WO2009146155A1 - Surgical instruments - Google Patents

Surgical instruments Download PDF

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Publication number
WO2009146155A1
WO2009146155A1 PCT/US2009/039787 US2009039787W WO2009146155A1 WO 2009146155 A1 WO2009146155 A1 WO 2009146155A1 US 2009039787 W US2009039787 W US 2009039787W WO 2009146155 A1 WO2009146155 A1 WO 2009146155A1
Authority
WO
WIPO (PCT)
Prior art keywords
suture
anchor
plug
cannula
tissue
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2009/039787
Other languages
English (en)
French (fr)
Inventor
Lee D. Kaplan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to CA2721069A priority Critical patent/CA2721069C/en
Priority to AU2009251530A priority patent/AU2009251530B2/en
Priority to EP09755517.1A priority patent/EP2265190B1/en
Priority to JP2011504128A priority patent/JP5588965B2/ja
Publication of WO2009146155A1 publication Critical patent/WO2009146155A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448—Additional elements on or within the anchor
    • A61B2017/045—Additional elements on or within the anchor snug fit within the anchor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00—Buckles, buttons, clasps, etc.
    • Y10T24/39—Cord and rope holders
    • Y10T24/3958—Screw clamp
    • Y10T24/3967—Bolt perpendicular to cable axis

Definitions

  • the present disclosure generally related to surgical instruments. More specifically, the disclosure relates to a suture anchor.
  • Suture anchors are well known in the art. Suture anchors are typically used to anchor soft tissues such as tendons, and the like, to bone using a suture. The suture anchor is typically secured in a bone and sutures, previously having been inserted into tissue, are then threaded through the suture anchor to tension the tissue and hold it in place. The tissue is tensioned to the bone via the suture attached to the anchor.
  • the suture is threaded through a small hole, or series of holes in the anchor and some suture anchors come pre-loaded with the sutures.
  • the suture can then be knotted to prevent release of the suture from the suture anchor.
  • the need for knotting can increase surgical time and provide a weak point for suture breakage, hence a need exists for a suture anchor that is fast to use, readily allows for re-tensioning of a suture, and does not introduce knotting weakness to the suture.
  • Surgical cannulas are used to enter areas within the body such as the shoulder, knee, or abdomen.
  • the cannula provides a means for passing surgical instruments into and out of a subject.
  • Cannulas are also used as a channel to introduce surgical implements such as surgical instruments, suture anchors, or sutures.
  • Such surgical cannulas typically have a single chamber that is conducive to instruments or items touching and either cross- contaminating one another or disturbing the function of each other.
  • Such surgical cannulas are also subject to the cannula readily pulling out of the subject or falling into a subject and requiring re-insertion or extraction.
  • a surgical instrument comprising (a) an anchor comprising (i) a wall comprising (1) an outer surface having threads; and (2) an inner surface; (iii) a first end; and a second end; and (b) a plug comprising a first end, a second end, and an outer wall; wherein the anchor and the plug form a suture anchor capable of anchoring a suture.
  • the outer wall of the plug comprises threads capable of engaging the inner surface of the anchor via a friction fit.
  • the inner surface comprises threads.
  • the outer wall of the plug and the inner wall of the anchor each have threads capable of engaging each other in a screw-like fashion to secure the plug in the anchor.
  • the plug is made of a compressible material.
  • the compressible material may be a polymer such as high density polyethylene, polyurethane, silicones, or a mixture thereof.
  • the first end of the plug has the same diameter as the second end of the plug. In other embodiments, the first end of the plug has a larger diameter than the second end of the plug, such that the plug forms conical shape similar to that of the profile of a funnel.
  • a suture anchor in another aspect, methods of using a suture anchor comprising: securing the anchor into a bone, draping a suture through an interior of the anchor and touching the inner surface; and inserting the plug in the anchor to secure and tension the suture.
  • the securing is via screwing or cementing of the anchor in the bone.
  • Other embodiments further comprise removing the plug; re-tensioning the suture; and replacing the plug in the anchor.
  • a suture anchor has an anchor body that has a well, a top surface, a bottom surface, and a transverse bore.
  • the well has an outer surface, an inner surface, and an inner bottom surface.
  • the anchor and the plug form a suture anchor configured to secure a surgical suture.
  • the transverse bore is proximally located to the inner bottom surface.
  • grooves are formed in the outer surface extending from the transverse bore to the top surface.
  • the outer surface has rungs and the inner surface has threads.
  • the post is a threaded post.
  • the outer surface has rungs
  • the inner surface has
  • the post is a threaded post
  • the threads of the inner surface and the threads of the post are configured to engage in a screw-like fashion to secure the anchor plug in the anchor body.
  • Methods of using such a suture anchor are also provided. Such methods include boring a nest in a bone; positioning the bottom surface of the anchor body in the nest; threading a suture through the transverse bore; driving the suture anchor into the nest; tensioning the suture; and securing the suture in the anchor body with the anchor plug. Alternatively, the threading of the suture precedes the positioning of the anchor body in the nest. In some embodiments, the methods also include loosening or removing the anchor plug, re-tensioning the suture, and tightening or replacing the anchor plug in the anchor body.
  • surgical instrument comprising (a) a cannula comprising a distal end, a proximal end and at least one chamber extending the entire length of the cannula from the proximal end to the distal end; (b) at least one inflatable donut; and (c) an air passageway having an air inlet; wherein the inflatable donut has a circumference at full inflation that is greater than a circumference of the cannula.
  • the cannula is capable of passing a surgical item into and out of a subject undergoing surgery.
  • surgical items include, but are not limited to, surgical instruments, sutures, and implants.
  • the cannula comprises a divider that divides the at least one chamber extending the entire length of the cannula into at least two chambers.
  • the divider is a flexible diaphragm or divider.
  • the divider extends the full length of the cannula.
  • the cannula further comprises a second donut.
  • the second donut is rigid or inflatable.
  • the second donut is capable of preventing insertion of the cannula completely into a subject.
  • the second donut is formed integrally with the cannula.
  • the second donut is formed separately from the cannula and is attached to the cannula.
  • the inflatable donut is capable of being inflated via the air passageway.
  • a pump is used to inflate the inflatable donut via the air passageway.
  • an air-filled syringe inserted through a valve is used to inflate the inflatable donut via the air passageway.
  • a method of using the cannula comprising: making an incision in the subject at the location in which the cannula is to be inserted; inserting the cannula; and inflating the at least one inflatable donut.
  • the method further comprises: conducting a surgical procedure using the cannula; deflating the inflatable donut; and removing the cannula from the subject.
  • FIG. 1 is a side view of a suture passer without a suture.
  • FIG. 2 is a side view of a suture passer having a suture threaded through the suture passer.
  • FIG. 3 A is a side view of a suture anchor showing the plug and the nest with sutures passing through, prior to insertion of the plug into the nest, according to one embodiment.
  • FIG. 3B is a side view of a suture anchor showing the plug and the nest with sutures passing through, prior to insertion of the plug into the nest, according to another embodiment.
  • FIG. 4 is a top view of a suture anchor showing the plug and the nest with a sutures passing through, prior to insertion of the plug into the nest.
  • FIG. 5 is an illustration of a humerus with a hole bored through a portion for the passage of a suture to secure a rotator cuff bed.
  • FIG. 6 is an illustration of a humerus with a hole bored through a portion for the passage of a suture to secure a rotator cuff bed.
  • FIG. 7 is an illustration of a humerus with a hole bored through a portion for the passage of a suture to secure a rotator cuff bed and a suture anchor secured in the humerus.
  • FIG. 8 is an illustration of a humerus with a hole bored through a portion for the passage of a suture to secure a rotator cuff bed and a suture anchor secured in the humerus with the suture beginning to be tensioned.
  • FIG. 9 is a side view of a cannula.
  • FIG. 10 is a perspective view of a suture anchor, according to one embodiment.
  • FIG. 11 is a perspective view of an anchor body, according to one embodiment.
  • FIG. 12 is a perspective view of an anchor plug, according to one embodiment.
  • FIG. 13 is a side view of a suture anchor, according to one embodiment.
  • an instrument comprising a suture passer 100 is described.
  • the suture passer 100 comprises a body 110 having a tunnel 115, an articulating arm 120, 190 connected to the body 110 proximally to a first end of the body 110, and a fore end 130 distal to the first end of the body 110.
  • the suture passer 100 further comprises suture channels 184, 185 through which sutures are threaded to load the suture passer 100.
  • the suture passer 100 is an arthroscopic instrument. The suture passer 100 may be used to grasp tissue and pass a sliding, locking suture in a single grasp of the tissue.
  • the suture passer 100 grasps tissue 180 between the body 110 and the articulating arm 120.
  • the suture passer 100 then passes a suture loop 140 through the tissue 180. This may be done by loading the suture 140 in a U fashion.
  • a needle passes through the tunnel 115 then penetrates the tissue 180 passing through the suture loop 140.
  • a second needle or a pass of the same needle passes through a channel within articulating arm 120 and is directed through the suture loop 140 and capturing the other end of the suture. This pulls one end of the suture back in a retrograde fashion through the first loop 140 creating a locking stitch.
  • the suture has one end outside the body 110 and the other end loaded on the other side of the suture passer 100.
  • the articulating arm 120 is connected to the body 110 by a joint or a hinge, such that the articulating arm 120 may move relative to the body 110 in a tweezer-like fashion.
  • the suture passer 100 will grasp tissue, thus allowing for a loop of a single suture (or multiple sutures) to be placed from an inferior aspect of the tissue to a superior aspect of the tissue.
  • a needle or grasping agent will then reach through this loop and pull the other end of the suture back through this suture loop. This will create a locking stitch with one end on the superior and one end on the inferior aspect of the tissue.
  • This needle passes through a channel in the inferior arm of the suture passer.
  • the second needle or grasping agent penetration runs parallel to the first but on the other side of the tissue. This needle may be have passage through the superior arm of the suture passer.
  • suture anchor 300 comprising an anchor 310, and a plug 320 is described herein and is illustrated in FIGS. 3-8.
  • suture anchors 300 may be used with the suture passers 100, described above, or the suture anchors 300 may be used in any suturing application known to those of skill in the art.
  • Suture anchors 300 embodied herein allow for one or more points of fixation of a tissue to be anchored by a single anchor position. As described below, the suture anchors embodied herein are capable allowing the tensioning of a tissue with a suture to be adjustable and re-tensionable.
  • the anchor 310 comprises a wall having an outer surface 311 , an inner surface 312, that may or may not have threads to secure the plug 320, a first end 313, and a second end 314.
  • the inner surface 312, having or not having threads it is a friction fit between the plug 320 and the inner surface 312 that secures the plug 320 into the suture anchor 300.
  • a diameter of the first end 313 is larger than a diameter of the second end 314 (FIG. 3B), while in other embodiments, the first end 313 and the second end 314 have the same diameter (FIG. 3A).
  • the plug 320 comprises an outer wall 321 having threads 325 such that when a suture(s) 330 is draped into the anchor 310 and the plug 320 is inserted into the anchor 310, the plug 320 secures the suture(s) 330 via a friction fit between the plug 320 and the inner surface 312 of the wall 311.
  • FIGS. 5-8 further illustrate the suture anchor 300 secured in a humerus 510 and with sutures 530 anchored in the suture anchor 300.
  • Anchor 310 may be secured in any bone via a screw mechanism on the outer surface 311 of the wall, or via a cementing of the anchor 310 to the bone, as is known to those of skill in the art.
  • the anchor 310 may also have a means for driving the screw mechanism into bone.
  • the anchor 310 may have a hex-head, slot, Phillips-type head, or other shaped head that may be mated to a driver for screwing the anchor 310 into bone.
  • Cementing of the anchor 310 to the bone may be accomplished using a variety of bone cements known to those of skill in the art.
  • curable polymers such as polymethylmethacrylate may be used.
  • Such suture anchors 300 allow for tightening, adjustment, or re-tensioning of a suture by loosening and/or removal of the plug 320 from anchor 310, adjusting or re- tensioning of the suture, and tightening and/or re-insertion of the plug 320 into the anchor 310.
  • Such suture anchors 300 also allow for securing of the suture without the tying of knots (i.e. a knotless suture anchor) or replacement of sutures when re-tensioning is required.
  • Suture anchors 300 may be used for the fixation of soft tissue to bone, or of bone to bone.
  • Suture anchors 300 and plugs 320 may be made from a variety of materials known to those of skill in the art.
  • the material is typically a rigid material such as a metal, a polymer, or a ceramic.
  • Biocompatible metals include, but are not limited to stainless steel, titanium, tantalum, aluminum, chromium, molybdenum, cobalt, silver, and gold, or alloys of such metals that are known to those of skill in the art.
  • Biocompatible polymers include, but are not limited to, high-density polyethylenes, polyurethanes, or blends of such polymers, as are known to those of skill in the art.
  • Biocompatible polymers also include absorbable materials such as polylactic acid, polyglycolic acid, or mixtures thereof.
  • Biocompatible ceramics include, but are not limited to alumina, silica, silicon carbide, silicon nitride, zirconia, and mixtures of any two or more thereof.
  • the plugs 320 may likewise be prepared from similar metals, polymers, and ceramics, however in some embodiments, the plugs 320 are prepared from materials that may be compressed.
  • the plug material is capable of being compressed from an uncompressed state to a compressed state, prior to or during insertion of the plug 320 into the suture anchor 300.
  • Such compression allows for the material to recoil from the compressed state to the uncompressed state and thereby increasing the friction fit between the plug 320 and the suture anchor 300.
  • Such materials that may be compressed include, but are not limited to, polyethylenes, silicones, polyesters, polyurethanes, polylactic acid, polyglycolic acid, or mixtures of any two or more thereof.
  • the anchor 300 may be used to secure sutures tensioning tissue without tissue to bone direct contact.
  • suture tensioning tissue to bone contact examples include, but are not limited to, pelvic surgery, bladder suspension surgery, brow lift or face lift surgery, hand surgery and the like.
  • Suture anchors 1000 are also embodied herein, and allow for one or more points of fixation of a tissue to be anchored by a single anchor position. As described below, the suture anchors embodied herein are capable allowing the tensioning of a tissue with a suture to be adjustable, and re-tensionable.
  • the anchor 1000 comprises an anchor body 1010 and a plug 1020.
  • the anchor body 1010 has a central region, or well, that is bored out to accept the anchor plug 1020.
  • the well is surrounded by a wall having an outer surface 1017, an inner surface 1018, and a top surface 1016.
  • the well also has a bottom inner surface (i.e. the bottom of the well), and a bottom outer surface (i.e. the bottom of the anchor body 1010).
  • the inner surface 1018 of the anchor body 1010 may have threads 1015 to accept corresponding threads 1023 on the anchor plug 1020.
  • the top edge of the inner surface 1018 of the wall, proximal to the top surface 1016, may have a bevel 1015.
  • the outer surface 1017 of the wall may have rungs or ridges 1014 for securing the plug 1020 in bone or other tissue.
  • the rungs or ridges 1014 provide anchoring ability to the anchor body 1010 and the suture anchor 1000 as a whole to prevent either from readily pulling out of the bone or other tissue when tensioning a suture, or over the time of implantation in a subject.
  • the bored central region of the anchor body 1010 may not be threaded, but is a smooth bore that can accept an anchor plug via a friction fit.
  • the anchor body 1010 may accommodate sutures that are draped into the anchor body 1010, and a friction fit anchor plug is then inserted, or the anchor body 1010 may accommodate sutures that are threaded through a transverse bore 1012 in the anchor body 1010, to be secured in place by an anchor plug 1020.
  • the transverse bore 1012 in the anchor body 1010 is capable of receiving one or more sutures to be secured by the suture anchor 1000.
  • the transverse bore 1012 is configured proximally to the bottom of the well, such that a suture may be secured between the bottom of the well and a bottom face 1026 of the anchor plug 1020.
  • Grooves 1013 are provided that extend from the transverse bore 1012 to a top surface 1016 of the anchor body 1010, to allow for movement of a suture through the anchor body 1010 when the anchor body 1010 is in place in a bone. Therefore, once the anchor body 1010 is driven into a bone or other tissue, with a suture threaded through the transverse bore 1012, the suture is movable in the grooves 1013.
  • the suture may be moved to the desired tension or secured in the suture anchor 1000 by engaging the anchor plug 1020 in the anchor body 1010 and driving the anchor plug 1020 until the plug engages the suture, thereby preventing movement of the suture.
  • the suture is secured between a bottom face 1026 of the anchor plug 1020 and the bottom of the well that is formed in the anchor body 1010.
  • the anchor plug 1020 may have a head 1024, a threaded post 1023 for engaging the threaded inner surface 1018 of the anchor body 1010, and a bottom face 1026 that is distal to the head 1024.
  • the anchor plug 1020 may also have a bevel 1025 that is complementary to the bevel 1015 of the inner surface 1018. When the anchor plug 1020 is fully engaged in the anchor body 1010, the bevel 1025 is configured to engage the bevel 1015 of the inner surface 1018.
  • the anchor plug 1020 may also be configured to be engaged by a complementary driving device such that the anchor plug 1020 may be tightened or loosened in the anchor body 1010.
  • the head 1024 of the anchor plug 1020 is typically shaped or has a recessed area to accommodate engagement with a driving device.
  • the anchor plug 1020 may have a hexagonal drive 1021 , as shown in FIGS . 10 and 11 , or it may have a slotted drive, a Philips drive, a square drive, a star drive, a nut drive, or other mechanism that is known to those of skill in the art for engaging a complementary drive device.
  • the anchor plug 1020 may be configured such that the top of the head 1024 of the anchor plug 1020 is flush with the top surface 1016 of the anchor body 1010, recessed in the anchor body 1010, or above the anchor body 1010, when the anchor plug 1020 is fully engaged in the anchor body 1010.
  • Such suture anchors 1000 allow for tightening, adjustment, or re-tensioning of a suture by tightening, loosening, re-tightening, and/or removing the anchor plug 1020 from anchor body 1010. Such suture anchors 1000 also allow for securing of the suture without the tying of knots or replacement of sutures when re-tensioning is required. Suture anchors 1000 may be used for the fixation of soft tissue to bone, or of bone to bone.
  • Suture anchors 1000 and plugs 1020 may be made from a variety of materials known to those of skill in the art.
  • the material is typically a rigid material such as a metal, a polymer, or a ceramic.
  • Biocompatible metals include, but are not limited to stainless steel, titanium, tantalum, aluminum, chromium, molybdenum, cobalt, silver, and gold, or alloys of such metals that are known to those of skill in the art.
  • Biocompatible polymers include, but are not limited to, high-density polyethylenes, polyurethanes, or blends of such polymers, as are known to those of skill in the art.
  • Biocompatible polymers also include absorbable materials such as polylactic acid, polyglycolic acid, or mixtures thereof.
  • Biocompatible ceramics include, but are not limited to alumina, silica, silicon carbide, silicon nitride, zirconia, and mixtures of any two or more thereof.
  • the plugs 1020 may likewise be prepared from similar metals, polymers, and ceramics, however in some embodiments, the anchor plugs are prepared from materials that may be compressed.
  • the plug material is capable of being compressed from an uncompressed state to a compressed state, prior to or during insertion of the plug into the anchor body 1010. Such compression allows for the material to recoil from the compressed state to the uncompressed state and thereby increasing the friction fit between the plug and the anchor body 1010.
  • Such materials that may be compressed include, but are not limited to, polyethylenes, silicones, polyesters, polyurethanes, polylactic acid, polyglycolic acid, or mixtures of any two or more thereof.
  • the anchor 1000 may be used to secure sutures tensioning tissue without direct contact of tissue to bone.
  • suture tensioning without tissue to bone contact include, but are not limited to, pelvic surgery, bladder suspension surgery, brow lift or face lift surgery, hand surgery and the like.
  • suture anchor 1000 is capable of adjustably retaining a suture.
  • a nest, or hole is drilled into a bone.
  • the anchor body 1010 is then placed at the top of the nest and inserted such that the transverse bore 1012 is not obscured in the bone.
  • the suture is then threaded through a tissue to be secured, and the ends of the suture are threaded through the transverse bore 1012.
  • the anchor body 1010 may then be fully or partially driven into the nest, such that the suture is guided by the grooves 1013 and is freely moving through the grooves 1013 and transverse bore 1012.
  • the anchor plug 1020 may then be engaged in the anchor body 1010 and driven into the anchor body 1010 until sutures are nearly engaged.
  • the tension of the suture may then be set by the surgeon, or other medical professional, and the anchor plug 1020 fully engaged to secure the sutures within the suture anchor 1000.
  • the anchor plug 1020 may be driven in a reverse direction to loosen the anchor plug 1020, thereby allowing for free movement of the suture and the process of tensioning the suture may be repeated.
  • a cannula 900 comprising at least one chamber 910, 920, an air passage 930 having a valve 940, and at least one inflatable donut 950 is described.
  • the cannula 900 has a distal end 970 and a proximal end 980.
  • the inflatable donut 950 is located at, or near the distal end 970 of the cannula 900.
  • the cannula may be used in both arthroscopic and endoscopic surgery.
  • the cannula may be used to facilitate the passage of surgical items such as but not limited to instruments, sutures, and implants, into and out of a subject.
  • the cannula 900 may be at least a single chambered passageway or the cannula 900 may be divided into multiple chambers, such as two chambers 910, 920 as illustrated in FIG. 9, or more than two chambers, depending upon the intended use of the cannula for a given procedure or procedures.
  • a flexible diaphragm is used to divide cannula 900 into multiple chambers 910, 920.
  • the flexible diaphragm extends the entire length of the cannula 900.
  • the donut 950 is an inflatable donut that, when inflated, has a larger diameter than a diameter of the cannula 900.
  • Cannula 900 may also comprise a second donut 960, that may be rigid or inflatable.
  • the second donut 960 may be located at or near the proximal end 980.
  • the cannula 900 is inserted through the skin of a subject and the donut 950 is inflated via the air passage 930.
  • inflation of donut 950 is via a pump connected to the valve 940, and subsequent filling of the air chamber 930 and donut 950 with air from the pump, hi another embodiment, inflation of donut 950 is via insertion of an air- filled syringe through the valve 940, and subsequent filling of the air chamber 930 and donut 950 with air from the syringe.
  • the valve 940 may comprise rubber(s), silicone(s), or other materials known to those of skill in the art to be useful for the insertion and removal of syringes or other devices that may be used for inflation of donut 950.
  • Other methods of inflating the donut 950 will be readily apparent to those of skill in the art. Inflation of donut 950 prevents inadvertent removal of the cannula from the subject during surgical procedures.
  • the presence of inflatable donut 950 allows for less trauma to an insertion point in the skin of a subject by allowing for a cannula 900 of small diameter to be inserted, but then the larger diameter donut 950 prevents removal.
  • the second donut 960 prevents the inadvertent full insertion of the cannula into a subject beyond the surface of the skin of the subject.
  • the second donut may be made of a rigid material or the second donut 960 may be inflatable.
  • the second donut 960 may be integrally formed with cannula 900 or it may be formed separately and attached to cannula 900.
  • the donuts 950, 960 may be simultaneously inflatable in a "dumbbell" formation allowing for the inflation both within, via the first donut 950, and external, 960, to the body together.
  • cannulas are used to enter areas within the body such as the shoulder, knee or abdomen. Cannulas are also used as a channel to introduce surgical implements such as surgical instruments, suture anchors, or sutures.
  • the cannulas embodied herein allow for separate chambers which allow multiple instruments or items to be entered into the joint but partitioned from one another.
  • Another feature is an expandable, inflatable device on the end of the cannula which prevents expulsion of the cannula from the cavity as intracavitary pressure increases.
  • the inflatable device i.e. inflatable donut, locks the cannula in place.
  • methods for using instruments described herein are provided.
  • methods are disclosed for using the suture passer 100, suture anchor 300, and cannula 900 are described.
  • the embodied methods allow for tissue repair.
  • the methods provided allow for arthroscopic rotator cuff repair, by attempting to recreate the true native footprint of the rotator cuff of a subject.
  • such methods comprise preparing the rotator cuff bed, boring a tunnel 510 (FIGS.
  • the suture passer 100 descends through one chamber 950, 960 of the cannula 900, grasping tissue.
  • the suture passer 100 passes a locking stitch as described above, followed by removal of the suture passer 100, with the sutures remaining in the chamber 950, 960 of the cannula 900.
  • the other chamber 950, 960 of the cannula 900 has a humerus drill inserted.
  • a small hole is bored in a greater tuberosity.
  • One limb of a suture is then passed through the bone.
  • a suture anchor 300 is then placed into the greater tuberosity. Sutures may be placed through the suture anchor 300 either before or after insertion. If not previously completed, the suture anchor 300 is then fixated in the bone.
  • the sutures are then tensioned thus tensioning the tissue.
  • the plug 320 of the suture anchor 300 is then engaged in the anchor 310 and locked into position, thus securing the sutures. This step can be repeated to alter the tension of the sutures and therefore re-tensioning the sutures and tissue.

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  • Health & Medical Sciences (AREA)
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  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rheumatology (AREA)
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014055678A1 (en) 2012-10-03 2014-04-10 Kaplan Lee D Suture for soft tissue repair
EP3138505A1 (en) * 2015-09-04 2017-03-08 Karl Storz GmbH & Co. KG Bone anchor assembly
US9999421B2 (en) 2012-10-03 2018-06-19 Lee D. Kaplan Suture for soft tissue repair
EP3431013A1 (en) * 2008-06-16 2019-01-23 Cayenne Medical, Inc. Anchors and methods for securing suture to bone
US11311284B2 (en) 2019-03-06 2022-04-26 Speed Clip Solutions, LLC Suture tensioning and securement device, system, and methods

Families Citing this family (158)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6475230B1 (en) * 1997-08-01 2002-11-05 Peter M. Bonutti Method and apparatus for securing a suture
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
FR2890850B1 (fr) * 2005-09-20 2009-04-17 Abbott Spine Sa Systeme de fixation vertebrale
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
DE102006010116A1 (de) * 2006-02-27 2007-08-30 Karl Storz Gmbh & Co.Kg Ankerelement zum knotenfreien Fixieren von Gewebe an einem Knochen
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
EP2224858B1 (en) 2007-10-25 2016-10-26 Smith & Nephew, Inc. Anchor assembly
CA2702952C (en) * 2007-10-27 2017-01-03 Parcus Medical, Llc Suture anchor
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
US8480657B2 (en) * 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
WO2009076526A1 (en) 2007-12-13 2009-06-18 Smith & Nephew, Inc. Anchoring system
EP2249710B1 (de) 2008-03-03 2016-04-20 Woodwelding AG Vorrichtung zur verankerung eines fadens in gewebe
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
CN102098969B (zh) 2008-07-17 2013-07-17 史密夫和内修有限公司 外科装置
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US12245759B2 (en) 2008-08-22 2025-03-11 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US12419632B2 (en) 2008-08-22 2025-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8252057B2 (en) * 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US9226772B2 (en) * 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US10357241B2 (en) * 2009-04-19 2019-07-23 Kyon Ag Suture attachment apparatus
US12096928B2 (en) 2009-05-29 2024-09-24 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9101355B2 (en) 2009-07-17 2015-08-11 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
US10136884B2 (en) 2009-07-17 2018-11-27 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath
US12232718B2 (en) 2009-07-17 2025-02-25 Stryker Puerto Rico Limited Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US11197663B2 (en) 2009-07-17 2021-12-14 Stryker Puerto Rico Limited Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US10426456B2 (en) 2009-07-17 2019-10-01 Pivot Medical, Inc. Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
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
US10238379B2 (en) 2009-07-17 2019-03-26 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US12446871B2 (en) 2009-07-17 2025-10-21 Stryker Puerto Rico, LLC 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
US11246585B2 (en) 2009-07-17 2022-02-15 Stryker Puerto Rico Limited Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US10058319B2 (en) 2009-07-17 2018-08-28 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a novel locking element
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
RU2562601C2 (ru) 2009-11-10 2015-09-10 Смит Энд Нефью, Инк. Устройство для восстановления тканей (варианты)
AU2010319662B2 (en) 2009-11-10 2015-11-19 Smith & Nephew, Inc. Locking suture anchor assembly
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US10959840B2 (en) 2010-01-20 2021-03-30 Micro Interventional Devices, Inc. Systems and methods for affixing a prosthesis to tissue
WO2011091185A1 (en) 2010-01-20 2011-07-28 New Hope Ventures, Lp Tissue closure device and method
US10058314B2 (en) 2010-01-20 2018-08-28 Micro Interventional Devices, Inc. Tissue closure device and method
US9980708B2 (en) 2010-01-20 2018-05-29 Micro Interventional Devices, Inc. Tissue closure device and method
US10743854B2 (en) 2010-01-20 2020-08-18 Micro Interventional Devices, Inc. Tissue closure device and method
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
CN105326533B (zh) 2010-09-24 2017-12-08 斯博特威尔丁股份有限公司 用于将缝线锚钉固定于硬组织中的装置和方法
KR102037022B1 (ko) 2010-09-24 2019-10-25 스포트벨딩 게엠베하 봉합사를 경조직에 대해 고정시키기 위한 봉합 앵커 및 방법
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US9386976B2 (en) 2011-01-28 2016-07-12 Sportwelding Gmbh Method and device for fixating a suture anchor with a suture in hard tissue
CA2821360C (en) 2011-01-28 2019-10-22 Sportwelding Gmbh Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
ES2948066T3 (es) 2011-04-16 2023-08-30 Kyon Ag Sistema protésico para reparación ortopédica
US12329373B2 (en) 2011-05-02 2025-06-17 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9636100B2 (en) 2011-10-03 2017-05-02 Smith & Nephew, Inc. Tissue-to-bone reattachment
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9782165B2 (en) 2011-11-11 2017-10-10 VentureMD Innovations, LLC Transosseous attachment
US10470756B2 (en) 2011-11-16 2019-11-12 VentureMD Innovations, LLC Suture anchor and method
US10675014B2 (en) 2011-11-16 2020-06-09 Crossroads Extremity Systems, Llc Knotless soft tissue attachment
US10548585B2 (en) 2011-11-16 2020-02-04 VentureMD Innovations, LLC Soft tissue attachment
US10136883B2 (en) 2011-11-16 2018-11-27 VentureMD Innovations, LLC Method of anchoring a suture
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
KR101419116B1 (ko) * 2012-06-26 2014-07-16 고려대학교 산학협력단 내시경용 연속 봉합기구를 위한 매듭장치
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
AU2014225705B2 (en) 2013-03-06 2018-08-30 Smith & Nephew, Inc. Microanchor
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9451954B2 (en) * 2013-03-15 2016-09-27 Howmedica Osteonics Corp. Ratcheting inserter device and suture anchor arrangement
EP2967535A4 (en) 2013-03-15 2016-11-16 Mark Brunsvold ANCHORING SUTURE
WO2014176270A1 (en) 2013-04-22 2014-10-30 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone
WO2015059582A2 (en) 2013-10-25 2015-04-30 Kyon Ag Holding and adjustment mechanism for surgical tether
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
US9717587B2 (en) 2014-03-03 2017-08-01 Tenjin LLC Multiple implant constructions and fixation methods associated therewith
US11504224B2 (en) 2014-03-03 2022-11-22 Tenjin LLC Implant placement systems and one-handed methods for tissue fixation using same
US9770240B2 (en) * 2014-03-03 2017-09-26 Tenjin LLC Ceramic implant placement systems and superelastic suture retention loops for use therewith
US9226817B2 (en) * 2014-03-03 2016-01-05 Tenjin LLC Implant placement systems, devices, and methods
US9693809B2 (en) * 2014-03-20 2017-07-04 Warsaw Orthopedic, Inc. Spinal correction implant system and method
US10076374B2 (en) 2014-10-23 2018-09-18 Medos International Sárl Biceps tenodesis delivery tools
US10751161B2 (en) 2014-10-23 2020-08-25 Medos International Sárl Biceps tenodesis anchor implants
US10729419B2 (en) 2014-10-23 2020-08-04 Medos International Sarl Biceps tenodesis implants and delivery tools
US10034742B2 (en) 2014-10-23 2018-07-31 Medos International Sarl Biceps tenodesis implants and delivery tools
US10856966B2 (en) 2014-10-23 2020-12-08 Medos International Sarl Biceps tenodesis implants and delivery tools
US9693856B2 (en) 2015-04-22 2017-07-04 DePuy Synthes Products, LLC Biceps repair device
US10820918B2 (en) 2015-07-17 2020-11-03 Crossroads Extremity Systems, Llc Transosseous guide and method
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US10154868B2 (en) 2015-07-17 2018-12-18 Kator, Llc Transosseous method
US12383253B2 (en) 2015-08-04 2025-08-12 Crossroads Extremity Systems, Llc Suture anchor
US10143462B2 (en) 2015-08-04 2018-12-04 Kator, Llc Transosseous suture anchor method
US9924935B2 (en) 2015-10-23 2018-03-27 Smith & Nephew, Inc. Suture anchor assembly with slip fit tip
US10231823B2 (en) 2016-04-08 2019-03-19 Medos International Sarl Tenodesis implants and tools
US10231824B2 (en) 2016-04-08 2019-03-19 Medos International Sárl Tenodesis anchoring systems and tools
US10426460B2 (en) 2016-07-05 2019-10-01 Mortise Medical, LLC Compression and tension instruments and methods of use to reinforce ligaments
US10993710B2 (en) * 2016-12-21 2021-05-04 Wright Medical Technology, Inc. Syndesmosis construct
US10893933B2 (en) 2017-02-24 2021-01-19 James Jastifer Tissue anchors, kits, and associated methods
US10368857B2 (en) 2017-03-13 2019-08-06 Medos International Sarl Methods and devices for knotless suture anchoring
US10245020B2 (en) 2017-03-13 2019-04-02 Medos International Sarl Methods and systems for knotless suture anchoring
EP3691543A1 (en) 2017-10-06 2020-08-12 Paragon 28, Inc. Ligament fixation system, implants, devices, and methods of use
JP7250789B2 (ja) * 2017-12-01 2023-04-03 クロスローズ エクストリミティ システムズ リミテッド ライアビリティ カンパニー 付加的な関節安定化の構造体
US10722229B2 (en) 2018-07-30 2020-07-28 DePuy Synthes Products, Inc. Suture crimp plate
AU2020346048B2 (en) 2019-09-12 2025-11-27 Paragon 28, Inc. Dynamic fixation implant and method of use
CN110840500A (zh) * 2019-09-26 2020-02-28 江苏百易得医疗科技有限公司 一种带线锚钉
US11723647B2 (en) * 2019-12-17 2023-08-15 Globus Medical, Inc. Syndesmosis fixation assembly
US20220338857A1 (en) * 2021-04-27 2022-10-27 Medos International Sarl Knotless suture anchor system with suture management structure
KR102789655B1 (ko) * 2022-11-10 2025-04-01 주식회사 트라디쏠 골절용 유관나사
US20250228554A1 (en) * 2024-01-12 2025-07-17 Arthrex, Inc. Locking ferrules with side openings for performing tensionable knotless surgical procedures

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060253119A1 (en) * 2005-05-04 2006-11-09 Sascha Berberich Device for inserting an anchoring element and a suture thread into a bone
US20070203498A1 (en) 2006-02-27 2007-08-30 Christian Gerber Anchor Element For Knotless Fixing Of Tissue To A Bone
US20080051836A1 (en) * 2006-08-03 2008-02-28 Seth Foerster Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US20080077161A1 (en) * 2006-07-20 2008-03-27 Kaplan Lee D Surgical instruments

Family Cites Families (102)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US306078A (en) * 1884-10-07 Fire-escape
US254473A (en) * 1882-03-07 Rope-clamp
US1993391A (en) * 1934-04-06 1935-03-05 Jr James A Weaver Unitary wire connecter
US2429448A (en) * 1946-08-15 1947-10-21 Gen Electric Circuit connector
US2907978A (en) * 1957-07-25 1959-10-06 Thomas & Betts Corp Electrical connector
US3268965A (en) * 1964-05-11 1966-08-30 Lisle Corp Cable clamp
US3962091A (en) * 1973-01-04 1976-06-08 Dorr-Oliver Incorporated Rotary drum filter with wire deck, apparatus and method
US3923406A (en) * 1975-03-17 1975-12-02 Andrew Frank Iritz Cable grip
US4259072A (en) * 1977-04-04 1981-03-31 Kyoto Ceramic Co., Ltd. Ceramic endosseous implant
US4213669A (en) * 1978-09-11 1980-07-22 Gte Sylvania Wiring Devices Incorporated Terminal collar
US4427258A (en) * 1981-11-13 1984-01-24 Amp Incorporated Electrical connector
US4750492A (en) * 1985-02-27 1988-06-14 Richards Medical Company Absorbable suture apparatus, method and installer
US4623338A (en) * 1985-10-28 1986-11-18 Robert Larson Line clamp for an ostomy bag
US4870957A (en) 1988-12-27 1989-10-03 Marlowe Goble E Ligament anchor system
US4927421A (en) 1989-05-15 1990-05-22 Marlowe Goble E Process of endosteal fixation of a ligament
US5037422A (en) * 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
US5258016A (en) * 1990-07-13 1993-11-02 American Cyanamid Company Suture anchor and driver assembly
US5725529A (en) 1990-09-25 1998-03-10 Innovasive Devices, Inc. Bone fastener
ES2129413T3 (es) 1990-09-25 1999-06-16 Innovasive Devices Inc Elemento de fijacion a huesos.
US7074203B1 (en) * 1990-09-25 2006-07-11 Depuy Mitek, Inc. Bone anchor and deployment device therefor
US5152790A (en) * 1991-03-21 1992-10-06 American Cyanamid Company Ligament reconstruction graft anchor apparatus
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
FR2676356A1 (fr) 1991-05-13 1992-11-20 Cendis Medical Element de fixation pour ligaments.
US5156616A (en) 1992-02-10 1992-10-20 Meadows Bruce F Apparatus and method for suture attachment
US5176682A (en) * 1992-06-01 1993-01-05 Chow James C Y Surgical implement
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device
ATE161703T1 (de) 1992-11-02 1998-01-15 Sulzer Orthopaedie Ag Verankerung für ein künstliches band, insbesondere ein kreuzband eines kniegelenks
US5423860A (en) 1993-05-28 1995-06-13 American Cyanamid Company Protective carrier for suture anchor
US5370662A (en) 1993-06-23 1994-12-06 Kevin R. Stone Suture anchor assembly
US5584835A (en) * 1993-10-18 1996-12-17 Greenfield; Jon B. Soft tissue to bone fixation device and method
US5545180A (en) 1993-12-13 1996-08-13 Ethicon, Inc. Umbrella-shaped suture anchor device with actuating ring member
USRE36289E (en) 1993-12-13 1999-08-31 Ethicon, Inc. Umbrella shaped suture anchor device with actuating ring member
US5527342A (en) 1993-12-14 1996-06-18 Pietrzak; William S. Method and apparatus for securing soft tissues, tendons and ligaments to bone
US5486197A (en) 1994-03-24 1996-01-23 Ethicon, Inc. Two-piece suture anchor with barbs
US5458601A (en) 1994-03-28 1995-10-17 Medical University Of South Carolina Adjustable ligament anchor
US5630824A (en) 1994-06-01 1997-05-20 Innovasive Devices, Inc. Suture attachment device
US5464427A (en) * 1994-10-04 1995-11-07 Synthes (U.S.A.) Expanding suture anchor
US5649963A (en) 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
FR2730158B1 (fr) 1995-02-06 1999-11-26 Jbs Sa Dispositif de maintien d'un ecartement normal entre les vertebres et destine au remplacement de vertebres manquantes
ATE381289T1 (de) 1995-06-06 2008-01-15 Raymond Thal Knotenloser nähfadenankeraufbau
US5569306A (en) 1995-06-06 1996-10-29 Thal; Raymond Knotless suture anchor assembly
US6086608A (en) 1996-02-22 2000-07-11 Smith & Nephew, Inc. Suture collet
US5957953A (en) * 1996-02-16 1999-09-28 Smith & Nephew, Inc. Expandable suture anchor
US5702397A (en) * 1996-02-20 1997-12-30 Medicinelodge, Inc. Ligament bone anchor and method for its use
EP0959779A4 (en) * 1996-02-22 2000-01-19 Smith & Nephew Inc BRACKET FOR SEWING NEEDLE
US6117162A (en) 1996-08-05 2000-09-12 Arthrex, Inc. Corkscrew suture anchor
US5733307A (en) * 1996-09-17 1998-03-31 Amei Technologies, Inc. Bone anchor having a suture trough
US5948001A (en) 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
US5948000A (en) 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
EP1419747B1 (en) * 1996-11-21 2015-04-01 Ethicon, Inc. Apparatus for anchoring autologous or artificial tendon grafts in bone.
US6533816B2 (en) 1999-02-09 2003-03-18 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6436124B1 (en) * 1996-12-19 2002-08-20 Bionx Implants Oy Suture anchor
US6099547A (en) 1997-02-13 2000-08-08 Scimed Life Systems, Inc. Method and apparatus for minimally invasive pelvic surgery
US5935129A (en) * 1997-03-07 1999-08-10 Innovasive Devices, Inc. Methods and apparatus for anchoring objects to bone
US5929383A (en) * 1997-04-07 1999-07-27 Thomas & Betts Corporation Rotationally unrestrained grounding coupling for external grounding of fittings
US6149669A (en) 1997-10-30 2000-11-21 Li Medical Technologies, Inc. Surgical fastener assembly method of use
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
FR2782913B1 (fr) * 1998-09-04 2000-11-10 Perice Ramon Viladot Implant pour pied plat
US6368326B1 (en) 1998-09-28 2002-04-09 Daos Limited Internal cord fixation device
US6200330B1 (en) * 1998-11-23 2001-03-13 Theodore V. Benderev Systems for securing sutures, grafts and soft tissue to bone and periosteum
BR9805340B1 (pt) 1998-12-14 2009-01-13 inserto de expansço variÁvel para estabilizaÇço de coluna vertebral.
ATE324072T1 (de) 1998-12-30 2006-05-15 Ethicon Inc Fadensicherungsgerät
US8343186B2 (en) * 2004-04-06 2013-01-01 Arthrex, Inc. Fully threaded suture anchor with transverse anchor pin
US6267766B1 (en) 1999-05-28 2001-07-31 Stephen S. Burkhart Suture anchor reel device kit and method
US6319252B1 (en) 1999-07-23 2001-11-20 Mcdevitt Dennis System and method for attaching soft tissue to bone
US6527794B1 (en) * 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
US6736829B1 (en) 1999-11-11 2004-05-18 Linvatec Corporation Toggle anchor and tool for insertion thereof
US6159235A (en) 1999-12-21 2000-12-12 Kim; Andrew C. Selflock anchor screw
WO2001067962A2 (en) 2000-03-13 2001-09-20 Future Medical Systems, S.A. A suture anchor
US7329272B2 (en) * 2000-06-22 2008-02-12 Arthrex, Inc. Graft fixation using a plug against suture
US6585730B1 (en) 2000-08-30 2003-07-01 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US6641596B1 (en) * 2000-10-18 2003-11-04 Ethicon, Inc. Knotless bioabsorbable suture anchor system and method
AU2002239723B2 (en) 2000-10-24 2004-08-26 The Spineology Group, Llc Tension band clip
US6520980B1 (en) 2000-11-02 2003-02-18 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a self-locking knotless suture anchoring device
US6692516B2 (en) * 2000-11-28 2004-02-17 Linvatec Corporation Knotless suture anchor and method for knotlessly securing tissue
ES2378608T3 (es) * 2000-12-22 2012-04-16 Tyco Healthcare Group Lp Tornillo de sutura
US6532711B2 (en) * 2001-02-07 2003-03-18 Erico International Corporation Reinforcing bar splice and method
US7083638B2 (en) 2001-02-12 2006-08-01 Arthrocare Corporation Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US6652563B2 (en) 2001-10-02 2003-11-25 Arthrex, Inc. Suture anchor with internal suture loop
US7491217B1 (en) * 2001-10-16 2009-02-17 Hendren Ronald D Graft anchoring device
US6695852B2 (en) 2001-10-31 2004-02-24 Spineology, Inc. Tension tools for tension band clip
US7416556B2 (en) * 2002-06-06 2008-08-26 Abbott Laboratories Stop-cock suture clamping system
US7090690B2 (en) 2002-11-19 2006-08-15 Arthrocare Corporation Devices and methods for repairing soft tissue
US7517357B2 (en) 2003-01-09 2009-04-14 Linvatec Biomaterials Knotless suture anchor
US20040138707A1 (en) * 2003-01-14 2004-07-15 Greenhalgh E. Skott Anchor removable from a substrate
US8267981B2 (en) 2003-06-10 2012-09-18 Depuy Mitek, Inc. Suture anchor with improved drive head
US7837710B2 (en) * 2003-09-10 2010-11-23 Linvatec Corporation Knotless suture anchor
US20050245932A1 (en) * 2004-04-16 2005-11-03 Fanton Gary S Apparatus and methods for securing tissue to bone
US20060282081A1 (en) * 2004-04-16 2006-12-14 Fanton Gary S Apparatus and method for securing tissue to bone with a suture
WO2006060035A2 (en) 2004-06-02 2006-06-08 Kfx Medical Corporation System and method for attaching soft tissue to bone
AU2005290341B2 (en) 2004-09-28 2012-01-19 Surgical Solutions Llc Suture anchor
US20070005068A1 (en) * 2005-02-07 2007-01-04 Sklar Joseph H Knotless suture anchor
US20060271060A1 (en) 2005-05-26 2006-11-30 Arthrocare Corporation Threaded knotless suture anchoring device and method
US9750492B2 (en) 2006-08-04 2017-09-05 Depuy Mitek, Llc Suture anchor system with tension relief mechanism
US8137381B2 (en) 2007-04-25 2012-03-20 Arthrocare Corporation Knotless suture anchor having discrete polymer components and related methods
EP2224858B1 (en) 2007-10-25 2016-10-26 Smith & Nephew, Inc. Anchor assembly
WO2009076526A1 (en) * 2007-12-13 2009-06-18 Smith & Nephew, Inc. Anchoring system
US9295460B2 (en) * 2007-12-31 2016-03-29 Cayenne Medical, Inc. Anchors and method for securing suture to bone
US8162978B2 (en) 2008-03-25 2012-04-24 Linvatec Corporation Non-metallic knotless suture anchor
EP2299915B1 (en) * 2008-06-16 2018-07-18 Cayenne Medical, Inc. Anchor for securing suture to bone
DE102009018136A1 (de) * 2009-04-15 2010-10-21 Karl Storz Gmbh & Co. Kg Ankervorrichtung zum knotenfreien Fixieren von Gewebe an einem Knochen
US10376266B2 (en) * 2012-10-23 2019-08-13 Valtech Cardio, Ltd. Percutaneous tissue anchor techniques

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060253119A1 (en) * 2005-05-04 2006-11-09 Sascha Berberich Device for inserting an anchoring element and a suture thread into a bone
US20070203498A1 (en) 2006-02-27 2007-08-30 Christian Gerber Anchor Element For Knotless Fixing Of Tissue To A Bone
US20080077161A1 (en) * 2006-07-20 2008-03-27 Kaplan Lee D Surgical instruments
US20080051836A1 (en) * 2006-08-03 2008-02-28 Seth Foerster Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP2265190A4

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3431013A1 (en) * 2008-06-16 2019-01-23 Cayenne Medical, Inc. Anchors and methods for securing suture to bone
US12137895B2 (en) 2008-06-16 2024-11-12 Cayenne Medical, Inc. Anchors and methods for securing suture to bone
US11612387B2 (en) 2008-06-16 2023-03-28 Cayenne Medical, Inc. Anchors and methods for securing suture to bone
US10238377B2 (en) 2008-06-16 2019-03-26 Cayenne Medical, Inc. Anchors and methods for securing suture to bone
US9999421B2 (en) 2012-10-03 2018-06-19 Lee D. Kaplan Suture for soft tissue repair
CN105007830B (zh) * 2012-10-03 2018-02-16 李.D.卡普兰 用于软组织修复的缝合线
WO2014055678A1 (en) 2012-10-03 2014-04-10 Kaplan Lee D Suture for soft tissue repair
US9724085B2 (en) 2012-10-03 2017-08-08 Lee D. Kaplan Suture for soft tissue repair
EP2903537A4 (en) * 2012-10-03 2016-10-19 Lee D Kaplan SUTURE FOR MOLD TISSUE REPAIR
CN105007830A (zh) * 2012-10-03 2015-10-28 李.D.卡普兰 用于软组织修复的缝合线
US10045772B2 (en) 2015-09-04 2018-08-14 KARL STORZ & Co. KG Bone anchor assembly
EP3138505A1 (en) * 2015-09-04 2017-03-08 Karl Storz GmbH & Co. KG Bone anchor assembly
US11311284B2 (en) 2019-03-06 2022-04-26 Speed Clip Solutions, LLC Suture tensioning and securement device, system, and methods
US12096927B2 (en) 2019-03-06 2024-09-24 Speed Clip Solutions, LLC Suture tensioning and securement device, system, and methods

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CA2721069A1 (en) 2009-12-03
US20200205801A1 (en) 2020-07-02
US10595849B2 (en) 2020-03-24
EP2265190B1 (en) 2019-10-23
US8663280B2 (en) 2014-03-04
US11464507B2 (en) 2022-10-11
US20120165869A1 (en) 2012-06-28
US8444674B2 (en) 2013-05-21
US8202295B2 (en) 2012-06-19
US20170333028A1 (en) 2017-11-23
US20080249567A1 (en) 2008-10-09
EP2265190A4 (en) 2015-02-11
US20120239088A1 (en) 2012-09-20
US9757112B2 (en) 2017-09-12
AU2009251530A1 (en) 2009-12-03
AU2009251530B2 (en) 2014-02-20
EP2265190A1 (en) 2010-12-29
US20120245634A1 (en) 2012-09-27
JP2011517605A (ja) 2011-06-16
JP5588965B2 (ja) 2014-09-10

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