СПОСОБ НАЛОЖЕНИЯ ШВОВ

FIELD: medicine; surgery. SUBSTANCE: there is used retention nail suture comprising an elongated body, pointed distal ends to penetrate into tissue and set of nails. The nails on the first part of a suture body between the first end and the first position along the suture body make it possible to move the suture relative to the tissue herewith preventing movement of the suture in the direction opposite to the first end. The nails on the second part of the suture body between the second end of the retention suture and the second position along the suture body provide movement in the direction of the second end thus preventing movement in a direction opposite to the second end. The first end of the suture is pushed through the tissue, while the first end advances from the exit point. The first end of the suture spins until the second position along the suture thread body is close to the insertion point of the first end of the retention suture. The second end of the suture is inserted into the insertion point of the first end. The second end of the suture spins while the second position is close to the insertion point of the second end of the suture. After the suture ends are inserted and pushed through of the ends of the suture, manual grouping and tissue advancing relative to the retention suture is combined with the tightening. According to one version, there is used insertion device including a tubular element for the retention suture reposition. The retention suture in one version is delivered through the soft tissue; while in the other version the retention suture is delivered through subepidermal tissue. In special cases of cosmetic operation, face skin is tightened within nasolabial fold, forehead, hips, and mammary gland. EFFECT: method allows improving tissue fixation reliability ensured by independent retention of the nail suture in tissues and through-tissue delivery techniques. 17 cl, 52 dwg, 2 tbl, 2 ex РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) 2 355 333 (13) C2 ...

СПОСОБЫ И УСТРОЙСТВА ДЛЯ НАЛОЖЕНИЯ ШВОВ

... 1. Снабженный шипами шовный материал, содержащийудлиненную основную часть,один острый конец,множество шипов, выступающих из периферии основной части, позволяющих шовному материалу продвигаться через ткань в направлении движения острого конца и препятствующих движению шовного материала в направлении, противоположном движению острого конца, иодин конец со стопором, содержащим по меньшей мере одно дугообразное ответвление, простирающееся наружу от периферии основной части в большей степени, чем шипы, и препятствующим движению шовного материала в направлении движения острого конца.2. Снабженный шипами шовный материал по п.1, в котором стопор имеет множество дугообразных ответвлений, расположенных, по существу, на равном расстоянии друг от друга вокруг основной части шовного материала.3. Снабженный шипами шовный материал по п.1, в котором стопор имеет множество дугообразных ответвлений, расположенных, по существу, на различном расстоянии друг от друга вокруг основной части шовного материала.4 ...

Устройство для фиксации и сведения концов сухожилия

УСТРОЙСТВО ДЛЯ ФИКСАЦИИ И СВЕДЕНИЯ КОНЦОВ СУХОЖИЛИЯ, содер жащее две шарнирно соединенные бра S , 1JU 1- 14 ill (Л ши и фиксирующие иглы, о т л и ч а ю щ е е с я тем, что, с целью предупреждения разрьшов сухожилия в момент стягивания, оно снабжено установленными на концах бранш держателями с желобообразными пазами, в которых с возможностью продольного перемещения установлены фиксирующие иглы, и закрепленным на одной из бранш кронштейном с динамометром, ползунок которого соединен с рычагом, шарнирно закрепленным на бранше.

TRANSPLANTAT ZUR UNTERSTÜTZUNG VON AUTOGENEM GEWEBEWACHSTUM

CHIRURGISCHER CLIP MIT SELBSTAUSLÖSENDEM FLÜSSIGKEITSBEHÄLTER

Device

DEVICE FOR THE REPAIR OF THE HEEL LEG CHORD

ADJUSTMENT DEVICE FOR FABRICS

SURGICAL TIE-CLIP WITH SELFRELEASING TANK

DEVICE FOR RESTORING CHORDS AND VOLUMES

TRANSPLANT FOR THE SUPPORT OF AUTOGENOUS FABRIC GROWTH

Device for repairing ruptured achilles tendon

Methods and procedures for ligament repair

System and method for repairing tendons and ligaments

Tendon and ligament repair system

TISSUE APPROXIMATION DEVICE AND A METHOD OF USING IT

A tissue approximation device and processes for using the device are provided. The device is an implantable, biodegradable construct (except for hernia repairs) that has attachment points emanating from a supportive backing. The device improves the mechanical phase of wound healing and evenly distributes tension over the contact area between the device and tissue. Processes for using the device include wound closure, vascular anastomoses, soft tissue attachment and soft tissue to bone attachment. Several variations are particularly applicable to facilitating tissue approximation in surgical cosmetic applications including, for example, orbital rim reconstruction and tissue suspension.

DEVICE AND METHOD FOR ASSISTING IN FLEXOR TENDON REPAIR AND REHABILITATION

A surgical device and method used to assist in the surgical repair and rehabilitation of damaged and/or severed tendons. In one embodiment of the present invention, the device is comprised of a hollow member, preferably shaped as a partial funnel and/or cone, having an inner and outer surface, a flared mouth, a shaft, and an apical end. The device may further include a thin, elongated handle for ease of manipulation, and can be implantable or non-implantable. The present invention further discloses a method of passing a severed flexor tendon and/or repair site through the edge of a pulley in the flexor tendon sheath.

METHODS OF MAKING COLLAGEN FIBER MEDICAL CONSTRUCTS AND RELATED MEDICAL CONSTRUCTS, INCLUDING NERVE GUIDES AND PATCHES

... ²A medical nerve guide or cuff, comprises an elastic tube with a wall ²surrounding an axially ²extending cavity, the wall having at least one collagen fiber of a continuous ²length arranged in a fiber ²mesh pattern of overlying intersecting segments over at least a major length ²of the tube, the at least ²one collagen fiber embedded in a collagen film that extends over interstitial ²spaces defined by the fiber ²mesh pattern, and wherein the fiber mesh pattern is visually observable, ²wherein the collagen film ²comprises collagen fibers, fibrils and/or microfibrils.² ...

MECHANICALLY COMPETENT SCAFFOLD FOR ROTATOR CUFF AND TENDON AUGMENTATION

A device has been developed to augment the rotator cuff tendon tissue as it proceeds in healing. The device has two purposes: to provide initial stability to the rotator cuff repair site to allow early mobilization of the upper extremity of the patient, and to allow for reinforcement of rotator cuff tendon repairs to increase the likelihood of successful rotator cuff tendon repairs. The device consists of an inter-connected, open pore structure that enables even and random distribution and in-growth of tendon cells. The braided structure allows for distribution of mechanical forces over a larger area of tissue at the fixation point(s).

Implant for the reconstruction of fabric.

Device for repairing ruptured achilles tendon.

DISPOSITIF DE BLOCAGE POUR L'IMMOBILISATION D'UN FIL DE SUTURE

Dispositif de blocage pour l'immobilisation d'un fil de suture comprenant, d'une part, un corps rigide perforé au travers duquel est inséré d'une zone amont à une zone aval, le fil de suture à immobiliser et, d'autre part, des projections qui font saillie sur la face aval du corps perforé. Le dispositif comporte un corps présentant deux perforations aptes à recevoir respectivement l'une et l'autre extrémités libres d'un fil de suture munies chacune d'une aiguille. Réparation de formations tissulaires soumises à de fortes tensions.

A device for the repair of ruptured tendons comprises one or two needles and 60-80 cm of a supple thread in a resilient biodegradable polymer, preferably polylactic acid or polyglycolic acid

A device for putting in place a universal artificial ligament consists of one or more needles and a supple thread at least 60 cm long and preferably at least 80 cm long composed of a biocompatible resilient polymer one end at least of which is fixed to the eye of the needle.

REMOTELY ANCHORED TISSUE FIXATION DEVICE AND METHOD

A tissue approximation device and method, particularly in the mid-face region, are provided. The device is an implantable, biodegradable construct that has attachment points emanating from a supportive backing. The device also has an extension member or leash which extends from the backing which is configured to receive a tissue or bone attachment device at one of a plurality of selectable locations along the elongated member, for example via engagement holes extending in a line away from the backing. Once tissue is engaged with the attachment points, the extension member is pulled until the tissue is approximated in the desired position. Then the appropriate extension member hole(s) are selected to attach the extension member to supportive tissue or bone (for example temporal fascia) for permanent tissue approximation. © KIPO & WIPO 2007 ...

METHODS AND DEVICES FOR UTILIZING BONDABLE MATERIALS

The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.

SAFETY LOCK NEEDLE

An improved needle (10) for fixing body material, e.g., tendons, during surgery is provided. The needle includes an elongated member (12), comprising a first leg (14), having a first end including a tip portion (20) having a triangular cross section to enable the tip portion to pierce the body material, a second leg (16), having a second end, and a resilient portion (18) disposed between said first leg and said second leg; and a blunt shield (22) disposed at said second end and dimensioned to receive said tip portion. The elongated member (12) is bent at an acute angle, and the resilient portion (18) is positioned to enable said first leg (14) to be moveable between an open position, in which the tip portion is exposed and spaced from the shield (22), allowing the tip portion (20) to pierce and to be inserted through a body material, and a closed position, in which the tip portion is received and enclosed by the shield.

Soft-tissue fixation device

A system for fixating soft-tissue is described herein. The system includes a soft-tissue fixation device comprising a cable-retention feature. Additionally, the system includes a cable coupleable to the cable-retention feature of the soft-tissue fixation device. The cable is configured to be tensioned to a measurable and adjustable tension.

Surgical kit and method for tendon repair

A method and kit for tendon repair and two variations thereof using double loop locking sutures in disclosed. A pair of loop locking sutures are formed in each tendon end. The needle of each loop locking suture extends through the tendon fiber out of the tendon end for securement to the corresponding loop locking sutures formed in the other tendon end. The loop locking sutures transfer tensile loading along the axis of the tendons into transverse compression loads through the loop locking sutures. In one variation, the double loop locking sutures connect tendons of different diameter together. In a second variation, the tendon is attached to bone.

Implant assist apparatus

An implant assist apparatus is disclosed for implanting material such as a suture in tissue to reapproximate or reinforce the tissue. A cannula is provided having a hollow body and an open proximal and distal end. Point means is detachably fixed to the open proximal end of the cannula for penetrating tissue. A method of implanting the material in tissue for reapproximating or reinforcing the tissue with the implant assist apparatus is also disclosed whereby a length of the implant material is attached to a guide wire for partial containment within the cannula. The cannula with detachable point is passed into the tissue at an entry point remote from one side of the defect and out an exit point on the opposite side remote from the defect such that the distal end of the hollow body extends from the entry point and a proximal end extends from the exit point. The detachable point is removed from the cannula and a guide wire with implant material attached is drawn out of the proximal end of the ...

SYSTEMS FOR SOFT TISSUE REPAIR

Systems for tissue repair are described where an elongate tissue repair device may be introduced into a single incision to access the damaged tissue. A suture delivery assembly may be sized for insertion through a single incision and positioned into proximity with a damaged or ruptured tissue region. A first portion of the damaged tissue region may be positioned within or along a channel defined along the suture delivery assembly and one or more lengths of suture may be secured to the first portion via the device. A second portion of the damaged tissue region may be similarly positioned within or along the channel and one or more additional lengths of suture may be secured to the second portion via the device. The first and second portions may then be approximated and secured to one another via the sutures to facilitate healing of the damaged tissue region.

Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device includes a plate member and an anchor. The plate member having a periphery, the plate member configured to be positioned along an outer surface of the soft tissue. The anchor includes a base and six legs extending from the base, the six legs extending from the base being moveable to a curled configuration such that the six legs wrap around separate portions of the periphery of the plate member with the soft tissue therebetween. In this manner, the repair device may be anchored to the soft tissue.

УСТРОЙСТВО СБЛИЖЕНИЯ ТКАНЕЙ (ВАРИАНТЫ) И СПОСОБЫ СБЛИЖЕНИЯ ТКАНЕЙ С ЕГО ИСПОЛЬЗОВАНИЕМ

... 1. Имплантируемое устройство сближения тканей, содержащее a) основу держателя; и b) множество острых элементов крепления, выступающих из указанной основы. 2. Устройство сближения тканей по п.1, отличающееся тем, что оно содержит биологически разлагаемый материал. 3. Устройство сближения тканей по п.1, отличающееся тем, что основа держателя содержит, по меньшей мере, один отдельный участок контакта, при этом множество острых элементов крепления расположены на этом, по меньшей мере, одном отдельном участке контакта. 4. Устройство сближения тканей по п.1, отличающееся тем, что острые элементы крепления имеют более, чем одну форму. 5. Устройство сближения тканей по п.1, отличающееся тем, что острые элементы крепления имеют формы и направления, выбранные из группы, состоящей из скошенных зубцов, прямых зубцов, скошенных крючков, скошенных наконечников стрел, прямых заостренных зазубренных зубцов, скошенных заостренных зазубренных зубцов, прямых заостренных зубцов в форме наконечника стрелы, ...

СПОСОБ НАЛОЖЕНИЯ ШВОВ

... 1. Способ соединения друг с другом и удерживания частей желудка при выполнении процедуры фундопликации Ниссена, где процедура требует захвата дна желудка в проксимальном положении и вытягивания дна вокруг пищевода, обертывания дна вокруг пищевода один раз и прикрепления проксимального отдела желудка к прикладываемой части желудка, где прикрепление осуществляется с использованием шовной нити с заусенцами, включающей удлиненное тело, первый и второй заостренные дистальные концы для проникновения в ткань и множество заусенцев, выступающих из периферии тела шовной нити, где заусенцы на первой части тела нити между первым концом шовной нити и первым осевым положением на теле нити обеспечивают возможность движения шовной нити через ткань в направлении движения первого конца и предотвращают движение шовной нити относительно ткани в направлении, противоположном направлению движения первого конца, а заусенцы на второй части тела нити между вторым концом шовной нити и вторым осевым положением на ...

VORRICHTUNG SOWIE VERFAHREN ZUM DURCHFÜHREN EINER SEHNE

TRANSPLANTAT ZUR UNTERSTÜTZUNG VON AUTOGENEM GEWEBEWACHSTUM

SOFT FABRIC REPAIR USING AN ADHESIVE

ABSORBING MATERIAL FOR THE ADJUSTMENT OF FABRICS.

ABSORBABLE MATERIAL FOR FIXATION OF TISSUES

ABSORBABLE MATERIAL FOR FIXATION OF TISSUES

Mechanically competent scaffold for rotator cuff and tendon augmentation

A device has been developed to augment the rotator cuff tendon tissue as it proceeds in healing. The device has two purposes: to provide initial stability to the rotator cuff repair site to allow early mobilization of the upper extremity of the patient, and to allow for reinforcement of rotator cuff tendon repairs to increase the likelihood of successful rotator cuff tendon repairs. The device consists of an inter-connected, open pore structure that enables even and random distribution and in-growth of tendon cells. The braided structure allows for distribution of mechanical forces over a larger area of tissue at the fixation point(s).

Method and apparatus for repairing a tendon or ligament

An apparatus for reattaching a longitudinal anatomical feature to an¬ other anatomical feature comprising: a first repair device (1710) hav¬ ing at least first (1711) and second (1712) filaments, each having a first longitudinal end and a second longitudinal end, a first needle (1715) attached to the first ends of the first and second filaments and a second needle (1716) attached to the second ends of the first and second filaments; a catheter (101) comprising a tube having a lumen; a funnel member (103) having a smaller longitudinal end for place¬ ment adjacent an entry to an anatomical passageway and a larger longitudinal end.

EQUIPMENT FOR REPAIRING BIOLOGICAL TISSUE, SUCH AS A TENDON OR A LIGAMENT AND, IN PARTICULAR, THE CALCANEAN TENDON

Ce matériel comprend un lien (3) et des organes (5) d'arrêt du lien (3) par rapport à aux fragments de tissu à réparer.Selon l'invention,- l'un des organes d'arrêt est constitué par une vis osseuse (2) pouvant être implantée dans un os environnant le tissu à réparer, notamment dans le calcanéum pour la réparation du tendon calcanéen ;- le lien (3) forme une partie tubulaire (6) propre à recevoir étroitement une partie de la vis (2) en elle ainsi qu'au moins deux cordons (4) insérables au travers des fragments du tissu biologique à réparer, notamment les deux fragments d'un tendon calcanéen rompu, et- d'autres organes d'arrêt sont constitués par au moins deux boutons d'arrêt (5).

SURGICAL CLIP WITH A SELF-RELEASING FLUID RESERVOIR

The present invention generally relates to surgical clips. A surgical clip comprises a first piece comprising a first base and a first projection extending from the first base, a second piece comprising a second base, a second projection extending from the second base wherein the second projection further comprises a top surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein, and the first and the second piece are detachably connectable. In a preferred embodiment, the reservoir is self-releasing to deliver therapeutic materials when the first piece and second piece are connected.

A METHOD AND APPARATUS FOR REPAIRING A TENDON OR LIGAMENT

A method and apparatus for reattaching the opposed ends of a member, such as a tendon, ligament or bone, during preparing and healing of the member using a surgical repair device that can be securely attached to the member and then safely guided through tortuous anatomy for reattachment and repair. The repair device further includes structural means so as to secure opposed ends of the member against separation during healing. Devices for aiding in the positioning of the surgical repair device are provided.

METHOD AND APPARATUS FOR REPAIRING A TENDON OR LIGAMENT

An apparatus for reattaching a longitudinal anatomical feature to an¬ other anatomical feature comprising: a first repair device (1710) hav¬ ing at least first (1711) and second (1712) filaments, each having a first longitudinal end and a second longitudinal end, a first needle (1715) attached to the first ends of the first and second filaments and a second needle (1716) attached to the second ends of the first and second filaments; a catheter (101) comprising a tube having a lumen; a funnel member (103) having a smaller longitudinal end for place¬ ment adjacent an entry to an anatomical passageway and a larger longitudinal end.

GRAFT FOR PROMOTING AUTOGENOUS TISSUE GROWTH

... 2119750 9305798 PCTABS00021 Surgical repair of diseased or damaged endogenous connective tissue can be accomplished using a tissue graft formed from a delaminated segment of intestinal tissue. The tissue graft comprises the intestinal tunica submucosa, muscularis mucosa and stratum compactum delaminated from the tunica muscularis and the luminal portion of the tunica mucosa. The graft can be conditioned by stretching and formed as a multilayer composition for high tensile strength and resistance to tearing at its points of attachment to existing physiological structures.

RESOLVING DEVICE FOR RESTORATION OF MUSCLES - ROTATORS OF ARM

Tendon positioning instrument for surgeon, has rod, presenting conformation of non blunt rod with specific diameter and width for transfixing tendon to maintain it in suturing position, including part facilitating surgical gesture

Abrégé : Il s'agit d'un instrument destiné à faciliter la réparation d'un tendon lors d'une intervention telle sur un doigt par exemple. Ledit instrument comprend une tige droite à extrémité émoussée, ladite tige présente, dans une partie intermédiaire, une conformation de tige non droite émoussée, de diamètre ou largeur nécessaire et suffisante pour permettre de transfixier un tendon de façon à le maintenir en position suturable.

INJERTOS OF THE CON PUNTOS OF THE PREHECHOS

La presente descripción pertenece a los injertos de tejido membranoso que comprenden uno o más puntos de unión prehechos. Los uno o más puntos de unión prehechos pueden incluir marcas y/u orificios de sutura. Los injertos de tejido membranoso pueden estar en forma de un tubo. Los injertos de tejido membranoso también pueden tener forma rectangular y se pueden usar en una reparación nerviosa al envolver el nervio cortado o dañado. En algunas formas de realización, los injertos de tejido membranoso son apropiados para reparar nervios cortados que tienen un hueco corto o que no tienen ningún hueco con una diferencia inferior a 5 mm. entre los extremos cortados. Por consiguiente, se proporcionan métodos para reparar un nervio dañado o cortado por implante de injertos de tejido membranoso en el nervio dañado o cortado.

METHODS OF MAKING BIOCOMPOSITE MEDICAL CONSTRUCTS AND RELATED CONSTRUCTS INCLUDING ARTIFICIAL TISSUES, VESSELS AND PATCHES

The disclosure describes methods of making collagen based biocomposite constructs and related devices. The methods include: (a) winding at least one collagen fiber a number of revolutions about a length of a support member having a long axis, the winding having at least one defined pitch and/or fiber angle relative to the long axis of the support member to form an elongate construct; and (b) applying a fluid polymeric material, such as, for example, an acrylate emulsion and/or other thermoplastic material, onto the collagen fiber during the winding step. Optionally, the fluid polymeric material can include antibiotics and/or other therapeutic agents for additional function/utility.

SOFT TISSUE STRUCTURE REPAIR USING ADHESIVE

A reinforcing member or stent (7) is inserted into opposite end portions (1, 1') of a lacerated tendon and secured within the tendon by adhesive so that tension applied to the tendon is transmitted across the laceration by way of the reinforcing member (7).

APPARATUS AND METHOD FOR PLACING SUTURES, E.G. AT A TENDON LACERATION

A suture repair system is provided for releasably holding the lacerated end of a tendon, ligament, and similar types of body tissues and precisely guiding placement of one or more sutures therein. The suture repair system preferably provides one or more suture guide paths for placing respective sutures having a selected configuration in the lacerated end. The system preferably includes a single use, disposable holder or clamp assembly. The clamp assembly may also be used as a guide to accurately trim, when necessary, the lacerated end. Once suture placement is completed the clamp assembly may be removed and may be discarded.

Methods and procedures for ligament repair

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention, may include a scaffold attached by a suture to an anchor. In aspects of the invention, the anchor may be secured to a bone near or at the repair site.

TISSUE ENGAGING MEMBER

A system includes a flexible member and a tissue engaging member fixed to the flexible member. The tissue engaging member includes a barb preformed to extend rearward from a distal end of the flexible member at an acute angle relative to the flexible member.

Tissue stabilization system

Methods and systems are provided for tissue stabilization. Some aspects include a carrier member having a length, width, and thickness, wherein the length and width are each at least two times greater than the thickness; attachment members extending from the carrier member and that engage connective tissue; and stabilizing members, each of which can couple a respective attachment member to the carrier member and is substantially positionally fixed relative to the carrier member.

METHODS FOR SURGICAL ACHILLES TENDON REPAIR

A method for repairing an Achilles tendon without an instrument guide to reduce nerve damage and improve the recovery of the tendon. The method includes a limited open incision technique with a posterior midline approach and a plurality of sutures with varying orientations to repair a ruptured Achilles tendon of a prone patient.

METHODS AND DEVICES FOR INTRACORPOREAL BONDING OF IMPLANTS WITH THERMAL ENERGY

Resorbierbare Sehnen- und Knochenverstärkungseinrichtung

REPAIR SYSTEM FOR CHORDS AND VOLUMES

STRUCTURES FROM ABSORB-CASH ELEMENTS TO THE RE-ESTABLISHMENT OF VOLUMES AND CHORDS

DEVICE FOR SEIZING A CLEVER CHORD

BIO MATRIX FOR GEWEBEREGENARATION

ABSORBABLE LONGING AND BONE REINFORCEMENT MECHANISM

NAHTSCHLEIFENKONSTRUKT ALSO FREELY MOBILE NEEDLE

SEAM ANCHOR

Device for repairing ruptured achilles tendon

DEVICE, ASSEMBLY AND METHOD FOR USE IN TENDON REPAIR

An assembly for use in repairing a severed tendon comprises an elongate threading element adapted to transit along a lumen of a tendon sheath, for covering a curved needle and carrying the needle within the lumen. The assembly can also comprise a liner for lining an internal surface of the tendon sheath, defining an internal passage along which a tendon stump coupled to the curved needle can pass. The liner can have a collapsed, rest configuration in which it is adapted to be inserted into the lumen of the tendon sheath, and an expanded, operating configuration, the liner being movable to the expanded configuration by contact with the tendon stump. Once released from the liner, the threading element receives the curved needle, for covering and carrying the curved needle through the liner and along the lumen of the tendon sheath trailing the connected tendon stump.

RESORBABLE DEVICE FOR RECONSTRUCTING ROTATOR CUFFS

A device for the reconstruction of the rotator cuff comprises a flat element (2) having at least two opposite ends (2a, 2b) and adapted to be connected to at least one of the damaged tendons of the rotator cuff of a patient at said ends (2a, 2b); said flat element (2) being entirely made of biodegradable and resorbable material.

TISSUE APPROXIMATION DEVICE AND A METHOD USING IT

A tissue approximation device and processes for using the device are provided. The device is an implantable, biodegradable construct (except for hernia repairs) that has attachment points emanating from a supportive backing. The device improves the mechanical phase of wound healing and evenly distributes tension over the contact area between the device and tissue. Processes for using the device include wound closure, vascular anastomoses, soft tissue attachment and soft tissue to bone attachment. Several variations are particularly applicable to facilitating tissue approximation in surgical cosmetic applications including, for example, orbital rim reconstruction and tissue suspension.

METHODS AND DEVICES FOR INTRACORPOREAL BONDING OF IMPLANTS WITH THERMAL ENERGY

The present invention provides a method for stabilizing a fractured bone. The method includes positioning an elongate rod in the medullary canal of the fractured bone and forming a passageway through the cortex of the bone. The passageway extends from the exterior surface of the bone to the medullary canal of the bone. The method also includes creating a bonding region on the elongate rod. The bonding region is generally aligned with the passageway of the cortex. Furthermore, the method includes positioning a fastener in the passageway of the cortex and on the bonding region of the elongate rod and thermally bonding the fastener to the bonding region of the elongate rod while the fastener is positioned in the passageway of the cortex.

METHODS OF MAKING COLLAGEN FIBER MEDICAL CONSTRUCTS AND RELATED MEDICAL CONSTRUCTS, INCLUDING TUBES

The disclosure describes methods of winding collagen fiber to make medical constructs and related collagen fiber tube and patch devices.

METHODS OF MAKING COLLAGEN FIBER MEDICAL CONSTRUCTS AND RELATED MEDICAL CONSTRUCTS, INCLUDING TUBES FOR AUTO AND/OR ALLO-GRAFTS

The disclosure describes methods of winding collagen fiber to make medical constructs and related collagen fiber tube and patch devices.

ABSORBABLE STRUCTURES FOR LIGAMENT AND TENDON REPAIR

... 18 ABSORBABLE STRUCTURE FOR LIGAMENT AND TENDON REPAIR A fully absorbable prosthesis (1) for the repair of damaged ligaments and/or tendons in the form of a multilayer spiral roll comprising the following spiral layers: a foraminous layer (2) of a synthetic bioabsorbable material; a bioabsorbable film (3); and a layer (4) of a bioabsorbable biopolymer sponge. The invention also provides a method of making such a prosthesis, comprising the steps of: providing a laminate of a foraminous layer of bioabsorbable material and a bioabsorbable film; coating the laminate with a layer of an aqueous gel comprising a bioabsorbable polymer; rolling up the laminate and the gel layer into a spiral roll, followed by drying the gel to form a layer of bioabsorbable sponge. The foraminous layer (2) preferably comprises a synthetic bioabsorbable polymer having high tensile strength. The bioabsorbable film (3) and sponge layer (4) preferably comprise a chemotactic biopolymer such as collagen. (Figure 1) ...

RESORBABLE TENDON AND BONE AUGMENTATION DEVICE

The device is implantable in the living body for attachment and augmentation of tendons and/or reinforcement of bones. It comprises a substantially flat membrane having a rounded outer shape and at least two perforations. The membrane contains resorbable or degradable polymeric and/or polymeric-ceramic material, having a Young's modulus in the range of 1 to 50 GPa and a tensile strength in the range of 0.1 to 20.0 GPa. It allows a more secure fixation of transosseous sutures.

TENDON AND LIGAMENT REPAIR SYSTEM

The damaged portion of an injured tendon or ligament (C) ("connective cord") is inserted into a thin, hollow sleeve (100, 110. 120, 130, 140, 160. 180, 200, 240, 260, 270, 300, 390, generically designated "S" ) and is comtected to the sleeve (S) such that the cord-sleeve combination can immediately withstand normal tensile fortes. The interconnection can be mechanical, such as by pins (22, 22', 148, 150, 164, 188, 190, 206, 206', 210, 226, 230, 238, 239, 266, 286, 308) expending through the sleeve (S) and cord (C). The sleeve (S) can be biabsorbable over a sufficiently long period of time that the cord (C) is healed by the time the sleeve (S) is absorbed.

BIODEGRADABLE DEVICE

There is provided a device (1) to promote healing of cut tissue members, such as nerves, tendon or muscles, within a body. The device (1) is of hollow construction and comprises apertures (2, 3) into which the cut ends of the tissue members are placed and fixed, usually by a fibrin-based tissue glue. Located between the apertures (2, 3) is a substance to promote healing of the tissue member such as, for example, nerve growth factor. Optionally the device (1) may be used in conjunction with the external reservoir of the substance and/or with a time-operated pump to deliver the substance to the device (1). The device (1) is biodegradable and is preferably composed of watersoluble glass.

MATERIAL OF REPAIR Of a BIOLOGICAL FABRIC IN PARTICULAR Of a TENDON OR UNLIGAMENT

TISSUE APPROXIMATION DEVICE AND A METHOD USING IT

A tissue approximation device and processes for using the device are provided. The device is an implantable, biodegradable construct (except for hernia repairs) that has attachment points emanating from a supportive backing. The device improves the mechanical phase of wound healing and evenly distributes tension over the contact area between the device and tissue. Processes for using the device include wound closure, vascular anastomoses, soft tissue attachment and soft tissue to bone attachment. Several variations are particularly applicable to facilitating tissue approximation in surgical cosmetic applications including, for example, orbital rim reconstruction and tissue suspension.

BIOMATRIX FOR TISSUE REGENERATION

This invention is an implant (1) for repair of a tissue defect which implant (1) comprises a strand or suture material (2) and a gel matrix (4) containing reparative cells (6) which has been contracted around central portion (8) of suture (2). Suture (2) has free ends (10 and 12) which are used to rejoin the tissue adjacent the defect. Free ends (10 and 12) can be sewn into the body of the tissue thereby holding the ends of the tendon in place and also holding gel matrix (4) in position in the defect.

SUTURE METHOD

A method for joining and holding closed a wound in bodily tissue, fastening junctions of wounds, tying off wounds, joining a foreign element to tissue, and altering the position of tissue using a barbed suture including sharp pointed ends. Each end of the suture includes barbs on that permit movement in an opposing direction to the barbs on the other end of the suture. This two-way barbed suture is used by the method of the present invention in applications including abdominal surgeries such as a Nissen fundoplication, laparoscopic uses such as stabilizing a bowel structure and performing a closure of a cystostomy, liver to bowel anastomosis, closure of an orifice of a Zenker's Diverticulum, endoscopic uses such as closure of ulcerative lesions or and post-procedural tissue defects, bladder wound closure, valve replacement surgery, device attachment, cosmetic surgery, and blood vessel wound closure.

Multiple suture thread configuration with an intermediate connector

A suture system has a plurality of barbed sutures each with a plurality of barbs and a body connector that connects said plurality of barbed sutures. The sutures can move relative to the body connector. The body connector can retain tissue.

Barbed scaffolds

A scaffold for tissue reinforcement according to embodiments of the present invention includes a plurality of barbs configured to engage the tissue. Such scaffolds may include braids with barbed fibers in the axial positions, braids with flexible barb strips in the axial positions, weaves with barbed fiber in the warp positions, weaves with flexible barb strips in the weft positions, and cerclages or other structures with barbs on one surface to lock the scaffold upon itself. Such barbs may be configured to substantially prevent sliding in one or more directions, depending upon an orientation of the barbs. Flexible tack strips may be biocompatible and/or resorbable.

СПОСОБЫ И УСТРОЙСТВА ДЛЯ НАЛОЖЕНИЯ ШВОВ

FIELD: medicine. SUBSTANCE: group of inventions relates to medicine and may be used to draw tissues together in treatment of wounds in surgery or to support tissues in case of absence of wounds in plastic surgery. Suture material contains the main part with cogs along periphery, sharp end and stop at one end. Stop may have one or more branches. Branches may be arched, have various length and various distribution along periphery of the main part of suture material. Methods for stitching of single-sided and double-sided suture materials with cogs are applied to draw tissues together at each side of wound, and also to fix and support tissue in absence of wound, for instance in plastic surgery. Methods may include application of finishing J-shaped or S-shaped stitches and may be realised with the help of needles or tools for introduction. Stitches may have sinusoidal shapes, amplitude of which is substantially perpendicular to resulting force of retention of suture material. EFFECT: group of inventions has wide spectrum of applications, including, but not limited to, Nissen operation, stabilisation of internals in process of laparoscopic operation, appendectomy, resection of oesophagus diverticulum, bladder cystostomy, fixation of replacement cardiac valve, fixation of external device to tissue, and stitching of axial wounds in blood vessels. 19 cl, 1 tbl, 58 dwg РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) 2 404 717 (13) C2 (51) МПК A61B 17/06 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ, ПАТЕНТАМ И ТОВАРНЫМ ЗНАКАМ (12) ОПИСАНИЕ ИЗОБРЕТЕНИЯ К ПАТЕНТУ (21), (22) Заявка: 2006144439/14, 16.05.2005 (24) Дата начала отсчета срока действия патента: 16.05.2005 (73) Патентообладатель(и): КВИЛЛ МЕДИКАЛ, ИНК. (US) (43) Дата публикации заявки: 20.06.2008 C 2 2 4 0 4 7 1 7 (56) Список документов, цитированных в отчете о поиске: US 5053047 А, 01.10.1991. DE 3227984 A1, 09.02.1984. WO 87/01270 A, 12.03.1987. RU 2175855 C1, 20.11.2001. GB 1091282 A, 15.11.1967. US 5330503 A, ...

DEVICE FOR RESTORING A CHORD OR A VOLUME.

DEVICE AS WELL AS PROCEDURES FOR WOULD DRIVE THROUGH A CHORD

BIOLOGICALLY DEGRADABLE DEVICE

LIAISON VEHICLE FOR FABRICS

Apparatus and methods for tendon or ligament repair

Method for repair and reconstruction of ruptured ligaments or tendons and for treatment of ligament and tendon injuries

MULTI-POINT TENSION DISTRIBUTION SYSTEM DEVICE AND METHOD OF TISSUE APPROXIMATION USING THAT DEVICE TO IMPROVE WOUND HEALING

A method and apparatus for repairing a tendon or ligament

SYSTEMS AND METHODS FOR LIGAMENT GRAFT PREPARATION

Systems and methods for preparing a ligament graft for a ligament reconstruction procedure are provided. In general, the described techniques utilize a graft preparation system having a holder and a delivery suture assembly removably coupled thereto. The delivery suture assembly can include a spine coupled with an anchor suture configured to form a self-tightening knot used to position the assembly around a graft and a plurality of suture windings configured to be affixed to the graft when the assembly is deployed. The assembly is delivered to the graft using the holder and the sutures can be affixed to the graft without penetrating therethrough. The spine helps to evenly distribute the load among the windings compressing the graft which are thus are capable of withstanding increased loads. Thus, an improved, simplified, and time- and labor-saving approach to preparing ligament grafts is provided. 06/07/1 22?Rn0 -n-i 1'7 ...

Sutureless repair of soft tissue

The present invention relates to a sutureless method of repairing soft tissue defects in soft tissue including ligaments such as anterior cruciate ligaments (ACLs). Jn particular, the present invention relates a sutureless method of repairing soft tissue defect comprising: (i) providing a collagen-containing patch adapted to enclose at least a portion of said soft tissue defect; (ii) contacting said soft tissue defect and/or collagen-containing patch with a sensitizer; (Hi) enclosing said soft tissue defect in said collagen-containing patch to produce a bioactivc chamber; and (iv) adhering said collagen-containing patch to said soft tissue defect without sutures.

Safety lock needle

APPARATUS AND METHOD FOR PLACING SUTURES, E.G. AT A TENDON LACERATION

A suture repair system is provided for releasably holding the lacerated end of a tendon, ligament, and similar types of body tissues and precisely guiding placement of one or more sutures therein. The suture repair system preferably provides one or more suture guide paths for placing respective sutures having a selected configuration in the lacerated end. The system preferably includes a single use, disposable holder or clamp assembly. The clamp assembly may also be used as a guide to accurately trim, when necessary, the lacerated end. Once suture placement is completed the clamp assembly may be removed and may be discarded.

REMOVABLE IMPLANT FOR GENERATING A TENDON OR A LIGAMENT

The present invention relates to a removable implant for generating a tendon or a ligament as a replacement for a torn tendon or ligament, said implant having a hollow tubular body (2) made of a biocompatible and non-resorbable material, with an internal lumen (3) delimited by a lateral wall (4) through which one or more outlet orifices (5) open out to the outer surface of the tubular body via lateral openings, said tubular body opening out, at first and second ends (6-1, 6-2) intended to be fixed to a first and a second member, via first and second end openings (7-1, 7-2), the cumulative surface area of the one or more lateral openings representing more than 10% and less than 25% of the outer surface area of said tubular body.

Methods of securing a fastener

Embodiments may include an attachable fastener, which may include a bondable material that may be secured to the end of an end effector. Vibration may be tuned to occur at a distal end of the fastener. Accordingly, the fastener may be used to generate heat at a distal point of contact. If the contact surface contains bondable material, that material may be softened. If the fastener includes bondable material at the point of contact, that material may also be softened by heat produced by vibration at the contact area. A hard implant or another polymeric material may function as the anvil.

Method and Devices for Intracorporeal Bonding of Implants with Thermal Energy

A system for dynamically controlling a weld profile includes a generator, and end effector, a sensor, and a computer. The generator is configured to supply energy based on the weld profile. The end effector operatively connected to the generator and configured to apply vibratory energy and pressure to an object. The sensor configured to provide an output with respect to the object. The computer configured to monitor the output and change the weld profile of the generator based on the output.

Apparatus and method for regeneration of ligaments and tendons

A method for repairing a ligament or tendon, the method comprising: passing one or more sutures through and/or around each respective end of a completely or partially torn ligament or tendon; placing a generally cylindrical hollow body or ring over the respective ends of the completely or partially torn ligament or tendon; passing the one or more sutures through the generally cylindrical hollow body or ring; and tying the one or more sutures around or through the generally cylindrical hollow body or ring wherein the sutures are secured in place around or through the generally cylindrical hollow body or ring via one or more notches or holes defined by the generally cylindrical hollow body or ring. The method may further comprise tensioning the one or more sutures while tying them around or through the generally cylindrical hollow body or ring so that the respective ends of the completely or partially torn ligament or tendon are brought into and stay in contact with each other inside the generally cylindrical hollow body or ring after the tying is complete. The generally cylindrical hollow body or ring preferably is biodegradable and may be coated with an ECM.

Systems and Methods for Ligament Graft Preparation

Systems and methods for preparing a ligament graft for a ligament reconstruction procedure are provided. In general, the described techniques utilize a graft preparation system having a holder and a delivery suture assembly removably coupled thereto. The delivery suture assembly can include a spine coupled with an anchor suture configured to form a self-tightening knot used to position the assembly around a graft and a plurality of suture windings configured to be affixed to the graft when the assembly is deployed. The assembly is delivered to the graft using the holder and the sutures can be affixed to the graft without penetrating therethrough. The spine helps to evenly distribute the load among the windings compressing the graft which are thus are capable of withstanding increased loads. Thus, an improved, simplified, and time- and labor-saving approach to preparing ligament grafts is provided.

DEVICES, SYSTEMS, AND METHODS FOR REPAIRING SOFT TISSUE AND ATTACHING SOFT TISSUE TO BONE

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil. 1. A delivery device system for fixating a repair device to soft tissue at a soft tissue repair site , comprising:a deployment mechanism having a handle associated with a trigger, the handle and trigger sized and configured to manually deploy the repair device into soft tissue with a push rod moveable along an axis, the push rod linearly moveable by the deployment mechanism and extending distally from the deployment mechanism;a housing extending longitudinally along the push rod;an anvil and cartridge configured to be coupled to the housing, the cartridge at least partially holding the repair device;a worm drive positioned within the housing;a thumb wheel disposed around the worm drive, the thumb wheel configured to be rotated to linearly move the worm drive with threads defined in at least one of the worm drive and the thumb wheel such that the worm drive is configured to linearly move the cartridge relative to a bed surface of the anvil; anda finger element extending from the worm drive and configured to cooperate with an internal surface of the thumb wheel such that, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the ...

SOFT TISSUE REPAIR DEVICES, SYSTEMS, AND METHODS

Devices, systems and/or methods for repairing soft tissue, such as, a lacerated tendon. A repair device includes a frame having a tubular structure with a longitudinal length and struts at least partially defining the tubular structure. The frame includes a first portion and a second portion with an intermediate portion therebetween, each extending along the longitudinal length. The intermediate portion is configured to substantially maintain a fixed position and is configured to be positioned over first and second ends of the lacerated tendon to substantially maintain the first end abutted against the second end. The first portion and the second portion of the frame are configured to be positioned over separate portions of the tendon and configured to move and elongate along a length of the respective first portion and second portion of the frame as the portions of the tendon elongate. 1. A method of repairing a lacerated tendon having a first tendon end and a second tendon end , the method comprising:providing a frame having a longitudinal length and having a tubular structure defining an axis and a bore, the frame including multiple struts to at least partially define the tubular structure, and the frame including a first portion and a second portion with an intermediate portion therebetween;inserting the first tendon end into the first portion of the frame so that the first tendon end is positioned within the intermediate portion of the frame;inserting the second tendon end into the second portion of the frame so that the second tendon end is positioned within the intermediate portion of the frame and adjacent the first tendon end; andanchoring the first portion and the second portion of the frame to the tendon;wherein the intermediate portion is configured to be positioned over the first and second tendon ends of the tendon to substantially maintain the first tendon end abutted against the second tendon end such that the frame is configured to maintain a fixed ...

TENDON REPAIR APPARATUS

An apparatus for coupling two elongated tissue portions of a subject, such as two portions of a ruptured tendon, comprising first and second repair elements, each repair element comprising a distal end configured for insertion into the tissue portion, an elongated body configured to extend axially within the tissue portion and to engage the tissue, and a proximal end. In some embodiments, at least one of the first and second repair elements comprises, at the proximal end, an integrally formed connector for coupling the proximal end of the first repair element to a proximal end of the second repair element, to attach between the two tissue portions. 1. An apparatus for coupling two elongate tissue portions of a subject , comprising:first and second repair elements, each repair element comprising:a distal end configured for insertion into said tissue portion;an elongated body configured to extend axially within said tissue portion and to engage the tissue;a proximal end; andat least one of said first and second repair element comprising, at said proximal end, an integrally formed connector for coupling said proximal end of said first repair element to a proximal end of said second repair element, to attach between said two tissue portions.2. (canceled)3. The apparatus according to claim 1 , wherein each of said repair elements comprises a connector at its proximal end claim 1 , said connectors shaped with matching profiles to connect to each other claim 1 , wherein one of said connector is a female connector formed with a plurality of slots claim 1 , and the other of said connectors is a male connector formed with a plurality of tabs configured to snap into said slots of said female connector upon connection.4. The apparatus according to claim 1 , wherein each of said re)air elements comprises a connector at its proximal end claim 1 , said connectors shaped with matching profiles to connect to each other claim 1 , wherein one of said connectors is a female connector ...

SYSTEM FOR TISSUE FIXATION TO BONE

Methods and systems are provided for fixating connective tissue to bone. Some aspects include a carrier member having a length, width, and thickness, wherein the length and width are each at least two times greater than the thickness; attachment members extending from the carrier member and that engage connective tissue of an animal; and a bone engaging member extending from the carrier member and configured to attach to a bone of the animal. In some aspects, when the attachment members are engaged with the connective tissue and the bone engaging member is attached to the bone, the connective tissue and the bone are limited in being pulled apart from one another during physiological use of the connective tissue. 1. An apparatus , for fixating connective tissue to bone , comprising:a carrier member having a length, width, and thickness, the length and width each being at least two times greater than the thickness;a plurality of attachment members extending from the carrier member and configured to engage connective tissue of an animal; anda bone engaging member extending from the carrier member and configured to attach to a bone of the animal;wherein, when the plurality of attachment members is engaged with the connective tissue and the bone engaging member is attached to the bone, the connective tissue and the bone are limited in being pulled apart from one another during physiological use of the connective tissue.2. The apparatus of claim 1 , wherein the carrier member and the bone engaging member are integral with one another.3. The apparatus of claim 1 , wherein the connective tissue comprises at least one of a ligament and a tendon.4. The apparatus of claim 1 , further comprising a connecting member configured to be inserted into an aperture within the bone claim 1 , wherein the bone engaging member is attached to the bone by being inserted into the connecting member when the connecting member is inserted into the aperture within the bone.5. The apparatus of ...

SOFT TISSUE TO BONE REPAIR DEVICES, SYSTEMS, AND METHODS

Devices, systems and methods for fixating soft tissue to bone. In one embodiment, a repair device system for fixating soft tissue to bone includes a carrier member, multiple anchors, and a bone anchor. The carrier member includes multiple pad portions and a bone coupling portion. Each of the pad portions are aligned with an adjacent pad portion. The pad portions are configured to be positioned over a side of the soft tissue and the bone coupling portion is coupled to the multiple pad portions. Each anchor is sized and configured to extend through the at least one opening defined in one of the multiple pad portions and through the soft tissue. The bone anchor is configured to be coupled to the bone coupling portion and configured to be secured to the bone. 1. A repair device system for fixating soft tissue to bone , comprising:a first carrier member and a second carrier member, the first carrier member being separate and discrete relative to the second carrier member, the first and second carrier members being elongated structures with multiple slots defined therein and configured to be positioned along opposite sides of the soft tissue; andmultiple anchors, each anchor sized and configured to extend through or along the slots defined in both the first and second carrier members and through the soft tissue so that the multiple anchors couple the first carrier member to the second carrier with the soft tissue therebetween.2. The repair device system of claim 1 , wherein at least one of the first and second carrier members comprises a bone coupling portion claim 1 , the bone coupling portion being adjacent one end of the at least one of the first and second carrier members.3. The repair device system of claim 2 , further comprising a bone anchor claim 2 , the bone anchor configured to be coupled to the bone coupling portion and configured to be secured to the bone.4. The repair device system of claim 1 , wherein the multiple anchors comprise a u-shaped configuration.5. ...

TISSUE STABILIZATION SYSTEM

Methods and systems are provided for tissue stabilization. Some aspects include a carrier member having a length, width, and thickness, wherein the length and width are each at least two times greater than the thickness; attachment members extending from the carrier member and that engage connective tissue; and stabilizing members, each of which can couple a respective attachment member to the carrier member and is substantially positionally fixed relative to the carrier member. 1. A system for stabilizing connective tissue to bone , the system comprising:a carrier having a length, width, and a thickness, the length and width each being at least two times greater than the thickness, the carrier configured to connect to the connective tissue, the carrier, at one end thereof, including an elongated portion with a bulbous tip portion; anda bone connecting member including a first wall and a second wall with a cavity defined between the first wall and the second wall, the first wall being displaceable relative to the second wall, the cavity defining an enlarged bulge portion at a base of the bone connecting member, the enlarged bulge portion of the cavity sized to receive the bulbous tip portion to couple the carrier member to the bone connecting member.2. The system of claim 1 , wherein the bone connecting member comprises an exterior surface having threads.3. The system of claim 1 , wherein the bone connecting member comprises an exterior surface having tines.4. The system of claim 1 , wherein the first wall and the second wall of the bone connecting member is displaceable between a first position and a second position.5. The system of claim 4 , wherein claim 4 , in the first position claim 4 , the bulbous tip portion of the carrier is configured to be positioned in enlarged bulge portion of the cavity of the bone connecting member.6. The system of claim 4 , wherein claim 4 , in the second position claim 4 , the bone connecting member is configured to collapse around ...

Percutaneous Tendon-Muscle-Ligament Approximation Device

A device for the approximation of tissue including a hollow tube housing an inner core. The inner core may be moved within the hollow tube between first and second positions. The inner core comprises a distal tip. When the inner core is placed into the first position, the distal tip extends away from or outside of the hollow tube such that the distal tip may become securely attached to a selected tissue at a desired location. Once secured to tissue, the distal tip is configured to approximate the torn tissue in a selected direction. Associated systems and methods are also disclosed. 1. A tissue approximation device comprising:a hollow tube having a distal portion;an inner core, housed within the hollow tube, the inner core being movable within the hollow tube between a first position and a second position, wherein the inner core comprises a distal tip and wherein placing the inner core in the first position causes the distal tip to be deployed outside of the distal portion of the hollow tube to secure biological tissue, and wherein placing the inner core in the second position causes the distal tip to be retracted into the interior of the hollow tube;a device control in mechanical communication with the hollow tube and the inner core providing for the inner core to be selectively placed in the first position and the second position; anda stabilizer operatively associated with the hollow tube positioned to abut a surface when the hollow tube is inserted to a selected depth into biological tissue.2. The tissue approximation device of wherein the distal portion of the hollow tube is closed.3. The tissue approximation device of wherein the distal portion of the hollow tube comprises at least one of a Quincke claim 2 , Sprotte claim 2 , Touhy claim 2 , beveled claim 2 , Whitacre claim 2 , and pencil point tip type.4. The tissue approximation device of wherein the distal portion of the hollow tube comprises a distal opening at the distal end of the hollow tube.5. The ...

NON-ABSORBABLE TISSUE RECONSTRUCTION DEVICE, IN PARTICULAR FOR TISSUES SUCH AS LIGAMENTS

There is described a device () of the reversible type for the connection and reconstruction of a ligament, comprising a central reconstruction portion () and two connecting portions () at the two ends of said central portion (), characterized in that said connection device is made of silicone, said central portion covers said two connecting portions (), said two connecting portions () being generally grid-shaped for receiving fixing means adapted to fix said device () to said ligament, said device () further comprising an outer carbon coating (). 1. A device for the connection and reconstruction of a ligament of the reversible type comprising a central portion for reconstruction and two connecting portions to the two ends of said central portion , characterized in that said connection device is made of silicone , said central portion covers said two connecting portions , said two connecting portions being generally shaped as a grid for receiving fixing means adapted to fix said device to said ligament , said device further comprising an outer carbon coating.2. A device according to claim 1 , wherein said connecting portions are made of polyethylene terephthalate.3. A device according to claim 1 , wherein said central portion is made with a plurality of superimposed silicone layers.4. A device according to claim 1 , wherein said connecting portions are fixed to said central portion between two silicone layers.5. A device according to claim 1 , wherein said central portion is a circular-base prism.6. A device according to claim 1 , wherein said central portion is a hollow cylinder.7. A device according to claim 1 , wherein said central portion has a diameter in the range from 1 to 15 mm.8. A device according to claim 1 , wherein said central portion has a length in the range from 5 to 45 mm.9. A device according to claim 1 , wherein said connecting portions are fixed to said central portion claim 1 , respectively claim 1 , overlapping by at least 1.5 cm said central ...

TISSUE STABILIZATION SYSTEM

Methods and systems are provided for tissue stabilization. Some aspects include a carrier member having a length, width, and thickness, wherein the length and width are each at least two times greater than the thickness; attachment members extending from the carrier member and that engage connective tissue; and stabilizing members, each of which can couple a respective attachment member to the carrier member and is substantially positionally fixed relative to the carrier member. 1. An apparatus for stabilizing connective tissue , the apparatus comprising:a carrier member having a length, width, and thickness, the length and width each being at least two times greater than the thickness;a plurality of attachment members extending from the carrier member and configured to engage connective tissue; anda plurality of stabilizing members, each configured to couple a respective attachment member to the carrier member, each stabilizing member being substantially positionally fixed relative to the carrier member.2. The apparatus of claim 1 , wherein each stabilizing member is configured to resist angular motion of a respective attachment member relative to the carrier member.3. The apparatus of claim 1 , wherein a length of each stabilizing member is greater than or equal to a height of a respective attachment member.4. The apparatus of claim 1 , further comprising a first flexible member connecting a first set of the plurality of attachment members.5. The apparatus of claim 4 , wherein the first flexible member comprises at least one of a fiber claim 4 , a filament claim 4 , a string claim 4 , a thread claim 4 , and a line.6. The apparatus of claim 4 , wherein the first flexible member resides at least partially in a stabilizing member coupled to a respective attachment member of the first set of the plurality of attachment members.7. The apparatus of claim 4 , wherein an elasticity of at least one of the first flexible member and the carrier member is substantially the ...

ABSORBABLE TISSUE RECONSTRUCTION DEVICE, IN PARTICULAR FOR TISSUES SUCH AS LIGAMENTS

There is described an absorbable device () for the connection and reconstruction of a ligament, comprising a central reconstruction portion () and two connecting ends () at the two ends of said central portion (), characterized in that in said connecting device, said two connecting ends () comprise two retaining portions (), respectively, for receiving fixing means adapted to fix said device () to said ligament. 11910109101011111a,ba,ba,b. An absorbable device () for the connection and reconstruction of a ligament , comprising a central reconstruction portion () and two connecting ends () at the two ends of said central portion () , characterized in that said two connecting ends () comprise two retaining portions () , respectively , for receiving fixing means adapted to fix said device () to said ligament.2910101111a,ba,b. A device according to claim 1 , wherein said central portion () claim 1 , said two connecting ends () and said two retaining portions () are made of polyglycolic acid.310109a,b. A device according to any of the preceding claims claim 1 , wherein said two connecting ends () have cross-section greater than said central portion ().41010a,b. A device according to any of the preceding claims claim 1 , wherein said two connecting ends () have a rounded shape.59. A device according to any one of the preceding claims claim 1 , wherein said central portion () is a circular-base prism.69. A device according to to claim 1 , wherein said central portion () is a hollow cylinder.79. A device according to any one of the preceding claims claim 1 , wherein said central portion () has a diameter in the range from 1 to 15 mm.89. A device according to any one of the preceding claims claim 1 , wherein said central portion () has a length in the range from 5 to 45 mm. Ligaments are formations of fibrous connective tissue and combine two or more anatomical structures. The cruciate ligaments of the knee joint are fibrous bundles crossed with one another to support the ...

Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil.

Methods and Devices for Utilizing Bondable Materials

The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.

Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device includes a plate member and an anchor. The plate member having a periphery, the plate member configured to be positioned along an outer surface of the soft tissue. The anchor includes a base and six legs extending from the base, the six legs extending from the base being moveable to a curled configuration such that the six legs wrap around separate portions of the periphery of the plate member with the soft tissue therebetween. In this manner, the repair device may be anchored to the soft tissue.

Soft tissue to bone repair devices, systems, and methods

Devices, systems and methods for fixating soft tissue to bone. In one embodiment, a repair device system for fixating soft tissue to bone includes a carrier member, multiple anchors, and a bone anchor. The carrier member includes multiple pad portions and a bone coupling portion. Each of the pad portions are aligned with an adjacent pad portion. The pad portions are configured to be positioned over a side of the soft tissue and the bone coupling portion is coupled to the multiple pad portions. Each anchor is sized and configured to extend through the at least one opening defined in one of the multiple pad portions and through the soft tissue. The bone anchor is configured to be coupled to the bone coupling portion and configured to be secured to the bone.

Adhesive-coated sutures

The field of the disclosure relates generally to sutures and, more specifically, to enhancing suture repair mechanics using adhesives.

DEVICES, SYSTEMS, AND METHODS FOR REPAIRING SOFT TISSUE AND ATTACHING SOFT TISSUE TO BONE

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil. 1. A delivery device system configured to move a cartridge with a repair device disposed therein toward an anvil with soft tissue positioned thereon for fixating the repair device to the soft tissue at a soft tissue repair site , the delivery device system comprising:a housing;a worm drive positioned within the housing;a thumb wheel disposed around the worm drive, the thumb wheel configured to be rotated to linearly move the worm drive with threads defined in at least one of the worm drive and the thumb wheel such that the worm drive is configured to linearly move the cartridge relative to a bed surface of the anvil; anda finger element extending from the worm drive and configured to cooperate with an internal surface of the thumb wheel such that, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel.2. The delivery device system of claim 1 , wherein the finger element comprises a circular member.3. The delivery device system of claim 1 , wherein the finger element cooperates with the internal surface of the thumb wheel by linearly translating along a length of the internal surface of ...

TISSUE FIXATION

Methods and systems are provided for tissue stabilization. Some aspects include a carrier member having a length, width, and thickness, wherein the length and width are each at least two times greater than the thickness; attachment members extending from the carrier member and that engage connective tissue; and stabilizing members, each of which can couple a respective attachment member to the carrier member and is substantially positionally fixed relative to the carrier member. 1. An apparatus for fixating connective tissue , the apparatus comprising:a carrier member having a first part, a second part, and a junction therebetween, the carrier member having a length, width, and thickness, the length and width each being at least two times greater than the thickness, the carrier member configured to encompass an interior space;one or more first attachment members protruding into the interior space and at a first angle from the first part toward the junction, the one or more first attachment members configured to engage a first portion of connective tissue in the interior space for attaching the first part to the first portion; andone or more second attachment members protruding from the second part into the interior space, the one or more second attachment members configured to engage a second portion of connective tissue in the interior space for attaching the second part to the second portion;wherein, when the first part is attached to the first portion and the second part is attached to the second portion, the first portion and the second portion are limited in being pulled apart from one another during physiological use of the connective tissue.2. The apparatus of claim 1 , wherein the one or more second attachment members protrude at a second angle from the second part toward the junction.3. The apparatus of claim 2 , wherein the first angle and the second angle are of about the same magnitude.4. The apparatus of claim 1 , wherein an average thickness of at ...

SYSTEMS AND METHODS FOR FIXING SOFT TISSUE

Embodiments of systems and methods for fixing soft tissue are disclosed herein. In some embodiments, soft tissue may be fixed to an attachment surface (such as bone, other soft tissue, other implants, or allograft or xenograft materials) by providing a helical suture in the soft tissue, wherein the soft tissue has a longitudinal axis along which the soft tissue undergoes tension under normal physiological conditions, and wherein a longitudinal axis of the helical suture in the soft tissue is oriented parallel to the longitudinal axis of the soft tissue; and securing the helical suture to an attachment surface. 1. A method for fixing soft tissue of a subject to an attachment surface , comprising:inserting a helical suture having a longitudinal axis in the soft tissue of the subject, wherein the soft tissue has a longitudinal axis and wherein the longitudinal axis of the helical suture in the soft tissue is oriented parallel to the longitudinal axis of the soft tissue; andsecuring the helical suture to the attachment surface.2. The method of claim 1 , wherein the soft tissue undergoes tension claim 1 , under normal physiological conditions claim 1 , along the longitudinal axis of the soft tissue.3. The method of claim 1 , wherein the soft tissue comprises a tendon.4. The method of claim 1 , wherein the helical suture comprises at least two turns of suture material.5. The method of claim 1 , wherein securing the helical suture to the attachment surface comprises securing the helical suture to an anchor secured to the attachment surface.6. The method of claim 1 , wherein the attachment surface comprises a bone claim 1 , tendon claim 1 , soft tissue claim 1 , allograft material claim 1 , xenograft material claim 1 , or a synthetic material.7. The method of claim 1 , wherein the helical suture comprises a turn angle between approximately 20 degrees and approximately 70 degrees.8. The method of claim 1 , wherein the helical suture is a first helical suture and the method ...

MEDICAL CONSTRUCTS INCLUDING TUBES AND COLLAGEN FIBERS

Medical constructs with collagen fibers and gelatin and related collagen fibers. The collagen fibers can be derived from extruded soluble dermal collagen and can include a gelatin film attached to the at least one collagen fiber. The gelatin film can include one or more minerals and has a gelatin concentration of between about 0.1% to about 40% weight per volume. 1. (canceled)2. A collagen fiber construct , comprising:a tube with a wall surrounding an axially extending cavity, wherein the wall comprises at least one collagen fiber derived from extruded soluble collagen, and wherein the at least one collagen fiber is in a woven and/or braided fiber arrangement that encases the cavity and extends a number of revolutions along a length of the cavity.3. The collagen fiber construct of claim 2 , wherein the at least one collagen fiber has a length of between about 1 m to about 100 m.4. The collagen fiber construct of claim 2 , wherein the at least one collagen fiber has a diameter when dry of between about 0.05 mm (average) to about 0.2 mm (average).5. The collagen fiber construct of claim 2 , wherein the collagen fiber construct comprises at least first and second layers claim 2 , and wherein the first layer forms the wall and comprises the at least one collagen fiber.6. The collagen fiber construct of claim 5 , wherein the second layer comprises a plurality of collagen fibers organized in a parallel array.7. The collagen fiber construct of claim 5 , wherein at least one of the first and second layers comprises 3 to 30 collagen fibers.8. The collagen fiber construct of claim 5 , wherein the first and second layers each comprise 3 to 30 collagen fibers.9. The collagen fiber construct of claim 2 , wherein the collagen fiber construct further comprises at least one overlying layer of collagen fibers that extends over at least a major portion of a length of the wall of the tube.10. The collagen fiber construct of claim 2 , further comprising at least one therapeutic agent ...

Methods of using compressible tubes for placing implants

Medical delivery devices include a needle and a flexible compressible impermeable tube attached to the needle. The compressible tube has an open interior channel. The device is adapted to releasably hold a length of a medical implant in the open interior channel of the tube. The medical implant can be slidably inserted into the interior channel of the tube and is loosely held by the tube.

SOFT TISSUE REPAIR DEVICES, SYSTEMS, AND METHODS

Devices, systems and/or methods for repairing a lacerated tendon or ligament adjacent a repair site. In one embodiment, a repair device includes an elongated flexible structure and multiple anchors, the multiple anchors pre-positioned with the elongated flexible structure. The repair device may be coupled to the tendon or ligament at the repair site with a delivery device. The repair device may be pre-positioned in a cartridge such that the cartridge is loaded into the delivery device. The lacerated tendon or ligament is positioned within a cradle portion of the delivery device such that the tendon is positioned between the cradle portion and the cartridge that holds the repair device. The delivery device may then be triggered to actuate and drive the repair device from the cartridge to couple to the lacerated tendon or ligament. In this manner, the repair device may be anchored to the lacerated tendon. 1. A method for repairing a lacerated tendon or ligament having a first end and a second end , the method comprising:providing a delivery device having a drive shaft defining a drive shaft axis and a removable cartridge positioned distal the drive shaft, the cartridge holding an elongated flat flexible member with multiple anchors coupled to the elongated flat flexible member;positioning a first end portion and a second end portion of the tendon or ligament within an elongated bed surface of a cradle of the delivery device with the first and second ends of the tendon or ligament abutted against each other, the elongated bed surface defining a cradle axis such that the cradle axis is perpendicular to the drive shaft axis; andcoupling the elongated flat flexible member with the multiple anchors to the first end portion and the second end portion within the cradle by actuating a trigger of the delivery device so as to actuate the drive shaft distally to effect movement of the anchors and the elongated flat flexible member from the cartridge, through the first and second ...

METHOD AND APPARATUS FOR REPAIRING A TENDON OR LIGAMENT

A method and apparatus for reattaching the opposed ends of a member, such as a tendon, ligament or bone, during preparing and healing of the member using a surgical repair device that can be securely attached to the member and then safely guided through tortuous anatomy for reattachment and repair. The repair device further includes structural means so as to secure opposed ends of the member against separation during healing. Devices for aiding in the positioning of the surgical repair device are provided. 1. A dilation system comprising:a dilation catheter comprising a tube having a lumen, the tube increasing in diameter from a first longitudinal end to a second longitudinal end.2. The dilation system of wherein the dilation catheter comprises a plurality of consecutive longitudinal segments claim 1 , each consecutive longitudinal segment having an outer diameter over a majority of its length greater than an outer diameter of a preceding longitudinal segment.3. The dilation system of further comprising:a guide member comprising an elongate member for passing through an anatomical passage;wherein the lumen of the dilation catheter is of sufficient size and shape to accept the guide member therethrough so that the dilation catheter may be slid over the guide member.4. The dilation system of wherein the guide member is longer than the dilation catheter.5. The dilation system of wherein the dilation catheter is unitary.6. The dilation system of wherein the longitudinal segments of the guide catheter are separable.7. The guide system of wherein each longitudinal segment of the dilation catheter has a first longitudinal end and a second longitudinal end claim 6 , each end adapted to form an interference fit with a longitudinal end of a next consecutive longitudinal segment of the dilation catheter.8. The dilation system of wherein the first end of each longitudinal segment other than a first of said longitudinal segments has a necked down portion adapted to fit in an ...

DEVICES, SYSTEMS, AND METHODS FOR REPAIRING SOFT TISSUE AND ATTACHING SOFT TISSUE TO BONE

Devices, systems and/or methods for repairing soft tissue adjacent a soft tissue repair site. In one embodiment, a repair device configured to couple to soft tissue is provided. The repair device includes a capture portion and an anchor portion. The capture portion configured to extend with radial portions. The anchor portion includes a base with multiple legs extending therefrom. The multiple legs are configured to move from a linear position to a formed position such that, in the formed position, the multiple legs couple to structure of the capture portion. 1. A repair device system for coupling to soft tissue , comprising:a delivery device having a handle and a push rod defining a longitudinal axis, the push rod configured to linearly actuate along the longitudinal axis;an implant delivery member configured to be removably coupled to the delivery device, the implant delivery member including a cartridge and an anvil, the cartridge linearly moveable relative to the anvil; anda repair device configured to be held within the cartridge, the repair device including an anchor with a base having at least four legs extending from the base, upon actuating the push rod with the delivery device, the push rod is configured to move the anchor from the cartridge to move the at least four legs against the anvil to move the at least four legs from a linear position to a formed position.2. The repair device system of claim 1 , wherein the repair device comprises a capture member configured to be coupled to the anchor claim 1 , the repair device configured to couple to soft tissue with the anchor and the capture member on opposing sides of the soft tissue.3. The repair device system of claim 1 , wherein the repair device comprises a capture member claim 1 , the capture member configured to be coupled to the anchor with the at least four legs in the formed position such that the at least four legs are formed around structure of the capture member.4. The repair device system of ...

TISSUE DEVICE

Systems and methods for fastening tissue include a hollow element and an elongate insertion element. The insertion element has a delivery device including a cone, suture, and needle at a delivery end, and an anchor at an opposite end. The hollow element includes an engagement structure in its interior surface that permits movement of the insertion element through the hollow element in a first direction, and prevents movement of the insertion element through the hollow element in a second direction opposite the first direction. The engagement structure may include a braid or mesh that operates on a finger-trap principle. The hollow element may include an elongate element with a cone, suture, and needle at a delivery end, and an anchor at an opposite end. Alternatively, the hollow element may include a button that incorporates the braid or mesh. 1. A system for fastening tissue , comprising:a female segment comprising a hollow body, an first anchor at one end of the hollow body, and a braided capture element on an interior surface of the hollow body;a male segment comprising an insertion element, a second anchor at one end of the insertion element, a suture and needle connected to another end of the insertion element;wherein, in an installed state, the female segment is structured and arranged to be within a first tissue with the first anchor contacting an exterior surface of the first tissue and anchoring the hollow body in the first tissue;in the installed state, the male segment is structured and arranged to be within a second tissue with the second anchor contacting the second tissue and anchoring the insertion element in the second tissue;the insertion element is structured and arranged to be inserted into and held within the hollow body in the installed state, thereby connecting the first tissue and the second tissue; andthe braided capture element restricts motion of the insertion element relative to the hollow body in the installed state.2. The system of claim ...

METHODS AND PROCEDURES FOR LIGAMENT REPAIR

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention, may include a scaffold attached by a suture to an anchor. In aspects of the invention, the anchor may be secured to a bone near or at the repair site. 126.-. (canceled)27. A method for treating a ligament or tendon tear exposed to synovial fluid , comprising:drilling a hole in a first bone;connecting a suture to the first bone with a first anchor;threading a scaffold onto the suture; andconnecting the suture to a first ruptured end of a ligament or tendon, the first ruptured end of the ligament or tendon connected to a second bone.28. The method of claim 27 , further comprising:drilling a hole in the second bone; andconnecting a second suture to the second bone using a second anchor.29. The method of claim 27 , wherein the first bone is one of a femur or a tibia and the second bone is the other one of the femur or the tibia.30. The method of claim 27 , wherein the scaffold is positioned between the first bone and the end of the ligament or tendon.31. The method of claim 27 , wherein the first suture is attached to the first anchor prior to connecting the suture to the first bone.32. The method of claim 27 , wherein the scaffold comprises a porous collagen sponge.33. The method of claim 27 , further comprising treating the scaffold with a repair material.34. The method of claim 33 , wherein the repair material is a platelet or plasma.35. A method for repairing a ligament exposed to synovial fluid claim 33 , comprising:threading a suture though an anchor, the anchor positioned on the first bone to resist load directed through the synovial fluid;threading the suture through a scaffold; andconnecting the suture to a ruptured end of the ligament, the ruptured end of the ligament connected to a second bone.36. The method of claim 35 , further comprising the steps of:drilling a hole in the second bone, andconnecting a second suture to the second bone ...

METHODS AND PROCEDURES FOR LIGAMENT REPAIR

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention may include a scaffold attached by one or more sutures to one or more anchors. In aspects of the invention, the anchors may be secured to a bone near or at the repair site. 1. A tissue healing device configured to repair a ligament , comprising:a hydrophilic scaffold that is compressible and expandable, the scaffold configured to be positioned between a ruptured end of the ligament and a bone;at least one anchor configured to be secured to the bone;at least one suture configured to be threaded through or along the scaffold to position the scaffold between to the ruptured end of the ligament and the bone; andone or more growth factors configured to be disposed within or on the scaffold.2. The device of claim 1 , wherein the ligament is an ACL and wherein the scaffold allows cell ingrowth.3. The device of claim 1 , wherein the anchor is conical in shape.4. The device of claim 1 , wherein the at least one anchor includes a first end and a second end opposite the first end of the anchor.5. The device of claim 4 , wherein the at least one anchor includes an eyelet at the first end of the anchor.6. The device of claim 5 , wherein the at least one suture is attached to the at least one anchor through the eyelet.7. The device of claim 4 , wherein the anchor includes a sharpened tip at the second end of the anchor.8. The device of claim 7 , wherein the sharpened tip is threaded.9. The device of claim 4 , wherein the anchor is selected from the group consisting of a screw claim 4 , a barb claim 4 , a helical anchor claim 4 , a staple claim 4 , a clip claim 4 , a snap claim 4 , and a rivet.10. The device of claim 4 , where the scaffold further comprises a repair material.11. The device of claim 10 , where the repair material is a platelet or plasma. This application is a continuation of U.S. application Ser. No. 16/556,469, filed on Aug. 30, 3019, which is a ...

METHODS AND PROCEDURES FOR LIGAMENT REPAIR

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention may include a scaffold attached by one or more sutures to one or more anchors. In aspects of the invention, the anchors may be secured to a bone near or at the repair site. 1. An arthroscopic repair system , comprising: an implantable material configured to be positioned between a ruptured end of the ligament and a bone,', 'at least one anchor having an eyelet and configured to be secured to the bone, and', 'at least one suture configured to be threaded through or along the implantable material to position the implantable material between to the ruptured end of the ligament and the bone, the at least one suture being attached to the at least one anchor through the eyelet; and, 'a tissue healing device configured to repair a ligament, the tissue healing device having'}arthroscopic equipment sized and shaped to insert the suture through the implantable material, the arthroscopic equipment configured to position the implantable material between the ruptured end of the ligament and the bone.2. The system of claim 1 , wherein the implantable material is a scaffold.3. The system of claim 1 , wherein the ligament is an ACL and wherein the implantable material allows cell ingrowth.4. The system of claim 1 , wherein the anchor is conical in shape.5. The system of claim 1 , wherein the at least one anchor includes a first end and a second end opposite the first end of the anchor.6. The system of claim 5 , wherein the at least one anchor includes an eyelet at the first end of the anchor.7. The system of claim 6 , wherein the at least one suture is attached to the at least one anchor through the eyelet.8. The system of claim 5 , wherein the anchor includes a sharpened tip at the second end of the anchor.9. The system of claim 8 , wherein the sharpened tip is threaded.10. The system of claim 1 , wherein the anchor is selected from the group consisting of a ...

Sutureless Repair of Soft Tissue

The present invention relates to a sutureless method of repairing soft tissue defects in soft tissue including ligaments such as anterior cruciate ligaments (ACLs). In particular, the present invention relates a sutureless method of repairing soft tissue defect comprising: (i) providing a collagen-containing patch adapted to enclose at least a portion of said soft tissue defect; (ii) contacting said soft tissue defect and/or collagen-containing patch with a sensitizer; (Hi) enclosing said soft tissue defect in said collagen-containing patch to produce a bioactive chamber; and (iv) adhering said collagen-containing patch to said soft tissue defect without sutures. 117.-. (canceled)18. A sutureless method of repairing a defect in a soft tissue selected from the group consisting of ligament tissue and tendon tissue comprising:(i) contacting a site of the soft tissue adjacent said defect and/or a collagen-containing patch with rose bengal so as to provide a layer of rose bengal on said site of the soft tissue at said defect and/or said collagen-containing patch;(ii) wrapping said soft tissue with said collagen-containing patch such that the defect in the soft tissue is enclosed and a bioactive chamber having a space beneath the patch and above the defect is produced; and(iii) adhering said collagen-containing patch to said site of the soft tissue without sutures by exposing said collagen-containing patch to light from a laser or light source, wherein the light is green light at 532 nm at an irradiance of about 0.5 W/cm2, and wherein the thickness of damaged tissue caused by the exposure to the light is less than 100 μm, wherein the bioactive chamber having a space beneath the patch and above the tissue defect is maintained after exposure to the green light; andwherein said method does not comprise suturing the soft tissue defect,wherein the collagen-containing patch has a butterfly arrangement, andwherein the collagen-containing patch is about 50 μm thick, comprises ...

Sutureless Repair of Soft Tissue

The present invention relates to a sutureless method of repairing soft tissue defects in soft tissue including ligaments such as anterior cruciate ligaments (ACLs). In particular, the present invention relates a sutureless method of repairing soft tissue defect comprising: (i) providing a collagen-containing patch adapted to enclose at least a portion of said soft tissue defect; (ii) contacting said soft tissue defect and/or collagen-containing patch with a sensitizer; (Hi) enclosing said soft tissue defect in said collagen-containing patch to produce a bioactive chamber; and (iv) adhering said collagen-containing patch to said soft tissue defect without sutures.

METHODS AND PROCEDURES FOR LIGAMENT REPAIR

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention may include a scaffold attached by one or more sutures to one or more anchors. In aspects of the invention, the anchors may be secured to a bone near or at the repair site. 1. A device for repair of a ligament exposed to synovial fluid comprising:a suture having a first end and a second end, the suture being attachable to a ruptured end of a ligament, wherein the ruptured end of the ligament is connected to a first bone; anda porous scaffold having a first end and a second end opposite the first end, wherein the suture is positionable along the scaffold in a direction that extends from the first end of the scaffold to the second end of the scaffold, wherein porous scaffold has a size and shape for positioning along the suture adjacent to the ruptured end of the ligament.2. The device of claim 1 , wherein the ligament is an ACL and wherein the scaffold allows cell ingrowth.3. The device of claim 1 , further comprising a mechanical device for direct contact with a second bone and being attachable to the suture.4. The device of claim 3 , wherein the mechanical device is selected from the group consisting of a screw claim 3 , a barb claim 3 , a helical anchor claim 3 , a staple claim 3 , a clip claim 3 , a snap claim 3 , and a rivet.5. The device of claim 3 , wherein the mechanical device is an endobutton.6. The device of claim 1 , where the scaffold further comprises a repair material.7. The device of claim 5 , wherein the repair material includes a platelet or plasma.8. The device of claim 1 , further comprising one or more growth factors configured to be disposed within or on the porous scaffold.9. The device of claim 1 , wherein the porous scaffold is resistant to degradation by synovial fluid.10. The device of claim 1 , wherein the porous scaffold is capable of compression and expansion.11. The device of claim 1 , wherein the porous scaffold ...

Soft tissue repair devices, systems, and methods

Devices, systems and/or methods for repairing soft tissue, such as, a lacerated tendon. A repair device includes a frame having a tubular structure with a longitudinal length and struts at least partially defining the tubular structure. The frame includes a first portion and a second portion with an intermediate portion therebetween, each extending along the longitudinal length. The intermediate portion is configured to substantially maintain a fixed position and is configured to be positioned over first and second ends of the lacerated tendon to substantially maintain the first end abutted against the second end. The first portion and the second portion of the frame are configured to be positioned over separate portions of the tendon and configured to move and elongate along a length of the respective first portion and second portion of the frame as the portions of the tendon elongate.

DEVICES, SYSTEMS, AND METHODS FOR REPAIRING SOFT TISSUE AND ATTACHING SOFT TISSUE TO BONE

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device includes a plate member and an anchor. The plate member having a periphery, the plate member configured to be positioned along an outer surface of the soft tissue. The anchor includes a base and six legs extending from the base, the six legs extending from the base being moveable to a curled configuration such that the six legs wrap around separate portions of the periphery of the plate member with the soft tissue therebetween. In this manner, the repair device may be anchored to the soft tissue. 1. A repair device system for repairing soft tissue at a soft tissue repair site , comprising:a bed surface of a delivery device, the bed surface defining anvil buckets therein;a plate member having a periphery, the plate member configured to be positioned over the bed surface and along an outer surface of the soft tissue; andan anchor having a base and at least four legs extending from the base, the at least four legs configured to be forced against the anvil buckets to move the at least four legs to a curled configuration such that the at least four legs wrap around separate portions of the periphery of the plate member.2. The repair device system of claim 1 , further comprising one or more plate filaments coupled to the plate member and one or more anchor filaments coupled to the anchor.3. The repair device system of claim 1 , wherein the legs comprise one or more tapers along the length thereof sized and configured to facilitate the legs to move to the curled configuration.4. The repair device system of claim 1 , wherein the legs comprise a taper extending with an angle between about 1 degree and 10 degrees.5. The repair device system of claim 3 , wherein the delivery device comprises a drive rod defining an axis claim 3 , and a cartridge holding the anchor claim 3 , the at least four legs of the anchor inside the cartridge oriented substantially parallel ...

SOFT TISSUE REPAIR DEVICES, SYSTEMS, AND METHODS

Devices, systems and/or methods for repairing a lacerated tendon or ligament adjacent a repair site. In one embodiment, a repair device includes an elongated flexible structure and multiple anchors, the multiple anchors pre-positioned with the elongated flexible structure. The repair device may be coupled to the tendon or ligament at the repair site with a delivery device. The repair device may be pre-positioned in a cartridge such that the cartridge is loaded into the delivery device. The lacerated tendon or ligament is positioned within a cradle portion of the delivery device such that the tendon is positioned between the cradle portion and the cartridge that holds the repair device. The delivery device may then be triggered to actuate and drive the repair device from the cartridge to couple to the lacerated tendon or ligament. In this manner, the repair device may be anchored to the lacerated tendon. 1. A medical device system configured to fuse a first tendon end to a second tendon end of a lacerated tendon , the medical device system comprising: a body;', 'a handle extending from the body;', 'a trigger associated with the handle;', 'an elongated guide operatively coupled to the body, the elongated guide defining a longitudinal guide axis, the elongated guide including a drive shaft and a pusher block extending along the longitudinal guide axis;', 'a cartridge removably coupled to an end of the elongated guide; and', 'a slider member slidably coupled to a distal portion of the elongated guide, the slider member including a cradle portion fixed to the slider member and positioned distal of the slider member, the cradle portion including an elongated bed surface defining a longitudinal cradle axis, the longitudinal cradle axis being substantially perpendicular to the longitudinal guide axis, the bed surface of the cradle portion configured to receive a first tendon portion and a second tendon portion of the lacerated tendon; and, 'a delivery device includinga ...

TISSUE FASTENER AND METHODS FOR USING SAME

In one embodiment, a hook fastener has a plurality of hooks and a loop fastener has a plurality of loops to secure tissues sections to one another. At least one of these fasteners has a porous surface to allow tissue ingrowth to secure the fastener to the tissue. In another embodiment, only a single fastener is used, with a section of tissue being treated to engage and mate with the fastener. The disclosed tissue fastening systems can be used for a number of applications. One such example includes fastening tissue sections by wrapping a tissue fastener around the tissue and securing the fastener on itself. A suture may also be secured with the tissue fastener. 1. A method of coupling first and second tissue sections , including the steps of:bringing the first and second tissue sections into relative proximity;wrapping the proximate portions of the first and second tissue portions with a fastener including an elongate band substantially comprised of biodegradable material, the band having (a) pores, (b) a plurality of loops disposed upon a first side, and (c) a plurality of hooks extending from a second side, the hooks engageable with the plurality of loops;overlapping a portion of the elongate band causing loops and hooks to become engaged, securing the elongate band in wrapped conformity with the first and second tissue sections, thereby causing the tissue sections to remain in relative proximity;whereby tissue ingrowth through the pores is enabled and the tissue sections may grow together, whereafter the elongate band may biodegrade.2. The method of further including the step of roughening a portion of the surface of at least one of the first and second tissue sections to enable the surface to be eagageable by hooks of the elongate band.3. The method of claim 1 , wherein the first and second tissue sections are tubular vessels claim 1 , andwherein in said bringing step, the ends of the vessels are brought into relative proximity.4. The method of claim 1 , further ...

Tissue repair device and method for using the same

A tissue repair device and a method for using the same are provided. The tissue repair device includes a body portion and at least one wire. The body portion includes an inner layer and an outer layer. The inner layer is close to a tissue, wherein the inner layer includes a hydrophilic structure, and the outer layer includes a hydrophobic structure. The wire is connected to the body portion to fix the body portion to the tissue.

DEVICE FOR ASSISTING IN FLEXOR TENDON REPAIR AND REHABILITATION

A surgical device and method used to assist in the surgical repair and rehabilitation of damaged and/or severed tendons. In one embodiment of the present invention, the device is comprised of a hollow member, preferably shaped as a partial funnel and/or cone, having an inner and outer surface, a flared mouth, a shaft, and an apical end. In another embodiment, the device is comprised of a hollow member, preferably shaped as funnel or barrel cut in half along its longitudinal axis, having an inner and outer surface, two flared mouths, and a shaft. The device may further include a thin, elongated handle for ease of manipulation, and can be implantable or non-implantable. The present invention further discloses a method of passing a severed flexor tendon and/or repair site through the edge of a pulley in the flexor tendon sheath, wherein the hollow member of the device disclosed in the present invention is introduced into the edge of a flexor tendon sheath's pulley and a severed tendon end and/or repair site is passed through the flared mouth of the device and is gently compressed through the shaft and apical end of the device so that the tendon end or repair site can be simultaneously squeezed into the pulley in a smooth and non-damaging manner. 1. A surgical device for assisting in the repair or rehabilitation of damaged or severed tendons comprising a hollow member further comprising an inner and outer surface and a flared mouth.2. The surgical device of claim 1 , said hollow member further comprising a shaft and an apical end.3. The surgical device of or further comprising a handle attached to said hollow member.4. The surgical device of wherein said handle is detachable from said flared mouth.5. The surgical device of or wherein said device further comprises non-biodegradable material.6. The surgical device of or wherein said device further comprises biodegradable material.7. The surgical device of or wherein the inside of said hollow member is coated with a slick ...

Systems and methods for ligament graft preparation

Systems and methods for preparing a ligament graft for a ligament reconstruction procedure are provided. In general, the described techniques utilize a graft preparation system having a holder and a delivery suture assembly removably coupled thereto. The delivery suture assembly can include a spine coupled with an anchor suture configured to form a self-tightening knot used to position the assembly around a graft and a plurality of suture windings configured to be affixed to the graft when the assembly is deployed. The assembly is delivered to the graft using the holder and the sutures can be affixed to the graft without penetrating therethrough. The spine helps to evenly distribute the load among the windings compressing the graft which are thus are capable of withstanding increased loads. Thus, an improved, simplified, and time- and labor-saving approach to preparing ligament grafts is provided.

ELASTIC DEVICE FOR RECONSTRUCTING ROTATOR CUFFS

A device for the reconstruction of the rotator cuff including a flat element having at least two opposite ends and adapted to be connected to at least one of the damaged tendons of the rotator cuff of a patient at the ends; the flat element is made of a multilayer silicone membrane. 1. A device for the reconstruction of the rotator cuff comprising a flat element having at least two opposite ends and is adapted to be connected to at least one of the damaged tendons of the rotator cuff of a patient at said ends; wherein the flat element is made of a multilayer silicone membrane.2. The device according to claim 1 , wherein the multilayer silicone membrane of the flat element has a thickness between 500 μm and 700 μm.3. The device according to claim 2 , wherein the membrane of the flat element comprises a number of layers between 18 and 22; each layer having a thickness substantially of 30 μm.4. The device according to claim 1 , wherein the silicone of said membrane comprises dimethyl- and methyl vinyl-siloxane copolymers.5. The device according to claim 4 , wherein at least one face of the flat element also comprises a protective layer made of pyrolytic turbostratic carbon.6. The device according to claim 5 , wherein both faces of the flat element also comprise a protective layer made of pyrolytic turbostratic carbon.7. The device according to claim 5 , wherein the layer of pyrolytic turbostratic carbon has a thickness comprised between 0.2 μm and 0.3 μm.8. The device according to claim 1 , wherein it has fixing areas placed at the ends of the flat element adapted to be employed for fixing claim 1 , through resorbable suture claim 1 , said flat element to said tendon.9. The device according to claim 1 , wherein the membrane of the flat element has a thickness comprised about 600 μm.10. The device according to claim 2 , wherein the membrane of the flat element comprises a number of layers comprises 20 layers; each layer having a thickness substantially of 30 μm.11. The ...

SUTURE METHODS AND DEVICES

A barbed suture including a body with barbs on the periphery, a pointed end, and an anchor at one end to resist movement of the suture in the direction of the pointed end is provided. One or more limbs on the anchor may be provided, which may be arcuate, of varying lengths, and of varying distribution about the periphery of the suture body. Other anchor designs are provided. Methods of placing single-directional and bi-directional barbed sutures to approximate the tissue on each side of a wound and to position and support tissue in the absence of a wound, as in cosmetic surgery, are provided, and may include terminal J-stitches or S-stitches. Methods of placement may be made with sharp, pointed ends, which may be needles, or insertion devices. Sinusoidal patterns of sutures that have amplitudes generally perpendicular to the resultant holding force of the suture are provided. 1. A barbed suture comprising:an elongated body;one pointed end;a plurality of barbs extending from the periphery of the body, the barbs permitting movement of the suture through the tissue in the direction of movement of the pointed end and preventing movement of the suture in a direction opposite the direction of movement of the pointed end; andone end having an anchor including at least one arcuate limb extending outside the periphery of the body to a greater degree than the barbs, the anchor preventing movement of the suture in the direction of movement of the pointed end.2111.-. (canceled) This application claims priority from co-pending U.S. provisional application 60/521,528, filed May 14, 2004, by the inventors hereof, the entire disclosure of which is incorporated herein by reference.The present invention relates generally to methods and devices for joining or positioning bodily tissue in surgical applications and wound repair, and more particularly to a surgical suturing method and devices for joining or positioning bodily tissue using a suture having a plurality of barbs that permit ...

RESORBABLE DEVICE FOR RECONSTRUCTING ROTATOR CUFFS

A device for the reconstruction of the rotator cuff including a flat element having at least two opposite ends and adapted to be connected to at least one of the damaged tendons of the rotator cuff of a patient at the ends; the flat element being entirely made of biodegradable and resorbable material. 1. A device for the reconstruction of the rotator cuff comprising a flat element having at least two opposite ends and adapted to be connected to at least one of the damaged tendons of the rotator cuff of a patient at said ends , wherein said flat element is entirely made of biodegradable and resorbable material.2. The device according to claim 1 , wherein said flat element is made of PGA fiber fabric.3. The device according to claim 1 , wherein the fabric of said flat element is of warp knitted type.4. The device according to claim 1 , wherein the thickness of the fabric of the flat element is between 0.1 mm and 2 mm.5. The device according to claim 1 , wherein the fabric of the flat element is made with a thread having a density between 50 and 200 denier.6. The device according to claim 1 , wherein said flat element has a substantially triangular form in plan view.7. The device according to claim 1 , comprising fixing areas placed at the ends of the flat element adapted to be employed for fixing claim 1 , through resorbable suture claim 1 , said flat element to said tendon.8. The device according to claim 1 , wherein the fabric of said flat element is textured.9. The device according to claim 1 , wherein the thickness of the fabric of the flat element is between 0.3 mm and 0.6 mm.10. The device according to claim 1 , wherein the thickness of the fabric of the flat element is between 0.4 mm and 0.53 mm.11. The device according to claim 1 , wherein the thickness of the fabric of the flat element is 0.4 mm to 0.45 mm.12. The device according to claim 1 , wherein said flat element has an isosceles triangle form in plan view.13. The device according to claim 12 , wherein ...

ADVANCED TENDON GRASPING DEVICES AND DEVICES FOR THEIR APPLICATION

Devices used to repair ruptured tendons are described, particularly a tendon grasping device and devices for the application thereof and to the uses if these devices; the tendon grasping device is made of a suitable for surgery bio-compatible material, a series of curved elements connected sequentially to form a hollow deformable structure; in use each curved element surrounds the tendon and the structure deforms between a radially extended condition and a radially retracted condition, in which each curved element firmly surrounds the tendon by applying pressure around the tendon without penetrating it. 1. A device for repairing a tendon comprising;(a) a device body housing an internal grasper movable within said device body and along a longitudinal axis thereof, said grasper being capable of releasably grasping the tendon outside said device body and pulling the tendon into said device body; and(b) at least one tendon-attachable element arranged within said device body, said at least one tendon-attachable element being deployable onto the tendon following pulling thereof via said grasper into said device body.2. The device of claim 1 , wherein said at least one tendon-attachable element is a curved element.3. The device of claim 1 , wherein said at least one tendon-attachable element partially or fully surrounds the tendon following deployment.4. The device of claim 1 , wherein said at least one tendon-attachable element is at least partially composed of a bio-degradable material.5. The device of claim 1 , wherein said at least one tendon-attachable element is at least partially composed of Nitinol claim 1 , stainless steel claim 1 , suture thread material or a polymer.6. The device of claim 1 , wherein said grasper and said at least one tendon-attachable element are housed in a replaceable cartridge positioned within said device body.7. The device of claim 1 , wherein said grasper includes a pair of movable jaws.8. The device of claim 1 , wherein said grasper is ...

METHODS AND PROCEDURES FOR LIGAMENT REPAIR

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention may include a scaffold attached by one or more sutures to one or more anchors. In aspects of the invention, the anchors may be secured to a bone near or at the repair site. 1. A method for treating a ligament or tendon tear exposed to synovial fluid , comprising:drilling a hole in a first bone;connecting a suture to the first bone with a first anchor;threading a scaffold onto the suture; andconnecting the suture to a first ruptured end of a ligament or tendon, the first ruptured end of the ligament or tendon connected to a second bone; anddisposing one or more growth factors within or on the scaffold.2. The method of claim 1 , further comprising: drilling a hole in the second bone; andconnecting a second suture to the second bone using a second anchor.3. The method of claim 1 , wherein the first bone is one of a femur or a tibia and the second bone is the other one of the femur or the tibia.4. The method of claim 1 , wherein the scaffold is positioned between the first bone and the end of the ligament or tendon.5. The method of claim 1 , wherein the first suture is attached to the first anchor prior to connecting the suture to the first bone.6. The method of claim 1 , wherein the scaffold comprises a porous collagen sponge.7. The method of claim 1 , further comprising treating the scaffold with a repair material.8. The method of claim 7 , wherein the repair material is a platelet or plasma.9. A method for treating a ligament or tendon tear exposed to synovial fluid claim 7 , comprising:drilling a hole in a first bone;connecting a first suture to the first bone with a first anchor;threading a scaffold onto the first suture;connecting the first suture to a first ruptured end of a ligament or tendon, the first ruptured end of the ligament or tendon connected to a second bone;drilling a hole in the second bone;connecting a second suture to the second ...

DEVICE, ASSEMBLY AND METHOD FOR USE IN TENDON REPAIR

An assembly for use in repairing a severed tendon comprises an elongate threading element adapted to transit along a lumen of a tendon sheath, for covering a curved needle and carrying the needle within the lumen. The assembly can also comprise a liner for lining an internal surface of the tendon sheath, defining an internal passage along which a tendon stump coupled to the curved needle can pass. The liner can have a collapsed, rest configuration in which it is adapted to be inserted into the lumen of the tendon sheath, and an expanded, operating configuration, the liner being movable to the expanded configuration by contact with the tendon stump. Once released from the liner, the threading element receives the curved needle, for covering and carrying the curved needle through the liner and along the lumen of the tendon sheath trailing the connected tendon stump. 1. A needle covering and carrying device for covering a curved needle and carrying the needle within a lumen of a tendon sheath , the device comprising an elongate element having:a first end;a second end opposite the first end; anda body extending between the first and second ends, the body defining an internal cavity for accommodating a curved needle so that at least a penetrating tip of the needle is disposed within the body, to protect the tendon sheath from damage through contact with the tip during passage of the needle within the sheath;in which at least part of the body is deformable, and capable of being deformed into a curved shape so that it can accommodate the curved needle.2. A device as claim in claim 1 , in which the first end of the body is a leading end and the second end is a trailing end claim 1 , the trailing end being open and communicating with the cavity.3. A device as claimed in claim 1 , in which the body forms a threading element adapted to transit along the tendon sheath claim 1 , the body comprising a portion defining the threading element claim 1 , and a portion which forms a ...

METHODS AND PROCEDURES FOR LIGAMENT REPAIR

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention may include a scaffold attached by a suture to an anchor. In aspects of the invention, the anchor may be secured to a bone near or at the repair site. 1. A method for repairing a ligament exposed to synovial fluid , comprising:threading a suture though an anchor, the anchor positioned on the first bone to resist load directed through the synovial fluid;threading the suture through a scaffold; andconnecting the suture to a ruptured end of the ligament, the ruptured end of the ligament connected to a second bone.2. The method of claim 1 , further comprising the steps of:drilling a hole in the second bone, andconnecting a second suture to the second bone using a second anchor.3. The method of claim 1 , further comprising attaching the anchor to the first bone.4. The method of claim 1 , further comprising positioning the scaffold between the ruptured end of the ligament and the first bone.5. The method of claim 1 , wherein the first bone is one of a femur or a tibia and the second bone is the other one of the femur or the tibia.6. The method of claim 1 , wherein the scaffold comprises a porous collagen sponge.7. The method of claim 1 , further comprising treating the scaffold with a repair material.8. The method of claim 1 , wherein the repair material is a platelet or plasma. This application is a divisional of U.S. application Ser. No. 16/228,196, filed Dec. 20, 2018, which is a continuation of U.S. application Ser. No. 13/461,269, filed May 1, 2012, which is a continuation of U.S. application Ser. No. 12/162,108, filed Mar. 25, 2009, which is a 371 National Stage of International Application No. PCT/US2007/001908 filed on Jan. 25, 2007, which designates the United States, and which claims benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application No. 60/761,951 filed on Jan. 25, 2006, the entire contents of all of which are incorporated ...

METHODS AND PROCEDURES FOR LIGAMENT REPAIR

Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention, may include a scaffold attached by a suture to an anchor. In aspects of the invention, the anchor may be secured to a bone near or at the repair site. 1. A method of repairing a ruptured ligament , comprising:attaching a suture to the first bone;connecting the suture to a first ruptured end of a ligament or tendon, the first ruptured end of the ligament or tendon connected to a second bone; andpositioning a scaffold along the suture between the first bone and the first ruptured end of the ligament or tendon.2. The method of claim 1 , further comprising:drilling a hole in a second bone; andconnecting a second suture to the second bone with a second device.3. The method of claim 1 , wherein the first bone is one of a femur or a tibia and the second bone is the other of the femur or the tibia.4. The method of claim 1 , further comprising attaching the first device only indirectly to the scaffold.5. The method of claim 1 , further comprising treating the scaffold with a repair material.6. The method of claim 5 , wherein the repair material is a platelet or plasma. This application is a divisional of U.S. application Ser. No. 16/228,196, filed Dec. 20, 2018, which is a continuation of U.S. application Ser. No. 13/461,269, filed May 1, 2012, which is a continuation of U.S. application Ser. No. 12/162,108, filed Mar. 25, 2009, which is a 371 National Stage of International Application No. PCT/US2007/001908 filed on Jan. 25, 2007, which designates the United States, and which claims benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application No. 60/761,951 filed on Jan. 25, 2006, the entire contents of all of which are incorporated herein by reference.The invention relates generally to methods and devices for the repair of a ruptured ligament using a scaffold device.Intra-articular tissues, such as the anterior cruciate ligament (ACL), do not heal ...

SUTURE METHODS AND DEVICES

A barbed suture including a body with barbs on the periphery, a pointed end, and an anchor at one end to resist movement of the suture in the direction of the pointed end is provided. One or more limbs on the anchor may be provided, which may be arcuate, of varying lengths, and of varying distribution about the periphery of the suture body. Other anchor designs are provided. Methods of placing single-directional and bi-directional barbed sutures to approximate the tissue on each side of a wound and to position and support tissue in the absence of a wound, as in cosmetic surgery, are provided, and may include terminal J-stitches or S-stitches. Methods of placement may be made with sharp, pointed ends, which may be needles, or Insertion devices. Sinusoidal patterns of sutures that have amplitudes generally perpendicular to the resultant holding force of the suture are provided. 1111.-. (canceled)112. A barbed suture comprising:(a) an elongated body defining a periphery and a cross section, wherein the cross section has a transverse length;(b) one pointed end, wherein the pointed end includes a needle;(c) a proximal end; and(d) a plurality of staggered cuts in the elongated body defining a plurality of staggered barbs extending from the periphery of the elongated body, wherein the barbs are configured to yield toward the elongated body during movement of the barbed suture through tissue in of the pointed end and the barbs being configured to resist movement of the barbed suture through the tissue in a direction opposite the direction of movement of the pointed end by engagement of the barbs within the tissue,wherein the proximal end includes a loop configured to receive the needle and the elongated body, wherein the loop has an inner perimeter and an outer perimeter, wherein the inner perimeter of the loop is uninterrupted by any surface features that are configured to affect the needle passing through the inner perimeter of the loop.113. The barbed suture of claim 112 ...

System and method for repairing tendons and ligaments

An implant and method for the repair of a tendon or a ligament along at least one load direction. The implant includes at least one first anchor portion and at least one tension member oriented along a load direction. The first anchor portion preferably has a larger surface area of engagement with the tendon or ligament to spread loads across more tissue. The tension member is preferably secured to the first anchor portion with an overlapping attachment. Tension on the tension member is preferably adjustable by the surgeon.

Apparatus and method for promoting growth and repair of soft tissue

Apparatus and method for inducing growth of soft tissues including skin, ligaments, tendons, blood vessels, and spinal cord which includes a tensioned spring causing the application of force on the soft tissue in the direction of the desired growth. The device also includes means for attaching the tensioned spring to the tissue and means for maintaining tension on the spring as the tissue grows.

Tissue fixation

Methods and apparatuses are provided for tissue fixation. In some aspects, an apparatus includes: a carrier member having a first part, a second part, and a junction therebetween; first attachment members protruding at a first angle from the first part toward the junction, where the first attachment members are configured to engage a first portion of connective tissue for attaching the first part to the first portion; and second attachment members protruding from the second part, where the second attachment members are configured to engage a second portion of connective tissue for attaching the second part to the second portion. When the first part is attached to the first portion and the second part is attached to the second portion, the first portion and the second portion are limited in being pulled apart from one another during physiological use of the connective tissue.

System for tissue fixation to bone

Methods and systems are provided for fixating connective tissue to bone. Some aspects include a carrier member having a length, width, and thickness, wherein the length and width are each at least two times greater than the thickness; attachment members extending from the carrier member and that engage connective tissue of an animal; and a bone engaging member extending from the carrier member and configured to attach to a bone of the animal. In some aspects, when the attachment members are engaged with the connective tissue and the bone engaging member is attached to the bone, the connective tissue and the bone are limited in being pulled apart from one another during physiological use of the connective tissue.

Soft tissue to bone repair devices, systems, and methods

Devices, systems and methods for fixating soft tissue to bone. In one embodiment, a repair device system for fixating soft tissue to bone includes a carrier member, multiple anchors, and a bone anchor. The carrier member includes multiple pad portions and a bone coupling portion. Each of the pad portions are aligned with an adjacent pad portion. The pad portions are configured to be positioned over a side of the soft tissue and the bone coupling portion is coupled to the multiple pad portions. Each anchor is sized and configured to extend through the at least one opening defined in one of the multiple pad portions and through the soft tissue. The bone anchor is configured to be coupled to the bone coupling portion and configured to be secured to the bone.

Soft tissue repair devices, systems, and methods

Devices, systems and/or methods for repairing soft tissue, such as, a lacerated tendon. A repair device includes a frame having a tubular structure with a longitudinal length and struts at least partially defining the tubular structure. The frame includes a first portion and a second portion with an intermediate portion therebetween, each extending along the longitudinal length. The intermediate portion is configured to substantially maintain a fixed position and is configured to be positioned over first and second ends of the lacerated tendon to substantially maintain the first end abutted against the second end. The first portion and the second portion of the frame are configured to be positioned over separate portions of the tendon and configured to move and elongate along a length of the respective first portion and second portion of the frame as the portions of the tendon elongate.

Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil.

Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil.

Soft tissue repair devices, systems, and methods

Devices, systems and/or methods for repairing a lacerated tendon or ligament adjacent a repair site. In one embodiment, a repair device includes an elongated flexible structure and multiple anchors, the multiple anchors pre-positioned with the elongated flexible structure. The repair device may be coupled to the tendon or ligament at the repair site with a delivery device. The repair device may be pre-positioned in a cartridge such that the cartridge is loaded into the delivery device. The lacerated tendon or ligament is positioned within a cradle portion of the delivery device such that the tendon is positioned between the cradle portion and the cartridge that holds the repair device. The delivery device may then be triggered to actuate and drive the repair device from the cartridge to couple to the lacerated tendon or ligament. In this manner, the repair device may be anchored to the lacerated tendon.

组织修复装置及其的使用方法

本揭露公开一种组织修复装置及其的使用方法。组织修复装置包括本体部以及至少一线材。本体部包括内层及外层。内层邻近于组织，其中内层包括亲水性结构，外层包括疏水性结构。线材连接于本体部，以将本体部固定于组织上。

修复肌腱或韧带的方法和装置

一种用于将一纵向解剖部件重新附接至另一解剖部件的装置，包括：第一修复装置（1710），该第一修复装置具有至少第一丝（1711）和第二丝（1712），每个丝都具有第一纵向端部和第二纵向端部、附接至所述第一丝和所述第二丝的所述第一端部的第一针（1715）、和附接至所述第一丝和所述第二丝的所述第二端部的第二针（1716）；导管（101），该导管包括具有管腔的管；漏斗状构件（103），该漏斗状构件具有较大的纵向端部和用于与通向解剖通道的入口相邻放置的较小纵向端部。

尤其是用于诸如韧带的组织的可吸收的组织重构设备

描述了一种用于连接并重构韧带的可吸收的设备(1)，包括中心重构部分(9)和在所述中心部分(9)的两端处的两个连接端部(10a、10b)，其特征在于在所述连接设备中，所述两个连接端部(10a、10b)分别包括两个保持部分(11a、11b)，以用于接纳适于将所述设备(1)固定至所述韧带的固定装置。

Patent RU2016139730A3

ВИ“? 2016139730” АЗ Дата публикации: 28.09.2018 Форма № 18 ИЗ,ПМ-2011 Федеральная служба по интеллектуальной собственности Федеральное государственное бюджетное учреждение 5 «Федеральный институт промышленной собственности» (ФИПС) ОТЧЕТ О ПОИСКЕ 1. . ИДЕНТИФИКАЦИЯ ЗАЯВКИ Регистрационный номер Дата подачи 2016139730/14(06344 7) 11.03.2015 РСТ/ЕР2015/055045 11.03.2015 Приоритет установлен по дате: [ ] подачи заявки [ ] поступления дополнительных материалов от к ранее поданной заявке № [ ] приоритета по первоначальной заявке № из которой данная заявка выделена [ ] подачи первоначальной заявки № из которой данная заявка выделена [ ] подачи ранее поданной заявки № [Х] подачи первой(ых) заявки(ок) в государстве-участнике Парижской конвенции (31) Номер первой(ых) заявки(ок) (32) Дата подачи первой(ых) заявки(ок) (33) Код страны 1. М12014А000383 11.03.2014 | Название изобретения (полезной модели): [Х] - как заявлено; [ ] - уточненное (см. Примечания) АБСОРБИРУЕМОЕ УСТРОЙСТВО ДЛЯ ВОССТАНОВЛЕНИЯ ТКАНИ, В ЧАСТНОСТИ ТКАНИ ТИПА СВЯЗОК Заявитель: САМБУССЕТИ Антонио, [Т 2. ЕДИНСТВО ИЗОБРЕТЕНИЯ [Х] соблюдено [ ] не соблюдено. Пояснения: см. Примечания 3. ФОРМУЛА ИЗОБРЕТЕНИЯ: [Х] приняты во внимание все пункты (см. Примечания) [ ] приняты во внимание следующие пункты: [ ] принята во внимание измененная формула изобретения (см. Примечания) 4. КЛАССИФИКАЦИЯ ОБЪЕКТА ИЗОБРЕТЕНИЯ (ПОЛЕЗНОЙ МОДЕЛИ) (Указываются индексы МПК и индикатор текущей версии) Аб1В 17/11 (2006.01) АбЛЕ 2/08 (2006.01) 5. ОБЛАСТЬ ПОИСКА 5.1 Проверенный минимум документации РСТ (указывается индексами МПК) АбТЕ 2/08, Аб1В 17/11 5.2 Другая проверенная документация в той мере, в какой она включена в поисковые подборки: 5.3 Электронные базы данных, использованные при поиске (название базы, и если, возможно, поисковые термины): СТРО, РЕРАТБ пес, РУУРТ, Е-ГлЬгагу, ЕАРАТТУ, Езрасепе боозе, ]-Р1а Рае, КТРВТ, РАТЕМТЗСОРЕ, Ра еагсв, РиБМеа, КОРТО, КатЫег, 5СОРОЪ, 5ГРО, ПЗРТО, УУойае слепсе 6. ДОКУМЕНТЫ, ОТНОСЯЩИЕСЯ К ...

Kit for contracting a muscle for treating colpoptosis

The invention relates to an implantable kit for treating a prolapse of a pelvic organ, said prolapse being at least partially due to a relaxation of at least one muscle responsible for retaining said organ in position, said relaxation being at the origin of a fractionation of said at least one relaxed muscle into at least a first and a second portion, wherein said kit is characterised in that it comprises at least one prosthetic implant (7) designed to be positioned between the first and second portions of said at least one relaxed muscle in order to tighten said portions and so as to at least partially restore a substantially nominal operation of said at least one relaxed muscle. The invention also relates to implantable devices for treating prolapse.

Method for suturing body tissue

FIELD: medicine, surgery. SUBSTANCE: the present innovation deals with connecting and fixing a close wound. It is necessary to apply the suture supplied with teeth that has got the first and the second sharpened distal ends. Teeth on the first part of the tendon located between the first end of the suture and the first location on the tendon are designed so to have the chance to shift the suture through tissue towards the movement of the first end, and prevent the shift of the suture against tissue in direction being opposite against the direction of the first end. Teeth on the second part of the tendon located between the second end of the suture and the second location upon the tendon are designed with the possibility to shift the suture through tissue towards the movement of the second end and prevent the shift of the suture against tissue in direction being opposite against the movement of the second end. One should introduce the first end of suture to force it through the tissue to be withdrawn outwards till the moment when the second location to be in the site of the puncture in of the first end of the suture. The first end should be punctured in, forced through the tissue to be withdrawn outwards. The second end of the suture should be punctured into the tissue, forced through it to be withdrawn till the moment when the second axial location to be in the site of the puncture in of the second end of the suture. The second end should be punctured in, forced and withdrawn. The innovation enables to increase the strength of the suture to the rupture and accelerate wound healing. EFFECT: higher efficiency of wound healing. 27 cl, 27 dwg ÐÎÑÑÈÉÑÊÀß ÔÅÄÅÐÀÖÈß (19) RU (11) 2 318 458 (13) C2 (51) ÌÏÊ A61B 17/04 (2006.01) ÔÅÄÅÐÀËÜÍÀß ÑËÓÆÁÀ ÏÎ ÈÍÒÅËËÅÊÒÓÀËÜÍÎÉ ÑÎÁÑÒÂÅÍÍÎÑÒÈ, ÏÀÒÅÍÒÀÌ È ÒÎÂÀÐÍÛÌ ÇÍÀÊÀÌ (12) ÎÏÈÑÀÍÈÅ ÈÇÎÁÐÅÒÅÍÈß Ê ÏÀÒÅÍÒÓ (21), (22) Çà âêà: 2004102518/14, 28.06.2002 (72) Àâòîð(û): ËÅÓÍÃ Äæåôôðè (US), ÌÅÃÀÐÎ Ìýòòüþ (US), ÐÓÔÔ Ãðåãîðè (US), ÊÀÏËÀÍ Ýíäðþ ( ...

Joint for repairing severed tendons or ligaments

BIOMATRIX FOR TISSUE REGENATION

ABSORBABLE DEVICE FOR RECOVERY OF FABRIC, IN PARTICULAR FABRIC TYPE BUNDLES

РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 2016 139 730 A (51) МПК A61B 17/11 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ЗАЯВКА НА ИЗОБРЕТЕНИЕ (21)(22) Заявка: 2016139730, 11.03.2015 (71) Заявитель(и): САМБУССЕТИ Антонио (IT) Приоритет(ы): (30) Конвенционный приоритет: (72) Автор(ы): САМБУССЕТИ Антонио (IT) 11.03.2014 IT MI2014A000383 (85) Дата начала рассмотрения заявки PCT на национальной фазе: 11.10.2016 R U (43) Дата публикации заявки: 11.04.2018 Бюл. № 11 (86) Заявка PCT: (87) Публикация заявки PCT: WO 2015/135975 (17.09.2015) R U (54) АБСОРБИРУЕМОЕ УСТРОЙСТВО ДЛЯ ВОССТАНОВЛЕНИЯ ТКАНИ, В ЧАСТНОСТИ ТКАНИ ТИПА СВЯЗОК (57) Формула изобретения 1. Абсорбируемое устройство (1) для соединения и восстановления связки, содержащее центральный восстановительный участок (9) и две соединительные головки (10а, 10b), расположенные на концах указанного центрального участка (9), отличающееся тем, что указанные две соединительные головки (10а, 10b) содержат два удерживающих участка (11а, 11b), соответственно, для присоединения фиксирующих средств, служащих для прикрепления указанного устройства (1) к указанной связке, при этом указанные соединительные головки (10а, 10b) имеют округлую форму. 2. Устройство по п. 1, в котором указанный центральный участок (9), указанные две соединительные головки (10а, 10b) и указанные два удерживающих участка (11а, 11b) выполнены из полигликолиевой кислоты. 3. Устройство по п. 1, в котором указанные две соединительные головки (10а, 10b) имеют поперечное сечение, размер которого больше размера поперечного сечения указанного центрального участка (9). 4. Устройство по п. 1, в котором указанный центральный участок (9) имеет форму призмы с круглым основанием. 5. Устройство по п. 1, в котором указанный центральный участок (9) представляет собой полый цилиндр. 6. Устройство по п. 1, в котором указанный центральный участок (9) имеет диаметр от 1 мм до 15 мм. Стр.: 1 A 2 0 1 6 1 3 9 7 3 0 A Адрес для переписки: 109012, Москва, ул. ...

Absorbable device for tissue repair, in particular tissue such as ligaments

FIELD: medicine. SUBSTANCE: absorbable device for connection and restoration of ligament comprises central recovery section and two connecting heads located at ends of said central section. Said two connecting heads comprise two retaining sections for attachment of fixing means for attachment of said device to said bundle. Said connecting heads have round shape and have stiffness which is higher than rigidity of central section. EFFECT: invention is aimed at creation of reversible type device for connection and restoration of ligament. 7 cl, 2 dwg РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 2 695 534 C2 (51) МПК A61B 17/11 (2006.01) A61F 2/08 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ИЗОБРЕТЕНИЯ К ПАТЕНТУ (52) СПК A61F 2/0805 (2018.08); A61F 2/0811 (2018.08); A61F 2002/0852 (2018.08) (21)(22) Заявка: 2016139730, 11.03.2015 (24) Дата начала отсчета срока действия патента: (73) Патентообладатель(и): САМБУССЕТИ Антонио (IT) Дата регистрации: 23.07.2019 11.03.2014 IT MI2014A000383 (43) Дата публикации заявки: 11.04.2018 Бюл. № 11 (45) Опубликовано: 23.07.2019 Бюл. № 21 (85) Дата начала рассмотрения заявки PCT на национальной фазе: 11.10.2016 2 6 9 5 5 3 4 Приоритет(ы): (30) Конвенционный приоритет: (56) Список документов, цитированных в отчете о поиске: US 20100324676 A1, 23.12.2010. RU 2141281 C1, 20.11.1999. RU 2440057 C1, 20.01.2012. US 20130013065 A1, 10.01.2013. US 5723008 A1, 03.03.1998. US 20070162121 A1, 12.07.2007. EP 2687188 A1, 22.01.2014. R U 11.03.2015 (72) Автор(ы): САМБУССЕТИ Антонио (IT) EP 2015/055045 (11.03.2015) C 2 C 2 (86) Заявка PCT: (87) Публикация заявки PCT: R U 2 6 9 5 5 3 4 WO 2015/135975 (17.09.2015) Адрес для переписки: 109012, Москва, ул. Ильинка, 5/2, ООО "Союзпатент" (54) АБСОРБИРУЕМОЕ УСТРОЙСТВО ДЛЯ ВОССТАНОВЛЕНИЯ ТКАНИ, В ЧАСТНОСТИ ТКАНИ ТИПА СВЯЗОК (57) Реферат: Изобретение относится к медицине. для прикрепления указанного устройства к Абсорбируемое устройство для соединения и указанной связке. Указанные ...

Biomatrix for soft tissue regeneration using mesenchymal stem cells

An implant for repair of a tissue defect comprises a plurality of physiologically compatible load-bearing sutures for securing under tension tissue adjacent to the defect to be repaired, the sutures for supporting a tissue reparative cell mass in the defect and a tissue reparative cell mass supported thereby. The sutures have a central portion encapsulated in a cell containing matrix which is contracted under a tensile load by the cells thereof and formed into a mat sheet during the contraction. Spring metal wires hold the sutures in tension during the contraction. The matrix is a collagen gel or other material which the cells contract, the cells comprising human mesenchymal stem cells. The mat sheet is then rolled into a spiral roll with the sutures extending from opposite roll ends to form the desired implant. Different embodiments are disclosed.

Biomatrix for tissue regeneration

(57)【要約】 この発明は組織欠損の修復のための移植片（１）に関し、この移植片（１）はストランドあるいは縫合糸物質（２）および縫合糸（２）の中心部（８）の周りで収縮した修復細胞（６）を含むゲルマトリックス（４）よりなる。縫合糸（２）は欠損に隣接する組織を再結合するのに使用される自由端（１０および１２）を持つ。自由端（１０および１２）は組織の主要部分に縫合することができ、それにより腱の末端を適所に保持しまたゲルマトリックスを欠損内の適所に保持する。

Tendon or ligament repair device and method

Tendon passing device and method

Apparatus and methods are provided to facilitate passage of lacerated ends of a tendon back into and/or through an associated sheath. The method is often necessary to complete repair when lacerated ends of a tendon retract from the associated laceration site in the sheath. The method includes applying respective elastomeric tubes over lacerated ends of the tendon. Each elastomeric tube is preferably made of thin, elastic rubber. The elastomeric tube also prevents fraying and catching of the respective lacerated end during passage into and through the sheath. Multiple threads are preferably engaged with the elastomeric tube. An applicator is provided to slide a respective elastomeric tube over each lacerated end of the tendon. Each elastomeric tube is placed over the respective lacerated end of the tendon by pulling on the associated threads. After the tube is applied, the applicator is removed. The threads, along with suture strands previously placed in the tendon end, are then used to pull the tube and lacerated end into and through the sheath. Once the tendon is passed through its sheath, the tube is removed by pulling it off the end of the tendon using the threads. A second tube may be applied to the other lacerated end of tendon if necessary. The applicator and elastomeric tube or tubes are preferably discarded at the completion of the surgical repair procedure.

Achilles tendon stitching instrument

本发明涉及一种跟腱缝合器，包括第一支架、第二支架、松紧调节装置、第一导向套筒、第二导向套筒、第一定位筒和第二定位筒，第一支架和第二支架通过松紧调节装置相连，第一支架和第二支架的U型臂内外两臂上分别设置有第一定位孔、第一指引孔、第二定位孔和第二指引孔，第一导向套筒通过第一定位孔固定且第一导向套筒的一端与第一指引孔相配合，第一定位筒的一端穿进第一导向套筒的内部；第二导向套筒通过第二定位孔固定且第二导向套筒的一端与第二指引孔相配合，第二定位筒的一端穿进第二导向套筒的内部，第一定位筒和第二定位筒内均设置有与跟腱缝合针匹配的通孔。本发明能够简化手术操作，保证理想的缝合效果。

Absorbable reconstructed tissue equipment in particular for the tissue of such as ligament

描述了一种用于连接并重构韧带的可吸收的设备(1)，包括中心重构部分(9)和在所述中心部分(9)的两端处的两个连接端部(10a、10b)，其特征在于在所述连接设备中，所述两个连接端部(10a、10b)分别包括两个保持部分(11a、11b)，以用于接纳适于将所述设备(1)固定至所述韧带的固定装置。

Remotely anchored tissue fixation device

A tissue approximation device and processes for using the device, particularly in the mid-face region, are provided. The device is an implantable, biodegradable construct that has attachment points emanating from at least one supportive backing. The device also has a connecting member or leash which extends between the backing and an anchor which is attached to bone or soft tissue. Attachment to soft tissue is accomplished by a second backing having attachment points emanating from the backing and attachment to bone is accomplished by a post. The connecting member allows for repeated adjustments in length between the anchor and the backing in vivo or ex vivo until the desired amount of tissue approximation is achieved. The device improves the mechanical phase of wound healing and evenly distributes tension over the contact area between the device and tissue.

Multi-point tissue tension distribution device, a brow and face lift variation, and a method of tissue approximation using the device

A tissue approximation device and processes for using the device are provided. The device is an implantable, biodegradable construct (except for hernia repairs) that has attachment points emanating from a supportive backing. The device improves the mechanical phase of wound healing and evenly distributes tension over the contact area between the device and tissue. Processes for using the device include wound closure, vascular anastomoses, soft tissue attachment and soft tissue to bone attachment. Several variations are particularly applicable to facilitating tissue approximation in surgical cosmetic applications, particularly brow lifts. Generally, scalp tissue to be lifted may be set on a brow lift device via attachment points, and the device may then be secured to a patient's cranium. Variations of the device are described along with a method of installing the brow lift device. Also described is a tool particularly useful for installing a brow lift device.

Multi-point tissue tension distribution device and method, a chin lift variation

A tissue approximation device and processes for using the device are provided. The device is an implantable, biodegradable construct that has attachment points emanating from a supportive backing. The device improves the mechanical phase of wound healing and optimally distributes tension over the contact area between the device and tissue. Processes for using the device include soft tissue attachment and soft tissue to bone attachment. Several variations are particularly applicable to facilitating tissue approximation in surgical cosmetic applications, particularly chin lifts. Generally, tissue to be lifted may be set on a chin lift device via attachment points before or after the device is secured to a patient's bone. Variations of the device are described along with a method of installing the chin lift device. Also described is a tool particularly useful for installing a chin lift device.

Connective tissue repair system

Systems, including apparatus and methods, for repairing injured connective tissue. These systems may include, among others, a surgical stapler and staples for repairing partially or completely severed tendons and/or ligaments.

Promotion of regeneration of organized tissues

(本发明介绍了)在人或动物活体内某一器官化组织结构中促进组织自损伤区域表面沿一预定方向向其内部再生的体系、方法及设备。用一套装结构(5)将损伤区域套住以阻止肉芽组织长入其中,同时在套内的损伤区域中置入机械导引装置(11)以引导组织沿预定方向再生。一方面向套中损伤区域的表面加入纤维蛋白网状结构生成抑制剂。另一方面机械导引装置采用含有一条或多条导引隧道的凝胶结构的方式以便引导再生组织沿预定方向生长。

Suture anchor and method

A suture anchor is provided for approximating tissue to bone or other tissue. The suture anchor comprises an anchor member to fixedly engage the bone for securing the anchor member relative to the bone. A plurality of sutures are mounted to the proximal end of the anchor member so that the sutures extend outwardly from the anchor member. Each suture has a sharp pointed distal end for penetrating the tissue and a plurality of barbs extending from the periphery and disposed along the length of the body of the suture. The barbs permit movement of the sutures through the tissue in a direction of movement of the pointed end and prevent movement of the sutures relative to the tissue in a direction opposite the direction of movement of the pointed end. At least one pointed distal end of at least one suture comprises a needle.

Suture methods and devices

A barbed suture including a body with barbs on the periphery, a pointed end, and an anchor at one end to resist movement of the suture in the direction of the pointed end is provided. One or more limbs on the anchor may be provided, which may be arcuate, of varying lengths, and of varying distribution about the periphery of the suture body. Other anchor designs are provided. Methods of placing single-directional and bi-directional barbed sutures to approximate the tissue on each side of a wound and to position and support tissue in the absence of a wound, as in cosmetic surgery, are provided, and may include terminal J-stitches or S-stitches. Methods of placement may be made with sharp, pointed ends, which may be needles, or insertion devices. Sinusoidal patterns of sutures that have amplitudes generally perpendicular to the resultant holding force of the suture are provided.

Continuous stitch wound closure utilizing one-way suture

Continuous wound-closure techniques use one-way suture. The one-way suture has tissue-grasping surface features which allow passage of the suture in one direction through tissue, but not in the opposite direction. In closing a wound, the one-way suture is passed alternately through tissue on opposed sides of the wound. The wound-closure techniques allow approximation of the sides of the wound without knots, avoid loop stitching and reduce scarring.

Methods for using self-retaining sutures in endoscopic procedures

Endoscopic methods utilize self-retaining sutures to approximate tissue in a cavity of a subject. An endoscopic instrument is provided containing the self-retaining suture. The endoscopic instrument may be provided in combination with an endoscope and/or an endoscopic manipulator. The endoscopic instrument is passed through a cavity wall into a cavity of a patient. The self-retaining suture is deployed, using the endoscopic instrument, into a first tissue portion and a second tissue portion within the cavity. The self-retaining suture may be deployed endoscopically in patterns which include, purse string stitch, alpha stitch, linear stitching, curvilinear stitching, continuous helical stitch, and continuous sinusoidal stitch.

Anastomosis method using self-retaining sutures

An anastomosis procedure utilizes a self-retaining suture to secure one vessel to another vessel. One or more self-retaining sutures are deployed around the interface between the vessels. The self-retaining sutures have tissue-grasping surface features which allow passage of the sutures in one direction through tissue, but not in the opposite direction. The self-retaining sutures may be deployed using a needle attached to the end of the sutures. The anastomosis technique may be performed without using knots.

Suture with an intermediate barbed body

A suture system has a suture with a first plurality of barbs located adjacent to a first end and a second plurality of barbs located adjacent to a second end, and a body located between the first plurality of barbs and the second plurality of barbs. The body provides an anchor that can hold tissue relative to the first end and the second end of the suture. The body can slide and be positioned on said suture.

Double ended barbed suture with an intermediate body

A suture system has a double ended barbed suture with a first plurality of barbs located adjacent to a first end and a second plurality of barbs located adjacent to a second end, and a body located between the first plurality of barbs and the second plurality of barbs. The body provides an anchor that can hold tissue relative to the first end and the second end of the suture. The body can slide and be positioned on said suture.

Multiple suture thread configuration with an intermediate connector

A suture system has a plurality of double ended barbed sutures each with a first plurality of barbs located adjacent to a first end and a second plurality of barbs located adjacent to a second end, and a body connector that connects said plurality of double ended barbed sutures. The body connector is located between the first plurality of barbs and the second plurality of barbs on each of the sutures. The sutures can move relative to the body connector. The body connector can retain tissue.

Suture methods and devices

A barbed suture including a body with barbs on the periphery, a pointed end, and an anchor at one end to resist movement of the suture in the direction of the pointed end is provided. One or more limbs on the anchor may be provided, which may be arcuate, of varying lengths, and of varying distribution about the periphery of the suture body. Other anchor designs are provided. Methods of placing single-directional and bi-directional barbed sutures to approximate the tissue on each side of a wound and to position and support tissue in the absence of a wound, as in cosmetic surgery, are provided, and may include terminal J-stitches or S-stitches. Methods of placement may be made with sharp, pointed ends, which may be needles, or insertion devices. Sinusoidal patterns of sutures that have amplitudes generally perpendicular to the resultant holding force of the suture are provided.

Suture methods and devices

A barbed suture including a body with barbs on the periphery, a pointed end, and an anchor at one end to resist movement of the suture in the direction of the pointed end is provided. One or more limbs on the anchor may be provided, which may be arcuate, of varying lengths, and of varying distribution about the periphery of the suture body. Other anchor designs are provided. Methods of placing single-directional and bi-directional barbed sutures to approximate the tissue on each side of a wound and to position and support tissue in the absence of a wound, as in cosmetic surgery, are provided, and may include terminal J-stitches or S-stitches. Methods of placement may be made with sharp, pointed ends, which may be needles, or insertion devices. Sinusoidal patterns of sutures that have amplitudes generally perpendicular to the resultant holding force of the suture are provided.

NON-ABSORBABLE DEVICE FOR RECOVERY OF TISSUES, IN PARTICULAR SUCH TISSUES, AS LINKS

РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 2016 136 578 A (51) МПК A61F 2/08 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ЗАЯВКА НА ИЗОБРЕТЕНИЕ (21)(22) Заявка: 2016136578, 12.02.2015 (71) Заявитель(и): САМБУССЕТИ Антонио (IT) Приоритет(ы): (30) Конвенционный приоритет: (72) Автор(ы): САМБУССЕТИ Антонио (IT) 13.02.2014 IT MI2014A000206 (85) Дата начала рассмотрения заявки PCT на национальной фазе: 13.09.2016 R U (43) Дата публикации заявки: 19.03.2018 Бюл. № 08 (86) Заявка PCT: (87) Публикация заявки PCT: WO 2015/121819 (20.08.2015) R U (54) НЕАБСОРБИРУЕМОЕ УСТРОЙСТВО ДЛЯ ВОССТАНОВЛЕНИЯ ТКАНЕЙ, В ЧАСТНОСТИ ТАКИХ ТКАНЕЙ, КАК СВЯЗКИ (57) Формула изобретения 1. Устройство (1) реверсивного типа для соединения и восстановления связки, содержащее центральный участок (9) для восстановления и два соединительных участка (10а, 10b) с двух концов вышеуказанного центрального участка (9), отличающееся тем, что вышеуказанное соединительное устройство выполнено из силикона, вышеуказанный центральный участок закрывает два соединительных участка (10а, 10b), два вышеуказанных соединительных участка (10а, 10b) имеют, в общем, форму решетки для размещения крепежных средств, предназначенных для крепления вышеуказанного устройства (1) к вышеуказанной связке, и вышеуказанное устройство (1) также содержит наружное графитовое покрытие (14). 2. Устройство по п. 1, в котором вышеуказанные соединительные участки (10а, 10b) выполнены из полиэтилентерефталата. 3. Устройство по п. 1, в котором вышеуказанный центральный участок (9) выполнен с использованием ряда наложенных слоев (11, 12) силикона. 4. Устройство по п. 3, в котором вышеуказанные соединительные участки (10а, 10b) прикреплены к вышеуказанному центральному участку (9) между двумя слоями силикона. 5. Устройство по п. 1, в котором вышеуказанный центральный участок (9) является призмой с круглым основанием. 6. Устройство по п. 1, в котором вышеуказанный центральный участок (9) является Стр.: 1 A 2 0 1 6 1 3 6 5 7 8 A ...

HARPON FOR SURGICAL REPAIR OF A TENDON ROMPU, FOR EXAMPLE ACHILLA TENDON, AND METHOD FOR FIXING THE HARPOON ON A SUTURE WIRE

Compressible tubes for placing implants and related medical kits and methods of using same

Medical delivery devices include a needle and a flexible compressible impermeable tube attached to the needle. The compressible tube has an open interior channel. The device is adapted to releasably hold a length of a medical implant in the open interior channel of the tube. The medical implant can be slidably inserted into the interior channel of the tube and is loosely held by the tube.

UNIVERSAL DEVICE FOR REPAIRING ROMPUS LIGAMENTS