WO1996029029A1 - Surgical anchoring piece for ligaments - Google Patents

Surgical anchoring piece for ligaments Download PDF

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Publication number
WO1996029029A1
WO1996029029A1 PCT/BE1995/000025 BE9500025W WO9629029A1 WO 1996029029 A1 WO1996029029 A1 WO 1996029029A1 BE 9500025 W BE9500025 W BE 9500025W WO 9629029 A1 WO9629029 A1 WO 9629029A1
Authority
WO
WIPO (PCT)
Prior art keywords
ligament
milling
tunnel
anchor
means
Prior art date
Application number
PCT/BE1995/000025
Other languages
French (fr)
Inventor
Michel Collette
Original Assignee
Societe De Gestion Jarim N.V.
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
Application filed by Societe De Gestion Jarim N.V. filed Critical Societe De Gestion Jarim N.V.
Priority to CA002215943A priority Critical patent/CA2215943A1/en
Priority to PCT/BE1995/000025 priority patent/WO1996029029A1/en
Publication of WO1996029029A1 publication Critical patent/WO1996029029A1/en

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
    • 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 knot
    • 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
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • A61F2002/087Anchor integrated into tendons, e.g. bone blocks, integrated rings
    • 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
    • A61F2002/0882Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

This invention relates to a surgical anchoring piece (1) for fitting a ligament or the like (8) at the proximal outlet of a tunnel (6, 7) bored in a bone (9). In a preferred embodiment, the anchoring piece (1) is made of an elongate body (2) provided with a milled section (3) perpendicular to the longitudinal axis of the elongate body which is designed for sliding and fastening of a pull wire (5) and a tape (4) for fastening the ligament or the like. The ligament, which is fastened to the anchoring piece (1) by the tape (4) is driven towards the end of the tunnel (6) by pulling on the wire (5); once out of the tunnel (7), the anchoring piece (1) pivots until it lies across the mouth of the tunnel (7) and locks the ligament in position in the tunnel (6).

Description

ANCHOR FOR SURGICAL LIGAMENTS

The present invention provides an anchor for attaching ligaments to bone, ligament reconstruction surgery; it relates more particularly to such anchor adapted to be placed by arthroscopy. Known anchors in arthroscopic surgery to suture son, to be pushed into place using an instrument cannula. The anchor which is attached to the suture is pushed through the cannula longitudinal position (parallel to the suture), and once out of the cannula, the anchor is pivoted to an angle with respect to suture, and thus take support on fabrics.

Such anchors are for example described in EP-A-0236427 and EP-A-0464480. It is further known in orthopedic surgery, in the reconstruction of ligaments, to drill into the joint a tunnel or blind hole for receiving the ends of the ligament. At its proximal end, the tunnel is extended by a narrower tunnel or traction tunnel for the passage of a pass-son.

During the implementation of the ligament, it is attached to a pull wire that is threaded through successive tunnels and pushed to the outside of the skin using a pass-son, is passed in tunnels and pierce the skin; the pull wire then serves to pull the ligament tunnel substantially to the bottom. Once the ligament in place, it must be firmly anchored in place.

The traditional method is to build traction son ligament traction at the exit of tunnel, a barrier means such as a button, a clip, a screw, etc. This mounting therefore requires a surgical approach to the bone region is after the pulling tunnel.

An alternative method is carried out completely under arthroscopic control. In this method, and after completion of the bone tunnels, the anchoring member is attached to the ligament, and the assembly is then drawn into the bone tunnels until the anchor has made entirely from the traction tunnel; by pulling in opposite direction, then the anchor blocks to the end of the traction tunnel.

This method is less traumatic, since it is not necessary to make an opening on the proximal side, to anchor. It asks them to pass the anchor by pulling tunnel must be wider than for passing only pull wire, and it is important that the anchor is as narrow as possible to minimize the diameter of the tunnel traction.

The anchors to push above are not suitable for attaching ligaments. Indeed, this would require an enlargement of the bone tunnels to allow simultaneous passage of ligament and enforcement instrument, which is contrary to the requirements to adjust as closely as possible the diameter of the ligament tunnel caliber to promote biological fixation.

In addition, the application cannula can injure the ligament structure during handling of implementation.

For this application, we therefore developed anchors to shoot, which allow the free installation tool cannula.

Such an anchor is known for example from EP-A-0619982, which discloses a substantially cylindrical anchor, provided with peripheral barbs. When this anchor opens to the outside at the proximal end of the pull tunnel, the barbs provide the anchor bearing against the surface of the cortical bone.

This anchor is however difficult to implement; Indeed, the barbs should be short so they do not get stuck in the bone tunnels, so that the traction tunnel must be strong adjusted. If it was not, short beards "float" inside, and could not be supported on the cortical bone at the tunnel exit.

Therefore, the anchor passes tightly into the traction tunnel, and it is difficult for the surgeon to accurately determine whether or not the anchor out of the tunnel. To be sure, it exerts in fact a pull in reverse (side ligament), and then the barbs could pinch anchor in the bone, already inside the tunnel, so that the establishment correct anchor can be really ensured by measurement and precise marking of the graft provided with its anchor in relation to the length of the bone tunnels or by fluoroscopy, all these maneuvers are technically difficult and consuming operating time.

Another drawback of this anchor is still the bone surface on which the barbs are supported is generally not flat, nor perpendicular to the longitudinal axis of the anchor, in which case the support takes place on only two beards.

There is also known an anchor-shaped elongate plate, pierced with four holes substantially aligned in the longitudinal direction of the wafer (ENDOBUTTON * society Acufex Microsurgical Inc.). The two middle holes used to fix the ligament, and the two outermost holes serve for fastening tensile son.

This anchor is inserted longitudinally in the tension tunnel, using tensile son, to exit through its proximal end. Once out of the tunnel, a traction on the posterior pull wire rotates it about an axis perpendicular to its longitudinal axis and is moved back by pulling side ligament, so as to make it bear on the edges of the tunnel with its longitudinal axis substantially perpendicular to the axis of the tunnel.

According to the invention, it is proposed to provide an anchor of this type, easier to carry and handle, and especially smaller size, so that we could make it pass in a narrower traction tunnel, which less weakens the bone, or it can be used for finer or less resistant bones. The solution of the invention is to provide a surgical anchor for securing a ligament or the like, to the proximal exit of a tunnel drilled in a bone, comprising an elongated body provided with a passage means perpendicular to the longitudinal axis of the elongated body for fixing on the one hand of a traction means, and secondly with means for fixing a ligament or the like, anchor provided to pivot perpendicularly to its longitudinal axis, to leaving the tunnel, to dispose in the locking position substantially perpendicular to the axis of the tunnel, characterized in that the passage means for the traction means is constituted by a single milling perpendicular to the longitudinal axis of the elongated body and - the passage means to the ligament or the like fastening means is constituted by a single milling perpendicular to the longitudinal axis of the elongate body.

According to another characteristic of the invention, milling to the ligament fixation means is a narrow section milling and elongated, whose long side is parallel to the longitudinal axis of the elongated body for receiving a flat fastening means , similar to a tape, for the ligament.

According to another characteristic of the invention, the milling for the traction means and milling for fixing the ligament to form a single common milling.

According to another characteristic of the invention, the fastening means of the ligament or the like, inserted into the milling of the elongated body is attached thereto by being retained by a thickening at its end, can not pass into the milling.

According to another characteristic of the invention, the ligament or the like fastening means is attached to the elongate body being inserted into said milling in the manner of a thread into a needle.

According to another characteristic of the invention, both strands of the fastening means are ligated close to the surface of the elongate body.

According to another characteristic of the invention, both strands of the fastening means are tied near the surface of the elongate body. According to another characteristic of the invention, the elongate body is of substantially cylindrical section. Other aspects, features and advantages of the invention will become apparent from the following detailed description and the accompanying drawings, wherein: Figure 1 is a side view, partially broken away, of an anchor according to the invention,

Figure 2 is a perspective view of the anchor of the invention, provided with a traction means and with means for fixing a ligament or the like, Figure 3 is a cross sectional view of the anchor according to the invention with another method of fastening the fastening means of the ligament or the like,

Figure 4 is a view of the anchor being passing through a tunnel drilled in a bone. Referring to the drawing, the anchor 1 comprises an elongated body, generally cylindrical two pierced with a milling through 3, the longitudinal axis AA 'is substantially perpendicular to the longitudinal axis BB' of the cylindrical body 2. As seen in the drawing, the milling is in the form of slit 3, and present an elongated cross section along the longitudinal axis BB 'of the cylindrical body 2.

Milling 3 is provided for threading a fixing means 4 of a ligament or the like, as well as of a 5-pull wire.

The pull wire 5 is used only during the operation, to allow the surgeon to draw the anchor through the tunnel 6 of inserting the ligament or the like and then through the 7 narrower traction tunnel which extends it, in causing the ligament 8 substantially to the bottom of the insertion tunnel 6. the insertion tunnels and traction are drilled in the bone 9 to which the ligament must be attached.

Once anchored in place, the wire 5 is removed, most simply by pulling on one of its strands.

The ligament fixation means not only serves to pull the ligament substantially to the bottom of the insertion tunnel 6, during the operation, but also serves as the anchor ligament to bone, and must therefore be dimensioned accordingly.

The elongate milling section 3 according to the invention provides a relatively large passage section for a reduced gap width; associated with a fastening means 4 flat, ribbon-like, it can give the latter a section sufficient to withstand the forces to which it will be subjected, for a small diameter of the cylindrical body 2.

In FIG 2, the fixing tape 4 and 5 pull wire are shown threaded through the milling 3 in the manner of a thread through the eye of a needle, which constitutes the means of simpler and more reliable to fix the fixing tape 4 and the pull wire 5 to the cylindrical body 2. the two strands of the tape 4 are furthermore ligated together as shown by the dotted line 11.

In the variant of Figure 3, the tensile strip is shown provided with a thickening 10 at its free end remote from the ligament, so as to prevent the tape slipped out of the milling. However, this is a less preferred embodiment, because less reliable.

In the drawings shows only one milling 3, which serves both for the traction wire for the fastening tape, and constitutes a preferred embodiment of the invention. The invention is of course not limited to this embodiment, and there may be provided two separate milling, or milling for the fastening tape, and a bore for the pull wire, without this presents particular advantage.

For reasons of convenience, the single milling is preferably carried out symmetrically in the middle of the body, so that the anchor is perfectly symmetrical, and does not have a front face and a rear face. In Figure 4, the anchor is shown in during passage through the traction tunnel 7 drilled in a bone 9, after insertion of the tunnel 6 of the ligament or the like.

In known manner, the tunnels are drilled in the bone after practicing an opening in the soft tissue at the distal end and the 5 pull wire is threaded through the tunnels 6, 7 by means of a pass son that the surgeon makes emerge outside, proximally, by piercing the skin; Once the wire outside, the surgeon can directly take in hand, and pull the anchor and the ligament inside the tunnels.

As seen in Figure 4, the pull wire has longitudinally of the cylindrical body, while the two strands of ribbon deform (twist) to present also longitudinally of the cylindrical body 2.

When the anchor out of the tunnel 7, it tends to recover (to pivot perpendicularly to its longitudinal axis) between each other under the asymmetrical fixing of the effect of the strip 4. It remains therefore not aligned with the axis of traction tunnel and when the surgeon exerts traction in opposite direction, side ligament, the round end of the anchor contacts the bone wall to the tunnel exit. By continuing the traction side ligament - possibly combined with short side wire pull strength, the surgeon then brings the anchor support, transversely to the axis of the traction tunnel.

In Figure 2, there is indicated by a dotted line 11 ligation of the two strands of the fixing tape 4, close to the cylindrical body 2. This ligation aims to force the tape to arrange themselves as shown in Figure 4, with the edges 4 ', 4 "are substantially perpendicular to the longitudinal axis of body 2, thus preventing the tape to have longitudinally in the manner of pulling wire 5, which would weaken the tendency of the body to recover. this ligation however, can be replaced by a simple knotting the two strands, which provides the same effect, but with the disadvantage of a greater size compared to the ligature, which therefore requires a larger pulling tunnel. According to invention there is thus provided an improved surgical anchor for anchoring a ligament arthroscopically, and thus with less trauma, by significantly reducing the diameter of the traction tunnel drill in the bone, and in ensuring blocag e sure to anchor without using fluoroscopy or the like.

Thus according to the invention is easily reached a body diameter 2 of about 2.5 mm or even 2 mm, compared with a transverse dimension of the order of 4 mm for the EndoButton ® wafer, or to a diameter of the order of 5 mm for the anchor according to EP-a-0619982.

By "milling" in this description means a share of drilling and through the body of the anchor, which can be achieved with strawberries, but also by other means, eg laser.

Claims

1. surgical anchor (1) for securing a ligament or the like, to the proximal exit of a tunnel drilled in a bone, comprising an elongated body (2) provided with passage means perpendicular to the longitudinal axis (B-B ') of the elongated body for fixing on the one hand to a traction means <5), and secondly a fixing means (4) of a ligament or the like, anchor provided to pivot perpendicularly to its longitudinal axis (BB 1), on leaving the tunnel, to dispose in locking position substantially perpendicular to the axis of the tunnel, characterized in that the passage means for the traction means is constituted one milling perpendicular to the longitudinal axis of the elongate body, and the passage means to the ligament or the like fastening means is constituted by a single milling perpendicular to the longitudinal axis of the elongate body.
2. Anchor according to Claim 1, characterized in that the milling for the ligament fastening means is a cutter (3) and elongate, narrow section whose long side is parallel to the longitudinal axis (BB ') of the body elongate (2), for receiving a fastening means (4) flat, similar to a tape, for the ligament.
3. Anchor according to Claim 1 or 2, characterized in that the milling for the traction means and milling for fixing the ligament form a single milling (3) common.
4. Anchor according to any one of claims 1 to 3, characterized in that the fastening means (4) of the ligament or the like, inserted into the milling (3) of the elongated body (2) is fixed thereto being retained by an excess thickness (10) at its end, can not pass into the milling.
5. An anchor according to any one of claims 1 to 3, characterized in that the fastening means (4) of the ligament or the like is attached to the elongated body (2) being inserted into said milling (3) in the manner of a thread into a needle.
6. Anchor according to Claim 5, characterized in that the two strands of the fastening means (4) are ligated (11) near the surface of the elongate body.
7. Anchor according to Claim 5, characterized in that the two strands of the fastening means (4) are tied near the surface of the elongated body (2).
8. Anchor according to any one of the preceding claims, characterized in that the elongated body (2) is of substantially cylindrical section.
PCT/BE1995/000025 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments WO1996029029A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CA002215943A CA2215943A1 (en) 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments
PCT/BE1995/000025 WO1996029029A1 (en) 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
AU19431/95A AU1943195A (en) 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments
EP95912098A EP0814730A1 (en) 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments
CA002215943A CA2215943A1 (en) 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments
PCT/BE1995/000025 WO1996029029A1 (en) 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments

Publications (1)

Publication Number Publication Date
WO1996029029A1 true WO1996029029A1 (en) 1996-09-26

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/BE1995/000025 WO1996029029A1 (en) 1995-03-21 1995-03-21 Surgical anchoring piece for ligaments

Country Status (4)

Country Link
EP (1) EP0814730A1 (en)
AU (1) AU1943195A (en)
CA (1) CA2215943A1 (en)
WO (1) WO1996029029A1 (en)

Cited By (56)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998012991A1 (en) * 1996-09-26 1998-04-02 Neoligaments Limited Attachment device for use in the implantation of prosthetic ligament
WO1999047079A1 (en) * 1998-03-13 1999-09-23 Neoligaments Limited Loop attachment to apertured device
US6056752A (en) * 1997-10-24 2000-05-02 Smith & Nephew, Inc. Fixation of cruciate ligament grafts
EP1072234A3 (en) * 1999-07-29 2001-09-26 Andrea Castiglioni Device for the femoral fixation of tendons for the reconstruction of the anterior cruciate ligament of the knee
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
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
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
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
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
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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
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US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
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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
US9517062B2 (en) 2014-12-03 2016-12-13 Smith & Nephew, Inc. Closed loop suture for anchoring tissue grafts
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
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
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US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
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US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
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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
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US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9974643B2 (en) 2013-03-11 2018-05-22 Medos International Sàrl Implant having adjustable filament coils
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10052094B2 (en) 2013-03-11 2018-08-21 Medos International Sàrl Implant having adjustable filament coils
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10363028B2 (en) 2016-07-01 2019-07-30 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3541591A (en) * 1968-04-26 1970-11-17 Henry J Hoegerman Method and apparatus for closing wounds
US4773910A (en) * 1987-08-17 1988-09-27 Johnson & Johnson Consumer Products, Inc. Permanent ligament prosthesis
US4823794A (en) * 1982-07-12 1989-04-25 Pierce William S Surgical pledget
EP0492172A1 (en) * 1990-12-24 1992-07-01 American Cyanamid Company Molded or extruded buttressing pledget
DE4127550A1 (en) * 1991-08-20 1993-02-25 Telos Herstellung Und Vertrieb Implantable surgical connecting plate - is used for attaching strap to bone and has two parallel slots to hold strap to plate
FR2696338A1 (en) * 1992-10-07 1994-04-08 Perrin Max Artificial ligament for use in knee joint and other body areas - comprises elongate thread with attachment portion formed at one end and separate transverse cylindrical fastening head attached to other end
US5306301A (en) * 1993-02-11 1994-04-26 American Cyanamid Company Graft attachment device and method of using same

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3541591A (en) * 1968-04-26 1970-11-17 Henry J Hoegerman Method and apparatus for closing wounds
US4823794A (en) * 1982-07-12 1989-04-25 Pierce William S Surgical pledget
US4773910A (en) * 1987-08-17 1988-09-27 Johnson & Johnson Consumer Products, Inc. Permanent ligament prosthesis
EP0492172A1 (en) * 1990-12-24 1992-07-01 American Cyanamid Company Molded or extruded buttressing pledget
DE4127550A1 (en) * 1991-08-20 1993-02-25 Telos Herstellung Und Vertrieb Implantable surgical connecting plate - is used for attaching strap to bone and has two parallel slots to hold strap to plate
FR2696338A1 (en) * 1992-10-07 1994-04-08 Perrin Max Artificial ligament for use in knee joint and other body areas - comprises elongate thread with attachment portion formed at one end and separate transverse cylindrical fastening head attached to other end
US5306301A (en) * 1993-02-11 1994-04-26 American Cyanamid Company Graft attachment device and method of using same

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Publication number Priority date Publication date Assignee Title
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US6193754B1 (en) 1996-09-26 2001-02-27 Neoligaments Limited Attachment device for use in the implantation of prosthetic ligament
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WO1998012991A1 (en) * 1996-09-26 1998-04-02 Neoligaments Limited Attachment device for use in the implantation of prosthetic ligament
US6056752A (en) * 1997-10-24 2000-05-02 Smith & Nephew, Inc. Fixation of cruciate ligament grafts
US6352603B1 (en) 1998-03-13 2002-03-05 Neoligaments Limited Loop attachment to apertured device
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AU1943195A (en) 1996-10-08
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