Búsqueda Imágenes Maps Play YouTube Noticias Gmail Drive Más »
Iniciar sesión
Usuarios de lectores de pantalla: deben hacer clic en este enlace para utilizar el modo de accesibilidad. Este modo tiene las mismas funciones esenciales pero funciona mejor con el lector.

Patentes

  1. Búsqueda avanzada de patentes
Número de publicaciónUSRE37963 E1
Tipo de publicaciónConcesión
Número de solicitudUS 09/374,599
Fecha de publicación7 Ene 2003
Fecha de presentación16 Ago 1999
Fecha de prioridad6 Jun 1995
TarifaPagadas
También publicado comoCA2219089A1, CA2219089C, DE69637373D1, EP0910287A1, EP0910287A4, EP0910287B1, WO1996039082A1
Número de publicación09374599, 374599, US RE37963 E1, US RE37963E1, US-E1-RE37963, USRE37963 E1, USRE37963E1
InventoresRaymond Thal
Cesionario originalRaymond Thal
Exportar citaBiBTeX, EndNote, RefMan
Enlaces externos: USPTO, Cesión de USPTO, Espacenet
Knotless suture anchor assembly
US RE37963 E1
Resumen
A one-piece or two-piece knotless suture anchor assembly for the attachment or reattachment or repair of tissue to a bone mass. The assembly allows for an endoscopic or open surgical procedure to take place without the requirement of tying a knot for reattachment of tissue to bone mass. In one embodiment, a spike member is inserted through tissue and then inserted into a dowel-like hollow anchoring sleeve which has been inserted into a bone mass. The spike member is securely fastened or attached to the anchoring sleeve with a ratcheting mechanism thereby pulling or adhering (attaching) the tissue to the bone mass.
Imágenes(7)
Previous page
Next page
Reclamaciones(20)
What is claimed is:
1. A knotless suture anchor assembly for attachment of tissue to bone, said assembly comprising:
a) a spike member having a first end and a second end;
b) at least one suture element having a first end and a second end wherein said first end of said at least one suture element is connected to said second end of said spike member;
c) a stop means connected to said second end of said suture element; and
d) a hollow anchoring sleeve for installation and attachment to a bone mass for receiving and having a length sufficient to completely encircle said first end and said second end of said spike member.
2. A knotless suture anchor assembly as claimed in claim 1, wherein said spike member has an exterior surface which is smooth, ribbed, threaded, or expandable for secure engagement of said spike member with said hollow anchoring sleeve.
3. A knotless suture anchor assembly as claimed in claim 1, wherein said hollow anchoring sleeve has an exterior surface which is ribbed, threaded, for secure engagement of said sleeve with said bone mass.
4. A knotless suture anchor assembly as claimed in claim 1, wherein said hollow anchoring sleeve has an interior surface which is ribbed, threaded, or smooth for secure engagement of said spike member.
5. A knotless suture anchor assembly as claimed in claim 1, wherein said stop means is disc-shaped, rod-shaped, ring-shaped, x-shaped, or horseshoe-shaped.
6. A knotless suture anchor assembly as claimed in claim 1, wherein said hollow anchoring sleeve has a first end and a second end and a collar attached to said first end for secure engagement of said hollow anchoring sleeve with said bone mass.
7. A method for the attachment of tissue to a bone mass utilizing said assembly as claimed in claim 1, comprising the steps of:
a) installing said hollow anchoring sleeve in said bone mass; and
b) inserting said spike member through said tissue and then into said hollow anchoring sleeve.
8. A method for the attachment of tissue to bone utilizing the method as claimed in claim 7, further comprising the step of:
c) ratcheting down said spike member into said hollow anchoring sleeve to a desired depth for secure attachment of said tissue to said bone mass.
9. A method for the attachment of tissue to a bone mass utilizing said assembly as claimed in claim 1, comprising the steps of:
a) installing said hollow anchoring sleeve in said bone mass;
b) inserting said stop means through an underside of said tissue mass; and
c) inserting said spike member into said hollow anchoring sleeve.
10. A method for the attachment of tissue to bone utilizing the method as claimed in claim 9, further comprising the step of:
d) ratcheting down said spike member into said hollow anchoring sleeve to a desired depth for secure attachment of said tissue to said bone mass.
11. A method for the attachment of tissue to a bone mass utilizing said assembly as claimed in claim 1, comprising the steps:
a) inserting said stop means through an underside of said tissue mass; and
b) inserting said spike member through said tissue and then into said hollow anchoring sleeve and then inserting the sleeve with the anchor therein into said bone mass.
12. A knotless suture anchor assembly for attachment of tissue to bone, said assembly comprising:
a) a spike member having a first end and a second end;
b) at least one suture element having a first end and a second end wherein said first end of said suture element is connected to said second end of said spike member;
c) a stop mean having a surface for securing said tissue and being permanently attached to said second end of said suture element; and
d) an anchor means connected to said first end of said spike member for installation and attachment of said spike member to said bone mass.
13. A knotless suture anchor assembly as claimed in claim 12, wherein said stop means is disc-shaped, rod-shaped, ring-shaped, X-shaped, or horseshoe-shaped.
14. A method for the attachment of tissue to a bone mass utilizing said assembly as claimed in claim 12, comprising the steps of:
a) inserting said spike member through said tissue and then into said bone mass.
15. A knotless suture anchor assembly for attachment of tissue to bone, said assembly comprising:
a) a spike member for insertion into the bone having a first end and a second end;
b) at least one suture element having a first end, a second end, and a length connecting the ends, and
c) a stop means, wherein the at least one suture element has the first end and the second end of the at least one suture element permanently attached to the stop means and wherein the length of the at least one suture element is attached to the spike member.
16. The knotless suture anchor assembly, as claimed in claim 15, wherein the ends of the at least one suture element is attached to the stop means in a fixed manner.
17. The knotless suture anchor assembly, as claimed in claim 15, wherein the spike member is a screw, prong or wedge configuration.
18. The knotless suture anchor assembly, as claim in claim 15, wherein the stop means is disc-shaped, ring-shaped, X-shaped, rod-shaped or horseshoe-shaped.
19. The knotless suture anchor assembly, as claimed in claim 15, wherein the spike member is a screw and wherein the stop means is ring-shaped or disc-shaped, and wherein one suture element is used having a first and second end attached to the stop means in a fixed fashion and a length connecting the first and second end attached to the screw.
20. A method for the attachment of tissue to a bone mass utilizing the assembly as claimed in claim 15, comprising the steps of:
a) inserting the spike member through the tissue; and then inserting the spike member into the bone mass which draws the tissue toward the bone mass, to effectuate a repair.
Descripción

This application is a continuation in part of prior U.S. application Ser. No. 08/471,508, filed Jun. 6, 1995, now U.S. Pat. No. 5,569,306.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to devices or assemblies used in tissue repair. More particularly, the assembly enables the attachment together or repair of portions of biological tissue (i.e., tendons or ligaments) onto a bone surface.

2. Description of the Background Art

Soft tissues, such as tendons and ligaments, generally are attached to bone by small collagenous fibers. These connections are strong but permit the tendons and ligaments to be flexible. When a tissue is torn away from the bone and requires repair, a surgeon is often required to repair the detached soft tissue with sutures which are passed through bone tunnels and tied. A number of devices have been developed for securing a ligament or tendon to a bone mass. These devices can be used in place of bone tunnelling techniques. These attachment devices are usually inserted through extensive surgical incisions and, in some circumstances, by arthroscopic surgical techniques. The use of bone tunnels for repair can be difficult and generally require large open incisions. Recently, through the advent of endoscopic surgery, where the surgeon looks into a joint cavity with a telescope, there has been a trend to repair soft tissues back to bone through small incisions called portals. The unique knotless suture anchor assemblies described herein facilitate this difficult and precise procedure.

A variety of devices are available for attaching objects to bone, such as screws, staples, cement, suture anchors, and sutures alone. These devices have been used to attach soft tissue, such as ligaments, tendons, muscles, as well as objects such as prostheses, to bone. A suture anchor is a device which utilizes small anchors with suture materials attached thereto. A device, such as a screw, is inserted into the bone mass and anchored in place. After insertion of the anchor, the attached suture is passed through the tissue to be repaired. The tying of a knot in the suture is then required to secure the tissue to the bone. The process of passing the anchored suture through the soft tissue and tying a knot is time consuming and difficult to undertake in the tight space encountered during endoscopic surgery and sometimes even in conventional open surgery.

One example of a suture anchor assembly is disclosed in U.S. Pat. No. 5,370,662, wherein an anchor assembly includes a pre-threaded suture positioned at its posterior. First the anchor is inserted into the bone mass. The attached suture is then passed through the tissue for reattachment. The surgeon is required to tie a knot with the suture to complete the surgical process. Some suture anchors can be passed through the soft tissue first and then into the bone. Most suture anchors need to be inserted into the bone first. Only after this has been accomplished can the sutures be passed through the soft tissue. Alternatives to this procedure include non-suture soft tissue anchor systems. A few of these systems, such as those disclosed in U.S. Pat. Nos. 5,013,316 and 4,532,926, can be used arthroscopically but fixation with these devices may not be as secure as that achieved with sutures. Only a few points of fixation are possible with the non-suture type anchor since the device is relatively large. Therefore suture devices are more favorable. This type of non-suture staple device is disadvantageous in that it has been known to crack the bone during deployment, or accidentally transect the object being attached to the bone. In addition, the device itself has been known to crack or break during or after deployment.

U.S. Pat. Nos. 5,037,422; 5,224,946; and 5,236,445 all disclose bone anchor configurations for attaching sutures within openings formed in bones during joint reconstructive surgery and endoscopic surgical procedures. With all these intricate procedures, the suture itself must be inserted through a tissue mass and tied with a surgical knot to repair the soft tissue to bone.

A primary object of the present invention is to provide a suture anchor assembly which is easy to use and install.

Another object of the present invention is to provide a suture anchor assembly which allows for secure attachment of soft tissue to bone without the use or requirement of tying a knot.

Still another object of the present invention is to provide a suture anchor assembly which is compact and allows a surgeon to easily guide the tissue into a bone anchoring sleeve to enhance the security of the repair.

Still another object of the present invention is to provide an anchor assembly which allows for passage through soft tissue in a singular fashion without the need for additional instrumentation for passing the suture separately through the soft tissue to be repaired.

SUMMARY OF THE INVENTION

In accordance with the above objects, the present invention is a knotless suture anchor assembly for attachment or reattachment of biological soft tissue to bone. The unique knotless suture anchor assembly can be a one-piece device or include a hollow anchoring sleeve which is installed into a bone mass. The knotless suture anchor assembly or the anchoring sleeve can have a closed pointed drill end or be totally cylindrical in shape. The hollow one-piece assembly or anchoring sleeve can be ribbed or threaded on its exterior for secure attachment to the bone or embody varying types of conventional anchor configurations to facilitate a strong bond with the bone mass. A number of prior patents disclose configurations for the exterior of a bone anchor which are within the contemplation of the invention for use as the anchoring means for the exterior of the hollow anchoring sleeve.

Incorporated by reference are U.S. Pat. Nos. 4,007,743; 4,632,101; 4,721,103; 4,870,957; 4,898,156; 4,946,468; 5,084,050; 5,102,421; 5,141,520; 5,192,303; and 5,207,679, which all illustrate varying exterior structures which may embody the anchoring sleeve portion of the invention. These patents disclose various means and mechanisms for anchoring a device to a bone mass thus preventing pull-out of the sleeve after insertion into bone.

Further, the hollow anchoring sleeve can contain a collar on the rear portion or rear side of the hollow anchoring sleeve to control the depth of sleeve insertion into the bone and prevent excessive insertion depth.

A key component of the knotless one-piece or two-piece suture anchor assembly is the spike or plug member which has on its first end a configuration which allows for easy puncturing of a soft tissue and on its second or other end a means for attachment of a suture material. The first end can be pointed or frustoconical in shape. The spike or plug can be ribbed, beaded, threaded or expandable on its exterior surface for secure mating with the interior wall section of the hollow anchoring sleeve or the bone directly. The suture material which is attached to the rear end of the spike or plug member has attached thereto a stop means for grabbing the tissue to be reattached to the bone mass. The stop means is produced or made from various materials and is attached to the spike or plug by a selected length of suture.

The spike or plug member, suture and stop means can be all produced of the same material (i.e., molded). This would obviate need for the second end of the spike or plug member to have means for attachment of the suture thereto.

In the two-piece configuration, the spike or plug member is inserted during an open or endoscopic procedure, or the like, through the soft tissue and its piercing or pointed end is then inserted into the anchoring sleeve to facilitate a secure mating. Once the spike or plug member is threaded through the tissue and is inserted into the hollow anchoring sleeve, it is then securely attached through pressure by the surgeon into the sleeve. This attachment of the spike member to the hollow anchoring sleeve can be accomplished in one step or in a number of depth control steps (i.e., ratchets) to fine tune the tightness of the repair. This ratchet effect can be accomplished by a series of beads, ribs, thickening or the like on the exterior of the spike component. These would mate with the interior of the anchor sleeve. This allows for the tissue to be tightly attached to the bone mass. The unique device obviates the need for the surgeon to tie a knot with the suture material for reattachment of tissue to bone. Endoscopic procedures and some open surgical procedures are extremely difficult and must be completed in a very tight space. Obviation of the need of tying a knot is extremely beneficial and innovative.

In addition, it is within the contemplation of this invention to produce a one-piece knotless suture anchor assembly that includes a spike or plug member which can act as the bone anchor and spike without the necessity of a hollow anchoring sleeve. The spike or plug member, suture and stop means are identical to that described above with the added feature of the spike or plug member having a bone anchoring means on its exterior surface.

The one-piece embodiment can be installed as described above. That is the spike or plug can be inserted through the soft tissue and then into the bone with the stop means grabbing the tissue and attaching or reattaching same to the bone mass. In the alternative, the stop means of the one-piece device can be inserted from the underside of the tissue mass through the mass, thereby obviating the need for the spike or plug with anchoring means from passing through the tissue. The spike or plug with anchor is then pressed into the bone mass pulling the tissue into attachment or reattachment to the bone mass.

As previously described, the suture and stop means can vary in shape and be produced of the same or different materials.

Numerous other features of various embodiments of the knotless suture anchor assembly will be apparent from the following detailed description and the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1a, 1b, 1c and 1d are perspective views of a hollow anchoring sleeve made in accordance with the present invention;

FIGS. 2a and 2b are perspective views of a spike member with suture element and stop means made in accordance with the present invention;

FIGS. 3a and 3b are perspective views of an alternate embodiment of a spike member with suture element of the present invention;

FIGS. 4a and 4b are perspective views of an alternate embodiment of a spike member with suture element of the present invention;

FIGS. 5a and 5b are perspective views of an alternate embodiment of a spike member with suture element of the present invention;

FIGS. 6a and 6b are perspective views of an alternate embodiment of a spike member with suture element of the present invention;

FIG. 7 illustrates the procedure for attachment of tissue to bone mass for the embodiment as outlined in FIG. 2b;

FIG. 8 illustrates the procedure for attachment of tissue to bone mass for the embodiment as outlined in FIG. 2a;

FIG. 9 illustrates one procedure for attachment of tissue to bone mass for the embodiment as outlined in FIG. 3b.

FIG. 10 is a perspective view of a spike member with a smooth exterior;

FIG. 11 is a perspective view of a spike member with a ribbed exterior;

FIG. 12 is a perspective view of a spike member with a threaded exterior;

FIG. 13 is a perspective view of a spike member with an expandable exterior;

FIG. 14 is a perspective view of a hollow anchoring sleeve with a ribbed exterior;

FIG. 15 with a smooth exterior;

FIG. 16 with a threaded exterior;

FIG. 17 is a cross-sectional view of a hollow anchoring sleeve with a threaded interior;

FIG. 18 with a smooth interior; and

FIG. 19 with a ribbed interior.

DETAILED DESCRIPTION OF THE PRESENT INVENTION

Referring now to FIG. 1, the knotless two-piece suture anchor assembly of the present invention contains as one integral component a hollow anchoring sleeve for installation and attachment to a bone mass. The hollow anchoring sleeve 1, as shown in FIG. 1a, is cylindrical in shape and possesses ribs or threads on its exterior. The device can also contain or be configured with prongs, umbrella spokes, have threads, be expandable, or have wedges, on its exterior, for secure attachment with the bone mass. These exterior attachment features are known to the industry and incorporated herein by reference.

FIG. 1b illustrates an alternate embodiment of the hollow anchoring sleeve 2 having a collar 3 to control depth of bone penetration. The collar prevents the sleeve from being forced too deep into the bone mass when the spike or plug member is inserted.

FIG. 1c illustrates an alternate embodiment of the hollow anchoring sleeve 4 wherein the sleeve has a pointed closed end 5 for ease of penetration into a bone mass.

FIG. 1d illustrates a hollow anchoring sleeve 7 with a collar 6 and a closed pointed end 8 as an alternate construction.

As pointed out in the Summary of the Invention, the hollow anchoring sleeve may also be shaped or configured with any means to secure said structure to a bone mass. The hollow anchoring sleeve may include a threaded exterior as disclosed in U.S. Pat. No. 5,370,662, incorporated herein by reference. Further, the device may be expandable as disclosed in U.S. Pat. No. 5,084,050, incorporated herein by reference. A configuration such as disclosed in U.S. Pat. Nos. 5,037,422; 5,224,946; and 5,236,445 are also contemplated by the invention and these disclosures are incorporated by reference. Harpoon configurations such as disclosed in U.S. Pat. Nos. 5,141,520 and 5,102,421 are also contemplated for the hollow anchoring sleeve and incorporated herein by reference.

It is also within the contemplation of the present invention to configure the anchoring sleeve in a harpoon-type fashion such as disclosed by U.S. Pat. Nos. 4,632,101 and 4,721,103 for secure anchoring within the bone mass. U.S. Pat. Nos. 4,898,156; 5,207,679; 4,946,468; and 5,192,303 disclose anchoring mechanisms which can be utilized for the hollow sleeve member for installation within a bone mass. These patents are incorporated by reference and fall within the contemplation of the present invention for methods or means for anchoring the sleeve to the bone mass. It is also within the contemplation of the present invention to configure this dowel-like hollow sleeve in any fashion to securely attach same to a bone mass.

The interior surface of the hollow anchoring sleeve is ribbed, beaded, threaded, expandable or smooth for secure engagement with said exterior surface of said spike member.

FIG. 2, including 2a and 2b, shows a perspective view of the spike plug member with suture element and stop means, of the two-piece and one-piece embodiment, respectively, embodying the present invention. Spike or plug member 12 is preferably cylindrical in shape with a sharp first end 14 and a second end 16 wherein the suture element 18 is attached. The suture element 18 has at its distal end a disc-like stop means 22. The stop means 22 can be constructed of any material may be one molded component and attached to spike member 12 at end 16. Further, the suture element 18, alone, can be made from any type suture material which has been approved for surgical procedures or a molded material for attachment of tissue to bone. The spike or plug member can form any shape so long as it mates with the hollow cylindrical sleeve as described above. The exterior of the spike or plug member 12 may be ribbed or threaded 24 as depicted in FIG. 2 or may be beaded or expandable to allow for a secure tight fit with the inner hollow cylinder of the anchoring sleeve. Once inserted into a hollow anchoring sleeve, the exterior surface of the spike or plug member 12 engages the inner surface of the sleeve and can be ratcheted down to produce the desired tight fit. The interface of the spike and sleeve allows for movement of the spike in only one direction and resists pullout or movement out of the sleeve. This ratcheting effect allows for fine tuning and tightening of the soft tissue to the bone during repair. The length of the suture connection 18 is variable and may be adjusted prior to selection of a tool or during surgical procedure through any appropriate means. Likewise, the diameter of the disc-like stop means 22 is adjustable. FIG. 2b is identical to 2a but for anchoring means 6 attached to the spike or plug member 28. This one-piece embodiment allows for tissue reattachment without an anchoring sleeve. The spike or plug member anchors directly into the bone mass.

FIG. 3 illustrates an alternate embodiment of the spike member with suturing material and stop means. In FIG. 3a, the spike member 32 has attached at its rear a suture 34 and rod-like stop means 36. This is the embodiment of the one-piece anchor. FIG. 3b illustrates the spike or plug member of the two-piece embodiment when used in combination with an anchoring sleeve.

FIG. 4 illustrates an alternate embodiment of the spike member with suturing material and stop means. In FIG. 4a, the two-piece embodiment, Spike member 40 has attached thereto at least one suture means 42 connected to a stop means 44 configured in the shape of a ring or hoop. FIG. 4b illustrates the one-piece embodiment wherein anchoring means 46 is attached to the spike or plug member 48 for attachment to bone without an anchoring sleeve.

FIG. 5 contains alternate embodiments 5a and 5b. FIG. 5a, the two-piece embodiment, includes a spike means 50, a suture means 52 attached thereto, and an X-like stop means 54. FIG. 5b, the one-piece embodiment, illustrates an embodiment of the configuration wherein anchoring means 56 is attached to the spike or plug means 58 for attachment to bone when an anchoring sleeve is not utilized.

FIG. 6 contains FIGS. 6a and 6b which are alternate embodiments of the invention including a spike member 60, suturing means 62 attached thereto, and a stop means 64 configured in a horseshoe configuration. FIG. 6b illustrates an alternate embodiment of the horseshoe configuration wherein the spike or plug member 66 has anchoring means 68 attached thereon for direct attachment to bone without the utilization of an anchoring sleeve.

Referring now to FIG. 7 and FIG. 8, there is illustrated a surgical procedure for reattaching or attaching tissue to bone depicting the spike or plug embodiments illustrated in FIG. 2. The procedure can be enacted for any of the embodiments outlined in FIGS. 2, 3, 4, 5 and 6. FIG. 7 illustrates the procedure wherein an anchoring sleeve is not utilized. Spike or plug means 70 having anchoring means 72 is inserted through tissue 74 and directly into bone 76. The stop means 78 grabs the tissue 74 and pulls same back into reattachment or attachment with bone 76 when the spike or plug member is forced into the opening in the bone. The tightness of the repair is adjusted by the length of suture spike 70 and/or the depth of the insertion of spike member 72 into the bone mass.

FIG. 8 depicts a procedure wherein an anchoring sleeve 80 is first inserted into bone mass 82. Subsequent to the insertion of the anchoring sleeve 80, a spike or plug member 86 is inserted through tissue 84 and into the anchoring sleeve 80. The spike or plug member 86 is then ratcheted down into the anchoring sleeve 80 to pull tissue mass 84 into direct and secure mating with bone mass 82.

Referring now to FIG. 9, there is an alternate surgical procedure disclosed for utilization of the rod-like stop means depicted in FIG. 3. Initially the rod-like stop means 90 is inserted through tissue mass 92. Once the rod-like stop means rests on top of the tissue mass, the spike or plug member 94 is then inserted into a previously inserted anchoring sleeve 96. The spike or plug member 94 is then ratcheted down into the anchoring sleeve for secure mating or attachment of the tissue 92 to the bone mass 100. This procedure may also be undertaken with the one-piece anchor having a spike or plug means as depicted in FIG. 3a which omits the initial insertion of an anchoring sleeve.

FIG. 10-13 illustrate varying embodiments of the exterior surface of the spike member. FIG. 10 illustrates a spike with a smooth exterior, FIG. 11 illustrates a spike member with a ribbed exterior, FIG. 12 illustrates a spike member with a threaded exterior, and FIG. 13 illustrates a spike member with an expandable exterior.

FIGS. 14-16 illustrate embodiments for the exterior of the hollow anchoring sleeve member. FIG. 14 illustrates a ribbed exterior, FIG. 15 illustrates a smooth exterior and FIG. 16 illustrates a threaded exterior.

FIGS. 17-19 illustrate alternate embodiments for the interior of the hollow anchoring sleeve. FIG. 17 illustrates a threaded interior, FIG. 18 illustrates a smooth interior and FIG. 19 illustrates a ribbed interior.

FIGS. 10-19 are illustrative of varying embodiments of the invention and those reasonably skilled in the art could contemplate as part of this invention varying other embodiments for such surfaces.

In addition to the shapes illustrated for the stop or catch means portion of the invention, the stop means can be any planar or non-planar shape such as, but not limited to, C-shaped, planar with one or more openings, bar-shaped, curved or non-planar bar-shaped. Further the stop means is attached to the spike or plug member by one or more suture elements. The suture element or connection can be made up of a known suture material such as Ethibond® or Prolene®, or it can be made of polymer materials such as ultrahigh molecular weight polyethylene. The connection or suture element can be formed of bio-absorbable material such as a polylactide polymer. Additionally, the suture element can be part of the stop means and formed by a molding process or the like.

The suture element can be connected to the stop means and an anchor in a variety of ways such as fusion or molding or by mechanical means such as glue, a weld or by mere tieing.

In many situations throughout the discussion above, the terminology secure attachment of soft tissue to bone has been used. Such terminology refers to the attachment or reattachment of tissue to bone through the insertion of a spike member into a hollow anchoring sleeve or a spike/anchor means into a bone mass. In the former situation, the spike member can seat into the sleeve in a one step mating procedure or be inserted and ratcheted down in a step wise fashion into the sleeve. Either situation will function effectively and selection is based upon the instant facts of the surgical procedure. Further, the sleeve itself may be seated in the bone mass at varying depths. Again, such depth is a selection based upon the facts of the instant procedure. In the latter situation, where a spike/anchor means is used, depth of insertion of the device into the bone is a selection or choice of the surgeon during the procedure. In all situations, the spike member or spike/anchor means is designed not to back up or exit once mated with the sleeve, ratcheted down into the sleeve, or inserted into the bone mass to avoid and prevent withdrawal therefrom.

It is also within the contemplation of the invention to make the spike or plug member for direct insertion into the bone with screws, prongs, spikes, a wedge means or any means wherein the spike or plug member anchors securely into the bone mass facilitating attachment or reattachment of tissue to skin.

Further, the spike or plug member or a portion of the spike or plug member may be made with bioabsorbable material.

While a preferred embodiment of the invention in a knotless suture anchor system has been shown and described herein, it should be understood that the present disclosure is made by way of example only and that variations to the structure shown and its use are possible within the scope of this disclosure without departing from the subject matter coming within the scope of the following claims, and a reasonable equivalency thereof, which claims we regard as our invention.

Citas de patentes
Patente citada Fecha de presentación Fecha de publicación Solicitante Título
US400774320 Oct 197515 Feb 1977American Hospital Supply CorporationOpening mechanism for umbrella-like intravascular shunt defect closure device
US453292620 Jun 19836 Ago 1985Ethicon, Inc.Two-piece tissue fastener with ratchet leg staple and sealable latching receiver
US453718510 Jun 198327 Ago 1985Denis P. StednitzCannulated fixation screw
US463210131 Ene 198530 Dic 1986Yosef FreedlandOrthopedic fastener
US472110318 Ago 198626 Ene 1988Yosef FreedlandOrthopedic device
US4741330 *4 Abr 19863 May 1988Hayhurst John OMethod and apparatus for anchoring and manipulating cartilage
US487095727 Dic 19883 Oct 1989Marlowe Goble ELigament anchor system
US489815618 May 19876 Feb 1990Mitek Surgical Products, Inc.Suture anchor
US49464688 Dic 19897 Ago 1990Mitek Surgical Products, Inc.Suture anchor and suture anchor installation tool
US501331626 Mar 19907 May 1991Marlowe Goble ESoft tissue anchor system
US50374222 Jul 19906 Ago 1991Acufex Microsurgical, Inc.Bone anchor and method of anchoring a suture to a bone
US50840502 Oct 198928 Ene 1992Klaus DraenertImplant for bone reinforcement and for anchoring bone screws, implants and implant parts
US510242114 Jun 19907 Abr 1992Wm. E. Anpach, IIISuture anchor and method of forming
US514152029 Oct 199125 Ago 1992Marlowe Goble EHarpoon suture anchor
US519230318 Mar 19929 Mar 1993Mitek Surgical Products, Inc.Suture anchor
US520767922 Jun 19924 May 1993Mitek Surgical Products, Inc.Suture anchor and installation tool
US52249465 Abr 19916 Jul 1993American Cyanamid CompanyBone anchor and method of anchoring a suture to a bone
US5236438 *10 Sep 199217 Ago 1993Wilk Peter JMethod and assembly for repairing liver laceration
US523644514 May 199217 Ago 1993American Cyanamid CompanyExpandable bone anchor and method of anchoring a suture to a bone
US525801614 Feb 19922 Nov 1993American Cyanamid CompanySuture anchor and driver assembly
US5306290 *12 Feb 199326 Abr 1994Mitek Surgical Products, Inc.Suture button
US5318578 *17 Mar 19927 Jun 1994Harrith M. HassonApparatus for delivering a suture into a body cavity and method of using the apparatus
US535641312 Mar 199318 Oct 1994Mitek Surgical Products, Inc.Surgical anchor and method for deploying the same
US535851124 Nov 199225 Oct 1994Mitek Surgical Products, Inc.Suture anchor
US537066112 Ene 19936 Dic 1994Branch; Thomas P.Method and apparatus for re-approximating tissue
US537066223 Jun 19936 Dic 1994Kevin R. StoneSuture anchor assembly
US53721466 Nov 199013 Dic 1994Branch; Thomas P.Method and apparatus for re-approximating tissue
US537259911 Ene 199413 Dic 1994Mitek Surgical Products, Inc.Surgical anchor and method for deploying the same
US53839059 Oct 199224 Ene 1995United States Surgical CorporationSuture loop locking device
US540080524 Sep 199328 Mar 1995American Cyanamid CompanySurgical fastener
US5417691 *15 Abr 199323 May 1995Hayhurst; John O.Apparatus and method for manipulating and anchoring tissue
US5500000 *1 Jul 199319 Mar 1996United States Surgical CorporationSoft tissue repair system and method
US5545180 *28 Abr 199413 Ago 1996Ethicon, Inc.Umbrella-shaped suture anchor device with actuating ring member
US5643320 *13 Mar 19951 Jul 1997Depuy Inc.Soft tissue anchor and method
US5968044 *2 Feb 199619 Oct 1999Innovasive Devices, Inc.Bone fastener
Citada por
Patente citante Fecha de presentación Fecha de publicación Solicitante Título
US6863072 *13 Ene 20048 Mar 2005Medicinelodge, Inc.System and method for attaching soft tissue to bone
US686666628 Jun 200215 Mar 2005Medicinelodge, Inc.System and method for attaching soft tissue to bone
US7517357 *9 Ene 200314 Abr 2009Linvatec BiomaterialsKnotless suture anchor
US75722758 Dic 200411 Ago 2009Stryker EndoscopySystem and method for anchoring suture to bone
US765875129 Sep 20069 Feb 2010Biomet Sports Medicine, LlcMethod for implanting soft tissue
US77492503 Feb 20066 Jul 2010Biomet Sports Medicine, LlcSoft tissue repair assembly and associated method
US78069082 Ene 20085 Oct 2010Quill Medical, Inc.Barbed tissue connector
US785782911 May 200728 Dic 2010Quill Medical, Inc.Suture method
US78578309 Oct 200728 Dic 2010Biomet Sports Medicine, LlcSoft tissue repair and conduit device
US79059036 Nov 200715 Mar 2011Biomet Sports Medicine, LlcMethod for tissue fixation
US790590415 Ene 200815 Mar 2011Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US790985115 Ene 200822 Mar 2011Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US791336527 Mar 200729 Mar 2011Quill Medical, Inc.Method of forming barbs on a suture and apparatus for performing same
US79145395 Dic 200529 Mar 2011Biomet Sports Medicine, LlcTissue fixation device
US795965022 Ago 200814 Jun 2011Biomet Sports Medicine, LlcAdjustable knotless loops
US79969674 Ago 201016 Ago 2011Quill Medical, Inc.System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US79969684 Ago 201016 Ago 2011Quill Medical, Inc.Automated method for cutting tissue retainers on a suture
US80110724 Ago 20106 Sep 2011Quill Medical, Inc.Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US80156784 Ago 201013 Sep 2011Quill Medical, Inc.Method for cutting a suture to create tissue retainers of a desired shape and size
US80202634 Ago 201020 Sep 2011Quill Medical, Inc.Automated system for cutting tissue retainers on a suture
US80283874 Ago 20104 Oct 2011Quill Medical, Inc.System for supporting and cutting suture thread to create tissue retainers thereon
US80283884 Ago 20104 Oct 2011Quill Medical, Inc.System for cutting a suture to create tissue retainers of a desired shape and size
US803299613 May 200411 Oct 2011Quill Medical, Inc.Apparatus for forming barbs on a suture
US803409021 Mar 200611 Oct 2011Biomet Sports Medicine, LlcTissue fixation device
US808813029 May 20093 Ene 2012Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US810094030 Sep 200224 Ene 2012Quill Medical, Inc.Barb configurations for barbed sutures
US811883419 Dic 200821 Feb 2012Angiotech Pharmaceuticals, Inc.Composite self-retaining sutures and method
US811883622 Ago 200821 Feb 2012Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US812865822 Ago 20086 Mar 2012Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to bone
US813738222 Ago 200820 Mar 2012Biomet Sports Medicine, LlcMethod and apparatus for coupling anatomical features
US820229514 Abr 200819 Jun 2012Kaplan Lee DSurgical instruments
US821627325 Feb 200910 Jul 2012Ethicon, Inc.Self-retainers with supporting structures on a suture
US822145427 Oct 200917 Jul 2012Biomet Sports Medicine, LlcApparatus for performing meniscus repair
US8226716 *14 Ene 201024 Jul 2012Depuy Mitek, Inc.Method and apparatus for fixing a graft in a bone tunnel
US82316546 May 201131 Jul 2012Biomet Sports Medicine, LlcAdjustable knotless loops
US82466524 Ago 201021 Ago 2012Ethicon, Inc.Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
US825199812 Feb 200828 Ago 2012Biomet Sports Medicine, LlcChondral defect repair
US827310622 Dic 201025 Sep 2012Biomet Sports Medicine, LlcSoft tissue repair and conduit device
US829292111 Mar 201123 Oct 2012Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US829826222 Jun 200930 Oct 2012Biomet Sports Medicine, LlcMethod for tissue fixation
US830360430 Sep 20096 Nov 2012Biomet Sports Medicine, LlcSoft tissue repair device and method
US83178257 Abr 200927 Nov 2012Biomet Sports Medicine, LlcSoft tissue conduit device and method
US833752511 Mar 201125 Dic 2012Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US834322727 May 20101 Ene 2013Biomet Manufacturing Corp.Knee prosthesis assembly with ligament link
US836111322 Jun 200929 Ene 2013Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US84446746 Mar 201221 May 2013Lee D. KaplanSurgical instruments
US845470421 Abr 20084 Jun 2013Pivot Medical, Inc.Method and apparatus for re-attaching the labrum of a hip joint
US850081827 May 20106 Ago 2013Biomet Manufacturing, LlcKnee prosthesis assembly with ligament link
US850659725 Oct 201113 Ago 2013Biomet Sports Medicine, LlcMethod and apparatus for interosseous membrane reconstruction
US852390229 Ene 20103 Sep 2013Kfx Medical CorporationSystem and method for attaching soft tissue to bone
US855114013 Jul 20118 Oct 2013Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to bone
US85626452 May 201122 Oct 2013Biomet Sports Medicine, LlcMethod and apparatus for forming a self-locking adjustable loop
US856264729 Oct 201022 Oct 2013Biomet Sports Medicine, LlcMethod and apparatus for securing soft tissue to bone
US857423519 May 20115 Nov 2013Biomet Sports Medicine, LlcMethod for trochanteric reattachment
US85915805 Jun 201226 Nov 2013Depuy Mitek, LlcFolded ligament graft
US85973273 Nov 20103 Dic 2013Biomet Manufacturing, LlcMethod and apparatus for sternal closure
US860877721 Oct 201117 Dic 2013Biomet Sports MedicineMethod and apparatus for coupling soft tissue to a bone
US861375621 Oct 201024 Dic 2013Depuy Mitek, LlcKnotless suture anchor
US861585630 Ene 200931 Dic 2013Ethicon, Inc.Apparatus and method for forming self-retaining sutures
US863256920 Dic 201221 Ene 2014Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US864173225 Feb 20094 Feb 2014Ethicon, Inc.Self-retaining suture with variable dimension filament and method
US86521704 Ago 201018 Feb 2014Ethicon, Inc.Double ended barbed suture with an intermediate body
US86521712 May 201118 Feb 2014Biomet Sports Medicine, LlcMethod and apparatus for soft tissue fixation
US86521726 Jul 201118 Feb 2014Biomet Sports Medicine, LlcFlexible anchors for tissue fixation
US86632801 Jun 20124 Mar 2014Lee D. KaplanSurgical instruments
US86729688 Feb 201018 Mar 2014Biomet Sports Medicine, LlcMethod for implanting soft tissue
US86729697 Oct 201118 Mar 2014Biomet Sports Medicine, LlcFracture fixation device
US86791584 Ago 201025 Mar 2014Ethicon, Inc.Multiple suture thread configuration with an intermediate connector
US86909144 Ago 20108 Abr 2014Ethicon, Inc.Suture with an intermediate barbed body
US872166412 Mar 201313 May 2014Ethicon, Inc.Suture methods and devices
US872168130 Jun 200913 May 2014Ethicon, Inc.Barbed suture in combination with surgical needle
US87216845 Mar 201213 May 2014Biomet Sports Medicine, LlcMethod and apparatus for coupling anatomical features
US87344854 Ago 201027 May 2014Ethicon, Inc.Sutures with barbs that overlap and cover projections
US87344864 Ago 201027 May 2014Ethicon, Inc.Multiple suture thread configuration with an intermediate connector
US87474374 Ago 201010 Jun 2014Ethicon, Inc.Continuous stitch wound closure utilizing one-way suture
US87647764 Ago 20101 Jul 2014Ethicon, Inc.Anastomosis method using self-retaining sutures
US876479610 Feb 20061 Jul 2014Ethicon, Inc.Suture method
US877131319 Dic 20088 Jul 2014Ethicon, Inc.Self-retaining sutures with heat-contact mediated retainers
US87713165 Mar 20128 Jul 2014Biomet Sports Medicine, LlcMethod and apparatus for coupling anatomical features
US877135217 May 20118 Jul 2014Biomet Sports Medicine, LlcMethod and apparatus for tibial fixation of an ACL graft
US877795616 Ago 201215 Jul 2014Biomet Sports Medicine, LlcChondral defect repair
US877798726 Sep 200815 Jul 2014Ethicon, Inc.Self-retaining sutures including tissue retainers having improved strength
US87779884 Ago 201015 Jul 2014Ethicon, Inc.Methods for using self-retaining sutures in endoscopic procedures
US87779894 Ago 201015 Jul 2014Ethicon, Inc.Subcutaneous sinusoidal wound closure utilizing one-way suture
US879386311 Abr 20085 Ago 2014Ethicon, Inc.Method and apparatus for forming retainers on a suture
US879533230 Sep 20025 Ago 2014Ethicon, Inc.Barbed sutures
US88017556 Ene 201412 Ago 2014Arthrex, Inc.Suture anchor
US880178327 May 201012 Ago 2014Biomet Sports Medicine, LlcProsthetic ligament system for knee joint
US882149417 Ago 20122 Sep 2014Howmedica Osteonics Corp.Surgical instruments and methods of use
US88215404 Ago 20102 Sep 2014Ethicon, Inc.Self-retaining sutures having effective holding strength and tensile strength
US882154112 Sep 20062 Sep 2014Arthrex, Inc.Suture anchor with insert-molded rigid member
US884064517 Feb 201223 Sep 2014Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US88522324 Ago 20107 Oct 2014Ethicon, Inc.Self-retaining sutures having effective holding strength and tensile strength
US887560730 Ene 20094 Nov 2014Ethicon, Inc.Apparatus and method for forming self-retaining sutures
US887686514 Abr 20094 Nov 2014Ethicon, Inc.Self-retaining sutures with bi-directional retainers or uni-directional retainers
US890031419 Dic 20122 Dic 2014Biomet Manufacturing, LlcMethod of implanting a prosthetic knee joint assembly
US89159433 Abr 200823 Dic 2014Ethicon, Inc.Self-retaining systems for surgical procedures
US891607719 Dic 200823 Dic 2014Ethicon, Inc.Self-retaining sutures with retainers formed from molten material
US892665920 Dic 20106 Ene 2015Ethicon, Inc.Barbed suture created having barbs defined by variable-angle cut
US89323283 Nov 200913 Ene 2015Ethicon, Inc.Length of self-retaining suture and method and device for using the same
US89323315 Mar 201213 Ene 2015Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to bone
US89366213 Nov 201120 Ene 2015Biomet Sports Medicine, LlcMethod and apparatus for forming a self-locking adjustable loop
US8956395 *20 Feb 201417 Feb 2015Smith & Nephew, Inc.Tissue graft anchor assembly and instrumentation for use therewith
US896156016 Dic 201024 Feb 2015Ethicon, Inc.Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US896836417 May 20113 Mar 2015Biomet Sports Medicine, LlcMethod and apparatus for fixation of an ACL graft
US899894916 Ago 20067 Abr 2015Biomet Sports Medicine, LlcSoft tissue conduit device
US90052874 Nov 201314 Abr 2015Biomet Sports Medicine, LlcMethod for bone reattachment
US901738110 Abr 200728 Abr 2015Biomet Sports Medicine, LlcAdjustable knotless loops
US902855610 May 201312 May 2015Pivot Medical, Inc.Method and apparatus for re-attaching the labrum of a hip joint
US904422512 Ene 20122 Jun 2015Ethicon, Inc.Composite self-retaining sutures and method
US90443137 Oct 20112 Jun 2015Kfx Medical CorporationSystem and method for securing tissue to bone
US90725099 Oct 20087 Jul 2015Howmedica Osteonics Corp.Toggle bolt suture anchor kit
US90786448 Mar 201014 Jul 2015Biomet Sports Medicine, LlcFracture fixation device
US907864613 Nov 201314 Jul 2015Depuy Mitek, LlcKnotless suture anchor
US910135529 Jun 201211 Ago 2015Pivot Medical, Inc.Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US912564720 Feb 20098 Sep 2015Ethicon, Inc.Method and apparatus for elevating retainers on self-retaining sutures
US914926710 Nov 20116 Oct 2015Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US914926814 Mar 20136 Oct 2015Pivot Medical, Inc.Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US917365122 Oct 20123 Nov 2015Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US917990519 Jul 201010 Nov 2015Pivot Medical, Inc.Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US91799078 May 201410 Nov 2015Arthrex, Inc.Knotless graft fixation assembly
US92160788 May 201322 Dic 2015Biomet Sports Medicine, LlcMethod and apparatus for tibial fixation of an ACL graft
US922674423 Jul 20145 Ene 2016Howmedica Osteonics Corp.Surgical instruments and methods of use
US924858022 Dic 20112 Feb 2016Ethicon, Inc.Barb configurations for barbed sutures
US92592173 Ene 201216 Feb 2016Biomet Manufacturing, LlcSuture Button
US927171314 Nov 20111 Mar 2016Biomet Sports Medicine, LlcMethod and apparatus for tensioning a suture
US93142411 Feb 201319 Abr 2016Biomet Sports Medicine, LlcApparatus for coupling soft tissue to a bone
US931433218 Oct 201319 Abr 2016Depuy Mitek, LlcMethod and apparatus for fixing a graft in a bone tunnel
US933302020 Feb 201410 May 2016Smith & Nephew, Inc.Tissue graft anchor assembly and instrumentation for use therewith
US934546727 Oct 200824 May 2016Smith & Nephew, Inc.Anchor assembly
US9357991 *19 Dic 20127 Jun 2016Biomet Sports Medicine, LlcMethod and apparatus for stitching tendons
US93579921 Feb 20137 Jun 2016Biomet Sports Medicine, LlcMethod for coupling soft tissue to a bone
US9357996 *26 Mar 20157 Jun 2016DePuy Synthes Products, Inc.Fixation device with magnesium core
US936427620 Feb 201414 Jun 2016Smith & Nephew, IncTissue graft anchor assembly and instrumentation for use therewith
US93703508 Mar 201321 Jun 2016Biomet Sports Medicine, LlcApparatus for coupling soft tissue to a bone
US93810138 Mar 20135 Jul 2016Biomet Sports Medicine, LlcMethod for coupling soft tissue to a bone
US94026204 Mar 20132 Ago 2016Howmedica Osteonics Corp.Knotless filamentary fixation devices, assemblies and systems and methods of assembly and use
US940262124 Sep 20122 Ago 2016Biomet Sports Medicine, LLC.Method for tissue fixation
US94085996 Dic 20119 Ago 2016Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US941483314 Feb 201316 Ago 2016Biomet Sports Medicine, LlcSoft tissue repair assembly and associated method
US94149255 Ago 201316 Ago 2016Biomet Manufacturing, LlcMethod of implanting a knee prosthesis assembly with a ligament link
US94334076 Ene 20166 Sep 2016Biomet Manufacturing, LlcMethod of implanting a bone fixation assembly
US944580323 Nov 201120 Sep 2016Howmedica Osteonics Corp.Filamentary suture anchor
US944582712 Ago 201320 Sep 2016Biomet Sports Medicine, LlcMethod and apparatus for intraosseous membrane reconstruction
US945194313 Ene 201127 Sep 2016Pivoc Medical, Inc.Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US946301313 Mar 201311 Oct 2016Stryker CorporationAdjustable continuous filament structure and method of manufacture and use
US94684333 Nov 201118 Oct 2016Biomet Sports Medicine, LlcMethod and apparatus for forming a self-locking adjustable loop
US94862052 Feb 20158 Nov 2016Smith & Nephew, Inc.Surgical devices
US948621114 Mar 20148 Nov 2016Biomet Sports Medicine, LlcMethod for implanting soft tissue
US949215828 Ene 201315 Nov 2016Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US94982047 Jul 201422 Nov 2016Biomet Sports Medicine, LlcMethod and apparatus for coupling anatomical features
US949889318 Jun 201422 Nov 2016Ethicon, Inc.Self-retaining sutures including tissue retainers having improved strength
US95044605 Oct 201229 Nov 2016Biomet Sports Medicine, LLC.Soft tissue repair device and method
US951081915 Mar 20136 Dic 2016Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US951082112 May 20146 Dic 2016Biomet Sports Medicine, LlcMethod and apparatus for coupling anatomical features
US952199913 Sep 200520 Dic 2016Arthrex, Inc.Fully-threaded bioabsorbable suture anchor
US952649328 Abr 201527 Dic 2016Arthrex, Inc.Suture anchor with insert-molded rigid member
US953277716 Dic 20133 Ene 2017Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US953899825 Oct 201110 Ene 2017Biomet Sports Medicine, LlcMethod and apparatus for fracture fixation
US953900316 Oct 201310 Ene 2017Biomet Sports Medicine, LLC.Method and apparatus for forming a self-locking adjustable loop
US954972627 Ago 201424 Ene 2017Arthrex, Inc.Suture anchor with insert-molded rigid member
US956102515 Mar 20137 Feb 2017Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US957265522 Sep 201421 Feb 2017Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US960359117 Feb 201428 Mar 2017Biomet Sports Medicine, LlcFlexible anchors for tissue fixation
US961582230 May 201411 Abr 2017Biomet Sports Medicine, LlcInsertion tools and method for soft anchor
US962273620 Ene 201418 Abr 2017Biomet Sports Medicine, LlcSoft tissue repair device and associated methods
US962273916 Sep 201418 Abr 2017Arthrex, Inc.Suture anchor
US96426612 Dic 20139 May 2017Biomet Sports Medicine, LlcMethod and Apparatus for Sternal Closure
US96753419 Nov 201113 Jun 2017Ethicon Inc.Emergency self-retaining sutures and packaging
US968194011 Ago 201420 Jun 2017Biomet Sports Medicine, LlcLigament system for knee joint
US97002913 Jun 201411 Jul 2017Biomet Sports Medicine, LlcCapsule retractor
US970698421 Ago 201318 Jul 2017Conmed CorporationSystem and method for attaching soft tissue to bone
US97069869 Nov 201518 Jul 2017Arthrex, Inc.Knotless suture and tissue securing method
US9713463 *14 Jul 201125 Jul 2017Howmedica Osteonics CorpToggle bolt assembly and method of assembly
US972409016 Oct 20138 Ago 2017Biomet Manufacturing, LlcMethod and apparatus for attaching soft tissue to bone
US97571121 Jun 201212 Sep 2017Lee D. KaplanSurgical instruments
US97571198 Mar 201312 Sep 2017Biomet Sports Medicine, LlcVisual aid for identifying suture limbs arthroscopically
US976365617 Feb 201419 Sep 2017Biomet Sports Medicine, LlcMethod and apparatus for soft tissue fixation
US97755974 Oct 20123 Oct 2017Conmed CorporationDual expansion anchor
US977559916 Dic 20153 Oct 2017Arthrex, Inc.Knotless tissue fixation assembly
US978882611 Mar 201317 Oct 2017Howmedica Osteonics Corp.Filamentary fixation device and assembly and method of assembly, manufacture and use
US978887617 Mar 201417 Oct 2017Biomet Sports Medicine, LlcFracture fixation device
US980162012 Ene 201531 Oct 2017Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to bone
US98017082 Dic 201531 Oct 2017Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to a bone
US20020107532 *7 Feb 20028 Ago 2002Jacqueline Huet-OlivierImplantable system for anchoring stitching threads inside a bone tunnel and a kit therefor
US20040030354 *9 Ago 200212 Feb 2004Leung Jeffrey C.Suture anchor and method
US20040060409 *30 Sep 20021 Abr 2004Leung Jeffrey C.Barb configurations for barbed sutures
US20040060410 *30 Sep 20021 Abr 2004Leung Jeffrey C.Barbed sutures
US20040088003 *30 Sep 20026 May 2004Leung Jeffrey C.Barbed suture in combination with surgical needle
US20040138706 *9 Ene 200315 Jul 2004Jeffrey AbramsKnotless suture anchor
US20040226427 *13 May 200318 Nov 2004Michael TrullApparatus for forming barbs on a suture
US20050267531 *16 May 20051 Dic 2005Ruff Gregory LSuture methods and devices
US20060111734 *10 Feb 200625 May 2006Andrew KaplanSuture method
US20060111742 *10 Feb 200625 May 2006Andrew KaplanSuture method
US20060122608 *8 Dic 20048 Jun 2006Fallin T WSystem and method for anchoring suture to bone
US20060189993 *20 Abr 200624 Ago 2006Arthrotek, Inc.Soft tissue conduit device
US20060247642 *21 Mar 20062 Nov 2006Stone Kevin TTissue fixation device
US20070185532 *3 Feb 20069 Ago 2007Arthrotek, Inc.Soft tissue repair assembly and associated method
US20080027446 *9 Oct 200731 Ene 2008Biomet Sports Medicine, Inc.Soft Tissue Repair and Conduit Device
US20080065114 *6 Nov 200713 Mar 2008Biomet Sports Medicine, Inc.Method for Tissue Fixation
US20080077161 *17 Jul 200727 Mar 2008Kaplan Lee DSurgical instruments
US20080082127 *29 Sep 20063 Abr 2008Arthrotek, Inc.Method for implanting soft tissue
US20080082128 *29 Sep 20063 Abr 2008Arthrotek, Inc.Method and apparatus for forming a self-locking adjustable suture loop
US20080140092 *15 Ene 200812 Jun 2008Stone Kevin TSoft tissue repair device and associated methods
US20080140093 *15 Ene 200812 Jun 2008Stone Kevin TSoft tissue repair device and associated methods
US20080249567 *14 Abr 20089 Oct 2008Kaplan Lee DSurgical instruments
US20080255611 *3 Abr 200816 Oct 2008Angiotech Pharmaceuticals, Inc.Self-retaining systems for surgical procedures
US20080255612 *3 Abr 200816 Oct 2008Angiotech Pharmaceuticals, Inc.Self-retaining systems for surgical procedures
US20080288004 *16 May 200820 Nov 2008Genesis Biosystems CorporationTissue suspension device
US20090054928 *22 Ago 200826 Feb 2009Biomet Sports Medicine, LlcMethod and apparatus for coupling anatomical features
US20090062854 *22 Ago 20085 Mar 2009Biomet Sports Medicine, LlcMethod and apparatus for coupling soft tissue to bone
US20090069845 *21 Abr 200812 Mar 2009Matthew FrushellMethod and apparatus for re-attaching the labrum of a hip joint
US20090082805 *22 Ago 200826 Mar 2009Biomet Sports Medicine, LlcAdjustable knotless loops
US20090112259 *31 Oct 200830 Abr 2009Angiotech Pharmaceuticals, Inc.Recombinant expressed bioadsorbable polyhydroxyalkonate monofilament and multi-filaments self-retaining sutures
US20090143819 *31 Oct 20084 Jun 2009D Agostino William LCoatings for modifying monofilament and multi-filaments self-retaining sutures
US20090192468 *7 Abr 200930 Jul 2009Biomet Sports Medicine, LlcSoft tissue conduit device and method
US20090228021 *6 Mar 200810 Sep 2009Leung Jeffrey CMatrix material
US20090318961 *22 Jun 200924 Dic 2009Biomet Sports Medicine,LlcMethod and Apparatus for Coupling Soft Tissue to a Bone
US20100042114 *27 Oct 200918 Feb 2010Biomet Sports Medicine, LlcApparatus for Performing Meniscus Repair
US20100121448 *14 Ene 201013 May 2010Depuy Mitek, Inc.Method and apparatus for fixing a graft in a bone tunnel
US20100153335 *12 Dic 200817 Jun 2010Microsoft CorporationSynchronizing multiple classes with disparate schemas in the same collection
US20100160963 *3 Ago 200924 Jun 2010Stryker EndoscopySystem and Method for Anchoring Suture to Bone
US20100211075 *8 Mar 201019 Ago 2010Biomet Sports Medicine, LlcFracture Fixation Device
US20100268275 *1 Jul 201021 Oct 2010Biomet Sports Medicine, LlcSoft Tissue Repair Assembly and Associated Method
US20100292792 *27 May 201018 Nov 2010Biomet Sports Medicine, LlcProsthetic Ligament System for Knee Joint
US20100294103 *4 Ago 201025 Nov 2010Quill Medical, Inc.System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US20100294107 *4 Ago 201025 Nov 2010Quill Medical, Inc.Method for cutting a suture to create tissue retainers of a desired shape and size
US20100298637 *4 Ago 201025 Nov 2010Quill Medical, Inc.Suture with a pointed end and an anchor end and with equally spaced tissue grasping protrusions located at successive axial locations
US20100298848 *4 Ago 201025 Nov 2010Quill Medical, Inc.Continuous stitch wound closure utilizing one-way suture
US20100298867 *4 Ago 201025 Nov 2010Quill Medical, Inc.Tissue connector with tissue grasping protrusions equally spaced about the periphery of the connector at successive axial locations
US20100298868 *4 Ago 201025 Nov 2010Quill Medical, Inc.Tissue connector with yieldable barbs equally spaced about the periphery of the connector at successive axial locations
US20100298874 *4 Ago 201025 Nov 2010Quill Medical, Inc.Sutures with barbs that overlap and cover projections
US20100298875 *4 Ago 201025 Nov 2010Quill Medical, Inc.Self-retaining sutures having effective holding strength and tensile strength
US20100298878 *4 Ago 201025 Nov 2010Quill Medical, Inc.Double ended barbed suture with an intermediate body
US20100305698 *27 May 20102 Dic 2010Biomet Manufacturing Corp.Knee Prosthesis Assembly With Ligament Link
US20100305709 *27 May 20102 Dic 2010Biomet Manufacturing Corp.Knee Prosthesis Assembly With Ligament Link
US20100313723 *4 Ago 201016 Dic 2010Quill Medical, Inc.System for cutting a suture to create tissue retainers of a desired shape and size
US20100318122 *4 Ago 201016 Dic 2010Quill Medical, Inc.Multiple suture thread configuration with an intermediate connector
US20100318124 *4 Ago 201016 Dic 2010Quill Medical, Inc.Subcutaneous sinusoidal wound closure utilizing one-way suture
US20110009884 *17 Sep 201013 Ene 2011Kaplan Lee DSurgical instruments
US20110009902 *4 Ago 201013 Ene 2011Quill Medical, Inc.Multiple suture thread configuration with an intermediate connector
US20110046668 *19 Dic 200824 Feb 2011Angiotech Pharmaceuticals, Inc.Self-retaining sutures with heat-contact mediated retainers
US20110046669 *20 Feb 200924 Feb 2011Angiotech Pharmaceuticals, Inc.Method and apparatus for elevating retainers on self-retaining sutures
US20110093010 *20 Dic 201021 Abr 2011Quill Medical, Inc.Barbed suture created having barbs defined by variable-angle cut
US20110106152 *30 Ene 20095 May 2011Angiotech Pharmaceuticals, Inc.Apparatus and method for forming self-retaining sutures
US20110112550 *12 Oct 201012 May 2011Kfx Medical CorporationSystem and method for securing tissue to bone
US20110125189 *9 Oct 200826 May 2011Howmedica Osteonics Corp.Toggle bolt suture anchor kit
US20110160767 *11 Mar 201130 Jun 2011Biomet Sports Medicine, LlcSoft Tissue Repair Device and Associated Methods
US20110160768 *11 Mar 201130 Jun 2011Biomet Sports Medicine, LlcSoft Tissue Repair Device and Associated Methods
US20110213416 *6 May 20111 Sep 2011Biomet Sports Medicine, LlcAdjustable Knotless Loops
US20110218625 *17 May 20118 Sep 2011Biomet Sports Medicine, LlcMethod and Apparatus for Fixation of an ACL Graft
US20120180291 *14 Jul 201119 Jul 2012Howmedica Osteonics Corp.Toggle bolt assembly and method of assembly
US20120253391 *4 Abr 20124 Oct 2012Sebastian FreyInstrument Kit For Knotless Fixing Of Tissue To A Bone
US20130116730 *19 Dic 20129 May 2013Biomet Sports Medicine, LlcMethod And Apparatus For Stitching Tendons
US20140172095 *20 Feb 201419 Jun 2014Smith & Nephew, Inc.Tissue graft anchor assembly and instrumentation for use therewith
USRE4542631 Jul 200117 Mar 2015Ethicon, Inc.Surgical methods using one-way suture
Eventos legales
FechaCódigoEventoDescripción
14 Jul 2005FPAYFee payment
Year of fee payment: 8
27 Abr 2009FPAYFee payment
Year of fee payment: 12