WO2001006909A2 - System and method for attaching soft tissue to bone - Google Patents
System and method for attaching soft tissue to bone Download PDFInfo
- Publication number
- WO2001006909A2 WO2001006909A2 PCT/US2000/019875 US0019875W WO0106909A2 WO 2001006909 A2 WO2001006909 A2 WO 2001006909A2 US 0019875 W US0019875 W US 0019875W WO 0106909 A2 WO0106909 A2 WO 0106909A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- expandable body
- shaft
- bone
- expander pin
- tissue
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0805—Implements for inserting tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—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
- A61F2/0811—Fixation devices for tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—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
- 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
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, 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
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
- A61B2017/0422—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
- A61B2017/0424—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor the separate member staying in the anchor after placement
-
- 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
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
- A61B2017/0422—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
- A61B2017/0425—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor the anchor or the separate member comprising threads, e.g. a set screw in the anchor
-
- 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
-
- 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
- A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0817—Structure of the anchor
- A61F2002/0823—Modular anchors comprising a plurality of separate parts
- A61F2002/0835—Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw
-
- 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
- This invention relates generally to medical devices and procedures. More particularly, this invention relates to systems and methods for attaching soft tissue to bone.
- tissue detachment may> occur as the result of an accident such as a fall, over-exertion during a work-related activity, during the course of an athletic event, or in any one of many other situations and/or activities.
- the injury will frequently heal itself, if given sufficient time and if care is taken not to expose the injury to further undue stress.
- Numerous devices are currently available to re-attach soft tissue to bone. Examples of such currently-available devices include screws, staples, suture anchors and tacks .
- the detached soft tissue is typically moved back into its original position over the bone. Then the screw is screwed through the soft tissue and into the bone, with the shank and head of the screw holding the soft tissue to the bone.
- the detached soft tissue is typically moved ' back into its original position over the bone. Then the staple is driven through the soft tissue and into the bone, with the legs and bridge of the staple holding the soft tissue to the bone.
- an anchor-receiving hole is generally first drilled in the bone at the desired point of
- a suture anchor is deployed in the hole using an appropriate installation tool. This effectively locks the suture to the bone, with the free end(s) of the suture extending out of the bone.
- the soft tissue is moved into position over the hole containing the deployed suture anchor. As this is done, the free end(s) of the suture is (are) passed through or around the soft tissue, so that the free end(s) of the suture reside(s) on the far (i.e., non-bone) side of the soft tissue. Finally, the suture is used to tie the soft tissue securely to the bone.
- the soft tissue may first be moved into position over the bone. Then, while the soft tissue lies in position against the bone, a single hole may be drilled through the soft tissue and into the bone. Next, a suture anchor is passed through the soft tissue and deployed in the bone using an appropriate installation tool. This results in the suture anchor being locked to the bone, with the free end(s) of the suture extending out of the bone and through the soft tissue
- the suture anchor may include drill means at its distal end, whereby the suture anchor can be drilled into the bone, or drilled through the soft tissue and into the bone, whereby the aforementioned drilling and anchor-deployment steps are effectively combined.
- the detached soft tissue is typically moved back into its original position over the bone, and then a tack-receiving hole is generally drilled through the soft tissue and into the bone. Then the tack is driven through the soft tissue and into the bone, so that the shaft and head of the tack will hold the soft tissue' to the bone.
- one object of the present invention is to provide a novel system and method for re-attaching soft tissue to bone which improves upon the prior art devices and techniques discussed above.
- Another object of the present invention is to provide a novel system and method for re-attaching soft tissue to bone which is easy to use and simple to perform.
- Another object of the present invention is to provide a novel system and method for re-attaching soft tissue to bone which expedites and facilitates the re-attachment procedure.
- Still another object of the present invention is to provide a novel system and method for re-attaching soft tissue to bone which minimizes trauma to the patient during the re-attachment procedure.
- Yet another object of the present invention is to provide a novel system and method for re-attaching soft tissue to bone which can be used in both open surgical procedures and in closed surgical procedures (e.g., arthroscopic or endoscopic surgical procedures) where
- INNO-25 access to the surgical site is provided by one or more cannulas .
- Another object of the present invention is to provide a novel system and method for re-attaching soft tissue to bone which is also usable in the attachment of prosthetic devices, and/or grafts of natural and/or synthetic material, to bone or bone-like structures.
- the novel system comprises an expandable body configured to expand into bone, the expandable body defining a bore; and an expander pin comprising a shaft sized to be received in the bore of the expandable body and expand the expandable body laterally when the expander pin is driven into the expandable body, and tissue attachment apparatus associated with the shaft, the expander pin defining a bore; whereby when the expander pin is
- the expandable body will be attached to bone and the tissue attachment apparatus will secure tissue to the apparatus.
- the novel method comprises driving an expandable fastener into a bone, the expandable fastener defining a bore and comprising tissue attachment apparatus; and fixing the expandable fastener in, and thereby securing the tissue relative to, the bone.
- Fig. 1 is a side view of a novel fastening system formed in accordance with the present invention
- Figs. 2-4 are perspective views of the distal end of the fastening system shown in Fig. 1;
- FIG. 5 is a side view, partially in section, of the distal end of the fastening system shown in Fig. 1;
- Fig. 6 is an exploded view showing the fastener, and a portion of the installation tool, of the fastening system shown in Fig. 1;
- Figs. 7 and 8 are perspective, exploded views of the elements shown in Fig. 5;
- Figs. 9-11 show details of the distal tip member of the fastener shown in Fig. 5;
- Figs. 12 and 13 show details of the proximal main member of the fastener shown in Fig. 5;
- Figs. 14-16 show details of the expander pin of the fastener shown in Fig. 5;
- Figs. 17-19 show details of the pusher member of the installation tool shown in Fig. 5;
- Fig. 20 is ' an exploded side view of the handle assembly of the installation tool shown in Fig. 1;
- Figs. 21-25 show the novel fastening system of the present invention being used to attach soft tissue (or the like) to bone;
- Figs. 26-28 illustrate one preferred form of the novel fastening system of the present invention being used to attach soft tissue (or the like) to bone;
- Figs. 29 and 30 illustrate another preferred form of the novel fastening system of the present invention being used to attach soft tissue (or the like) to bone;
- Fig. 31 is a side view showing an alternative form of proximal main member for a fastener formed in accordance with the present invention;
- Fig. 32 is a side view showing an alternative form of distal tip member for a fastener formed in accordance with the present invention.
- Figs. 33-35 show details of an alternative form of the fastener' s expander pin
- Figs. 36-38 show details of another alternative form of the fastener' s expander pin
- Figs. 39-42 show details of the construction of an alternative form of fastener also formed in accordance with the present invention.
- Figs. 43 and 44 show the fastener of Figs. 39-42 being used to attach soft tissue (or the like) to bone;
- Fig. 45 shows details of an alternative form of expander pin for the fastener shown in Figs. 39-44;
- Figs. 46-49 show details of the construction of another alternative form of fastener also formed in accordance with the present invention.
- Figs. 50-53 show the fastener of Figs. 46-49 being used to attach soft tissue (or the like) to bone;
- Fig. 54 shows details of an alternative form of expander pin for the fastener shown in Figs. 46-53;
- Figs. 55 and 56 show details of a removal tool for removing a fastener formed and deployed in accordance with the present invention.
- Fastening system 5 for attaching soft tissue (or the like) to bone.
- Fastening system 5 generally comprises a fastener 10 and an installation tool 15.
- fastener 10 generally comprises an expandable body 100 (Fig. 2) and an expander pin 200.
- Expandable body 100 comprises a generally
- frusto-conical distal end 105 (Fig. 5) characterized by a frusto-conical outer surface 110 terminating in a distal end surface (or rim) 115, and a generally cylindrical proximal end 120 terminating in a proximal end surface 125.
- a central passageway 130 extends through expandable body 100, from distal end surface 115 to proximal end surface 125.
- central passageway 130 comprises a bore 135 opening on distal end surface 115, a threaded section 140, and a bore 145 opening on proximal end surface 125.
- Expandable body 100 preferably also comprises bone securement apparatus 150 formed on proximal end 120 for facilitating securement of fastener 5 to bone, as will hereinafter be discussed in further detail.
- bone securement apparatus 150 comprises a plurality of frusto-conical ribs 155. Ribs 155 are tapered, distally-to-proximally, so as to (1) facilitate insertion of expandable body 100 into bone in a distal direction, and (2) resist withdrawal of expandable body 100 from bone in a proximal direction.
- expandable body 100 can be formed out of a single piece of material. Preferably, however, and looking now at Figs. 1-13, expandable body 100 comprises a distal tip member 160 (Fig. 9) and a proximal main member 165 (Fig. 12).
- Distal tip member 160 (Figs. 9-11) preferably comprises the aforementioned frusto-conical outer surface 110, distal end surface (or rim) 115, internal bore 135, and threaded section 140.
- Distal tip member 160 also preferably comprises a proximally-extending, threaded projection 170. Proximally-extending threaded projection 170 serves to secure distal tip member 160 to proximal main member 165, as will hereinafter be discussed in further detail.
- Proximal main member 165 (Figs. 12 and 13) preferably comprises the aforementioned proximal end surface 125, bore 145 and bone securement apparatus 150 (preferably in the form of frusto-conical ribs 155) .
- Proximal main member 165 also comprises a threaded counterbore 175 at its distal end. Threaded counterbore 175 is sized and shaped so as to matingly receive proximally-extending threaded projection 170 of
- a primary advantage of forming expandable body 100 out of two separate components is that each component can be optimized for its own function. More particularly, inasmuch as distal tip member 160 is intended to help open a passageway in bone to receive the overall fastener 10, distal tip member 160 is preferably formed out of a relatively hard material. At the same time, however, inasmuch as proximal main member 165 is intended to expand radially outwardly during deployment of the fastener so as to fix expandable body 100 (and hence the complete fastener 10) to bone, proximal main member 165 is preferably formed out a relatively soft and easily expandable material .
- Fastener 10 also comprises the expander pin 200.
- expander pin 200 generally comprises a shaft 205 and tissue attachment apparatus 210 associated with shaft 205.
- Shaft 205 is
- shaft 205 is also sized so that when expander pin 200 is driven longitudinally into expandable body 100, the expander pin will force the side walls of expandable body 100 to expand radially outwardly against adjacent bone, whereby the expandable body (and hence the entire fastener) will be secured to a host bone, as will hereinafter be discussed in further detail .
- shaft 205 includes fastener stabilization apparatus 215 for stabilizing the longitudinal position of expander pin 200 relative to expandable body 100, as will hereinafter be discussed in further detail. More particularly, fastener stabilization apparatus 215 is adapted to resist withdrawal of expander pin 200 from expandable body 100 once expander pin 200 has been driven into expandable body 100, as will hereinafter be discussed in further detail. In one preferred form of the invention, fastener stabilization apparatus 215 comprises a screw thread 220 formed on the outer surface of shaft 205.
- tissue attachment apparatus 210 comprises one or more lateral projections 225 adjacent to the proximal end of the shaft.
- the one or more lateral projections 225 collectively form a fastener head for holding tissue to bone, as will hereinafter be discussed in further detail.
- Expander pin 200 includes a longitudinal passageway 230 extending the length of the expander pin.
- Fastener 10 is intended to be used in conjunction with installation tool 15.
- installation tool 15 comprises a shaft 300 (Fig. 6) terminating in a tapered distal point 310.
- Tapered distal point 310 is preferably formed so as to be relatively hard; whereby it can open a passageway in bone to receive the overall fastener 10, as will hereinafter be discussed in further detail.
- Threads 315 are formed on shaft 300 proximal to tapered distal point 310.
- Shaft 300 is sized so that it may be received in the central passageway 130 (Fig. 5) of expandable body 100, and in longitudinal passageway 230
- Threads 315 of shaft 300 are sized and positioned so that when fastener 10 (i.e., expandable body 100 and expander pin 200) is mounted on shaft 300, shaft threads 315 can mate with the expandable body's threads 140, whereby expandable body 100 can be secured to the distal end of shaft 300.
- fastener 10 i.e., expandable body 100 and expander pin 200
- shaft threads 315 can mate with the expandable body's threads 140, whereby expandable body 100 can be secured to the distal end of shaft 300.
- the shaft's tapered distal point 310 and the expandable body's frusto-conical outer surface 110 Fig.
- the installation tool's shaft 300 comprises a thinner distal section 320 (Fig. 5) proximal to the shaft's tapered distal point 310 and distal to the shaft's threads 315, and a trailing section 325 proximal to shaft threads 315, and a thicker proximal section 330 proximal to trailing section 325. Trailing section 325 and thicker proximal section 330 together define an annular shoulder 335 at
- a rib 340 is preferably formed on trailing section 325, distal to annular shoulder 335.
- a pusher 400 (Figs. 5 and 17) is preferably mounted on shaft 300.
- Pusher 400 is used to help deploy fastener 10 in bone, by transferring a force applied to the proximal end of pusher 400 onto a fastener 10 located at the distal end of pusher 400.
- pusher 400 acts as a sort of safeguard to prevent the proximal end of fastener 10 (i.e., the proximal end of expander pin 200) from being damaged during the application of such force.
- Pusher 400 preferably comprises a tapered distal portion 405 characterized by a tapered outer surface 410 terminating in a distal end surface 415, and a cylindrical proximal portion 420 characterized by a cylindrical outer surface 425 terminating in a proximal end surface 427.
- Pusher 400 has a central bore 430 extending therethrough. Bore 430 is sized so that it will form a close sliding fit with rib 340 (Fig. 6) of shaft 300.
- a lip 435 (Fig. 17) protrudes into central bore 430 adjacent to the pusher's proximal end surface
- Lip 435 is sized so that it may not pass by rib 340 of shaft 300.
- shaft 300 includes a plurality of ribs 345 (Fig. 6) on the shaft's thicker proximal section 330, and installation tool 15 includes a handle assembly 500 (Fig. 20) .
- Each rib 345 includes an inclined surface 345A disposed on the proximal side of the rib (Fig. 6) .
- the distal side of each rib 345 extends substantially perpendicular to the longitudinal axis of shaft 300.
- Handle assembly 500 comprises a body 501 having a handle grip 502.
- a trigger 505, having a plurality of fingers 507, is pivotally connected to body 501.
- Body 501 also comprises a bore 508 opening on the body's distal end, and a counterbore 509 opening on the body' s proximal end.
- a shoulder 509A is formed at the intersection of bore 508 and counterbore 509.
- Handle assembly 500 also comprises a hollow ram 515.
- Ram 515 is sized so that it can slidably accommodate shaft 300, as will hereinafter be discussed in further detail.
- Ram 515 comprises a narrower distal portion 520 terminating in a distal tip 510, and a
- a shoulder 535 is formed at the intersection of narrower distal portion 520 and wider proximal portion 525.
- a slot 540 extends through the side wall of narrower distal portion 520.
- Ram 515 is mounted in body 510 in the manner shown in Figs. 1 and 20, i.e., so that (1) the ram's narrower distal portion 520 extends through, and protrudes from, the body's bore 508, (2) the ram's wider proximal portion 525 is disposed in the body's counterbore 509, and (3) the trigger's fingers 507 engage the ram's teeth 530.
- moving trigger 505 will cause ram 515 to move relative to body 501.
- a spring 545 is positioned in body 501, between body shoulder 509A and ram shoulder 535, so as to bias ram 515 in a proximal direction.
- a stop pin 550 extends into counterbore 509 so as to limit proximal movement of ram 515.
- Handle assembly 500 also comprises a gate 555 which includes an opening 560 therein. Opening 560 defines a bottom wall 565 thereof. Gate 555 is disposed in an opening 570 formed in body 501.
- INNO-25 spring 575 biases gate 555 against a locking pin 580, which extends through an oversized hole 585 formed in gate 555.
- Gate 555 is disposed in body 501 so that the gate's bottom wall 565 normally protrudes, via ram slot 540, into the interior of ram 515; however, pressing gate 555 downward against the power of spring 575 will permit the gate's bottom wall 565 to be removed from the interior of ram 515.
- handle assembly 500 is loaded over the proximal end of shaft 300, and moved proximally down the shaft until the gate's bottom wall 565 starts to engage the ribs 345 of shaft 300.
- the inclined proximal surfaces 345A of ribs 345 will allow the handle assembly 500 to be moved distally along shaft 300 to the extent desired.
- inclined surfaces 345A are provided on only the proximal sides of ribs 345, the geometry of the ribs will prevent handle assembly 500 from moving back proximally along the shaft, unless gate 555 is pressed downward against the power of spring 575 so as to move the gate's bottom wall 565 out of engagement with the
- Handle assembly 500 is moved down shaft 300 until the ram's distal end surface 510 engages, or substantially engages, the proximal end 427 of pusher 400. Thereafter, pulling of the handle assembly's trigger 505 will cause ram 515 to move distally along shaft 300, whereby pusher 400 can drive expander pin 200 into expandable body 100 so as to set the expandable body in bone, as will hereinafter be discussed in further detail.
- handle assembly 500 in conjunction with shaft 300 is often preferred, since it permits shaft 300 to be held in place while ram 515 is advanced down shaft 300. More particularly, inasmuch as handle assembly 500 is releasably secured to shaft 300 via the engagement of handle gate 555 with shaft ribs 345, handle assembly 500 can stabilize shaft 300 even as the handle's ram 515 is advancing down shaft 300. This has been found to be advantageous in many circumstances. However, it should also be appreciated that fastener 10 can be set without using handle assembly 500, as will hereinafter also be discussed in further detail.
- a fastener 10 comprising an expandable body 100 and an expander pin 200; (2) an installation tool 15 comprising a shaft 300; and (3) a pusher 400 mounted on shaft 300.
- the foregoing fastening system is prepared for use by first passing pusher 400 proximally over the distal end of shaft 300 until the pusher's proximal end surface 427 (Fig. 17) engages, or approximately engages, the shaft's annular shoulder 335 (Fig. 6). Then the fastener's expander pin 200 is passed proximally over the distal end of shaft 300 until the proximal end of expander pin 200 engages, or approximately engages, the pusher's distal end surface 415 (Fig. 17). Next, the fastener's expandable body 100 is passed proximally over the distal end of shaft 300 until the proximal end of the expandable body's threaded section 140 (Fig. 5) engages the distal end of the shaft's threads 315 (Fig. 6). Then the fastener's
- INNO-25 expandable body 100 is screwed onto shaft 300.
- the proximal end surface 125 (Fig. 12) of expandable body 100 will engage, or approximately engage, the distal end surface of expander pin 200.
- the expandable body 100, expander pin 200 and pusher 400 will be held relatively immobile on shaft 300, by virtue of shaft shoulder 335 (Fig. 6) and shaft threads 315 and the sizing of the elements held therebetween.
- soft tissue 600 is "stabbed” with the sharp distal point of shaft 300 and dragged to its desired position against bone 700 (Fig. 21) .
- soft tissue 600 may be gripped by another instrument (e.g., forceps or the like) and moved into position against bone 700.
- INNO-25 300 and expandable body 100 will cooperate with one another so as to force an opening in the soft tissue and the bone, without any need for pre-drilling.
- Shaft 300 is preferably driven into bone 700 until the proximal end surface 125 of expandable body 100 is approximately even with the outer surface of bone 700 (Fig. 23) .
- markings may be placed on the outer surface of the fastener's expander pin 200 so that, once the thickness of soft tissue 600 is known, proper depth penetration can be achieved.
- pusher 400 is engaged with another element (not shown in Figs. 21-25, but shown in subsequent figures) so as to move the pusher distally along shaft 300.
- Pusher 400 is moved distally so as to drive expander pin 200 distally, into the central passageway 130 (Fig. 5) of expandable body 100, whereby to drive the side walls of expandable body 100 radially outwardly into bone 700 and thereby secure fastener 10 to bone 700 (Fig. 24) .
- the fastener's tissue attachment apparatus 210 will secure soft tissue 600 to the bone. More particularly, as seen in Fig. 24, the head of expander pin 200 (made
- shaft 300 is unscrewed from the expandable body's threads 140 (Fig. 5) and removed (Fig. 25), leaving fastener 10 securing soft tissue 600 to bone 700.
- installation tool 15 is constructed so that shaft 300 includes ribs 345 (Fig. 6) adjacent its proximal end, and the installation tool includes handle assembly 500 (Fig. 20).
- Figs. 26-28 illustrate how soft tissue 600 may be attached to bone 700 using such an arrangement. More particularly, after pusher 400, expander pin 200 and expandable body 100 have been attached to shaft 300 in the manner described above with respect to Figs. 21-25, and either before or after shaft 300 is driven through soft tissue 600 and into bone 700 to the point shown in Figs. 23 and 26, handle assembly 500 is passed distally over the proximal end of shaft 300 until the gate 555 engages ribs 345 of shaft 300.
- Handle assembly 500 is then pushed further down shaft 300 until the distal tip 510 of ram 515 engages the proximal end of pusher 400. Then trigger 505 is activated so as to move ram 515 distally relative to pusher 400 and fastener 10, whereby the distal tip 510 (Fig. 20) of the handle assembly's ram 515 will drive distally against the proximal end of pusher 400. This will cause pusher 400 to move expander pin 200 distally, whereby to fix fastener 10 in bone 700, with the fastener's head fixing soft tissue 600 to bone 700 (Fig. 27) .
- handle assembly 500 is removed proximally off shaft 300, i.e., by first pressing gate 555 downward against the power of spring 575 so as to move the gate's bottom wall 565 out of engagement with ribs 345, and then pulling the handle assembly 500 proximally off the shaft. Then shaft 300 is unscrewed from the expandable body's threads 140 and removed from the surgical site (Fig. 28) .
- handle assembly 500 in conjunction with shaft 300 is frequently preferred, since it permits shaft 300 to be held in place while ram 515 is advanced down shaft 300. More particularly, inasmuch as handle assembly 500 is releasably secured to shaft 300 via the engagement of handle gate 555 with shaft ribs 345, handle assembly 500 can stabilize shaft 300 even as the handle's ram 515 is advancing down shaft 300.
- INNO-25 permits a proximally-directed counterforce to be applied to expandable body 100 even as a distally-directed setting force is being applied to expander pin 200.
- fastener 10 can be set without using handle assembly 500, as will hereinafter be discussed in further detail.
- installation tool 15 may be constructed so that shaft 300 omits ribs 345 on its proximal end, and so that the installation tool 15 does not include handle assembly 500.
- pusher 400 may be moved proximally on shaft 300 by other means.
- a cannulated driver 800 such as one having a so-called “slap hammer” configuration, can be used to drive pusher 400 distally on shaft 300, whereby to complete setting of fastener 10 in bone 700.
- INNO-25 counterforce is not being applied to expandable body 200 even as the distally-directed setting force is being applied to expander pin 300, as is the case with the use of handle assembly 500 described above.
- the expandable body's bone securement apparatus 150 may be omitted or, alternatively, replaced by a configuration different than the ribs 155 (Fig. 12) previously disclosed.
- bone securement apparatus 150 may comprise screw threads 155A shown in Fig. 31.
- the expandable body's distal end 105 may have a configuration other than the smooth, frusto-conical one disclosed above.
- expandable body 100 may have screw threads formed on its tapered distal end. See, for example, Fig. 32, which shows the screw threads 110A formed on distal tip member 160.
- Figs. 33-35 show an alternative form of expander pin 200. More particularly, the expander pin 200 shown in Figs. 33-35 is similar to the expander pin 200 shown
- lateral projections 225A have their outlying edges 226 rounded into an arc-like configuration.
- Figs. 36-38 show yet another alternative form of expander pin 200. More particularly, the expander pin 200 shown in Figs. 36-38 is similar to the expander pin 200 shown in Figs. 14-16, except that with the expander pin of Figs. 36-38, fastener stabilization apparatus 215 comprises a plurality of frusto-conical ribs 220A, rather than the screw thread 220 shown in Figs. 14-16. It is also possible to form the fastener's tissue attachment apparatus 210 with a different configuration (and with a different manner of operation) than the tissue attachment apparatus shown in Figs. 14-16 or 33-36.
- the tissue attachment apparatus essentially comprises a head for capturing the soft tissue to bone.
- tissue attachment apparatus essentially comprises a head for capturing the soft tissue to bone.
- INNO-25 apparatus 210 may comprise a suture-based mechanism for capturing the soft tissue to bone.
- tissue attachment apparatus 210 comprises a plurality of transverse bores 227 formed in expander pin 200 adjacent to its proximal end. Bores 227 accommodate one or more lengths of suture 228 (Fig. 39) which may be used to tie a piece of soft tissue (or the like) to bone.
- expander pin 200 includes a cylindrical proximal end portion 229 (Fig. 40) having a diameter larger than the diameter of the central passageway 130 (Fig. 5) of expandable body 100, with transverse bores 227 being formed in cylindrical proximal end portion 229.
- the fastener In use, the fastener is set through soft tissue 600 and into bone 700 in the normal manner (Figs. 43 and 44); however, since the fastener lacks the lateral projections 225 (Fig. 14) previously disclosed, the proximal end of expander pin 200 will pass through soft tissue 600 without binding it to the bone (Fig. 44) . However, sutures 228 will extend out of bone 700 and
- these sutures may then be used to tie the soft tissue down to the bone.
- the expander pin 200 shown in Figs. 39-44 can be modified so as to have its fastener stabilization apparatus 215 in the form of ribs 220A (Fig. 45), rather than the screw thread 220 shown in Fig. 40.
- transverse bores 227 (Fig. 40) in the diametrically-enlarged proximal end portion 229, the transverse bores 227 will remain proximal to expandable body 100 even after setting of the fastener (Fig. 44) .
- sutures 228 will be able to slip within bores 227 even after fastener 10 has been completely deployed in bone 700. As will be apparent to persons skilled in the art, this can be advantageous in some circumstances during tissue fixation.
- a fastener 10 which includes an expander pin 200 having a plurality of transverse bores 227 intermediate its length (Fig. 47) .
- Bores 227 accommodate the one or more lengths of suture 228 which may be used to tie a piece of soft tissue (or the like) to bone.
- expander pin 200 includes a cylindrical intermediate portion 229A (Fig. 47) having a diameter substantially the same as the remainder of the expander pin, with transverse bores 227 being formed in the cylindrical intermediate portion 229A.
- shaft 300 and expandable body 100 are driven into bone, and then a piece of suture 228 is looped around the soft tissue 600 which is to be attached to the bone 700 (Fig. 50) . Then the suture 228 is pulled taut so as to bring the soft tissue into close proximity to the fastener (Fig. 51). Then pusher
- INNO-25 400 is driven distally (Fig. 52) so as to completely set the fastener.
- suture 228 is attached to expander pin 200 intermediate the length of the expander pin, the suture will be fixed in place relative to the deployed expander pin and, hence, will secure soft tissue 600 to bone 700.
- Installation tool 15 is then removed from the surgical site by unscrewing shaft 300 from expandable body 100 (Fig. 53) .
- expander pin 200 can also be formed so that its suture-receiving bores 227 are located adjacent to the distal end of the expander pin.
- expander pin 200 includes a cylindrical distal end portion 229B (Fig. 54) having a diameter substantially the same as the remainder of the expander pin, with transverse bores 227 being formed in the cylindrical distal end portion.
- Removal tool 800 can be used to remove a previously-deployed fastener 10, if the same should prove necessary or desirable. Removal tool 800 generally comprises a shaft 805 having a reverse thread
- removal tool 800 formed on its distal end and a handle 815 formed on its proximal end.
- the distal end of removal tool 800 is sized so as to be significantly larger than the longitudinal passageway 230 (Fig. 16) formed in expander pin 200.
- removal tool 800 When a previously-deployed fastener 10 is to be removed, the distal end of removal tool 800 is screwed into the proximal end of expander pin 200 using the removal tool's reverse screw thread 810. Inasmuch as the distal end of the removal tool is significantly larger than the longitudinal passageway 230 formed in expander pin 200, this action will cause the removal tool's distal threads 815 to force their way into the side wall of expander pin 200 and, depending on the sizing of the removal tool, possibly into the side wall of expandable body 100 as well. In any case, as the reverse thread 810 of the removal tool is screwed into the expander pin, continued reverse screwing will eventually cause the normally-threaded expander pin 200 to unscrew itself from expandable body 100. Removal tool 800 may then be used to remove expander pin 200 from expandable body 100. Expandable body 100 may then
- INNO-25 itself be removed from the surgical site by passing shaft 300 back into the interior of expandable body 100, screwing the shaft's threads 315 into the expandable body's threaded section 140, and then removing the shaft and expandable body from the bone,
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU63597/00A AU777280B2 (en) | 1999-07-23 | 2000-07-20 | System and method for attaching soft tissue to bone |
JP2001511806A JP4455795B2 (en) | 1999-07-23 | 2000-07-20 | Device for attaching soft tissue to bone |
CA002345035A CA2345035C (en) | 1999-07-23 | 2000-07-20 | System and method for attaching soft tissue to bone |
EP00950502A EP1150615B1 (en) | 1999-07-23 | 2000-07-20 | System for attaching soft tissue to bone |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/360,475 US6319252B1 (en) | 1999-07-23 | 1999-07-23 | System and method for attaching soft tissue to bone |
US09/360,475 | 1999-07-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2001006909A2 true WO2001006909A2 (en) | 2001-02-01 |
WO2001006909A3 WO2001006909A3 (en) | 2001-09-07 |
Family
ID=23418118
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2000/019875 WO2001006909A2 (en) | 1999-07-23 | 2000-07-20 | System and method for attaching soft tissue to bone |
Country Status (6)
Country | Link |
---|---|
US (5) | US6319252B1 (en) |
EP (1) | EP1150615B1 (en) |
JP (1) | JP4455795B2 (en) |
AU (1) | AU777280B2 (en) |
CA (1) | CA2345035C (en) |
WO (1) | WO2001006909A2 (en) |
Cited By (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1206924A1 (en) * | 2000-11-16 | 2002-05-22 | Ethicon, Inc. | Apparatus for attaching soft tissue to bone |
WO2003028591A1 (en) * | 2001-09-28 | 2003-04-10 | Ethicon, Inc. | Expanding ligament graft fixation system |
EP1348380A1 (en) * | 2002-03-29 | 2003-10-01 | Ethicon Inc. | Expandable cable anchor |
US6688798B2 (en) | 2001-02-27 | 2004-02-10 | Incumed, Inc. | Adjustable locking mount and methods of use |
US6736852B2 (en) | 2001-02-27 | 2004-05-18 | Incumed, Inc. | Adjustable bone prostheses and related methods |
US6863530B2 (en) | 2001-12-28 | 2005-03-08 | Incumed, Inc. | Expandable polymer dental implant and method of use |
US7022129B2 (en) | 2002-03-29 | 2006-04-04 | Ethicon, Inc. | Threaded cable anchor |
US7104999B2 (en) | 2003-06-28 | 2006-09-12 | Ethicon, Inc. | Surgical anchor inserter |
US7850452B2 (en) | 2005-04-27 | 2010-12-14 | Biomet 3I, Llc | Pre-stressed implant component and assembly |
US7896907B2 (en) | 1999-07-23 | 2011-03-01 | Ethicon, Inc. | System and method for attaching soft tissue to bone |
US8226714B2 (en) | 2006-09-29 | 2012-07-24 | Depuy Mitek, Inc. | Femoral fixation |
US8444674B2 (en) | 2006-07-20 | 2013-05-21 | Lee D. Kaplan | Surgical instruments |
US9486205B2 (en) | 2008-07-17 | 2016-11-08 | Smith & Nephew, Inc. | Surgical devices |
US9510816B2 (en) | 1999-08-10 | 2016-12-06 | Depuy Mitek, Llc | Self-locking suture anchor |
US9750492B2 (en) | 2006-08-04 | 2017-09-05 | Depuy Mitek, Llc | Suture anchor system with tension relief mechanism |
US9788825B2 (en) | 2006-08-04 | 2017-10-17 | Depuy Mitek, Llc | Suture anchor with relief mechanism |
US9936939B2 (en) | 2009-11-10 | 2018-04-10 | Smith & Nephew, Inc. | Tissue repair devices |
Families Citing this family (210)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP3578765B2 (en) * | 1993-07-26 | 2004-10-20 | イノベーシブ・ディバイセス・インコーポレーテッド | Sewing device |
US6045551A (en) | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US6447516B1 (en) | 1999-08-09 | 2002-09-10 | Peter M. Bonutti | Method of securing tissue |
US6368343B1 (en) | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
US7887551B2 (en) | 1999-12-02 | 2011-02-15 | Smith & Nephew, Inc. | Soft tissue attachment and repair |
US6524317B1 (en) | 1999-12-30 | 2003-02-25 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US7037324B2 (en) | 2000-09-15 | 2006-05-02 | United States Surgical Corporation | Knotless tissue anchor |
US6641596B1 (en) * | 2000-10-18 | 2003-11-04 | Ethicon, Inc. | Knotless bioabsorbable suture anchor system and method |
US7083638B2 (en) | 2001-02-12 | 2006-08-01 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US6770076B2 (en) | 2001-02-12 | 2004-08-03 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US6666868B2 (en) | 2001-03-02 | 2003-12-23 | Medicinelodge, Inc. | Two-part orthopedic fastener |
US6547800B2 (en) | 2001-06-06 | 2003-04-15 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device |
US6719765B2 (en) | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
US6780198B1 (en) | 2001-12-06 | 2004-08-24 | Opus Medical, Inc. | Bone anchor insertion device |
US6855157B2 (en) * | 2002-02-04 | 2005-02-15 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US20050080425A1 (en) * | 2002-03-18 | 2005-04-14 | Mohit Bhatnagar | Minimally invasive bone manipulation device and method of use |
US20030220650A1 (en) * | 2002-03-18 | 2003-11-27 | Major Eric D. | Minimally invasive bone manipulation device and method of use |
US9155544B2 (en) | 2002-03-20 | 2015-10-13 | P Tech, Llc | Robotic systems and methods |
US7497864B2 (en) | 2003-04-30 | 2009-03-03 | Marctec, Llc. | Tissue fastener and methods for using same |
US20040267317A1 (en) * | 2003-06-26 | 2004-12-30 | Laurence Higgins | Methods for attaching tissue to bone |
US7837710B2 (en) * | 2003-09-10 | 2010-11-23 | Linvatec Corporation | Knotless suture anchor |
US7682374B2 (en) | 2003-10-21 | 2010-03-23 | Arthrocare Corporation | Knotless suture lock and bone anchor implant method |
US20050149033A1 (en) * | 2003-10-23 | 2005-07-07 | Dr. David A. Mcguire | Bioabsorbable fasteners for preparing and securing ligament replacement grafts |
US7766920B2 (en) * | 2003-11-26 | 2010-08-03 | Synthes Usa, Llc | Cannulated fastener system |
MXPA06014064A (en) | 2004-06-02 | 2007-07-13 | Kfx Medical Corp | System and method for attaching soft tissue to bone. |
US7909851B2 (en) | 2006-02-03 | 2011-03-22 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US8361113B2 (en) | 2006-02-03 | 2013-01-29 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8128658B2 (en) | 2004-11-05 | 2012-03-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US8303604B2 (en) | 2004-11-05 | 2012-11-06 | Biomet Sports Medicine, Llc | Soft tissue repair device and method |
US7658751B2 (en) | 2006-09-29 | 2010-02-09 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
US7749250B2 (en) | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
US7905904B2 (en) | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US8118836B2 (en) | 2004-11-05 | 2012-02-21 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US9017381B2 (en) | 2007-04-10 | 2015-04-28 | Biomet Sports Medicine, Llc | Adjustable knotless loops |
US8298262B2 (en) | 2006-02-03 | 2012-10-30 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US9801708B2 (en) | 2004-11-05 | 2017-10-31 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8137382B2 (en) | 2004-11-05 | 2012-03-20 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US8088130B2 (en) | 2006-02-03 | 2012-01-03 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
WO2006055516A2 (en) * | 2004-11-15 | 2006-05-26 | Scandius Biomedical, Inc. | Method and apparatus for the repair of a rotator cuff (rtc) tendon or ligament |
US7651528B2 (en) * | 2004-11-18 | 2010-01-26 | Cayenne Medical, Inc. | Devices, systems and methods for material fixation |
US7691133B2 (en) * | 2004-11-30 | 2010-04-06 | Integra Lifesciences Corporation | Systems and methods for bone fixation |
US7976565B1 (en) | 2004-12-07 | 2011-07-12 | Biomet Sports Medicine, Llc | Expanding suture anchor having an actuator pin |
US8986345B2 (en) * | 2004-12-07 | 2015-03-24 | Biomet Sports Medicine, Llc | Expanding suture anchor having an actuator pin |
US7572283B1 (en) * | 2004-12-07 | 2009-08-11 | Biomet Sports Medicine, Llc | Soft tissue rivet and method of use |
US20070005068A1 (en) * | 2005-02-07 | 2007-01-04 | Sklar Joseph H | Knotless suture anchor |
US20060192943A1 (en) * | 2005-02-25 | 2006-08-31 | William Roberts | Optimizing focal plane fitting functions for an image field on a substrate |
GB2441266B (en) | 2005-06-01 | 2011-03-02 | Arthrocare Corp | Knotless suture anchoring device having deforming section to accommodate sutures of various diameters |
US8998923B2 (en) | 2005-08-31 | 2015-04-07 | Spinealign Medical, Inc. | Threaded bone filling material plunger |
US8597327B2 (en) | 2006-02-03 | 2013-12-03 | Biomet Manufacturing, Llc | Method and apparatus for sternal closure |
US9468433B2 (en) | 2006-02-03 | 2016-10-18 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US11311287B2 (en) | 2006-02-03 | 2022-04-26 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US8968364B2 (en) | 2006-02-03 | 2015-03-03 | Biomet Sports Medicine, Llc | Method and apparatus for fixation of an ACL graft |
US10517587B2 (en) | 2006-02-03 | 2019-12-31 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US11259792B2 (en) | 2006-02-03 | 2022-03-01 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US8652171B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Method and apparatus for soft tissue fixation |
US8562645B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US9078644B2 (en) | 2006-09-29 | 2015-07-14 | Biomet Sports Medicine, Llc | Fracture fixation device |
US8562647B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for securing soft tissue to bone |
US8801783B2 (en) | 2006-09-29 | 2014-08-12 | Biomet Sports Medicine, Llc | Prosthetic ligament system for knee joint |
US9149267B2 (en) | 2006-02-03 | 2015-10-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8652172B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Flexible anchors for tissue fixation |
AU2007227318B2 (en) | 2006-03-20 | 2013-02-14 | Cayenne Medical, Inc | Devices, systems, and methods for material fixation |
JP5323694B2 (en) * | 2006-07-20 | 2013-10-23 | リー ディー カプラン | Surgical instruments |
US8133258B2 (en) | 2006-08-03 | 2012-03-13 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
US20080294204A1 (en) * | 2007-03-07 | 2008-11-27 | Spineworks Medical, Inc. | Systems, methods, and devices for soft tissue attachment to bone |
US8672969B2 (en) * | 2006-09-29 | 2014-03-18 | Biomet Sports Medicine, Llc | Fracture fixation device |
US9918826B2 (en) | 2006-09-29 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
US11259794B2 (en) | 2006-09-29 | 2022-03-01 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
US7879094B2 (en) | 2006-10-24 | 2011-02-01 | Cayenne Medical, Inc. | Systems for material fixation |
US20090292301A1 (en) * | 2006-11-15 | 2009-11-26 | Carl Hasselman | Tissue Fastener, and Tissue Fastener System and method Employing the Same |
US8137381B2 (en) | 2007-04-25 | 2012-03-20 | Arthrocare Corporation | Knotless suture anchor having discrete polymer components and related methods |
US7794484B2 (en) * | 2007-05-07 | 2010-09-14 | Biomet Sports Medicine, Llc | Fixation device for delivery of biological material between soft tissue and bone |
WO2008137192A1 (en) * | 2007-05-08 | 2008-11-13 | Spinealign Medical, Inc. | Systems, devices and methods for stabilizing bone |
US7963972B2 (en) | 2007-09-12 | 2011-06-21 | Arthrocare Corporation | Implant and delivery system for soft tissue repair |
US20090198274A1 (en) * | 2007-09-20 | 2009-08-06 | Matthew Frushell | Method and apparatus for re-attaching the labrum of a hip joint |
AU2008310855B8 (en) | 2007-10-12 | 2013-06-27 | Howmedica Osteonics Corp. | Toggle bolt suture anchor kit |
US9345467B2 (en) | 2007-10-25 | 2016-05-24 | Smith & Nephew, Inc. | Anchor assembly |
US8858565B1 (en) * | 2008-05-08 | 2014-10-14 | Cayenne Medical, Inc. | Inserter for soft tissue or bone-to-bone fixation device and methods |
US8123806B1 (en) | 2008-05-09 | 2012-02-28 | Cayenne Medical, Inc | Method of tensioning a tissue graft having suture bundles using a cleated bar |
CA2728312A1 (en) * | 2008-06-19 | 2009-12-23 | Synthes Usa, Llc | Bone screw purchase augmentation implants, systems and techniques |
US8828029B2 (en) | 2008-06-30 | 2014-09-09 | Arthrocare Corporation | Independent suture tensioning and snaring apparatus |
US8328807B2 (en) | 2008-07-09 | 2012-12-11 | Icon Orthopaedic Concepts, Llc | Ankle arthrodesis nail and outrigger assembly |
US8414584B2 (en) | 2008-07-09 | 2013-04-09 | Icon Orthopaedic Concepts, Llc | Ankle arthrodesis nail and outrigger assembly |
FR2933954B1 (en) * | 2008-07-21 | 2010-08-27 | Dcns | IMPROVED HARPOON HEAD AND CORRESPONDING HARPON |
US20100121355A1 (en) | 2008-10-24 | 2010-05-13 | The Foundry, Llc | Methods and devices for suture anchor delivery |
CN103705281B (en) | 2008-11-26 | 2017-04-26 | 史密夫和内修有限公司 | Tissue repair device |
US8449573B2 (en) * | 2008-12-05 | 2013-05-28 | Boston Scientific Scimed, Inc. | Insertion device and method for delivery of a mesh carrier |
WO2010081029A1 (en) | 2009-01-08 | 2010-07-15 | Rotation Medical, Inc. | Implantable tendon protection systems and related kits and methods |
US20100228301A1 (en) * | 2009-03-09 | 2010-09-09 | Greenhalgh E Skott | Attachment device and methods of use |
US8206446B1 (en) | 2009-03-10 | 2012-06-26 | Cayenne Medical, Inc. | Method for surgically repairing a damaged ligament |
US9179910B2 (en) | 2009-03-20 | 2015-11-10 | Rotation Medical, Inc. | Medical device delivery system and method |
EP2429411B1 (en) | 2009-05-12 | 2017-03-08 | The Foundry, LLC | Devices to treat diseased or injured musculoskeletal tissue |
EP2429409B1 (en) | 2009-05-12 | 2017-11-15 | The Foundry, LLC | Suture anchors with one-way cinching mechanisms |
CA2763794C (en) | 2009-06-04 | 2017-01-17 | Rotation Medical, Inc. | Apparatus having bowstring-like staple delivery to a target tissue |
EP2437686B1 (en) | 2009-06-04 | 2017-12-13 | Rotation Medical, Inc. | Apparatus for deploying sheet-like materials |
BRPI1014714B1 (en) * | 2009-07-06 | 2020-05-19 | Synthes Gmbh | expandable bone fixation set |
US9149268B2 (en) | 2009-07-17 | 2015-10-06 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US11246585B2 (en) | 2009-07-17 | 2022-02-15 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US11197663B2 (en) | 2009-07-17 | 2021-12-14 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US10426456B2 (en) | 2009-07-17 | 2019-10-01 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US10238379B2 (en) | 2009-07-17 | 2019-03-26 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US9179905B2 (en) | 2009-07-17 | 2015-11-10 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US10136884B2 (en) | 2009-07-17 | 2018-11-27 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath |
US10058319B2 (en) | 2009-07-17 | 2018-08-28 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a novel locking element |
US8828053B2 (en) | 2009-07-24 | 2014-09-09 | Depuy Mitek, Llc | Methods and devices for repairing and anchoring damaged tissue |
US8814903B2 (en) | 2009-07-24 | 2014-08-26 | Depuy Mitek, Llc | Methods and devices for repairing meniscal tissue |
WO2011014453A1 (en) * | 2009-07-28 | 2011-02-03 | Synthes Usa, Llc | Locking system for orthopedic implants |
US8900240B2 (en) * | 2010-02-12 | 2014-12-02 | Pioneer Surgical Technology, Inc. | Spinal rod and screw securing apparatus and method |
US9198750B2 (en) | 2010-03-11 | 2015-12-01 | Rotation Medical, Inc. | Tendon repair implant and method of arthroscopic implantation |
US20110245875A1 (en) * | 2010-04-05 | 2011-10-06 | Neurosurj Research & Development, LLC | Sublaminar wired screwed device for spinal fusion |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
JP5763173B2 (en) | 2010-04-27 | 2015-08-12 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | Anchor assembly with expandable anchor |
US9743919B2 (en) | 2010-04-27 | 2017-08-29 | DePuy Synthes Products, Inc. | Stitch lock for attaching two or more structures |
US9724080B2 (en) | 2010-04-27 | 2017-08-08 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
US8979860B2 (en) | 2010-06-24 | 2015-03-17 | DePuy Synthes Products. LLC | Enhanced cage insertion device |
KR20130122932A (en) * | 2010-06-29 | 2013-11-11 | 신세스 게엠바하 | Insertion instrument for anchor assembly |
WO2012024446A2 (en) | 2010-08-17 | 2012-02-23 | Redyns Medical Llc | Method and apparatus for attaching soft tissue to bone |
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 |
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 |
US8696710B2 (en) * | 2010-10-06 | 2014-04-15 | Simpirica Spine, Inc. | Device and accessories for limiting flexion |
US9713463B2 (en) | 2011-01-13 | 2017-07-25 | Howmedica Osteonics Corp | Toggle bolt assembly and method of assembly |
US8795334B2 (en) | 2011-01-28 | 2014-08-05 | Smith & Nephew, Inc. | Tissue repair |
WO2012145059A1 (en) | 2011-02-15 | 2012-10-26 | Rotation Medical, Inc. | Methods and apparatus for fixing sheet-like materials to a target tissue |
US10952783B2 (en) * | 2011-12-29 | 2021-03-23 | Rotation Medical, Inc. | Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery |
CA2825918C (en) | 2011-02-15 | 2018-08-07 | Rotation Medical, Inc. | Methods and apparatus for delivering and positioning sheet-like materials |
US9314314B2 (en) | 2011-02-15 | 2016-04-19 | Rotation Medical, Inc. | Anatomical location markers and methods of use in positioning sheet-like materials during surgery |
US9198751B2 (en) | 2011-02-15 | 2015-12-01 | Rotation Medical, Inc. | Methods and apparatus for delivering and positioning sheet-like materials in surgery |
US8840644B2 (en) * | 2011-03-24 | 2014-09-23 | Howmedica Osteonics Corp. | Toggle bolt suture anchor |
US9161794B2 (en) | 2011-04-14 | 2015-10-20 | Globus Medical, Inc. | Expanding spinal anchor |
US9277912B2 (en) * | 2011-06-14 | 2016-03-08 | University Of South Florida | Systems and methods for ankle syndesmosis fixation |
JP2014529307A (en) | 2011-06-29 | 2014-11-06 | ピボット・メディカル,インコーポレーテッド | Method and apparatus for resewing an articular lip to an acetabulum, including the provision and use of a novel suture anchor system |
US9636101B2 (en) | 2011-09-01 | 2017-05-02 | Arthrocare Corporation | Bone anchor having an integrated stress isolator |
WO2013052128A1 (en) | 2011-10-03 | 2013-04-11 | Cayenne Medical, Inc. | Suture anchors and methods of use |
US9357991B2 (en) | 2011-11-03 | 2016-06-07 | Biomet Sports Medicine, Llc | Method and apparatus for stitching tendons |
US9381013B2 (en) | 2011-11-10 | 2016-07-05 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
US9314241B2 (en) | 2011-11-10 | 2016-04-19 | Biomet Sports Medicine, Llc | Apparatus for coupling soft tissue to a bone |
US9782165B2 (en) | 2011-11-11 | 2017-10-10 | VentureMD Innovations, LLC | Transosseous attachment |
US10548585B2 (en) | 2011-11-16 | 2020-02-04 | VentureMD Innovations, LLC | Soft tissue attachment |
US10675014B2 (en) | 2011-11-16 | 2020-06-09 | Crossroads Extremity Systems, Llc | Knotless 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 |
US9138220B2 (en) * | 2011-12-19 | 2015-09-22 | Medos International Sarl | Knotless suture anchor |
EP3403601A1 (en) | 2011-12-19 | 2018-11-21 | Rotation Medical, Inc. | Apparatus for forming pilot holes in bone and delivering fasteners therein for retaining an implant |
EP2793712B1 (en) | 2011-12-19 | 2018-03-28 | Rotation Medical, Inc. | Fasteners for affixing sheet -like materials to bone or tissue |
US9271726B2 (en) | 2011-12-19 | 2016-03-01 | Rotation Medical, Inc. | Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue |
US9107661B2 (en) | 2011-12-19 | 2015-08-18 | Rotation Medical, Inc. | Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue |
US9561055B1 (en) | 2012-01-18 | 2017-02-07 | Neurosurj Research and Development, LLC | Spinal fixation method and apparatus |
US9034014B2 (en) | 2012-01-27 | 2015-05-19 | Arthrocare Corporation | Free floating wedge suture anchor for soft tissue repair |
US9226742B2 (en) | 2012-01-27 | 2016-01-05 | Arthrocare Corporation | Restricted wedge suture anchor and method for soft tissue repair |
US9198649B2 (en) | 2012-01-27 | 2015-12-01 | Arthrocare Corporation | Rotating locking member suture anchor and method for soft tissue repair |
US9023083B2 (en) | 2012-01-27 | 2015-05-05 | Arthrocare Corporation | Method for soft tissue repair with free floating suture locking member |
US9364210B2 (en) | 2012-01-27 | 2016-06-14 | Arthrocare Corporation | Biased wedge suture anchor and method for soft tissue repair |
US8926662B2 (en) | 2012-02-01 | 2015-01-06 | Smith & Nephew, Inc. | Tissue graft anchoring |
US9084597B2 (en) | 2012-03-09 | 2015-07-21 | Smith & Nephew, Inc. | Suture-based knotless repair |
US9855028B2 (en) | 2012-04-06 | 2018-01-02 | Arthrocare Corporation | Multi-suture knotless anchor for attaching tissue to bone and related method |
US9433456B2 (en) | 2012-07-18 | 2016-09-06 | Jmea Corporation | Method and system for implanting multiple prostheses |
US10219804B2 (en) | 2012-07-30 | 2019-03-05 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US10835241B2 (en) | 2012-07-30 | 2020-11-17 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US9427309B2 (en) | 2012-07-30 | 2016-08-30 | Conextions, Inc. | Soft tissue repair devices, systems, and methods |
US11957334B2 (en) | 2012-07-30 | 2024-04-16 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US9629632B2 (en) | 2012-07-30 | 2017-04-25 | Conextions, Inc. | Soft tissue repair devices, systems, and methods |
US10390935B2 (en) | 2012-07-30 | 2019-08-27 | Conextions, Inc. | Soft tissue to bone repair devices, systems, and methods |
US11253252B2 (en) | 2012-07-30 | 2022-02-22 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US11944531B2 (en) | 2012-07-30 | 2024-04-02 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US9480475B2 (en) | 2012-08-15 | 2016-11-01 | DePuy Synthes Products, Inc. | Bone plate suture anchor |
US9486201B2 (en) | 2012-09-27 | 2016-11-08 | Depuy Mitek, Llc | Directionally specific bone anchors and method |
US8986327B2 (en) | 2012-10-18 | 2015-03-24 | Smith & Nephew, Inc. | Flexible anchor delivery system |
US9687221B2 (en) | 2013-02-13 | 2017-06-27 | Venture MD Innovations, LLC | Method of anchoring a suture |
US9918827B2 (en) | 2013-03-14 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
WO2014176270A1 (en) | 2013-04-22 | 2014-10-30 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone |
EP3079604B8 (en) | 2013-12-12 | 2022-09-07 | Stryker Puerto Rico, LLC | Apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US9782250B2 (en) * | 2014-03-03 | 2017-10-10 | Tenjin LLC | Implant placement systems and one-handed methods for tissue fixation using same |
US11504224B2 (en) | 2014-03-03 | 2022-11-22 | Tenjin LLC | Implant placement systems and one-handed methods for tissue fixation using same |
US9226817B2 (en) | 2014-03-03 | 2016-01-05 | Tenjin LLC | Implant placement systems, devices, and methods |
US11583384B2 (en) | 2014-03-12 | 2023-02-21 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
WO2015172052A1 (en) | 2014-05-09 | 2015-11-12 | Rotation Medical, Inc. | Medical implant delivery system for sheet-like implant |
US10085735B2 (en) | 2014-10-29 | 2018-10-02 | Smith & Nephew, Inc. | Modular tissue repair kit and devices and method related thereto |
AU2015343273B2 (en) | 2014-11-04 | 2017-12-14 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
EP3215025B1 (en) | 2014-11-04 | 2020-12-23 | Rotation Medical, Inc. | Medical implant delivery system |
US10123796B2 (en) | 2014-11-04 | 2018-11-13 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
WO2016073886A1 (en) * | 2014-11-07 | 2016-05-12 | Smed-Ta/Td, Llc | Implants with groove patterns and soft tissue attachment features |
US10898228B2 (en) | 2015-05-06 | 2021-01-26 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
WO2016205186A1 (en) | 2015-06-15 | 2016-12-22 | Rotation Medical, Inc. | Tendon repair implant and method of implantation |
US10820918B2 (en) | 2015-07-17 | 2020-11-03 | 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 |
US10058393B2 (en) | 2015-10-21 | 2018-08-28 | P Tech, Llc | Systems and methods for navigation and visualization |
WO2017117437A1 (en) | 2015-12-31 | 2017-07-06 | Rotation Medical, Inc. | Fastener delivery system and related methods |
AU2016381936B2 (en) | 2015-12-31 | 2019-02-28 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
US10117698B2 (en) * | 2016-03-01 | 2018-11-06 | Medos International Sarl | Devices, systems, and methods for driving an anchor into bone |
WO2017210620A1 (en) | 2016-06-02 | 2017-12-07 | Bracy Barton | Suture tool and method of use |
USD795053S1 (en) * | 2016-07-13 | 2017-08-22 | Enrique J. Baiz | Lug nut spike cap |
USD801167S1 (en) * | 2016-07-13 | 2017-10-31 | Enrique J. Baiz | Engine cover bolt |
US11696822B2 (en) | 2016-09-28 | 2023-07-11 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US10722343B2 (en) | 2017-02-22 | 2020-07-28 | Stryker Corporation | Fixation member with separate eyelet and methods of use thereof |
US10463357B2 (en) | 2017-03-13 | 2019-11-05 | Medos International Sarl | Methods and devices for knotless suture anchoring |
US10383618B2 (en) | 2017-03-13 | 2019-08-20 | Medos International Sarl | Methods and devices for knotless suture anchoring |
US11344424B2 (en) | 2017-06-14 | 2022-05-31 | Medos International Sarl | Expandable intervertebral implant and related methods |
US10940016B2 (en) | 2017-07-05 | 2021-03-09 | Medos International Sarl | Expandable intervertebral fusion cage |
US10639026B2 (en) | 2017-07-27 | 2020-05-05 | Medos International Sarl | Knotless suture anchoring using two awl shafts |
US20190059875A1 (en) * | 2017-08-22 | 2019-02-28 | Tigon Medical | Cannulated anchor system and method |
CN110225726A (en) | 2017-12-07 | 2019-09-10 | 罗特迅医疗有限公司 | Medical implant transportation system and correlation technique |
US11547397B2 (en) | 2017-12-20 | 2023-01-10 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
AU2019223962A1 (en) | 2018-02-20 | 2020-09-10 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US10820915B2 (en) | 2018-03-06 | 2020-11-03 | Medos International Sarl | Methods, systems, and devices for instability repair |
TWI763162B (en) * | 2020-12-04 | 2022-05-01 | 鐿鈦科技股份有限公司 | Suture anchor, system and implantation method therefor |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1997029693A1 (en) | 1996-02-16 | 1997-08-21 | Smith & Nephew Inc. | Expandable suture anchor |
US5782865A (en) | 1995-08-25 | 1998-07-21 | Grotz; Robert Thomas | Stabilizer for human joints |
Family Cites Families (230)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US492865A (en) * | 1893-03-07 | Illuminating-tile | ||
US2381050A (en) | 1943-12-04 | 1945-08-07 | Mervyn G Hardinge | Fracture reducing device |
US3035583A (en) | 1959-05-27 | 1962-05-22 | Hirsch Winfred | Conductive sutures |
US3036482A (en) | 1960-09-02 | 1962-05-29 | Kenworthy Kenneth | Axial-impact type hand tool |
US3103926A (en) | 1961-01-13 | 1963-09-17 | Orthopaedic Specialties Corp | Surgical bone pin |
US3135414A (en) * | 1962-06-18 | 1964-06-02 | Lee Co | Plug |
US3525365A (en) | 1966-10-17 | 1970-08-25 | Pneumo Dynamics Corp | Expansion plug |
US3566739A (en) | 1969-02-07 | 1971-03-02 | Charles S Lebar | Anchoring device |
US3708883A (en) | 1971-01-04 | 1973-01-09 | S Flander | Dental implant and method for using the same |
DE2109162B1 (en) | 1971-02-26 | 1972-05-25 | Fischer Artur | Sleeve-shaped support element for long bone fractures |
US3842824A (en) | 1973-03-19 | 1974-10-22 | A Neufeld | Notched surgical pin and breaking tool therefor |
IL46030A0 (en) | 1974-11-11 | 1975-02-10 | Rosenberg L | Orthopaedic screw |
IL48826A (en) | 1976-01-13 | 1978-08-31 | Aginsky Yacov | Intramedullary compression nail for the treatment of bone fractures |
DE2613499A1 (en) | 1976-03-30 | 1977-10-13 | Heinrich B Schaefers | STRUCTURAL ANCHORS AND METHOD FOR ANCHORING IT |
US4140111A (en) | 1977-09-06 | 1979-02-20 | Morrill William E | Hand tool for inserting bone fracture pins |
US4492226A (en) | 1979-10-10 | 1985-01-08 | Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institut Meditsinskoi Tekhniki | Device for uniting bone fragments |
SE420009B (en) | 1979-12-21 | 1981-09-07 | Ericsson Telefon Ab L M | EXPANDER SCREW FOR FIXING IN A SPACE |
CH648197A5 (en) | 1980-05-28 | 1985-03-15 | Synthes Ag | IMPLANT AND SCREW FASTENING ON ITS BONE. |
GB2084468B (en) | 1980-09-25 | 1984-06-06 | South African Inventions | Surgical implant |
CH648477A5 (en) | 1981-02-18 | 1985-03-29 | Sulzer Ag | SPREADABLE MARKER LOCK. |
SE431053B (en) | 1981-05-11 | 1984-01-16 | Lars Ingvar Hansson | RECOVERY INSTRUMENTS PROVIDED FOR THE RECOVERY OF A FIXING BODY FOR FIXING BONE FRAGMENT AT BONE BREAK |
US4408938A (en) | 1981-08-24 | 1983-10-11 | Maguire James V | Expansion sleeve |
US4741330A (en) | 1983-05-19 | 1988-05-03 | Hayhurst John O | Method and apparatus for anchoring and manipulating cartilage |
US4506670A (en) | 1983-03-30 | 1985-03-26 | United States Surgical Corporation | Two-part surgical fastener applying apparatus with frangible member |
IL70736A (en) | 1984-01-20 | 1988-05-31 | Rosenberg Lior | Self-locking pin device particularly useful for internally fixing bone fractures |
DE3406961A1 (en) | 1984-02-25 | 1985-09-05 | Stiefel Laboratorium GmbH, 6050 Offenbach | Skin punch |
US4873976A (en) | 1984-02-28 | 1989-10-17 | Schreiber Saul N | Surgical fasteners and method |
DE3445738A1 (en) | 1984-12-14 | 1986-06-19 | Draenert Klaus | IMPLANT FOR BONE REINFORCEMENT AND ANCHORING OF BONE SCREWS, IMPLANTS OR IMPLANT PARTS |
CN1006954B (en) * | 1985-03-11 | 1990-02-28 | 阿图尔·费希尔 | Fastening elements for osteosynthesis |
DE8520206U1 (en) | 1985-07-12 | 1985-12-19 | Fischer, Artur, Dr.H.C., 7244 Waldachtal | Fixing element for osteosynthesis |
EP0209685A3 (en) | 1985-07-12 | 1988-11-09 | Fischerwerke Arthur Fischer GmbH & Co. KG | Fixation element for osteosynthesis |
US4711232A (en) * | 1985-07-12 | 1987-12-08 | Artur Fischer | Bone fastener and method of installing same |
US4632100A (en) | 1985-08-29 | 1986-12-30 | Marlowe E. Goble | Suture anchor assembly |
ES8609561A1 (en) | 1985-10-31 | 1986-09-01 | Sanchez Velasco Vicente | Improvements introduced in the anchoring systems by threaded bolts. |
US4708132A (en) * | 1986-01-24 | 1987-11-24 | Pfizer-Hospital Products Group, Inc. | Fixation device for a ligament or tendon prosthesis |
US4759765A (en) | 1986-03-17 | 1988-07-26 | Minnesota Mining And Manufacturing Company | Tissue augmentation device |
US4924865A (en) * | 1986-05-20 | 1990-05-15 | Concept, Inc. | Repair tack for bodily tissue |
EP0270704B1 (en) | 1986-12-12 | 1989-04-26 | Aesculap Ag | Anchoring element for fastening an osteosynthesis plate to a bone |
USRE34293F1 (en) | 1987-02-17 | 1998-04-07 | Globe Marlowe E | Ligament attachment method and apparatus |
US4898156A (en) | 1987-05-18 | 1990-02-06 | Mitek Surgical Products, Inc. | Suture anchor |
US5261914A (en) * | 1987-09-02 | 1993-11-16 | Russell Warren | Surgical fastener |
FR2622430B1 (en) | 1987-10-30 | 1997-04-25 | Laboureau Jacques | SURGICAL CLIP FOR THE IMMEDIATE FIXATION OF ARTIFICIAL LIGAMENTS AND ANCILLARY INSTRUMENT FOR ITS IMPLANTATION INTO THE BONE |
US4940467A (en) | 1988-02-03 | 1990-07-10 | Tronzo Raymond G | Variable length fixation device |
DE3811345C1 (en) | 1988-04-02 | 1989-09-07 | Aesculap Ag, 7200 Tuttlingen, De | |
US5154189A (en) | 1988-06-03 | 1992-10-13 | Oberlander Michael A | Method for repairing a torn meniscus |
US4944742A (en) | 1988-06-06 | 1990-07-31 | Johnson & Johnson Orthopaedics, Inc. | Bone pin |
US4871289A (en) | 1988-11-25 | 1989-10-03 | Olympic Manufacturing Group, Inc. | Expansion fastener |
US4870957A (en) * | 1988-12-27 | 1989-10-03 | Marlowe Goble E | Ligament anchor system |
US4988351A (en) | 1989-01-06 | 1991-01-29 | Concept, Inc. | Washer for use with cancellous screw for attaching soft tissue to bone |
US5522817A (en) * | 1989-03-31 | 1996-06-04 | United States Surgical Corporation | Absorbable surgical fastener with bone penetrating elements |
CA2013539C (en) | 1989-03-31 | 1999-07-06 | Thomas W. Sander | Absorbable surgical fastener with bone penetrating elements |
US5059206A (en) * | 1989-04-12 | 1991-10-22 | Winters Thomas F | Method and apparatus for repairing a tear in a knee meniscus |
US4927421A (en) | 1989-05-15 | 1990-05-22 | Marlowe Goble E | Process of endosteal fixation of a ligament |
US5129906A (en) * | 1989-09-08 | 1992-07-14 | Linvatec Corporation | Bioabsorbable tack for joining bodily tissue and in vivo method and apparatus for deploying same |
DE3936703A1 (en) * | 1989-11-03 | 1991-05-08 | Lutz Biedermann | BONE SCREW |
US5244946A (en) * | 1990-02-02 | 1993-09-14 | The Dow Chemical Company | Styrenic copolymer/polyacetal/thermoplastic polyurethane or elastomeric copolyester blend compositions |
US5152735A (en) * | 1990-02-15 | 1992-10-06 | Podd Jr Victor I | Bracing system for a liner for a cargo container |
US5013316A (en) | 1990-03-26 | 1991-05-07 | Marlowe Goble E | Soft tissue anchor system |
US5078718A (en) * | 1990-04-17 | 1992-01-07 | Origin Medsystems, Inc. | Multi-part method and apparatus for removing pre-placed prosthetic joints and preparing for their replacement |
US5037422A (en) | 1990-07-02 | 1991-08-06 | Acufex Microsurgical, Inc. | Bone anchor and method of anchoring a suture to a bone |
US5236445A (en) | 1990-07-02 | 1993-08-17 | American Cyanamid Company | Expandable bone anchor and method of anchoring a suture to a bone |
US5224946A (en) | 1990-07-02 | 1993-07-06 | American Cyanamid Company | 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 |
US5141373A (en) | 1990-08-15 | 1992-08-25 | Kendall James W | Flush breaking interference fit blind fastener |
US5860978A (en) * | 1990-09-25 | 1999-01-19 | Innovasive Devices, Inc. | Methods and apparatus for preventing migration of sutures through transosseous tunnels |
US5725529A (en) * | 1990-09-25 | 1998-03-10 | Innovasive Devices, Inc. | Bone fastener |
AU653752B2 (en) * | 1990-09-25 | 1994-10-13 | Ethicon Inc. | Bone fastener |
US7074203B1 (en) * | 1990-09-25 | 2006-07-11 | Depuy Mitek, Inc. | Bone anchor and deployment device therefor |
GB2248778B (en) | 1990-10-09 | 1994-04-06 | Biomet Ltd | Ligament fixator |
US5480403A (en) * | 1991-03-22 | 1996-01-02 | United States Surgical Corporation | Suture anchoring device and method |
US5257637A (en) | 1991-03-22 | 1993-11-02 | El Gazayerli Mohamed M | Method for suture knot placement and tying |
CA2063159C (en) | 1991-03-22 | 1999-06-15 | Thomas W. Sander | Orthopedic fastener |
US5720753A (en) * | 1991-03-22 | 1998-02-24 | United States Surgical Corporation | Orthopedic fastener |
US5354298A (en) | 1991-03-22 | 1994-10-11 | United States Surgical Corporation | Suture anchor installation system |
US5152763A (en) | 1991-04-02 | 1992-10-06 | Johnson Lanny L | Method for grafting bone |
US5258015A (en) | 1991-05-03 | 1993-11-02 | American Cyanamid Company | Locking filament caps |
US5269783A (en) | 1991-05-13 | 1993-12-14 | United States Surgical Corporation | Device and method for repairing torn tissue |
US5207579A (en) | 1991-05-22 | 1993-05-04 | The United States Of America As Represented By The Secretary Of The Army | Antipersonnel training mine |
US5116337A (en) | 1991-06-27 | 1992-05-26 | Johnson Lanny L | Fixation screw and method for ligament reconstruction |
US5122132A (en) * | 1991-08-01 | 1992-06-16 | Bremer Medical, Inc. | Skull pin with enhanced shear resistance |
US5207679A (en) | 1991-09-26 | 1993-05-04 | Mitek Surgical Products, Inc. | Suture anchor and installation tool |
GB2260585A (en) | 1991-10-09 | 1993-04-21 | Avdel Systems Ltd | Self-plugging blind rivet |
US5141520A (en) | 1991-10-29 | 1992-08-25 | Marlowe Goble E | Harpoon suture anchor |
FR2682867A1 (en) | 1991-10-29 | 1993-04-30 | Nouaille Jean Marc | METHOD AND DEVICE FOR LOCKING A WIRE IN CORE SURGERY. |
US5326205A (en) | 1992-05-27 | 1994-07-05 | Anspach Jr William E | Expandable rivet assembly |
US5501695A (en) | 1992-05-27 | 1996-03-26 | The Anspach Effort, Inc. | Fastener for attaching objects to bones |
US5176682A (en) | 1992-06-01 | 1993-01-05 | Chow James C Y | Surgical implement |
CA2100532C (en) | 1992-09-21 | 2004-04-20 | David T. Green | Device for applying a meniscal staple |
US5314427A (en) | 1992-10-13 | 1994-05-24 | Marlowe Goble E | Channel ligament clamp |
IL103737A (en) | 1992-11-13 | 1997-02-18 | Technion Res & Dev Foundation | Stapler device particularly useful in medical suturing |
US5397356A (en) | 1993-01-15 | 1995-03-14 | Depuy Inc. | Pin for securing a replacement ligament to a bone |
US5814073A (en) | 1996-12-13 | 1998-09-29 | Bonutti; Peter M. | Method and apparatus for positioning a suture anchor |
US5380334A (en) * | 1993-02-17 | 1995-01-10 | Smith & Nephew Dyonics, Inc. | Soft tissue anchors and systems for implantation |
US5441502A (en) * | 1993-02-17 | 1995-08-15 | Mitek Surgical Products, Inc. | System and method for re-attaching soft tissue to bone |
US6162234A (en) | 1993-03-23 | 2000-12-19 | Freedland; Yosef | Adjustable button cinch anchor orthopedic fastener |
US5352229A (en) | 1993-05-12 | 1994-10-04 | Marlowe Goble E | Arbor press staple and washer and method for its use |
US5845645A (en) | 1993-05-14 | 1998-12-08 | Bonutti; Peter M. | Method of anchoring a suture |
US5403348A (en) | 1993-05-14 | 1995-04-04 | Bonutti; Peter M. | Suture anchor |
US5549630A (en) | 1993-05-14 | 1996-08-27 | Bonutti; Peter M. | Method and apparatus for anchoring a suture |
US5423860A (en) | 1993-05-28 | 1995-06-13 | American Cyanamid Company | Protective carrier for suture anchor |
US5505735A (en) | 1993-06-10 | 1996-04-09 | Mitek Surgical Products, Inc. | Surgical anchor and method for using the same |
US5372604A (en) | 1993-06-18 | 1994-12-13 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5522844A (en) * | 1993-06-22 | 1996-06-04 | Johnson; Lanny L. | Suture anchor, suture anchor installation device and method for attaching a suture to a bone |
US5824011A (en) | 1993-06-23 | 1998-10-20 | Kevin R. Stone | Suture anchor assembly |
US5370662A (en) * | 1993-06-23 | 1994-12-06 | Kevin R. Stone | Suture anchor assembly |
EP0636346A1 (en) * | 1993-07-23 | 1995-02-01 | Massimo Santangelo | Device for preventive support of the femur |
US5540718A (en) | 1993-09-20 | 1996-07-30 | Bartlett; Edwin C. | Apparatus and method for anchoring sutures |
US5584835A (en) | 1993-10-18 | 1996-12-17 | Greenfield; Jon B. | Soft tissue to bone fixation device and method |
US5324308A (en) | 1993-10-28 | 1994-06-28 | Javin Pierce | Suture anchor |
USRE36289E (en) | 1993-12-13 | 1999-08-31 | Ethicon, Inc. | Umbrella shaped suture anchor device with actuating ring member |
US5545180A (en) | 1993-12-13 | 1996-08-13 | Ethicon, Inc. | Umbrella-shaped suture anchor device with actuating ring member |
US5417712A (en) | 1994-02-17 | 1995-05-23 | Mitek Surgical Products, Inc. | Bone anchor |
US5466243A (en) * | 1994-02-17 | 1995-11-14 | Arthrex, Inc. | Method and apparatus for installing a suture anchor through a hollow cannulated grasper |
US5584695A (en) | 1994-03-07 | 1996-12-17 | Memory Medical Systems, Inc. | Bone anchoring apparatus and method |
US5486197A (en) * | 1994-03-24 | 1996-01-23 | Ethicon, Inc. | Two-piece suture anchor with barbs |
US5458601A (en) | 1994-03-28 | 1995-10-17 | Medical University Of South Carolina | Adjustable ligament anchor |
US5411523A (en) | 1994-04-11 | 1995-05-02 | Mitek Surgical Products, Inc. | Suture anchor and driver combination |
US5489210A (en) * | 1994-05-13 | 1996-02-06 | Hanosh; Frederick N. | Expanding dental implant and method for its use |
US5531792A (en) * | 1994-06-14 | 1996-07-02 | Huene; Donald R. | Bone plug fixation assembly, expansible plug assembly therefor, and method of fixation |
US6162236A (en) * | 1994-07-11 | 2000-12-19 | Terumo Kabushiki Kaisha | Trocar needle and expandable trocar tube |
WO1996002193A1 (en) * | 1994-07-14 | 1996-02-01 | Symbiosis Corporation | Track guided end effector assembly |
US5472452A (en) | 1994-08-30 | 1995-12-05 | Linvatec Corporation | Rectilinear anchor for soft tissue fixation |
US5522845A (en) | 1994-09-27 | 1996-06-04 | Mitek Surgical Products, Inc. | Bone anchor and bone anchor installation |
US5464427A (en) | 1994-10-04 | 1995-11-07 | Synthes (U.S.A.) | Expanding suture anchor |
US5649963A (en) | 1994-11-10 | 1997-07-22 | Innovasive Devices, Inc. | Suture anchor assembly and methods |
US5643321A (en) | 1994-11-10 | 1997-07-01 | Innovasive Devices | Suture anchor assembly and methods |
US5814071A (en) | 1994-11-10 | 1998-09-29 | Innovasive Devices, Inc. | Suture anchor assembly and methods |
SE509703C2 (en) | 1995-02-07 | 1999-03-01 | Sven Olerud | Two devices for locking two implant elements to each other |
US5643320A (en) * | 1995-03-13 | 1997-07-01 | Depuy Inc. | Soft tissue anchor and method |
US5591207A (en) | 1995-03-30 | 1997-01-07 | Linvatec Corporation | Driving system for inserting threaded suture anchors |
US6117161A (en) | 1995-06-06 | 2000-09-12 | Li Medical Tecnologies, Inc. | Fastener and fastening method, particularly for fastening sutures to bone |
US5569306A (en) | 1995-06-06 | 1996-10-29 | Thal; Raymond | Knotless suture anchor assembly |
US6086608A (en) | 1996-02-22 | 2000-07-11 | Smith & Nephew, Inc. | Suture collet |
JP3515232B2 (en) | 1995-07-11 | 2004-04-05 | 横浜ゴム株式会社 | Pneumatic tire and method of using the same |
US5626614A (en) * | 1995-12-22 | 1997-05-06 | Applied Medical Resources Corporation | T-anchor suturing device and method for using same |
US5725541A (en) | 1996-01-22 | 1998-03-10 | The Anspach Effort, Inc. | Soft tissue fastener device |
US5702462A (en) | 1996-01-24 | 1997-12-30 | Oberlander; Michael | Method of meniscal repair |
DE19603887C2 (en) | 1996-02-03 | 1998-07-02 | Lerch Karl Dieter | Arrangement for fixing a piece of bone that has been removed from the skull capsule for the purpose of the surgical intervention to the remaining skull leg |
US5702397A (en) | 1996-02-20 | 1997-12-30 | Medicinelodge, Inc. | Ligament bone anchor and method for its use |
US5713921A (en) | 1996-03-29 | 1998-02-03 | Bonutti; Peter M. | Suture anchor |
US5849004A (en) | 1996-07-17 | 1998-12-15 | Bramlet; Dale G. | Surgical anchor |
US5718717A (en) * | 1996-08-19 | 1998-02-17 | Bonutti; Peter M. | Suture anchor |
US5948000A (en) * | 1996-10-03 | 1999-09-07 | United States Surgical Corporation | System for suture anchor placement |
DE69727015T2 (en) * | 1996-10-04 | 2004-11-25 | United States Surgical Corp., Norwalk | Device for attaching a tissue fastener |
CA2217406C (en) * | 1996-10-04 | 2006-05-30 | United States Surgical Corporation | Suture anchor installation system with disposable loading unit |
US5948002A (en) * | 1996-11-15 | 1999-09-07 | Bonutti; Peter M. | Apparatus and method for use in positioning a suture anchor |
US5814072A (en) * | 1996-11-15 | 1998-09-29 | Bonutti; Peter M. | Method and apparatus for use in anchoring a suture |
US5707395A (en) | 1997-01-16 | 1998-01-13 | Li Medical Technologies, Inc. | Surgical fastener and method and apparatus for ligament repair |
US5709708A (en) | 1997-01-31 | 1998-01-20 | Thal; Raymond | Captured-loop knotless suture anchor assembly |
AU6171798A (en) | 1997-02-13 | 1998-09-08 | Boston Scientific Ireland Limited, Barbados Head Office | Method and apparatus for minimally invasive pelvic surgery |
US5935129A (en) * | 1997-03-07 | 1999-08-10 | Innovasive Devices, Inc. | Methods and apparatus for anchoring objects to bone |
US5810821A (en) | 1997-03-28 | 1998-09-22 | Biomet Inc. | Bone fixation screw system |
US5957924A (en) | 1997-05-22 | 1999-09-28 | Bionx Implants Oy | Installation tool for suture anchor |
ES2182318T3 (en) | 1997-06-02 | 2003-03-01 | Jeannette M D Martello | SOFT FABRIC SECURITY ANCHORAGE. |
US5899921A (en) | 1997-07-25 | 1999-05-04 | Innovasive Devices, Inc. | Connector device and method for surgically joining and securing flexible tissue repair members |
US6159234A (en) | 1997-08-01 | 2000-12-12 | Peter M. Bonutti | Method and apparatus for securing a suture |
US20050216059A1 (en) | 2002-09-05 | 2005-09-29 | Bonutti Peter M | Method and apparatus for securing a suture |
US5885294A (en) | 1997-09-22 | 1999-03-23 | Ethicon, Inc. | Apparatus and method for anchoring a cord-like element to a workpiece |
US6306138B1 (en) | 1997-09-24 | 2001-10-23 | Ethicon, Inc. | ACL fixation pin and method |
US5980558A (en) | 1997-09-30 | 1999-11-09 | Biomet Inc. | Suture anchor system |
US6149669A (en) | 1997-10-30 | 2000-11-21 | Li Medical Technologies, Inc. | Surgical fastener assembly method of use |
US5921986A (en) | 1998-02-06 | 1999-07-13 | Bonutti; Peter M. | Bone suture |
US6146406A (en) | 1998-02-12 | 2000-11-14 | Smith & Nephew, Inc. | Bone anchor |
EP1055398B1 (en) | 1998-02-13 | 2008-01-02 | Gunze Limited | Bone fixing pin |
US6099530A (en) | 1998-04-09 | 2000-08-08 | Smith & Nephew, Inc. | Soft-tissue intra-tunnel fixation device |
US6056751A (en) | 1998-04-16 | 2000-05-02 | Axya Medical, Inc. | Sutureless soft tissue fixation assembly |
WO1999062417A1 (en) * | 1998-06-04 | 1999-12-09 | Synthes Ag Chur | Surgical blind rivet with closing element |
US6051791A (en) | 1998-06-17 | 2000-04-18 | Tom King Harmony Products, Inc. | Waterproof wire connector |
US6174324B1 (en) | 1998-07-13 | 2001-01-16 | Axya Medical, Inc. | Suture guide and fastener |
US6200329B1 (en) | 1998-08-31 | 2001-03-13 | Smith & Nephew, Inc. | Suture collet |
US6165203A (en) | 1998-09-11 | 2000-12-26 | Bio Innovation, Ltd. | Suture anchor installation devices and methods |
US6368326B1 (en) | 1998-09-28 | 2002-04-09 | Daos Limited | Internal cord fixation device |
US6248108B1 (en) | 1998-09-30 | 2001-06-19 | Bionx Implants Oy | Bioabsorbable surgical screw and washer system |
JP2000120628A (en) | 1998-10-08 | 2000-04-25 | Wakai & Co Ltd | Expanding plug |
US6126662A (en) * | 1998-10-09 | 2000-10-03 | Carmichael; Robert P. | Bone implant |
US6241732B1 (en) * | 1998-11-03 | 2001-06-05 | David W. Overaker | Biocompatible absorbable rivets and pins for use in surgical procedures |
JP2994635B1 (en) * | 1998-11-25 | 1999-12-27 | 有限会社トゥエンティワン | Dental implant |
US6042584A (en) | 1998-12-04 | 2000-03-28 | Pierson, Iii; Raymond H. | Bone depth resection guide and method |
US20060161159A1 (en) | 1999-02-02 | 2006-07-20 | Dreyfuss Peter J | PEEK ribbed suture anchor |
US6203572B1 (en) | 1999-02-09 | 2001-03-20 | Linvatec Corporation | Device and method for ligament reconstruction |
KR100312542B1 (en) * | 1999-02-12 | 2001-11-03 | 정필훈 | controlled morphological osteocompressive implant for immediate loading |
US6143017A (en) | 1999-03-17 | 2000-11-07 | Thal; Raymond | Free loop knotless suture anchor assembly |
US6228096B1 (en) | 1999-03-31 | 2001-05-08 | Sam R. Marchand | Instrument and method for manipulating an operating member coupled to suture material while maintaining tension on the suture material |
US6267766B1 (en) | 1999-05-28 | 2001-07-31 | Stephen S. Burkhart | Suture anchor reel device kit and method |
US6123711A (en) | 1999-06-10 | 2000-09-26 | Winters; Thomas F. | Tissue fixation device and method |
DE19928449C1 (en) * | 1999-06-23 | 2001-03-08 | Geot Ges Fuer Elektro Oseto Th | Bone screw with device for electrical stimulation |
US6319252B1 (en) * | 1999-07-23 | 2001-11-20 | Mcdevitt Dennis | System and method for attaching soft tissue to bone |
US6447516B1 (en) | 1999-08-09 | 2002-09-10 | Peter M. Bonutti | Method of securing tissue |
US6527794B1 (en) | 1999-08-10 | 2003-03-04 | Ethicon, Inc. | Self-locking suture anchor |
WO2001012054A2 (en) | 1999-08-17 | 2001-02-22 | Pioneer Laboratories | Bone connector system |
US6413260B1 (en) | 1999-08-17 | 2002-07-02 | Pioneer Laboratories, Inc. | Bone connector system |
JP3300777B2 (en) | 1999-08-27 | 2002-07-08 | 有限会社デザインポリシー | Glasses for facial armor |
US6280191B1 (en) * | 1999-09-03 | 2001-08-28 | Christopher B. Gordon | Distractor suitable for permanent implantation into bone |
GB9929599D0 (en) | 1999-12-15 | 2000-02-09 | Atlantech Medical Devices Limi | A graft suspension device |
US6290701B1 (en) | 2000-01-11 | 2001-09-18 | Albert Enayati | Bioabsorbable rivet bone fastener |
US6423062B2 (en) | 2000-02-18 | 2002-07-23 | Albert Enayati | Bioabsorbable pin for external bone fixation |
US6673094B1 (en) | 2000-02-23 | 2004-01-06 | Ethicon, Inc. | System and method for attaching soft tissue to bone |
PL365136A1 (en) | 2000-03-01 | 2004-12-27 | Societe Des Produits Nestle S.A. | Carbohydrate formulation (prebiotic adjuvant) for enhancement of immune response |
US7993368B2 (en) | 2003-03-13 | 2011-08-09 | C.R. Bard, Inc. | Suture clips, delivery devices and methods |
ATE338519T1 (en) | 2000-06-14 | 2006-09-15 | Teppo Jaervinen | FIXATION ANCHORS |
US6517579B1 (en) | 2000-09-06 | 2003-02-11 | Lonnie E. Paulos | Method and apparatus for securing a soft tissue graft to bone during an ACL reconstruction |
EP1192908A3 (en) | 2000-10-02 | 2004-05-26 | Howmedica Osteonics Corp. | System and method for spinal reconstruction |
US6641596B1 (en) * | 2000-10-18 | 2003-11-04 | Ethicon, Inc. | Knotless bioabsorbable suture anchor system and method |
US6520980B1 (en) | 2000-11-02 | 2003-02-18 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a self-locking knotless suture anchoring device |
US6733506B1 (en) | 2000-11-16 | 2004-05-11 | Ethicon, Inc. | Apparatus and method for attaching soft tissue to bone |
US6840953B2 (en) | 2000-12-22 | 2005-01-11 | United States Surgical Corporation | Suture screw |
JP4493258B2 (en) * | 2001-04-04 | 2010-06-30 | オリンパス株式会社 | Tissue puncture device |
US6641597B2 (en) | 2001-05-25 | 2003-11-04 | Arthrex, Inc. | Interference fit knotless suture anchor fixation |
US6780198B1 (en) | 2001-12-06 | 2004-08-24 | Opus Medical, Inc. | Bone anchor insertion device |
US6689135B2 (en) | 2002-01-25 | 2004-02-10 | Albert Enayati | Expandable bone fastener and installation tool |
US6951565B2 (en) | 2002-04-24 | 2005-10-04 | Linvatec Biomaterials Ltd. | Device for inserting surgical implants |
US20030204193A1 (en) | 2002-04-25 | 2003-10-30 | Stefan Gabriel | Suture anchor insertion tool |
US6932834B2 (en) | 2002-06-27 | 2005-08-23 | Ethicon, Inc. | Suture anchor |
US7837710B2 (en) | 2003-09-10 | 2010-11-23 | Linvatec Corporation | Knotless suture anchor |
JP4480978B2 (en) | 2003-10-08 | 2010-06-16 | オリンパス株式会社 | Medical treatment tool |
US20060282081A1 (en) | 2004-04-16 | 2006-12-14 | Fanton Gary S | Apparatus and method for securing tissue to bone with a suture |
US20050245932A1 (en) | 2004-04-16 | 2005-11-03 | Fanton Gary S | Apparatus and methods for securing tissue to bone |
US20060079904A1 (en) | 2004-10-13 | 2006-04-13 | Raymond Thal | Multirow knotless suture anchor assembly |
US8986345B2 (en) | 2004-12-07 | 2015-03-24 | Biomet Sports Medicine, Llc | Expanding suture anchor having an actuator pin |
JP2008540037A (en) | 2005-05-18 | 2008-11-20 | ソノマ・オーソペディック・プロダクツ・インコーポレイテッド | Bone fixation device, system and method of use that can be operated minimally invasively |
US8157815B2 (en) | 2005-05-20 | 2012-04-17 | Neotract, Inc. | Integrated handle assembly for anchor delivery system |
US20060271060A1 (en) | 2005-05-26 | 2006-11-30 | Arthrocare Corporation | Threaded knotless suture anchoring device and method |
US9271720B2 (en) | 2005-08-11 | 2016-03-01 | Biomet Sports Medicine, Llc | Steerable suture passing device |
US20070219557A1 (en) | 2006-03-17 | 2007-09-20 | Bourque Bernard J | Soft tissue fixation |
US8758405B2 (en) | 2006-03-23 | 2014-06-24 | Ethicon Endo-Surgery, Inc | Suture tensioning device |
US9788825B2 (en) | 2006-08-04 | 2017-10-17 | Depuy Mitek, Llc | Suture anchor with relief mechanism |
US9750492B2 (en) | 2006-08-04 | 2017-09-05 | Depuy Mitek, Llc | Suture anchor system with tension relief mechanism |
US8409252B2 (en) | 2008-03-25 | 2013-04-02 | Linvatec Corporation | Knotless suture anchor |
US8162978B2 (en) | 2008-03-25 | 2012-04-24 | Linvatec Corporation | Non-metallic knotless suture anchor |
US8709040B2 (en) | 2008-06-26 | 2014-04-29 | Vitasynergies, Llc | Suture anchor, guide for locating a hole in a bone, and suture anchor delivery tool |
-
1999
- 1999-07-23 US US09/360,475 patent/US6319252B1/en not_active Expired - Lifetime
-
2000
- 2000-07-20 JP JP2001511806A patent/JP4455795B2/en not_active Expired - Lifetime
- 2000-07-20 WO PCT/US2000/019875 patent/WO2001006909A2/en active Application Filing
- 2000-07-20 EP EP00950502A patent/EP1150615B1/en not_active Expired - Lifetime
- 2000-07-20 CA CA002345035A patent/CA2345035C/en not_active Expired - Fee Related
- 2000-07-20 AU AU63597/00A patent/AU777280B2/en not_active Ceased
-
2001
- 2001-11-20 US US09/989,324 patent/US6770073B2/en not_active Expired - Lifetime
-
2004
- 2004-06-22 US US10/710,149 patent/US7896907B2/en not_active Expired - Fee Related
-
2011
- 2011-02-07 US US13/022,318 patent/US8491600B2/en not_active Expired - Fee Related
- 2011-03-01 US US13/037,553 patent/US8518091B2/en not_active Expired - Fee Related
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5782865A (en) | 1995-08-25 | 1998-07-21 | Grotz; Robert Thomas | Stabilizer for human joints |
WO1997029693A1 (en) | 1996-02-16 | 1997-08-21 | Smith & Nephew Inc. | Expandable suture anchor |
Non-Patent Citations (1)
Title |
---|
See also references of EP1150615A4 |
Cited By (36)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7896907B2 (en) | 1999-07-23 | 2011-03-01 | Ethicon, Inc. | System and method for attaching soft tissue to bone |
US9510816B2 (en) | 1999-08-10 | 2016-12-06 | Depuy Mitek, Llc | Self-locking suture anchor |
EP1206924A1 (en) * | 2000-11-16 | 2002-05-22 | Ethicon, Inc. | Apparatus for attaching soft tissue to bone |
US9757114B2 (en) | 2000-11-16 | 2017-09-12 | Depuy Mitek, Llc | Apparatus and method for attaching soft tissue to bone |
US8834543B2 (en) | 2000-11-16 | 2014-09-16 | Depuy Mitek, Llc | Apparatus and method for attaching soft tissue to bone |
US6688798B2 (en) | 2001-02-27 | 2004-02-10 | Incumed, Inc. | Adjustable locking mount and methods of use |
US6736852B2 (en) | 2001-02-27 | 2004-05-18 | Incumed, Inc. | Adjustable bone prostheses and related methods |
US6896436B2 (en) | 2001-02-27 | 2005-05-24 | Incumed, Inc. | Adjustable locking mount and methods of use |
US7166132B2 (en) | 2001-02-27 | 2007-01-23 | Incumed, Inc. | Adjustable bone prostheses and related methods |
US7008451B2 (en) | 2001-09-28 | 2006-03-07 | Ethicon, Inc. | Expanding ligament graft fixation system and method |
US6887271B2 (en) | 2001-09-28 | 2005-05-03 | Ethicon, Inc. | Expanding ligament graft fixation system and method |
US7901456B2 (en) | 2001-09-28 | 2011-03-08 | Ethicon, Inc. | Expanding ligament graft fixation system method |
WO2003028591A1 (en) * | 2001-09-28 | 2003-04-10 | Ethicon, Inc. | Expanding ligament graft fixation system |
US6863530B2 (en) | 2001-12-28 | 2005-03-08 | Incumed, Inc. | Expandable polymer dental implant and method of use |
US6942666B2 (en) | 2002-03-29 | 2005-09-13 | Ethicon, Inc. | Expandable cable anchor |
US7022129B2 (en) | 2002-03-29 | 2006-04-04 | Ethicon, Inc. | Threaded cable anchor |
EP1348380A1 (en) * | 2002-03-29 | 2003-10-01 | Ethicon Inc. | Expandable cable anchor |
US7104999B2 (en) | 2003-06-28 | 2006-09-12 | Ethicon, Inc. | Surgical anchor inserter |
US7850452B2 (en) | 2005-04-27 | 2010-12-14 | Biomet 3I, Llc | Pre-stressed implant component and assembly |
US8663280B2 (en) | 2006-07-20 | 2014-03-04 | Lee D. Kaplan | Surgical instruments |
US11464507B2 (en) | 2006-07-20 | 2022-10-11 | Lee D. Kaplan | Surgical instruments |
US10595849B2 (en) | 2006-07-20 | 2020-03-24 | Lee D. Kaplan | Surgical instruments |
US9757112B2 (en) | 2006-07-20 | 2017-09-12 | Lee D. Kaplan | Surgical instruments |
US8444674B2 (en) | 2006-07-20 | 2013-05-21 | Lee D. Kaplan | Surgical instruments |
US10939902B2 (en) | 2006-08-04 | 2021-03-09 | DePuy Synthes Products, Inc. | Suture anchor with relief mechanism |
US10813633B2 (en) | 2006-08-04 | 2020-10-27 | DePuy Synthes Products, Inc. | Suture anchor system with tension relief mechanism |
US9788825B2 (en) | 2006-08-04 | 2017-10-17 | Depuy Mitek, Llc | Suture anchor with relief mechanism |
US9750492B2 (en) | 2006-08-04 | 2017-09-05 | Depuy Mitek, Llc | Suture anchor system with tension relief mechanism |
US8226714B2 (en) | 2006-09-29 | 2012-07-24 | Depuy Mitek, Inc. | Femoral fixation |
US9907646B2 (en) | 2006-09-29 | 2018-03-06 | Depuy Mitek, Llc | Femoral fixation |
US10441409B2 (en) | 2006-09-29 | 2019-10-15 | Depuy Synthes Products, Inc | Femoral fixation |
US9592115B2 (en) | 2006-09-29 | 2017-03-14 | Depuy Mitek, Llc | Femoral fixation |
US9265602B2 (en) | 2006-09-29 | 2016-02-23 | Depuy Mitek, Llc | Femoral fixation |
US8747470B2 (en) | 2006-09-29 | 2014-06-10 | Depuy Mitek, Llc | Femoral fixation |
US9486205B2 (en) | 2008-07-17 | 2016-11-08 | Smith & Nephew, Inc. | Surgical devices |
US9936939B2 (en) | 2009-11-10 | 2018-04-10 | Smith & Nephew, Inc. | Tissue repair devices |
Also Published As
Publication number | Publication date |
---|---|
CA2345035C (en) | 2008-12-02 |
US7896907B2 (en) | 2011-03-01 |
US6319252B1 (en) | 2001-11-20 |
EP1150615A4 (en) | 2008-06-18 |
EP1150615A2 (en) | 2001-11-07 |
US8518091B2 (en) | 2013-08-27 |
US8491600B2 (en) | 2013-07-23 |
AU6359700A (en) | 2001-02-13 |
WO2001006909A3 (en) | 2001-09-07 |
JP4455795B2 (en) | 2010-04-21 |
US6770073B2 (en) | 2004-08-03 |
US20110152885A1 (en) | 2011-06-23 |
CA2345035A1 (en) | 2001-02-01 |
EP1150615B1 (en) | 2011-05-11 |
US20110152929A1 (en) | 2011-06-23 |
US20040220573A1 (en) | 2004-11-04 |
JP2003505128A (en) | 2003-02-12 |
US20020115999A1 (en) | 2002-08-22 |
AU777280B2 (en) | 2004-10-07 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
EP1150615B1 (en) | System for attaching soft tissue to bone | |
US9757114B2 (en) | Apparatus and method for attaching soft tissue to bone | |
CA2400303C (en) | System and method for attaching soft tissue to bone | |
AU2001241745A1 (en) | System and method for attaching soft tissue to bone | |
US20230200801A1 (en) | Anchors and methods for securing suture to bone | |
JP4322672B2 (en) | Expansion ligament graft fixation system | |
WO2002051325A2 (en) | Suture screw | |
AU2002234112A1 (en) | Suture screw | |
US6863072B1 (en) | System and method for attaching soft tissue to bone |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A2 Designated state(s): AU CA JP |
|
AL | Designated countries for regional patents |
Kind code of ref document: A2 Designated state(s): AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE |
|
ENP | Entry into the national phase |
Ref document number: 2345035 Country of ref document: CA Ref country code: CA Ref document number: 2345035 Kind code of ref document: A Format of ref document f/p: F |
|
WWE | Wipo information: entry into national phase |
Ref document number: 2000950502 Country of ref document: EP |
|
ENP | Entry into the national phase |
Ref country code: JP Ref document number: 2001 511806 Kind code of ref document: A Format of ref document f/p: F |
|
WWE | Wipo information: entry into national phase |
Ref document number: 63597/00 Country of ref document: AU |
|
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
AK | Designated states |
Kind code of ref document: A3 Designated state(s): AU CA JP |
|
AL | Designated countries for regional patents |
Kind code of ref document: A3 Designated state(s): AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE |
|
WWP | Wipo information: published in national office |
Ref document number: 2000950502 Country of ref document: EP |