Abstract:
Apparatus for securing soft tissue to bone, comprising: a suture anchor comprising: a body; an elongated tip section connected to the body and extending distally of the body, the elongated tip section terminating in a distal point; a bone-engaging geometry formed on the body, the bone-engaging geometry being proximal to the elongated tip section; a driver-engaging element formed on the proximal end of the body; and a suture-connecting feature associated with the body for attaching a suture to the body; wherein the elongated tip section has a length which exceeds the thickness of the soft tissue which is to be secured to the bone, such that when the suture anchor is passed through the soft tissue, the distal point emerges from the soft tissue before the bone-engaging geometry penetrates the soft tissue.
Abstract:
Apparatus for securing soft tissue to bone, comprising: a suture anchor comprising: a body; an elongated tip section connected to the body and extending distally of the body, the elongated tip section terminating in a distal point; a bone-engaging geometry formed on the body, the bone-engaging geometry being proximal to the elongated tip section; a driver-engaging element formed on the proximal end of the body; and a suture-connecting feature associated with the body for attaching a suture to the body; wherein the elongated tip section has a length which exceeds the thickness of the soft tissue which is to be secured to the bone, such that when the suture anchor is passed through the soft tissue, the distal point emerges from the soft tissue before the bone-engaging geometry penetrates the soft tissue.
Abstract:
An encapsulation device for repair of articular cartilage defects includes a body for disposition adjacent a bone in an area of the cartilage defect, and elongated leg structure extending from the body and for disposition in the bone in the area of the cartilage defect. The leg structure is provided with a length which is a plurality of magnitudes greater than a thickness of the body, and is of a generally conical configuration.
Abstract:
A graft ligament strand tensioner having a body and a pair of suture rails connected to the body. Each suture rail includes a grooved outer channel for receiving a suture loop and a central mandrel for receiving a suture loop. The separation of a suture loop received by the grooved outer channel is larger than the separation of a suture loop received by the central mandrel. A graft ligament strand tensioner having a body and cleats connected to the body. A graft ligament strand tensioner having a body, at least two suture-engaging elements which are connected to the body symmetrically about a center axis of the body and a handle pivotally connected to the body, such that the handle can be laterally positioned relative to the longitudinal axis of the body.
Abstract:
A tissue suturing apparatus and method which comprises two needles mounted to the housing of the device. The first needle contains a suture which is passed through the tissue and received by the second needle. The second needle receives the suture leading end and removes it from the inside of the tissue.
Abstract:
A method and apparatus for reconstructing a ligament. In one preferred form of the invention, there is provided a graft ligament support block (100) which comprises a body (105), and a graft hole (110) and a transverse fixation pin hole (115) extending through the body (105), with both the graft hole (110) and the transverse fixation pin hole (115) preferably extending substantially perpendicular to the longitudinal axis of the body (120). And in one preferred form of the invention, the invention also comprises an installation tool (200). In one preferred method of use, a graft ligament (35) is looped through the graft hole (110) in the graft ligament support block (100), and the graft ligament support block (100) is mounted to the installation tool (200). Then the installation tool is used to advance the graft ligament support block (100) into the bone tunnel (20), with the two free ends of the looped graft ligament extending back out the bone tunnel (20).
Abstract:
In one form of the present invention, there is provided apparatus for suturing tissue, wherein the apparatus comprises: a housing; a first needle mounted to the housing; a second needle mounted to the housing; a suture having a leading portion and a trailing portion; a first structure associated with the first needle for passing the leading portion of the suture from a near side of the tissue to a far side of the tissue; and a second structure associated with the second needle for retracting the leading portion of the suture from the far side of the tissue back to the near side of the tissue. In another form of the present invention, there is provided apparatus for suturing tissue, wherein the apparatus comprises: a housing; a first needle mounted to the housing; a second needle mounted to the housing; a suture having a leading portion and a trailing portion; a first structure associated with the first needle for passing the leading portion of the suture from a near side of the tissue to a far side of the tissue; a second structure associated with the second needle for retracting the leading portion of the suture from the far side of the tissue back to the near side of the tissue; a pre-formed, uncinched knot formed in the trailing portion of the suture; and a support for releasably supporting the preformed, uncinched knot relative to the housing. In another form of the present invention, there is provided a method for suturing tissue, the method comprising the steps of: providing a suture having a leading portion and a trailing portion, wherein a pre-formed, uncinched knot is formed in the trailing portion of the suture; passing the leading portion of suture from a near side of the tissue to a far side of the tissue; retracting the leading portion of the suture from the far side of the tissue back to the near side of the tissue;. passing the retracted leading portion of the suture through the pre-formed, uncinched knot formed in the trailing portion of the suture; and cinching the knot so as to secure the suture in the tissue.
Abstract:
The present invention comprises the provision and use of a novel retainer which is slidably advanced to a desired fixation position within a bone tunnel, fixed in position within the bone tunnel (preferably by wedging and/or pinning) while applying a lateral force against the graft ligament so as to compressively hold the graft ligament against the sidewall of the bone tunnel, and which then, optionally, has the graft ligament secured thereto with a cap, whereby to secure the graft ligament to the retainer and hence additionally to the host bone. The present invention also comprises the provision and use of a novel retainer which is slidably advanced to a desired fixation position within a bone tunnel so as to apply a lateral force against the graft ligament so as to compressively hold the graft ligament against the sidewall of the bone tunnel, and which is then locked to the host bone as the graft ligament is simultaneously secured to the retainer, whereby to secure the graft ligament to the retainer and hence additionally to the host bone.
Abstract:
A method and apparatus for reconstructing a ligament. The apparatus including a graft ligament support block which comprises a body, and a graft hole and a transverse fixation pin hole extending through the body, with both the graft hole and the transverse fixation pin hole preferably extending substantially perpendicular to the longitudinal axis of the body. Further including an installation tool for inserting the graft ligament support block into the bone tunnel and, while supporting the graft ligament support block in the bone tunnel, forming a transerse tunnel the host bone, with the transverse tunnel the host bone being aligned with the transverse fixation pin hole the graft ligament support block.
Abstract:
A graft ligament strand tensioner comprising: a body; and a pair of suture rails connected to the body, wherein each suture rail comprises a grooved outer channel for receiving a suture loop and a central mandrel for receiving a suture loop, wherein the separation of a suture loop received by the grooved outer channel is larger than the separation of a suture loop received by the central mandrel. A graft ligament strand tensioner comprising: a body; and a plurality of cleats connected to the body, wherein each of the cleats is configured to releasably secure a length of suture. A graft ligament strand tensioner comprising: a body; at least two suture-engaging elements for releasably engaging a pair of sutures, the at least two suture-engaging elements being connected to the body, in spaced-apart fashion, symmetrically about a center axis of the body; and a handle pivotally connected to the body, such that the handle can be laterally positioned relative to the longitudinal axis of the body.