US20090187216A1 - Fenestrated swivel anchor for knotless fixation of tissue - Google Patents

Fenestrated swivel anchor for knotless fixation of tissue Download PDF

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Publication number
US20090187216A1
US20090187216A1 US12/418,391 US41839109A US2009187216A1 US 20090187216 A1 US20090187216 A1 US 20090187216A1 US 41839109 A US41839109 A US 41839109A US 2009187216 A1 US2009187216 A1 US 2009187216A1
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US
United States
Prior art keywords
suture
anchor
implant
swivel
bone
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US12/418,391
Inventor
Reinhold Schmieding
Peter J. Dreyfuss
John A. Sodeika
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Arthrex Inc
Original Assignee
Arthrex Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US11/802,057 external-priority patent/US9005246B2/en
Priority claimed from US12/043,008 external-priority patent/US20080208253A1/en
Priority claimed from US12/368,946 external-priority patent/US20090192546A1/en
Priority to US12/418,391 priority Critical patent/US20090187216A1/en
Application filed by Arthrex Inc filed Critical Arthrex Inc
Assigned to ARTHREX, INC. reassignment ARTHREX, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: SCHMIEDING, REINHOLD, SODEIKA, JOHN A., DREYFUSS, PETER J.
Publication of US20090187216A1 publication Critical patent/US20090187216A1/en
Priority to EP10250217A priority patent/EP2215975A1/en
Priority to US13/403,366 priority patent/US20120150225A1/en
Priority to US14/707,861 priority patent/US10881388B2/en
Priority to US15/976,157 priority patent/US11571200B2/en
Priority to US17/975,308 priority patent/US11801043B2/en
Priority to US17/975,321 priority patent/US11844512B2/en
Abandoned legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0805Implements for inserting tendons or ligaments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
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    • A61F2/0811Fixation devices for tendons or ligaments
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    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409Instruments for applying suture anchors
    • AHUMAN NECESSITIES
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    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414Suture 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
    • AHUMAN NECESSITIES
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    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0438Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
    • AHUMAN NECESSITIES
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    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044Suture 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
    • AHUMAN NECESSITIES
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    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0445Suture 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
    • AHUMAN NECESSITIES
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    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • AHUMAN NECESSITIES
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    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0459Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
    • AHUMAN NECESSITIES
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    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor
    • A61F2002/0841Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • A61F2002/0852Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0876Position of anchor in respect to the bone
    • A61F2002/0888Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Definitions

  • the present invention relates to methods and instruments for fixation of sutures and tissue to bone.
  • Reattachment of soft tissue to bone typically requires the surgeon to pass suture material through selected tissue, form a plurality of surgical knots extracorporeally and then move the knots into position adjacent the desired tissue to be sutured.
  • the surgeon must manually tie the knots on the suture strands after the suture is threaded through the selected tissues to be sutured.
  • Knot tying during surgery, particularly arthroscopic surgery is tedious and time-consuming. There is also a tendency for the knots to deform or collapse as the surgeon manually forces the knots down into the proper position.
  • the suture knots often are exposed to abrasion or cutting by sharp or rough areas along the walls of the bone canal into which anchors are typically inserted to provide fixation of tendon to bone.
  • the instruments and methods of the present invention overcome the disadvantages of the prior art, such as those noted above, by providing a swivel implant at the distal end of a driver that securely engages and locks into a cannulated ribbed body of an interference plug or screw.
  • the swivel implant includes a closed aperture for receiving a strand attached to a graft, such that the strand is able to freely slide through the aperture.
  • the strand is passed through the graft at desired points.
  • a cannulated plug or screw is pre-loaded onto a driver provided with a swivel lock twist-in anchor at its distal end.
  • the strand attached to the graft is passed through the aperture of the swivel implant located at the distal end of the driver.
  • the distal end of the driver together with the implant is inserted directly into the bone.
  • the driver may be rotated (in a clockwise direction, for example) to advance a screw over the anchor to complete insertion.
  • the cannulated plug or screw is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the device (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.
  • FIGS. 1-6 depict a series of steps of shoulder repair using a plurality of swivel anchor devices according to the present invention.
  • FIG. 7 illustrates various views of the driver assembly of the present invention.
  • FIGS. 8 and 9 illustrate the swivel implant and traction suture.
  • FIG. 10 is an enlarged view of the fixation device (cannulated screw) used in the present invention.
  • FIG. 11 illustrates various views of a swivel anchor with a metal tip which avoids the need to pre-drill a hole in bone.
  • FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly of the present invention, and the swivel anchor inserted in a bone socket, respectively.
  • FIGS. 14-16 illustrate various views of a fixation device with fenestrations and used in conjunction with the swivel anchor assembly of the present invention.
  • the present invention provides apparatus and methods for knotless tissue fixation using a swivel anchor device.
  • FIG. 1 illustrates a side view of a human shoulder of a patient undergoing a rotator cuff repair in accordance with an exemplary embodiment of the present invention.
  • the patient may be positioned in the beach chair position using the Arthrex Beach Chair Lateral Traction Device or in a lateral decubitus position using the Arthrex 3-Point Shoulder Distraction System. Access to the subacromial space is facilitated with a variety of cannulas.
  • the mobility of the tear is assessed using, for example, a tissue grasper 10 such as the Arthrex KingFisherTM Suture Retriever/Tissue Grasper, to determine whether a U or L-shaped component exists.
  • tissue grasper 10 such as the Arthrex KingFisherTM Suture Retriever/Tissue Grasper
  • margin convergence suturing is performed to reduce volume and strain on the repair.
  • the length and width of the rotator cuff footprint is assessed and a bleeding bed for enhanced tendon to bone healing may be formed. This may be accomplished with a burr to perform a light dusting of the greater tuberosity, or by using a chondro pick to microfracture the footprint and maximize vascular channels.
  • FIG. 2 illustrates the preparation of two pilot holes for two swivel anchors that will be inserted in the medial row.
  • a punch may be employed adjacent to the articular margin of the humerus and at about 45° angle to form the two pilot holes.
  • a swivel implant 30 loaded with a strand of suture tape 40 , preferably Arthrex FiberTape, is placed in the medial pre-formed hole 32 .
  • Arthrex FiberTape is a high strength suture tape which is braided and rectangular-like in cross section and is disclosed in U.S. Patent Application Publication No. 2005/0192631, the disclosure of which is incorporated by reference herein.
  • the anchor of the present invention can be used with any type of flexible material or suture.
  • the driver is then rotated to advance screw 42 down shaft 20 to secure the implant and suture in the bone hole. More specifically, as shown in FIG.
  • the screw 42 is advanced by holding thumb pad 50 as the driver handle 22 is turned clockwise.
  • An Arthrex FiberLink and an Arthrex Scorpion suture passer 44 are used to shuttle both tails of the suture tape through the rotator cuff 34 simultaneously. This procedure is followed for both medial swivel anchors.
  • one tail of suture tape 40 from each medial swivel anchor is retrieved and loaded through the eyelet of another swivel implant 30 , and that implant is installed in then inserted into a preformed lateral bone socket.
  • the tension of the suture tape 40 is adjusted if necessary.
  • the swivel anchor driver is then rotated in clockwise direction as before to advance the screw 42 over the implant to complete insertion. This step is repeated in another lateral bone socket with the other tails of suture tape from each medial anchor.
  • the tails of the suture tape 40 are then cut, one at a time, to complete the construct as shown in FIG. 6 .
  • the method is analogous to the method disclosed in U.S. Patent Application Publication No. 2007/0191849, the entire disclosure of which is incorporated by reference herein.
  • FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly and the anchor inserted in a bone socket, respectively.
  • a driver 68 is used to install the knotless fixation devices with a swiveling implant.
  • Driver 68 features a thin cannulated rod 20 passing slidably and rotatably through a cannulated driver assembly.
  • the tip of thin cannulated rod 20 is adapted to accept swivel anchor implant 42 within the cannulation at its tip, preferably via a snap fit.
  • Cannulated rod 20 has a hexagonal outer surface for receiving anchor body (preferably a screw) 42 having a corresponding cannulation.
  • FIG. 10 illustrates a detailed view of the cannulated screw 42 .
  • FIG. 7( c ) illustrates the swivel anchor implant 30 .
  • traction sutures 71 extending from the proximal end of the swivel anchor implant 30 are threaded through the cannulation of the driver 68 (see also FIG. 7( c )).
  • traction sutures 71 prevent inadvertent separation of the implant 30 from the driver during insertion, but they can be used subsequently for additional tie-down of the tendon after the driver is removed. Subsequently, the swivel anchor implant 30 is seated on the driver tip and until advanced until it snaps onto place ( FIG. 7( d )). A protective tube 94 ( FIG. 7( e )) may be placed over the tip of the assembly for shipping purposes. The traction sutures 71 may be looped around the driver handle, as shown in FIGS. 7( f ) and ( g ), and secured in a cleat 98 to prevent the implant 200 from becoming prematurely detached from the driver.
  • the knotless fixation device of the present invention advantageously minimizes or eliminates the need to tie knots.
  • the use of such a swivel anchor also provides secure fixation of the suture construct—the secure suture construct results from the suture being pushed into a hole and held tightly by an anchors.
  • suture tape is used with the swivel anchor to fix tissue to bone.
  • the swivel anchor of the present invention can be used with any type of flexible material or suture.
  • an allograft or biological component may be used instead of suture or tape.
  • the allograft or biological component may be comprised of tendon or pericardium, for example, which provides improved tissue repair.
  • any combination of suture, suture tape, and allograft or biological component may be employed, depending on the characteristics of the specific surgical repair and/or as desired.
  • FIG. 11 illustrate a swivel implant 500 which is provided with a pointed metal tip to facilitate insertion of the implant without the need to pre-drill or pre-form a hole in the bone.
  • the conical configuration of the most distal end pointed tip 550 allows the implant to undergo a self-punching operation, eliminating any need to pre-drill a hole in the bone.
  • the conical configuration of the most distal end of the pointed tip implant 550 also provides suture fixation strength, as well as accelerated graft/tendon healing to bone.
  • the pointed tip implant 550 may be detachable from the driver.
  • pointed tip implant 500 is provided with a metal tip 550 and an eyelet or aperture 555 for receiving suture or suture tape.
  • Pointed tip implant 550 is also provided, at its most distal end, with a conical portion 551 which allows direct advancement of the implant (by simply tapping the device with a mallet, for example) without the formation of a pilot hole in bone.
  • the conical portion 551 of the implant is formed of titanium or titanium alloy.
  • eyelet or aperture 555 is also formed of titanium or similar material, to withstand impaction forces during the graft fixation procedure.
  • FIGS. 14-16 illustrate various views of another exemplary fixation device 600 of the present invention that is employed in conjunction with the driver assembly 68 and a swivel anchor or implant of the present invention (such as the swivel anchor implant 30 or the swivel implant 500 described above).
  • the fixation device 600 is similar to the fixation device (swivel anchor implant) 42 of FIG. 10 , but differs from it in that the fixation device 600 is provided with a plurality of openings or fenestrations 605 provided on the outer surface of the body of the device.
  • the openings or fenestrations 605 may have various dimensions and geometries provide multiple pathways for w blood to pass through the device (i.e, through the fenestrations and up through the cannulation) and, therefore, to the repair site to promote healing.
  • the fenestrations also promote in-growth of bone.
  • the decreased mass of the device 600 (resulting from the fenestrations) further promotes healing and in-growth.
  • the fixation device 600 is preloaded on the driver 68 .
  • the fixation device 600 is advanced into the bone socket by holding the thumb pad 50 as the driver handle 22 is turned clockwise.
  • the shaft of the anchor implant 30 or the swivel implant 500 is fully engaged by the fixation device 600 to optimize the stability of the swivel anchor construct (composed of swivel anchor or implant 30 , 500 and fixation device 600 ).
  • the fixation device 600 includes a cannulated body 612 in the form of a tapered cylinder having a proximal end 613 and a distal end 615 .
  • a continuous thread 620 wraps around cannulated body 612 in a clockwise direction, as shown.
  • the distal end 615 of the interference screw 600 terminates in an exposed, flat surface provided with an opening 616 .
  • drive socket 617 that allows a driver to seat snuggly in the drive socket to allow manipulation and installation of the interference screw into the bone socket, while fully engaging the shaft of the swivel anchor 30 or swivel implant 500 (as detailed above with reference to interference screw 42 ).
  • drive socket 617 may be configured to be used with a traditional hex drive screwdriver.
  • the drive socket 617 has been described as having hexagonal shape, the drive socket may also have a Delta drive configuration or a cruciform shape, among others, that allows the driver to rotationally engage the interference screw, to turn simultaneously with the driver.
  • the fixation device 600 of the present invention may be formed of a biocompatible and/or biosorbable material.
  • screw 600 is formed of a bioabsorbable material, such as poly-(L-lactic acid) (PLLA), poly-(D,L-lactide), and poly glycolic acid (PGA), for example, or other bioabsorbable, non-metallic materials, which may be especially tailored for hardness, tensile strength and compressive strength.
  • fixation device 600 may be formed of titanium, titanium alloy, stainless steel or stainless steel alloy.
  • Other biocompatible materials which could be used include plastics, allograft bone and inert bone substitute materials.
  • a growth material may be advanced through the cannulated driver and into the screw 600 by employing a plunger, for example. As the driver is pulled out, the plunger pushes the flow material through the cannulation of the driver and into the body of the screw 600 . The growth material will subsequently harden to allow better fixation of the interference screw 600 against the bone and the shaft of the swivel anchor 30 or swivel implant 500 .
  • the growth material may be any solid, semi-solid, viscous, flowable, gel or elastic composition or mixture that allows its easy manipulation and insertion into the body 612 of the interference screw 600 .
  • the growth material may contain growth factors such as autogenous growth factors, for example platelet-rich plasma (PRP), optionally in combination with hyaluronic acid (HY acid) and/or with a coagulant such as thrombin.
  • PRP platelet-rich plasma
  • HY acid hyaluronic acid
  • a coagulant such as thrombin.
  • growth factor as used in the present application is intended to include all factors, such as proteinaceous factors, for example, which play a role in the induction or conduction of growth of bone, ligaments, cartilage or other tissues associated with bone or joints.
  • these growth factors include bFGF, aFGF, EGF (epidermal growth factor), PDGF (platelet-derived growth factor), IGF (insulin-like growth factor), TGF- ⁇ . I through III, including the TGF- ⁇ . superfamily (BMP-1 through 12, GDF 1 through 12, dpp, 60A, BIP, OF).
  • the growth material may comprise additional osteoconductive bone adhesives, calcium carbonate, fatty acids, lubricants, antiseptic chemicals and/or antibiotics.
  • additional solution excipients such as buffer salts, sugars, anti-oxidants and preservatives to maintain the bioactivity of the growth material and a proper pH of the growth material may be also employed.
  • the additional lubricants and/or the antiseptic and/or the antibiotic will typically be present in the growth material in a predetermined concentration range, which will be dependent upon the particular bone site and application, as well as the specific activity of the antiseptic and/or the antibiotic.

Abstract

A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fenestrated fixation device, such as a cannulated interference screw, over the body of the implant.

Description

  • This application is a continuation-in-part of application Ser. No. 12/368,946, filed on Feb. 10, 2009, which is a CIP of application Ser. No. 12/043,008, filed on Mar. 5, 2008, which in turn is a continuation-in-part of application Ser. No. 11/802,057, filed on May 18, 2007, which claims the benefit of Provisional Application Ser. No. 60/801,097, filed on May 18, 2006, the entire disclosures of which are incorporated herein by reference.
  • FIELD OF THE INVENTION
  • The present invention relates to methods and instruments for fixation of sutures and tissue to bone.
  • BACKGROUND OF THE INVENTION
  • When soft tissue tears away from bone, reattachment becomes necessary. Various devices, including sutures, screws, staples, wedges, anchors and plugs have been used in the prior art to secure soft tissue to bone. Surgical methods utilizing suture anchors alone are disadvantageous for reattachment of large areas of detached tissue because they often do not allow good tissue to bone contact.
  • Reattachment of soft tissue to bone typically requires the surgeon to pass suture material through selected tissue, form a plurality of surgical knots extracorporeally and then move the knots into position adjacent the desired tissue to be sutured. In such procedures, the surgeon must manually tie the knots on the suture strands after the suture is threaded through the selected tissues to be sutured. Knot tying during surgery, particularly arthroscopic surgery, is tedious and time-consuming. There is also a tendency for the knots to deform or collapse as the surgeon manually forces the knots down into the proper position. Also, the suture knots often are exposed to abrasion or cutting by sharp or rough areas along the walls of the bone canal into which anchors are typically inserted to provide fixation of tendon to bone.
  • Accordingly, a need exists for an improved method for attaching soft tissue to bone which does not require multiple suture knots and which allows the tendon to remain securely in place until the ligaments naturally attach to bone. A need also exists for such a knotless method of attaching tissue to bone which employs an implant with a fenestrated configuration that promotes healing of tissue.
  • SUMMARY OF THE INVENTION
  • The instruments and methods of the present invention overcome the disadvantages of the prior art, such as those noted above, by providing a swivel implant at the distal end of a driver that securely engages and locks into a cannulated ribbed body of an interference plug or screw. The swivel implant includes a closed aperture for receiving a strand attached to a graft, such that the strand is able to freely slide through the aperture.
  • In one embodiment of the invention, the strand is passed through the graft at desired points. A cannulated plug or screw is pre-loaded onto a driver provided with a swivel lock twist-in anchor at its distal end. The strand attached to the graft is passed through the aperture of the swivel implant located at the distal end of the driver. The distal end of the driver together with the implant is inserted directly into the bone. The driver may be rotated (in a clockwise direction, for example) to advance a screw over the anchor to complete insertion. The cannulated plug or screw is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the device (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.
  • Other features and advantages of the present invention will become apparent from the following description of exemplary embodiments of the invention described with reference to the accompanying drawings.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIGS. 1-6 depict a series of steps of shoulder repair using a plurality of swivel anchor devices according to the present invention.
  • FIG. 7 illustrates various views of the driver assembly of the present invention.
  • FIGS. 8 and 9 illustrate the swivel implant and traction suture.
  • FIG. 10 is an enlarged view of the fixation device (cannulated screw) used in the present invention.
  • FIG. 11 illustrates various views of a swivel anchor with a metal tip which avoids the need to pre-drill a hole in bone.
  • FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly of the present invention, and the swivel anchor inserted in a bone socket, respectively.
  • FIGS. 14-16 illustrate various views of a fixation device with fenestrations and used in conjunction with the swivel anchor assembly of the present invention.
  • DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • The present invention provides apparatus and methods for knotless tissue fixation using a swivel anchor device.
  • FIG. 1 illustrates a side view of a human shoulder of a patient undergoing a rotator cuff repair in accordance with an exemplary embodiment of the present invention. The patient may be positioned in the beach chair position using the Arthrex Beach Chair Lateral Traction Device or in a lateral decubitus position using the Arthrex 3-Point Shoulder Distraction System. Access to the subacromial space is facilitated with a variety of cannulas.
  • First, and as illustrated in FIG. 1, the mobility of the tear is assessed using, for example, a tissue grasper 10 such as the Arthrex KingFisher™ Suture Retriever/Tissue Grasper, to determine whether a U or L-shaped component exists. Where large tears extend to the superior aspect of the glenoid, margin convergence suturing is performed to reduce volume and strain on the repair. Subsequently, the length and width of the rotator cuff footprint is assessed and a bleeding bed for enhanced tendon to bone healing may be formed. This may be accomplished with a burr to perform a light dusting of the greater tuberosity, or by using a chondro pick to microfracture the footprint and maximize vascular channels.
  • FIG. 2 illustrates the preparation of two pilot holes for two swivel anchors that will be inserted in the medial row. A punch may be employed adjacent to the articular margin of the humerus and at about 45° angle to form the two pilot holes.
  • Subsequent to the formation of the pilot holes, and as shown in FIGS. 3 and 4, a swivel implant 30, loaded with a strand of suture tape 40, preferably Arthrex FiberTape, is placed in the medial pre-formed hole 32. Arthrex FiberTape is a high strength suture tape which is braided and rectangular-like in cross section and is disclosed in U.S. Patent Application Publication No. 2005/0192631, the disclosure of which is incorporated by reference herein. However, the anchor of the present invention can be used with any type of flexible material or suture. The driver is then rotated to advance screw 42 down shaft 20 to secure the implant and suture in the bone hole. More specifically, as shown in FIG. 4 a, the screw 42 is advanced by holding thumb pad 50 as the driver handle 22 is turned clockwise. An Arthrex FiberLink and an Arthrex Scorpion suture passer 44, are used to shuttle both tails of the suture tape through the rotator cuff 34 simultaneously. This procedure is followed for both medial swivel anchors.
  • Referring to FIG. 5, one tail of suture tape 40 from each medial swivel anchor is retrieved and loaded through the eyelet of another swivel implant 30, and that implant is installed in then inserted into a preformed lateral bone socket. The tension of the suture tape 40 is adjusted if necessary. The swivel anchor driver is then rotated in clockwise direction as before to advance the screw 42 over the implant to complete insertion. This step is repeated in another lateral bone socket with the other tails of suture tape from each medial anchor. The tails of the suture tape 40 are then cut, one at a time, to complete the construct as shown in FIG. 6. The method is analogous to the method disclosed in U.S. Patent Application Publication No. 2007/0191849, the entire disclosure of which is incorporated by reference herein. FIGS. 12 and 13 provide additional illustrations of the swivel anchor assembly and the anchor inserted in a bone socket, respectively.
  • The swivel anchor and instruments of the present invention are now described in greater detail. As shown in FIGS. 7( a)-(f), a driver 68 is used to install the knotless fixation devices with a swiveling implant. Driver 68 features a thin cannulated rod 20 passing slidably and rotatably through a cannulated driver assembly. The tip of thin cannulated rod 20 is adapted to accept swivel anchor implant 42 within the cannulation at its tip, preferably via a snap fit. Cannulated rod 20 has a hexagonal outer surface for receiving anchor body (preferably a screw) 42 having a corresponding cannulation. FIG. 10 illustrates a detailed view of the cannulated screw 42.
  • During installation of the knotless anchor having a swiveling implant 30, the screw 42 is first inserted onto cannulated rod 20 of the driver 68. As shown in FIGS. 7( a) and (b), screw 42 is loaded onto rod 20 and then fully seated on the shaft end of the driver. FIG. 7( c) illustrates the swivel anchor implant 30. As shown in FIGS. 8-9, traction sutures 71 extending from the proximal end of the swivel anchor implant 30 are threaded through the cannulation of the driver 68 (see also FIG. 7( c)). These traction sutures 71 prevent inadvertent separation of the implant 30 from the driver during insertion, but they can be used subsequently for additional tie-down of the tendon after the driver is removed. Subsequently, the swivel anchor implant 30 is seated on the driver tip and until advanced until it snaps onto place (FIG. 7( d)). A protective tube 94 (FIG. 7( e)) may be placed over the tip of the assembly for shipping purposes. The traction sutures 71 may be looped around the driver handle, as shown in FIGS. 7( f) and (g), and secured in a cleat 98 to prevent the implant 200 from becoming prematurely detached from the driver.
  • The knotless fixation device of the present invention advantageously minimizes or eliminates the need to tie knots. The use of such a swivel anchor also provides secure fixation of the suture construct—the secure suture construct results from the suture being pushed into a hole and held tightly by an anchors.
  • In the preferred embodiment of the present invention, as mentioned above, suture tape is used with the swivel anchor to fix tissue to bone. However, the swivel anchor of the present invention can be used with any type of flexible material or suture. In another preferred embodiment, an allograft or biological component may be used instead of suture or tape. The allograft or biological component may be comprised of tendon or pericardium, for example, which provides improved tissue repair. In yet additional embodiments, any combination of suture, suture tape, and allograft or biological component may be employed, depending on the characteristics of the specific surgical repair and/or as desired.
  • FIG. 11 illustrate a swivel implant 500 which is provided with a pointed metal tip to facilitate insertion of the implant without the need to pre-drill or pre-form a hole in the bone. The conical configuration of the most distal end pointed tip 550 allows the implant to undergo a self-punching operation, eliminating any need to pre-drill a hole in the bone. The conical configuration of the most distal end of the pointed tip implant 550 also provides suture fixation strength, as well as accelerated graft/tendon healing to bone. The pointed tip implant 550 may be detachable from the driver.
  • As illustrated in FIGS. 11( a)-(e), pointed tip implant 500 is provided with a metal tip 550 and an eyelet or aperture 555 for receiving suture or suture tape. Pointed tip implant 550 is also provided, at its most distal end, with a conical portion 551 which allows direct advancement of the implant (by simply tapping the device with a mallet, for example) without the formation of a pilot hole in bone. Preferably, the conical portion 551 of the implant is formed of titanium or titanium alloy. In a preferred embodiment, eyelet or aperture 555 is also formed of titanium or similar material, to withstand impaction forces during the graft fixation procedure.
  • FIGS. 14-16 illustrate various views of another exemplary fixation device 600 of the present invention that is employed in conjunction with the driver assembly 68 and a swivel anchor or implant of the present invention (such as the swivel anchor implant 30 or the swivel implant 500 described above). The fixation device 600 is similar to the fixation device (swivel anchor implant) 42 of FIG. 10, but differs from it in that the fixation device 600 is provided with a plurality of openings or fenestrations 605 provided on the outer surface of the body of the device. The openings or fenestrations 605 may have various dimensions and geometries provide multiple pathways for w blood to pass through the device (i.e, through the fenestrations and up through the cannulation) and, therefore, to the repair site to promote healing. The fenestrations also promote in-growth of bone. The decreased mass of the device 600 (resulting from the fenestrations) further promotes healing and in-growth.
  • Preferably, the fixation device 600 is preloaded on the driver 68. As described above with reference to the three exemplary embodiments, the fixation device 600 is advanced into the bone socket by holding the thumb pad 50 as the driver handle 22 is turned clockwise. When the fixation device 600 is fully seated, the shaft of the anchor implant 30 or the swivel implant 500 is fully engaged by the fixation device 600 to optimize the stability of the swivel anchor construct (composed of swivel anchor or implant 30, 500 and fixation device 600).
  • As illustrated in FIGS. 14-16, the fixation device 600 includes a cannulated body 612 in the form of a tapered cylinder having a proximal end 613 and a distal end 615. A continuous thread 620 wraps around cannulated body 612 in a clockwise direction, as shown. As shown in FIG. 15, the distal end 615 of the interference screw 600 terminates in an exposed, flat surface provided with an opening 616. The proximal end 613 of the interference screw 600 terminates in a drive socket 617 that allows a driver to seat snuggly in the drive socket to allow manipulation and installation of the interference screw into the bone socket, while fully engaging the shaft of the swivel anchor 30 or swivel implant 500 (as detailed above with reference to interference screw 42). As shown in FIG. 16, drive socket 617 may be configured to be used with a traditional hex drive screwdriver. Although the drive socket 617 has been described as having hexagonal shape, the drive socket may also have a Delta drive configuration or a cruciform shape, among others, that allows the driver to rotationally engage the interference screw, to turn simultaneously with the driver.
  • The fixation device 600 of the present invention may be formed of a biocompatible and/or biosorbable material. Preferably, screw 600 is formed of a bioabsorbable material, such as poly-(L-lactic acid) (PLLA), poly-(D,L-lactide), and poly glycolic acid (PGA), for example, or other bioabsorbable, non-metallic materials, which may be especially tailored for hardness, tensile strength and compressive strength. Alternatively, fixation device 600 may be formed of titanium, titanium alloy, stainless steel or stainless steel alloy. Other biocompatible materials which could be used include plastics, allograft bone and inert bone substitute materials.
  • A growth material may be advanced through the cannulated driver and into the screw 600 by employing a plunger, for example. As the driver is pulled out, the plunger pushes the flow material through the cannulation of the driver and into the body of the screw 600. The growth material will subsequently harden to allow better fixation of the interference screw 600 against the bone and the shaft of the swivel anchor 30 or swivel implant 500.
  • The growth material may be any solid, semi-solid, viscous, flowable, gel or elastic composition or mixture that allows its easy manipulation and insertion into the body 612 of the interference screw 600. The growth material may contain growth factors such as autogenous growth factors, for example platelet-rich plasma (PRP), optionally in combination with hyaluronic acid (HY acid) and/or with a coagulant such as thrombin.
  • The term “growth factor” as used in the present application is intended to include all factors, such as proteinaceous factors, for example, which play a role in the induction or conduction of growth of bone, ligaments, cartilage or other tissues associated with bone or joints. In particular, these growth factors include bFGF, aFGF, EGF (epidermal growth factor), PDGF (platelet-derived growth factor), IGF (insulin-like growth factor), TGF-β. I through III, including the TGF-β. superfamily (BMP-1 through 12, GDF 1 through 12, dpp, 60A, BIP, OF).
  • Optionally, the growth material may comprise additional osteoconductive bone adhesives, calcium carbonate, fatty acids, lubricants, antiseptic chemicals and/or antibiotics. In this case, other solution excipients such as buffer salts, sugars, anti-oxidants and preservatives to maintain the bioactivity of the growth material and a proper pH of the growth material may be also employed. The additional lubricants and/or the antiseptic and/or the antibiotic will typically be present in the growth material in a predetermined concentration range, which will be dependent upon the particular bone site and application, as well as the specific activity of the antiseptic and/or the antibiotic.
  • Although the present invention has been described in relation to particular embodiments thereof, many other variations and modifications and other uses will become apparent to those skilled in the art. It is preferred, therefore, that the present invention be limited not by the specific disclosure herein.

Claims (18)

1. A method of tissue fixation comprising:
providing a suture;
securing the suture to the tissue to be fixated; and
anchoring the suture into the bone socket using a swivel implant and a fixation device provided with side fenestrations, thereby providing tissue fixation.
2. The method of claim 1, wherein the fixation device is an cannulated interference screw or a cannulated plug.
3. The method of claim 1, wherein the swivel implant has a conical portion terminating at a pointed tip at its most distal end.
4. The method of claim 1, wherein the swivel implant has a closed aperture at its distal end.
5. The method of claim 1, further comprising the step of capturing the suture attached to the graft with the swivel implant.
6. The method of claim 5, wherein the step of capturing the suture further comprises passing the suture through a closed aperture of the swivel implant.
7. The method of claim 6, wherein the closed aperture has an eyelet configuration.
8. The method of claim 1, further comprising the steps of preloading the fixation device on a driver and, subsequently, providing the swivel implant at a distal end of the driver.
9. A suture anchor comprising:
an anchor body provided with side fenestrations; and
an anchor tip rotatably attached to the anchor body.
10. The suture anchor of claim 9, wherein the anchor tip has a closed aperture.
11. The suture anchor of claim 9, wherein the anchor tip is a metal tip.
12. The suture anchor of claim 9, wherein the suture anchor is configured to allow rotational insertion without causing excessive twisting and knotting of a suture captured in the anchor tip.
13. The suture anchor of claim 9, wherein the anchor tip is configured to capture a suture.
14. The suture anchor of claim 9, wherein the anchor body has a cylindrical configuration.
15. The suture anchor of claim 9, wherein the anchor tip is detachable.
16. The suture anchor of claim 9, further comprising a fixation device for securing the suture anchor in bone.
17. The suture anchor of claim 16, wherein the fixation device is a cannulated interference screw or a plug.
18. The suture anchor of claim 17, wherein the fixation device is a cannulated device.
US12/418,391 2005-03-30 2009-04-03 Fenestrated swivel anchor for knotless fixation of tissue Abandoned US20090187216A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
US12/418,391 US20090187216A1 (en) 2006-05-18 2009-04-03 Fenestrated swivel anchor for knotless fixation of tissue
EP10250217A EP2215975A1 (en) 2009-02-10 2010-02-09 Fenestrated suture anchor for knotless fixation of tissue
US13/403,366 US20120150225A1 (en) 2006-05-18 2012-02-23 Fenestrated swivel anchor for knotless fixation of tissue
US14/707,861 US10881388B2 (en) 2005-03-30 2015-05-08 Swivel anchor for knotless fixation of tissue
US15/976,157 US11571200B2 (en) 2005-03-30 2018-05-10 Method for knotless fixation of tissue
US17/975,321 US11844512B2 (en) 2005-03-30 2022-10-27 Suture anchor for knotless fixation of tissue
US17/975,308 US11801043B2 (en) 2005-03-30 2022-10-27 Suture anchor for knotless fixation of tissue

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US80109706P 2006-05-18 2006-05-18
US11/802,057 US9005246B2 (en) 2006-05-18 2007-05-18 Swivel anchor and method for knotless fixation of tissue
US12/043,008 US20080208253A1 (en) 2006-05-18 2008-03-05 Self-punching swivel anchor and method for knotless fixation of tissue
US12/368,946 US20090192546A1 (en) 2005-03-30 2009-02-10 Fenestrated suture anchor and method for knotless fixation of tissue
US12/418,391 US20090187216A1 (en) 2006-05-18 2009-04-03 Fenestrated swivel anchor for knotless fixation of tissue

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US15/976,157 Continuation US11571200B2 (en) 2005-03-30 2018-05-10 Method for knotless fixation of tissue

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US13/403,366 Abandoned US20120150225A1 (en) 2005-03-30 2012-02-23 Fenestrated swivel anchor for knotless fixation of tissue
US14/707,861 Active US10881388B2 (en) 2005-03-30 2015-05-08 Swivel anchor for knotless fixation of tissue
US15/976,157 Active 2026-12-21 US11571200B2 (en) 2005-03-30 2018-05-10 Method for knotless fixation of tissue

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US14/707,861 Active US10881388B2 (en) 2005-03-30 2015-05-08 Swivel anchor for knotless fixation of tissue
US15/976,157 Active 2026-12-21 US11571200B2 (en) 2005-03-30 2018-05-10 Method for knotless fixation of tissue

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Cited By (61)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090192546A1 (en) * 2005-03-30 2009-07-30 Reinhold Schmieding Fenestrated suture anchor and method for knotless fixation of tissue
US20110106252A1 (en) * 2009-04-17 2011-05-05 Shane Barwood Tenodesis system
US20110190815A1 (en) * 2008-09-08 2011-08-04 Saliman Justin D Knotless suture anchors
WO2012037700A1 (en) 2010-09-24 2012-03-29 Sportwelding Gmbh Device and method for fixating a suture anchor in hard tissue
WO2012037699A1 (en) 2010-09-24 2012-03-29 Sportwelding Gmbh Suture anchor and method for fixating a suture relative to hard tissue
WO2012100359A1 (en) 2011-01-28 2012-08-02 Sportwelding Gmbh Method and device for floating a suture anchor with a suture in hard tissue
WO2012100358A1 (en) 2011-01-28 2012-08-02 Sportwelding Gmbh Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue
US8435264B2 (en) 2010-08-30 2013-05-07 Depuy Mitek, Llc Knotless suture anchor and driver
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
US20130338710A1 (en) * 2009-01-30 2013-12-19 Kfx Medical Corporation System and method for attaching soft tissue to bone
US20140039551A1 (en) * 2012-08-03 2014-02-06 Joseph P. Donahue Suture Anchor Device and Methods of Use
US8679159B2 (en) 2010-08-30 2014-03-25 Depuy Mitek, Llc Anchor driver with suture clutch
US20140112969A1 (en) * 2012-10-23 2014-04-24 Spinesmith Partners, L.P. Dynamic loading of a therapeutic fluid
US8801755B2 (en) 2004-04-06 2014-08-12 Arthrex, Inc. Suture anchor
US20140243891A1 (en) * 2013-02-25 2014-08-28 Arthrex, Inc. Tissue protector suture constructs
US8821541B2 (en) 1999-02-02 2014-09-02 Arthrex, Inc. Suture anchor with insert-molded rigid member
US9131937B2 (en) 2011-11-16 2015-09-15 VentureMD Innovations, LLC Suture anchor
US9138220B2 (en) 2011-12-19 2015-09-22 Medos International Sarl Knotless suture anchor
US9179907B2 (en) 2000-06-22 2015-11-10 Arthrex, Inc. Knotless graft fixation assembly
CN105326533A (en) * 2010-09-24 2016-02-17 斯博特威尔丁股份有限公司 Device and method for fixating suture anchor in hard tissue
US9386976B2 (en) 2011-01-28 2016-07-12 Sportwelding Gmbh Method and device for fixating a suture anchor with a suture in hard tissue
US20160354581A1 (en) * 2015-06-02 2016-12-08 Eca Medical Instruments Cannulated disposable torque limiting device with plastic shaft
US9521999B2 (en) 2005-09-13 2016-12-20 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US9526488B2 (en) 2013-03-15 2016-12-27 Smith & Nephew, Inc. Fenestrated locking suture anchor assembly
US20170020589A1 (en) * 2010-03-10 2017-01-26 Smith & Nephew, Inc. Anchor having a controlled driver orientation
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US9775597B2 (en) 2011-10-04 2017-10-03 Conmed Corporation Dual expansion anchor
US9775702B2 (en) 2010-03-10 2017-10-03 Smith & Nephew, Inc. Composite interference screws and drivers
US9782165B2 (en) 2011-11-11 2017-10-10 VentureMD Innovations, LLC Transosseous attachment
US9788828B2 (en) 2013-03-15 2017-10-17 Smith & Nephew, Inc. Miniaturized dual drive open architecture suture anchor
US9808337B2 (en) 2010-03-10 2017-11-07 Smith & Nephew, Inc. Composite interference screws and drivers
US9808298B2 (en) 2013-04-09 2017-11-07 Smith & Nephew, Inc. Open-architecture interference screw
US9826970B2 (en) 2009-10-13 2017-11-28 Conmed Corporation System and method for securing tissue to bone
US9861410B2 (en) 2016-05-06 2018-01-09 Medos International Sarl Methods, devices, and systems for blood flow
US9901355B2 (en) 2011-03-11 2018-02-27 Smith & Nephew, Inc. Trephine
US9925036B2 (en) 2013-03-15 2018-03-27 Conmed Corporation System and method for securing tissue to bone
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US9968349B2 (en) 2011-04-13 2018-05-15 Conmed Corporation System and method for securing tissue to bone
US10080647B2 (en) 2010-10-08 2018-09-25 Conmed Corporation System and method for securing tissue to bone
US10143462B2 (en) 2015-08-04 2018-12-04 Kator, Llc Transosseous suture anchor method
US10149751B2 (en) 2013-03-14 2018-12-11 Conmed Corporation Tissue capturing bone anchor
US10154868B2 (en) 2015-07-17 2018-12-18 Kator, Llc Transosseous method
US10159476B2 (en) 2008-05-06 2018-12-25 Lumaca Orthopaedics Pty Ltd Method for securing sutures to bones
US20190125332A1 (en) * 2016-05-03 2019-05-02 Smith & Nephew, Inc. Expanding knotless suture anchor
US10292696B2 (en) 2012-08-03 2019-05-21 Stabilynx, Inc. Devices, systems, and methods for attaching soft tissue to bone tissue
WO2019135216A1 (en) 2018-01-02 2019-07-11 Cartiheal (2009) Ltd. Implantation tool and protocol for optimized solid substrates promoting cell and tissue growth
US10470756B2 (en) 2011-11-16 2019-11-12 VentureMD Innovations, LLC Suture anchor and method
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
US10973622B2 (en) * 2011-04-25 2021-04-13 Arthrex, Inc. Internal brace for tissue repairs and reinforcements
US11504140B2 (en) 2015-07-17 2022-11-22 Crossroads Extremity Systems, Llc Transosseous guide and method
US11602434B2 (en) * 2009-12-02 2023-03-14 Edwards Lifesciences Innovation (Israel) Ltd. Systems and methods for tissue adjustment
US11617652B2 (en) 2009-10-29 2023-04-04 Edwards Lifesciences Innovation (Israel) Ltd. Apparatus and method for guide-wire based advancement of an adjustable implant
US11712241B2 (en) 2011-02-02 2023-08-01 Syntorr Inc. Variable denier yarn and suture
US11723774B2 (en) 2009-05-07 2023-08-15 Edwards Lifesciences Innovation (Israel) Ltd. Multiple anchor delivery tool
US11766327B2 (en) 2009-05-04 2023-09-26 Edwards Lifesciences Innovation (Israel) Ltd. Implantation of repair chords in the heart
US20230329696A1 (en) * 2012-10-18 2023-10-19 Smith & Nephew, Inc. Flexible anchor delivery system
US11844665B2 (en) 2009-05-04 2023-12-19 Edwards Lifesciences Innovation (Israel) Ltd. Deployment techniques for annuloplasty structure
US11857415B2 (en) 2011-11-08 2024-01-02 Edwards Lifesciences Innovation (Israel) Ltd. Controlled steering functionality for implant-delivery tool
US11890190B2 (en) 2012-10-23 2024-02-06 Edwards Lifesciences Innovation (Israel) Ltd. Location indication system for implant-delivery tool

Families Citing this family (38)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7163541B2 (en) * 2002-12-03 2007-01-16 Arthrosurface Incorporated Tibial resurfacing system
US7678151B2 (en) * 2000-05-01 2010-03-16 Ek Steven W System and method for joint resurface repair
US8177841B2 (en) 2000-05-01 2012-05-15 Arthrosurface Inc. System and method for joint resurface repair
US6520964B2 (en) 2000-05-01 2003-02-18 Std Manufacturing, Inc. System and method for joint resurface repair
US6610067B2 (en) 2000-05-01 2003-08-26 Arthrosurface, Incorporated System and method for joint resurface repair
US7901408B2 (en) 2002-12-03 2011-03-08 Arthrosurface, Inc. System and method for retrograde procedure
US8388624B2 (en) 2003-02-24 2013-03-05 Arthrosurface Incorporated Trochlear resurfacing system and method
CA2593182A1 (en) * 2003-11-20 2006-07-13 Arthrosurface, Inc. System and method for retrograde procedure
WO2005051231A2 (en) 2003-11-20 2005-06-09 Arthrosurface, Inc. Retrograde delivery of resurfacing devices
JP2008504107A (en) 2004-06-28 2008-02-14 アースロサーフィス・インコーポレーテッド Joint surface replacement system
US7828853B2 (en) 2004-11-22 2010-11-09 Arthrosurface, Inc. Articular surface implant and delivery system
US11844512B2 (en) * 2005-03-30 2023-12-19 Arthrex, Inc. Suture anchor for knotless fixation of tissue
US20080208253A1 (en) * 2006-05-18 2008-08-28 Dreyfuss Peter J Self-punching swivel anchor and method for knotless fixation of tissue
EP2136717B1 (en) 2006-12-11 2013-10-16 Arthrosurface Incorporated Retrograde resection apparatus
WO2009111481A1 (en) 2008-03-03 2009-09-11 Arthrosurface Incorporated Bone resurfacing system and method
DE112010000680T5 (en) * 2009-02-23 2012-12-13 Arthrosurface, Inc. Nanoroutly alloy substrate
US9662126B2 (en) 2009-04-17 2017-05-30 Arthrosurface Incorporated Glenoid resurfacing system and method
WO2010121246A1 (en) 2009-04-17 2010-10-21 Arthrosurface Incorporated Glenoid resurfacing system and method
WO2016154393A1 (en) 2009-04-17 2016-09-29 Arthrosurface Incorporated Glenoid repair system and methods of use thereof
AU2011222404A1 (en) 2010-03-05 2012-09-27 Arthrosurface Incorporated Tibial resurfacing system and method
US9066716B2 (en) 2011-03-30 2015-06-30 Arthrosurface Incorporated Suture coil and suture sheath for tissue repair
US9421008B2 (en) * 2011-09-23 2016-08-23 Arthrex, Inc. Soft suture-based anchors
EP2804565B1 (en) 2011-12-22 2018-03-07 Arthrosurface Incorporated System for bone fixation
US9468448B2 (en) 2012-07-03 2016-10-18 Arthrosurface Incorporated System and method for joint resurfacing and repair
US9492200B2 (en) 2013-04-16 2016-11-15 Arthrosurface Incorporated Suture system and method
US20150250472A1 (en) 2014-03-07 2015-09-10 Arthrosurface Incorporated Delivery System for Articular Surface Implant
US11607319B2 (en) 2014-03-07 2023-03-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US10624748B2 (en) 2014-03-07 2020-04-21 Arthrosurface Incorporated System and method for repairing articular surfaces
KR101738116B1 (en) 2016-04-07 2017-05-29 주식회사 티제이씨라이프 Suture Anchor and Suture Anchor Kit Having the Same
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
US10639026B2 (en) 2017-07-27 2020-05-05 Medos International Sarl Knotless suture anchoring using two awl shafts
WO2019028344A1 (en) 2017-08-04 2019-02-07 Arthrosurface Incorporated Multicomponent articular surface implant
US10820915B2 (en) 2018-03-06 2020-11-03 Medos International Sarl Methods, systems, and devices for instability repair
USD921479S1 (en) 2018-11-27 2021-06-08 International Life Sciences LLC Eyelet interference screw
GB2609338B (en) 2019-03-12 2023-06-14 Arthrosurface Inc Humeral and glenoid articular surface implant systems and methods
WO2023059692A1 (en) * 2021-10-05 2023-04-13 Greiwe Raymond Michael Suture assembly
US20240057990A1 (en) 2022-08-22 2024-02-22 Anika Therapeutics, Inc. Suture anchor

Citations (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4484570A (en) * 1980-05-28 1984-11-27 Synthes Ltd. Device comprising an implant and screws for fastening said implant to a bone, and a device for connecting two separated pieces of bone
US5084050A (en) * 1984-12-14 1992-01-28 Klaus Draenert Implant for bone reinforcement and for anchoring bone screws, implants and implant parts
US5129904A (en) * 1986-08-05 1992-07-14 Illi Oscar E Osteosynthetic implant
US5249899A (en) * 1992-10-28 1993-10-05 Wilson Robert L Head bolt and driver therefore
US5860973A (en) * 1995-02-27 1999-01-19 Michelson; Gary Karlin Translateral spinal implant
US5968047A (en) * 1996-04-05 1999-10-19 Reed; Thomas Mills Fixation devices
US6048343A (en) * 1999-06-02 2000-04-11 Mathis; John M. Bone screw system
US6143017A (en) * 1999-03-17 2000-11-07 Thal; Raymond Free loop knotless suture anchor assembly
US20020013608A1 (en) * 2000-06-22 2002-01-31 Arthrex, Inc. Graft fixation using a screw or plug against suture or tissue
US6355043B1 (en) * 1999-03-01 2002-03-12 Sulzer Orthopedics Ltd. Bone screw for anchoring a marrow nail
US6517542B1 (en) * 1999-08-04 2003-02-11 The Cleveland Clinic Foundation Bone anchoring system
US6589245B1 (en) * 1999-10-21 2003-07-08 Karl Storz Gmbh & Co. Kg Interference screw
US20040093031A1 (en) * 2000-06-22 2004-05-13 Burkhart Stephen S. Graft fixation using a plug against suture
US20040193217A1 (en) * 1996-09-13 2004-09-30 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US20040225292A1 (en) * 2003-05-05 2004-11-11 Sasso Ricardo C. Bone anchor and methods of using the same
US6863671B1 (en) * 1999-10-21 2005-03-08 Storz Gmbh & Co. Kg Biodegradable fixation element
US6939135B2 (en) * 2002-06-03 2005-09-06 Schubert L. Sapian Growth factor releasing biofunctional dental implant
US20060004364A1 (en) * 2004-06-02 2006-01-05 Green Michael L System and method for attaching soft tissue to bone
US7083647B1 (en) * 1996-11-27 2006-08-01 Sklar Joseph H Fixation screw, graft ligament anchor assembly, and method for securing a graft ligament in a bone tunnel
US20060259076A1 (en) * 2005-03-30 2006-11-16 Burkhart Stephen S Looped high strength suture chain for knotless fixation
US20070060922A1 (en) * 2005-09-13 2007-03-15 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US20070191849A1 (en) * 2006-02-01 2007-08-16 Elattrache Neal S Method for double row fixation of tendon to bone
US7261716B2 (en) * 1999-12-23 2007-08-28 Karl Storz Gmbh & Co. Kg Biodegradable interference screw and tool for attaching a transplant to a bone
US7300439B2 (en) * 2003-06-24 2007-11-27 Depuy Mitek, Inc. Porous resorbable graft fixation pin
US20080004659A1 (en) * 2006-05-18 2008-01-03 Arthrex, Inc. Swivel anchor and method for knotless fixation of tissue
US20080154314A1 (en) * 2006-08-16 2008-06-26 Mcdevitt Dennis M Composite interference screw for attaching a graft ligament to a bone, and other apparatus for making attachments to bone
US20080208253A1 (en) * 2006-05-18 2008-08-28 Dreyfuss Peter J Self-punching swivel anchor and method for knotless fixation of tissue
US20080215091A1 (en) * 2000-06-22 2008-09-04 Dreyfuss Peter J Graft fixation using a plug against suture
US7717947B1 (en) * 1999-10-12 2010-05-18 Biedermann Motech Gmbh Bone screw

Family Cites Families (51)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4870957A (en) * 1988-12-27 1989-10-03 Marlowe Goble E Ligament anchor system
US5236445A (en) * 1990-07-02 1993-08-17 American Cyanamid Company Expandable bone anchor and method of anchoring a suture to a bone
US5258016A (en) * 1990-07-13 1993-11-02 American Cyanamid Company Suture anchor and driver assembly
US5368595A (en) * 1990-09-06 1994-11-29 United States Surgical Corporation Implant assist apparatus
US5152790A (en) 1991-03-21 1992-10-06 American Cyanamid Company Ligament reconstruction graft anchor apparatus
US5423860A (en) 1993-05-28 1995-06-13 American Cyanamid Company Protective carrier for suture anchor
US5500000A (en) 1993-07-01 1996-03-19 United States Surgical Corporation Soft tissue repair system and method
US5540718A (en) * 1993-09-20 1996-07-30 Bartlett; Edwin C. Apparatus and method for anchoring sutures
US5545180A (en) 1993-12-13 1996-08-13 Ethicon, Inc. Umbrella-shaped suture anchor device with actuating ring member
US5643320A (en) * 1995-03-13 1997-07-01 Depuy Inc. Soft tissue anchor and method
US6044360A (en) 1996-04-16 2000-03-28 Picciallo; Michael J. Third party credit card
US5948000A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
US5827285A (en) * 1996-12-12 1998-10-27 Bramlet; Dale G. Multipiece interfragmentary fixation assembly
US5702398A (en) * 1997-02-21 1997-12-30 Tarabishy; Sam Tension screw
US5935129A (en) * 1997-03-07 1999-08-10 Innovasive Devices, Inc. Methods and apparatus for anchoring objects to bone
US6368326B1 (en) * 1998-09-28 2002-04-09 Daos Limited Internal cord fixation device
US6045574A (en) * 1999-04-01 2000-04-04 Thal; Raymond Sleeve and loop knotless suture anchor assembly
US6214007B1 (en) 1999-06-01 2001-04-10 David G. Anderson Surgical fastener for fixation of a soft tissue graft to a bone tunnel
US6527794B1 (en) 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
AUPQ366099A0 (en) 1999-10-26 1999-11-18 Queensland University Of Technology Ortho paedic screw
DE60138135D1 (en) 2000-12-22 2009-05-07 United States Surgical Corp NÄHFADENSCHRAUBE
US7144413B2 (en) 2001-04-20 2006-12-05 Synthes (U.S.A.) Graft fixation system and method
US6916321B2 (en) * 2001-09-28 2005-07-12 Ethicon, Inc. Self-tapping resorbable two-piece bone screw
US20030153947A1 (en) 2002-02-14 2003-08-14 Tomoaki Koseki Sternum suture material and its manufacturing method
US20040093030A1 (en) 2002-10-28 2004-05-13 Cox James E. Bone anchor and assembly
US7517357B2 (en) * 2003-01-09 2009-04-14 Linvatec Biomaterials Knotless suture anchor
US7645293B2 (en) 2004-04-21 2010-01-12 United States Surgical Corporation Suture anchor installation system and method
US8114127B2 (en) 2004-06-22 2012-02-14 Hs West Investments, Llc Bone anchors for use in attaching soft tissue to bone
US20060079904A1 (en) * 2004-10-13 2006-04-13 Raymond Thal Multirow knotless suture anchor assembly
US8034090B2 (en) * 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US8986345B2 (en) 2004-12-07 2015-03-24 Biomet Sports Medicine, Llc Expanding suture anchor having an actuator pin
US7976565B1 (en) * 2004-12-07 2011-07-12 Biomet Sports Medicine, Llc Expanding suture anchor having an actuator pin
US7572283B1 (en) * 2004-12-07 2009-08-11 Biomet Sports Medicine, Llc Soft tissue rivet and method of use
EP1855616A4 (en) 2005-03-10 2013-07-03 Covidien Lp Suture anchors
US7981140B2 (en) * 2005-03-30 2011-07-19 Arthrex, Inc. Knotless fixation of tissue to bone with suture chain
US20090192546A1 (en) 2005-03-30 2009-07-30 Reinhold Schmieding Fenestrated suture anchor and method for knotless fixation of tissue
US20080009904A1 (en) 2006-03-17 2008-01-10 Bourque Barnard J Soft Tissue Fixation
US7828820B2 (en) * 2006-03-21 2010-11-09 Biomet Sports Medicine, Llc Method and apparatuses for securing suture
DE102006045007A1 (en) * 2006-08-17 2008-02-21 Daimler Ag Tandem axle with two drivable axles and a partially disconnectable drive train
US8845685B2 (en) * 2007-05-03 2014-09-30 Biomet Sports Medicine, Llc Anchor assembly and method of use
US7794484B2 (en) 2007-05-07 2010-09-14 Biomet Sports Medicine, Llc Fixation device for delivery of biological material between soft tissue and bone
FR2925287B1 (en) * 2007-12-21 2010-12-17 B & G DEVICE FOR ANCHORING A FABRIC INTO A BONE
US20090281581A1 (en) * 2008-05-06 2009-11-12 Berg Jeffery H Method and device for securing sutures to bones
AU2009246785B2 (en) * 2008-05-14 2015-05-28 Smith & Nephew, Inc. Arthroscopic biceps tenodesis repair
US20100249854A1 (en) * 2009-03-31 2010-09-30 Thomas Jonathan D Multizone Implants
WO2010121271A1 (en) * 2009-04-17 2010-10-21 Shane Barwood Tenodesis system
US20130035721A1 (en) * 2011-08-04 2013-02-07 John Eric Brunelle Surgical anchor
US9138220B2 (en) * 2011-12-19 2015-09-22 Medos International Sarl Knotless suture anchor
US9345471B2 (en) * 2012-06-22 2016-05-24 Arthrex, Inc. Tensionable knotless labral anchor and methods of tissue repair
US9936940B2 (en) * 2013-06-07 2018-04-10 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US10631845B2 (en) * 2016-01-22 2020-04-28 Arthrex, Inc. Tensionable knotless anchors and methods of tissue repair

Patent Citations (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4484570A (en) * 1980-05-28 1984-11-27 Synthes Ltd. Device comprising an implant and screws for fastening said implant to a bone, and a device for connecting two separated pieces of bone
US5084050A (en) * 1984-12-14 1992-01-28 Klaus Draenert Implant for bone reinforcement and for anchoring bone screws, implants and implant parts
US5129904A (en) * 1986-08-05 1992-07-14 Illi Oscar E Osteosynthetic implant
US5249899A (en) * 1992-10-28 1993-10-05 Wilson Robert L Head bolt and driver therefore
US5860973A (en) * 1995-02-27 1999-01-19 Michelson; Gary Karlin Translateral spinal implant
US5968047A (en) * 1996-04-05 1999-10-19 Reed; Thomas Mills Fixation devices
US20040193217A1 (en) * 1996-09-13 2004-09-30 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US7083647B1 (en) * 1996-11-27 2006-08-01 Sklar Joseph H Fixation screw, graft ligament anchor assembly, and method for securing a graft ligament in a bone tunnel
US6355043B1 (en) * 1999-03-01 2002-03-12 Sulzer Orthopedics Ltd. Bone screw for anchoring a marrow nail
US6143017A (en) * 1999-03-17 2000-11-07 Thal; Raymond Free loop knotless suture anchor assembly
US6048343A (en) * 1999-06-02 2000-04-11 Mathis; John M. Bone screw system
US6517542B1 (en) * 1999-08-04 2003-02-11 The Cleveland Clinic Foundation Bone anchoring system
US7717947B1 (en) * 1999-10-12 2010-05-18 Biedermann Motech Gmbh Bone screw
US6863671B1 (en) * 1999-10-21 2005-03-08 Storz Gmbh & Co. Kg Biodegradable fixation element
US6589245B1 (en) * 1999-10-21 2003-07-08 Karl Storz Gmbh & Co. Kg Interference screw
US7261716B2 (en) * 1999-12-23 2007-08-28 Karl Storz Gmbh & Co. Kg Biodegradable interference screw and tool for attaching a transplant to a bone
US20020013608A1 (en) * 2000-06-22 2002-01-31 Arthrex, Inc. Graft fixation using a screw or plug against suture or tissue
US7329272B2 (en) * 2000-06-22 2008-02-12 Arthrex, Inc. Graft fixation using a plug against suture
US20040093031A1 (en) * 2000-06-22 2004-05-13 Burkhart Stephen S. Graft fixation using a plug against suture
US6544281B2 (en) * 2000-06-22 2003-04-08 Arthrex, Inc. Graft fixation using a screw or plug against suture or tissue
US20080215091A1 (en) * 2000-06-22 2008-09-04 Dreyfuss Peter J Graft fixation using a plug against suture
US6939135B2 (en) * 2002-06-03 2005-09-06 Schubert L. Sapian Growth factor releasing biofunctional dental implant
US20040225292A1 (en) * 2003-05-05 2004-11-11 Sasso Ricardo C. Bone anchor and methods of using the same
US7300439B2 (en) * 2003-06-24 2007-11-27 Depuy Mitek, Inc. Porous resorbable graft fixation pin
US20060004364A1 (en) * 2004-06-02 2006-01-05 Green Michael L System and method for attaching soft tissue to bone
US20060259076A1 (en) * 2005-03-30 2006-11-16 Burkhart Stephen S Looped high strength suture chain for knotless fixation
US20070060922A1 (en) * 2005-09-13 2007-03-15 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US20070191849A1 (en) * 2006-02-01 2007-08-16 Elattrache Neal S Method for double row fixation of tendon to bone
US20080004659A1 (en) * 2006-05-18 2008-01-03 Arthrex, Inc. Swivel anchor and method for knotless fixation of tissue
US20080208253A1 (en) * 2006-05-18 2008-08-28 Dreyfuss Peter J Self-punching swivel anchor and method for knotless fixation of tissue
US20080154314A1 (en) * 2006-08-16 2008-06-26 Mcdevitt Dennis M Composite interference screw for attaching a graft ligament to a bone, and other apparatus for making attachments to bone

Cited By (123)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8821541B2 (en) 1999-02-02 2014-09-02 Arthrex, Inc. Suture anchor with insert-molded rigid member
US9549726B2 (en) 1999-02-02 2017-01-24 Arthrex, Inc. Suture anchor with insert-molded rigid member
US9526493B2 (en) 1999-02-02 2016-12-27 Arthrex, Inc. Suture anchor with insert-molded rigid member
US9706986B2 (en) 2000-06-22 2017-07-18 Arthrex, Inc. Knotless suture and tissue securing method
US9775599B2 (en) 2000-06-22 2017-10-03 Arthrex, Inc. Knotless tissue fixation assembly
US9179907B2 (en) 2000-06-22 2015-11-10 Arthrex, Inc. Knotless graft fixation assembly
US10716556B2 (en) 2000-06-22 2020-07-21 Arthtrex, Inc. Knotless tissue fixation assembly
US10709436B2 (en) 2000-06-22 2020-07-14 Arthrex, Inc. Graft fixation using a plug against suture
US10052091B2 (en) 2000-06-22 2018-08-21 Arthrex, Inc. Knotless suture or tissue fixation using an implant having a pointed tip
US10537319B2 (en) 2004-04-06 2020-01-21 Arthrex, Inc. Suture anchor
US9622739B2 (en) 2004-04-06 2017-04-18 Arthrex, Inc. Suture anchor
US8801755B2 (en) 2004-04-06 2014-08-12 Arthrex, Inc. Suture anchor
US10045770B2 (en) 2005-03-30 2018-08-14 Arthrex, Inc. Method for knotless fixation of tissue with swivel anchor
US20090192546A1 (en) * 2005-03-30 2009-07-30 Reinhold Schmieding Fenestrated suture anchor and method for knotless fixation of tissue
US11324493B2 (en) 2005-09-13 2022-05-10 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US9521999B2 (en) 2005-09-13 2016-12-20 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US10595847B2 (en) 2005-09-13 2020-03-24 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US10159476B2 (en) 2008-05-06 2018-12-25 Lumaca Orthopaedics Pty Ltd Method for securing sutures to bones
US20110190815A1 (en) * 2008-09-08 2011-08-04 Saliman Justin D Knotless suture anchors
US20130338710A1 (en) * 2009-01-30 2013-12-19 Kfx Medical Corporation System and method for attaching soft tissue to bone
US9706984B2 (en) * 2009-01-30 2017-07-18 Conmed Corporation System and method for attaching soft tissue to bone
US20110106252A1 (en) * 2009-04-17 2011-05-05 Shane Barwood Tenodesis system
US8845725B2 (en) 2009-04-17 2014-09-30 Lumaca Orthopaedics Pty Ltd Tenodesis system
US9468518B2 (en) 2009-04-17 2016-10-18 Lumaca Orthopaedics Pty Ltd Tenodesis system
US8932354B2 (en) 2009-04-17 2015-01-13 Shane Barwood Tenodesis fixation method
US11844665B2 (en) 2009-05-04 2023-12-19 Edwards Lifesciences Innovation (Israel) Ltd. Deployment techniques for annuloplasty structure
US11766327B2 (en) 2009-05-04 2023-09-26 Edwards Lifesciences Innovation (Israel) Ltd. Implantation of repair chords in the heart
US11723774B2 (en) 2009-05-07 2023-08-15 Edwards Lifesciences Innovation (Israel) Ltd. Multiple anchor delivery tool
US9826970B2 (en) 2009-10-13 2017-11-28 Conmed Corporation System and method for securing tissue to bone
US11617652B2 (en) 2009-10-29 2023-04-04 Edwards Lifesciences Innovation (Israel) Ltd. Apparatus and method for guide-wire based advancement of an adjustable implant
US11602434B2 (en) * 2009-12-02 2023-03-14 Edwards Lifesciences Innovation (Israel) Ltd. Systems and methods for tissue adjustment
US9775702B2 (en) 2010-03-10 2017-10-03 Smith & Nephew, Inc. Composite interference screws and drivers
US9788935B2 (en) 2010-03-10 2017-10-17 Smith & Nephew, Inc. Composite interference screws and drivers
US20170020589A1 (en) * 2010-03-10 2017-01-26 Smith & Nephew, Inc. Anchor having a controlled driver orientation
US9808337B2 (en) 2010-03-10 2017-11-07 Smith & Nephew, Inc. Composite interference screws and drivers
US10660634B2 (en) 2010-08-30 2020-05-26 DePuy Synthes Products, Inc. Knotless suture anchor and driver
US8435264B2 (en) 2010-08-30 2013-05-07 Depuy Mitek, Llc Knotless suture anchor and driver
US8469998B2 (en) 2010-08-30 2013-06-25 Depuy Mitek, Llc Knotless suture anchor
US8460340B2 (en) 2010-08-30 2013-06-11 Depuy Mitek, Llc Knotless suture anchor
US11344289B2 (en) 2010-08-30 2022-05-31 DePuy Synthes Products, Inc. Knotless suture anchor and driver
US10182809B2 (en) 2010-08-30 2019-01-22 Depuy Mitek, Llc Knotless suture anchor
US9370351B2 (en) 2010-08-30 2016-06-21 Depuy Mitek, Llc Anchor driver with suture clutch
US8679159B2 (en) 2010-08-30 2014-03-25 Depuy Mitek, Llc Anchor driver with suture clutch
US9364211B2 (en) 2010-08-30 2016-06-14 Depuy Mitek, Llc Knotless suture anchor
US9265496B2 (en) 2010-08-30 2016-02-23 Depuy Mitek, Llc Knotless suture anchor and driver
US9717492B2 (en) 2010-08-30 2017-08-01 Depuy Mitek, Llc Anchor driver with suture clutch
US11464506B2 (en) 2010-08-30 2022-10-11 DePuy Synthes Products, Inc. Knotless suture anchor
US11497487B2 (en) 2010-08-30 2022-11-15 DePuy Synthes Products, Inc. Knotless suture anchor with unthreaded nose
US9775605B2 (en) 2010-08-30 2017-10-03 Depuy Mitek, Llc Knotless suture anchor with unthreaded nose
US10595858B2 (en) 2010-08-30 2020-03-24 DePuy Synthes Products, Inc. Knotless suture anchor with unthreaded nose
CN103220989A (en) * 2010-09-24 2013-07-24 斯博特威尔丁股份有限公司 Device and method for fixating a suture anchor in hard tissue
WO2012037699A1 (en) 2010-09-24 2012-03-29 Sportwelding Gmbh Suture anchor and method for fixating a suture relative to hard tissue
EP3639756A1 (en) 2010-09-24 2020-04-22 Sportwelding GmbH Suture anchor and method for fixating a suture relative to hard tissue
EP2807981A1 (en) 2010-09-24 2014-12-03 Sportwelding GmbH Suture anchor
US11006943B2 (en) 2010-09-24 2021-05-18 Sportwelding Gmbh Device and method for fixating a suture anchor in hard tissue
WO2012037700A1 (en) 2010-09-24 2012-03-29 Sportwelding Gmbh Device and method for fixating a suture anchor in hard tissue
US9615820B2 (en) 2010-09-24 2017-04-11 Sportwelding Gmbh Suture anchor and method for fixating a suture relative to hard tissue
US9526490B2 (en) 2010-09-24 2016-12-27 Sportwelding Gmbh Device and method for fixating a suture anchor in hard tissue
CN105326533A (en) * 2010-09-24 2016-02-17 斯博特威尔丁股份有限公司 Device and method for fixating suture anchor in hard tissue
US8545536B2 (en) 2010-09-24 2013-10-01 Sportwelding Gmbh Device and method for fixating a suture anchor in hard tissue
US10939900B2 (en) 2010-09-24 2021-03-09 Sportwelding Gmbh Suture anchor and method for fixating a suture relative to hard tissue
US10080647B2 (en) 2010-10-08 2018-09-25 Conmed Corporation System and method for securing tissue to bone
WO2012100359A1 (en) 2011-01-28 2012-08-02 Sportwelding Gmbh Method and device for floating a suture anchor with a suture in hard tissue
US10219802B2 (en) 2011-01-28 2019-03-05 Sportwelding Gmbh Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue
WO2012100358A1 (en) 2011-01-28 2012-08-02 Sportwelding Gmbh Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue
EP3632341A1 (en) 2011-01-28 2020-04-08 Sportwelding GmbH Device for fixating a suture anchor with a suture or a headed anchor in hard tissue
US9808235B2 (en) 2011-01-28 2017-11-07 Sportwelding Gmbh Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue
US10582921B2 (en) 2011-01-28 2020-03-10 Sportwelding Gmbh Method and device for fixating a suture anchor with a suture in hard tissue
CN103370013A (en) * 2011-01-28 2013-10-23 斯博特威尔丁股份有限公司 Method and device for floating a suture anchor with a suture in hard tissue
US8834542B2 (en) 2011-01-28 2014-09-16 Sportwelding Gmbh Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue
US11701102B2 (en) 2011-01-28 2023-07-18 Sportwelding Gmbh Method and device for fixating a suture anchor with a suture in hard tissue
US10987096B2 (en) 2011-01-28 2021-04-27 Sportwelding Gmbh Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue
US9386976B2 (en) 2011-01-28 2016-07-12 Sportwelding Gmbh Method and device for fixating a suture anchor with a suture in hard tissue
EP4011302A1 (en) 2011-01-28 2022-06-15 Surgical Fusion Technologies GmbH Device for fixating a suture anchor with a suture in hard tissue
US11712241B2 (en) 2011-02-02 2023-08-01 Syntorr Inc. Variable denier yarn and suture
US9901355B2 (en) 2011-03-11 2018-02-27 Smith & Nephew, Inc. Trephine
US9968349B2 (en) 2011-04-13 2018-05-15 Conmed Corporation System and method for securing tissue to bone
US20210137672A1 (en) * 2011-04-25 2021-05-13 Arthrex, Inc. Internal brace for tissue repairs and reinforcements
US10973622B2 (en) * 2011-04-25 2021-04-13 Arthrex, Inc. Internal brace for tissue repairs and reinforcements
US11471266B2 (en) * 2011-04-25 2022-10-18 Arthrex, Inc. Internal brace for tissue repairs and reinforcements
US9775597B2 (en) 2011-10-04 2017-10-03 Conmed Corporation Dual expansion anchor
US11857415B2 (en) 2011-11-08 2024-01-02 Edwards Lifesciences Innovation (Israel) Ltd. Controlled steering functionality for implant-delivery tool
US9782165B2 (en) 2011-11-11 2017-10-10 VentureMD Innovations, LLC Transosseous attachment
US10136883B2 (en) 2011-11-16 2018-11-27 VentureMD Innovations, LLC Method of anchoring a suture
US11684355B2 (en) 2011-11-16 2023-06-27 Crossroads Extremity Systems, Llc Suture anchor
US11701101B2 (en) 2011-11-16 2023-07-18 Crossroads Extremity Systems, Llc Suture anchor and method
US9131937B2 (en) 2011-11-16 2015-09-15 VentureMD Innovations, LLC Suture anchor
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
US10194898B2 (en) 2011-11-16 2019-02-05 VentureMD Innovations, LLC Suture anchor
US10470756B2 (en) 2011-11-16 2019-11-12 VentureMD Innovations, LLC Suture anchor and method
US10881389B2 (en) 2011-12-19 2021-01-05 Medos International Sarl Knotless suture anchor
US9138220B2 (en) 2011-12-19 2015-09-22 Medos International Sarl Knotless suture anchor
US10292696B2 (en) 2012-08-03 2019-05-21 Stabilynx, Inc. Devices, systems, and methods for attaching soft tissue to bone tissue
US11504111B2 (en) 2012-08-03 2022-11-22 Stabilynx, Inc. Devices, systems, and methods for attaching soft tissue to bone tissue
US10595853B2 (en) 2012-08-03 2020-03-24 Stabilynx, Inc. Devices, systems, and methods for attaching soft tissue to bone tissue
US20140039551A1 (en) * 2012-08-03 2014-02-06 Joseph P. Donahue Suture Anchor Device and Methods of Use
US20230329696A1 (en) * 2012-10-18 2023-10-19 Smith & Nephew, Inc. Flexible anchor delivery system
US11890190B2 (en) 2012-10-23 2024-02-06 Edwards Lifesciences Innovation (Israel) Ltd. Location indication system for implant-delivery tool
US20140112969A1 (en) * 2012-10-23 2014-04-24 Spinesmith Partners, L.P. Dynamic loading of a therapeutic fluid
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US20140243891A1 (en) * 2013-02-25 2014-08-28 Arthrex, Inc. Tissue protector suture constructs
US11020218B2 (en) 2013-03-14 2021-06-01 Conmed Corporation Tissue capturing bone anchor
US10149751B2 (en) 2013-03-14 2018-12-11 Conmed Corporation Tissue capturing bone anchor
US9526488B2 (en) 2013-03-15 2016-12-27 Smith & Nephew, Inc. Fenestrated locking suture anchor assembly
US9925036B2 (en) 2013-03-15 2018-03-27 Conmed Corporation System and method for securing tissue to bone
US9788828B2 (en) 2013-03-15 2017-10-17 Smith & Nephew, Inc. Miniaturized dual drive open architecture suture anchor
US11020217B2 (en) 2013-03-15 2021-06-01 Conmed Corporation System and method for securing tissue to bone
US9808298B2 (en) 2013-04-09 2017-11-07 Smith & Nephew, Inc. Open-architecture interference screw
US20160354581A1 (en) * 2015-06-02 2016-12-08 Eca Medical Instruments Cannulated disposable torque limiting device with plastic shaft
US10279146B2 (en) * 2015-06-02 2019-05-07 Eca Medical Instruments Cannulated disposable torque limiting device with plastic shaft
US11504140B2 (en) 2015-07-17 2022-11-22 Crossroads Extremity Systems, Llc Transosseous guide and method
US10258401B2 (en) 2015-07-17 2019-04-16 Kator, Llc Transosseous guide
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US10154868B2 (en) 2015-07-17 2018-12-18 Kator, Llc Transosseous method
US10143462B2 (en) 2015-08-04 2018-12-04 Kator, Llc Transosseous suture anchor method
US10226243B2 (en) 2015-08-04 2019-03-12 Kator, Llc Transosseous suture anchor
US11219442B2 (en) * 2016-05-03 2022-01-11 Smith & Nephew, Inc. Expanding knotless suture anchor
US20190125332A1 (en) * 2016-05-03 2019-05-02 Smith & Nephew, Inc. Expanding knotless suture anchor
US11026729B2 (en) 2016-05-06 2021-06-08 Medos International Sarl Methods, devices, and systems for blood flow
US9861410B2 (en) 2016-05-06 2018-01-09 Medos International Sarl Methods, devices, and systems for blood flow
US10639085B2 (en) 2016-05-06 2020-05-05 Medos International Sarl Methods, devices, and systems for blood flow
WO2019135216A1 (en) 2018-01-02 2019-07-11 Cartiheal (2009) Ltd. Implantation tool and protocol for optimized solid substrates promoting cell and tissue growth

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US20180256155A1 (en) 2018-09-13
US20150313586A1 (en) 2015-11-05
US11571200B2 (en) 2023-02-07
US20120150225A1 (en) 2012-06-14
US10881388B2 (en) 2021-01-05

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