USRE36020E - Method and apparatus for tying suture to bone - Google Patents

Method and apparatus for tying suture to bone Download PDF

Info

Publication number
USRE36020E
USRE36020E US08/547,645 US54764595A USRE36020E US RE36020 E USRE36020 E US RE36020E US 54764595 A US54764595 A US 54764595A US RE36020 E USRE36020 E US RE36020E
Authority
US
United States
Prior art keywords
suture
bone
section
pusher
hole
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.)
Expired - Lifetime
Application number
US08/547,645
Inventor
Robert R. Moore
Arnold K. Cohn
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.)
Orthopedic Systems Inc
Original Assignee
Orthopedic Systems 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
Application filed by Orthopedic Systems Inc filed Critical Orthopedic Systems Inc
Priority to US08/547,645 priority Critical patent/USRE36020E/en
Application granted granted Critical
Publication of USRE36020E publication Critical patent/USRE36020E/en
Assigned to UNITED CALIFORNIA BANK reassignment UNITED CALIFORNIA BANK SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ORTHOPEDIC SYSTEMS, INC.
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1796—Guides or aligning means for drills, mills, pins or wires for holes for sutures or flexible wires
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0805—Implements for inserting tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • A61F2210/0019—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Definitions

  • This invention relates to a method and apparatus for attaching sutures to bone and more particularly to doing so arthroscopically.
  • a suture can be attached to the bone with the same final strength that is achieved with the COHN S.F.D. and the procedure may be performed arthroscopically.
  • the procedure is performed by insertion of a small cannula to the bone through overlying sort tissue.
  • a drill guide with at least two generally parallel bores is inserted in the cannula and used for drilling two parallel holes in the bone through the hard material near the surface of the bone down into the soft interior material of the bone. The two holes in the bone need not intersect.
  • a suture pusher is then inserted through one of the bores in the drill guide and operated to push a suture loop through the soft bone material from one hole to the other.
  • the suture pusher may take the form of a scissors-like device or a thin flexible wire made from a strong resilient material such as a TiNi alloy with a 90° bend at one end for pushing the suture from one hole to the other.
  • the suture pusher preferably has a laterally extending handle at one end extending in the opposite direction from the suture pushing end so that the surgeon knows what direction the suture pushing end extends.
  • the suture pushing end extends laterally from the stem of the suture pusher a sufficient distance to extend from one hole to the other through the bone, and the wire embodiment has a radius of curvature which is large enough that the wire will not break when the suture pushing end is resiliently deformed to near-straightness as it is inserted through the drill guide.
  • the suture pusher is provided with an eye to carry the suture or it may be provided with a notched end similar to that employed in the COHN S.F.V. so that when the suture pusher is inserted through one hole and passes to the other hole it carries the loop of the suture which may be retrieved through the second hole in the manner in which a suture is retrieved with a COHN S.F.D.
  • the suture pusher and drill guide are withdrawn; knots may be tied in the suture and passed along the suture through the cannula to the bone; the ends of the suture clipped off and the cannula removed.
  • a suture can be attached to the bone firmly anchored by encircling the bridge of hard bone material between the two parallel drill holes, and the attachment is accomplished without leaving metal anchoring materials in the bone.
  • the suture may be used for attaching any desired material to the bone as for instance where the end of a ruptured tendon may be initially held to the bone by the cannula and then attached to the bone by the suture.
  • a tube may be inserted through one bore of the drill guide and into the hole drilled in the bone to guide the suture pusher to a predetermined depth in the bone before its tip emerges into the bone.
  • FIG. 1 is an exploded view of the apparatus of this invention with a schematic diagram of a shoulder to which a ruptured tendon is to be attached;
  • FIG. 2 is a cross sectional view of the cannula with the drill guide in place
  • FIG. 3 is a cross sectional view showing all parts assembled as the suture is inserted
  • FIGS. 4, 5, 6, 7, 8 and 9 are a series of figures similar to FIG. 3 showing the sequence of steps performed in accordance with the invention, and FIG. 7A illustrates an alternative to FIG. 7; and
  • FIG. 10 is a view similar to FIG. 1 showing an alternative form of apparatus useful in this invention
  • FIGS. 11, 12, 13 and 14 are views similar to FIGS. 3, 7 and 8 showing the operation of the apparatus of FIG. 10.
  • a cannula 10 having a handle 12 is used to form a passageway for arthroscopic surgery to attach a tendon 14 to a bone 16 through overlying soft tissue 18.
  • the end of the cannula may contain a removable plug 20 to facilitate insertion of the cannula through the soft tissue, and the inner end of the cannula may contain teeth 22 by which the tendon 14 may be grasped by the cannula.
  • a drill guide 24 contains two generally parallel bores 26 and 28 preferably 1/8 inch in diameter separated by a central web 30 1/8 inch in diameter.
  • a suture pusher 32 has a central wire stem with a curved end portion 34 projecting laterally from the central stem and a handle portion 36 projecting laterally opposite to the projection 34 on the opposite end of the stem.
  • the suture pusher contains an eye 38 through which a suture 40 is threaded as illustrated in FIG. 3.
  • the suture pushing end 34 of the suture pusher projects laterally from the stem of the suture pusher by a sufficient distance to penetrate from one hole in the bone to the other as shown in FIG. 3. This lateral projection may be approximately 3/8 inch with the preferred dimensions set forth above for the drill guide.
  • this apparatus is used as follows: The cannula 7A is inserted into the tissue as illustrated in FIG. 4 until it engages the bone where a suture is to be attached. Where the tendon 14 is to be attached to the bone by the suture the tendon is grasped and held to the bone by the cannula as the cannula is inserted and the drill guide 24 is then inserted as shown in FIG. 5. A drill is then used as shown in FIG. 6 to drill two holes 40 and 42 aligned with the bores 26 and 28 respectively of the drill guide.
  • a suture 41 is then threaded through the eye 38 in the suture pusher 32 and the suture pusher is forced into the bore 26 of the drill guide which causes the resilient TiNi alloy wire to straighten out resiliently in the bore 26 as illustrated at 34' in FIG. 7.
  • the suture pusher 32 is pushed into the hole 40, and as the tip 34 emerges from the drill guide, the resiliency of the wire forces the tip to move out laterally in a direction opposite the handle 36 and the surgeon orients the handle 36 so that the top 34 moves from the hole 40 to the hole 42.
  • a tube 46 may be inserted in the drill guide bore 26 and into the hole 40 to receive and guide the tip 34 to a predetermined depth inside the bone before releasing the tip 34 from its straightened out condition, and a suitable index may be provided on the outer end of the tube 46 for this purpose.
  • one end of the suture may be retrieved through the drill bore 28 by a suitable suture hook 50.
  • the suture pusher and the drill guide may be withdrawn. Knots are then tied in the suture and passed down the cannula to attach the tendon 14 to the bone 16, and the excess ends of the suture may be cut off and the cannula withdrawn leaving the suture attached as shown in FIG. 9.
  • the drill guide 24a has a handle 50 and may be used with a cannula as described above.
  • the apparatus of FIGS. 10-14 uses a suture pusher which is constructed somewhat like an arthroscopic grabber.
  • Two parallel arms 52 and 54 extend through one bore of the drill guide 24a, and operation of the scissors handles 56 and 58 about pivots 60 and 62 slides the arms with respect to each other to cause a suture pushing end 64 to move in the direction of arrow 66 via pivots 68 and 70 to push the suture 41 from one hole 42a in the bone to the other hole 40a.

Abstract

A method and apparatus for arthroscopic attachment of a suture to bone by drilling parallel holes in the bone with a cannula and drill guide and passing a suture down one hole through soft bone into the other hole and retrieving the suture through the second hole.

Description

BACKGROUND OF THE INVENTION
This invention relates to a method and apparatus for attaching sutures to bone and more particularly to doing so arthroscopically.
It is desirable to be able to attach a suture to bone with the suture encircling a portion of the hard material which forms the surface portion of the bone so that the strength of that hard portion of the bone forms a strong anchor for the suture. Apparatus for anchoring sutures in this way is sold by Orthopedic Systems Inc. under the name COHN Suture Fixation Device. That apparatus provides two intersecting drilled holes into the bone through which a suture can be passed, but it is not readily adapted to arthroscopic surgery because it requires that a large opening be made for access to the bone.
SUMMARY OF INVENTION
In accordance with this invention, a suture can be attached to the bone with the same final strength that is achieved with the COHN S.F.D. and the procedure may be performed arthroscopically. The procedure is performed by insertion of a small cannula to the bone through overlying sort tissue. A drill guide with at least two generally parallel bores is inserted in the cannula and used for drilling two parallel holes in the bone through the hard material near the surface of the bone down into the soft interior material of the bone. The two holes in the bone need not intersect.
A suture pusher is then inserted through one of the bores in the drill guide and operated to push a suture loop through the soft bone material from one hole to the other. The suture pusher may take the form of a scissors-like device or a thin flexible wire made from a strong resilient material such as a TiNi alloy with a 90° bend at one end for pushing the suture from one hole to the other. The suture pusher preferably has a laterally extending handle at one end extending in the opposite direction from the suture pushing end so that the surgeon knows what direction the suture pushing end extends.
The suture pushing end extends laterally from the stem of the suture pusher a sufficient distance to extend from one hole to the other through the bone, and the wire embodiment has a radius of curvature which is large enough that the wire will not break when the suture pushing end is resiliently deformed to near-straightness as it is inserted through the drill guide.
The suture pusher is provided with an eye to carry the suture or it may be provided with a notched end similar to that employed in the COHN S.F.V. so that when the suture pusher is inserted through one hole and passes to the other hole it carries the loop of the suture which may be retrieved through the second hole in the manner in which a suture is retrieved with a COHN S.F.D. Once the suture is in place extending into and out of the bone, the suture pusher and drill guide are withdrawn; knots may be tied in the suture and passed along the suture through the cannula to the bone; the ends of the suture clipped off and the cannula removed.
It may be possible to fix a suture using the drill guide alone without the cannula where the drill guide performs the function of the cannula, but it is preferred to use separate drill guides and cannulas so that knots can be passed down the suture to the bone while surrounding soft tissue is held back.
In this manner a suture can be attached to the bone firmly anchored by encircling the bridge of hard bone material between the two parallel drill holes, and the attachment is accomplished without leaving metal anchoring materials in the bone. The suture may be used for attaching any desired material to the bone as for instance where the end of a ruptured tendon may be initially held to the bone by the cannula and then attached to the bone by the suture.
In order to facilitate penetration of the suture pushing end of the wire suture pusher into the soft part of the bone before it resiliently resumes its curved shape and penetrates to the second hole, a tube may be inserted through one bore of the drill guide and into the hole drilled in the bone to guide the suture pusher to a predetermined depth in the bone before its tip emerges into the bone.
DETAILED DESCRIPTION
In the accompanying drawings
FIG. 1 is an exploded view of the apparatus of this invention with a schematic diagram of a shoulder to which a ruptured tendon is to be attached;
FIG. 2 is a cross sectional view of the cannula with the drill guide in place;
FIG. 3 is a cross sectional view showing all parts assembled as the suture is inserted;
FIGS. 4, 5, 6, 7, 8 and 9 are a series of figures similar to FIG. 3 showing the sequence of steps performed in accordance with the invention, and FIG. 7A illustrates an alternative to FIG. 7; and
FIG. 10 is a view similar to FIG. 1 showing an alternative form of apparatus useful in this invention, and FIGS. 11, 12, 13 and 14 are views similar to FIGS. 3, 7 and 8 showing the operation of the apparatus of FIG. 10.
Referring now in detail to the drawings and particularly to FIG. 1 a cannula 10 having a handle 12 is used to form a passageway for arthroscopic surgery to attach a tendon 14 to a bone 16 through overlying soft tissue 18.
The end of the cannula may contain a removable plug 20 to facilitate insertion of the cannula through the soft tissue, and the inner end of the cannula may contain teeth 22 by which the tendon 14 may be grasped by the cannula. A drill guide 24 contains two generally parallel bores 26 and 28 preferably 1/8 inch in diameter separated by a central web 30 1/8 inch in diameter.
A suture pusher 32 has a central wire stem with a curved end portion 34 projecting laterally from the central stem and a handle portion 36 projecting laterally opposite to the projection 34 on the opposite end of the stem. The suture pusher contains an eye 38 through which a suture 40 is threaded as illustrated in FIG. 3. Preferably the suture pushing end 34 of the suture pusher projects laterally from the stem of the suture pusher by a sufficient distance to penetrate from one hole in the bone to the other as shown in FIG. 3. This lateral projection may be approximately 3/8 inch with the preferred dimensions set forth above for the drill guide.
As explained above this apparatus is used as follows: The cannula 7A is inserted into the tissue as illustrated in FIG. 4 until it engages the bone where a suture is to be attached. Where the tendon 14 is to be attached to the bone by the suture the tendon is grasped and held to the bone by the cannula as the cannula is inserted and the drill guide 24 is then inserted as shown in FIG. 5. A drill is then used as shown in FIG. 6 to drill two holes 40 and 42 aligned with the bores 26 and 28 respectively of the drill guide.
A suture 41 is then threaded through the eye 38 in the suture pusher 32 and the suture pusher is forced into the bore 26 of the drill guide which causes the resilient TiNi alloy wire to straighten out resiliently in the bore 26 as illustrated at 34' in FIG. 7. The suture pusher 32 is pushed into the hole 40, and as the tip 34 emerges from the drill guide, the resiliency of the wire forces the tip to move out laterally in a direction opposite the handle 36 and the surgeon orients the handle 36 so that the top 34 moves from the hole 40 to the hole 42.
As illustrated in FIG. 7A a tube 46 may be inserted in the drill guide bore 26 and into the hole 40 to receive and guide the tip 34 to a predetermined depth inside the bone before releasing the tip 34 from its straightened out condition, and a suitable index may be provided on the outer end of the tube 46 for this purpose.
Once the tip 34 penetrates from the hole 40 to the hole 42 as illustrated in FIG. 8, one end of the suture may be retrieved through the drill bore 28 by a suitable suture hook 50.
Finally once the suture has been retrieved out through the bore 28, the suture pusher and the drill guide may be withdrawn. Knots are then tied in the suture and passed down the cannula to attach the tendon 14 to the bone 16, and the excess ends of the suture may be cut off and the cannula withdrawn leaving the suture attached as shown in FIG. 9.
In the alternative shown in FIGS. 10-14, the drill guide 24a has a handle 50 and may be used with a cannula as described above. In place of the suture pusher 32 of FIG. 1, the apparatus of FIGS. 10-14 uses a suture pusher which is constructed somewhat like an arthroscopic grabber. Two parallel arms 52 and 54 extend through one bore of the drill guide 24a, and operation of the scissors handles 56 and 58 about pivots 60 and 62 slides the arms with respect to each other to cause a suture pushing end 64 to move in the direction of arrow 66 via pivots 68 and 70 to push the suture 41 from one hole 42a in the bone to the other hole 40a.
While certain details of the invention have been illustrated and described herein it is obvious that many modifications thereof may be made.

Claims (7)

I claim:
1. Apparatus for attaching a suture to bone under soft tissue comprising in combination:
a cannula having an inner bore,
a drill guide telescopically received in the cannula and having at least two generally parallel bores, and
a suture pusher comprising a tool having a straight section telescopically received in one of the bores of the drill guide, a laterally extending handle on one end and on the other end a suture holding section .Iadd.laterally .Iaddend.movable .Iadd.relative to the straight section .Iaddend.in response to manipulation of the handle to push a suture loop through soft bone material between two parallel holes in bone aligned with two of the bores in the drill guide.
2. A suture pusher comprising a strand of resiliently deformable wire having a straight section, a laterally extending handle on one end and on the other end an appertured and naturally curved suture pushing section which in unstressed condition extends laterally from the straight section and a sleeve telescopically surrounding the strand of wire and supporting the naturally curved suture pushing section aligned with the straight section whereby the suture pushing section deforms to said unstressed laterally extending condition responsive to manipulation of the handle to move the wire telescopically from the sleeve.
3. The method of attaching a suture to bone under soft tissue which comprises:
inserting a cannula through soft tissue substantially to the bone,
inserting into the cannula a drill guide having at least two generally parallel spaced apart bores,
drilling two non-intersecting holes aligned with the bores of the drill guide into the bone through the hard surface of the bone into softer inner bone material,
inserting through one of the bores and holes a suture pusher having a suture carrying end and pushing the suture carrying end, with a suture loop thereon, through the inner bone material from the one hole to the other hole,
retrieving one strand of the suture loop through the other bone hole and bore,
removing the pusher and the drill guide,
tying a knot in the suture and passing it down the suture through the cannula, and
removing the cannula leaving the suture tied to the bone with the suture encircling a bridge of hard surface bone material between the two holes.
4. The method of claim 3, in which the suture pusher is a strand of a resiliently flexible TiNi alloy having a straight section, a laterally extending handle on one end and on the other end a curved suture pushing section extending laterally from the straight section and resiliently deformable to pass through a bore in a generally straightened condition.
5. The method of claim 4 in which a tube is inserted through the one bore and into the one hole in the bone before inserting the suture pusher so that the tube guides the suture pusher down into the bone before pushing the suture from the one hole to the other hole. .Iadd.
6. Apparatus for attaching a suture to bone under soft tissue, comprising, in combination:
a drill guide having at least two generally parallel bores; and
a suture pusher having a proximal section and a distal section, the distal section including a suture holding section laterally movable relative to the proximal section in response to manipulation of the proximal section to push a suture loop carried by the distal section through soft bone material between two parallel holes in the bone aligned with two of the bores in the drill guide..Iaddend..Iadd.7. The apparatus of claim 6 wherein the suture pusher includes a straight section and is formed of resiliently deformable material, and wherein the distal section has an unstressed condition in which it curves laterally away from the straight section..Iaddend..Iadd.8. A suture pusher comprising:
a strand of resiliently deformable wire having a straight section extending between proximal and distal sections, the distal section including a naturally curved suture carrying section which in an unstressed condition extends laterally from the straight section in a direction;
a sleeve telescopically surrounding the strand of wire and supporting the naturally curved suture pushing section in approximate alignment with the straight section, whereby the suture pushing section deforms to said unstressed laterally extending condition responsive to manipulation of the proximal section to move the wire telescopically from a distal portion of the sleeve; and
means remote from the distal section of the strand for visually indicating the direction in which the distal section will laterally extend when moved from the distal portion of the sleeve..Iaddend..Iadd.9. The method of attaching a suture to bone under soft tissue which comprises:
forming an incision through soft tissue substantially to an underlying bone;
inserting into the incision a drill guide having at least two generally parallel spaced apart bores,
drilling two non-intersecting holes aligned with the bores of the drill guide into the bone through the hard surface of the bone into softer inner bone material,
inserting through one of the holes a suture pusher having a suture carrying end and pushing the suture carrying end, with a suture loop thereon, through the inner bone material from the one hole to the other hole,
retrieving one strand of the suture loop through the other bone hole and bore,
removing from the incision the suture pusher and the drill guide, and
tying a knot in the suture, leaving the suture tied to the bone with the suture encircling a bridge of hard surface bone material between the two
holes..Iaddend..Iadd.10. The method of attaching a suture to bone under soft tissue which comprises:
forming an incision through soft tissue substantially to an underlying bone;
forming a pair of non-intersecting holes in the bone;
inserting a sleeve having at least one bore into the incision,
inserting a suture pusher into the sleeve, the suture pusher having a suture carrying end carrying a suture loop,
with the suture carrying end of the suture pusher disposed within the sleeve and with the sleeve disposed within the incision and substantially longitudinally aligned with a first one of the holes, advancing the suture carrying end out of the bore and into the inner bone material
causing the suture carrying end to push the suture loop from the first hole to a second one of the holes,
retrieving a strand of the suture loop through the second hole,
removing the suture pusher and sleeve from the incision, and
tying a knot in the suture, leaving the suture tied to the bone with the suture encircling a bridge of hard surface bone material between the two holes..Iaddend.
US08/547,645 1992-06-08 1995-10-05 Method and apparatus for tying suture to bone Expired - Lifetime USRE36020E (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US08/547,645 USRE36020E (en) 1992-06-08 1995-10-05 Method and apparatus for tying suture to bone

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/895,604 US5250055A (en) 1992-06-08 1992-06-08 Method and apparatus for tying suture to bone
US08/547,645 USRE36020E (en) 1992-06-08 1995-10-05 Method and apparatus for tying suture to bone

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US07/895,604 Reissue US5250055A (en) 1992-06-08 1992-06-08 Method and apparatus for tying suture to bone

Publications (1)

Publication Number Publication Date
USRE36020E true USRE36020E (en) 1998-12-29

Family

ID=25404750

Family Applications (2)

Application Number Title Priority Date Filing Date
US07/895,604 Ceased US5250055A (en) 1992-06-08 1992-06-08 Method and apparatus for tying suture to bone
US08/547,645 Expired - Lifetime USRE36020E (en) 1992-06-08 1995-10-05 Method and apparatus for tying suture to bone

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US07/895,604 Ceased US5250055A (en) 1992-06-08 1992-06-08 Method and apparatus for tying suture to bone

Country Status (1)

Country Link
US (2) US5250055A (en)

Cited By (106)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6342057B1 (en) 2000-04-28 2002-01-29 Synthes (Usa) Remotely aligned surgical drill guide
US6379364B1 (en) 2000-04-28 2002-04-30 Synthes (Usa) Dual drill guide for a locking bone plate
US20020123668A1 (en) * 2001-01-29 2002-09-05 Stephen Ritland Retractor and method for spinal pedicle screw placement
US6540753B2 (en) * 2001-03-23 2003-04-01 Howmedica Osteonics Corp. Instrumentation for implant insertion
US6562041B1 (en) 1997-08-29 2003-05-13 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
US20030195517A1 (en) * 1999-01-25 2003-10-16 Michelson Gary K. Instrumentation for creating an intervertebral space for receiving an implant
WO2003043504A3 (en) * 2001-11-19 2004-04-15 Acrobot Company Ltd Apparatus for surgical instrument location
US20040204716A1 (en) * 2003-04-09 2004-10-14 Jonathan Fanger Drill guide with alignment feature
US20040267274A1 (en) * 2003-06-27 2004-12-30 Tushar Patel Tissue retractor and drill guide
US6929606B2 (en) 2001-01-29 2005-08-16 Depuy Spine, Inc. Retractor and method for spinal pedicle screw placement
US6966910B2 (en) 2002-04-05 2005-11-22 Stephen Ritland Dynamic fixation device and method of use
US20050283170A1 (en) * 2004-06-17 2005-12-22 Battles Christopher A Minimally invasive stitching device
WO2006001010A1 (en) * 2004-06-24 2006-01-05 T.A.G. Medical Products A Limited Partnership Method and apparatus for repairing separations in the capsular labrum structure
US20060036265A1 (en) * 2004-08-16 2006-02-16 Zimmer Spine, Inc. Helical suturing device
US7008431B2 (en) 2001-10-30 2006-03-07 Depuy Spine, Inc. Configured and sized cannula
US7081119B2 (en) 2003-08-01 2006-07-25 Hfsc Company Drill guide assembly for a bone fixation device
US20060229726A1 (en) * 2000-05-01 2006-10-12 Ek Steven W Articular surface implant
US7166073B2 (en) 2000-09-29 2007-01-23 Stephen Ritland Method and device for microsurgical intermuscular spinal surgery
US7207992B2 (en) 2001-09-28 2007-04-24 Stephen Ritland Connection rod for screw or hook polyaxial system and method of use
US7214186B2 (en) 2000-09-29 2007-05-08 Stephen Ritland Method and device for retractor for microsurgical intermuscular lumbar arthrodesis
US20070197864A1 (en) * 2006-02-23 2007-08-23 Olympus Medical Systems Corp. Overtube and natural opening medical procedures using the same
US20070198000A1 (en) * 2006-02-21 2007-08-23 Olympus Medical Systems Corp. Overtube and operative procedure via bodily orifice
US20070213702A1 (en) * 2006-03-08 2007-09-13 Olympus Medical Systems Corp. Medical procedure carried out via a natural opening
US20070219411A1 (en) * 2006-01-13 2007-09-20 Olympus Medical Systems Corp. Overtube and endoscopic treatment system
WO2007125279A3 (en) * 2006-04-21 2007-12-27 Imp Innovations Ltd Tendon repair
US7357804B2 (en) 2003-08-13 2008-04-15 Synthes (U.S.A.) Quick-release drill-guide assembly for bone-plate
US20080103506A1 (en) * 2006-10-30 2008-05-01 Depuy Mitek, Inc. Methods and devices for ligament repair
US20080147094A1 (en) * 2006-12-14 2008-06-19 Depuy Mitek, Inc. Bone Suture
US20080288006A1 (en) * 2001-09-19 2008-11-20 Brannon James K Endoscopic Bone Debridement
US7510558B2 (en) * 2000-05-01 2009-03-31 Arthrosurface, Inc. System and method for joint resurface repair
US7569059B2 (en) 2005-04-20 2009-08-04 Arthroscopic Innovations Llc Method and apparatus for surgical repair
US20090216285A1 (en) * 2000-05-01 2009-08-27 Arthrosurface, Inc. Bone Resurfacing System and Method
US7651509B2 (en) 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair
US7655025B2 (en) 2001-09-28 2010-02-02 Stephen Ritland Adjustable rod and connector device and method of use
US20100070048A1 (en) * 2000-05-01 2010-03-18 Arthrosurface, Inc. System and Method for Joint Resurface Repair
US7682375B2 (en) 2002-05-08 2010-03-23 Stephen Ritland Dynamic fixation device and method of use
US20100121354A1 (en) * 2008-11-13 2010-05-13 Pandya Rajiv D Device for the intraosteal seizing of sutures
US7731721B2 (en) 2003-07-16 2010-06-08 Synthes Usa, Llc Plating system with multiple function drill guide
US7753939B2 (en) 2000-06-30 2010-07-13 Stephen Ritland Polyaxial connection device and method
US7763047B2 (en) 2002-02-20 2010-07-27 Stephen Ritland Pedicle screw connector apparatus and method
US7776047B2 (en) * 2003-04-09 2010-08-17 Depuy Spine, Inc. Guide for spinal tools, implants, and devices
US20100264394A1 (en) * 2009-04-16 2010-10-21 Sony Corporation Semiconductor memory and method of manufacturing the same
US7824410B2 (en) 2001-10-30 2010-11-02 Depuy Spine, Inc. Instruments and methods for minimally invasive spine surgery
US7828853B2 (en) 2004-11-22 2010-11-09 Arthrosurface, Inc. Articular surface implant and delivery system
US7881770B2 (en) * 2000-03-01 2011-02-01 Medtronic Navigation, Inc. Multiple cannula image guided tool for image guided procedures
US7896885B2 (en) 2002-12-03 2011-03-01 Arthrosurface Inc. Retrograde delivery of resurfacing devices
US7909843B2 (en) 2004-06-30 2011-03-22 Thompson Surgical Instruments, Inc. Elongateable surgical port and dilator
US7909848B2 (en) 2003-06-27 2011-03-22 Depuy Spine, Inc. Tissue retractor and guide device
US7914545B2 (en) 2002-12-03 2011-03-29 Arthrosurface, Inc System and method for retrograde procedure
US7918868B2 (en) * 2006-05-22 2011-04-05 Scandius Biomendical, Inc. Method and apparatus for meniscal repair
US7951163B2 (en) 2003-11-20 2011-05-31 Arthrosurface, Inc. Retrograde excision system and apparatus
US7959564B2 (en) 2006-07-08 2011-06-14 Stephen Ritland Pedicle seeker and retractor, and methods of use
USRE42525E1 (en) 1999-03-12 2011-07-05 Depuy Spine, Inc. Cannula and sizing insertion method
US8021399B2 (en) 2005-07-19 2011-09-20 Stephen Ritland Rod extension for extending fusion construct
US8177841B2 (en) 2000-05-01 2012-05-15 Arthrosurface Inc. System and method for joint resurface repair
US8262571B2 (en) 2003-05-22 2012-09-11 Stephen Ritland Intermuscular guide for retractor insertion and method of use
US8317862B2 (en) 2008-10-10 2012-11-27 Marcus Troger Method for replacing a ligament in a knee
US8323315B2 (en) 1998-12-30 2012-12-04 Depuy Mitek, Inc. Suture locking device
US8361159B2 (en) 2002-12-03 2013-01-29 Arthrosurface, Inc. System for articular surface replacement
US8388624B2 (en) 2003-02-24 2013-03-05 Arthrosurface Incorporated Trochlear resurfacing system and method
US20130158596A1 (en) * 2011-12-16 2013-06-20 Depuy Mitek, Inc. Methods and systems for attaching tissue to bone
US8512375B2 (en) 1999-12-02 2013-08-20 Smith & Nephew, Inc. Closure device and method for tissue repair
US8523872B2 (en) 2002-12-03 2013-09-03 Arthrosurface Incorporated Tibial resurfacing system
US8540717B2 (en) 2000-05-01 2013-09-24 Arthrosurface Incorporated System and method for joint resurface repair
US8556902B2 (en) 2002-12-03 2013-10-15 Arthrosurface Incorporated System and method for retrograde procedure
US8617176B2 (en) 2011-08-24 2013-12-31 Depuy Mitek, Llc Cross pinning guide devices and methods
US8623051B2 (en) 2005-06-24 2014-01-07 Smith & Nephew, Inc. Tissue repair device
US8721657B2 (en) 2006-01-13 2014-05-13 Olympus Medical Systems Corp. Medical instrument
US8728121B2 (en) 2006-01-13 2014-05-20 Olympus Medical Systems Corp. Puncture needle and medical procedure using puncture needle that is performed via natural orifice
US8876842B2 (en) 2006-05-22 2014-11-04 Covidien Lp Meniscal repair device
US8936611B2 (en) 2010-05-27 2015-01-20 Raptor Surgical, LLC Apparatus and methods for achilles tendon repair
US9066716B2 (en) 2011-03-30 2015-06-30 Arthrosurface Incorporated Suture coil and suture sheath for tissue repair
US9173654B2 (en) 2012-12-11 2015-11-03 Raptor Surgical, LLC System for tissue repair
US9283076B2 (en) 2009-04-17 2016-03-15 Arthrosurface Incorporated Glenoid resurfacing system and method
US9289205B2 (en) 2012-12-11 2016-03-22 Raptor Surgical, LLC Systems for soft tissue repair
US9314235B2 (en) * 2003-02-05 2016-04-19 Smith & Nephew, Inc. Tissue anchor and insertion tool
US9358029B2 (en) 2006-12-11 2016-06-07 Arthrosurface Incorporated Retrograde resection apparatus and method
US9408646B2 (en) 2003-09-03 2016-08-09 DePuy Synthes Products, Inc. Bone plate with captive clips
US9414870B2 (en) 2003-09-03 2016-08-16 DePuy Synthes Products, Inc. Translatable carriage fixation system
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
US9662126B2 (en) 2009-04-17 2017-05-30 Arthrosurface Incorporated Glenoid resurfacing system and method
US9693856B2 (en) 2015-04-22 2017-07-04 DePuy Synthes Products, LLC Biceps repair device
US9861492B2 (en) 2014-03-07 2018-01-09 Arthrosurface Incorporated Anchor for an implant assembly
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US10034742B2 (en) 2014-10-23 2018-07-31 Medos International Sarl Biceps tenodesis implants and delivery tools
US10076374B2 (en) 2014-10-23 2018-09-18 Medos International Sárl Biceps tenodesis delivery tools
US10143462B2 (en) 2015-08-04 2018-12-04 Kator, Llc Transosseous suture anchor method
US10154868B2 (en) 2015-07-17 2018-12-18 Kator, Llc Transosseous method
US10182808B2 (en) 2015-04-23 2019-01-22 DePuy Synthes Products, Inc. Knotless suture anchor guide
US20190029743A1 (en) * 2017-07-31 2019-01-31 DePuy Synthes Products, Inc. Correction guide for femoral neck
US10231823B2 (en) 2016-04-08 2019-03-19 Medos International Sarl Tenodesis implants and tools
US10231824B2 (en) 2016-04-08 2019-03-19 Medos International Sárl Tenodesis anchoring systems and tools
US10624748B2 (en) 2014-03-07 2020-04-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US10624752B2 (en) 2006-07-17 2020-04-21 Arthrosurface Incorporated Tibial resurfacing system and method
US10631884B2 (en) 2017-06-05 2020-04-28 Conmed Corporation Multi-barrel drill guide
US10729419B2 (en) 2014-10-23 2020-08-04 Medos International Sarl Biceps tenodesis implants and delivery tools
US10751161B2 (en) 2014-10-23 2020-08-25 Medos International Sárl Biceps tenodesis anchor implants
US10856966B2 (en) 2014-10-23 2020-12-08 Medos International Sarl Biceps tenodesis implants and delivery tools
US10945743B2 (en) 2009-04-17 2021-03-16 Arthrosurface Incorporated Glenoid repair system and methods of use thereof
US11160663B2 (en) 2017-08-04 2021-11-02 Arthrosurface Incorporated Multicomponent articular surface implant
US11284879B2 (en) 2018-12-13 2022-03-29 Howmedica Osteonics Corp. Systems for soft tissue repair
US11478358B2 (en) 2019-03-12 2022-10-25 Arthrosurface Incorporated Humeral and glenoid articular surface implant systems and methods
US11504140B2 (en) 2015-07-17 2022-11-22 Crossroads Extremity Systems, Llc Transosseous guide and method
US11607319B2 (en) 2014-03-07 2023-03-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US11712276B2 (en) 2011-12-22 2023-08-01 Arthrosurface Incorporated System and method for bone fixation

Families Citing this family (184)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5571215A (en) * 1993-02-22 1996-11-05 Heartport, Inc. Devices and methods for intracardiac procedures
US5441502A (en) * 1993-02-17 1995-08-15 Mitek Surgical Products, Inc. System and method for re-attaching soft tissue to bone
US5462562A (en) * 1993-05-17 1995-10-31 Henry Ford Hospital Suture passer and method of using
US5409490A (en) * 1993-08-16 1995-04-25 Depuy Inc. Shoulder separation reconstruction
US5722981A (en) * 1993-10-08 1998-03-03 Tahoe Surgical Instruments Double needle ligature device
AU1859895A (en) * 1994-02-17 1995-09-04 Arthrex, Inc. Method and device for the arthroscopic reattachment of torn tissues, in particular of torn rotator sheaths
US5466243A (en) * 1994-02-17 1995-11-14 Arthrex, Inc. Method and apparatus for installing a suture anchor through a hollow cannulated grasper
FR2717070B1 (en) * 1994-03-14 1996-04-12 Laboureau Jacques Philippe Improvement to the ligament fixation screws and device for their installation.
US5573542A (en) * 1994-08-17 1996-11-12 Tahoe Surgical Instruments-Puerto Rico Endoscopic suture placement tool
US5496332A (en) * 1994-10-20 1996-03-05 Cordis Corporation Wound closure apparatus and method for its use
US5582190A (en) * 1994-10-25 1996-12-10 Andrew B. Slavin Arthroscopic surgical device and method for evaluating and relieving the symptoms of temporomandibular joint disorders
US6106556A (en) * 1994-12-02 2000-08-22 Omeros Medical Systems, Inc. Tendon and ligament repair system
CN1229083C (en) * 1994-12-02 2005-11-30 奥默罗斯公司 Tendon and ligament repair system
US5499991A (en) * 1994-12-19 1996-03-19 Linvatec Corporation Endoscopic needle with suture retriever
DE69622969T2 (en) * 1995-06-07 2003-04-24 Medtronic Inc WOUND CLOSURE DEVICE
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US5730747A (en) * 1995-06-07 1998-03-24 Smith & Nephew, Inc. Suture passing forceps
US5591163A (en) * 1995-06-14 1997-01-07 Incont, Inc. Apparatus and method for laparoscopic urethropexy
US5643288A (en) * 1995-06-14 1997-07-01 Incont, Inc. Apparatus and method for laparoscopic urethropexy
US5697931A (en) * 1995-06-14 1997-12-16 Incont, Inc. Apparatus and method for laparoscopic urethopexy
US6042583A (en) * 1995-06-14 2000-03-28 Medworks Corporation Bone anchor-insertion tool and surgical method employing same
US5662654A (en) * 1995-06-14 1997-09-02 Incont, Inc. Bone anchor, insertion tool and surgical kit employing same
US5681333A (en) * 1995-11-08 1997-10-28 Arthrex, Inc. Method and apparatus for arthroscopic rotator cuff repair utilizing bone tunnels for suture attachment
US5851209A (en) * 1996-01-16 1998-12-22 Hospital For Joint Diseases Bone cerclage tool
IL119151A0 (en) * 1996-06-10 1996-11-14 Influence Med Tech Ltd Surgical suture insertion device and method for treatment of urinary stress incontinence using fixation to bone
FR2750595B1 (en) * 1996-07-02 1998-12-04 Dev Sed Soc Et MEDICAL SCREWS ESPECIALLY FOR SURGERY AND ANCILLARY OF POSITION
US5718717A (en) 1996-08-19 1998-02-17 Bonutti; Peter M. Suture anchor
US5810848A (en) * 1996-08-21 1998-09-22 Hayhurst; John O. Suturing system
US5860993A (en) * 1996-09-25 1999-01-19 Medworks Corp. Suture cutter
US5928252A (en) * 1997-01-21 1999-07-27 Regen Biologics, Inc. Device and method for driving a needle and meniscal repair
US5947982A (en) * 1997-04-02 1999-09-07 Smith & Nephew, Inc. Suture-passing forceps
CA2238117C (en) * 1997-05-30 2006-01-10 United States Surgical Corporation Method and instrumentation for implant insertion
US5895395A (en) * 1997-07-17 1999-04-20 Yeung; Teresa T. Partial to full thickness suture device & method for endoscopic surgeries
US6045551A (en) 1998-02-06 2000-04-04 Bonutti; Peter M. Bone suture
US6494913B1 (en) 1998-03-17 2002-12-17 Acumed, Inc. Shoulder prosthesis
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US5989256A (en) * 1999-01-19 1999-11-23 Spineology, Inc. Bone fixation cable ferrule
US8821541B2 (en) 1999-02-02 2014-09-02 Arthrex, Inc. Suture anchor with insert-molded rigid member
US8343186B2 (en) 2004-04-06 2013-01-01 Arthrex, Inc. Fully threaded suture anchor with transverse anchor pin
US9521999B2 (en) 2005-09-13 2016-12-20 Arthrex, Inc. Fully-threaded bioabsorbable suture anchor
US6270503B1 (en) * 1999-02-03 2001-08-07 Arthrex, Inc. System for ostechondral flap repair and method
US6113602A (en) * 1999-03-26 2000-09-05 Sulzer Spine-Tech Inc. Posterior spinal instrument guide and method
US6228096B1 (en) 1999-03-31 2001-05-08 Sam R. Marchand Instrument and method for manipulating an operating member coupled to suture material while maintaining tension on the suture material
US6051006A (en) * 1999-04-12 2000-04-18 Smith & Nephew, Inc. Suture-passing forceps
IL130307A0 (en) 1999-06-04 2000-06-01 Influence Med Tech Ltd Bone suturing device
IL135832A0 (en) * 1999-06-04 2001-05-20 Influence Med Tech Ltd Bone suturing device
US6368343B1 (en) 2000-03-13 2002-04-09 Peter M. Bonutti Method of using ultrasonic vibration to secure body tissue
US6447516B1 (en) 1999-08-09 2002-09-10 Peter M. Bonutti Method of securing tissue
FR2800268B1 (en) 1999-10-29 2002-04-19 Topline Technology Llc ORTHOPEDIC SUTURE AND ANCILLARY PLATE FOR THE PLACEMENT OF SUCH A PLATE
US6635073B2 (en) 2000-05-03 2003-10-21 Peter M. Bonutti Method of securing body tissue
US6312431B1 (en) 2000-04-24 2001-11-06 Wilson T. Asfora Vertebrae linking system
US6620185B1 (en) 2000-06-27 2003-09-16 Smith & Nephew, Inc. Surgical procedures and instruments
US7144414B2 (en) * 2000-06-27 2006-12-05 Smith & Nephew, Inc. Surgical procedures and instruments
US6716224B2 (en) 2000-08-28 2004-04-06 Linvatec Corporation Intracorporeal knot tier
US6638283B2 (en) 2001-01-26 2003-10-28 Raymond Thal Surgical suture passer
US20040249394A1 (en) * 2001-08-06 2004-12-09 Arthrex, Inc. Compact suture punch with malleable needle
US7112208B2 (en) * 2001-08-06 2006-09-26 Morris John K Compact suture punch with malleable needle
US6641394B2 (en) * 2001-08-13 2003-11-04 Ormco Corporation Fluid material delivery devices and methods
US6776784B2 (en) 2001-09-06 2004-08-17 Core Medical, Inc. Clip apparatus for closing septal defects and methods of use
US20050267495A1 (en) * 2004-05-17 2005-12-01 Gateway Medical, Inc. Systems and methods for closing internal tissue defects
US6702835B2 (en) 2001-09-07 2004-03-09 Core Medical, Inc. Needle apparatus for closing septal defects and methods for using such apparatus
US20060052821A1 (en) 2001-09-06 2006-03-09 Ovalis, Inc. Systems and methods for treating septal defects
US6719765B2 (en) 2001-12-03 2004-04-13 Bonutti 2003 Trust-A Magnetic suturing system and method
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
US6984237B2 (en) 2002-05-22 2006-01-10 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US20040087978A1 (en) * 2002-08-27 2004-05-06 Velez Juan Manuel Surgical fascia closure instrument, guide and method
US20050021055A1 (en) * 2002-08-27 2005-01-27 Souhail Toubia Surgical closure instrument and methods
US7559940B2 (en) * 2002-12-18 2009-07-14 Smith & Nephew, Inc. Surgical biting punch
US7497864B2 (en) 2003-04-30 2009-03-03 Marctec, Llc. Tissue fastener and methods for using same
US9364214B2 (en) * 2003-07-10 2016-06-14 Arthrex, Inc. Cannulated instrument with curved shaft for passing suture through tissue
JP4054292B2 (en) * 2003-07-11 2008-02-27 スミス・アンド・ネフュー株式会社 Ligament reconstruction tool and ligament reconstruction method
US20050080434A1 (en) * 2003-10-08 2005-04-14 Cedars-Sinai Medical Center Laparoscopic retractable dissector and suture and needle passer
JP4954874B2 (en) 2004-06-16 2012-06-20 スミス アンド ネフュー インコーポレーテッド Suture threader
US7632284B2 (en) 2004-07-06 2009-12-15 Tyco Healthcare Group Lp Instrument kit and method for performing meniscal repair
US8182491B2 (en) * 2004-08-06 2012-05-22 Depuy Spine, Inc. Rigidly guided implant placement
US8016835B2 (en) * 2004-08-06 2011-09-13 Depuy Spine, Inc. Rigidly guided implant placement with control assist
EP1814474B1 (en) 2004-11-24 2011-09-14 Samy Abdou Devices for inter-vertebral orthopedic device placement
US20070005067A1 (en) * 2005-06-21 2007-01-04 Brian Dross Arthoscopic method and apparatus for tissue attachment to bone
US8579936B2 (en) 2005-07-05 2013-11-12 ProMed, Inc. Centering of delivery devices with respect to a septal defect
US7846179B2 (en) 2005-09-01 2010-12-07 Ovalis, Inc. Suture-based systems and methods for treating septal defects
EP1968466A2 (en) * 2005-12-19 2008-09-17 M. S. Abdou Devices for inter-vertebral orthopedic device placement
US8506636B2 (en) 2006-09-08 2013-08-13 Theken Spine, Llc Offset radius lordosis
US8568453B2 (en) 2007-01-29 2013-10-29 Samy Abdou Spinal stabilization systems and methods of use
US20090036905A1 (en) * 2007-01-30 2009-02-05 Reinhold Schmieding Method of tissue fixation using cinch stitching
US7842074B2 (en) * 2007-02-26 2010-11-30 Abdou M Samy Spinal stabilization systems and methods of use
US20090036923A1 (en) * 2007-05-04 2009-02-05 Jabba Ronald J Systems and methods for accommodating anatomical characteristics in the treatment of septal defects
US8911456B2 (en) 2007-07-03 2014-12-16 Ceterix Orthopaedics, Inc. Methods and devices for preventing tissue bridging while suturing
US8821518B2 (en) 2007-11-05 2014-09-02 Ceterix Orthopaedics, Inc. Suture passing instrument and method
US9861354B2 (en) 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US9211119B2 (en) 2007-07-03 2015-12-15 Ceterix Orthopaedics, Inc. Suture passers and methods of passing suture
US10441273B2 (en) 2007-07-03 2019-10-15 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US8663253B2 (en) 2007-07-03 2014-03-04 Ceterix Orthopaedics, Inc. Methods of meniscus repair
US8702731B2 (en) 2007-07-03 2014-04-22 Ceterix Orthopaedics, Inc. Suturing and repairing tissue using in vivo suture loading
US8465505B2 (en) 2011-05-06 2013-06-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US9314234B2 (en) 2007-07-03 2016-04-19 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US8500809B2 (en) 2011-01-10 2013-08-06 Ceterix Orthopaedics, Inc. Implant and method for repair of the anterior cruciate ligament
US8603112B2 (en) * 2007-11-30 2013-12-10 Easylap Ltd. Suturing assembly and method
US9826992B2 (en) 2007-12-21 2017-11-28 Smith & Nephew, Inc. Multiple portal guide
AU2008341062B2 (en) 2007-12-21 2014-12-18 Smith & Nephew, Inc. Multiple portal guide
US8298239B2 (en) * 2008-02-21 2012-10-30 Tyco Healthcare Group Lp Tibial guide for ACL repair having interchangeable and/or rotatable outrigger
US20100049199A1 (en) * 2008-02-21 2010-02-25 Tyco Healthcare Group Lp Tibial guide for acl repair having moveable distal features
US8430884B2 (en) * 2008-02-21 2013-04-30 Covidien Lp Femoral guide for ACL repair having selectively deployable femoral surface engagement member
US20100049198A1 (en) * 2008-02-21 2010-02-25 Tyco Healthcare Group Lp Tibial guide for acl repair having off-axis guide wire arrangement
US8282647B2 (en) * 2008-02-21 2012-10-09 Tyco Healthcare Group Lp Femoral guide for ACL repair having adjustable offset
US20090216243A1 (en) * 2008-02-21 2009-08-27 Paul Re Guide for creating femoral tunnel during acl reconstruction
US8430883B2 (en) * 2008-02-21 2013-04-30 Covidien Lp Femoral guide for ACL repair having reduced profile for left/right knee configurations
US8292894B2 (en) * 2008-02-21 2012-10-23 Tyco Healthcare Group Lp Device for orienting the tibial tunnel position during an ACL reconstruction
US8343161B2 (en) 2008-02-21 2013-01-01 Covidien Lp Femoral guide for ACL repair having multiple lumen
US8323289B2 (en) * 2008-02-21 2012-12-04 Covidien Lp Tibial guide for ACL repair having left/right docking configuration
BRPI0820149B8 (en) 2008-02-28 2021-06-22 Tag Medical Devices Agriculture Coop Ltd medical instrument to drill a hole in a bone and medical instrument kit to drill a hole in a bone
WO2009111591A2 (en) * 2008-03-04 2009-09-11 Cayenne Medical, Inc. Arthroscopic meniscal repair systems and methods
JP5162707B2 (en) * 2008-10-21 2013-03-13 カイエン メディカル インコーポレイテッド Meniscal treatment system
JP5597252B2 (en) * 2009-05-01 2014-10-01 キャイーン メディカル，インク． Meniscal repair system and method
JP5612675B2 (en) * 2009-05-20 2014-10-22 シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツングＳｙｎｔｈｅｓ Ｇｍｂｈ Periprosthetic fixation implant and method
US9848868B2 (en) 2011-01-10 2017-12-26 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
WO2011057245A2 (en) 2009-11-09 2011-05-12 Suturepro Technologies, Inc. Devices, systems and methods for meniscus repair
US9011454B2 (en) 2009-11-09 2015-04-21 Ceterix Orthopaedics, Inc. Suture passer with radiused upper jaw
US11744575B2 (en) 2009-11-09 2023-09-05 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US8617167B2 (en) 2009-12-04 2013-12-31 Pivot Medical, Inc. Methods and devices for accessing and retracting a capsule of a joint
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
US8460322B2 (en) 2010-03-31 2013-06-11 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
KR101805448B1 (en) 2010-07-11 2017-12-07 미닌베이시브 리미티드 Circular bone tunneling device
US10098631B2 (en) 2010-09-10 2018-10-16 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
CA2915912A1 (en) 2010-09-10 2015-05-07 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
CN103298503A (en) 2010-09-10 2013-09-11 皮沃特医疗公司 Method and apparatus for passing suture through tissue
BR112013008694A2 (en) 2010-09-27 2016-06-21 Smith & Nephew Inc device and methods for use during arthroscopic surgery
US8905996B2 (en) * 2010-11-01 2014-12-09 Biomet Manufacturing, Llc Cannulated syringe
US10219812B2 (en) 2010-11-03 2019-03-05 Smith & Nephew, Inc. Drill guide
US9913638B2 (en) 2011-01-10 2018-03-13 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
US8556916B2 (en) 2011-02-14 2013-10-15 Smith & Nephew, Inc. Method and device for suture manipulation
US10980586B2 (en) * 2011-03-14 2021-04-20 DePuy Synthes Products, Inc. Driver device with anti-rotation feature
CA2846004A1 (en) 2011-08-24 2013-02-28 Mininvasive Ltd. Arthroscopic surgical device
US9820754B2 (en) 2011-08-24 2017-11-21 Mininvasive Ltd. Circular bone tunneling device employing a stabilizing element
US8845728B1 (en) 2011-09-23 2014-09-30 Samy Abdou Spinal fixation devices and methods of use
US10524778B2 (en) 2011-09-28 2020-01-07 Ceterix Orthopaedics Suture passers adapted for use in constrained regions
US9492162B2 (en) 2013-12-16 2016-11-15 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices and methods
US10537321B2 (en) 2014-04-08 2020-01-21 Ceterix Orthopaedics, Inc. Suture passers adapted for use in constrained regions
US8790352B2 (en) * 2011-10-03 2014-07-29 Smith & Nephew, Inc. Ovoid tunnel guide and method of ACL reconstruction
US20130123809A1 (en) 2011-11-11 2013-05-16 VentureMD Innovations, LLC Transosseous attachment instruments
US10470756B2 (en) 2011-11-16 2019-11-12 VentureMD Innovations, LLC Suture anchor and method
US9131937B2 (en) 2011-11-16 2015-09-15 VentureMD Innovations, LLC Suture anchor
US10675014B2 (en) 2011-11-16 2020-06-09 Crossroads Extremity Systems, Llc Knotless soft tissue attachment
US10548585B2 (en) 2011-11-16 2020-02-04 VentureMD Innovations, LLC Soft tissue attachment
IN2014DN06650A (en) 2012-01-08 2015-05-22 Mininvasive Ltd
ES2656974T3 (en) * 2012-01-19 2018-03-01 Stryker European Holdings I, Llc Cuff for suprarrotulian surgery
WO2013119592A1 (en) 2012-02-07 2013-08-15 Arthrocare Corporation Surgical instrument for manipulating and passing suture
US20130226240A1 (en) 2012-02-22 2013-08-29 Samy Abdou Spinous process fixation devices and methods of use
ES1077583Y (en) * 2012-07-31 2012-11-14 Blanco Javier Nunez SHOULDER ARTHROSCOPE CLAMP.
US9198767B2 (en) 2012-08-28 2015-12-01 Samy Abdou Devices and methods for spinal stabilization and instrumentation
WO2014039848A1 (en) 2012-09-07 2014-03-13 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
WO2014043093A1 (en) * 2012-09-14 2014-03-20 DePuy Synthes Products, LLC Multihole drill sleeve with protection sleeve
US9320617B2 (en) 2012-10-22 2016-04-26 Cogent Spine, LLC Devices and methods for spinal stabilization and instrumentation
US9833272B2 (en) * 2012-11-16 2017-12-05 Spinal Generations, Llc Multichannel cannula and methods for using same
US20140142584A1 (en) * 2012-11-16 2014-05-22 Spinal Generations, Llc Multichannel cannula and methods for using same
US20150134060A1 (en) * 2013-11-12 2015-05-14 Steven C. Chudik Cortical loop fixation system for ligament and bone reconstruction
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US9289203B2 (en) * 2013-03-11 2016-03-22 Biomet Sports Medicine, Llc Method and apparatus to reload suture anchors
BR112015023988A2 (en) 2013-03-18 2017-07-18 Mininvasive Ltd method and system of arthroscopic bone suture and channel and system and device for arthroscopic bone suture and channel
US9247935B2 (en) 2013-09-23 2016-02-02 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US9687413B2 (en) 2014-02-18 2017-06-27 Covidien Lp Compression garment inflation
US20150250476A1 (en) 2014-03-05 2015-09-10 Siesta Medical, Inc. Systems and methods for tissue suspension and compression
US9717491B2 (en) * 2014-03-10 2017-08-01 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
CN103932795B (en) * 2014-04-10 2015-12-30 中国人民解放军第四军医大学 The femoral bone tunnel dial-type localizer of Healing in Anterior Cruciate Ligament Reconstruction under arthroscope
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US9949745B2 (en) * 2014-07-24 2018-04-24 Medos International Sarl Systems, devices, and methods for guiding surgical devices into bone
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
ES2691712T3 (en) 2014-09-09 2018-11-28 Mininvasive Ltd. Padded transosseous suture
US9615863B2 (en) 2014-10-22 2017-04-11 Spinal Generations, Llc Multichannel cannula for kyphoplasty and method of use
US10226245B2 (en) 2015-07-21 2019-03-12 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
CA2997050A1 (en) 2015-09-24 2017-03-30 Mininvasive Ltd. Arthroscopic surgical device
US10405853B2 (en) 2015-10-02 2019-09-10 Ceterix Orthpaedics, Inc. Knot tying accessory
US10857003B1 (en) 2015-10-14 2020-12-08 Samy Abdou Devices and methods for vertebral stabilization
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10251639B1 (en) * 2015-11-20 2019-04-09 Ronald Yamada Meniscus repair system
US10327789B2 (en) * 2015-12-29 2019-06-25 Medos International Sarl Methods and systems for preparing bone for a surgical procedure
US10835234B2 (en) 2015-12-31 2020-11-17 Mininvasive Ltd. Arthroscopic surgical device
US20180085104A1 (en) * 2016-09-27 2018-03-29 Arthrex, Inc. Arthroscopic retracting probe
US10973648B1 (en) 2016-10-25 2021-04-13 Samy Abdou Devices and methods for vertebral bone realignment
US10744000B1 (en) 2016-10-25 2020-08-18 Samy Abdou Devices and methods for vertebral bone realignment
EP3531931A1 (en) 2016-10-31 2019-09-04 Smith & Nephew, Inc Suture passer and grasper instrument and method
AU2018282187B2 (en) 2017-06-05 2021-03-04 Conmed Corporation Multi-barrel drill guide and anchor deployment assembly
US11096731B2 (en) * 2017-10-09 2021-08-24 Jaiyoung Ryu Orthopaedic fracture reduction-fixation tool
US11179248B2 (en) 2018-10-02 2021-11-23 Samy Abdou Devices and methods for spinal implantation
WO2022077004A1 (en) * 2020-10-07 2022-04-14 Kelly Robert A Arthroscopic surgical tool for manipulating bony tissue

Citations (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU172957A1 (en) *
US722105A (en) * 1902-11-10 1903-03-03 Ben E Hervey Needle-awl.
US2543780A (en) * 1946-12-09 1951-03-06 Herbert E Hipps Bone graft apparatus
US2725053A (en) * 1953-10-26 1955-11-29 Bambara John Surgical nail guide
SU1115736A1 (en) * 1983-05-13 1984-09-30 Gashchenko Aleksandr Apparatus for placing sutures on tissue
US4590929A (en) * 1983-05-03 1986-05-27 Klein Harvey A Tools for orthopaedic surgery and the like
US4625717A (en) * 1985-06-17 1986-12-02 Covitz William M Interosseous wiring system
US4744353A (en) * 1986-04-18 1988-05-17 Mcfarland Joseph R Method for attaching soft tissue to bone tissue
US4779616A (en) * 1986-02-04 1988-10-25 Johnson Lanny L Surgical suture-snagging method
US5026350A (en) * 1986-10-09 1991-06-25 Hakko Electric Machine Works Co., Ltd. Set of double needles for injecting liquid medicine
US5037422A (en) * 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5054501A (en) * 1990-05-16 1991-10-08 Brigham & Women's Hospital Steerable guide wire for cannulation of tubular or vascular organs
US5102421A (en) * 1990-06-14 1992-04-07 Wm. E. Anpach, III Suture anchor and method of forming
US5234443A (en) * 1991-07-26 1993-08-10 The Regents Of The University Of California Endoscopic knot tying apparatus and methods
US5250054A (en) * 1992-05-01 1993-10-05 Li Medical Technologies, Inc. Intracorporeal knot tying apparatus and method
US5281238A (en) * 1991-11-22 1994-01-25 Chin Albert K Endoscopic ligation instrument

Patent Citations (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU166102A1 (en) *
SU172957A1 (en) *
US722105A (en) * 1902-11-10 1903-03-03 Ben E Hervey Needle-awl.
US2543780A (en) * 1946-12-09 1951-03-06 Herbert E Hipps Bone graft apparatus
US2725053A (en) * 1953-10-26 1955-11-29 Bambara John Surgical nail guide
US4590929A (en) * 1983-05-03 1986-05-27 Klein Harvey A Tools for orthopaedic surgery and the like
SU1115736A1 (en) * 1983-05-13 1984-09-30 Gashchenko Aleksandr Apparatus for placing sutures on tissue
US4625717A (en) * 1985-06-17 1986-12-02 Covitz William M Interosseous wiring system
US4779616A (en) * 1986-02-04 1988-10-25 Johnson Lanny L Surgical suture-snagging method
US4744353A (en) * 1986-04-18 1988-05-17 Mcfarland Joseph R Method for attaching soft tissue to bone tissue
US5026350A (en) * 1986-10-09 1991-06-25 Hakko Electric Machine Works Co., Ltd. Set of double needles for injecting liquid medicine
US5054501A (en) * 1990-05-16 1991-10-08 Brigham & Women's Hospital Steerable guide wire for cannulation of tubular or vascular organs
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5102421A (en) * 1990-06-14 1992-04-07 Wm. E. Anpach, III Suture anchor and method of forming
US5037422A (en) * 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
US5234443A (en) * 1991-07-26 1993-08-10 The Regents Of The University Of California Endoscopic knot tying apparatus and methods
US5281238A (en) * 1991-11-22 1994-01-25 Chin Albert K Endoscopic ligation instrument
US5250054A (en) * 1992-05-01 1993-10-05 Li Medical Technologies, Inc. Intracorporeal knot tying apparatus and method

Cited By (225)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6562041B1 (en) 1997-08-29 2003-05-13 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
US20040015168A1 (en) * 1997-08-29 2004-01-22 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
US8512374B2 (en) 1998-12-30 2013-08-20 Depuy Mitek, Llc Soft tissue locking device
US8323315B2 (en) 1998-12-30 2012-12-04 Depuy Mitek, Inc. Suture locking device
US20030195517A1 (en) * 1999-01-25 2003-10-16 Michelson Gary K. Instrumentation for creating an intervertebral space for receiving an implant
US8172853B2 (en) * 1999-01-25 2012-05-08 Warsaw Orthopedic, Inc. Instrumentation for creating an intervertebral space for receiving an implant
USRE42525E1 (en) 1999-03-12 2011-07-05 Depuy Spine, Inc. Cannula and sizing insertion method
USRE45571E1 (en) 1999-03-12 2015-06-23 DePuy Synthes Products, Inc. Cannula and sizing insertion method
USRE46978E1 (en) 1999-03-12 2018-08-07 DePuy Synthes Products, Inc. Cannula and sizing insertion method
US7651509B2 (en) 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair
US8512375B2 (en) 1999-12-02 2013-08-20 Smith & Nephew, Inc. Closure device and method for tissue repair
US8366744B2 (en) 1999-12-02 2013-02-05 Smith & Nephew, Inc. Apparatus for tissue repair
US9492160B2 (en) 1999-12-02 2016-11-15 Smith & Nephew, Inc. Closure device and method for tissue repair
US7887551B2 (en) 1999-12-02 2011-02-15 Smith & Nephew, Inc. Soft tissue attachment and repair
US9295461B2 (en) 1999-12-02 2016-03-29 Smith & Nephew, Inc. Methods for tissue repair
US9220494B2 (en) 1999-12-02 2015-12-29 Smith & Nephew, Inc. Methods for tissue repair
US9833231B2 (en) 1999-12-02 2017-12-05 Smith & Nephew, Inc. Apparatus for tissue repair
US9545251B2 (en) 1999-12-02 2017-01-17 Smith & Nephew, Inc. Apparatus for tissue repair
US20110118593A1 (en) * 2000-03-01 2011-05-19 Medtronic Navigation, Inc. Multiple Cannula Image Guided Tool for Image Guided Procedures
US7881770B2 (en) * 2000-03-01 2011-02-01 Medtronic Navigation, Inc. Multiple cannula image guided tool for image guided procedures
US10898153B2 (en) * 2000-03-01 2021-01-26 Medtronic Navigation, Inc. Multiple cannula image guided tool for image guided procedures
US6342057B1 (en) 2000-04-28 2002-01-29 Synthes (Usa) Remotely aligned surgical drill guide
US6379364B1 (en) 2000-04-28 2002-04-30 Synthes (Usa) Dual drill guide for a locking bone plate
US20090216285A1 (en) * 2000-05-01 2009-08-27 Arthrosurface, Inc. Bone Resurfacing System and Method
US9204873B2 (en) 2000-05-01 2015-12-08 Arthrosurface Incorporated System and method for joint resurface repair
US8177841B2 (en) 2000-05-01 2012-05-15 Arthrosurface Inc. System and method for joint resurface repair
US7713305B2 (en) 2000-05-01 2010-05-11 Arthrosurface, Inc. Articular surface implant
US9357989B2 (en) 2000-05-01 2016-06-07 Arthrosurface Incorporated System and method for joint resurface repair
US7896883B2 (en) 2000-05-01 2011-03-01 Arthrosurface, Inc. Bone resurfacing system and method
US7857817B2 (en) 2000-05-01 2010-12-28 Arthrosurface Inc. System and method for joint resurface repair
US8540717B2 (en) 2000-05-01 2013-09-24 Arthrosurface Incorporated System and method for joint resurface repair
US8864827B2 (en) 2000-05-01 2014-10-21 Arthrosurface Inc. System and method for joint resurface repair
US20100070048A1 (en) * 2000-05-01 2010-03-18 Arthrosurface, Inc. System and Method for Joint Resurface Repair
US8147559B2 (en) 2000-05-01 2012-04-03 Arthrosurface Incorporated System and method for joint resurface repair
US20060229726A1 (en) * 2000-05-01 2006-10-12 Ek Steven W Articular surface implant
US7510558B2 (en) * 2000-05-01 2009-03-31 Arthrosurface, Inc. System and method for joint resurface repair
US20090192516A1 (en) * 2000-05-01 2009-07-30 Arthrosurface Inc. System and Method for Joint Resurface Repair
US9055955B2 (en) 2000-05-01 2015-06-16 Arthrosurface Inc. Bone resurfacing system and method
US7753939B2 (en) 2000-06-30 2010-07-13 Stephen Ritland Polyaxial connection device and method
US7166073B2 (en) 2000-09-29 2007-01-23 Stephen Ritland Method and device for microsurgical intermuscular spinal surgery
US7214186B2 (en) 2000-09-29 2007-05-08 Stephen Ritland Method and device for retractor for microsurgical intermuscular lumbar arthrodesis
US6951538B2 (en) * 2001-01-29 2005-10-04 Depuy Spine, Inc. Retractor and method for spinal pedicle screw placement
US20020123668A1 (en) * 2001-01-29 2002-09-05 Stephen Ritland Retractor and method for spinal pedicle screw placement
US6929606B2 (en) 2001-01-29 2005-08-16 Depuy Spine, Inc. Retractor and method for spinal pedicle screw placement
US6540753B2 (en) * 2001-03-23 2003-04-01 Howmedica Osteonics Corp. Instrumentation for implant insertion
US8382762B2 (en) * 2001-09-19 2013-02-26 James K Brannon Endoscopic bone debridement
US9622790B2 (en) 2001-09-19 2017-04-18 Warsaw Orthopedic, Inc. Rod extension for extending fusion construct
US20080288006A1 (en) * 2001-09-19 2008-11-20 Brannon James K Endoscopic Bone Debridement
US7655025B2 (en) 2001-09-28 2010-02-02 Stephen Ritland Adjustable rod and connector device and method of use
US7695498B2 (en) 2001-09-28 2010-04-13 Stephen Ritland Connection rod for screw or hook polyaxial system and method of use
US7207992B2 (en) 2001-09-28 2007-04-24 Stephen Ritland Connection rod for screw or hook polyaxial system and method of use
US7985245B2 (en) 2001-09-28 2011-07-26 Stephen Ritland Connection rod for screw or hook polyaxial system and method of use
US8192437B2 (en) 2001-10-30 2012-06-05 Depuy Spine, Inc. Configured and sized cannula
US20100222824A1 (en) * 2001-10-30 2010-09-02 Depuy Spine, Inc. Configured and sized cannula
US8235999B2 (en) 2001-10-30 2012-08-07 Depuy Spine, Inc. Configured and sized cannula
US7824410B2 (en) 2001-10-30 2010-11-02 Depuy Spine, Inc. Instruments and methods for minimally invasive spine surgery
US8556905B2 (en) 2001-10-30 2013-10-15 Depuy Spine, Inc. Configured and sized cannula
US9226782B2 (en) 2001-10-30 2016-01-05 DePuy Synthes Products, Inc. Instruments and methods for minimally invasive spine surgery
US8444678B2 (en) 2001-10-30 2013-05-21 Depuy Spine, Inc. Instruments and methods for minimally invasive spine surgery
US8361151B2 (en) 2001-10-30 2013-01-29 Depuy Spine, Inc. Configured and sized cannula
US10004488B2 (en) 2001-10-30 2018-06-26 DePuy Synthes Products, Inc. Configured and sized cannula
US8852244B2 (en) 2001-10-30 2014-10-07 DePuy Synthes Products, LLC Configured and sized cannula
US9028551B2 (en) 2001-10-30 2015-05-12 DePuy Synthes Products, Inc. Configured and sized cannula
US9532774B2 (en) 2001-10-30 2017-01-03 DePuy Synthes Products, Inc. Configured and sized cannula
US7008431B2 (en) 2001-10-30 2006-03-07 Depuy Spine, Inc. Configured and sized cannula
US20050107801A1 (en) * 2001-11-19 2005-05-19 Brian Davies Apparatus for surgical instrument location
WO2003043504A3 (en) * 2001-11-19 2004-04-15 Acrobot Company Ltd Apparatus for surgical instrument location
US8221459B2 (en) 2002-02-20 2012-07-17 Stephen Ritland Pedicle screw connector apparatus and method
US7763047B2 (en) 2002-02-20 2010-07-27 Stephen Ritland Pedicle screw connector apparatus and method
US6966910B2 (en) 2002-04-05 2005-11-22 Stephen Ritland Dynamic fixation device and method of use
US8932334B2 (en) 2002-04-05 2015-01-13 Stephen Ritland Dynamic fixation device and method of use
US8486111B2 (en) 2002-05-08 2013-07-16 Stephen Ritland Dynamic fixation device and method of use
US9232967B2 (en) 2002-05-08 2016-01-12 Stephen Ritland Dynamic fixation device and method of use
US9918744B2 (en) 2002-05-08 2018-03-20 Stephen Ritland Dynamic fixation device and method of use
US8585739B2 (en) 2002-05-08 2013-11-19 Stephen Ritland Dynamic fixation device and method of use
US8685062B2 (en) 2002-05-08 2014-04-01 Stephen Ritland Dynamic fixation device and method of use
US8690922B2 (en) 2002-05-08 2014-04-08 Stephen Ritland Dynamic fixation device and method of use
US7682375B2 (en) 2002-05-08 2010-03-23 Stephen Ritland Dynamic fixation device and method of use
US10076343B2 (en) 2002-12-03 2018-09-18 Arthrosurface Incorporated System for articular surface replacement
US8556902B2 (en) 2002-12-03 2013-10-15 Arthrosurface Incorporated System and method for retrograde procedure
US8361159B2 (en) 2002-12-03 2013-01-29 Arthrosurface, Inc. System for articular surface replacement
US9044343B2 (en) 2002-12-03 2015-06-02 Arthrosurface Incorporated System for articular surface replacement
US7914545B2 (en) 2002-12-03 2011-03-29 Arthrosurface, Inc System and method for retrograde procedure
US8926615B2 (en) 2002-12-03 2015-01-06 Arthrosurface, Inc. System and method for retrograde procedure
US7896885B2 (en) 2002-12-03 2011-03-01 Arthrosurface Inc. Retrograde delivery of resurfacing devices
US8523872B2 (en) 2002-12-03 2013-09-03 Arthrosurface Incorporated Tibial resurfacing system
US8663230B2 (en) 2002-12-03 2014-03-04 Arthrosurface Incorporated Retrograde delivery of resurfacing devices
US9314235B2 (en) * 2003-02-05 2016-04-19 Smith & Nephew, Inc. Tissue anchor and insertion tool
US10624749B2 (en) 2003-02-24 2020-04-21 Arthrosurface Incorporated Trochlear resurfacing system and method
US9351745B2 (en) 2003-02-24 2016-05-31 Arthrosurface Incorporated Trochlear resurfacing system and method
US9931211B2 (en) 2003-02-24 2018-04-03 Arthrosurface Incorporated Trochlear resurfacing system and method
US8388624B2 (en) 2003-02-24 2013-03-05 Arthrosurface Incorporated Trochlear resurfacing system and method
US11337819B2 (en) 2003-02-24 2022-05-24 Arthrosurface Incorporated Trochlear resurfacing system and method
US7935123B2 (en) 2003-04-09 2011-05-03 Depuy Acromed, Inc. Drill guide with alignment feature
US7776047B2 (en) * 2003-04-09 2010-08-17 Depuy Spine, Inc. Guide for spinal tools, implants, and devices
US20040204716A1 (en) * 2003-04-09 2004-10-14 Jonathan Fanger Drill guide with alignment feature
US8394107B2 (en) 2003-04-09 2013-03-12 Depuy Spine, Inc. Guide for spinal tools, implants, and devices
US8262571B2 (en) 2003-05-22 2012-09-11 Stephen Ritland Intermuscular guide for retractor insertion and method of use
US7909829B2 (en) 2003-06-27 2011-03-22 Depuy Spine, Inc. Tissue retractor and drill guide
US7909848B2 (en) 2003-06-27 2011-03-22 Depuy Spine, Inc. Tissue retractor and guide device
US20040267274A1 (en) * 2003-06-27 2004-12-30 Tushar Patel Tissue retractor and drill guide
US7731721B2 (en) 2003-07-16 2010-06-08 Synthes Usa, Llc Plating system with multiple function drill guide
US7081119B2 (en) 2003-08-01 2006-07-25 Hfsc Company Drill guide assembly for a bone fixation device
US7357804B2 (en) 2003-08-13 2008-04-15 Synthes (U.S.A.) Quick-release drill-guide assembly for bone-plate
US9414870B2 (en) 2003-09-03 2016-08-16 DePuy Synthes Products, Inc. Translatable carriage fixation system
US9408646B2 (en) 2003-09-03 2016-08-09 DePuy Synthes Products, Inc. Bone plate with captive clips
US10368927B2 (en) 2003-09-03 2019-08-06 DePuy Synthes Products, Inc. Bone plate with captive clips
US7951163B2 (en) 2003-11-20 2011-05-31 Arthrosurface, Inc. Retrograde excision system and apparatus
US20050283170A1 (en) * 2004-06-17 2005-12-22 Battles Christopher A Minimally invasive stitching device
US7232448B2 (en) 2004-06-17 2007-06-19 Ethicon, Inc. - Usa Minimally invasive stitching device
US20080275453A1 (en) * 2004-06-24 2008-11-06 T.A.G. Medical Products A Limited Partnership Method and Apparatus for Repairing Separations in the Capsular Labrum Structure
WO2006001010A1 (en) * 2004-06-24 2006-01-05 T.A.G. Medical Products A Limited Partnership Method and apparatus for repairing separations in the capsular labrum structure
US7909843B2 (en) 2004-06-30 2011-03-22 Thompson Surgical Instruments, Inc. Elongateable surgical port and dilator
US20060036265A1 (en) * 2004-08-16 2006-02-16 Zimmer Spine, Inc. Helical suturing device
US7637918B2 (en) 2004-08-16 2009-12-29 Zimmer Spine, Inc. Helical suturing device
US7828853B2 (en) 2004-11-22 2010-11-09 Arthrosurface, Inc. Articular surface implant and delivery system
US8961614B2 (en) 2004-11-22 2015-02-24 Arthrosurface, Inc. Articular surface implant and delivery system
US7569059B2 (en) 2005-04-20 2009-08-04 Arthroscopic Innovations Llc Method and apparatus for surgical repair
US7833230B2 (en) 2005-04-20 2010-11-16 Arthroscopic Innovations Llc Method and apparatus for providing a passageway
US7771441B2 (en) 2005-04-20 2010-08-10 Arthroscopic Innovations Llc Method and apparatus for providing suture in a passageway
US7955341B2 (en) 2005-04-20 2011-06-07 Arthroscopic Innovations Llc Method and apparatus for providing suture in a passageway
US7833244B2 (en) 2005-04-20 2010-11-16 Arthroscopic Innovations Llc Suture fixation device and method for surgical repair
US8623051B2 (en) 2005-06-24 2014-01-07 Smith & Nephew, Inc. Tissue repair device
US9173653B2 (en) 2005-06-24 2015-11-03 Smith & Nephew, Inc. Tissue repair device
US8845694B2 (en) 2005-07-19 2014-09-30 Warsaw Orthopedic, Inc. Rod extension for extending fusion construct
US8021399B2 (en) 2005-07-19 2011-09-20 Stephen Ritland Rod extension for extending fusion construct
US20070219411A1 (en) * 2006-01-13 2007-09-20 Olympus Medical Systems Corp. Overtube and endoscopic treatment system
US8728121B2 (en) 2006-01-13 2014-05-20 Olympus Medical Systems Corp. Puncture needle and medical procedure using puncture needle that is performed via natural orifice
US8721657B2 (en) 2006-01-13 2014-05-13 Olympus Medical Systems Corp. Medical instrument
US20070198000A1 (en) * 2006-02-21 2007-08-23 Olympus Medical Systems Corp. Overtube and operative procedure via bodily orifice
US7785333B2 (en) * 2006-02-21 2010-08-31 Olympus Medical Systems Corp. Overtube and operative procedure via bodily orifice
US20070197864A1 (en) * 2006-02-23 2007-08-23 Olympus Medical Systems Corp. Overtube and natural opening medical procedures using the same
US8241279B2 (en) 2006-02-23 2012-08-14 Olympus Medical Systems Corp. Overtube and natural opening medical procedures using the same
US20070213702A1 (en) * 2006-03-08 2007-09-13 Olympus Medical Systems Corp. Medical procedure carried out via a natural opening
US20090069846A1 (en) * 2006-04-21 2009-03-12 Imperial Innovations Limited Tendon repair
US8409225B2 (en) 2006-04-21 2013-04-02 Medical Device Innovations Limited Tendon repair
WO2007125279A3 (en) * 2006-04-21 2007-12-27 Imp Innovations Ltd Tendon repair
US7918868B2 (en) * 2006-05-22 2011-04-05 Scandius Biomendical, Inc. Method and apparatus for meniscal repair
US8926638B2 (en) 2006-05-22 2015-01-06 Covidien Lp Method and apparatus for meniscal repair
US8876842B2 (en) 2006-05-22 2014-11-04 Covidien Lp Meniscal repair device
US8267948B2 (en) 2006-05-22 2012-09-18 Tyco Healthcare Group Lp Method and apparatus for meniscal repair
US7959564B2 (en) 2006-07-08 2011-06-14 Stephen Ritland Pedicle seeker and retractor, and methods of use
US11471289B2 (en) 2006-07-17 2022-10-18 Arthrosurface Incorporated Tibial resurfacing system and method
US10624752B2 (en) 2006-07-17 2020-04-21 Arthrosurface Incorporated Tibial resurfacing system and method
US8491595B2 (en) 2006-10-30 2013-07-23 Depuy Mitek, Llc Methods and devices for ligament repair
US9814508B2 (en) 2006-10-30 2017-11-14 Medos International Sarl Methods and devices for ligament repair
US20080103506A1 (en) * 2006-10-30 2008-05-01 Depuy Mitek, Inc. Methods and devices for ligament repair
US9358029B2 (en) 2006-12-11 2016-06-07 Arthrosurface Incorporated Retrograde resection apparatus and method
US10959740B2 (en) 2006-12-11 2021-03-30 Arthrosurface Incorporated Retrograde resection apparatus and method
US10045788B2 (en) 2006-12-11 2018-08-14 Arthrosurface Incorporated Retrograde resection apparatus and method
US20080147094A1 (en) * 2006-12-14 2008-06-19 Depuy Mitek, Inc. Bone Suture
US8043308B2 (en) * 2006-12-14 2011-10-25 Depuy Mitek, Inc. Bone suture
US8277464B2 (en) * 2006-12-14 2012-10-02 Depuy Mitek, Inc. Bone suture
US20120083805A1 (en) * 2006-12-14 2012-04-05 Depuy Mitek, Inc. Bone suture
US8317862B2 (en) 2008-10-10 2012-11-27 Marcus Troger Method for replacing a ligament in a knee
US8551123B2 (en) 2008-11-13 2013-10-08 Rajiv D. Pandya Device for the intraosteal seizing of sutures
US20100121354A1 (en) * 2008-11-13 2010-05-13 Pandya Rajiv D Device for the intraosteal seizing of sutures
US20100264394A1 (en) * 2009-04-16 2010-10-21 Sony Corporation Semiconductor memory and method of manufacturing the same
US10945743B2 (en) 2009-04-17 2021-03-16 Arthrosurface Incorporated Glenoid repair system and methods of use thereof
US11478259B2 (en) 2009-04-17 2022-10-25 Arthrosurface, Incorporated Glenoid resurfacing system and method
US10478200B2 (en) 2009-04-17 2019-11-19 Arthrosurface Incorporated Glenoid resurfacing system and method
US9283076B2 (en) 2009-04-17 2016-03-15 Arthrosurface Incorporated Glenoid resurfacing system and method
US9662126B2 (en) 2009-04-17 2017-05-30 Arthrosurface Incorporated Glenoid resurfacing system and method
US8936611B2 (en) 2010-05-27 2015-01-20 Raptor Surgical, LLC Apparatus and methods for achilles tendon repair
US9999422B2 (en) 2010-05-27 2018-06-19 Howmedica Osteonics Corp. Apparatus and methods for achilles tendon repair
US10912553B2 (en) 2010-05-27 2021-02-09 Howmedica Osteonics Corp. Apparatus and methods for Achilles tendon repair
US9066716B2 (en) 2011-03-30 2015-06-30 Arthrosurface Incorporated Suture coil and suture sheath for tissue repair
US9271745B2 (en) 2011-08-24 2016-03-01 Depuy Mitek, Llc Cross pinning guide devices and methods
US8617176B2 (en) 2011-08-24 2013-12-31 Depuy Mitek, Llc Cross pinning guide devices and methods
US10512475B2 (en) 2011-08-24 2019-12-24 Depuy Synthes Products, Inc Cross pinning guide devices and methods
US9788844B2 (en) * 2011-12-16 2017-10-17 Medos International Sarl Methods and systems for attaching tissue to bone
US11660103B2 (en) 2011-12-16 2023-05-30 Medos International Sarl Methods and systems for attaching tissue to bone
US20130158596A1 (en) * 2011-12-16 2013-06-20 Depuy Mitek, Inc. Methods and systems for attaching tissue to bone
US11712276B2 (en) 2011-12-22 2023-08-01 Arthrosurface Incorporated System and method for bone fixation
US11191552B2 (en) 2012-07-03 2021-12-07 Arthrosurface, Incorporated System and method for joint resurfacing and repair
US10307172B2 (en) 2012-07-03 2019-06-04 Arthrosurface Incorporated System and method for joint resurfacing and repair
US9468448B2 (en) 2012-07-03 2016-10-18 Arthrosurface Incorporated System and method for joint resurfacing and repair
US9289205B2 (en) 2012-12-11 2016-03-22 Raptor Surgical, LLC Systems for soft tissue repair
US10314571B2 (en) 2012-12-11 2019-06-11 Howmedica Osteonics Corp. Systems for soft tissue repair
US9173654B2 (en) 2012-12-11 2015-11-03 Raptor Surgical, LLC System for tissue repair
US9492200B2 (en) 2013-04-16 2016-11-15 Arthrosurface Incorporated Suture system and method
US11648036B2 (en) 2013-04-16 2023-05-16 Arthrosurface Incorporated Suture system and method
US10695096B2 (en) 2013-04-16 2020-06-30 Arthrosurface Incorporated Suture system and method
US10575957B2 (en) 2014-03-07 2020-03-03 Arthrosurface Incoporated Anchor for an implant assembly
US11083587B2 (en) 2014-03-07 2021-08-10 Arthrosurface Incorporated Implant and anchor assembly
US10624748B2 (en) 2014-03-07 2020-04-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US9931219B2 (en) 2014-03-07 2018-04-03 Arthrosurface Incorporated Implant and anchor assembly
US10624754B2 (en) 2014-03-07 2020-04-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US11766334B2 (en) 2014-03-07 2023-09-26 Arthrosurface Incorporated System and method for repairing articular surfaces
US9861492B2 (en) 2014-03-07 2018-01-09 Arthrosurface Incorporated Anchor for an implant assembly
US11607319B2 (en) 2014-03-07 2023-03-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US9962265B2 (en) 2014-03-07 2018-05-08 Arthrosurface Incorporated System and method for repairing articular surfaces
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
US10856966B2 (en) 2014-10-23 2020-12-08 Medos International Sarl Biceps tenodesis implants and delivery tools
US10869751B2 (en) 2014-10-23 2020-12-22 Medos International Sarl Biceps tenodesis implants and delivery tools
US11576769B2 (en) 2014-10-23 2023-02-14 Medos International Sarl Method for anchoring biceps tenodesis
US11284877B2 (en) 2014-10-23 2022-03-29 Medos International Sarl Biceps tenodesis implants and delivery tools
US10751161B2 (en) 2014-10-23 2020-08-25 Medos International Sárl Biceps tenodesis anchor implants
US10076374B2 (en) 2014-10-23 2018-09-18 Medos International Sárl Biceps tenodesis delivery tools
US11622848B2 (en) 2014-10-23 2023-04-11 Medos International Sarl Biceps tenodesis anchor implants
US10034742B2 (en) 2014-10-23 2018-07-31 Medos International Sarl Biceps tenodesis implants and delivery tools
US10758337B2 (en) 2015-04-22 2020-09-01 Medos International Sarl Biceps repair device
US11672647B2 (en) 2015-04-22 2023-06-13 Medos International Sarl Biceps repair device
US9693856B2 (en) 2015-04-22 2017-07-04 DePuy Synthes Products, LLC Biceps repair device
US11864748B2 (en) 2015-04-23 2024-01-09 Depuy Synthes Products, Inc Knotless suture anchor guide
US10973508B2 (en) 2015-04-23 2021-04-13 DePuy Synthes Products, Inc. Knotless suture anchor guide
US10182808B2 (en) 2015-04-23 2019-01-22 DePuy Synthes Products, Inc. Knotless suture anchor guide
US11504140B2 (en) 2015-07-17 2022-11-22 Crossroads Extremity Systems, Llc Transosseous guide and method
US10154868B2 (en) 2015-07-17 2018-12-18 Kator, Llc Transosseous method
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US10258401B2 (en) 2015-07-17 2019-04-16 Kator, Llc Transosseous guide
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
US10231823B2 (en) 2016-04-08 2019-03-19 Medos International Sarl Tenodesis implants and tools
US11071621B2 (en) 2016-04-08 2021-07-27 Medos International Sarl Tenodesis implants and tools
US11065104B2 (en) 2016-04-08 2021-07-20 Medos International Sarl Tenodesis anchoring systems and tools
US10231824B2 (en) 2016-04-08 2019-03-19 Medos International Sárl Tenodesis anchoring systems and tools
US11793624B2 (en) 2016-04-08 2023-10-24 Medos International Sarl Tenodesis implants and tools
US10631884B2 (en) 2017-06-05 2020-04-28 Conmed Corporation Multi-barrel drill guide
US10966773B2 (en) * 2017-07-31 2021-04-06 DePuy Synthes Products, Inc. Correction guide for femoral neck
US20190029743A1 (en) * 2017-07-31 2019-01-31 DePuy Synthes Products, Inc. Correction guide for femoral neck
US11160663B2 (en) 2017-08-04 2021-11-02 Arthrosurface Incorporated Multicomponent articular surface implant
US11284879B2 (en) 2018-12-13 2022-03-29 Howmedica Osteonics Corp. Systems for soft tissue repair
US11478358B2 (en) 2019-03-12 2022-10-25 Arthrosurface Incorporated Humeral and glenoid articular surface implant systems and methods

Also Published As

Publication number Publication date
US5250055A (en) 1993-10-05

Similar Documents

Publication Publication Date Title
USRE36020E (en) Method and apparatus for tying suture to bone
US5961530A (en) Apparatus for attaching suture to bone
US5662654A (en) Bone anchor, insertion tool and surgical kit employing same
US6042583A (en) Bone anchor-insertion tool and surgical method employing same
US5681333A (en) Method and apparatus for arthroscopic rotator cuff repair utilizing bone tunnels for suture attachment
US9216017B2 (en) Suture anchor device, kit, and method
US6884249B2 (en) Surgical knot pusher and method of use
US5948001A (en) System for suture anchor placement
CA2217261C (en) System for suture anchor placement
US5250053A (en) Suture shuttle device
US6451024B1 (en) Surgical method for treating urinary incontinence, and apparatus for use in same
US8579974B2 (en) Method for drilling angled osteal tunnels
US8911457B2 (en) Method of using knot pusher and suture cutter instrument
US6878166B2 (en) Method and implant for securing ligament replacement into the knee
US8361079B2 (en) Method for drilling enlarged sections of angled osteal tunnels
US20040097975A1 (en) Nitinol loop suture passer
JP2014517715A (en) Flat suture anchor
US9615822B2 (en) Insertion tools and method for soft anchor
US9962174B2 (en) Transosseous method

Legal Events

Date Code Title Description
FEPP Fee payment procedure

Free format text: PAYOR NUMBER ASSIGNED (ORIGINAL EVENT CODE: ASPN); ENTITY STATUS OF PATENT OWNER: LARGE ENTITY

FPAY Fee payment

Year of fee payment: 8

SULP Surcharge for late payment

Year of fee payment: 7

AS Assignment

Owner name: UNITED CALIFORNIA BANK, CALIFORNIA

Free format text: SECURITY INTEREST;ASSIGNOR:ORTHOPEDIC SYSTEMS, INC.;REEL/FRAME:012376/0539

Effective date: 20020208

FPAY Fee payment

Year of fee payment: 12