CA2260443A1 - Method and apparatus for fixing a graft in a bone tunnel - Google Patents

Method and apparatus for fixing a graft in a bone tunnel Download PDF

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Publication number
CA2260443A1
CA2260443A1 CA002260443A CA2260443A CA2260443A1 CA 2260443 A1 CA2260443 A1 CA 2260443A1 CA 002260443 A CA002260443 A CA 002260443A CA 2260443 A CA2260443 A CA 2260443A CA 2260443 A1 CA2260443 A1 CA 2260443A1
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CA
Canada
Prior art keywords
bone
trocar
sleeve
tunnel
rod
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.)
Granted
Application number
CA002260443A
Other languages
French (fr)
Other versions
CA2260443C (en
Inventor
Gregory R. Whittaker
Harold M. Martins
Joan M. Sullivan
Ronald L. Taylor, Jr.
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.)
DePuy Mitek LLC
Original Assignee
Ethicon, Inc.
Gregory R. Whittaker
Harold M. Martins
Joan M. Sullivan
Ronald L. Taylor, Jr.
Depuy Mitek, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon, Inc., Gregory R. Whittaker, Harold M. Martins, Joan M. Sullivan, Ronald L. Taylor, Jr., Depuy Mitek, Inc. filed Critical Ethicon, Inc.
Publication of CA2260443A1 publication Critical patent/CA2260443A1/en
Application granted granted Critical
Publication of CA2260443C publication Critical patent/CA2260443C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0805—Implements for inserting tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0823—Modular anchors comprising a plurality of separate parts
    • A61F2002/0829—Modular anchors comprising a plurality of separate parts without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

A method for fixing a bone block in a bone tunnel comprising the steps of placing the bone block in the bone tunnel, advancing spaced-apart first and second metal wires through the bone, transversely of the bone tunnel, so as to intersect the bone block and extend through the bone block, removing one of the wires and replacing the ones removed wire with a first absorbable rod, and removing the other of the wires and replacing the other removed wire with a second absorbable rod, whereby to retain the bone block in the bone tunnel with the absorbable rods.

Claims (40)

1. A method for fixing a bone block in a bone tunnel in a bore, said method comprising the steps of:
forming a bone tunnel in the bone, said bone tunnel comprising an open end, a portion adjacent said open end having a transverse diameter sized to receive the bone block and an at least partially closed end located internally of the bone;
locating the bone block in said bone tunnel such that one end thereof is disposed substantially adjacent to the at least partially closed end of said bone tunnel;
advancing a drill means through the bone transversely of the bone tunnel such that the drill means intersects and extends through the bone tunnel and back into the bone substantially adjacent the other end of the bones block; and removing t:he drill means from the bone and replacing the drill means with a rod;

whereby to retain the bone block in said bone tunnel between said at least partially closed end and said rod.
2. A method according to claim 1 wherein said rod is formed of bio-absorbable material.
3. A method according to claim 2 wherein said bio-absorbable material is selected from the group consisting of polylactic acid, polyglycolic acid and polydiaxanone.
4. A method according to claim 1 wherein said rod is formed of a material selected from the group consisting of substantially rigid metal, plastic and ceramic.
5. A method according to claim 1 wherein said drill means comprises, in combination, a trocar and a trocar sleeve, and wherein said removing and replacing step includes removing said trocar from said sleeve so as to thereby leave said sleeve extending into said bone and across said bone tunnel, inserting said rod into said sleeve such that one end of said rod engages said bone adjacent the distal end of said sleeve, and removing said sleeve from said rod and said bone so as to thereby leave said rod in said bone extending across said bone tunnel substantially adjacent said other end of said bone block.
6. A method according to claim 1 wherein said bone block has a length of tissue attached to it which extends outwardly from said open end of said bone tunnel when said bone block is located therein, and said rod does not penetrate said length of tissue when disposed across said bone tunnel.
7. A method according to claim 1 wherein said bone block has a length of tissue attached to it which extends outwardly from said open end of said bone tunnel when said bone block is located therein, and said rod extends through said length of tissue when disposed across said bone tunnel.
8. A method for deploying an element in bone, said method comprising the steps of:
providing a trocar and trocar sleeve combination comprising a hollow sleeve having a distal end, a proximal end and a longitudinal length, wherein the interior of said sleeve defines a substantially cylindrical longitudinal passageway between said proximal end and said distal end, and a pair of opposing grooves in the sidewall of said passageway, said grooves extending respectively from said proximal end of said sleeve to opposing closed ends spaced from said distal end of said sleeve; and a trocar including a shaft having a transverse cross-section adapted to be slidingly received in said passageway, a pointed distal end adapted for drilling into bone and a pair of opposing projections adapted to be slidingly received in said grooves when said shaft is located in said passageway such that the extension of said pointed end out of said distal end is limited according to the longitudinal distance between said pointed end and said projections in relation to the longitudinal spacing of said closed groove ends from said distal end of said shaft;
whereby wren said trocar is inserted into said passageway, the resulting trocar and trocar sleeve combination may be rotated and drilled distally into bone as a unit and said trocar may be slidably, proximally removed from said sleeve;
drilling paid trocar and trocar sleeve combination into the bone;
removing said trocar from said trocar sleeve;
inserting said element into said bone through said passageway of said sleeve; and removing said sleeve from said element and said bone.
9. A method according to claim 8 further comprising the steps of:
providing a second trocar including a distal portion having a first transverse cross-section and a proximal portion having a second transverse cross-section, said first transverse cross-section being smaller than said second transverse .

cross-section, and a distally facing shoulder at the joinder of said. first and second transverse cross-sections, and after removing said trocar but before inserting said element, drilling said second trocar into said bone at the distal end of said sleeve a longitudinal length substantially equal to said proximal portion of said trocar, such that said shoulder abuts said bone at said distal end of said sleeve.
10. A method according to claim 9 wherein the longitudinal passageway through said sleeve includes internal stop means adapted to engage said trocar shoulder so as to further limit the longitudinal travel of said second trocar through said sleeve and into said bone at said distal end of said sleeve.
11. A method according to claim 9 wherein said bone defines a bone tunnel, said trocar and trocar sleeve combination penetrates into said bone transversely of said bone tunnel but not into said bone tunnel, a bone block is located in said bone tunnel in axial alignment: with said trocar and trocar sleeve combination, and said second trocar penetrates through the bone between the distal end of said sleeve and said bone tunnel and into said bone block, and said element comprises a rod.
12. The method of claim 9 wherein said element is selected from the group consisting of substantially rigid rods, medications, prosthetic materials and substitute tissue .
13. The method of claim 11 wherein said rods are formed of bio-absorbable material.
14. The method of claim 13 wherein said bioabsorbable material is selected from the group consisting of polylactic acid, polyglycolic acid and polydiaxanone.
15. The method of claim 11 wherein said rod is formed of a material selected from the group consisting of substantially rigid metals, plastics, and ceramics.
16. The method of claim 11 wherein said second trocar penetrates through said bone block and back into said bone.
17. The method of claim 11 wherein said second trocar does not penetrate a11 the way through said bone block.
18. The method of claim 11 wherein said bone comprises a reduced fracture, said element comprises a rigid rod, and said trocar and trocar sleeve combination extends across said reduced bone fracture.
19. A method for fixing a portion of a graft in a bone tunnel, said method comprising:
advancing a trocar and trocar sleeve combination into a bone transversely to a bone tunnel formed therein such that said trocar and trocar sleeve combination extends through the bone and across the bone tunnel;
removing said trocar from said trocar sleeve;
inserting an absorbable rod into said bone through said sleeve and removing said sleeve so as to leave said absorbable rod extending across said bone tunnel;
attaching one end of a length of cord-like material to said graft adjacent the portion thereof which is to be located in said bone tunnel;
threading the other end of said length of cord-like material into an open end of said bone tunnel, around said absorbable pin extending across said bone tunnel, and back out of said open end of said bone tunnel; and pulling on said other end of said cord-like material so as to draw said portion of said graft into said open end of said bone tunnel, around said absorbable pin extending across said bone tunnel; and back out of said open end of said bone tunnel, whereby said portion of said graft is looped over said absorbable pin within said bone tunnel for fixation therein by securement of the portions of said piece of tissue extending out of said open end of said bone tunnel.
20. The method of claim 19 wherein said bio-absorbable rod is formed of a material selected from the group consisting of polylactic acid, polyglycolic acid and polydiaxanone.
21. A method for fixing a bone block in a bone tunnel in a bone, said method comprising the steps of:
placing a solid bone block in the bone tunnel;
advancing at least one trocar and trocar sleeve assembly into the bone transversely of the bone tunnel such that the distal end of said at least one trocar and trocar sleeve assembly resides in said bone proximate the sidewall of said bone tunnel, the trocar in said at lea st one assembly being disposed within and substantially falling its associated trocar sleeve;
removing said trocar from said at least one trocar and trocar sleeve assembly and inserting a rod into said at least one sleeve;

slidably inserting one end of an elongate shaft into said sleeve so as to abut said rod;
tapping the other end of said elongate shaft so as to drive said rod out of said sleeve, through said bone and into said bone block.
22. The method of claim 21 wherein a piece of tissue is fixed in said bone tunnel instead of a bone block.
23. The method of claim 21 wherein said rod penetrates through said bone block.
24. The method of claim 21 wherein said rod does not penetrate all the way through said bone block.
25. The method of claim 21 wherein the inserted end of said rod is substantially pointed.
26. The method of claim 21 wherein said rod is formed of a bio-absorbable material.
27. The method of claim 26 wherein said bio-absorbable material is selected from the group consisting of polylactic acid, polyglycolic acid and polydiaxanone.
28. The method of claim 21 wherein said rod is formed of a material selected from the group consisting of substantially rigid metals, plastics and ceramics.
29. A method of maintaining reduced fractures in bone in position for healing, said method comprising the steps of:
advancing at least one trocar and trocar sleeve assembly though the bone on one side of a reduced fracture, across the reduced fracture and into the bone on the other side of said reduced fracture, the trocar in each of said at least one trocar and trocar sleeve assembly substantially filling its associated sleeve removing said trocar from said at least one trocar and trocar sleeve assemblies inserting a rod through said at least one sleeve and into said bone on said other side of said reduced fractured and removing said at least one sleeve from said bone and said rod so as to leave said rod in said bone extending across said reduced fracture.
30. A method for delivering materials into the interior of bones, said method comprising the steps of:
advancing at least one trocar and trocar sleeve assembly into the interior of a bone, the trocar in said at least one trocar and trocar sleeve assembly substantially filling its associated sleeve;
removing said trocar from said at least one trocar and trocar sleeve assembly;
delivering said materials to the interior of said bone through said at least one sleeve; and removing said at least one sleeve from said bone.
31. A method for fixing a bone block in a bone tunnel, said method comprising the steps of:

providing a rack assembly including an L-shaped member having a base portion and an arm portion extending transversely of said base portion, a cannulated sleeve at one end thereof releasably connectable to said base portion of said L-shaped member and, at the other end thereof, adapted for disposition in said bone tunnel to align said rack assembly relative to the intended fixation location of said bone block, a trocar sleeve guide member removably connectable to said arm portion of said L-shaped member such that bores extending therethrough are disposed at an angle transverse to the intended fixation location of said bone block in the bone tunnel, first and second trocar sleeves for movable disposition in said bores, respectively, at least one trocar for movable disposition in said trocar sleeves, said at least one trocar being interconnectable with the trocar sleeve in which it is disposed, each said trocar sleeve, when said at least one trocar is located therein, being movable axially toward the intended fixation location of said bone block and rotatable together with said trocar such that said interconnected trocar and trocar sleeve are adapted for drilling into the bone, said at least one trocar being respectively removable from said trocar sleeves, and rods for sliding into said trocar sleeves;
with said cannulated sleeve in its aligning position in the bone tunnel and said sleeve guide member connected to said arm, advancing said trocar and trocar sleeve assemblies into said bone but not into said bone tunnel;
removing said at least one trocar from said trocar and trocar sleeve assemblies;
removing said cannulated sleeve from said bone tunnel and said first and second sleeves from said sleeve guide;
locating a bone block in the bone tunnel in alignment with axial projections of said first and second sleeves disposed in said bone;
providing a first elongate trocar and advancing said first trocar through said first sleeves, through the bone located between the distal ends of the first sleeves and the bone tunnel, and into the bone block;

providing a second elongate trocar and advancing said second trocar though said second sleeve, through the bone between the distal end of the second sleeve and the bone tunnel, and into the bone block;
removing said second elongate trocar from said bone block, said bone and said second sleeve;
inserting a rigid rod through said second sleeve and into said bone and said bone block;
removing said first elongate trocar from said bone block, said bone and said first sleeve;
inserting another rigid rod though said first sleeve into said bone and said bone block; and removing said first and second sleeves from said bone.
32. A method according to claim 31 wherein said cannulated sleeve includes a substantially flat portion defining a window therethrough at the end thereof adapted for disposition in said bone tunnel, said flat portion being adapted for disposition in a plane normal to said axial projections of said trocar and trocar sleeve assemblies such that said elongated trocars may be advanced through said sleeves, through the bone between the distal ends of said sleeves and said bone tunnel, and through said window in said flat portion, prior to the removal of said cannulated sleeve from said bone tunnel.
33. A trocar and trocar sleeve assembly for use in forming passageways in bone, said assembly comprising:
a trocar comprising a shaft, a distal drilling tip and at least one projection extending radially of said shaft at a pre-selected longitudinal distance proximally of said distal tip; and a trocar sleeve having a distal end and a proximal end defining a longitudinal bore extending between said distal end and said proximal end, and at least one longitudinal groove in the sidewall of said bore extending from said proximal end of said sleeve to a closed distal end located a pre-selected longitudinal distance proximally of said distal end of said sleeve said trocar being adapted to slidingly engage said bore of said sleeve with said at least one radial projection slidingly engaging said at least one longitudinal groove, and said pre-selected longitudinal distance being such that when said at least one radial projection engages said closed end of said at least one longitudinal groove, said distal drilling tip of said trocar projects distally of said distal end of said sleeve, whereby said trocar and said trocar sleeve may be releasably interconnected with one another for integral rotational and distally directed longitudinal movement.
34. The assembly according to claim 33 wherein the distal end of the sleeve is bevelled from its inner edge to its outer edge at an angle relative to the longitudinal axis of the sleeve, said angle being substantially equal to the angle at which the distal drilling tip is disposed relative to the longitudinal axis of the trocar.
35. The assembly according to claim 33 wherein the distal end of the sleeve is disposed in a plane located at a distally pointed angle of about 15° to the longitudinal axis of the sleeve, and the distal drilling tip of the trocar, when fully engaged with the sleeve, extends distally of the distalmost portion of the distal end of the sleeve.
36. The assembly according to claim 33 further comprising a second, elongated trocar for use in substitution for said trocar after said trocar and trocar sleeve assembly has been positioned in bone, said second, elongated trocar comprising a distal portion having a first transverse cross-section, a proximal portion having a second transverse cross-section, said second transverse cross-section being larger than said first transverse cross-section, and a distally facing shoulder at the joinder of said distal portion and said proximal portion, said shoulder being adapted to engage the bone at the distal end of the sleeve as the second trocar is advanced into the bone through the sleeve so as to limit the depth of penetration of said second trocar into said bone.
37. A surgical kit for locating objects or materials in bone, said kit comprising:
at least two trocar sleeves, at least one trocar adapted for releasable interconnection with said sleeves for integral rotational and distal longitudinal movement therewith, at least one elongated, stepped trocar adapted for slidable and rotational movement through said sleeves and into bone, a rack assembly adapted for controlling the angle at which said sleeves and trocars penetrate the bone so as to provide passageways into which said objects and/or materials may be inserted, and plunger and tapping means adapted to pass said objects and/or materials into said bone via passageways formed therein by said sleeves and trocars.
38. The method of claim 19 wherein said graft comprises tissue harvested from a human body.
39. The method of claim 19 wherein said graft comprises an artificial prosthetic device not harvested from a human body.
40. A method for fixing a portion of an artificial prosthetic device in a bone tunnel in a bone covered by skin, the method comprising the steps of:
placing the portion of an artificial prosthetic device in the bone tunnel;
advancing a trocar and sleeve assembly through the skin and through the bone transversely of the bone tunnel so as to intersect the portion of an artificial prosthetic device and extend at least partially therethrough, the trocar of said assembly being disposed within the sleeve of said assembly;
removing the trocar from the sleeve;
advancing a rod through the sleeve and through the skin and into the portion of an artificial prosthetic device; and removing the sleeve, so as to leave the rod in the bone and the portion of an artificial prosthetic device, whereby to retain the portion of an artificial prosthetic device in the bore tunnel.
CA2260443A 1998-01-28 1999-01-26 Method and apparatus for fixing a graft in a bone tunnel Expired - Fee Related CA2260443C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/014,937 US6113604A (en) 1997-01-14 1998-01-28 Method and apparatus for fixing a graft in a bone tunnel
US09/014,937 1998-01-28

Publications (2)

Publication Number Publication Date
CA2260443A1 true CA2260443A1 (en) 1999-07-28
CA2260443C CA2260443C (en) 2010-03-30

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CA2260443A Expired - Fee Related CA2260443C (en) 1998-01-28 1999-01-26 Method and apparatus for fixing a graft in a bone tunnel

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US (3) US6113604A (en)
EP (3) EP2213253B1 (en)
JP (2) JPH11267135A (en)
AU (1) AU762698B2 (en)
CA (1) CA2260443C (en)
DE (2) DE69942679D1 (en)

Families Citing this family (120)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8080058B2 (en) * 2003-04-01 2011-12-20 Depuy Mitek, Inc. Method and apparatus for fixing a graft in a bone tunnel
US6066173A (en) * 1998-01-28 2000-05-23 Ethicon, Inc. Method and apparatus for fixing a graft in a bone tunnel
US6752830B1 (en) * 1999-07-20 2004-06-22 Ethicon, Inc. Apparatus and method for reconstructing a ligament
WO2001010311A1 (en) * 1999-08-10 2001-02-15 Ethicon, Inc. Apparatus and method for reconstructing a ligament
US6629977B1 (en) * 1999-11-15 2003-10-07 Arthrex, Inc. Tapered bioabsorbable interference screw and method for endosteal fixation of ligaments
US6325804B1 (en) * 2000-06-28 2001-12-04 Ethicon, Inc. Method for fixing a graft in a bone tunnel
US7530999B2 (en) * 2000-08-28 2009-05-12 Biomet Sports Medicine, Llc Method and implant for securing ligament replacement into the knee
US6878166B2 (en) * 2000-08-28 2005-04-12 Ron Clark Method and implant for securing ligament replacement into the knee
JP4348427B2 (en) * 2000-10-25 2009-10-21 カイフォン・ソシエテ・ア・レスポンサビリテ・リミテ System and method for reducing fractured bone using a fracture reduction cannula
US7195642B2 (en) 2001-03-13 2007-03-27 Mckernan Daniel J Method and apparatus for fixing a graft in a bone tunnel
US6517546B2 (en) * 2001-03-13 2003-02-11 Gregory R. Whittaker Method and apparatus for fixing a graft in a bone tunnel
US7594917B2 (en) 2001-03-13 2009-09-29 Ethicon, Inc. Method and apparatus for fixing a graft in a bone tunnel
US20050065533A1 (en) * 2001-05-31 2005-03-24 Magen Hugh E. Apparatus for assembling anterior cruciate ligament reconstruction system
KR100432513B1 (en) * 2001-09-11 2004-05-22 한국과학기술원 Apparatus and method for photo-induced process
US7520898B2 (en) 2001-10-01 2009-04-21 Scandius Biomedical, Inc. Apparatus and method for reconstructing a ligament
US6712849B2 (en) 2001-10-01 2004-03-30 Scandius Biomedical, Inc. Apparatus and method for reconstructing a ligament
US7713300B2 (en) * 2002-01-31 2010-05-11 Biomet Sports Medicince, LLC Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US20060206206A1 (en) 2003-06-06 2006-09-14 Peyman Gholam A Intraocular telescope
US7033364B1 (en) 2002-01-31 2006-04-25 Arthrotek, Inc. Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US7144424B2 (en) * 2002-04-12 2006-12-05 Karl Storz Gmbh & Co. Kg Method and apparatus for reconstructing a ligament
US7678138B2 (en) * 2002-05-15 2010-03-16 Linvatec Corporation Two piece cross-pin graft fixation
US7175632B2 (en) * 2002-05-15 2007-02-13 Linvatec Corporation Cross-pin graft fixation instruments and method
US7338492B2 (en) * 2002-05-15 2008-03-04 Linvatec Corporation Cross-pin graft fixation, instruments, and methods
US7588595B2 (en) * 2002-10-29 2009-09-15 Stryker Endoscopy Graft fixation device and method
US7491206B2 (en) * 2003-06-27 2009-02-17 Ethicon, Inc. Adjustable drill guide assembly and method of use
US7896917B2 (en) 2003-10-15 2011-03-01 Biomet Sports Medicine, Llc Method and apparatus for graft fixation
US7341592B1 (en) 2003-10-15 2008-03-11 Biomet Sports Medicine, Inc. Method and apparatus for graft fixation
US7905907B2 (en) 2003-10-21 2011-03-15 Theken Spine, Llc Internal structure stabilization system for spanning three or more structures
US7967826B2 (en) 2003-10-21 2011-06-28 Theken Spine, Llc Connector transfer tool for internal structure stabilization systems
US7588588B2 (en) * 2003-10-21 2009-09-15 Innovative Spinal Technologies System and method for stabilizing of internal structures
US8088128B2 (en) 2004-03-25 2012-01-03 Depuy Mitek, Inc. Implantable cross-pin for anterior cruciate ligament repair
DE102004018426A1 (en) * 2004-04-07 2005-10-27 Karl Storz Gmbh & Co.Kg Instrumentation for fixing an implant in a bone
US7909873B2 (en) 2006-12-15 2011-03-22 Soteira, Inc. Delivery apparatus and methods for vertebrostenting
US8002778B1 (en) 2004-06-28 2011-08-23 Biomet Sports Medicine, Llc Crosspin and method for inserting the same during soft ligament repair
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7909851B2 (en) 2006-02-03 2011-03-22 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
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
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
US9801708B2 (en) 2004-11-05 2017-10-31 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
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US7569061B2 (en) 2004-11-16 2009-08-04 Innovative Spinal Technologies, Inc. Off-axis anchor guidance system
WO2007024282A2 (en) * 2005-04-20 2007-03-01 Arthroscopic Innovations Llc Suture fixation device and method for surgical repair
US7833230B2 (en) * 2005-04-20 2010-11-16 Arthroscopic Innovations Llc Method and apparatus for providing a passageway
FR2893835B1 (en) * 2005-11-29 2008-10-10 Pierre Imbert SURGICAL IMPLANT SUPPORTS ENDO CORTICAL FOR LIGAMENTARY TRANSPLANT
FR2893836B1 (en) * 2005-11-29 2008-10-10 Pierre Imbert SURGICAL IMPLANT WITH EXTRA CORTICAL SUPPORT FOR LIGAMENTARY TRANSPLANT
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
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
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
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
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US7942914B2 (en) * 2006-10-17 2011-05-17 Arthroscopic Innovations Llc Method and apparatus for surgical repair
US9480485B2 (en) 2006-12-15 2016-11-01 Globus Medical, Inc. Devices and methods for vertebrostenting
DE102006062382B4 (en) * 2006-12-22 2014-08-07 Karl Storz Gmbh & Co. Kg Device for guiding a drilling tool for introducing a second bore in a bone
US8147546B2 (en) 2007-03-13 2012-04-03 Biomet Sports Medicine, Llc Method and apparatus for graft fixation
WO2009155319A1 (en) 2008-06-17 2009-12-23 Soteira, Inc. Devices and methods for fracture reduction
US8197489B2 (en) 2008-06-27 2012-06-12 Depuy Products, Inc. Knee ligament balancer
AU2009222580B2 (en) * 2008-10-10 2014-11-27 Depuy Mitek, Inc. Method for replacing a ligament in a knee
US8740817B2 (en) 2009-03-31 2014-06-03 Depuy (Ireland) Device and method for determining forces of a patient's joint
US8597210B2 (en) 2009-03-31 2013-12-03 Depuy (Ireland) System and method for displaying joint force data
US8556830B2 (en) 2009-03-31 2013-10-15 Depuy Device and method for displaying joint force data
US8551023B2 (en) 2009-03-31 2013-10-08 Depuy (Ireland) Device and method for determining force of a knee joint
US8721568B2 (en) 2009-03-31 2014-05-13 Depuy (Ireland) Method for performing an orthopaedic surgical procedure
US20100305710A1 (en) 2009-05-28 2010-12-02 Biomet Manufacturing Corp. Knee Prosthesis
US20110118838A1 (en) * 2009-11-16 2011-05-19 George Delli-Santi Graft pulley and methods of use
US8449612B2 (en) * 2009-11-16 2013-05-28 Arthrocare Corporation Graft pulley and methods of use
US8529569B2 (en) 2010-03-05 2013-09-10 Biomet Manufacturing, Llc Method and apparatus for preparing a proximal femur
US8460393B2 (en) 2010-03-05 2013-06-11 Biomet Manufacturing Corp. Modular lateral hip augments
US8679130B2 (en) 2010-03-05 2014-03-25 Biomet Manufacturing, Llc Guide assembly for lateral implants and associated methods
US8419743B2 (en) 2010-03-05 2013-04-16 Biomet Manufacturing Corp. Assembly tool for modular implants and associated method
US8221432B2 (en) 2010-03-05 2012-07-17 Biomet Manufacturing Corp. Method and apparatus for implanting a modular femoral hip
US8333807B2 (en) 2010-03-05 2012-12-18 Biomet Manufacturing Corp. Method and apparatus for trialing and implanting a modular femoral hip
FR2958841B1 (en) * 2010-04-14 2012-05-18 Pierre Imbert ANCILLARY SYSTEM FOR THE INSTALLATION OF A LIGAMENTARY TRANSPLANT USING PINS
US8617176B2 (en) 2011-08-24 2013-12-31 Depuy Mitek, Llc Cross pinning guide devices and methods
GB201115411D0 (en) 2011-09-07 2011-10-19 Depuy Ireland Surgical instrument
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9381011B2 (en) 2012-03-29 2016-07-05 Depuy (Ireland) Orthopedic surgical instrument for knee surgery
US10098761B2 (en) 2012-03-31 2018-10-16 DePuy Synthes Products, Inc. System and method for validating an orthopaedic surgical plan
US9545459B2 (en) 2012-03-31 2017-01-17 Depuy Ireland Unlimited Company Container for surgical instruments and system including same
US10206792B2 (en) 2012-03-31 2019-02-19 Depuy Ireland Unlimited Company Orthopaedic surgical system for determining joint forces of a patients knee joint
US10070973B2 (en) 2012-03-31 2018-09-11 Depuy Ireland Unlimited Company Orthopaedic sensor module and system for determining joint forces of a patient's knee joint
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
DE102014110343A1 (en) 2014-07-22 2016-01-28 Hans Heidolph Gmbh & Co. Kg rotary evaporator
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9974534B2 (en) 2015-03-31 2018-05-22 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
CN108245262A (en) * 2017-12-07 2018-07-06 复旦大学附属华山医院 The isometric measuring device of ligament reconstructive
EP3583905A1 (en) * 2018-06-20 2019-12-25 Arthrex Inc Percutaneous targeting device

Family Cites Families (62)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1465744A (en) * 1974-01-30 1977-03-02 Ethicon Inc Attaching fibrous connective tissue to bone
IL46030A0 (en) * 1974-11-11 1975-02-10 Rosenberg L Orthopaedic screw
US4142517A (en) * 1976-07-23 1979-03-06 Contreras Guerrero De Stavropo Apparatus for extracting bone marrow specimens
US4257411A (en) * 1979-02-08 1981-03-24 Cho Kenneth O Cruciate ligament surgical drill guide
JPS5743726A (en) * 1980-08-26 1982-03-11 Olympus Optical Co Tracheal
GB2084468B (en) * 1980-09-25 1984-06-06 South African Inventions Surgical implant
US4462395A (en) * 1983-03-02 1984-07-31 Johnson Lanny L Arthroscopic ligamentous and capsular fixation system
FR2560764B1 (en) * 1984-03-09 1988-05-13 Matco DAVIER FOR FRACTURE REDUCTION
JPS6121505U (en) * 1984-07-12 1986-02-07 村石医療器株式会社 dural needle
EP0209685A3 (en) * 1985-07-12 1988-11-09 Fischerwerke Arthur Fischer GmbH & Co. KG Fixation element for osteosynthesis
FR2598311B1 (en) * 1986-05-07 1988-09-09 Laboureau Jacques SURGICAL INSTRUMENT FOR FOCUSING AND PLACING THE PLASTY (OR PROSTHETIC REPLACEMENT) OF THE LIGAMENT CROSS POSTERIOR KNEE
US4898156A (en) 1987-05-18 1990-02-06 Mitek Surgical Products, Inc. Suture anchor
US4899743A (en) * 1987-12-15 1990-02-13 Mitek Surgical Products, Inc. Suture anchor installation tool
US4968315A (en) 1987-12-15 1990-11-06 Mitek Surgical Products, Inc. Suture anchor and suture anchor installation tool
DE3811345C1 (en) * 1988-04-02 1989-09-07 Aesculap Ag, 7200 Tuttlingen, De
US4858603A (en) * 1988-06-06 1989-08-22 Johnson & Johnson Orthopaedics, Inc. Bone pin
US4944742A (en) * 1988-06-06 1990-07-31 Johnson & Johnson Orthopaedics, Inc. Bone pin
US4901711A (en) * 1988-12-27 1990-02-20 Marlowe Goble E Drill guide
US4950270A (en) 1989-02-03 1990-08-21 Boehringer Mannheim Corporation Cannulated self-tapping bone screw
US5522817A (en) * 1989-03-31 1996-06-04 United States Surgical Corporation Absorbable surgical fastener with bone penetrating elements
US5067962A (en) * 1989-04-18 1991-11-26 Baxter International Inc. Bioprosthetic ligament
DE3936703A1 (en) * 1989-11-03 1991-05-08 Lutz Biedermann BONE SCREW
US5004474A (en) * 1989-11-28 1991-04-02 Baxter International Inc. Prosthetic anterior cruciate ligament design
US5139520A (en) * 1990-01-31 1992-08-18 American Cyanamid Company Method for acl reconstruction
US4985032A (en) * 1990-05-14 1991-01-15 Marlowe Goble E Drill guide
US5120318A (en) * 1990-06-25 1992-06-09 Harinathareddy Nallapareddy Arthroscopy portal maker
US5098435A (en) * 1990-11-21 1992-03-24 Alphatec Manufacturing Inc. Cannula
CA2062012C (en) * 1991-03-05 2003-04-29 Randall D. Ross Bioabsorbable interference bone fixation screw
US5147362A (en) * 1991-04-08 1992-09-15 Marlowe Goble E Endosteal ligament fixation device
FR2676356A1 (en) * 1991-05-13 1992-11-20 Cendis Medical Fixation element for ligaments
US5672158A (en) * 1992-01-07 1997-09-30 Sherwood Medical Company Catheter introducer
AU672596B2 (en) * 1992-02-14 1996-10-10 Smith & Nephew, Inc. Polymeric screws and coatings for surgical uses
US5595186A (en) * 1992-04-06 1997-01-21 Alan I. Rubinstein Bone marrow biopsy needle
US5152764A (en) * 1992-05-18 1992-10-06 Marlowe Goble E Femoral tunnel entry drill guide
AU659261B2 (en) * 1992-06-19 1995-05-11 Conmed Corporation Electrosurgical trocar assembly
US5234434A (en) * 1992-08-17 1993-08-10 Marlowe Goble E Mutliple guide sleeve drill guide
US5266075A (en) * 1992-10-05 1993-11-30 Roy Clark Tendon threader for endosteal ligament mounting
DE59209122D1 (en) * 1992-11-02 1998-02-12 Sulzer Orthopaedie Ag Anchoring for an artificial ligament, in particular a cruciate ligament of a knee joint
US5397356A (en) * 1993-01-15 1995-03-14 Depuy Inc. Pin for securing a replacement ligament to a bone
US5350380A (en) * 1993-01-15 1994-09-27 Depuy Inc. Method for securing a ligament replacement in a bone
US5354300A (en) * 1993-01-15 1994-10-11 Depuy Inc. Drill guide apparatus for installing a transverse pin
US5431651A (en) * 1993-02-08 1995-07-11 Goble; E. Marlowe Cross pin and set screw femoral and tibial fixation method
US5372599A (en) * 1993-03-12 1994-12-13 Mitek Surgical Products, Inc. Surgical anchor and method for deploying the same
US5356413A (en) * 1993-03-12 1994-10-18 Mitek Surgical Products, Inc. Surgical anchor and method for deploying the same
US5354413A (en) * 1993-03-18 1994-10-11 Advanced Micro Devices, Inc. Electrode position controller for a semiconductor etching device
US5295977A (en) * 1993-05-11 1994-03-22 Symbiosis Corporation Trocar catheter for drainage
JP3180219B2 (en) * 1993-07-09 2001-06-25 ニプロ株式会社 Trocar
JP3715010B2 (en) * 1995-11-20 2005-11-09 オリンパス株式会社 Insufflation needle with mantle
US5697933A (en) * 1995-12-18 1997-12-16 Medicinelodge, Inc. Bone-tendon-bone drill guide
US5919193A (en) * 1996-03-14 1999-07-06 Slavitt; Jerome A. Method and kit for surgically correcting malformations in digits of a finger or toe
JPH09253087A (en) * 1996-03-22 1997-09-30 Olympus Optical Co Ltd Ultrasonic trocar
US5669885A (en) * 1996-05-14 1997-09-23 United States Surgical Corporation Trocar assembly with spring-loaded mechanism
US5688284A (en) * 1996-09-20 1997-11-18 Medicinelodge, Inc. Variable angle drill guide and ligament fixation method
US5891150A (en) * 1996-12-04 1999-04-06 Chan; Kwan-Ho Apparatus and method for fixing a ligament in a bone tunnel
US5849013A (en) * 1997-01-14 1998-12-15 Whittaker; Gregory R. Method and apparatus for fixing a bone block in a bone tunnel
US5957947A (en) * 1997-07-18 1999-09-28 Wattiez; Arnaud Single use trocar assembly
US6030364A (en) * 1997-10-03 2000-02-29 Boston Scientific Corporation Apparatus and method for percutaneous placement of gastro-intestinal tubes
US6067962A (en) * 1997-12-15 2000-05-30 Caterpillar Inc. Engine having a high pressure hydraulic system and low pressure lubricating system
US6066173A (en) * 1998-01-28 2000-05-23 Ethicon, Inc. Method and apparatus for fixing a graft in a bone tunnel
US6096060A (en) * 1999-05-20 2000-08-01 Linvatec Corporation Bioabsorbable threaded soft tissue anchor system
US6436119B1 (en) * 1999-09-30 2002-08-20 Raymedica, Inc. Adjustable surgical dilator
US6902526B2 (en) * 2002-10-23 2005-06-07 Orthopaedic Development, Llc Visualizing ablation device and procedure

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