capture device
US6972027B2 (en) * 2002-06-26 2005-12-06 Stryker Endoscopy Soft tissue repair system
US20040098043A1 (en) * 2002-07-09 2004-05-20 Trout Hugh H. Delivery apparatus for use during a surgical procedure and method of using the same
US6773450B2 (en) 2002-08-09 2004-08-10 Quill Medical, Inc. Suture anchor and method
CA2495666C (en) 2002-08-14 2014-05-27 Michael S. H. Chu Systems, methods and devices relating to delivery of medical implants
US7094251B2 (en) 2002-08-27 2006-08-22 Marctec, Llc. Apparatus and method for securing a suture
US20080066764A1 (en) * 2002-09-06 2008-03-20 Apneon, Inc. Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions
US8074654B2 (en) * 2002-09-06 2011-12-13 Koninklijke Philips Electronics N.V. Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions
WO2004021872A3 (en) * 2002-09-06 2004-12-02 Bard Inc C R Tissue capturing devices
US20040158125A1 (en) * 2002-09-06 2004-08-12 Aznoian Harold M. Integrated endoscope and accessory treatment device
US7153313B2 (en) * 2002-09-19 2006-12-26 Whitton Daniel F Auricular hematoma clamp
DE60329933D1 (en) * 2002-09-24 2009-12-17 Ethicon Endo Surgery Inc Surgical ultrasound instrument with increased working length
US6966916B2 (en) * 2002-09-26 2005-11-22 Kumar Sarbjeet S Device and method for surgical repair of abdominal wall hernias
US20040088003A1 (en) 2002-09-30 2004-05-06 Leung Jeffrey C. Barbed suture in combination with surgical needle
US8100940B2 (en) 2002-09-30 2012-01-24 Quill Medical, Inc. Barb configurations for barbed sutures
US8795332B2 (en) 2002-09-30 2014-08-05 Ethicon, Inc. Barbed sutures
US20040073219A1 (en) * 2002-10-15 2004-04-15 Skiba Jeffry B. Insertion instrument
FR2846867B1 (en) 2002-11-08 2005-09-09 Textile Hi Tec Anchor for insertion into a bone cavity and insertion tool such anchor
DE60331358D1 (en) 2002-12-17 2010-04-01 Boston Scient Ltd Spacer for a surgical sling delivery system
US7343920B2 (en) * 2002-12-20 2008-03-18 Toby E Bruce Connective tissue repair system
US9314235B2 (en) * 2003-02-05 2016-04-19 Smith & Nephew, Inc. Tissue anchor and insertion tool
US7993368B2 (en) * 2003-03-13 2011-08-09 C.R. Bard, Inc. Suture clips, delivery devices and methods
US7497864B2 (en) 2003-04-30 2009-03-03 Marctec, Llc. Tissue fastener and methods for using same
US7624487B2 (en) 2003-05-13 2009-12-01 Quill Medical, Inc. Apparatus and method for forming barbs on a suture
CA2525275C (en) 2003-05-16 2012-02-07 C.R. Bard, Inc. Single intubation, multi-stitch endoscopic suturing system
EP1638485B1 (en) 2003-06-20 2011-03-02 Intrinsic Therapeutics, Inc. Device for delivering an implant through an annular defect in an intervertebral disc
US20040260300A1 (en) 2003-06-20 2004-12-23 Bogomir Gorensek Method of delivering an implant through an annular defect in an intervertebral disc
US7819880B2 (en) * 2003-06-30 2010-10-26 Depuy Products, Inc. Implant delivery instrument
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
US7021316B2 (en) * 2003-08-07 2006-04-04 Tools For Surgery, Llc Device and method for tacking a prosthetic screen
US7780701B1 (en) 2003-08-13 2010-08-24 Biomet Sports Medicine, Llc Suture anchor
US8852229B2 (en) 2003-10-17 2014-10-07 Cordis Corporation Locator and closure device and method of use
US7361183B2 (en) 2003-10-17 2008-04-22 Ensure Medical, Inc. Locator and delivery device and method of use
US20050090827A1 (en) * 2003-10-28 2005-04-28 Tewodros Gedebou Comprehensive tissue attachment system
US7645282B2 (en) * 2003-11-20 2010-01-12 Osseus, Llc Method and device for cutting surgical wire or cable
US20050131430A1 (en) * 2003-12-12 2005-06-16 Arvik Enterprises, Llc Suturing device
US20050159762A1 (en) * 2003-12-30 2005-07-21 Juha-Pekka Nuutinen Suture arrow device and installation device
US7608092B1 (en) 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
US7455683B2 (en) * 2004-02-26 2008-11-25 Depuy Mitek, Inc. Methods and devices for repairing triangular fibrocartilage complex tears
US7658750B2 (en) * 2004-03-18 2010-02-09 Warsaw Orthopedic, Inc. Suture anchoring system and method
US8343186B2 (en) 2004-04-06 2013-01-01 Arthrex, Inc. Fully threaded suture anchor with transverse anchor pin
US20050249772A1 (en) * 2004-05-04 2005-11-10 Prasanna Malaviya Hybrid biologic-synthetic bioabsorbable scaffolds
US7569233B2 (en) * 2004-05-04 2009-08-04 Depuy Products, Inc. Hybrid biologic-synthetic bioabsorbable scaffolds
RU2404717C2 (en) 2004-05-14 2010-11-27 Квилл Медикал, Инк. Methods and devices for suturing
US7695503B1 (en) 2004-06-09 2010-04-13 Biomet Sports Medicine, Llc Method and apparatus for soft tissue attachment
US7819898B2 (en) 2004-06-09 2010-10-26 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US7500983B1 (en) 2004-06-09 2009-03-10 Biomet Sports Medicine, Llc Apparatus for soft tissue attachment
US7883519B2 (en) * 2004-07-06 2011-02-08 Ran Oren Suture manipulating instrument particularly useful with endoscopes
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US20060089646A1 (en) 2004-10-26 2006-04-27 Bonutti Peter M Devices and methods for stabilizing tissue and implants
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US20060189993A1 (en) 2004-11-09 2006-08-24 Arthrotek, Inc. Soft tissue conduit device
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US7354627B2 (en) * 2004-12-22 2008-04-08 Depuy Products, Inc. Method for organizing the assembly of collagen fibers and compositions formed therefrom
EP3097865A3 (en) * 2005-02-07 2017-02-15 Ivy Sports Medicine, LLC. System for all-inside suture fixation for implant attachment and soft tissue repair
US8128640B2 (en) 2005-02-07 2012-03-06 Ivy Sports Medicine LLC System and method for all-inside suture fixation for implant attachment and soft tissue repair
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US8926654B2 (en) 2005-05-04 2015-01-06 Cordis Corporation Locator and closure device and method of use
US8088144B2 (en) 2005-05-04 2012-01-03 Ensure Medical, Inc. Locator and closure device and method of use
US8795364B2 (en) 2005-05-06 2014-08-05 Kensey Nash Corporation System and devices for the repair of a vertebral disc defect
US9149266B2 (en) 2005-05-20 2015-10-06 Neotract, Inc. Deforming anchor device
US7909836B2 (en) * 2005-05-20 2011-03-22 Neotract, Inc. Multi-actuating trigger anchor delivery system
US7896891B2 (en) * 2005-05-20 2011-03-01 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US7645286B2 (en) * 2005-05-20 2010-01-12 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US8425535B2 (en) 2005-05-20 2013-04-23 Neotract, Inc. Multi-actuating trigger anchor delivery system
US9364212B2 (en) 2005-05-20 2016-06-14 Neotract, Inc. Suture anchoring devices and methods for use
US8945152B2 (en) * 2005-05-20 2015-02-03 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8333776B2 (en) 2005-05-20 2012-12-18 Neotract, Inc. Anchor delivery system
US9504461B2 (en) 2005-05-20 2016-11-29 Neotract, Inc. Anchor delivery system
US8668705B2 (en) 2005-05-20 2014-03-11 Neotract, Inc. Latching anchor device
US7758594B2 (en) 2005-05-20 2010-07-20 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8628542B2 (en) * 2005-05-20 2014-01-14 Neotract, Inc. Median lobe destruction apparatus and method
US8157815B2 (en) * 2005-05-20 2012-04-17 Neotract, Inc. Integrated handle assembly for anchor delivery system
EP2344048B1 (en) * 2008-07-30 2016-09-07 Neotract, Inc. Slotted anchor device
US8491606B2 (en) * 2005-05-20 2013-07-23 Neotract, Inc. Median lobe retraction apparatus and method
US8394113B2 (en) * 2005-05-20 2013-03-12 Neotract, Inc. Coiled anchor device
US9549739B2 (en) 2005-05-20 2017-01-24 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8603106B2 (en) * 2005-05-20 2013-12-10 Neotract, Inc. Integrated handle assembly for anchor delivery system
US8834492B2 (en) * 2005-05-20 2014-09-16 Neotract, Inc. Continuous indentation lateral lobe apparatus and method
US8529584B2 (en) * 2005-05-20 2013-09-10 Neotract, Inc. Median lobe band implant apparatus and method
US20060293709A1 (en) 2005-06-24 2006-12-28 Bojarski Raymond A Tissue repair device
US20070083236A1 (en) * 2005-06-24 2007-04-12 Smith & Nephew, Inc. Methods and devices for tissue repair
US7824414B2 (en) * 2005-07-22 2010-11-02 Kensey Nash Corporation System and devices for the repair of a vertebral disc defect
US7595062B2 (en) 2005-07-28 2009-09-29 Depuy Products, Inc. Joint resurfacing orthopaedic implant and associated method
DE602006020094D1 (en) * 2005-09-12 2011-03-31 Arthrex Inc Ösennahtanker
US9521999B2 (en) 2005-09-13 2016-12-20 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US7815659B2 (en) * 2005-11-15 2010-10-19 Ethicon Endo-Surgery, Inc. Suture anchor applicator
US20070112360A1 (en) * 2005-11-15 2007-05-17 Patrick De Deyne Bioprosthetic device
US7972337B2 (en) 2005-12-28 2011-07-05 Intrinsic Therapeutics, Inc. Devices and methods for bone anchoring
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US7967820B2 (en) * 2006-02-07 2011-06-28 P Tech, Llc. Methods and devices for trauma welding
US8496657B2 (en) 2006-02-07 2013-07-30 P Tech, Llc. Methods for utilizing vibratory energy to weld, stake and/or remove implants
US7615061B2 (en) 2006-02-28 2009-11-10 Arthrocare Corporation Bone anchor suture-loading system, method and apparatus
EP1993450B1 (en) * 2006-03-17 2010-08-18 T.A.G. Medical Products a Limited Partnership Surgical instrument for attaching soft tissue to a bone
US7828820B2 (en) 2006-03-21 2010-11-09 Biomet Sports Medicine, Llc Method and apparatuses for securing suture
US9005220B2 (en) * 2006-04-04 2015-04-14 C.R. Bard, Inc. Suturing devices and methods with energy emitting elements
US7758598B2 (en) * 2006-05-19 2010-07-20 Ethicon Endo-Surgery, Inc. Combination knotting element and suture anchor applicator
EP2926765A3 (en) * 2006-06-08 2015-12-23 AMS Research Corporation Apparatus for levator distension repair
US9232938B2 (en) 2006-06-13 2016-01-12 Anova Corp. Method and apparatus for closing fissures in the annulus fibrosus
US8834496B2 (en) 2006-06-13 2014-09-16 Bret A. Ferree Soft tissue repair methods and apparatus
US8764835B2 (en) * 2006-06-13 2014-07-01 Bret A. Ferree Intervertebral disc treatment methods and apparatus
US8133258B2 (en) 2006-08-03 2012-03-13 Arthrocare Corporation Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US9750492B2 (en) * 2006-08-04 2017-09-05 Depuy Mitek, Llc Suture anchor system with tension relief mechanism
US9788825B2 (en) 2006-08-04 2017-10-17 Depuy Mitek, Llc Suture anchor with relief mechanism
DE102006042633A1 (en) * 2006-08-31 2008-03-13 Karl Storz Gmbh & Co. Kg An apparatus for introducing at least one piece armature in a cavity of a living
US8317795B2 (en) * 2006-09-21 2012-11-27 Scott G. Edwards System and method of bone compression and fixation
US7674275B2 (en) * 2006-10-05 2010-03-09 Ethicon Endo-Surgery, Inc. Suture anchor
US8562629B2 (en) * 2006-10-24 2013-10-22 Arthrocare Corporation Suture device having selective needle actuation and related method
US20080103527A1 (en) * 2006-10-27 2008-05-01 Martin David T Flexible endoscopic suture anchor applier
US7871440B2 (en) 2006-12-11 2011-01-18 Depuy Products, Inc. Unitary surgical device and method
US7850714B2 (en) * 2006-12-15 2010-12-14 Kimberly-Clark Worldwide, Inc. Segmented tissue-to-tissue anchoring device and method of using the same
US20080167660A1 (en) * 2007-01-04 2008-07-10 Nathan Ryan Moreau Suture anchor and inserter arrangement
US8617185B2 (en) 2007-02-13 2013-12-31 P Tech, Llc. Fixation device
WO2008124056A1 (en) * 2007-04-04 2008-10-16 Ams Research Corporation Kit for levator avulsion repair
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US8137381B2 (en) 2007-04-25 2012-03-20 Arthrocare Corporation Knotless suture anchor having discrete polymer components and related methods
US8821520B2 (en) 2007-05-04 2014-09-02 Ethicon Endo-Surgery, Inc. Loader for knotting element
US7875042B2 (en) * 2007-05-04 2011-01-25 Ethicon Endo-Surgery, Inc. Suture anchor loader
CN101801310B (en) * 2007-06-29 2013-10-30 Ams研究公司 Surgical articles and methods for treating pelvic conditions
US8821507B2 (en) * 2007-07-06 2014-09-02 Howmedica Osteonics Corp. Augmentation delivery device
US8758366B2 (en) * 2007-07-09 2014-06-24 Neotract, Inc. Multi-actuating trigger anchor delivery system
EP2175783A2 (en) * 2007-07-27 2010-04-21 AMS Research Corporation Pelvic floor treatments and related tools and implants
FR2919487B1 (en) * 2007-07-31 2010-10-29 Sofradim Production Reel to surgical strip
US20110196492A1 (en) 2007-09-07 2011-08-11 Intrinsic Therapeutics, Inc. Bone anchoring systems
US8323341B2 (en) 2007-09-07 2012-12-04 Intrinsic Therapeutics, Inc. Impaction grafting for vertebral fusion
US7963972B2 (en) 2007-09-12 2011-06-21 Arthrocare Corporation Implant and delivery system for soft tissue repair
US8197511B2 (en) 2007-09-24 2012-06-12 Miller M Todd Suture anchor having a suture engaging structure and inserter arrangement
US8632568B2 (en) * 2007-09-24 2014-01-21 Stryker Corporation Suture anchor having a suture engaging structure and inserter arrangement
WO2009042841A3 (en) 2007-09-27 2009-05-22 Angiotech Pharm Inc Self-retaining sutures including tissue retainers having improved strength
US8771314B2 (en) * 2007-09-28 2014-07-08 Ethicon, Inc. Surgical anchor device
DE102007052185A1 (en) * 2007-10-25 2009-04-30 Karl Storz Gmbh & Co. Kg Seam attachment for a surgical suture instrument
US8496684B2 (en) * 2007-10-31 2013-07-30 Ethicon Endo-Surgery, Inc. Method for deploying a device for gastric volume reduction
US20090118762A1 (en) * 2007-10-31 2009-05-07 Lawrence Crainch Disposable cartridge for use in a gastric volume reduction procedure
JP2011502670A (en) * 2007-11-15 2011-01-27 デボネ、マリアン Apparatus for modeling or the lifting of the human normal or expanded organization
US20100298630A1 (en) * 2007-12-07 2010-11-25 Shawn Michael Wignall Pelvic floor treatments and related tools and implants
CN101902974B (en) 2007-12-19 2013-10-30 伊西康有限责任公司 Self-retaining sutures with heat-contact mediated retainers
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US8118834B1 (en) 2007-12-20 2012-02-21 Angiotech Pharmaceuticals, Inc. Composite self-retaining sutures and method
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
EP2249712A4 (en) 2008-02-21 2016-07-13 Ethicon Llc Method and apparatus for elevating retainers on self-retaining sutures
US8216273B1 (en) 2008-02-25 2012-07-10 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8998933B2 (en) * 2008-02-28 2015-04-07 Medtronic, Inc. Surgical fastening clips, systems and methods for proximating tissue
US8439936B2 (en) 2008-03-06 2013-05-14 Zone 2 Surgical, Inc. Device and method for tendon, ligament or soft tissue repair
US8828054B2 (en) * 2008-04-02 2014-09-09 Liavatec Corporation Method and apparatus for meniscal repair
EP2273927A4 (en) * 2008-04-02 2015-04-01 Linvatec Corp Method and apparatus for meniscal repair
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US20090278484A1 (en) * 2008-05-09 2009-11-12 Degree Controls, Inc. Fan conducted noise reduction
EP2285293B1 (en) * 2008-05-29 2017-03-29 AMS Research Corporation Minimally invasive levator avulsion repair
US8828029B2 (en) 2008-06-30 2014-09-09 Arthrocare Corporation Independent suture tensioning and snaring apparatus
EP2339970A2 (en) * 2008-07-30 2011-07-06 Neotract, Inc. Anchor delivery system with replaceable cartridge
US20140155944A1 (en) * 2008-08-13 2014-06-05 Mari S. Truman Atraumatic fastener and bone stabilization system and method of use
EP2156806A1 (en) * 2008-08-18 2010-02-24 Navotek Medical Ltd. Implantation device for soft tissue markers and other implants
EP2341841A4 (en) 2008-09-29 2015-01-28 Bard Inc C R Endoscopic suturing device
US8333788B2 (en) * 2008-10-09 2012-12-18 Covidien Lp Knotted suture end effector
US8323316B2 (en) * 2008-10-09 2012-12-04 Covidien Lp Knotted suture end effector
EP2352440A4 (en) 2008-11-03 2016-04-13 Ethicon Llc Length of self-retaining suture and method and device for using the same
WO2010062971A9 (en) 2008-11-26 2010-10-07 Anova Corporation Methods and apparatus for anulus repair
US20100153335A1 (en) * 2008-12-12 2010-06-17 Microsoft Corporation Synchronizing multiple classes with disparate schemas in the same collection
US9179910B2 (en) 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US20100191332A1 (en) 2009-01-08 2010-07-29 Euteneuer Charles L Implantable Tendon Protection Systems and Related Kits and Methods
WO2010099222A1 (en) 2009-02-24 2010-09-02 P Tech, Llc Methods and devices for utilizing bondable materials
US8147505B2 (en) * 2009-03-23 2012-04-03 Arthrocare Corporation Surgical instrument for manipulating surgical suture and methods of use
WO2010141906A1 (en) 2009-06-04 2010-12-09 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US8763878B2 (en) 2009-06-04 2014-07-01 Rotation Medical, Inc. Methods and apparatus having bowstring-like staple delivery to a target tissue
US9149268B2 (en) 2009-07-17 2015-10-06 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US9179905B2 (en) 2009-07-17 2015-11-10 Pivot Medical, Inc. Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US8814903B2 (en) * 2009-07-24 2014-08-26 Depuy Mitek, Llc Methods and devices for repairing meniscal tissue
US8828053B2 (en) * 2009-07-24 2014-09-09 Depuy Mitek, Llc Methods and devices for repairing and anchoring damaged tissue
US8297330B2 (en) * 2009-10-01 2012-10-30 Tyco Healthcare Group Lp Welded knot end effector
US9211118B2 (en) * 2009-11-16 2015-12-15 Arthrocare Corporation Suture passer
WO2011090628A3 (en) 2009-12-29 2011-12-01 Angiotech Pharmaceuticals, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US8652153B2 (en) 2010-01-11 2014-02-18 Anulex Technologies, Inc. Intervertebral disc annulus repair system and bone anchor delivery tool
US8764795B2 (en) * 2010-01-20 2014-07-01 Micro Interventional Devices, Inc. Tissue closure device and method
US8500776B2 (en) 2010-02-08 2013-08-06 Covidien Lp Vacuum patch for rapid wound closure
US20110218191A1 (en) * 2010-03-03 2011-09-08 Boehringer Ingelheim Vetmedica Gmbh Use of meloxicam for the long term-treatment of kidney disorders in cats
US20110218387A1 (en) * 2010-03-05 2011-09-08 Neotract, Inc. Anchors for use in medical applications
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9398903B2 (en) 2010-03-19 2016-07-26 William T. MCCLELLAN Knotless locking tissue fastening system and method
US8398680B2 (en) 2010-04-07 2013-03-19 Lsi Solutions, Inc. Bioabsorbable magnesium knots for securing surgical suture
US9724080B2 (en) 2010-04-27 2017-08-08 DePuy Synthes Products, Inc. Insertion instrument for anchor assembly
US9743919B2 (en) 2010-04-27 2017-08-29 DePuy Synthes Products, Inc. Stitch lock for attaching two or more structures
US9451938B2 (en) 2010-04-27 2016-09-27 DePuy Synthes Products, Inc. Insertion instrument for anchor assembly
JP5763173B2 (en) 2010-04-27 2015-08-12 ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング Anchor assembly having an expandable anchor
US8814904B2 (en) * 2010-10-26 2014-08-26 Ziptek LLC. Surgical suture system
US9737289B2 (en) * 2010-10-29 2017-08-22 Vectec S.A. Single use, disposable, tissue suspender device
WO2012064902A3 (en) 2010-11-09 2012-08-02 Angiotech Pharmaceuticals, Inc. Emergency self-retaining sutures and packaging
WO2012109455A1 (en) 2011-02-09 2012-08-16 C.R.Bard, Inc. T-fastener suture delivery system
WO2012112565A3 (en) 2011-02-15 2013-01-17 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
WO2012145059A1 (en) 2011-02-15 2012-10-26 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
CN103917183A (en) 2011-06-29 2014-07-09 皮沃特医疗公司 Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
WO2013055886A1 (en) 2011-10-11 2013-04-18 Mcclellan William T Tissue device
US9445803B2 (en) 2011-11-23 2016-09-20 Howmedica Osteonics Corp. Filamentary suture anchor
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9173657B2 (en) 2011-12-15 2015-11-03 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
US9271726B2 (en) 2011-12-19 2016-03-01 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
EP2793715A1 (en) 2011-12-19 2014-10-29 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
WO2013119321A1 (en) 2011-12-19 2013-08-15 Rotation Medical, Inc. Fasteners for affixing sheet -like materials to bone or tissue
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9017347B2 (en) 2011-12-22 2015-04-28 Edwards Lifesciences Corporation Suture clip deployment devices
WO2013101640A1 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
WO2013101638A1 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet -like materials in surgery
WO2013101641A3 (en) 2011-12-29 2013-08-22 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
EP2806828A1 (en) 2012-01-24 2014-12-03 The Regents of The University of Colorado, A Body Corporate Modular intraocular lens designs and methods
US9364316B1 (en) 2012-01-24 2016-06-14 Clarvista Medical, Inc. Modular intraocular lens designs, tools and methods
CA2974639A1 (en) * 2015-01-30 2016-08-04 Clarvista Medical, Inc. Modular intraocular lens designs
US8858596B2 (en) 2012-03-20 2014-10-14 Stryker Corporation Suture anchor having a suture engaging structure
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9498202B2 (en) 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
US8821494B2 (en) 2012-08-03 2014-09-02 Howmedica Osteonics Corp. Surgical instruments and methods of use
US9351719B2 (en) 2012-11-01 2016-05-31 Zone 2 Surgical, Inc. Self locking knotless suture
US9592047B2 (en) 2012-12-21 2017-03-14 Edwards Lifesciences Corporation System for securing sutures
US9737294B2 (en) 2013-01-28 2017-08-22 Cartiva, Inc. Method and system for orthopedic repair
US9402620B2 (en) 2013-03-04 2016-08-02 Howmedica Osteonics Corp. Knotless filamentary fixation devices, assemblies and systems and methods of assembly and use
WO2014138570A3 (en) 2013-03-08 2014-11-06 Zone 2 Surgical, Inc. Collapsible locking suture
US9788826B2 (en) 2013-03-11 2017-10-17 Howmedica Osteonics Corp. Filamentary fixation device and assembly and method of assembly, manufacture and use
US9855033B2 (en) 2013-03-12 2018-01-02 Ziptek LLC. Apparatus and method for securing tissue
US9463013B2 (en) 2013-03-13 2016-10-11 Stryker Corporation Adjustable continuous filament structure and method of manufacture and use
CN105073026A (en) 2013-07-11 2015-11-18 爱德华兹生命科学公司 Knotless suture fastener installation system
WO2015089397A1 (en) 2013-12-12 2015-06-18 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3470834A (en) * 1968-03-08 1969-10-07 Dennison Mfg Co Fastener attaching device
US3990619A (en) * 1975-11-12 1976-11-09 Dennison Manufacturing Company Fastener attachment needle
US4235238A (en) * 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
US4326531A (en) * 1978-09-20 1982-04-27 Olympus Optical Co., Ltd. Device for operating a coeliac tubular member-closing implement

Family Cites Families (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3123077A (en) * 1964-03-03 Surgical suture
US3500820A (en) * 1965-07-05 1970-03-17 Torsten Hakan Oskar Almen Medical probe for injecting x-ray contrast medium into the body
US3527223A (en) * 1967-09-01 1970-09-08 Melvin Shein Ear stud and hollow piercer for insertion thereof
US3541591A (en) * 1968-04-26 1970-11-17 Henry J Hoegerman Method and apparatus for closing wounds
US3716058A (en) * 1970-07-17 1973-02-13 Atlanta Res Inst Barbed suture
US3699969A (en) * 1971-06-01 1972-10-24 William Glenn Allen Method for implanting natural or synthetic fibers into living tissue
US3875648A (en) * 1973-04-04 1975-04-08 Dennison Mfg Co Fastener attachment apparatus and method
US3910281A (en) * 1973-10-09 1975-10-07 Bio Medicus Inc Suture anchor
US3871368A (en) * 1973-10-10 1975-03-18 Thomas P Johnson Device for fixation of preparturient vaginal prolapse
US3943932A (en) * 1975-01-17 1976-03-16 Yen Kong Woo Acupuncture needles and holder
US4006747A (en) * 1975-04-23 1977-02-08 Ethicon, Inc. Surgical method
DE2853289C2 (en) * 1978-12-09 1980-12-18 B. Braun Melsungen Ag, 3508 Melsungen
US4243037A (en) * 1979-07-02 1981-01-06 Smith Norma J Fecal impaction remover
US4275717A (en) * 1979-07-27 1981-06-30 Zimmer Usa, Inc. Intramedullary fixation device for fractured tubular bones
US4409974A (en) * 1981-06-29 1983-10-18 Freedland Jeffrey A Bone-fixating surgical implant device
US4438769A (en) * 1982-04-15 1984-03-27 Pratt Clyde R Medical staple device
US4462395A (en) * 1983-03-02 1984-07-31 Johnson Lanny L Arthroscopic ligamentous and capsular fixation system
US4561432A (en) * 1983-09-15 1985-12-31 Floyd A. Coard, M.D. Fractured femur fixation system
DE3445738A1 (en) * 1984-12-14 1986-06-19 Klaus Draenert Implant for knochenverstaerkung and anchorage of bone screws, implants or implant-sharing
US4669473A (en) * 1985-09-06 1987-06-02 Acufex Microsurgical, Inc. Surgical fastener
US4738255A (en) * 1986-04-07 1988-04-19 Biotron Labs, Inc. Suture anchor system
FR2596978A1 (en) * 1986-04-10 1987-10-16 Peters A bone fixation plate, provided with suture son

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3470834A (en) * 1968-03-08 1969-10-07 Dennison Mfg Co Fastener attaching device
US3990619A (en) * 1975-11-12 1976-11-09 Dennison Manufacturing Company Fastener attachment needle
US4235238A (en) * 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
US4326531A (en) * 1978-09-20 1982-04-27 Olympus Optical Co., Ltd. Device for operating a coeliac tubular member-closing implement

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP0415915A4 *

Cited By (93)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0464479A1 (en) * 1990-07-02 1992-01-08 American Cyanamid Company Bone anchor
US5224946A (en) * 1990-07-02 1993-07-06 American Cyanamid Company Bone anchor and method of anchoring a suture to a bone
US5236445A (en) * 1990-07-02 1993-08-17 American Cyanamid Company Expandable bone anchor and method of anchoring a suture to a bone
EP0465910A1 (en) * 1990-07-13 1992-01-15 American Cyanamid Company Improved suture anchor and driver assembly
US5690676A (en) * 1990-07-13 1997-11-25 Smith & Nephew, Inc. Suture anchor and drive assembly
US5258016A (en) * 1990-07-13 1993-11-02 American Cyanamid Company Suture anchor and driver assembly
US5423856A (en) * 1990-09-13 1995-06-13 United States Surgical Corporation Apparatus and method for subcuticular stapling of body tissue
EP0502509A1 (en) * 1991-03-04 1992-09-09 Liebscher Kunststofftechnik Bone dowel for fixing threads
US5336240A (en) * 1991-03-04 1994-08-09 Liebscherkunststofftechnik Bone-dowel assembly for anchoring a suture
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
US5354298A (en) * 1991-03-22 1994-10-11 United States Surgical Corporation Suture anchor installation system
US5860425A (en) * 1991-12-03 1999-01-19 Boston Scientific Technology, Inc. Bladder neck suspension procedure
US6500194B2 (en) 1991-12-03 2002-12-31 Scimed Life Systems, Inc. Surgical treatment of stress urinary incontinence
EP0558993A3 (en) * 1992-02-18 1994-01-19 Mitek Surgical Prod
EP0558993A2 (en) * 1992-02-18 1993-09-08 Mitek Surgical Products, Inc Suture anchor and installation tool
EP0599772A1 (en) * 1992-11-13 1994-06-01 Technion Research And Development Foundation Ltd. Stapler device particularly useful in medical suturing
US5520700A (en) * 1992-11-13 1996-05-28 Technion Research & Development Foundation, Ltd. Stapler device particularly useful in medical suturing
US5749899A (en) * 1994-03-30 1998-05-12 T Deux C Intraosseous anchoring method and device
FR2718012A1 (en) * 1994-03-30 1995-10-06 T2C Sarl Anchoring intraosseous.
WO1995026684A1 (en) * 1994-03-30 1995-10-12 T Deux C Intraosseous anchoring method and device
US5810848A (en) * 1996-08-21 1998-09-22 Hayhurst; John O. Suturing system
US5948001A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
US6660010B2 (en) 1998-01-27 2003-12-09 Scimed Life Systems, Inc. Bone anchor placement device with recessed anchor mount
US6241736B1 (en) 1998-05-12 2001-06-05 Scimed Life Systems, Inc. Manual bone anchor placement devices
US6589249B2 (en) 1998-05-12 2003-07-08 Scimed Life Systems, Inc. Manual bone anchor placement devices
US6893446B2 (en) 1998-05-12 2005-05-17 Boston Scientific Scimed, Inc. Manual bone anchor placement devices
US7037324B2 (en) 2000-09-15 2006-05-02 United States Surgical Corporation Knotless tissue anchor
US7235100B2 (en) 2000-09-15 2007-06-26 Tyco Healthcare Group Lp Knotless tissue anchor
US7309346B2 (en) 2000-09-15 2007-12-18 United States Surgical Corporation Knotless tissue anchor
EP1392187A2 (en) * 2001-06-06 2004-03-03 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device
EP1392187A4 (en) * 2001-06-06 2009-03-04 Arthrocare Corp Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device
US8690898B2 (en) 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US6955678B2 (en) * 2002-06-28 2005-10-18 Smith & Nephew, Inc. Soft tissue repair tool
US9532775B2 (en) 2003-07-02 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for suture anchors with a vertical eyelet
US9622851B2 (en) 2004-06-09 2017-04-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue attachment
US9861355B2 (en) 2004-06-16 2018-01-09 Smith & Nephew, Inc. Suture passing
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9173651B2 (en) 2006-02-03 2015-11-03 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US8936621B2 (en) 2006-02-03 2015-01-20 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
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9510821B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9402621B2 (en) 2006-02-03 2016-08-02 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
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9414925B2 (en) 2006-09-29 2016-08-16 Biomet Manufacturing, Llc Method of implanting a knee prosthesis assembly with a ligament link
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US8900314B2 (en) 2009-05-28 2014-12-02 Biomet Manufacturing, Llc Method of implanting a prosthetic knee joint assembly
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9636101B2 (en) 2011-09-01 2017-05-02 Arthrocare Corporation Bone anchor having an integrated stress isolator
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
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9433407B2 (en) 2012-01-03 2016-09-06 Biomet Manufacturing, Llc Method of implanting a bone fixation assembly
US9226742B2 (en) 2012-01-27 2016-01-05 Arthrocare Corporation Restricted wedge suture anchor and method for soft tissue repair
US9023083B2 (en) 2012-01-27 2015-05-05 Arthrocare Corporation Method for soft tissue repair with free floating suture locking member
US9364210B2 (en) 2012-01-27 2016-06-14 Arthrocare Corporation Biased wedge suture anchor and method for soft tissue repair
US9198649B2 (en) 2012-01-27 2015-12-01 Arthrocare Corporation Rotating locking member suture anchor and method for soft tissue repair
US9034014B2 (en) 2012-01-27 2015-05-19 Arthrocare Corporation Free floating wedge suture anchor for soft tissue repair
US9855028B2 (en) 2012-04-06 2018-01-02 Arthrocare Corporation Multi-suture knotless anchor for attaching tissue to bone and related method
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
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

Also Published As

Publication number Publication date Type
US4741330A (en) 1988-05-03 grant
EP0415915A1 (en) 1991-03-13 application
FI905197A0 (en) 1990-10-22 application
JPH03503724A (en) 1991-08-22 application
JP2722096B2 (en) 1998-03-04 grant
EP0415915A4 (en) 1991-10-09 application
FI103948B (en) 1999-10-29 application
DE3855610D1 (en) 1996-11-14 grant
FI103948B1 (en) 1999-10-29 grant
FI905197D0 (en) grant
DE3855610T2 (en) 1997-03-13 grant
EP0415915B1 (en) 1996-10-09 grant

Similar Documents

Publication Publication Date Title
US6248108B1 (en) Bioabsorbable surgical screw and washer system
US5520691A (en) Method and apparatus for re-approximating tissue
US5257996A (en) Surgical pin passer
US6840953B2 (en) Suture screw
US5665109A (en) Methods and apparatus for suturing tissue
US5702462A (en) Method of meniscal repair
US5236445A (en) Expandable bone anchor and method of anchoring a suture to a bone
US6146406A (en) Bone anchor
US5810853A (en) Knotting element for use in suturing anatomical tissue and methods therefor
US4895148A (en) Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member
US5843126A (en) Multiple surgical suture application
US6059789A (en) Drill guide for creating a tunnel in bone for fixating soft tissue to the bone and kit and method for fixating soft tissue to bone
US4884572A (en) Tack and applicator for treating torn bodily material in vivo
US5342376A (en) Inserting device for a barbed tissue connector
US5250053A (en) Suture shuttle device
US5681333A (en) Method and apparatus for arthroscopic rotator cuff repair utilizing bone tunnels for suture attachment
US5718706A (en) Surgical screw and washer
US5891168A (en) Process for attaching tissue to bone using a captured-loop knotless suture anchor assembly
US8337525B2 (en) Soft tissue repair device and associated methods
US5827291A (en) Suture anchor driver with suture retainer
US5690676A (en) Suture anchor and drive assembly
US5814071A (en) Suture anchor assembly and methods
US5591207A (en) Driving system for inserting threaded suture anchors
US20040267317A1 (en) Methods for attaching tissue to bone
US20060064126A1 (en) Soft tissue repair system

Legal Events

Date Code Title Description
AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): AT BE CH DE FR GB IT LU NL SE

AK Designated states

Kind code of ref document: A1

Designated state(s): AU FI JP US

WWE Wipo information: entry into national phase

Ref document number: 1988904139

Country of ref document: EP

WWE Wipo information: entry into national phase

Ref document number: 905197

Country of ref document: FI

WWP Wipo information: published in national office

Ref document number: 1988904139

Country of ref document: EP

WWG Wipo information: grant in national office

Ref document number: 1988904139

Country of ref document: EP

WWG Wipo information: grant in national office

Ref document number: 905197

Country of ref document: FI