US20120150225A1 - Fenestrated swivel anchor for knotless fixation of tissue - Google Patents
Fenestrated swivel anchor for knotless fixation of tissue Download PDFInfo
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- US20120150225A1 US20120150225A1 US13/403,366 US201213403366A US2012150225A1 US 20120150225 A1 US20120150225 A1 US 20120150225A1 US 201213403366 A US201213403366 A US 201213403366A US 2012150225 A1 US2012150225 A1 US 2012150225A1
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- suture
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- swivel
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- 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
- 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
-
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0438—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
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- 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
-
- 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
- A61F2002/0841—Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
-
- 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
- A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
-
- 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
- A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel
Definitions
- the present invention relates to methods and instruments for fixation of sutures and tissue to bone.
- Reattachment of soft tissue to bone typically requires the surgeon to pass suture material through selected tissue, form a plurality of surgical knots extracorporeally and then move the knots into position adjacent the desired tissue to be sutured.
- the surgeon must manually tie the knots on the suture strands after the suture is threaded through the selected tissues to be sutured.
- Knot tying during surgery, particularly arthroscopic surgery is tedious and time-consuming. There is also a tendency for the knots to deform or collapse as the surgeon manually forces the knots down into the proper position.
- the suture knots often are exposed to abrasion or cutting by sharp or rough areas along the walls of the bone canal into which anchors are typically inserted to provide fixation of tendon to bone.
- the instruments and methods of the present invention overcome the disadvantages of the prior art, such as those noted above, by providing a swivel implant at the distal end of a driver that securely engages and locks into a cannulated ribbed body of an interference plug or screw.
- the swivel implant includes a closed aperture for receiving a strand attached to a graft, such that the strand is able to freely slide through the aperture.
- the strand is passed through the graft at desired points.
- a cannulated plug or screw is pre-loaded onto a driver provided with a swivel lock twist-in anchor at its distal end.
- the strand attached to the graft is passed through the aperture of the swivel implant located at the distal end of the driver.
- the distal end of the driver together with the implant is inserted directly into the bone.
- the driver may be rotated (in a clockwise direction, for example) to advance a screw over the anchor to complete insertion.
- the cannulated plug or screw is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the device (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.
- FIGS. 1-6 depict a series of steps of shoulder repair using a plurality of swivel anchor devices according to the present invention.
- FIG. 7 illustrates various views of the driver assembly of the present invention.
- FIGS. 8 and 9 illustrate the swivel implant and traction suture.
- FIG. 10 is an enlarged view of the fixation device (cannulated screw) used in the present invention.
- FIG. 11 illustrates various views of a swivel anchor with a metal tip which avoids the need to pre-drill a hole in bone.
- FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly of the present invention, and the swivel anchor inserted in a bone socket, respectively.
- FIGS. 14-16 illustrate various views of a fixation device with fenestrations and used in conjunction with the swivel anchor assembly of the present invention.
- the present invention provides apparatus and methods for knotless tissue fixation using a swivel anchor device.
- FIG. 1 illustrates a side view of a human shoulder of a patient undergoing a rotator cuff repair in accordance with an exemplary embodiment of the present invention.
- the patient may be positioned in the beach chair position using the Arthrex Beach Chair Lateral Traction Device or in a lateral decubitus position using the Arthrex 3-Point Shoulder Distraction System. Access to the subacromial space is facilitated with a variety of cannulas.
- the mobility of the tear is assessed using, for example, a tissue grasper 10 such as the Arthrex KingFisherTM Suture Retriever/Tissue Grasper, to determine whether a U or L-shaped component exists.
- tissue grasper 10 such as the Arthrex KingFisherTM Suture Retriever/Tissue Grasper
- margin convergence suturing is performed to reduce volume and strain on the repair.
- the length and width of the rotator cuff footprint is assessed and a bleeding bed for enhanced tendon to bone healing may be formed. This may be accomplished with a burr to perform a light dusting of the greater tuberosity, or by using a chondro pick to microfracture the footprint and maximize vascular channels.
- FIG. 2 illustrates the preparation of two pilot holes for two swivel anchors that will be inserted in the medial row.
- a punch may be employed adjacent to the articular margin of the humerus and at about 45° angle to form the two pilot holes.
- a swivel implant 30 loaded with a strand of suture tape 40 , preferably Arthrex FiberTape, is placed in the medial pre-formed hole 32 .
- Arthrex FiberTape is a high strength suture tape which is braided and rectangular-like in cross section and is disclosed in U.S. Pat. No. 7,892,256, the disclosure of which is incorporated by reference herein.
- the anchor of the present invention can be used with any type of flexible material or suture.
- the driver is then rotated to advance screw 42 down shaft 20 to secure the implant and suture in the bone hole. More specifically, as shown in FIG.
- the screw 42 is advanced by holding thumb pad 50 as the driver handle 22 is turned clockwise.
- An Arthrex FiberLink and an Arthrex Scorpion suture passer 44 are used to shuttle both tails of the suture tape through the rotator cuff 34 simultaneously. This procedure is followed for both medial swivel anchors.
- one tail of suture tape 40 from each medial swivel anchor is retrieved and loaded through the eyelet of another swivel implant 30 , and that implant is installed in then inserted into a preformed lateral bone socket.
- the tension of the suture tape 40 is adjusted if necessary.
- the swivel anchor driver is then rotated in clockwise direction as before to advance the screw 42 over the implant to complete insertion. This step is repeated in another lateral bone socket with the other tails of suture tape from each medial anchor.
- the tails of the suture tape 40 are then cut, one at a time, to complete the construct as shown in FIG. 6 .
- The, method is analogous to the method disclosed in U.S. Pat. No. 8,012,174, the entire disclosure of which is incorporated by reference herein.
- FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly and the anchor inserted in a bone socket, respectively.
- a driver 68 is used to install the knotless fixation devices with a swiveling implant.
- Driver 68 features a thin cannulated rod 20 passing slidably and rotatably through a cannulated driver assembly.
- the tip of thin cannulated rod 20 is adapted to accept swivel anchor implant 42 within the cannulation at its tip, preferably via a snap fit.
- Cannulated rod 20 has a hexagonal outer surface for receiving anchor body (preferably a screw) 42 having a corresponding cannulation.
- FIG. 10 illustrates a detailed view of the cannulated screw 42 .
- FIG. 7( c ) illustrates the swivel anchor implant 30 .
- traction sutures 71 extending from the proximal end of the swivel anchor implant 30 are threaded through the cannulation of the driver 68 (see also FIG. 7( c )).
- traction sutures 71 prevent inadvertent separation of the implant 30 from the driver during insertion, but they can be used subsequently for additional tie-down of the tendon after the driver is removed. Subsequently, the swivel anchor implant 30 is seated on the driver tip and until advanced until it snaps onto place ( FIG. 7( d )). A protective tube 94 ( FIG. 7( e )) may be placed over the tip of the assembly for shipping purposes. The traction sutures 71 may be looped around the driver handle, as shown in FIGS. 7( f ) and ( g ), and secured in a cleat 98 to prevent the implant 200 from becoming prematurely detached from the driver.
- the knotless fixation device of the present invention advantageously minimizes or eliminates the need to tie knots.
- the use of such a swivel anchor also provides secure fixation of the suture construct—the secure suture construct results from the suture being pushed into a hole and held tightly by an anchors.
- suture tape is used with the swivel anchor to fix tissue to bone.
- the swivel anchor of the present invention can be used with any type of flexible material or suture.
- an allograft or biological component may be used instead of suture or tape.
- the allograft or biological component may be comprised of tendon or pericardium, for example, which provides improved tissue repair.
- any combination of suture, suture tape, and allograft or biological component may be employed, depending on the characteristics of the specific surgical repair and/or as desired.
- FIG. 11 illustrate a swivel implant 500 which is provided with a pointed metal tip to facilitate insertion of the implant without the need to pre-drill or pre-form a hole in the bone.
- the conical configuration of the most distal end pointed tip 550 allows the implant to undergo a self-punching operation, eliminating any need to pre-drill a hole in the bone.
- the conical configuration of the most distal end of the pointed tip implant 550 also provides suture fixation strength, as well as accelerated graft/tendon healing to bone.
- the pointed tip implant 550 may be detachable from the driver.
- pointed tip implant 500 is provided with a metal tip 550 and an eyelet or aperture 555 for receiving suture or suture tape.
- Pointed tip implant 550 is also provided, at its most distal end, with a conical portion 551 which allows direct advancement of the implant (by simply tapping the device with a mallet, for example) without the formation of a pilot hole in bone.
- the conical portion 551 of the implant is formed of titanium or titanium alloy.
- eyelet or aperture 555 is also formed of titanium or similar material, to withstand impaction forces during the graft fixation procedure.
- FIGS. 14-16 illustrate various views of another exemplary fixation device 600 of the present invention that is employed in conjunction with the driver assembly 68 and a swivel anchor or implant of the present invention (such as the swivel anchor implant 30 or the swivel implant 500 described above).
- the fixation device 600 is similar to the fixation device (swivel anchor implant) 42 of FIG. 10 , but differs from it in that the fixation device 600 is provided with a plurality of openings or fenestrations 605 provided on the outer surface of the body of the device.
- the openings or fenestrations 605 may have various dimensions and geometries provide multiple pathways for w blood to pass through the device (i.e, through the fenestrations and up through the cannulation) and, therefore, to the repair site to promote healing.
- the fenestrations also promote in-growth of bone.
- the decreased mass of the device 600 (resulting from the fenestrations) further promotes healing and in-growth.
- the fixation device 600 is preloaded on the driver 68 .
- the fixation device 600 is advanced into the bone socket by holding the thumb pad 50 as the driver handle 22 is turned clockwise.
- the shaft of the anchor implant 30 or the swivel implant 500 is fully engaged by the fixation device 600 to optimize the stability of the swivel anchor construct (composed of swivel anchor or implant 30 , 500 and fixation device 600 ).
- the fixation device 600 includes a cannulated body 612 in the form of a tapered cylinder having a proximal end 613 and a distal end 615 .
- a continuous thread 620 wraps around cannulated body 612 in a clockwise direction, as shown.
- the distal end 615 of the interference screw 600 terminates in an exposed, flat surface provided with an opening 616 .
- drive socket 617 that allows a driver to seat snuggly in the drive socket to allow manipulation and installation of the interference screw into the bone socket, while fully engaging the shaft of the swivel anchor 30 or swivel implant 500 (as detailed above with reference to interference screw 42 ).
- drive socket 617 may be configured to be used with a traditional hex drive screwdriver.
- the drive socket 617 has been described as having hexagonal shape, the drive socket may also have a Delta drive configuration or a cruciform shape, among others, that allows the driver to rotationally engage the interference screw, to turn simultaneously with the driver.
- the fixation device 600 of the present invention may be formed of a biocompatible and/or biosorbable material.
- screw 600 is formed of a bioabsorbable material, such as poly-(L-lactic acid) (PLLA), poly-(D,L-lactide), and poly glycolic acid (PGA), for example, or other bioabsorbable, non-metallic materials, which may be especially tailored for hardness, tensile strength and compressive strength.
- fixation device 600 may be formed of titanium, titanium alloy, stainless steel or stainless steel alloy.
- Other biocompatible materials which could be used include plastics, allograft bone and inert bone substitute materials.
- a growth material may be advanced through the cannulated driver and into the screw 600 by employing a plunger, for example. As the driver is pulled out, the plunger pushes the flow material through the cannulation of the driver and into the body of the screw 600 . The growth material will subsequently harden to allow better fixation of the interference screw 600 against the bone and the shaft of the swivel anchor 30 or swivel implant 500 .
- the growth material may be any solid, semi-solid, viscous, flowable, gel or elastic composition or mixture that allows its easy manipulation and insertion into the body 612 of the interference screw 600 .
- the growth material may contain growth factors such as autogenous growth factors, for example platelet-rich plasma (PRP), optionally in combination with hyaluronic acid (HY acid) and/or with a coagulant such as thrombin.
- PRP platelet-rich plasma
- HY acid hyaluronic acid
- a coagulant such as thrombin.
- growth factor as used in the present application is intended to include all factors, such as proteinaceous factors, for example, which play a role in the induction or conduction of growth of bone, ligaments, cartilage or other tissues associated with bone or joints.
- these growth factors include bFGF, aFGF, EGF (epidermal growth factor), PDGF (platelet-derived growth factor), IGF (insulin-like growth factor), TGF- ⁇ . I through III, including the TGF- ⁇ . superfamily (BMP-1 through 12, GDF 1 through 12, dpp, 60 A, BIP, OF).
- the growth material may comprise additional osteoconductive bone adhesives, calcium carbonate, fatty acids, lubricants, antiseptic chemicals and/or antibiotics.
- additional solution excipients such as buffer salts, sugars, anti-oxidants and preservatives to maintain the bioactivity of the growth material and a proper pH of the growth material may be also employed.
- the additional lubricants and/or the antiseptic and/or the antibiotic will typically be present in the growth material in a predetermined concentration range, which will be dependent upon the particular bone site and application, as well as the specific activity of the antiseptic and/or the antibiotic.
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- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Rheumatology (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Rehabilitation Therapy (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fenestrated fixation device, such as a cannulated interference screw, over the body of the implant.
Description
- This is a continuation of application Ser. No. 12/418,391, filed on Apr. 3, 2009, now abandoned, which is a continuation-in-part of application Ser. No. 12/368,946, filed on Feb. 10, 2009, which is a CIP of application Ser. No. 12/043,008, filed on Mar. 5, 2008, which in turn is a continuation-in-part of application Ser. No. 11/802,057, filed on May 18, 2007, which claims the benefit of Provisional Application Ser. No. 60/801,097, filed on May 18, 2006, the entire disclosures of which are incorporated herein by reference.
- The present invention relates to methods and instruments for fixation of sutures and tissue to bone.
- When soft tissue tears away from bone, reattachment becomes necessary. Various devices, including sutures, screws, staples, wedges, anchors and plugs have been used in the prior art to secure soft tissue to bone. Surgical methods utilizing suture anchors alone are disadvantageous for reattachment of large areas of detached tissue because they often do not allow good tissue to bone contact.
- Reattachment of soft tissue to bone typically requires the surgeon to pass suture material through selected tissue, form a plurality of surgical knots extracorporeally and then move the knots into position adjacent the desired tissue to be sutured. In such procedures, the surgeon must manually tie the knots on the suture strands after the suture is threaded through the selected tissues to be sutured. Knot tying during surgery, particularly arthroscopic surgery, is tedious and time-consuming. There is also a tendency for the knots to deform or collapse as the surgeon manually forces the knots down into the proper position. Also, the suture knots often are exposed to abrasion or cutting by sharp or rough areas along the walls of the bone canal into which anchors are typically inserted to provide fixation of tendon to bone.
- Accordingly, a need exists for an improved method for attaching soft tissue to bone which does not require multiple suture knots and which allows the tendon to remain securely in place until the ligaments naturally attach to bone. A need also exists for such a knotless method of attaching tissue to bone which employs an implant with a fenestrated configuration that promotes healing of tissue.
- The instruments and methods of the present invention overcome the disadvantages of the prior art, such as those noted above, by providing a swivel implant at the distal end of a driver that securely engages and locks into a cannulated ribbed body of an interference plug or screw. The swivel implant includes a closed aperture for receiving a strand attached to a graft, such that the strand is able to freely slide through the aperture.
- In one embodiment of the invention, the strand is passed through the graft at desired points. A cannulated plug or screw is pre-loaded onto a driver provided with a swivel lock twist-in anchor at its distal end. The strand attached to the graft is passed through the aperture of the swivel implant located at the distal end of the driver. The distal end of the driver together with the implant is inserted directly into the bone. The driver may be rotated (in a clockwise direction, for example) to advance a screw over the anchor to complete insertion. The cannulated plug or screw is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the device (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.
- Other features and advantages of the present invention will become apparent from the following description of exemplary embodiments of the invention described with reference to the accompanying drawings.
-
FIGS. 1-6 depict a series of steps of shoulder repair using a plurality of swivel anchor devices according to the present invention. -
FIG. 7 illustrates various views of the driver assembly of the present invention. -
FIGS. 8 and 9 illustrate the swivel implant and traction suture. -
FIG. 10 is an enlarged view of the fixation device (cannulated screw) used in the present invention. -
FIG. 11 illustrates various views of a swivel anchor with a metal tip which avoids the need to pre-drill a hole in bone. -
FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly of the present invention, and the swivel anchor inserted in a bone socket, respectively. -
FIGS. 14-16 illustrate various views of a fixation device with fenestrations and used in conjunction with the swivel anchor assembly of the present invention. - The present invention provides apparatus and methods for knotless tissue fixation using a swivel anchor device.
-
FIG. 1 illustrates a side view of a human shoulder of a patient undergoing a rotator cuff repair in accordance with an exemplary embodiment of the present invention. The patient may be positioned in the beach chair position using the Arthrex Beach Chair Lateral Traction Device or in a lateral decubitus position using the Arthrex 3-Point Shoulder Distraction System. Access to the subacromial space is facilitated with a variety of cannulas. - First, and as illustrated in
FIG. 1 , the mobility of the tear is assessed using, for example, atissue grasper 10 such as the Arthrex KingFisher™ Suture Retriever/Tissue Grasper, to determine whether a U or L-shaped component exists. Where large tears extend to the superior aspect of the glenoid, margin convergence suturing is performed to reduce volume and strain on the repair. Subsequently, the length and width of the rotator cuff footprint is assessed and a bleeding bed for enhanced tendon to bone healing may be formed. This may be accomplished with a burr to perform a light dusting of the greater tuberosity, or by using a chondro pick to microfracture the footprint and maximize vascular channels. -
FIG. 2 illustrates the preparation of two pilot holes for two swivel anchors that will be inserted in the medial row. A punch may be employed adjacent to the articular margin of the humerus and at about 45° angle to form the two pilot holes. - Subsequent to the formation of the pilot holes, and as shown in
FIGS. 3 and 4 , aswivel implant 30, loaded with a strand ofsuture tape 40, preferably Arthrex FiberTape, is placed in the medial pre-formedhole 32. Arthrex FiberTape is a high strength suture tape which is braided and rectangular-like in cross section and is disclosed in U.S. Pat. No. 7,892,256, the disclosure of which is incorporated by reference herein. However, the anchor of the present invention can be used with any type of flexible material or suture. The driver is then rotated to advancescrew 42 downshaft 20 to secure the implant and suture in the bone hole. More specifically, as shown inFIG. 4 a, thescrew 42 is advanced by holdingthumb pad 50 as thedriver handle 22 is turned clockwise. An Arthrex FiberLink and an Arthrex Scorpion suture passer 44, are used to shuttle both tails of the suture tape through the rotator cuff 34 simultaneously. This procedure is followed for both medial swivel anchors. - Referring to
FIG. 5 , one tail ofsuture tape 40 from each medial swivel anchor is retrieved and loaded through the eyelet of anotherswivel implant 30, and that implant is installed in then inserted into a preformed lateral bone socket. The tension of thesuture tape 40 is adjusted if necessary. The swivel anchor driver is then rotated in clockwise direction as before to advance thescrew 42 over the implant to complete insertion. This step is repeated in another lateral bone socket with the other tails of suture tape from each medial anchor. The tails of thesuture tape 40 are then cut, one at a time, to complete the construct as shown inFIG. 6 . The, method is analogous to the method disclosed in U.S. Pat. No. 8,012,174, the entire disclosure of which is incorporated by reference herein.FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly and the anchor inserted in a bone socket, respectively. - The swivel anchor and instruments of the present invention are now described in greater detail. As shown in
FIGS. 7( a)-(f), adriver 68 is used to install the knotless fixation devices with a swiveling implant.Driver 68 features a thin cannulatedrod 20 passing slidably and rotatably through a cannulated driver assembly. The tip of thin cannulatedrod 20 is adapted to acceptswivel anchor implant 42 within the cannulation at its tip, preferably via a snap fit.Cannulated rod 20 has a hexagonal outer surface for receiving anchor body (preferably a screw) 42 having a corresponding cannulation.FIG. 10 illustrates a detailed view of the cannulatedscrew 42. - During installation of the knotless anchor having a swiveling
implant 30, thescrew 42 is first inserted onto cannulatedrod 20 of thedriver 68. As shown inFIGS. 7( a) and (b),screw 42 is loaded ontorod 20 and then fully seated on the shaft end of the driver.FIG. 7( c) illustrates theswivel anchor implant 30. As shown inFIGS. 8-9 , traction sutures 71 extending from the proximal end of theswivel anchor implant 30 are threaded through the cannulation of the driver 68 (see alsoFIG. 7( c)). These traction sutures 71 prevent inadvertent separation of theimplant 30 from the driver during insertion, but they can be used subsequently for additional tie-down of the tendon after the driver is removed. Subsequently, theswivel anchor implant 30 is seated on the driver tip and until advanced until it snaps onto place (FIG. 7( d)). A protective tube 94 (FIG. 7( e)) may be placed over the tip of the assembly for shipping purposes. The traction sutures 71 may be looped around the driver handle, as shown inFIGS. 7( f) and (g), and secured in acleat 98 to prevent the implant 200 from becoming prematurely detached from the driver. - The knotless fixation device of the present invention advantageously minimizes or eliminates the need to tie knots. The use of such a swivel anchor also provides secure fixation of the suture construct—the secure suture construct results from the suture being pushed into a hole and held tightly by an anchors.
- In the preferred embodiment of the present invention, as mentioned above, suture tape is used with the swivel anchor to fix tissue to bone. However, the swivel anchor of the present invention can be used with any type of flexible material or suture. In another preferred embodiment, an allograft or biological component may be used instead of suture or tape. The allograft or biological component may be comprised of tendon or pericardium, for example, which provides improved tissue repair. In yet additional embodiments, any combination of suture, suture tape, and allograft or biological component may be employed, depending on the characteristics of the specific surgical repair and/or as desired.
-
FIG. 11 illustrate aswivel implant 500 which is provided with a pointed metal tip to facilitate insertion of the implant without the need to pre-drill or pre-form a hole in the bone. The conical configuration of the most distal end pointedtip 550 allows the implant to undergo a self-punching operation, eliminating any need to pre-drill a hole in the bone. The conical configuration of the most distal end of the pointedtip implant 550 also provides suture fixation strength, as well as accelerated graft/tendon healing to bone. Thepointed tip implant 550 may be detachable from the driver. - As illustrated in
FIGS. 11( a)-(e), pointedtip implant 500 is provided with ametal tip 550 and an eyelet oraperture 555 for receiving suture or suture tape.Pointed tip implant 550 is also provided, at its most distal end, with aconical portion 551 which allows direct advancement of the implant (by simply tapping the device with a mallet, for example) without the formation of a pilot hole in bone. Preferably, theconical portion 551 of the implant is formed of titanium or titanium alloy. In a preferred embodiment, eyelet oraperture 555 is also formed of titanium or similar material, to withstand impaction forces during the graft fixation procedure. -
FIGS. 14-16 illustrate various views of anotherexemplary fixation device 600 of the present invention that is employed in conjunction with thedriver assembly 68 and a swivel anchor or implant of the present invention (such as theswivel anchor implant 30 or theswivel implant 500 described above). Thefixation device 600 is similar to the fixation device (swivel anchor implant) 42 ofFIG. 10 , but differs from it in that thefixation device 600 is provided with a plurality of openings orfenestrations 605 provided on the outer surface of the body of the device. The openings orfenestrations 605 may have various dimensions and geometries provide multiple pathways for w blood to pass through the device (i.e, through the fenestrations and up through the cannulation) and, therefore, to the repair site to promote healing. The fenestrations also promote in-growth of bone. The decreased mass of the device 600 (resulting from the fenestrations) further promotes healing and in-growth. - Preferably, the
fixation device 600 is preloaded on thedriver 68. As described above with reference to the three exemplary embodiments, thefixation device 600 is advanced into the bone socket by holding thethumb pad 50 as the driver handle 22 is turned clockwise. When thefixation device 600 is fully seated, the shaft of theanchor implant 30 or theswivel implant 500 is fully engaged by thefixation device 600 to optimize the stability of the swivel anchor construct (composed of swivel anchor orimplant - As illustrated in
FIGS. 14-16 , thefixation device 600 includes a cannulatedbody 612 in the form of a tapered cylinder having aproximal end 613 and adistal end 615. A continuous thread 620 wraps around cannulatedbody 612 in a clockwise direction, as shown. As shown inFIG. 15 , thedistal end 615 of theinterference screw 600 terminates in an exposed, flat surface provided with an opening 616. Theproximal end 613 of theinterference screw 600 terminates in adrive socket 617 that allows a driver to seat snuggly in the drive socket to allow manipulation and installation of the interference screw into the bone socket, while fully engaging the shaft of theswivel anchor 30 or swivel implant 500 (as detailed above with reference to interference screw 42). As shown inFIG. 16 ,drive socket 617 may be configured to be used with a traditional hex drive screwdriver. Although thedrive socket 617 has been described as having hexagonal shape, the drive socket may also have a Delta drive configuration or a cruciform shape, among others, that allows the driver to rotationally engage the interference screw, to turn simultaneously with the driver. - The
fixation device 600 of the present invention may be formed of a biocompatible and/or biosorbable material. Preferably, screw 600 is formed of a bioabsorbable material, such as poly-(L-lactic acid) (PLLA), poly-(D,L-lactide), and poly glycolic acid (PGA), for example, or other bioabsorbable, non-metallic materials, which may be especially tailored for hardness, tensile strength and compressive strength. Alternatively,fixation device 600 may be formed of titanium, titanium alloy, stainless steel or stainless steel alloy. Other biocompatible materials which could be used include plastics, allograft bone and inert bone substitute materials. - A growth material may be advanced through the cannulated driver and into the
screw 600 by employing a plunger, for example. As the driver is pulled out, the plunger pushes the flow material through the cannulation of the driver and into the body of thescrew 600. The growth material will subsequently harden to allow better fixation of theinterference screw 600 against the bone and the shaft of theswivel anchor 30 orswivel implant 500. - The growth material may be any solid, semi-solid, viscous, flowable, gel or elastic composition or mixture that allows its easy manipulation and insertion into the
body 612 of theinterference screw 600. The growth material may contain growth factors such as autogenous growth factors, for example platelet-rich plasma (PRP), optionally in combination with hyaluronic acid (HY acid) and/or with a coagulant such as thrombin. - The term “growth factor” as used in the present application is intended to include all factors, such as proteinaceous factors, for example, which play a role in the induction or conduction of growth of bone, ligaments, cartilage or other tissues associated with bone or joints. In particular, these growth factors include bFGF, aFGF, EGF (epidermal growth factor), PDGF (platelet-derived growth factor), IGF (insulin-like growth factor), TGF-β. I through III, including the TGF-β. superfamily (BMP-1 through 12, GDF 1 through 12, dpp, 60 A, BIP, OF).
- Optionally, the growth material may comprise additional osteoconductive bone adhesives, calcium carbonate, fatty acids, lubricants, antiseptic chemicals and/or antibiotics. In this case, other solution excipients such as buffer salts, sugars, anti-oxidants and preservatives to maintain the bioactivity of the growth material and a proper pH of the growth material may be also employed. The additional lubricants and/or the antiseptic and/or the antibiotic will typically be present in the growth material in a predetermined concentration range, which will be dependent upon the particular bone site and application, as well as the specific activity of the antiseptic and/or the antibiotic.
- Although the present invention has been described in relation to particular embodiments thereof, many other variations and modifications and other uses will become apparent to those skilled in the art. It is preferred, therefore, that the present invention be limited not by the specific disclosure herein.
Claims (6)
1. A method of tissue fixation comprising:
providing a suture;
securing the suture to the tissue to be fixated; and
anchoring the suture into a bone using a swivel implant and a cannulated fixation device having a threaded body, wherein the suture is anchored in the bone by the steps of:
preloading the cannulated fixation device on a shaft of a driver;
capturing the suture attached to the tissue with swivel implant, the swivel implant being releasably attached at a distal end of the driver;
inserting the swivel implant with the captured suture into the bone; and
anchoring the suture into the bone by rotating the driver to rotate and advance the cannulated fixation device while keeping the implant stationary, thereby securing the suture and providing tissue fixation without tying any knots in the suture.
2. The method of claim 1 , wherein the fixation device is a cannulated interference screw.
3. The method of claim 1 , wherein the swivel implant has a conical portion terminating at a pointed tip at a most distal end of the conical portion.
4. The method of claim 1 , wherein the cannulated fixation device is provided with a plurality of openings or side fenestrations, thereby providing tissue fixation and multiple pathways for blood to pass through the threaded body and up through the cannulation of the fixation device when the cannulated fixation device is inserted into the bone socket.
5. The method of claim 1 , wherein the suture attached to the tissue is captured by feeding the suture through an aperture of the swivel implant, the swivel implant being releasably attached at a distal end of the driver.
6. The method of claim 5 , further comprising the step of pulling on one end of the suture to draw the suture through the aperture of the swivel implant such that the tissue to be fixated attached to the suture is drawn toward the swivel implant inserted into the bone.
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US13/403,366 US20120150225A1 (en) | 2006-05-18 | 2012-02-23 | Fenestrated swivel anchor for knotless fixation of tissue |
US14/707,861 US10881388B2 (en) | 2005-03-30 | 2015-05-08 | Swivel anchor for knotless fixation of tissue |
US15/976,157 US11571200B2 (en) | 2005-03-30 | 2018-05-10 | Method for knotless fixation of tissue |
US17/975,308 US11801043B2 (en) | 2005-03-30 | 2022-10-27 | Suture anchor for knotless fixation of tissue |
US17/975,321 US11844512B2 (en) | 2005-03-30 | 2022-10-27 | Suture anchor for knotless fixation of tissue |
US18/511,410 US20240081805A1 (en) | 2005-03-30 | 2023-11-16 | Suture anchor for knotless fixation of tissue |
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US11/802,057 US9005246B2 (en) | 2006-05-18 | 2007-05-18 | Swivel anchor and method for knotless fixation of tissue |
US12/043,008 US20080208253A1 (en) | 2006-05-18 | 2008-03-05 | Self-punching swivel anchor and method for knotless fixation of tissue |
US12/368,946 US20090192546A1 (en) | 2005-03-30 | 2009-02-10 | Fenestrated suture anchor and method for knotless fixation of tissue |
US12/418,391 US20090187216A1 (en) | 2006-05-18 | 2009-04-03 | Fenestrated swivel anchor for knotless fixation of tissue |
US13/403,366 US20120150225A1 (en) | 2006-05-18 | 2012-02-23 | Fenestrated swivel anchor for knotless fixation of tissue |
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Cited By (37)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070118136A1 (en) * | 2002-12-03 | 2007-05-24 | Arthrosurface, Inc. | Tibial resurfacing system |
US20100185294A1 (en) * | 2002-06-04 | 2010-07-22 | Arthrosurface Incorporated | Nanorough Alloy Substrate |
US20100204701A1 (en) * | 2000-05-01 | 2010-08-12 | Arthrosurface Incorporated | System and Method for Joint Resurface Repair |
US20110238074A1 (en) * | 2002-12-03 | 2011-09-29 | Arthrosurface Inc. | System and Method for Retrograde Procedure |
US20120150226A1 (en) * | 2006-05-18 | 2012-06-14 | Burkhart Stephen S | Self-punching swivel anchor and method for knotless fixation of tissue |
US8361159B2 (en) | 2002-12-03 | 2013-01-29 | Arthrosurface, Inc. | System for articular surface replacement |
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US8864827B2 (en) | 2000-05-01 | 2014-10-21 | Arthrosurface Inc. | System and method for joint resurface repair |
US8961614B2 (en) | 2004-11-22 | 2015-02-24 | Arthrosurface, Inc. | Articular surface implant and delivery system |
US9055955B2 (en) | 2000-05-01 | 2015-06-16 | Arthrosurface Inc. | Bone resurfacing system and method |
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US9861492B2 (en) | 2014-03-07 | 2018-01-09 | Arthrosurface Incorporated | Anchor for an implant assembly |
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US10292696B2 (en) | 2012-08-03 | 2019-05-21 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
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US11504140B2 (en) | 2015-07-17 | 2022-11-22 | Crossroads Extremity Systems, Llc | Transosseous guide and method |
US11607319B2 (en) | 2014-03-07 | 2023-03-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US11712276B2 (en) | 2011-12-22 | 2023-08-01 | Arthrosurface Incorporated | System and method for bone fixation |
Families Citing this family (62)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9521999B2 (en) | 2005-09-13 | 2016-12-20 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
US8343186B2 (en) | 2004-04-06 | 2013-01-01 | Arthrex, Inc. | Fully threaded suture anchor with transverse anchor pin |
US8821541B2 (en) | 1999-02-02 | 2014-09-02 | Arthrex, Inc. | Suture anchor with insert-molded rigid member |
US7993369B2 (en) | 2000-06-22 | 2011-08-09 | Arthrex, Inc. | Graft fixation using a plug against suture |
US20090192546A1 (en) * | 2005-03-30 | 2009-07-30 | Reinhold Schmieding | Fenestrated suture anchor and method for knotless fixation of tissue |
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US20090281581A1 (en) | 2008-05-06 | 2009-11-12 | Berg Jeffery H | Method and device for securing sutures to bones |
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US8715342B2 (en) | 2009-05-07 | 2014-05-06 | Valtech Cardio, Ltd. | Annuloplasty ring with intra-ring anchoring |
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US8545553B2 (en) | 2009-05-04 | 2013-10-01 | Valtech Cardio, Ltd. | Over-wire rotation tool |
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US8845725B2 (en) * | 2009-04-17 | 2014-09-30 | Lumaca Orthopaedics Pty Ltd | Tenodesis system |
US9826970B2 (en) | 2009-10-13 | 2017-11-28 | Conmed Corporation | System and method for securing tissue to bone |
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US9775702B2 (en) | 2010-03-10 | 2017-10-03 | Smith & Nephew, Inc. | Composite interference screws and drivers |
US9308080B2 (en) | 2010-03-10 | 2016-04-12 | Smith & Nephew Inc. | Composite interference screws and drivers |
US9579188B2 (en) * | 2010-03-10 | 2017-02-28 | Smith & Nephew, Inc. | Anchor having a controlled driver orientation |
US8469998B2 (en) | 2010-08-30 | 2013-06-25 | Depuy Mitek, Llc | Knotless suture anchor |
US8435264B2 (en) | 2010-08-30 | 2013-05-07 | Depuy Mitek, Llc | Knotless suture anchor and driver |
US8679159B2 (en) | 2010-08-30 | 2014-03-25 | Depuy Mitek, Llc | Anchor driver with suture clutch |
US8460340B2 (en) | 2010-08-30 | 2013-06-11 | Depuy Mitek, Llc | Knotless suture anchor |
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PL2618747T3 (en) | 2010-09-24 | 2015-03-31 | Sportwelding Gmbh | Device for fixating a suture anchor in hard tissue |
RU2741462C2 (en) | 2010-09-24 | 2021-01-26 | СпортУэлдинг ГмбХ | Suture anchor, a method and a kit for securing the suture material with respect to the hard tissue |
US9044313B2 (en) | 2010-10-08 | 2015-06-02 | Kfx Medical Corporation | System and method for securing tissue to bone |
KR20190079691A (en) | 2011-01-28 | 2019-07-05 | 스포트벨딩 게엠베하 | Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue |
CA2821362C (en) * | 2011-01-28 | 2020-06-23 | Sportwelding Gmbh | Method and device for fixating a suture anchor with a suture in hard tissue |
CN106806004B (en) | 2011-01-28 | 2019-08-23 | 斯博特威尔丁股份有限公司 | For that will have the suture anchor of suture or there is an anchor to be fixed to the device and method in sclerous tissues |
US11116498B2 (en) | 2011-02-02 | 2021-09-14 | Syntorr Inc. | Variable denier yarn and suture |
MX344606B (en) | 2011-03-11 | 2016-12-20 | Smith & Nephew Inc | Trephine. |
ES2688248T3 (en) | 2011-04-13 | 2018-10-31 | Conmed Corporation | System to secure a tissue to a bone |
US10973622B2 (en) * | 2011-04-25 | 2021-04-13 | Arthrex, Inc. | Internal brace for tissue repairs and reinforcements |
US9421008B2 (en) * | 2011-09-23 | 2016-08-23 | Arthrex, Inc. | Soft suture-based anchors |
AU2012318571B2 (en) | 2011-10-04 | 2017-03-09 | Conmed Corporation | Dual expansion anchor |
US9724192B2 (en) | 2011-11-08 | 2017-08-08 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
US20130123809A1 (en) | 2011-11-11 | 2013-05-16 | VentureMD Innovations, LLC | Transosseous attachment instruments |
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 |
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 |
US9138220B2 (en) | 2011-12-19 | 2015-09-22 | Medos International Sarl | Knotless suture anchor |
US20140039551A1 (en) * | 2012-08-03 | 2014-02-06 | Joseph P. Donahue | Suture Anchor Device and Methods of Use |
US8986327B2 (en) * | 2012-10-18 | 2015-03-24 | Smith & Nephew, Inc. | Flexible anchor delivery system |
US20140112969A1 (en) * | 2012-10-23 | 2014-04-24 | Spinesmith Partners, L.P. | Dynamic loading of a therapeutic fluid |
US9949828B2 (en) | 2012-10-23 | 2018-04-24 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
US9687221B2 (en) | 2013-02-13 | 2017-06-27 | Venture MD Innovations, LLC | Method of anchoring a suture |
US20140243891A1 (en) * | 2013-02-25 | 2014-08-28 | Arthrex, Inc. | Tissue protector suture constructs |
ES2959496T3 (en) | 2013-03-14 | 2024-02-26 | Conmed Corp | Tissue Capture Bone Anchor |
ES2880426T3 (en) | 2013-03-15 | 2021-11-24 | Conmed Corp | Tissue-to-bone fixation system. |
US9526488B2 (en) | 2013-03-15 | 2016-12-27 | Smith & Nephew, Inc. | Fenestrated locking suture anchor assembly |
US9155531B2 (en) | 2013-03-15 | 2015-10-13 | Smith & Nephew, Inc. | Miniaturized dual drive open architecture suture anchor |
CN105263440A (en) | 2013-04-09 | 2016-01-20 | 史密夫和内修有限公司 | Open-architecture interference screw |
US10279146B2 (en) * | 2015-06-02 | 2019-05-07 | Eca Medical Instruments | Cannulated disposable torque limiting device with plastic shaft |
KR101738116B1 (en) | 2016-04-07 | 2017-05-29 | 주식회사 티제이씨라이프 | Suture Anchor and Suture Anchor Kit Having the Same |
WO2017192214A1 (en) * | 2016-05-03 | 2017-11-09 | Smith & Nephew, Inc. | Expanding knotless suture anchor |
US20200368027A1 (en) | 2018-01-02 | 2020-11-26 | Cartiheal (2009) Ltd. | Implantation Tool and Protocol for Optimized Solid Substrates Promoting Cell and Tissue Growth |
US10820915B2 (en) | 2018-03-06 | 2020-11-03 | Medos International Sarl | Methods, systems, and devices for instability repair |
USD921479S1 (en) | 2018-11-27 | 2021-06-08 | International Life Sciences LLC | Eyelet interference screw |
WO2023059692A1 (en) * | 2021-10-05 | 2023-04-13 | Greiwe Raymond Michael | Suture assembly |
US20240057990A1 (en) | 2022-08-22 | 2024-02-22 | Anika Therapeutics, Inc. | Suture anchor |
Citations (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6045574A (en) * | 1999-04-01 | 2000-04-04 | Thal; Raymond | Sleeve and loop knotless suture anchor assembly |
US6517542B1 (en) * | 1999-08-04 | 2003-02-11 | The Cleveland Clinic Foundation | Bone anchoring system |
US20060079904A1 (en) * | 2004-10-13 | 2006-04-13 | Raymond Thal | Multirow knotless suture anchor assembly |
US20070135843A1 (en) * | 2005-03-30 | 2007-06-14 | Arthrex, Inc. | Knotless fixation of tissue to bone with suture chain |
US20070225719A1 (en) * | 2006-03-21 | 2007-09-27 | Stone Kevin T | Method and apparatuses for securing suture |
US20080215091A1 (en) * | 2000-06-22 | 2008-09-04 | Dreyfuss Peter J | Graft fixation using a plug against suture |
US20080275431A1 (en) * | 2007-05-03 | 2008-11-06 | Biomet Sports Medicine, Inc. | Anchor Assembly and Method of Use |
US20090192546A1 (en) * | 2005-03-30 | 2009-07-30 | Reinhold Schmieding | Fenestrated suture anchor and method for knotless fixation of tissue |
US20100331896A1 (en) * | 2007-12-21 | 2010-12-30 | Le Couedic Regis | Device for Anchoring a Tissue in a Bone |
US8012174B2 (en) * | 2006-02-01 | 2011-09-06 | Arthrex, Inc. | Method for double row fixation of tendon to bone |
US20120022588A1 (en) * | 2008-05-06 | 2012-01-26 | Berg Jeffrey H | Method for securing sutures to bones |
US20130035721A1 (en) * | 2011-08-04 | 2013-02-07 | John Eric Brunelle | Surgical anchor |
Family Cites Families (68)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CH648197A5 (en) * | 1980-05-28 | 1985-03-15 | Synthes Ag | IMPLANT AND SCREW FASTENING ON ITS BONE. |
DE3445738A1 (en) * | 1984-12-14 | 1986-06-19 | Draenert Klaus | IMPLANT FOR BONE REINFORCEMENT AND ANCHORING OF BONE SCREWS, IMPLANTS OR IMPLANT PARTS |
CH672058A5 (en) * | 1986-08-05 | 1989-10-31 | Synthes Ag | |
US4870957A (en) * | 1988-12-27 | 1989-10-03 | Marlowe Goble E | Ligament anchor system |
US5236445A (en) * | 1990-07-02 | 1993-08-17 | American Cyanamid Company | Expandable bone anchor and method of anchoring a suture to a bone |
US5258016A (en) * | 1990-07-13 | 1993-11-02 | American Cyanamid Company | Suture anchor and driver assembly |
US5368595A (en) * | 1990-09-06 | 1994-11-29 | United States Surgical Corporation | Implant assist apparatus |
US5152790A (en) | 1991-03-21 | 1992-10-06 | American Cyanamid Company | Ligament reconstruction graft anchor apparatus |
US5249899A (en) * | 1992-10-28 | 1993-10-05 | Wilson Robert L | Head bolt and driver therefore |
US5423860A (en) | 1993-05-28 | 1995-06-13 | American Cyanamid Company | Protective carrier for suture anchor |
US5500000A (en) | 1993-07-01 | 1996-03-19 | United States Surgical Corporation | Soft tissue repair system and method |
US5540718A (en) * | 1993-09-20 | 1996-07-30 | Bartlett; Edwin C. | Apparatus and method for anchoring sutures |
US5545180A (en) | 1993-12-13 | 1996-08-13 | Ethicon, Inc. | Umbrella-shaped suture anchor device with actuating ring member |
US5860973A (en) * | 1995-02-27 | 1999-01-19 | Michelson; Gary Karlin | Translateral spinal implant |
US5643320A (en) * | 1995-03-13 | 1997-07-01 | Depuy Inc. | Soft tissue anchor and method |
US5868749A (en) * | 1996-04-05 | 1999-02-09 | Reed; Thomas M. | Fixation devices |
US6044360A (en) | 1996-04-16 | 2000-03-28 | Picciallo; Michael J. | Third party credit card |
US7611521B2 (en) * | 1996-09-13 | 2009-11-03 | Tendon Technology, Ltd. | Apparatus and methods for tendon or ligament repair |
US5948000A (en) * | 1996-10-03 | 1999-09-07 | United States Surgical Corporation | System for suture anchor placement |
US7083647B1 (en) * | 1996-11-27 | 2006-08-01 | Sklar Joseph H | Fixation screw, graft ligament anchor assembly, and method for securing a graft ligament in a bone tunnel |
US5827285A (en) * | 1996-12-12 | 1998-10-27 | Bramlet; Dale G. | Multipiece interfragmentary fixation assembly |
US5702398A (en) * | 1997-02-21 | 1997-12-30 | Tarabishy; Sam | Tension screw |
US5935129A (en) * | 1997-03-07 | 1999-08-10 | Innovasive Devices, Inc. | Methods and apparatus for anchoring objects to bone |
US6368326B1 (en) * | 1998-09-28 | 2002-04-09 | Daos Limited | Internal cord fixation device |
US9521999B2 (en) * | 2005-09-13 | 2016-12-20 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
US6355043B1 (en) * | 1999-03-01 | 2002-03-12 | Sulzer Orthopedics Ltd. | Bone screw for anchoring a marrow nail |
US6143017A (en) * | 1999-03-17 | 2000-11-07 | Thal; Raymond | Free loop knotless suture anchor assembly |
US6214007B1 (en) | 1999-06-01 | 2001-04-10 | David G. Anderson | Surgical fastener for fixation of a soft tissue graft to a bone tunnel |
US6048343A (en) * | 1999-06-02 | 2000-04-11 | Mathis; John M. | Bone screw system |
US6527794B1 (en) | 1999-08-10 | 2003-03-04 | Ethicon, Inc. | Self-locking suture anchor |
DE19949285C2 (en) * | 1999-10-12 | 2002-08-14 | Impag Gmbh Medizintechnik | bone screw |
DE59900298D1 (en) * | 1999-10-21 | 2001-11-08 | Storz Karl Gmbh & Co Kg | Biodegradable fixation body |
EP1093774B1 (en) * | 1999-10-21 | 2002-06-19 | Karl Storz GmbH & Co. KG | Interference screw |
AUPQ366099A0 (en) | 1999-10-26 | 1999-11-18 | Queensland University Of Technology | Ortho paedic screw |
DE59901090D1 (en) * | 1999-12-23 | 2002-05-02 | Storz Karl Gmbh & Co Kg | Decentralized drive screw |
EP1292231B1 (en) * | 2000-06-22 | 2013-10-16 | Arthrex, Inc. | Graft fixation using a screw or plug against suture or tissue |
US7329272B2 (en) * | 2000-06-22 | 2008-02-12 | Arthrex, Inc. | Graft fixation using a plug against suture |
DE60138135D1 (en) | 2000-12-22 | 2009-05-07 | United States Surgical Corp | NÄHFADENSCHRAUBE |
US7144413B2 (en) | 2001-04-20 | 2006-12-05 | Synthes (U.S.A.) | Graft fixation system and method |
US6916321B2 (en) * | 2001-09-28 | 2005-07-12 | Ethicon, Inc. | Self-tapping resorbable two-piece bone screw |
US20030153947A1 (en) | 2002-02-14 | 2003-08-14 | Tomoaki Koseki | Sternum suture material and its manufacturing method |
US6939135B2 (en) * | 2002-06-03 | 2005-09-06 | Schubert L. Sapian | Growth factor releasing biofunctional dental implant |
US20040093030A1 (en) | 2002-10-28 | 2004-05-13 | Cox James E. | Bone anchor and assembly |
US7517357B2 (en) * | 2003-01-09 | 2009-04-14 | Linvatec Biomaterials | Knotless suture anchor |
US7354442B2 (en) * | 2003-05-05 | 2008-04-08 | Warsaw Orthopedic, Inc. | Bone anchor and methods of using the same |
US7300439B2 (en) * | 2003-06-24 | 2007-11-27 | Depuy Mitek, Inc. | Porous resorbable graft fixation pin |
US7645293B2 (en) | 2004-04-21 | 2010-01-12 | United States Surgical Corporation | Suture anchor installation system and method |
US7585311B2 (en) * | 2004-06-02 | 2009-09-08 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8114127B2 (en) | 2004-06-22 | 2012-02-14 | Hs West Investments, Llc | Bone anchors for use in attaching soft tissue to bone |
US8034090B2 (en) * | 2004-11-09 | 2011-10-11 | Biomet Sports Medicine, Llc | Tissue fixation device |
US7572283B1 (en) * | 2004-12-07 | 2009-08-11 | Biomet Sports Medicine, Llc | Soft tissue rivet and method of use |
US8986345B2 (en) | 2004-12-07 | 2015-03-24 | Biomet Sports Medicine, Llc | Expanding suture anchor having an actuator pin |
US7976565B1 (en) * | 2004-12-07 | 2011-07-12 | Biomet Sports Medicine, Llc | Expanding suture anchor having an actuator pin |
WO2006099109A2 (en) * | 2005-03-10 | 2006-09-21 | Tyco Healthcare Group Lp | Suture anchors |
DE602006019016D1 (en) * | 2005-03-30 | 2011-02-03 | Arthrex Inc | High-strength chain-like seam with loops for knotless attachment |
US20080208253A1 (en) * | 2006-05-18 | 2008-08-28 | Dreyfuss Peter J | Self-punching swivel anchor and method for knotless fixation of tissue |
US20080009904A1 (en) | 2006-03-17 | 2008-01-10 | Bourque Barnard J | Soft Tissue Fixation |
JP5389337B2 (en) * | 2006-05-18 | 2014-01-15 | オーソレクス,インコーポレイテッド | Swivel anchor for tissue nodule fixation |
WO2008021474A2 (en) * | 2006-08-16 | 2008-02-21 | Incumed, Incorporated | Composite interference screw for attaching a graft ligament to a bone, and other apparatus for making attachments to bone |
DE102006045007A1 (en) * | 2006-08-17 | 2008-02-21 | Daimler Ag | Tandem axle with two drivable axles and a partially disconnectable drive train |
US7794484B2 (en) | 2007-05-07 | 2010-09-14 | Biomet Sports Medicine, Llc | Fixation device for delivery of biological material between soft tissue and bone |
EP2323588A1 (en) * | 2008-05-14 | 2011-05-25 | Smith & Nephew, Inc. | Arthroscopic biceps tenodesis repair |
US20100249854A1 (en) * | 2009-03-31 | 2010-09-30 | Thomas Jonathan D | Multizone Implants |
US8845725B2 (en) * | 2009-04-17 | 2014-09-30 | Lumaca Orthopaedics Pty Ltd | Tenodesis system |
US9138220B2 (en) * | 2011-12-19 | 2015-09-22 | Medos International Sarl | Knotless suture anchor |
US9345471B2 (en) * | 2012-06-22 | 2016-05-24 | Arthrex, Inc. | Tensionable knotless labral anchor and methods of tissue repair |
US9936940B2 (en) * | 2013-06-07 | 2018-04-10 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US10631845B2 (en) * | 2016-01-22 | 2020-04-28 | Arthrex, Inc. | Tensionable knotless anchors and methods of tissue repair |
-
2009
- 2009-04-03 US US12/418,391 patent/US20090187216A1/en not_active Abandoned
-
2010
- 2010-02-09 EP EP10250217A patent/EP2215975A1/en not_active Ceased
-
2012
- 2012-02-23 US US13/403,366 patent/US20120150225A1/en not_active Abandoned
-
2015
- 2015-05-08 US US14/707,861 patent/US10881388B2/en active Active
-
2018
- 2018-05-10 US US15/976,157 patent/US11571200B2/en active Active
Patent Citations (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6045574A (en) * | 1999-04-01 | 2000-04-04 | Thal; Raymond | Sleeve and loop knotless suture anchor assembly |
US6517542B1 (en) * | 1999-08-04 | 2003-02-11 | The Cleveland Clinic Foundation | Bone anchoring system |
US20080215091A1 (en) * | 2000-06-22 | 2008-09-04 | Dreyfuss Peter J | Graft fixation using a plug against suture |
US20060079904A1 (en) * | 2004-10-13 | 2006-04-13 | Raymond Thal | Multirow knotless suture anchor assembly |
US7981140B2 (en) * | 2005-03-30 | 2011-07-19 | Arthrex, Inc. | Knotless fixation of tissue to bone with suture chain |
US20090192546A1 (en) * | 2005-03-30 | 2009-07-30 | Reinhold Schmieding | Fenestrated suture anchor and method for knotless fixation of tissue |
US20070135843A1 (en) * | 2005-03-30 | 2007-06-14 | Arthrex, Inc. | Knotless fixation of tissue to bone with suture chain |
US8012174B2 (en) * | 2006-02-01 | 2011-09-06 | Arthrex, Inc. | Method for double row fixation of tendon to bone |
US20110313455A1 (en) * | 2006-02-01 | 2011-12-22 | Elattrache Neal S | Method for double row fixation of tendon to bone |
US20070225719A1 (en) * | 2006-03-21 | 2007-09-27 | Stone Kevin T | Method and apparatuses for securing suture |
US20080275431A1 (en) * | 2007-05-03 | 2008-11-06 | Biomet Sports Medicine, Inc. | Anchor Assembly and Method of Use |
US20100331896A1 (en) * | 2007-12-21 | 2010-12-30 | Le Couedic Regis | Device for Anchoring a Tissue in a Bone |
US20120022588A1 (en) * | 2008-05-06 | 2012-01-26 | Berg Jeffrey H | Method for securing sutures to bones |
US20130035721A1 (en) * | 2011-08-04 | 2013-02-07 | John Eric Brunelle | Surgical anchor |
Cited By (73)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8540717B2 (en) | 2000-05-01 | 2013-09-24 | Arthrosurface Incorporated | System and method for joint resurface repair |
US20100204701A1 (en) * | 2000-05-01 | 2010-08-12 | Arthrosurface Incorporated | System and Method for Joint Resurface Repair |
US9357989B2 (en) | 2000-05-01 | 2016-06-07 | Arthrosurface Incorporated | System and method for joint resurface repair |
US9204873B2 (en) | 2000-05-01 | 2015-12-08 | Arthrosurface Incorporated | System and method for joint resurface repair |
US9055955B2 (en) | 2000-05-01 | 2015-06-16 | Arthrosurface Inc. | Bone resurfacing system and method |
US8864827B2 (en) | 2000-05-01 | 2014-10-21 | Arthrosurface Inc. | System and method for joint resurface repair |
US20100185294A1 (en) * | 2002-06-04 | 2010-07-22 | Arthrosurface Incorporated | Nanorough Alloy Substrate |
US8523872B2 (en) | 2002-12-03 | 2013-09-03 | Arthrosurface Incorporated | Tibial resurfacing system |
US8361159B2 (en) | 2002-12-03 | 2013-01-29 | Arthrosurface, Inc. | System for articular surface replacement |
US8556902B2 (en) | 2002-12-03 | 2013-10-15 | Arthrosurface Incorporated | System and method for retrograde procedure |
US10076343B2 (en) | 2002-12-03 | 2018-09-18 | Arthrosurface Incorporated | System for articular surface replacement |
US8663230B2 (en) | 2002-12-03 | 2014-03-04 | Arthrosurface Incorporated | Retrograde delivery of resurfacing devices |
US20110238074A1 (en) * | 2002-12-03 | 2011-09-29 | Arthrosurface Inc. | System and Method for Retrograde Procedure |
US8926615B2 (en) | 2002-12-03 | 2015-01-06 | Arthrosurface, Inc. | System and method for retrograde procedure |
US20070118136A1 (en) * | 2002-12-03 | 2007-05-24 | Arthrosurface, Inc. | Tibial resurfacing system |
US9044343B2 (en) | 2002-12-03 | 2015-06-02 | Arthrosurface Incorporated | System for articular surface replacement |
US10624749B2 (en) | 2003-02-24 | 2020-04-21 | Arthrosurface Incorporated | Trochlear resurfacing system and method |
US9931211B2 (en) | 2003-02-24 | 2018-04-03 | Arthrosurface Incorporated | Trochlear resurfacing system and method |
US11337819B2 (en) | 2003-02-24 | 2022-05-24 | Arthrosurface Incorporated | Trochlear resurfacing system and method |
US9351745B2 (en) | 2003-02-24 | 2016-05-31 | Arthrosurface Incorporated | Trochlear resurfacing system and method |
US8388624B2 (en) | 2003-02-24 | 2013-03-05 | Arthrosurface Incorporated | Trochlear resurfacing system and method |
US8961614B2 (en) | 2004-11-22 | 2015-02-24 | Arthrosurface, Inc. | Articular surface implant and delivery system |
US20120150226A1 (en) * | 2006-05-18 | 2012-06-14 | Burkhart Stephen S | Self-punching swivel anchor and method for knotless fixation of tissue |
US8663279B2 (en) * | 2006-05-18 | 2014-03-04 | Arthrex, Inc. | Swivel anchor for knotless fixation of tissue |
US11471289B2 (en) | 2006-07-17 | 2022-10-18 | Arthrosurface Incorporated | Tibial resurfacing system and method |
US10624752B2 (en) | 2006-07-17 | 2020-04-21 | Arthrosurface Incorporated | Tibial resurfacing system and method |
US10959740B2 (en) | 2006-12-11 | 2021-03-30 | Arthrosurface Incorporated | Retrograde resection apparatus and method |
US9358029B2 (en) | 2006-12-11 | 2016-06-07 | Arthrosurface Incorporated | Retrograde resection apparatus and method |
US10045788B2 (en) | 2006-12-11 | 2018-08-14 | Arthrosurface Incorporated | Retrograde resection apparatus and method |
US10945743B2 (en) | 2009-04-17 | 2021-03-16 | Arthrosurface Incorporated | Glenoid repair system and methods of use thereof |
US9283076B2 (en) | 2009-04-17 | 2016-03-15 | Arthrosurface Incorporated | Glenoid resurfacing system and method |
US11478259B2 (en) | 2009-04-17 | 2022-10-25 | Arthrosurface, Incorporated | Glenoid resurfacing system and method |
US10478200B2 (en) | 2009-04-17 | 2019-11-19 | Arthrosurface Incorporated | Glenoid resurfacing system and method |
US9662126B2 (en) | 2009-04-17 | 2017-05-30 | Arthrosurface Incorporated | Glenoid resurfacing system and method |
US9066716B2 (en) | 2011-03-30 | 2015-06-30 | Arthrosurface Incorporated | Suture coil and suture sheath for tissue repair |
US11712276B2 (en) | 2011-12-22 | 2023-08-01 | Arthrosurface Incorporated | System and method for bone fixation |
US10307172B2 (en) | 2012-07-03 | 2019-06-04 | Arthrosurface Incorporated | System and method for joint resurfacing and repair |
US11191552B2 (en) | 2012-07-03 | 2021-12-07 | Arthrosurface, Incorporated | System and method for joint resurfacing and repair |
US9468448B2 (en) | 2012-07-03 | 2016-10-18 | Arthrosurface Incorporated | System and method for joint resurfacing and repair |
US10292696B2 (en) | 2012-08-03 | 2019-05-21 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
US10595853B2 (en) | 2012-08-03 | 2020-03-24 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
US11504111B2 (en) | 2012-08-03 | 2022-11-22 | Stabilynx, Inc. | Devices, systems, and methods for attaching soft tissue to bone tissue |
US11648036B2 (en) | 2013-04-16 | 2023-05-16 | Arthrosurface Incorporated | Suture system and method |
US10695096B2 (en) | 2013-04-16 | 2020-06-30 | Arthrosurface Incorporated | Suture system and method |
US9492200B2 (en) | 2013-04-16 | 2016-11-15 | Arthrosurface Incorporated | Suture system and method |
US10575957B2 (en) | 2014-03-07 | 2020-03-03 | Arthrosurface Incoporated | Anchor for an implant assembly |
US9861492B2 (en) | 2014-03-07 | 2018-01-09 | Arthrosurface Incorporated | Anchor for an implant assembly |
US9962265B2 (en) | 2014-03-07 | 2018-05-08 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US10624754B2 (en) | 2014-03-07 | 2020-04-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US10624748B2 (en) | 2014-03-07 | 2020-04-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US9931219B2 (en) | 2014-03-07 | 2018-04-03 | Arthrosurface Incorporated | Implant and anchor assembly |
US11766334B2 (en) | 2014-03-07 | 2023-09-26 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US11607319B2 (en) | 2014-03-07 | 2023-03-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US11083587B2 (en) | 2014-03-07 | 2021-08-10 | Arthrosurface Incorporated | Implant and anchor assembly |
US10154868B2 (en) | 2015-07-17 | 2018-12-18 | Kator, Llc | Transosseous method |
US11504140B2 (en) | 2015-07-17 | 2022-11-22 | Crossroads Extremity Systems, Llc | Transosseous guide and method |
US10258401B2 (en) | 2015-07-17 | 2019-04-16 | Kator, Llc | Transosseous guide |
US9962174B2 (en) | 2015-07-17 | 2018-05-08 | Kator, Llc | Transosseous method |
US10143462B2 (en) | 2015-08-04 | 2018-12-04 | Kator, Llc | Transosseous suture anchor method |
US10226243B2 (en) | 2015-08-04 | 2019-03-12 | Kator, Llc | Transosseous suture anchor |
US10639085B2 (en) | 2016-05-06 | 2020-05-05 | Medos International Sarl | Methods, devices, and systems for blood flow |
JP7074429B2 (en) | 2016-05-06 | 2022-05-24 | メドス・インターナショナル・エスエイアールエル | Methods, devices, and systems for blood flow |
US11026729B2 (en) | 2016-05-06 | 2021-06-08 | Medos International Sarl | Methods, devices, and systems for blood flow |
JP2017205500A (en) * | 2016-05-06 | 2017-11-24 | メドス・インターナショナル・エスエイアールエルMedos International SARL | Methods, devices, and systems for blood flow |
US9861410B2 (en) | 2016-05-06 | 2018-01-09 | Medos International Sarl | Methods, devices, and systems for blood flow |
US11446020B2 (en) | 2017-03-13 | 2022-09-20 | Medos International Sarl | Methods and devices for knotless suture anchoring |
US10463357B2 (en) | 2017-03-13 | 2019-11-05 | Medos International Sarl | Methods and devices for knotless suture anchoring |
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US11497483B2 (en) | 2017-07-27 | 2022-11-15 | Medos International Sarl | Knotless suture anchoring using two awl shafts |
US10639026B2 (en) | 2017-07-27 | 2020-05-05 | Medos International Sarl | Knotless suture anchoring using two awl shafts |
US11160663B2 (en) | 2017-08-04 | 2021-11-02 | Arthrosurface Incorporated | Multicomponent articular surface implant |
US11478358B2 (en) | 2019-03-12 | 2022-10-25 | Arthrosurface Incorporated | Humeral and glenoid articular surface implant systems and methods |
Also Published As
Publication number | Publication date |
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US11571200B2 (en) | 2023-02-07 |
US20150313586A1 (en) | 2015-11-05 |
US10881388B2 (en) | 2021-01-05 |
US20180256155A1 (en) | 2018-09-13 |
EP2215975A1 (en) | 2010-08-11 |
US20090187216A1 (en) | 2009-07-23 |
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