US20090281581A1 - Method and device for securing sutures to bones - Google Patents
Method and device for securing sutures to bones Download PDFInfo
- Publication number
- US20090281581A1 US20090281581A1 US12/453,290 US45329009A US2009281581A1 US 20090281581 A1 US20090281581 A1 US 20090281581A1 US 45329009 A US45329009 A US 45329009A US 2009281581 A1 US2009281581 A1 US 2009281581A1
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- United States
- Prior art keywords
- anchor
- screw
- bone
- hole
- suture
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- Abandoned
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8645—Headless screws, e.g. ligament interference screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
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- A—HUMAN NECESSITIES
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
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- A—HUMAN NECESSITIES
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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- A—HUMAN NECESSITIES
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- 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
- A61B2017/0412—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 anchoring barbs or pins extending outwardly from suture anchor body
-
- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/044—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
-
- 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
- A61B2017/0448—Additional elements on or within the anchor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B2217/00—General characteristics of surgical instruments
Definitions
- FIGS. 5 a - 5 i depict the system and method in a double row rotator cuff repair.
Abstract
A method, system and device for securing a repair, such as a rotator cuff repair and includes an anchor placed within a hole formed in bone and a cannulated screw inserted into the hole after the anchor has been inserted to effectuate a firm and secure connection of tissue to bone, particularly when the quality of the bone does not permit optimal fixation. The method, system and device allows superior tissue fixation to bone with the ease of knotless suture anchor application.
Description
- The present application claims the benefit of U.S. Provisional Patent Application Ser. No. 61/071,568, filed On May 6, 2008. The subject matter of the provisional patent application is incorporated by reference herewith.
- During surgery, anchors have been used with sutures to reattach tissue to bone. The anchors have been inserted into holes that have been pre-drilled. Difficulties arise when the anchor has been inserted and is not flush with the top of the bone mass. Additionally, the anchor has been known to move or adjust thereby jeopardizing a secure repair.
- Part of a successful surgery to reconnect tissue to bone requires that sutures firmly secure the tissue to the bone. It is important that the repair have long term stability. The disclosed method, system and device for securing the repair includes an anchor placed within a pre-drilled hole formed in bone and a cannulated screw inserted into the hole after the anchor, and holding same in place, to effectuate a firm and secure connection of tissue to bone, particularly when the quality of the bone does not permit optimal fixation. The method, system and device allows superior screw in fixation with the ease of knotless suture anchor application.
-
FIG. 1 a is a view of a cannulated screw used with the system and method; -
FIGS. 1 b-1 f depict steps of the repair; -
FIGS. 2 a and 2 b show different types of anchors used with a multirow repair; -
FIG. 3 is a view of the inserter rod, screw and anchor; -
FIGS. 4 a-4 h depict the method in a single row rotator cuff repair; and -
FIGS. 5 a-5 i depict the system and method in a double row rotator cuff repair. -
FIG. 1 a shows the cannulated fastener, such as acannulated bone screw 10 having acentral bore 12 extending the entire length of the screw, allowing the screw to move along a bone anchor inserter rod. The fastener may be made of any suitable material, including bioabsorbable material, and may be a barbed fastener which is driven into a bone hole, rather than screwed. The fastener that is inserted need only have a flattened distal aspect to block the fixation anchor from migrating. InFIG. 1 b, ananchor 14 has been inserted within ahole 16 in abone 18. The anchor has asuture loop 20, either fixed or adjustable in length, passing throughtissue 22, such as a rotator cuff, to secure thetissue 22 to thebone 18. The anchor has captured the loop, allowing for fixation without needing to tie a knot. As can be seen, there is a distance between the top of the anchor and the top of the opening in the bone. This distance can be measured bymarkings 25 along theinserter rod 24 seen inFIG. 1 c. InFIG. 1 d, thecannulated screw 10 is movable along theinserter rod 24, as is thecannulated screw driver 26. Thescrew driver 26 allows thescrew 10 to be driven into thebone hole 16 as the end of the screw driver engages the head of the screw to rotate the screw.FIG. 1 e shows thescrew 10 having been successfully driven into the hole and now on top of thebone anchor 14 to prevent the anchor's movement. Having been successfully accomplished, theinserter rod 24 is removed as seen inFIG. 1 f. The standard knotless anchor inserter rod is modified to have a reverse threadedtab 27. This enables the tab to be removed without removing the inserter rod from the anchor. -
FIGS. 2 a and 2 b depict just one of the many types ofbone anchors 30 that may be used with a double row repair. The bone anchor may accommodate one ormultiple suture loops 32 which may be either of fixed or adjustable length.Utility sutures 34 extend from the suture loops.FIG. 3 shows the entire assembly of theinserter rod 24, abone anchor 14 such as a knotless bone anchor and acannulated screw 10 andscrew driver 26 placed over and movable along the inserter rod. -
FIGS. 4 a-4 h depict a single row rotator cuff repair. Alateral hole 16 is made, by either drilling, or is produced with an awl-like device 36, in thebone 18, as shown inFIG. 4 a and asuture 20 is passed through thetissue 22. Thesuture 20 is captured by thebone anchor 14, as seen inFIGS. 4 b and 4 c. Theanchor 14 is inserted to theappropriate depth 16 and the suture loop is tightened in order to approximate the tissue to the repair site. The loop need not be tightened when the loop is of a fixed length. Once theanchor 14 is successfully seated within the hole, thescrew 10 is advanced along theinserter rod 24 and driven into the hole by thecannulated screw driver 26 as seen inFIG. 4 f. Once successfully inserted, theinserter rod 24 is removed and the repair is complete as seen inFIG. 4 g.FIG. 4 h shows a completed two anchor repair. -
FIGS. 5 a-5 i depict a double row repair with aspiral bone anchor 30 with attached suture loop(s) 32, such as the anchors seen inFIGS. 2 a and 2 b, driven into afirst hole 38. The suture passes throughtissue 22 and is captured by thebone anchor 14 as seen inFIG. 5 d. At this point, theanchor 14 is set within thesecond hole 16, followed by the setting of thebone screw 10 in a manner described earlier with reference to the single row repair. The completed multiple row repair is depicted inFIG. 5 i. - The method can be applied to any repair requiring tissue to be reattached to bone. Further, the bone anchor, or cannulated bone screw can be made of any desirable material and may be of bioabsorbable or bioreplaceable material. Either implanted device may change over time.
Claims (13)
1. A cannulated bone screw comprising a central bore extending an entire length of the screw and having a flat distal end for engaging a fixation anchor and preventing movement thereof.
2. The cannulated bone screw of claim 1 , further comprising a screw pattern on its exterior for secure engagement with a bone mass.
3. The cannulated bone screw of claim 1 , wherein the bone screw is made of a bioabsorbable or bioreplaceable material.
4. A method of firmly securing tissue to a bone mass comprising the steps of:
a) drilling or punching a hole in the bone mass;
b) inserting a fixation anchor, having at least one suture element attached thereto, into the hole, thereby drawing tissue that has been secured by the at least one suture, into secure attachment with the bone mass; and
c) inserting a cannulated bone screw into the hole to prevent movement of the anchor.
5. The method of claim 5 , wherein the cannulated bone screw is screwed into the hole for secure engagement.
6. The method of claim 4 , wherein the anchor and the screw are both inserted by an inserter rod which passes through the cannulated bone screw and inserts the anchor into the hole drilled in the bone mass.
7. The method of claim 4 , wherein the suture element is captured by the anchor during the anchor's insertion into the hole.
8. The method of claim 6 , wherein the inserter rod has markings to measure the distance the anchor has been inserted into the bone mass and allow for correctly sizing of a length of the screw.
9. The method of claim 6 , wherein the inserter rod is removed once the screw has been placed into secure engagement with the anchor.
10. The method of claim 4 , wherein the suture element is first inserted via a screw anchor into the bone mass; the suture is passed through the tissue element and then captured by an anchor for insertion into the hole.
11. The method of claim 10 , wherein the screw anchor has one or more suture loops attached thereto.
12. The method of claim 4 , wherein the anchor has at least one adjustable length suture loop attached thereto.
13. The method of claim 12 , wherein the at least one adjustable length suture loop is adjustable using a sliding, self-locking knot.
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
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US12/453,290 US20090281581A1 (en) | 2008-05-06 | 2009-05-06 | Method and device for securing sutures to bones |
US13/252,494 US20120022588A1 (en) | 2008-05-06 | 2011-10-04 | Method for securing sutures to bones |
US14/730,167 US10159476B2 (en) | 2008-05-06 | 2015-06-03 | Method for securing sutures to bones |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US7156808P | 2008-05-06 | 2008-05-06 | |
US12/453,290 US20090281581A1 (en) | 2008-05-06 | 2009-05-06 | Method and device for securing sutures to bones |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US13/252,494 Division US20120022588A1 (en) | 2008-05-06 | 2011-10-04 | Method for securing sutures to bones |
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US20090281581A1 true US20090281581A1 (en) | 2009-11-12 |
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Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
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US12/453,290 Abandoned US20090281581A1 (en) | 2008-05-06 | 2009-05-06 | Method and device for securing sutures to bones |
US13/252,494 Abandoned US20120022588A1 (en) | 2008-05-06 | 2011-10-04 | Method for securing sutures to bones |
US14/730,167 Active US10159476B2 (en) | 2008-05-06 | 2015-06-03 | Method for securing sutures to bones |
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Application Number | Title | Priority Date | Filing Date |
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US13/252,494 Abandoned US20120022588A1 (en) | 2008-05-06 | 2011-10-04 | Method for securing sutures to bones |
US14/730,167 Active US10159476B2 (en) | 2008-05-06 | 2015-06-03 | Method for securing sutures to bones |
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Cited By (41)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20100145395A1 (en) * | 2008-12-09 | 2010-06-10 | Graf Ben K | Tissue Repair Assembly |
US20100298888A1 (en) * | 2008-12-09 | 2010-11-25 | Graf Ben K | Tissue Repair Assembly |
US20110106252A1 (en) * | 2009-04-17 | 2011-05-05 | Shane Barwood | Tenodesis system |
US20120158051A1 (en) * | 2010-12-17 | 2012-06-21 | Foerster Seth A | Re-tensionable knotless suture system |
EP2574284A1 (en) * | 2011-09-30 | 2013-04-03 | DePuy Mitek, Inc. | Knotless suture anchor |
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 |
US20130158598A1 (en) * | 2011-12-20 | 2013-06-20 | Depuy Mitek, Inc. | Systems and methods for repairing tissue |
US8469998B2 (en) | 2010-08-30 | 2013-06-25 | Depuy Mitek, Llc | Knotless suture anchor |
US8790370B2 (en) | 2012-03-30 | 2014-07-29 | Depuy Mitek, Llc | Surgical filament assemblies |
US8814905B2 (en) | 2010-11-23 | 2014-08-26 | Depuy Mitek, Llc | Surgical filament snare assemblies |
US8821543B2 (en) | 2010-12-23 | 2014-09-02 | Depuy Mitek, Llc | Adjustable anchor systems and methods |
US8821544B2 (en) | 2010-11-23 | 2014-09-02 | Depuy Mitek, Llc | Surgical filament snare assemblies |
US8894684B2 (en) | 2012-05-07 | 2014-11-25 | Medos International Sàrl | Systems, devices, and methods for securing tissue using a suture having one or more protrusions |
US9060763B2 (en) | 2012-05-07 | 2015-06-23 | Medos International Sàrl | Systems, devices, and methods for securing tissue |
US9060764B2 (en) | 2012-05-07 | 2015-06-23 | Medos International Sàrl | Systems, devices, and methods for securing tissue |
US9095331B2 (en) | 2010-12-23 | 2015-08-04 | Medos International Sàrl | Adjustable anchor systems and methods |
US20150313586A1 (en) * | 2005-03-30 | 2015-11-05 | Arthrex, Inc. | Swivel anchor for knotless fixation of tissue |
US9192373B2 (en) | 2012-12-27 | 2015-11-24 | Medos International Sàrl | Surgical constructs and methods for securing tissue |
CN105193484A (en) * | 2015-11-06 | 2015-12-30 | 上海凯利泰医疗科技股份有限公司 | Integrated fixing device for olecranal fracture |
US9241783B2 (en) | 2008-05-14 | 2016-01-26 | Smith & Nephew, Inc. | Arthroscopic biceps tenodesis repair |
US9345567B2 (en) | 2012-05-07 | 2016-05-24 | Medos International Sàrl | Systems, devices, and methods for securing tissue using snare assemblies and soft anchors |
WO2016172508A1 (en) * | 2015-04-24 | 2016-10-27 | Biomet Sports Medicine, Llc | Anchoring system and method for securing a suture to a pre-drilled bore |
US9737293B2 (en) | 2013-03-15 | 2017-08-22 | Medos International Sàrl | Surgical constructs with collapsing suture loop and methods for securing tissue |
US9763655B2 (en) | 2012-09-20 | 2017-09-19 | Medos International Sarl | Systems, devices, and methods for securing tissue using hard anchors |
CN108392237A (en) * | 2017-02-06 | 2018-08-14 | 美多斯国际有限公司 | Devices, systems, and methods for unknotted type suture anchor |
US10159476B2 (en) | 2008-05-06 | 2018-12-25 | Lumaca Orthopaedics Pty Ltd | Method for securing sutures to bones |
US10383618B2 (en) | 2017-03-13 | 2019-08-20 | Medos International Sarl | Methods and devices for knotless suture anchoring |
US10463357B2 (en) | 2017-03-13 | 2019-11-05 | Medos International Sarl | Methods and devices for knotless suture anchoring |
US10537318B2 (en) | 2006-05-18 | 2020-01-21 | Arthrex, Inc. | Method for knotless fixation of tissue |
US10639026B2 (en) | 2017-07-27 | 2020-05-05 | Medos International Sarl | Knotless suture anchoring using two awl shafts |
US10709436B2 (en) | 2000-06-22 | 2020-07-14 | Arthrex, Inc. | Graft fixation using a plug against suture |
US10709488B2 (en) | 2014-10-23 | 2020-07-14 | Medos International Sárl | Biceps tenodesis delivery tools |
US10729419B2 (en) | 2014-10-23 | 2020-08-04 | Medos International Sarl | Biceps tenodesis implants and delivery tools |
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US20150265327A1 (en) | 2015-09-24 |
US20120022588A1 (en) | 2012-01-26 |
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