Abstract:
A high strength abrasion resistant surgical suture material with improved tie down characteristics. The suture features a multifilament cover formed of braided strands of ultra high molecular weight long chain polyethylene and polyester. The cover surrounds a core formed of twisted strands of ultrahigh molecular weight polyethylene. The suture, provided in a #2 size, has the strength of #5 Ethibond, is ideally suited for most orthopedic procedures, and can be attached to a suture anchor or a curved needle.
Abstract:
A suture anchor includes a body having a distal end and a proximal end. Projections in the form of ribs or threads are formed on the body for retaining the anchor in a hole formed in bone. An eyelet formed on the distal end of the body accepts suture. The eyelet preferably is formed by a loop of suture. Where the body of the anchor is formed of a polymer, the suture loop can be formed by insert-molding the suture into the body. Tissue is reattached to bone using the suture anchor by securing a length of suture to the tissue, and threading the length of suture through the eyelet on the distal end of the anchor, leaving lengths of suture extending from either side of the eyelet. Installing the suture anchor into the bone wedges the lengths of suture between the suture anchor and the bone, thereby securing the tissue without the need for tying knots. Pullout strength can be enhanced by twisting the lengths of suture prior to installation of the anchor into the bone.
Abstract:
A headed bioabsorbable tissue anchor has a continuous thread spiraling around a tapering central core. At the distal end, the headed bioabsorbable tissue anchor terminates in a flat point. At the proximal end, the bioabsorbable tissue anchor has a flat, disk-shaped head for engaging tissue, and slots formed in the head for engaging a driver. The headed bioabsorbable tissue anchor has a large thread surface per turn of thread. As the anchor is turned into bone for engaging cancellous bone, the disk-shaped head engages and anchors the tissue to the bone.
Abstract:
A suture combined intraoperatively with autogenous blood components. At least one strand of suture is placed into a sterile container. Blood obtained from a patient is separated, using a centrifuge, for example, to retrieve certain healing components such as autogenous growth factors, to obtain an autogenous blood suspension. The autogenous blood suspension is added to the sterile container containing the strand of suture. The suture wicks up biologic components of the autogenous blood suspension to produce an enhanced suture. Surgical repairs using the enhanced suture are conducted by suturing a tear to itself or to bone, for example. Post-operatively, the biologic components leach from the suture to accelerate healing of the repair.
Abstract:
A corkscrew suture anchor has a continuous thread spiraling around a tapering central core. At the distal end, the suture anchor terminates in a rounded point. At the proximal end of the suture anchor is an eye for receiving suture. The suture anchor has a large thread surface per turn of thread. Anti-backout ridges can be formed on the front and/or back faces of the threads. A driver for the suture anchor is provided, the driver including a shaft having a central axis, a length, a distal end, and a proximal end. The shaft is provided at its distal end with an opening aligned with the central axis of the shaft, for receiving the hexagonal proximal end of the suture anchor. One or more sutures threaded through the suture eye are threaded through the hollow tubular shaft. The suture is pulled into and captured by V-shaped notches on the proximal end of the handle to hold the suture anchor in place on the distal end of the driver under the tension of the captured sutures.
Abstract:
A high strength abrasion resistant surgical suture material with improved tie down characteristics is color coded for visualization and identification purposes. The suture features a multifilament cover formed of strands of ultra high molecular weight long chain polyethylene braided with polyester, nylon or a bioabsorbable material. Selected nylon fibers in the cover are provided in a color contrasting with the other cover fibers to provide an identifiable trace. The cover surrounds a core formed of twisted strands of ultrahigh molecular weight polyethylene. The suture, provided in a #2 size, has the strength of #5 Ethibond, is ideally suited for most orthopedic procedures, and can be attached to a suture anchor or a curved needle.
Abstract:
A corkscrew suture anchor has a continuous thread spiralling around a tapering central core. At the distal end, the suture anchor terminates in a rounded point. At the proximal end of the suture anchor is an eye for receiving suture. The suture anchor has a large thread surface per turn of thread. Anti-backout ridges can be formed on the front and/or back faces of the threads. A driver for the suture anchor is provided, the driver including a shaft having a central axis, a length, a distal end, and a proximal end. The shaft is provided at its distal end with an opening aligned with the central axis of the shaft, for receiving the hexagonal proximal end of the suture anchor. One or more sutures threaded through the suture eye are threaded through the hollow tubular shaft. The suture is pulled into and captured by V-shaped notches on the proximal end of the handle to hold the suture anchor in place on the distal end of the driver under the tension of the captured sutures.
Abstract:
A meniscal tissue repair device includes an elongate body having a pointed distal tip. A plurality of lateral grooves is disposed along the body. Grooves disposed near the distal tip of the device are angled to open proximally and grooves disposed near the proximal end are angled to open distally. A torn meniscus can be repaired using the meniscal repair device by loading the meniscal repair device into an applicator, and inserting the barrel of the applicator through an incision in the knee at a location proximal and perpendicular to the tear in the meniscus. The applicator is actuated to drive the repair device distally into the meniscus across the tear. The distal travel of the repair device is limited by the distally-opening grooves of the repair device.
Abstract:
A surgical implant for securing ligament grafts into a joint. The implant has back-biting threads that allow the implant to be advanced into bone by impaction. If necessary, the implant can be removed from the bone by rotation. The implant is used, for example, for knee ligament repair by forming a longitudinal socket in a bone. The socket is intersected by a transverse pin. A flexible strand is drawn with the pin through the bone. A looped portion of the flexible strand is diverted so as to protrude out of the entrance to the longitudinal socket. The ends of the flexible strand remain accessible on either side of the bone. The ligament graft is captured within the strand loop protruding from the entrance to the socket. The strand is retracted into the socket, drawing the graft into the socket by pulling on the accessible ends of the flexible strand. The graft is fixed in the socket using the transverse implant.
Abstract:
A method and device for knotless fixation of tissue. A swivel anchor having a rotatable forked anchor tip is used to capture suture, such as a suture chain, for surgical tissue repair without requiring suture knots. Tension on the repair constructs is adjustable through the selection of the specific chain link or links of the suture chain captured by the forked anchor tip of the swivel anchor. The swivel anchor is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, over the body of the anchor.