METHOD FOR SOFT TISSUE REPAIR WITH FREE FLOATING SUTURE LOCKING MEMBER

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor. 1. An anchor device for repairing soft tissue with a suture , the anchor device comprising:an anchor body comprising a tube defining an inner wall, wherein the inner wall defines a lumen with at least one slot at least partially extending into the inner wall; anda suture locking wedge disposed within the lumen and in communication with the at least one slot, the suture locking wedge movable between a first position where at least one length of suture may freely slide around the suture locking wedge and a second position where the at least one length of suture is prevented from sliding; and wherein the at least one slot comprises a plurality of overlapping regions, a first region having at least one horizontal surface relative to a longitudinal axis of the anchor body and a second region having at least one elongate angled surface relative to the anchor body longitudinal axis.2. The anchor device of claim 1 , wherein at least a portion of the suture locking wedge rests on the first region horizontal surface when in the first position.3. The anchor device of claim 1 , wherein at least a portion of the suture locking wedge rests against the elongate angled surface when in the second position.4. The anchor device of claim 1 , wherein when a tension force is applied to a bound limb of the at least one length of suture extending through the anchor body and looped around the suture locking wedge claim 1 , the suture locking wedge is urged towards the second region of the slot.5. The anchor device of claim 4 , wherein when the suture ...

Suture passer

Independent suture tensioning and snaring apparatus

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

Implant and delivery system for soft tissue repair

Implant and delivery systems for soft tissue repair which affix soft tissue portions to a region of bone are described. Generally, the assembly includes two bone anchors preloaded through an inserter handle such that each anchor is penetrated into the bone directly. The first anchor is inserted through the tissue and into the bone, where it is locked into position. The first anchor has a suture or wire that protrudes through the tissue and threads through the second anchor and is secured to a rotatable suture reel located along the handle. The second anchor is inserted through the tissue and into the bone independently of the first anchor. Once the second anchor is deployed, the suture or wire is tensioned to secure the soft tissue to the bone and a suture plug within the second anchor is deployed to lock the suture or wire in place.

Suture passer

A suturing device for grasping soft tissue and placing stitches in soft tissue during endoscopic procedures is described. An elongate housing with a stationary jaw and a movable jaw disposed at the distal end are configured for grasping and releasing soft tissue. A movable needle disposed within the housing is actuated to engage a length of suture and drive the suture into and through the grasped soft tissue. A suture capture member is disposed on the movable jaw and is configured to allow passage of the needle therethrough while securing a portion of the stitched length of suture.

Bone anchor insertion device

A bone anchor insertion device comprises a handle, a nosepiece connected to a distal end of the handle, a bone anchor connected to the nosepiece, and an actuator disposed on the handle for deploying the bone anchor, which suture is also fixed to a portion of soft tissue to be attached to a portion of bone. A suture ratchet or tensioning mechanism is disposed in the handle for tensioning suture which is associated with the bone anchor. This mechanism permits precise tensioning, while also permitting one-handed operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like.

BONE ANCHOR INSERTION DEVICE

A bone anchor insertion device comprises a handle, a nosepiece connected to a distal end of the handle, a bone anchor connected to the nosepiece, and an actuator disposed on the handle for deploying the bone anchor, which suture is also fixed to a portion of soft tissue to be attached to a portion of bone. A suture ratchet or tensioning mechanism is disposed in the handle for tensioning suture which is associated with the bone anchor. This mechanism permits precise tensioning, while also permitting one-handed operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like. 1. A bone anchor insertion device , comprising: a housing;', 'a hand lever pivotally attached to the handle housing, the hand lever having a drive arm;', 'a rack mechanism having at least two teeth operable to successively engage with the drive arm so as to move the rack mechanism as the hand lever is actuated; and, 'a handle assembly comprising;'}at least one elongate sleeve extending from the distal end of the housing; anda pull tube coaxially disposed with the at least one elongate sleeve and coupled to the rack mechanism, a distal end of the pull tube selectively coupled to a bone anchor.2. The bone anchor insertion device of claim 1 , the handle assembly further comprising at least one ratchet wheel operable to engage at least one length of suture associated with the bone anchor claim 1 , the ratchet wheel coupled to at least one suture knob operable to be rotated to as to selectively apply tension to the length of suture.3. The bone anchor insertion device of claim 1 , the handle assembly further comprising a function switch having a first position operable to limit the displacement of the rack mechanism during actuation by the hand lever and a second position operable to release the rack mechanism to move.4. The bone anchor insertion device of claim 1 , wherein the at least two teeth of the rack mechanism define at least ...

Method and system for managing the circulation of gaming chips in a gambling establishment

A method for managing the circulation of gaming chips in a gambling establishment. Each gaming chip is of a specific gaming chip type selected from a plurality of predetermined gaming chip types. The gambling establishment includes a plurality of wagering stations each implementing at least one wagering game and a plurality of gaming chip distributors. The method includes: at one of the gaming chip distributors, receiving a payment from an intended user, the payment defining a payment monetary value; and at the one of the gaming chip distributors, issuing to the intended user a plurality of gaming chips, the gaming chips being issued in numbers such that the sum of the monetary values represented by the issued gaming chips is equal to the monetary value of the received payment; wherein the number of gaming chips of each predetermined gaming chip type issued depends, at least in part, on an operational parameter of either a set of wagering stations from the plurality of wagering stations at which the distributed gaming chips are likely to be used by the intended user; the gaming chip distributor; or a combination of the set of wagering stations and the gaming chip distributor.

Independent suture tensioning and snaring apparatus

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

RESTRICTED WEDGE SUTURE ANCHOR AND METHOD FOR SOFT TISSUE REPAIR

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. Tension applied to one side of a suture causes the suture locking wedge to move in a translational and angular dimension to a position which compresses the suture, thereby locking the suture in the anchor. The anchor body includes tracks or slots which guide the suture locking wedge from the unlocked open configuration to the locked configuration. 1. An anchor device for repairing soft tissue with a suture , the anchor device comprising:an anchor body comprising a wall, and the wall defining a lumen;a suture locking wedge movably disposed at least partially within the lumen, and being in contact with the suture when the suture extends through the anchor device and loops around the suture locking wedge; andwherein the anchor body further comprises a wedge guide restricting movement of the suture locking wedge to a path such that when a tension force is applied to a first limb of the suture, the suture locking wedge is urged into a first position in which the suture is compressed between the suture locking wedge and a first contact location of the anchor body and wherein the path comprises an angular dimension and a translational dimension.2. The anchor device of wherein the guide comprises at least one slot formed in the wall of the anchor body claim 1 , and said suture locking wedge has a portion which engages the slot.3. The anchor device of wherein the slot is curved.4. The anchor device of wherein the slot has an arcuate shape.5. The anchor device of wherein said slot has a length in the range of 2 to 10 mm.6. The anchor device of wherein said slot has a constant height.7. The anchor device of wherein said suture locking wedge comprises two opposing substantially planar surfaces.8. The anchor device of wherein said suture locking wedge is curved.9. The anchor device of wherein said path is nonlinear.10. ...

INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare. 1. A bone anchor insertion system , comprising:a handle;a tube member connected to the handle;at least one bone anchor removably connected to the tube member;a suture tensioning mechanism;a suture loader disposed in proximity to the tube member, the suture loader having a guide section, at least one loader aperture, and at least one loader retaining member; anda first suture snare coupled to the suture tensioning mechanism, the first suture snare having a first snare aperture for receiving a first suture free end, wherein at least a portion of the first suture snare is disposed in the suture aperture.2. The system of claim 1 , wherein the suture tensioning mechanism comprises:a first and second tensioning actuator; anda selector for selectively coupling or decouple the first and second tensioning actuators.3. The system of further comprising a second suture snare claim 2 , the second suture snare having a second snare aperture for receiving a second suture free end.4. The system of further comprising a second bone anchor removably connected to the tube member and in proximity to the at least one bone anchor ...

Tissue repair assembly and system with soft anchoring implant

Tissue repair systems which use knotless all-suture anchors and have the ability to lock multiple repair sutures within the anchor construct. The anchor construct includes a tension suture wrapped or looped upon itself to create an open eyelet, through which multiple repair sutures originating in soft tissue are passed. The location of the eyelet may be anywhere inside the all-suture anchor or adjacent to the exterior of the anchor body. Tensioning of the tension suture causes the eyelet to restrict movement of the repair sutures and secures them within or against the anchor body.

Independent suture tensioning and snaring apparatus

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

Free floating wedge suture anchor for soft tissue repair

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.

FIXATION DEVICE AND TISSUE FIXATION METHOD FOR ACL RECONSTRUCTION

A tissue fixation device for securing soft tissue to bone includes an expandable outer sheath, and an inner screw in threaded cooperation with the sheath. The expandable sheath comprises opposing walls in hinged engagement. When the screw is inserted into in the sheath, the walls pivot outwardly about a distal hinge to compress a tissue graft against the bone hole, and to lock the device therein. An optional cortical button is secured across the bone hole entrance, and tethered to the fixation device to bolster fixation. 1. A fixation device for securing a soft tissue in a bone hole comprising:a screw comprising external surface features;a sheath comprising a proximal end, a distal end, and a lumen extending from the proximal end towards the distal end, the lumen comprising internal surface features to receive and engage the external surface features of the screw, said sheath further comprising:a first sheath component comprising a first side wall and a first lateral wall;a second sheath component non-integrally formed with the first sheath component, and the second sheath component comprising a second side wall and a second lateral wall;wherein the lumen is defined by the first side wall, the second side wall, the first lateral wall, and the second lateral wall; andwherein the first sheath component and the second sheath component are in hinged engagement about a lateral axis at the distal end of the sheath, enabling the first lateral wall to incrementally pivot from the second lateral wall about the lateral axis according to the depth that the screw is inserted into the lumen of the sheath.2. The fixation device of wherein the screw has an outer diameter that decreases from the proximal end to the distal end.3. The fixation device of wherein the lumen has an inner diameter that decreases from the proximal end to the distal end.4. The fixation device of wherein the first side wall and the second side wall are substantially flat.5. The fixation device of wherein the ...

Method for soft tissue repair with free floating suture locking member

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.

Independent suture tensioning and snaring apparatus

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

IMPLANT AND DELIVERY SYSTEM FOR SOFT TISSUE REPAIR

Implant and delivery systems for soft tissue repair which affix soft tissue portions to a region of bone are described. Generally, the assembly includes two bone anchors preloaded through an inserter handle such that each anchor is penetrated into the bone directly. The first anchor is inserted through the tissue and into the bone, where it is locked into position. The first anchor has a suture or wire that protrudes through the tissue and threads through the second anchor and is secured to a rotatable suture reel located along the handle. The second anchor is inserted through the tissue and into the bone independently of the first anchor. Once the second anchor is deployed, the suture or wire is tensioned to secure the soft tissue to the bone and a suture plug within the second anchor is deployed to lock the suture or wire in place.

SUTURE PASSER

A suturing device for grasping soft tissue and placing stitches in soft tissue during endoscopic procedures is described. An elongate housing with a stationary jaw and a movable jaw disposed at the distal end are configured for grasping and releasing soft tissue. A movable needle disposed within the housing is actuated to engage a length of suture and drive the suture into and through the grasped soft tissue. A suture capture member is disposed on the movable jaw and is configured to allow passage of the needle therethrough while securing a portion of the stitched length of suture. 1. A suturing device for use endoscopically comprising:a first and second jaw member disposed at a distal end of the device;a needle disposed in the first jaw member while in a retracted position and movable between the retracted position and an extended position, the needle operable to selectively engage a length of suture; anda suture capture member disposed on the second jaw member, wherein the suture capture member defines a spring, a proximal fixed end and a free distal edge; wherein the suture capture member is operable to be spring loaded by the needle in the extended position, and wherein retraction of the needle releases the suture capture member to spring back and capture the length of suture within the suture capture member.2. The device of claim 1 , wherein the first jaw member comprises a suture recess configured to engage the length of suture while the needle is in the retracted position.3. The device of claim 1 , wherein extending the needle comprises moving the needle axially in a distal direction.4. The device of claim 1 , wherein the suture capture member is a suture capture cartridge removably disposed on the second jaw member.5. The device of wherein the second jaw is configured to move relative to the first jaw and grasp tissue.6. The device of wherein the suture capture member defines an elongate gap between an inner surface of the second jaw member and an outer ...

INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

Independent suture tensioning and snaring apparatus

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare. 1. A method of loading a length of suture into a bone anchor , comprising:passing a first suture length through a first suture snare positioned within a first aperture defined through a housing; wherein the first suture snare comprises one or more projections positioned in apposition along the first suture snare;retaining the first suture snare and the first suture length within the first aperture;securing the first suture length to the first suture snare;withdrawing the first suture snare through the housing while pulling the first suture length therealong; andpassing the first suture length through at least one bone anchor while withdrawing the first suture snare; wherein during the step of passing the one or more projections are spaced away from the first aperture.2. The method of further comprising:passing a second suture length through a second suture snare positioned within a second aperture defined through the housing;retaining the second suture snare and the second suture length within the second aperture;securing the second suture length to the second suture snare;withdrawing the second suture ...

IMPLANT AND DELIVERY SYSTEM FOR SOFT TISSUE REPAIR

Implant and delivery systems for soft tissue repair which affix soft tissue portions to a region of bone are described. Generally, the assembly includes two bone anchors preloaded through an inserter handle such that each anchor is penetrated into the bone directly. The first anchor is inserted through the tissue and into the bone, where it is locked into position. The first anchor has a suture or wire that protrudes through the tissue and threads through the second anchor and is secured to a rotatable suture reel located along the handle. The second anchor is inserted through the tissue and into the bone independently of the first anchor. Once the second anchor is deployed, the suture or wire is tensioned to secure the soft tissue to the bone and a suture plug within the second anchor is deployed to lock the suture or wire in place.

Biased wedge suture anchor and method for soft tissue repair

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. Tension applied to one side of a suture causes the suture locking wedge to translate and rotate into a position which compresses the suture, thereby locking the suture in the anchor. A resilient or spring biasing member within the anchor device urges the suture locking wedge to compress the suture, facilitating suture locking.

Bone anchor insertion device

A bone anchor insertion device is disclosed for attaching a suture that is fixed to portion of soft tissue to a portion of bone. The device has a handle, a nosepiece connected to a distal end of the handle, a bone anchor connected to the nosepiece, and an actuator disposed on the handle for deploying the bone anchor. A suture ratchet or tensioning mechanism is disposed in the handle for tensioning suture which is associated with the bone anchor. This mechanism permits precise tensioning, while also permitting one-handed operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like.

Independent suture tensioning and snaring apparatus

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

Fixation device and tissue fixation method for ACL reconstruction

A tissue fixation device for securing soft tissue to bone includes an expandable outer sheath, and an inner screw in threaded cooperation with the sheath. The expandable sheath comprises opposing walls in hinged engagement. When the screw is inserted into in the sheath, the walls pivot outwardly about a distal hinge to compress a tissue graft against the bone hole, and to lock the device therein. An optional cortical button is secured across the bone hole entrance, and tethered to the fixation device to bolster fixation.

Suture passer

A suturing device for grasping soft tissue and placing stitches in soft tissue during endoscopic procedures is described. An elongate housing with a stationary jaw and a movable jaw disposed at the distal end are configured for grasping and releasing soft tissue. A movable needle disposed within the housing is actuated to engage a length of suture and drive the suture into and through the grasped soft tissue. A suture capture member is disposed on the movable jaw and is configured to allow passage of the needle therethrough while securing a portion of the stitched length of suture.

INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare. 1. A suture snaring device , comprising:a body defining a closed loop with a terminal end and which is reconfigurable between an open configuration and a closed configuration;one or more projections aligned in apposition to one another along the closed loop proximal to the terminal end,wherein the one or more projections are urged towards one another when in the closed configuration whereby a suture length is secured therebetween.2. The device of wherein the closed loop defines an aperture in the open configuration which is sized to receive the suture length therethrough.3. The device of wherein the body is comprised of stainless steel claim 1 , carbon steel claim 1 , or beryllium copper.4. The device of wherein the one or more projections are arranged to interdigitate relative to one another when in the closed configuration.5. The device of wherein the one or more projections comprise a plurality of teeth for engaging the suture length.6. The device of wherein the closed loop is configured to close in a shearing motion when reconfiguring from the open to the closed configuration.7. The device of claim 1 , ...

BIASED WEDGE SUTURE ANCHOR AND METHOD FOR SOFT TISSUE REPAIR

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. Tension applied to one side of a suture causes the suture locking wedge to translate and rotate into a position which compresses the suture, thereby locking the suture in the anchor. A resilient or spring biasing member within the anchor device urges the suture locking wedge to compress the suture, facilitating suture locking. 1. An anchor device for repairing soft tissue with a suture , the anchor device comprising:an anchor body comprising a wall, and the wall defining a lumen through the anchor body;a suture locking wedge movably disposed at least partially within the lumen, and being in contact with the suture when the suture is extended through the anchor device and looped around the suture locking wedge such that when a tension force is applied to a tissue limb of the suture, the suture locking wedge is urged into a first position in which the suture is compressed between the suture locking wedge and a first contact location of the anchor body; anda wedge biasing member cooperatively engaged with the lumen of the anchor body and the suture locking wedge to urge the suture locking wedge to the first position.2. The anchor device of wherein the wedge biasing member comprises a resilient material.3. The anchor device of wherein the resilient material comprises a polymer.4. The anchor device of wherein the wedge biasing member comprises a spring.5. The anchor device of wherein the wedge biasing member comprises at least one arm claim 1 , the arm extending to the suture locking wedge.6. The anchor device of wherein the wedge biasing member comprises a base from which the arm extends claim 5 , and which cooperatively engages with the lumen to maintain the suture locking wedge at a first orientation relative to the anchor body.7. The anchor device of wherein the wedge biasing member further comprises a guide ...

Restricted wedge suture anchor and method for soft tissue repair

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. Tension applied to one side of a suture causes the suture locking wedge to move in a translational and angular dimension to a position which compresses the suture, thereby locking the suture in the anchor. The anchor body includes tracks or slots which guide the suture locking wedge from the unlocked open configuration to the locked configuration.

SYSTEMS AND METHODS FOR FACILITATING AND COORDINATING ONLINE AND OFFLINE RELATIONSHIPS

A posting module enables a user to specify information for a first date posting, including a first date venue. Optionally, a database is accessed and information related to the first date venue is received. The first date posting is optionally populated with information specified by the first user and at least a portion of the information received via the database. A search engine may identify the first date posting at least partly in response to an action of a second user, and provide the first date posting for display to the second user. A module is configured to cause an invitation control to be displayed to the second user in association with the first date posting, detect the second user activating the invitation control, and cause an invitation, to go on a date corresponding to the first date posting of the first user, to be presented to the first user. 1. A system configured to facilitate relationships , the system comprising:at least one processing device;a posting module stored in non-transitory memory and executable by the at least one processing device, the posting module configured to enable a user to specify via a first interface information for a date posting, including at least a date venue, calendar day, and time to be included in the date posting; access at least a portion of the information specified by a first user for a first date posting, including at least a first date venue specified by the first user,', 'access a database associated with the first date venue specified by the first user, or access a database associated with a third party service provider storing information related to the first date venue, or access the database associated with the first date venue specified by the first user and the database associated with a third party service provider storing information related to the first date venue;', 'receive information related to the first date venue from the database associated with the first date venue, or the database associated ...

INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare. 1. A method for tensioning suture , comprising:tensioning a first suture length coupled to a first tensioning member and a second suture length coupled to a second tensioning member by rotating a first and second tensioning members which are each positioned within or along a handle;repositioning a tensioning selector to a first position such that the first and second tensioning members are disengaged from one another; andfurther tensioning the first suture length by rotating the first tensioning member independently of the second tensioning member.2. The method of further comprising:passing said first and second suture lengths through a portion of soft tissue;passing said first and second suture lengths through one or more bone anchors;deploying the one or more bone anchors through the portion of soft tissue and into an underlying portion of adjacent bone prior to tensioning; andapproximating the portion of soft tissue to the portion of adjacent bone.3. The method of wherein tensioning further comprises simultaneously tensioning the first and second suture lengths.4. The method of wherein tensioning further ...

SYSTEMS AND METHODS FOR FACILITATING AND COORDINATING ONLINE AND OFFLINE RELATIONSHIPS

A date posting search is conducted and a first plurality of users are identified to a second user. The posting of a first user is provided to the second user in association with an invitation control. If the invitation control is activated, an invitation is presented to the first user. If the first user accepts the invitation, the second user is notified. A first calendar entry is generated for a calendar of the first user, providing the first user with access to a time and calendar day for the date, at least one image of the second user, and an identifier associated with the second user. A second calendar entry is generated for a calendar of the second user, wherein the second calendar entry provides the second user with access to the time and calendar day for the date, at least one image of the first user, and an identifier associated with the first user. 1. A matching and calendaring system , the system comprising:at least one processing device; a first date venue;', 'scheduling information for the first date;', 'an indication as to whether the first user is to cover expenses for the first date, whether a second user that agrees to be a second participant to the first date is to cover the expenses for the first date, or whether the first user and the second user will each pay for a portion of the first date;', 'an indication as to whether the first user will be accompanied by friends on the first date;, 'a posting module stored in non-transitory memory and executable by the at least one processing device, the posting module configured to enable a user to specify via a first interface information for a date posting, including at least date posting information for a first date comprisinga date posting population module, stored in non-transitory memory and executable by the at least one processing device, configured to populate the first date posting with at least one image of the first user and at least a portion of the date posting information specified by the ...

INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS

In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

SUTURE PASSER

A suturing device for grasping soft tissue and placing stitches in soft tissue during endoscopic procedures is described. An elongate housing with a stationary jaw and a movable jaw disposed at the distal end are configured for grasping and releasing soft tissue. A movable needle disposed within the housing is actuated to engage a length of suture and drive the suture into and through the grasped soft tissue. A suture capture member is disposed on the movable jaw and is configured to allow passage of the needle therethrough while securing a portion of the stitched length of suture. 1. A suturing device for use endoscopically comprising:a first and second jaw member, the first and second jaw members being disposed at a distal end of the device;a housing disposed between a handle and the first and second jaw members;a needle disposed in the housing while in a retracted position and movable between the retracted position and an extended position, the needle operable to selectively engage a length of suture; anda suture capture member disposed on one of the first and second jaw members, wherein the suture capture member comprises a first and second suture capture surface defined by first and second arms respectively, each arm operable to be elastically deflected by the needle when in the extended position, and such that a portion of the length of suture is captured between the first and second suture capture surfaces upon the needle being retracted;wherein the first and second arms further define an elongate gap between an inner surface of one of the first and second jaw members and an outer surface of the first and second arm, the first and second arms being operable to elastically deflect into the elongate gap as the needle moves to the extended position.2. The device of claim 1 , wherein the first and second suture capture surfaces are spaced away from each other defining an elongate aperture coaxial with a longitudinal axis of the suture device.3. The device of ...

Bone anchor insertion device

A bone anchor insertion device comprises a handle, a nosepiece connected to a distal end of the handle, a bone anchor connected to the nosepiece, and an actuator disposed on the handle for deploying the bone anchor, which suture is also fixed to a portion of soft tissue to be attached to a portion of bone. A suture ratchet or tensioning mechanism is disposed in the handle for tensioning suture which is associated with the bone anchor. This mechanism permits precise tensioning, while also permitting one-handed operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like.

SUTURE PASSER

A suturing device for grasping soft tissue and placing stitches in soft tissue during endoscopic procedures is described. An elongate housing with a stationary jaw and a movable jaw disposed at the distal end are configured for grasping and releasing soft tissue. A movable needle disposed within the housing is actuated to engage a length of suture and drive the suture into and through the grasped soft tissue. A suture capture member is disposed on the movable jaw and is configured to allow passage of the needle therethrough while securing a portion of the stitched length of suture.

BONE ANCHOR INSERTION DEVICE

A bone anchor insertion device comprises a handle, a nosepiece connected to a distal end of the handle, a bone anchor connected to the nosepiece, and an actuator disposed on the handle for deploying the bone anchor, which suture is also fixed to a portion of soft tissue to be attached to a portion of bone. A suture ratchet or tensioning mechanism is disposed in the handle for tensioning suture which is associated with the bone anchor. This mechanism permits precise tensioning, while also permitting one-handed operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like.

Method for soft tissue repair with free floating suture locking member

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.

Suture passer

A suturing device for grasping soft tissue and placing stitches in soft tissue during endoscopic procedures is described. An elongate housing with a stationary jaw and a movable jaw disposed at the distal end are configured for grasping and releasing soft tissue. A movable needle disposed within the housing is actuated to engage a length of suture and drive the suture into and through the grasped soft tissue. A suture capture member is disposed on the movable jaw and is configured to allow passage of the needle therethrough while securing a portion of the stitched length of suture.

METHOD FOR SOFT TISSUE REPAIR WITH FREE FLOATING SUTURE LOCKING MEMBER

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor. 1. A method for securing soft tissue to bone comprising:(a) securing a first limb of a length of suture to the soft tissue to be attached to the bone;(b) extending the length of suture into an anchor body and looping the length of suture around a suture locking member movably disposed within the anchor body and such that a second limb of the suture extends from the anchor body, the suture locking member being cooperatively engaged with the anchor body to move between an unlocked position in which the length of suture slides around the suture locking member, and a locked position in which the length of suture is compressed between a first contact surface of the suture locking member and the anchor body;(c) fixing the anchor body within the bone;(d) applying a first tension on the second limb of the length of suture such that the length of suture slides around the suture locking member so as to move the first limb of the suture and the soft tissue towards the anchor body and until a second tension on the first limb of the suture arises from the soft tissue; and(e) releasing the second limb, thereby halting the application of the first tension on the second limb such that the second tension on the first limb of the suture causes the suture locking member to move from the unlocked position to the locked position, thereby compressing the length of suture between the suture locking member and the anchor body.2. The method of wherein the second tension on the first limb arises from halting the application of the first tension on the second ...

Implant and delivery system for soft tissue repair

Implant and delivery systems for soft tissue repair which affix soft tissue portions to a region of bone are described. Generally, the assembly includes two bone anchors preloaded through an inserter handle such that each anchor is penetrated into the bone directly. The first anchor is inserted through the tissue and into the bone, where it is locked into position. The first anchor has a suture or wire that protrudes through the tissue and threads through the second anchor and is secured to a rotatable suture reel located along the handle. The second anchor is inserted through the tissue and into the bone independently of the first anchor. Once the second anchor is deployed, the suture or wire is tensioned to secure the soft tissue to the bone and a suture plug within the second anchor is deployed to lock the suture or wire in place.

FREE FLOATING WEDGE SUTURE ANCHOR FOR SOFT TISSUE REPAIR

A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor. 1. An anchor device for repairing soft tissue with a suture , comprising:an anchor body comprising a wall, and the wall defining a lumen; anda suture locking wedge movably disposed within the lumen and engaged with the wall of the anchor body such that the suture locking wedge may move with a first degree of freedom and a second degree of freedom with respect to the lumen and such that when a first tension force is applied to a tissue limb of the suture extending through the anchor body and looped around the suture locking wedge, the suture locking wedge is urged into a suture locking position in which the suture is compressed between the suture locking wedge and a first contact location of the anchor body.2. The anchor device of wherein the first degree of freedom is rotation.3. The anchor device of wherein the rotation is about an axis perpendicular to a longitudinal axis of the suture anchor device.4. The anchor device of wherein the second degree of freedom is translation in a direction parallel to the longitudinal axis.5. The anchor device of wherein said body further comprises a bone fixation structure for securing the anchor device in the bone wherein the bone fixation structure is selected from the group consisting of threads claim 1 , ridges claim 1 , barbs claim 1 , and wings.6. The anchor device of further comprising a gap between the suture locking wedge and the first contact location of the anchor body such that the suture locking wedge remains substantially free floating when not in the suture locking position.7. The ...

MICROANCHORS FOR KNOTLESS TISSUE REPAIR

A knotless anchor for attachment of tissue to bone includes a rigid anchor body and a suture extending there from. The suture is hollow and includes a fixed limb portion secured to the rigid anchor body. A soft suture tunnel extends in a longitudinal direction through the fixed limb portion of the suture. A free suture limb is passed through the tissue, back to the anchor, and through the soft suture tunnel, thereby creating a closable suture loop around the tissue. Tension applied to the free suture limb closes the suture loop, and approximates the tissue to the anchor body. When the anchor is deployed in a bone hole, external features of the anchor body grip the walls of the bone hole and simultaneously compress the suture, thereby preventing tissue pull-out. Anchor assemblies and methods of tissue fixation are also disclosed. 1. A knotless anchor for attaching a tissue to a bone , the knotless anchor comprising:a rigid anchor body comprising a proximal end, a distal end, and at least one bone locking feature for engaging an internal wall of a bone hole; anda hollow suture comprising a suture fixed limb secure to the anchor body, a suture free limb, and a length of suture extending there between wherein the suture fixed limb comprises a suture entry port, a suture exit port, and a longitudinally-disposed suture tunnel extending from the suture entry port to the suture exit port.2. The knotless anchor of wherein the at least one bone locking feature is selected from the group consisting of a barb claim 1 , ridge claim 1 , thread claim 1 , and rib.3. The knotless anchor of wherein the suture fixed limb is secure to the anchor body via bonding claim 1 , ultrasonic welding claim 1 , ultrasonic staking claim 1 , heat staking claim 1 , ultrasonic molding claim 1 , or injection molding the anchor body to the hollow suture.4. The knotless anchor of comprising a maximum number of suture limbs extending from the bone hole claim 1 , wherein the maximum number of suture limbs ...

Microanchors for knotless tissue repair

A knotless anchor for attachment of tissue to bone includes a rigid anchor body and a suture extending there from. The suture is hollow and includes a fixed limb portion secured to the rigid anchor body. A soft suture tunnel extends in a longitudinal direction through the fixed limb portion of the suture. A free suture limb is passed through the tissue, back to the anchor, and through the soft suture tunnel, thereby creating a closable suture loop around the tissue. Tension applied to the free suture limb closes the suture loop, and approximates the tissue to the anchor body. When the anchor is deployed in a bone hole, external features of the anchor body grip the walls of the bone hole and simultaneously compress the suture, thereby preventing tissue pull-out. Anchor assemblies and methods of tissue fixation are also disclosed.

TISSUE REPAIR ASSEMBLY AND SYSTEM WITH SOFT ANCHORING IMPLANT

Tissue repair systems which use knotless all-suture anchors and have the ability to lock multiple repair sutures within the anchor construct. The anchor construct includes a tension suture wrapped or looped upon itself to create an open eyelet, through which multiple repair sutures originating in soft tissue are passed. The location of the eyelet may be anywhere inside the all-suture anchor or adjacent to the exterior of the anchor body. Tensioning of the tension suture causes the eyelet to restrict movement of the repair sutures and secures them within or against the anchor body. 1. A tissue repair assembly comprising:a tubular, soft anchor body having a proximal end, a distal end, and a longitudinal axis extending therebetween;a suture coupled to the soft anchor body such that first and second ends of the suture exit the soft anchor body adjacent to the proximal end of the anchor body; andat least one loop formed by the suture, the at least one loop defining at least one opening for the passage of at least one flexible member, and wherein the at least one loop is configured to change from a first loop length to a second loop length smaller than the first loop length, the first loop length configured to permit the at least one flexible member to slide therethrough and the second loop length configured to inhibited sliding of the at least one flexible member therethrough;wherein tensioning of the first and second ends of the suture causes the anchor body to change from a first configuration, in which the anchor body is elongate, to a second configuration, in which the anchor body is axially compressed and radially extended; andwherein tensioning of the first and second ends of the suture also changes the at least one loop from the first loop length to the second loop length and thereby secures the at least one flexible member to the anchor body.2. The tissue repair assembly of claim 1 , wherein the at least one loop comprises a first loop and a second loop claim 1 , ...

ANGLED SUTURE PASSER AND METHOD OF USE THEREOF

A suture passer which is sized and shaped to be inserted through the femoral notch during a meniscal repair. The suture passer includes upper and lower jaws that may be straight or that may have an angled offset in relation to the common axis of the suture passer in order to gain an indirect access to meniscal tissue in a constricted space. The jaws of the suture passer may be angled, either to the left or to the right, up to 45 degrees from the central axis of the shaft. The suture passer is also able to grasp meniscal tissue prior to suture passing. A nitinol needle housed within one of the jaws can then be deployed to pass a preloaded suture through the tissue to be captured on the opposite side of the tissue. 1. A suture passing device comprising:a shaft having a proximal end, a distal end, and a longitudinal axis extending therebetween;a first jaw member and a second jaw member connected to the shaft distal end, the first jaw member moveable relative to the second jaw member and wherein a distal end of both first and second jaw member are curvedly or angularly laterally offset from the longitudinal axis in a first direction;a tissue penetrating member positioned substantially within and slidable through the second jaw, the tissue penetrating member including a distal portion having super-elastic properties, a distal-most portion of the tissue penetrating member further including a transverse opening configured to selectively carry a suture;wherein the tissue penetrating member is slidable between a first and a second position, wherein in the first position the distal portion of the tissue penetrating member is in a substantially stressed configuration and the distal-most portion of the tissue penetrating member is recessed within the second jaw member and wherein in the second position the distal portion of the tissue penetrating member is in a substantially curved, unstressed configuration and extended through and beyond an opening in the first jaw member at a ...

Fixation device and tissue fixation method for acl reconstruction

A tissue fixation device (400) for securing soft tissue to bone includes an expandable outer sheath (410, 420), and an inner screw (430) in threaded cooperation with the sheath. The expandable sheath comprises opposing walls (424, 426) in hinged engagement. When the screw is inserted into in the sheath, the walls pivot outwardly about a distal hinge (422) to compress a tissue graft against the bone hole, and to lock the device therein. An optional cortical button (520) is secured across the bone hole entrance, and tethered to the fixation device to bolster fixation.

Bone anchor insertion device

A bone anchor insertion device (10) comprises a handle (12), a nosepiece (14) connected to a distal end of the handle, a bone anchor connected to the nosepiece (14), and an actuator (22) disposed on the handle (12) for deploying the bone anchor, which suture is also fixed to a portion of soft tissue to be attached to a portion of bone. A suture ratchet (20) or tensioning mechanism is disposed in the handle (12) for tensioning suture which is associated with the bone anchor. This mechanism (20) permits precise tensioning, while also permitting one hand operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like.

Bone anchor insertion device

Tissue repair assembly and system with soft anchoring implant

Tissue repair systems which use knotless all-suture anchors (204) and have the ability to lock multiple repair sutures (222) within the anchor construct. The anchor construct includes a tension suture (220) wrapped or looped upon itself to create an open eyelet (218), through which multiple repair sutures (222) originating in soft tissue (224) are passed. The location of the eyelet (218) may be anywhere inside the all-suture anchor (204) or adjacent to the exterior of the anchor body. Tensioning of the tension suture (220) causes the eyelet (218) to restrict movement of the repair sutures (222) and secures them within or against the anchor body.

Bone anchor insertion device

A bone anchor insertion device comprises a handle, a nosepiece connected to a distal end of the handle, a bone anchor connected to the nosepiece, and an actuator disposed on the handle for deploying the bone anchor, which suture is also fixed to a portion of soft tissue to be attached to a portion of bone. A suture ratchet or tensioning mechanism is disposed in the handle for tensioning suture which is associated with the bone anchor. This mechanism permits precise tensioning, while also permitting one-handed operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like.

Tissue repair assembly and system with soft anchoring implant

Vorrichtung zur einführung eines knochenankers

Angled suture passer and method of use thereof

A suture passer which is sized and shaped to be inserted through the femoral notch during a meniscal repair. The suture passer includes upper and lower jaws that may be straight or that may have an angled offset in relation to the common axis of the suture passer in order to gain an indirect access to meniscal tissue in a constricted space. The jaws of the suture passer may be angled, either to the left or to the right, up to 45 degrees from the central axis of the shaft. The suture passer is also able to grasp meniscal tissue prior to suture passing. A nitinol needle housed within one of the jaws can then be deployed to pass a preloaded suture through the tissue to be captured on the opposite side of the tissue.

Systems and methods for hydrogen energy and energy aggregation

A hydrogen storage assembly includes an enclosure substantially encompassing an electrolyzer, a hydrogen storage system, a hydrogen fuel cell, an electrochemical energy storage module, a power conversion system, and a control system. The electrolyzer is configured to separate, via electrolysis, water into hydrogen gas that is stored in the hydrogen storage system; the hydrogen fuel cell is configured to convert the stored hydrogen gas into electrical energy and water. The electrochemical energy storage module is configured to function as an energy buffer; the power conversion system is configured to convert the produced electrical energy to a desired form. The control system is configured to to control the storage and distribution of the stored hydrogen and electrical energy in an optimized manner to achieve predefined financial and energy-use objectives.

Angled suture passer and method of use thereof

A suture passer which is sized and shaped to be inserted through the femoral notch during a meniscal repair. The suture passer includes upper and lower jaws that may be straight or that may have an angled offset in relation to the common axis of the suture passer in order to gain an indirect access to meniscal tissue in a constricted space. The jaws of the suture passer may be angled, either to the left or to the right, up to 45 degrees from the central axis of the shaft. The suture passer is also able to grasp meniscal tissue prior to suture passing. A nitinol needle housed within one of the jaws can then be deployed to pass a preloaded suture through the tissue to be captured on the opposite side of the tissue.

Tissue repair assembly and system with soft anchoring implant

Tissue repair systems which use knotless all-suture anchors and have the ability to lock multiple repair sutures within the anchor construct. The anchor construct includes a tension suture wrapped or looped upon itself to create an open eyelet, through which multiple repair sutures originating in soft tissue are passed. The location of the eyelet may be anywhere inside the all-suture anchor or adjacent to the exterior of the anchor body. Tensioning of the tension suture causes the eyelet to restrict movement of the repair sutures and secures them within or against the anchor body.

Suture passers

Suture passers

Suture pulling devices are disclosed which are adapted to lock onto a target tissue by use of a pair of jaws and pull a strand of suture through the target tissue so that without opening the closed jaws, the strand of suture has been pulled through the tissues but maintained within the volume defined by the pair of jaws.