Seal Assembly For A Cannula

The present disclosure relates to a seal assembly for a cannula. The cannula includes a housing having a proximal portion and a distal portion. The seal assembly is located in the proximal portion of the housing and includes a first seal including a first tri-slit, a second seal disposed co-axially and proximal to the first seal and including a second tri-slit, and a third seal disposed co-axially to the first seal and the second seal and including a central opening. A cap is coupled to the proximal portion of the housing and adjacent the third seal and includes a plurality of suture retaining features, such as tabs, for management of sutures during surgery. Fluid leakage out of the cannula, during surgery, is substantially reduced due to the leakage being limited to a channel defined by the first tri-slit, the second tri-slit, and the central opening.

Seal Assembly For A Cannula

The present disclosure relates to a seal assembly for a cannula. The cannula includes a housing having a proximal portion and a distal portion. The seal assembly is located in the proximal portion of the housing and includes a first seal including a first tri-slit, a second seal disposed co-axially and proximal to the first seal and including a second tri-slit, and a third seal disposed co-axially to the first seal and the second seal and including a central opening. A cap is coupled to the proximal portion of the housing and adjacent the third seal and includes a plurality of suture retaining features, such as tabs, for management of sutures during surgery. Fluid leakage out of the cannula, during surgery, is substantially reduced due to the leakage being limited to a channel defined by the first tri-slit, the second tri-slit, and the central opening. 1. A seal assembly for a cannula , the cannula comprising a housing having a proximal portion and a distal portion , the seal assembly comprising:a first seal including a first tri-slit;a second seal disposed co-axially and proximal to the first seal, the second seal including a second tri-slit; anda third seal disposed co-axially and proximal to the first seal and the second seal, the third seal including a central opening,wherein the seal assembly is located in the proximal portion of the housing.2. The seal assembly of further comprising a cap coupled to the proximal portion of the housing and adjacent to the third seal.3. The seal assembly of wherein the cap comprises a plurality of suture retaining features for management of sutures during a surgery.4. The seal assembly of wherein the suture retaining features comprise tabs.5. The seal assembly of further comprising a space located between the second seal and the third seal.6. The seal assembly of wherein the first tri-slit and the second tri-slit are offset by an angle α.7. The seal assembly of wherein the angle α is about 180°.8. The seal assembly of wherein ...

Adjustable cannula

A cannula having a tubular body having a proximal end and a distal end and a central axis defined therethrough, a first protruding member coupled to a first region of the tubular body, and a second protruding member coupled to a second region of the tubular body. Further, the tubular body has a bore formed therethrough. Each of the first protruding member and the second protruding member are coupled to an outer surface of the tubular body. Finally, a length of the tubular body is adjustable along the central axis.

FLAT SUTURE ANCHOR

A suture anchor for anchoring a suture to a bone, including a distal end having a bifurcated tip, in which the bifurcated tip defines a suture-engaging slot, a proximal end, a longitudinal axis between the distal end and the proximal end, and two substantially flat surfaces extending between the distal end and the proximal end, in which the two substantially flat surfaces are substantially parallel, in which the two substantially flat surfaces are separated by a thickness of no more than about 0.1 inches, and in which the two substantially flat surfaces extend along an axis perpendicular to the longitudinal axis by a width of no more than about 0.4 inches. 1. A suture anchor , comprising:a distal end having a bifurcated tip;wherein the bifurcated tip defines a suture-engaging slot;a proximal end;a longitudinal axis between the distal end and the proximal end; andtwo substantially flat surfaces extending between the distal end and the proximal end,wherein the two substantially flat surfaces are substantially parallel,wherein the two substantially flat surfaces are separated by a thickness of no more than about 0.1 inches,wherein the two substantially flat surfaces extend along an axis perpendicular to the longitudinal axis by a width of no more than about 0.4 inches.2. The suture anchor of claim 1 , further comprising a transverse opening between the two substantially flat surfaces claim 1 , the transverse opening configured for holding at least one suture.3. The suture anchor of claim 1 , wherein the thickness defines two exterior edges extending along the longitudinal axis claim 1 , and further comprising a plurality of retention barbs disposed along the two exterior edges and configured to retain the suture anchor in a bone.4. The suture anchor of claim 1 , further comprising a driving surface disposed on the proximal end and configured to receive an insertion force along the longitudinal axis.5. The suture anchor of claim 1 , wherein the ratio of the thickness to ...

ANCHOR

The present disclosure relates to an anchor. The anchor includes an outer member including a body having an inner cavity, wherein the inner cavity includes a proximal portion configured for receipt of a delivery device and a distal portion having area of increased diameter. The anchor also includes an inner member coupled to the outer member, wherein the inner member includes a proximal portion having a projection configured for receipt in the area of increased diameter and a distal portion having a transverse through hole. A delivery device and method for tissue repair are also disclosed. 110-. (canceled)11. A delivery device comprising:an inner shaft including a proximal portion and a distal portion;a first handle coupled to the proximal portion of the inner shaft;an outer shaft slidably engaged with the inner shaft and including a proximal portion and a distal portion; anda second handle coupled to the proximal portion of the outer shaft.12. The delivery device of further comprising an anchor comprising:an outer member including a body having an inner cavity, the inner cavity including a proximal portion configured for receipt of the outer shaft of the delivery device and a distal portion having area of increased diameter; andan inner member coupled to the outer member, the inner member including a proximal portion having a projection configured for receipt in the area of increased diameter and a distal portion having a transverse through hole wherein the outer member rotates relative to the inner member.13. The delivery device of wherein the proximal portion of the inner member includes an opening configured for receipt of the inner shaft of the delivery device.14. A method of tissue repair comprising:inserting a first anchor into bone, the first anchor having a flexible member coupled thereto;passing the ends of the flexible member through the tissue;providing a second anchor comprising an outer member including a body having an inner cavity, the inner cavity ...

FLAT SUTURE ANCHOR

A suture anchor for anchoring a suture to a bone, including a distal end having a bifurcated tip, in which the bifurcated tip defines a suture-engaging slot, a proximal end, a longitudinal axis between the distal end and the proximal end, and two substantially flat surfaces extending between the distal end and the proximal end, in which the two substantially flat surfaces are substantially parallel, in which the two substantially flat surfaces are separated by a thickness of no more than about 0.1 inches, and in which the two substantially flat surfaces extend along an axis perpendicular to the longitudinal axis by a width of no more than about 0.4 inches. 124-. (canceled)25. A method of inserting a suture anchor , comprising: providing a suture anchor having two substantially flat surfaces and a bifurcated tip; mechanically engaging a suture with the suture anchor; and inserting the suture anchor into a bone , wherein the bifurcated tip comprises two sharpened points for insertion into the bone.26. The method of claim 25 , wherein mechanically engaging the suture with the suture anchor comprises passing the suture through a transverse opening between the two substantially flat surfaces of the suture anchor.27. The method of claim 25 , wherein mechanically engaging the suture with the suture anchor comprises passing the suture through a suture-engaging slot defined by the bifurcated tip.28. The method of claim 27 , wherein mechanically engaging the suture with the suture anchor further comprises tying a knot in the suture claim 27 , wherein the knot is too large to pass through the suture-engaging slot defined by the bifurcated tip.29. The method of claim 25 , wherein inserting the suture anchor into the bone comprises providing an impact force on a driver rod in mechanical engagement with the suture anchor.30. A method of anchoring a suture claim 25 , comprising: passing a first portion of the suture through a transverse opening of a first suture anchor claim 25 , ...

FLEXIBLE ANCHOR DELIVERY SYSTEM

An assembly includes a flexible fixation member, a suture, and a delivery device. The flexible fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. 1. An assembly comprising:a flexible fixation member comprising a body having two terminal ends;a suture passing through the flexible fixation member at various points along a length of the body between the terminal ends such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site; anda delivery device comprising:a tubular member;an elongated inserter slidably disposed within the tubular member, the inserter comprising a forked distal end and a proximal end, the forked distal end configured to receive a portion of the flexible fixation member and the suture therein; anda finger-engageable trigger fixedly coupled to the proximal end of the inserter and configured to advance and retract the inserter relative to the tubular member, the trigger comprising a retention member for retaining a proximal end portion of the suture.2. The assembly of claim 1 , wherein the delivery device further comprises a handle to which the trigger is slidably coupled.3. The assembly of claim 2 , wherein the ...

SUTURE ANCHOR WITH DEFORMABLE CAP

An expanding suture anchor in which a distal end of the rigid anchor body includes at least one annular protrusion. A mating deformable cap includes at least one annular slot or ridge that engages the annular protrusion such that the annular slot and annular protrusion are coupled when the deformable cap is pushed or pulled onto the rigid anchor body. The engagement of the annular slot and the annular protrusion may lock the deformable cap and rigid anchor body into a mated position and inhibits distal retraction of the deformable cap from the anchor body. 1. A suture anchor comprising:a cannulated, rigid anchor body comprising a proximal portion, a distal portion, and a longitudinal axis extending between the proximal and distal portions, the distal portion further comprising a second portion distal to a first portion, the second portion including at least one lateral protrusion; and a cavity having a diameter larger than a diameter of the second portion of the distal end of the anchor body and smaller than a diameter of the first portion of the distal end of the anchor body; and', 'at least one slot formed through a lateral surface of the deformable cap, the at least one slot dimensioned to receive at least a portion of the at least one lateral protrusion of the anchor body;, 'a deformable cap comprisingwherein, upon proximal advancement of the deformable cap with respect to the distal end of the anchor body, the deformable cap expands radially outward to accommodate at least the second portion of the distal end of the anchor body such that the at least one lateral protrusion is received within the at least one slot and inhibits distal retraction of the deformable cap from the anchor body.2. The suture anchor of claim 1 , wherein the anchor body comprises at least one transverse projection formed integrally with the anchor body.3. The suture anchor of claim 1 , wherein the deformable cap comprises a tapered distal end.4. The suture anchor of claim 1 , wherein the ...

SUTURE PASSER

The present disclosure concerns a surgical instrument for manipulating suture. In particular, the present disclosure relates to an instrument for passing suture through tissue. There is described a surgical instrument having a shaft and a handle connected to the proximal end of the shaft. The shaft is formed from a tubular member having a proximal end and a distal end, with a lumen extending between the proximal and distal ends, and a tip distal to the tubular member. The shaft also includes a distal portion having an opening in a sidewall, proximal to the tip. The opening is in communication with the lumen through a side channel. The instrument further includes a suture snare, the snare being slidably receivable within the lumen and side channel, and movable between extended and retracted positions for capturing suture. 1. A surgical instrument comprising:a shaft, comprising a tubular member having a proximal end and a distal end, a lumen extending between the proximal and distal ends, and a tip distal to the tubular member; anda handle connected to the proximal end of the shaft;wherein the shaft includes a distal portion having an opening in a sidewall thereof, proximal to the tip, the opening in communication with the lumen through a side channel; andwherein the instrument further comprises a suture snare, the snare being slidably receivable within the lumen and side channel, and movable between extended and retracted positions for capturing suture.2. An instrument according to claim 1 , wherein the side channel is angled relative to the lumen axis.3. An instrument according to claim 1 , wherein the side channel includes at least one bend.4. An instrument according to claim 1 , wherein the side channel is curved claim 1 , or is curved and includes at least one bend.5. An instrument according to claim 1 , wherein the distal portion of the shaft is curved.6. An instrument according to claim 1 , wherein the distal portion of the shaft is bent claim 1 , or comprises ...

Fenestrated locking suture anchor assembly

The technology includes an anchor assembly for tissue repair having an open helical coil sleeve and a tip structure. The tip structure includes an aperture for passing a suture and a suture capture member for capturing a suture. The technology also includes an anchor driver for installing an anchor into bone. The anchor driver includes an outer shaft and a sleeve advancement member for advancing the sleeve as well as an inner shaft and a suture capture advancement member for advancing the suture capture member. The technology also includes a system for tissue repair having an anchor assembly and an anchor driver for installing the anchor assembly into bone.

TISSUE REPAIR DEVICES

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity; and a headless insertion member configured for arrangement within the anchor cavity, the insertion member including a body having a threaded proximal portion, a non-threaded distal portion, and a cannulation extending a partial length of the insertion member. Other anchor assemblies, anchors, and delivery devices are also disclosed. 117-. (canceled)18. An anchor assembly comprising:an anchor body defining a cavity extending from a proximal end of the anchor, a plurality of wings extending from an outer surface of the body, a tapered distal end and a through hole intersecting the cavity so as to define first and second openings on opposing sides of the cavity; anda headless insertion member including a cannulation extending a substantial length of the insertion member and threads located along an outer surface of the insertion member extending from an insertion member proximal end; and the anchor cavity includes threads that extend along a length of the cavity, wherein the insertion member threads and cavity threads are configured to engage each other and move the insertion member so as to cover the first and second openings when the insertion member is located in a suture fixation position, and wherein the anchor assembly is configured for a suture to be inserted into the through hole, the insertion member disposed within the cavity and proximal the through hole during placement of the suture within the through hole.19. The anchor assembly of wherein slots extend an entire distance between each of the openings of the through holes and a proximal end of the anchor.20. The anchor assembly of wherein the cannulation is triangular-shaped.21. The anchor assembly of wherein the cavity defines a square-shaped proximal portion claim 18 , larger in cross section than a cavity distal portion.22. The anchor assembly of wherein a proximal ...

FLEXIBLE ANCHOR DELIVERY SYSTEM

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. 122-. (canceled)23. A surgical assembly comprising:a flexible fixation member comprising a body formed b two legs and a U-shaped bend joining the two legs;a suture passing through a plurality of openings in the fixation member along a length of the body between the two terminal ends such that portions of the fixation member are slidable relative to the suture; anda delivery device comprising an elongated member including a forked distal end and a finger-engageable member coupled to the proximal end, the forked distal end configured to receive the portions of the fixation member and the suture therein;wherein the finger-engageable member includes a groove defined on a surface of the finger-engageable member for capturing a portion of the suture within the groove; andwherein the fixation member is configured to form an anchor within a surgical site when the suture is tensioned.24. The surgical assembly of claim 23 , wherein the fixation member comprises suture claim 23 , tape claim 23 , braid or mesh.25. The surgical assembly of claim 23 , wherein the suture extends ...

FLEXIBLE ANCHOR DELIVERY SYSTEM

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. 122-. (canceled)23. A surgical assembly comprising:a flexible fixation member comprising a body;a suture passing through the flexible fixation member at various points along a length of the body such that portions of the flexible fixation member are slidable relative to the suture and configurable to form an anchor within a surgical site; and an inserter comprising a forked distal end and a proximal end, the forked distal end configured to receive a portion of the flexible fixation member and the suture therein; and', 'a finger engageable member coupled to the proximal end, a surface of the finger-engageable assembly defining at least one groove for retaining a portion of the suture therein., 'a delivery device comprising24. The surgical assembly of claim 23 , wherein the suture comprises a size 2 suture.25. The surgical assembly of claim 23 , wherein the anchor is in the form of a cluster or bunch including a plurality of folds.26. The surgical assembly of claim 23 , wherein the portion of the flexible fixation member received within the forked distal end comprises a ...

ANCHOR ASSEMBLY

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. The insertion member includes a body having a proximal end portion and a flat distal end portion, and a head coupled to the proximal end portion of the body. A method of tissue repair and other anchor assemblies are also disclosed. 112-. (canceled)13. A method of tissue repair comprising:inserting a first anchor into bone, the first anchor having a flexible member coupled thereto;passing ends of the flexible member through the tissue;providing a second anchor defining a cavity and an opening to the cavity and a transverse through hole extending through the anchor;passing at least one end of the flexible member through the through hole of the second anchor;placing the second anchor into bone;providing an insertion member including a body having a proximal end portion and a flat distal end portion, and a head coupled to the proximal end portion of the body; andplacing the insertion member within the anchor cavity of the second anchor to secure the flexible member in the through hole and the tissue to the bone.14. The method of further comprising tensioning the flexible member before placing the insertion member within the anchor cavity.15. The method of further comprising moving the insertion member away from the through hole claim 13 , tensioning the flexible member claim 13 , and moving the insertion member back toward the through hole to resecure the flexible member in the through hole.1617-. (canceled)18. The method of wherein the second anchor includes protrusions claim 13 , the protrusions creating paths in a wall of the bone when the second anchor is inserted into the bone.19. The method of wherein the paths allow the flexible member to slide through the second anchor when the second anchor is located in the bone.2021-. (canceled) This application ...

FLEXIBLE ANCHOR DELIVERY SYSTEM

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. 122-. (canceled)23. A method of deploying a fixation member in bone , the method comprising: a flexible fixation member comprising a body having two terminal ends;', 'a suture passing through the flexible fixation member along a length of the body and between the two terminal ends such that portions of the flexible fixation member are slidable relative to the suture and configurable to form an anchor within the bone hole; and', 'a delivery device comprising an elongated member including a distal end and a proximal end, the distal end configured to receive portions of the flexible fixation member and the suture therein;, 'delivering a surgical assembly to a surgical site including a bone hole, the surgical assembly comprisinginserting the elongated member to position the flexible fixation member within the bone hole;while the elongated member is inserted into or against the bone hole, tensioning the suture against the distal end of the elongated member to form the anchor within the bone hole; andretracting the elongated member from the bone hole.24. The method of claim ...

Anchor

The present disclosure relates to an anchor. The anchor includes an outer member including a body having an inner cavity, wherein the inner cavity includes a proximal portion configured for receipt of a delivery device and a distal portion having area of increased diameter. The anchor also includes an inner member coupled to the outer member, wherein the inner member includes a proximal portion having a projection configured for receipt in the area of increased diameter and a distal portion having a transverse through hole. A delivery device and method for tissue repair are also disclosed.

WINDOWED INSTRUMENT DRILL GUIDE AND CORRESPONDING FRICTION REDUCING INSTRUMENT

In a first embodiment, an instrument guide includes an elongate guide body extending between a proximal end and a distal end, wherein a portion of the guide body extending proximally from the distal end is generally arcuate. The instrument guide further includes a rigid tip extending generally linearly from the distal end of the guide body. The rigid guide further includes a cannulation formed in the guide body and extending continuously from the proximal end of the guide body to a distal terminus of the tip. The cannulation can be approximately uniform in diameter. The instrument guide further includes a cut-out region, different from the guide body cannulation, extending along at least a portion of an inner radial surface of the arcuate body portion and intersecting the guide body cannulation. 1. An instrument guide , comprising:an elongate guide body extending between a proximal end and a distal end, wherein a portion of the guide body extending proximally from the distal end is generally arcuate;a cannulation formed in the guide body and extending continuously from the proximal end of the guide body to a distal terminus of the tip, wherein the cannulation is approximately uniform in diameter; anda cut-out region, different from the guide body cannulation, extending along at least a portion of an inner radial surface of the arcuate body portion and intersecting the guide body cannulation.2. The instrument guide of claim 1 , further comprising a rigid tip extending generally linearly from the distal end of the guide body.3. The instrument guide of claim 1 , wherein the cut-out region is a rectangular slot.4. The instrument guide of claim 1 , wherein the cut-out region is configured to enable a portion of a rigid instrument to extend or protrude beyond an inner diameter of guide as defined by the cannulation while traversing the arcuate portion of guide.5. The instrument guide of claim 4 , wherein the cut-out region constrains the rigid instrument from protruding ...

DISTAL TIP TWO PIECE EXTERNAL EXPANSION ANCHOR

Examples of a suture anchor () having a non-expandable body () and expendable cap () are described herein. In response to an axial insertion force that brings the non-expandable body and expendable cap together inside a bone hole, the expendable cap expands radially. This creates a radial force of expansion that advantageously augments an interference fit between the suture anchor and bone hole, which leads to higher fixation strength. Other examples include retention features that inhibit the expendable cap from returning back into its unexpanded state. This advantageously maintains the radial force of expansion against the surrounding pressure of the walls of the bone hole pressing back on the suture. 1. A suture anchor comprising: a distal end having a first portion and a second portion;', 'a proximal end configured to engage a suture anchor insertion instrument;', 'a plurality of projections extending, radially, from an outer surface extending between the distal end and proximal end, the plurality of projections configured to compress into bone;, 'a cannulated non-expandable body comprisingan expandable cap defining a cavity configured to engage the distal end of the cannulated non-expandable body, the cavity having a diameter larger than the first portion and smaller than the second portion that allows the expandable cap to expand radially outward and compress into the bone during engagement of the distal end of the cannulated non-expandable body and the expandable cap; anda suture extending from the cavity of the expandable cap and slidably received within the cannulation of the non-expandable body.2. The suture anchor of wherein the distal end is a truncated conical section comprising a first diameter and a second diameter larger than the first diameter.3. The suture anchor of wherein the first portion of the distal end does not engage a surface of the cavity; and the wherein the second portion of the distal end engages the surface of the cavity.4. The suture ...

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

Meniscal repair devices, systems, and methods are provided. 118-. (canceled)19. A surgical system , comprising:an implant having an open proximal end and having an external thread;a driver including a distal portion configured to extend through the open proximal end of the implant to mate the implant to the driver, the driver being configured to rotate to drive the implant when mated thereto through tissue to move the implant from being located entirely within a first cavity on one side of a tissue to being located entirely within a second cavity on an opposite side of the tissue, and the driver being configured to be withdrawn from the implant to leave the implant entirely within the second cavity;a first suture attached to the implant, the first suture including a noose; anda second suture including a knot coupled to the noose at a swivel coupling that couples the first and second sutures together, the swivel coupling being configured to allow the driver to rotate the implant and the first suture relative to the second suture.20. The system of claim 19 , wherein the implant has a pointed distal tip and is non-cannulated.21. The system of claim 19 , wherein the implant has an inner lumen extending therethrough such that the implant is cannulated claim 19 , and the driver has a pointed distal tip that is located distal to the implant when the implant is mated to the driver.22. The system of claim 19 , wherein the second suture is configured to extend from the first cavity to the second cavity in response to the implant being moved to the second cavity.23. The system of claim 22 , further comprising a second implant having the second suture coupled thereto claim 22 , the rotation of the driver to drive the implant not rotating the second implant.24. A surgical system claim 22 , comprising:an implant having a distal end, an open proximal end, an indented intermediate portion located between the distal and proximal ends and extending circumferentially around the ...

THREADED SUTURE ANCHOR

The present disclosure relates to a suture anchor. The suture anchor includes a body having a proximal end and a distal end, the body including threads along at least a partial length of the body and at least one through hole, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape. Delivery devices and anchor dilators are also disclosed. 16-. (canceled)7. An assembly comprising:an inserter comprising an elongate shaft having a proximal end, a distal end, and a longitudinal cannulation extending between the proximal end and the distal end, a size and shape of the distal end of the shaft being different than a size and shape of the proximal end of the shaft; an anchor body including a proximal end, a distal end, and a longitudinal axis extending between the proximal and distal ends, the anchor body including threads extending along at least a partial length of the body such that a portion of the distal end is not threaded, the body defining a cannulation extending from the proximal end of the anchor body configured to receive the distal end of the shaft;', 'at least one through hole oriented transverse to the longitudinal axis of the body and intersecting the cannulation of the anchor body; and', 'a suture bridge formed within the anchor body distal to the at least one through hole; and, 'an anchor comprisinga flexible member extending around a distal end of the suture bridge and through the cannulation of the anchor body;wherein the size and shape of the distal end of the shaft corresponds to a size and shape of the cannulation of the anchor body to allow for torque to be applied to the anchor when the anchor is inserted into bone.8. The assembly of claim 7 , wherein the distal end of the shaft includes at least one projection for mating with at least one recess in the anchor body.9. The assembly ...

Flexible anchor delivery system

An assembly includes a flexible fixation member, a suture, and a delivery device. The flexible fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.

LOCKING SUTURE ANCHOR DELIVERY DEVICE

A suture anchor delivery device includes a handle and first and second knobs coupled to the handle. A shaft is coupled to the handle and the shaft includes an outer member, an inner member disposed within the outer member and a driver disposed within the inner member. 1. An anchor delivery device , comprising:a handle;a first knob coupled to the handle;a second knob coupled to the handle; and an outer member;', 'an inner member disposed within the outer member; and', 'a driver disposed within the inner member., 'a shaft coupled to the handle, the shaft including2. The anchor delivery device of claim 1 , wherein a proximal portion of the driver is coupled to the second knob and a proximal portion of the outer member is coupled to the first knob.3. The anchor delivery device of claim 1 , further comprising:a sleeve coupled to the outer member;an anchor coupled to the inner member; andan insertion member, disposed within the anchor, the insertion member coupled to the driver.4. The anchor delivery device of claim 3 , wherein the insertion member is inserted in a cavity of the anchor.5. The anchor delivery device of claim 2 , further comprising:a movable member coupling the first knob to the driver proximal portion.6. The delivery device of claim 5 , wherein the movable member includes a distal portion claim 5 , a proximal portion and a cannulation.7. The delivery device of claim 6 , wherein the movable member proximal portion includes threads on its outer surface.8. The delivery device of claim 7 , wherein the movable member is located in the handle cavity.9. The delivery device of claim 8 , wherein the handle cavity comprises:a handle cavity distal portion and a handle cavity proximal portion; andthreads disposed on the handle cavity proximal portion configured to couple to the outer surface threads.10. A suture anchor delivery device claim 8 , comprising:a handle defining a cavity; a shaft outer member;', 'a shaft inner member disposed within the shaft outer member; ...

Knotless suture anchor with breakaway tip

A one-piece knotless suture anchor with a breakaway distal tip is disclosed. The suture anchor includes a thin section connecting a distal anchor portion and proximal anchor portion. The thin section has a cutaway geometry allowing it to break in a repeatable manner. Force from a driver breaks the thin section connecting the distal and proximal anchor portions. The proximal anchor portion slides distally over the elongated member (either distal or proximal to the distal eyelet) and a repair suture is pinched between the distal and proximal anchor portions, or in between the bone tunnel walls and outer diameter of the sleeve, thereby fixing the repair suture in place without tying an arthroscopic knot.

FENESTRATED LOCKING SUTURE ANCHOR ASSEMBLY

The technology includes an anchor assembly for tissue repair having an open helical coil sleeve and a tip structure. The tip structure includes an aperture for passing a suture and a suture capture member for capturing a suture. The technology also includes an anchor driver for installing an anchor into bone. The anchor driver includes an outer shaft and a sleeve advancement member for advancing the sleeve as well as an inner shaft and a suture capture advancement member for advancing the suture capture member. The technology also includes a system for tissue repair having an anchor assembly and an anchor driver for installing the anchor assembly into bone. 1. An anchor comprising: at least one open helical coil having a proximal end and a distal end wherein the at least one open helical coil defines an internal volume communicating with a region exterior to the at least one open helical coil through a spacing between turns of the at least one open helical coil, and;', 'at least one rib disposed within the internal volume, connected to at least two turns of the at least one open helical coil, wherein the at least one rib is engageable with a grooved shaft of an anchor driver;, 'a sleeve comprising [ a distal region defining an aperture sized to accept a suture, wherein the aperture is connected to the longitudinal internal cavity, and;', 'a proximal region sized to engage the distal end of the sleeve; and, 'a body defining an internal cavity comprising, 'a suture capture member positioned within the internal cavity and advanceable distally through the internal cavity into the aperture to capture the suture in a locked position., 'a tip structure engageable with the sleeve comprising2. The anchor of claim 1 , wherein the at least one open helical coil is a dual lead helical coil.3. The anchor of claim 1 , further comprising one or more structural supports disposed between and connected to at least a two distalmost turns of the at least one open helical coil.4. The ...

FENESTRATED LOCKING SUTURE ANCHOR ASSEMBLY

The technology includes an anchor assembly for tissue repair having an open helical coil sleeve and a tip structure. The tip structure includes an aperture for passing a suture and a suture capture member for capturing a suture. The technology also includes an anchor driver for installing an anchor into bone. The anchor driver includes an outer shaft and a sleeve advancement member for advancing the sleeve as well as an inner shaft and a suture capture advancement member for advancing the suture capture member. The technology also includes a system for tissue repair having an anchor assembly and an anchor driver for installing the anchor assembly into bone. 1. A surgical anchor assembly , comprising:a sleeve comprising:a proximal end, a distal end, and a longitudinal axis extending therebetween;a cannulation extending along the longitudinal axis between the proximal and distal ends; anda first engagement feature formed in the cannulation at the distal end of the sleeve;a tip comprising a first portion having a second engagement feature formed on an outer surface of the first portion and engageable with the first engagement feature, and a second portion defining an eyelet for passage of a flexible member, a distal terminus of the second portion defining a flat end; anda cannulated fixation member having at least a portion that is proximal to the eyelet.2. The surgical anchor assembly of claim 1 , wherein when the tip and the sleeve are connected via a stop mechanism preventing relative rotation therebetween.3. The surgical anchor assembly of claim 1 , wherein the second portion of the tip is configured to remain outside of and extend away from the distal end of the sleeve.4. The surgical anchor assembly of claim 1 , wherein an exterior surface of the sleeve comprises a third engagement feature for engaging a bone hole.5. The surgical anchor assembly of claim 4 , wherein an exterior surface of the cannulated fixation member comprises a fourth engagement feature that ...

Tenodesis Implant

The present disclosure relates to a two-piece implant. The implant includes a first piece having at least two prongs and a protrusion located between the prongs and a second piece coupled to the first piece, wherein the second piece is configured to rotate relative to the first piece. A method of tissue repair is also disclosed. 16-. (canceled)7. A method of tissue repair comprising:preparing a hole in a bone;placing a soft tissue over the hole;providing a two-piece implant including a first piece having at least two prongs and a protrusion located between the prongs and a second piece coupled to the first piece; andinserting the implant into the hole such that the implant advances the soft tissue into the hole.8. The method of wherein the soft tissue is advanced into the hole such that the protrusion of the first piece engages the soft tissue and the second piece is rotated relative to the first piece to advance the implant and the soft tissue into the hole.9. The method of wherein the implant includes a transverse opening located between the protrusion and a top surface of the first piece.10. The method of wherein at least one flexible member is disposed within the transverse opening.11. The method of further comprising placing ends of the at least one flexible member around the soft tissue before inserting the implant into the hole.12. The method of wherein the at least one flexible member is used to couple the implant to a delivery device.13. The implant of wherein each of the at least two prongs include at least one radially-extending barb claim 8 , the barb engaging the bone when the implant is advanced into the hole.14. The implant of wherein the second piece includes threads on an outer surface of the second piece claim 8 , the threads allowing for rotation of the second piece and advancement of the implant into the hole. This application claims priority to U.S. Patent Application No. 61/097,885 filed on Sep. 18, 2008, the disclosure of which is incorporated ...

Anchor Assembly

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. The insertion member may include a body having a proximal end portion and a flat distal end portion. A method of tissue repair and other anchor assemblies are also disclosed. 1. An anchoring system comprising: [ a proximal end positioned along the longitudinal axis,', 'a distal end positioned along the longitudinal axis and opposite from the proximal end,', 'a cavity positioned along the longitudinal axis between the proximal end and the distal end,', 'an opening to the cavity at the proximal end of the anchor body, and', 'a transverse hole into the cavity, wherein the transverse hole includes a proximal edge and a distal edge, and wherein the cavity extends distal of the distal edge of the transverse hole and proximal of the proximal edge of the transverse hole, and, 'an anchor body comprising, 'an insertion member with an end having a substantially flat profile sized and configured to be moved within the cavity such that the insertion member, as measured from the substantially flat profile to another point along the insertion member, covers the transverse hole from a point proximal of the proximal edge of the transverse hole to a point distal of the distal edge of the transverse hole; and, 'an anchor with a longitudinal axis extending along a length of the anchor, the anchor comprisinga delivery device configured to couple with the anchor and move the insertion member relative to the anchor body along the longitudinal axis.2. The anchoring system of wherein the transverse hole into the cavity goes through each side of the anchor body and goes through the cavity between each side of the anchor body.3. The anchoring system of wherein an interior portion of the cavity in the anchor body includes ridges.4. The anchoring system of wherein the ridges are ...

Tissue Repair Devices

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. Other anchor assemblies, anchors, and delivery devices are also disclosed. 1. An anchoring system comprising: [ a proximal end positioned along the longitudinal axis,', 'a distal end positioned along the longitudinal axis and opposite from the proximal end,', 'a cavity positioned along the longitudinal axis between the proximal end and the distal end,', 'an opening to the cavity at the proximal end of the anchor body, and', 'a transverse hole into the cavity, wherein the transverse hole includes a proximal edge and a distal edge, wherein there are ridges on an interior portion of the cavity at substantially the same longitudinal location as the transverse hole, and wherein the cavity extends distal of the distal edge of the transverse hole and proximal of the proximal edge of the transverse hole, and, 'an anchor body comprising, 'an insertion member with an end having a substantially flat profile sized and configured to be moved within the cavity such that the insertion member, as measured from the substantially flat profile to another point along the insertion member, covers the transverse hole from a point proximal of the proximal edge of the transverse hole to a point distal of the distal edge of the transverse hole; and, 'an anchor with a longitudinal axis extending along a length of the anchor, the anchor comprisinga delivery device configured to couple with the anchor and move the insertion member relative to the anchor body along the longitudinal axis.2. The anchoring system of wherein the transverse hole into the cavity goes through each side of the anchor body and goes through the cavity between each side of the anchor body.3. The anchoring system of wherein the ridges are formed by threads within the cavity.4. The anchoring system of wherein ...

THREADED SUTURE ANCHOR

The present disclosure relates to a suture anchor. The suture anchor includes a body having a proximal end and a distal end, the body including threads along at least a partial length of the body and at least one through hole, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape. Delivery devices and anchor dilators are also disclosed. 1. (canceled)2. A delivery device comprising:a square-shaped end including two prongs extending from the end, the prongs located at opposite corners of the end, wherein the device is cannulated.3. A delivery device comprising:an end having a first area and a second area, wherein the first area is of a first shape and the second area is of a second shape different from the first shape, the first shape and the second shape including different diameters, the device being cannulated.4. A delivery device comprising:an end having a first area and a second area, wherein the first area is of a first shape and the second area is of a second shape different from the first shape, the first shape and the second shape including different diameters, the device being cannulated, wherein one of the areas includes tangs extending outwardly from the device.5. An anchor dilator comprising:a handle;a shaft coupled to the handle; anda dilating portion coupled a distal end of the shaft, the dilating portion including a body having threads, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape.6. An anchor dilator comprising;a handle;a shaft coupled to the handle; anda dilating portion coupled to a distal end of the shaft, the dilating portion including a body having a threaded first portion and a non-threaded ...

FLEXIBLE ANCHOR DELIVERY SYSTEM

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. 122-. (canceled)23. A surgical assembly comprising:a flexible fixation member comprising a body having two terminal ends;a suture passing through the fixation member along a length of the body between the two terminal ends such that portions of the fixation member are slidable relative to the suture and configurable to form an anchor within a bone hole; anda delivery device comprising an elongated member including a forked distal end and a proximal end, the distal end configured to receive the portions of the fixation member and the suture therein;wherein the fixation member is configured to form the anchor within the hone hole when the suture is tensioned against the distal end of the elongated member while the elongated member is inserted into the bone hole.24. The surgical assembly of claim 23 , wherein the anchor is in the form of a cluster or bunch including a number of folds.25. The surgical assembly of claim 23 , wherein the portion of the fixation member received within the forked distal end comprises a general u-shape to allow the fixation member to bend ...

THREADED SUTURE ANCHOR

The present disclosure relates to a suture anchor. The suture anchor includes a body having a proximal end and a distal end, the body including threads along at least a partial length of the body and at least one through hole, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape. Delivery devices and anchor dilators are also disclosed. 16-. (canceled)7. A anchor comprising:a body including a proximal end, a distal end, and a longitudinal axis extending between the proximal and distal ends, the body including threads extending along at least a partial length of the body such that a portion of the distal end is not threaded, the body defining a cannulation extending along the longitudinal axis configured to receive an inserter;a first through hole and a second through hole oriented transverse to the longitudinal axis of the body, the second through hole being distal to the first through hole along the longitudinal axis, each of the through holes configured to receive at least one suture; anda suture bridge formed within the body and extending between the first through hole and the second through hole;wherein a profile of the threads located near the distal end of the body has a first shape and a profile of the threads located near the proximal end of the body has a second shape different from the first shape.8. The anchor of claim 7 , wherein the threads transition from the first shape to the second shape.9. The anchor of claim 7 , wherein the first shape is sharp for cutting into bone and the second shape is blunt for producing interference between the threads and bone.10. The anchor of claim 7 , wherein the threads extend from the proximal end of the body to an area distal to the second through hole.11. The anchor of claim 7 , wherein the cannulation has a first area and a second area claim 7 , ...

COMPOSITE ANCHOR

The present disclosure relates to a composite anchor. The anchor includes a cannulated proximal portion having a threaded outer surface and a distal portion coupled to the proximal portion, the distal portion including a top portion, a bottom portion, and a through hole, wherein the top portion is configured to be disposed within the cannulation of the proximal portion. 1. A method of repair comprising: a cannulated proximal portion comprising a threaded outer surface and inner surface;', 'a distal portion coupled to the proximal portion, the distal portion comprising a top portion, a bottom portion, and a through hole;', 'wherein the top portion is configured to be disposed within the cannulation of the proximal portion, wherein the top portion of the distal portion comprises at least two sides and a suture bridge formed between the at least two sides;', 'wherein the through hole is positioned distal to the proximal portion, the through hole in communication with the cannulation of the proximal portion to form a channel adjacent to the suture bridge; and', 'at least one suture disposed within the through hole and extending through the cannulation of the proximal portion;, 'providing a composite anchor, the composite anchor comprisinginserting the anchor into bone;placing soft tissue over the hole and inserting the suture through the soft tissue; andtying the suture to fixate the soft tissue to the bone.2. The method of wherein the anchor is inserted into the bone via rotary advancement of the anchor.3. The method of further comprising creating a hole in the bone prior to inserting the anchor into the bone.4. The method of wherein the proximal portion comprises a threaded outer surface.5. The method of wherein the bottom portion is substantially cone-shaped.6. The method of wherein the at least two sides are substantially trapezoid-shaped and the suture bridge is substantially round.7. The method of wherein both the proximal portion and the distal portion include ...

FENESTRATED LOCKING SUTURE ANCHOR ASSEMBLY

The technology includes an anchor assembly for tissue repair having an open helical coil sleeve and a tip structure. The tip structure includes an aperture for passing a suture and a suture capture member for capturing a suture. The technology also includes an anchor driver for installing an anchor into bone. The anchor driver includes an outer shaft and a sleeve advancement member for advancing the sleeve as well as an inner shaft and a suture capture advancement member for advancing the suture capture member. The technology also includes a system for tissue repair having an anchor assembly and an anchor driver for installing the anchor assembly into bone. 1. A system for tissue repair , comprising: a sleeve;', 'a tip structure engageable with the sleeve, the tip structure comprising a body defining an internal cavity and an aperture sized to accept a suture, the aperture connected to the internal cavity; and', 'a suture capture member advanceable through the internal cavity to capture the suture in the aperture in a locked position; and, 'an anchor comprising an outer shaft, an outer drive hub coupled to a proximal end of the outer shaft;', 'an inner shaft extending through the outer shaft and engageable with the suture capture member; and, 'an anchor driver comprising a handle grip for holding the anchor driver;', 'a center housing disposed within the handle grip;', 'a drive housing disposed within the handle grip distal to the center housing, the drive housing defining a drive hub receiving cavity for threadably receiving the outer drive hub of the outer shaft; and', 'an axially compliant member positioned between the center housing and the drive housing, the axially compliant member configured to allow a relative motion between the outer shaft and the inner shaft along a longitudinal axis of the anchor driver., 'a handle assembly comprising2. The system of claim 1 , wherein the sleeve comprises:at least one open helical coil having a proximal end and a distal ...

FLEXIBLE ANCHOR DELIVERY SYSTEM

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. 122-. (canceled)23. A method of deploying a fixation member in bone , the method comprising: a flexible fixation member comprising a body having two terminal ends;', 'a suture passing through the fixation member along a length of the body between the two terminal ends such that portions of the fixation member are slidable relative to the suture and configurable to form an anchor within a bone hole; and', 'a delivery device comprising an elongated member including a forked distal end and a proximal end, the distal end configured to receive the portions of the fixation member and the suture therein;, 'delivering a surgical device to a surgical site, the surgical device comprisinginserting the elongated member to position the flexible member within the bone hole;tensioning the suture against the distal end of the elongated member to form the anchor within the bone hole; andretracting the elongated member from the bone hole.24. The method of claim 23 , wherein the anchor is in the form of a cluster within the bone hole.25. The method of claim 23 , further comprising drilling the ...

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

Meniscal repair devices, systems, and methods are provided. 1. A surgical system , comprising:a pledget configured to be implanted in a body of a patient, the pledget having an inner lumen extending therethrough such that the pledget is cannulated, the pledget having a longitudinal axis, the pledget having a first plurality of holes formed through a sidewall of the pledget on a first side thereof, the pledget having a second plurality of holes formed through the sidewall of the pledget on a second side thereof, the first side being opposite to the second side, and each of the first plurality of holes being aligned with a corresponding one of the second plurality of holes.2. The system of claim 1 , wherein the inner lumen has a constant diameter.3. The system of claim 1 , wherein the inner lumen has a first diameter in a distal portion of the pledget and a second claim 1 , larger diameter in a proximal portion of the pledget.4. (canceled)5. The system of claim 1 , wherein the first plurality of holes and the second plurality of holes each partially intersect with the inner lumen and the first plurality of holes and the second plurality of holes each partially do not intersect with the inner lumen.6. (canceled)7. The system of claim 1 , further comprising a suture configured to extend through each aligned pair of the first and second holes and extend across the inner lumen substantially perpendicular to the longitudinal axis such that the suture has at least two lengths thereof extending across the inner lumen.811-. (canceled)12. The system of claim 1 , further comprising a needle having the pledget slidably and releasably seated thereon; anda suture extending through the first plurality of holes and the second plurality of holes, the suture being pinched in a press fit between the pledget and the needle.13. The system of claim 12 , wherein the needle has a flat surface claim 12 , the suture being pinched in a press fit between the pledget and the flat surface of the ...

Meniscal repair devices, systems, and methods

Meniscal repair devices, systems, and methods are provided.

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

Meniscal repair devices, systems, and methods are provided. 1. A surgical system , comprising:a first implant configured to be implanted in a body of a patient;a second implant configured to be implanted in the body of the patient;a suture attached to each of the first and second implants;a needle having the first implant releasably mated thereto and having the second implant releasably mated thereto at a location that is proximal to the first implant;a cannula configured to guide the needle having the first and second implants releasably mated thereto with the suture attached to each of the first and second implants therethrough to a surgical site; anda first actuator configured to be actuated in a first actuation to advance the first implant and a distal portion of the needle out of the cannula and configured to be actuated in a second actuation after the first actuation to advance the second implant and the distal portion of the needle out of the cannula.2. The system of claim 1 , wherein the first implant and the second implant are each releasably mated to the needle by being slidably disposed thereon.3. The system of claim 1 , wherein the first actuator is configured to be actuated in a third actuation between the first and second actuations to release the first implant from the needle.4. The system of claim 1 , further comprising a second actuator configured to be actuated in a third actuation to release the second implant from the needle.5. The system of claim 1 , further comprising a pusher tube configured to be pushed distally in response to one or both of the first actuation to push the first implant distally along and off of the needle claim 1 , and the second actuation to push the second implant distally along and off of the needle.6. The system of claim 1 , wherein the cannula has a distal portion configured to be selectively adjusted in curvature.7. The system of claim 1 , wherein the cannula has a distal portion with a fixed non-zero curvature.8. The ...

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

Meniscal repair devices, systems, and methods are provided. 1. A surgical system , comprising:a cannula configured to have a surgical device advanced therethrough, the cannula including concentric inner and outer tubes that have distal ends fixed together, the outer tube being configured to move relative to the inner tube and thereby cause a distal portion of the cannula to articulate; andan actuator configured to be actuated to cause the movement of the outer tube relative to the inner tube.2. The system of claim 1 , wherein the inner tube has a first plurality of slits formed in a distal portion thereof that are configured to facilitate the articulation claim 1 , and the outer tube has a second plurality of slits formed in a distal portion thereof that are configured to facilitate the articulation; andwherein the first plurality of slits are formed on a first side of the cannula, and the second plurality of slits are formed on a second, opposite side of the cannula.3. The system of claim 1 , wherein the rotation of the actuator is configured to cause translational movement of the outer tube along a longitudinal axis thereof.4. The system of claim 3 , wherein the inner tube does not longitudinally translate in response to the actuation of the actuator.5. The system of claim 1 , further comprising a locking mechanism configured to lock the cannula in position relative to a tissue in which the cannula is positioned.6. The system of claim 1 , further comprising a locking mechanism configured to lock the cannula in position relative to the surgical device advanced therethrough.7. (canceled)8. The system of claim 1 , wherein the surgical device includes a needle coupled to at least one pledget and at least one suture attached to the at least one pledget claim 1 , the needle being configured to guide the at least one pledget and the at least one suture through a tissue.9. A surgical method claim 1 , comprising:advancing a cannula through tissue of a patient such that a ...

FLEXIBLE ANCHOR DELIVERY SYSTEM

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. 1. An assembly comprising:a flexible fixation member comprising a body having two terminal ends;a suture passing through the flexible fixation member at various points along a length of the body between the terminal ends such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site; anda delivery device comprising:a tubular member;an elongated inserter slidably disposed within the tubular member, the inserter comprising a forked distal end and a proximal end, the forked distal end configured to receive a portion of the flexible fixation member and the suture therein; anda finger-engageable trigger fixedly coupled to the proximal end of the inserter and configured to advance and retract the inserter relative to the tubular member, the trigger comprising a retention member for retaining a proximal end portion of the suture.2. The assembly of claim 1 , wherein the delivery device further comprises a handle to which the trigger is slidably coupled.3. The assembly of claim 2 , wherein the delivery ...

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

Meniscal repair devices, systems, and methods are provided. 1. A surgical system , comprising:a first implant configured to be implanted in a body of a patient;a second implant configured to be implanted in the body of the patient;a suture attached to each of the first and second implants;a needle having the first implant releasably mated thereto and having the second implant releasably mated thereto at a location that is proximal to the first implant;a cannula configured to guide the needle having the first and second implants releasably mated thereto with the suture attached to each of the first and second implants therethrough to a surgical site; anda first actuator configured to be actuated in a first actuation to advance the first implant and a distal portion of the needle out of the cannula and configured to be actuated in a second actuation after the first actuation to advance the second implant and the distal portion of the needle out of the cannula.2. The system of claim 1 , wherein the first implant and the second implant are each releasably mated to the needle by being slidably disposed thereon.3. The system of claim 1 , wherein the first actuator is configured to be actuated in a third actuation between the first and second actuations to release the first implant from the needle.4. The system of claim 1 , further comprising a second actuator configured to be actuated in a third actuation to release the second implant from the needle.5. The system of claim 1 , further comprising a pusher tube configured to be pushed distally in response to one or both of the first actuation to push the first implant distally along and off of the needle claim 1 , and the second actuation to push the second implant distally along and off of the needle.6. The system of claim 1 , wherein the cannula has a distal portion configured to be selectively adjusted in curvature.7. The system of claim 1 , wherein the cannula has a distal portion with a fixed non-zero curvature.8. The ...

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

Meniscal repair devices, systems, and methods are provided. 1. A surgical method , comprising:advancing a cannula through tissue of a patient such that a proximal portion of the cannula is located outside of the patient and a distal portion of the cannula is located within the patient, the cannula including concentric inner and outer tubes that have distal ends fixed together;with the distal portion of the cannula located within the patient, causing the distal portion to bend at an angle relative to a target tissue within the patient by moving the outer tube relative to the inner tube; andafter causing the distal portion to bend, advancing a surgical device through the cannula.2. The method of claim 1 , wherein the cannula is advanced through the tissue with the distal portion at a zero angle claim 1 , and the angle to which the cannula is bent is a non-zero angle.3. The method of claim 1 , wherein the cannula is bent from one non-zero angle to another non-zero angle.4. The method of claim 1 , wherein the cannula is bent from a non-zero angle to a zero angle.5. The method of claim 1 , wherein the surgical device includes a needle coupled to at least one pledget and at least one suture attached to the at least one pledget claim 1 , the needle being configured to guide the at least one pledget and the at least one suture through a tissue.6. The method of claim 1 , wherein the target tissue is a meniscus.7. The method of claim 1 , wherein the tissue is at one of a knee claim 1 , a hip claim 1 , and a shoulder of the patient.8. A surgical method using a surgical system comprising a cannula configured to have a surgical device advanced therethrough and including at least one of a first locking mechanism configured to lock the cannula in position relative to a tissue in which the cannula is positioned claim 1 , and a second locking mechanism configured to lock the cannula in position relative to the surgical device advanced therethrough claim 1 , the method comprising: ...

TISSUE REPAIR DEVICES

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity; and a headless insertion member configured for arrangement within the anchor cavity, the insertion member including a body having a threaded proximal portion, a non-threaded distal portion, and a cannulation extending a partial length of the insertion member. Other anchor assemblies, anchors, and delivery devices are also disclosed. 117-. (canceled)18. A method of repairing a tissue comprising:preparing a bone hole adjacent to the tissue;passing a length of suture through a through-hole of an anchor body, the anchor body defining a cavity extending from a proximal end of the anchor body and a plurality of wings extending from an outer surface of the anchor body, the through-hole intersecting the cavity defining first and second openings of the through-hole on opposing sides of the cavity;inserting the anchor body into the bone hole with an insertion instrument operatively coupled to the anchor body;adjusting a tension on the length of suture; andaxially advancing an insertion member along the anchor cavity to secure the length of suture with the anchor body; wherein the insertion member has a distal portion that defines a length having a diameter along the entire distal portion length that. is smaller than a diameter of a proximal portion of the insertion member, and wherein axially advancing the insertion member comprises advancing up until the distal portion length covers the through-hole from a point proximal of a proximal edge of the through-hole to a point distal of a distal edge of the through-hole.19. The method of claim I wherein at least one end of the length of suture is coupled directly to the insertion instrument and wherein the method further comprises cutting the at least one end of the length of suture after axially advancing the insertion member , to release the insertion instrument from the anchor body.20. The ...

THREADED SUTURE ANCHOR

The present disclosure relates to a suture anchor. The suture anchor includes a body having a proximal end and a distal end, the body including threads along at least a partial length of the body and at least one through hole, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape. Delivery devices and anchor dilators are also disclosed. 1. (canceled)2. A delivery device comprising:an elongate shall and a handle coupled to a proximal portion of the shaft, a distal portion of the shaft comprising polygonal end including at least one prong extending from the end;wherein the device is cannulated for passage of a suture.36-. (canceled)7. The delivery device of claim 2 , wherein the at least one prong is two prongs.8. The delivery device of claim 2 , wherein the polygonal end of the shaft is a square-shaped end.9. The delivery device of claim 7 , wherein the polygonal end of the shaft is a square-shaped end claim 7 , and the two prongs are located at opposite corners of the square-shaped end.10. The delivery device of claim 2 , wherein the shaft comprises a transition region between a cylindrical portion and the polygonal end of the distal portion.11. The delivery device of claim 2 , wherein at least a portion of the delivery device is comprised of metal.12. A delivery device and anchor combination claim 2 , the combination comprising:a delivery device comprising an elongate shaft and a handle coupled to a proximal portion of the shaft, a distal portion of the shaft comprising a polygonal end including at least one prong extending from the end; and an anchor body including a proximal end, a tapered distal end, and a central axis extending between the proximal and distal ends;', 'at least one through hole oriented transverse to the central axis of the anchor body;', 'a cannulation extending along the ...

Finger traps for collapsible suture loops

Finger traps for collapsible suture loops are provided. In general, a suture coupled to an implant can be tensioned to facilitate desirable positioning of the implant relative to tissue in a patient's body. The suture can include a finger trap and a knot. In general, the finger trap is a hollow area of the suture through which the suture passes through itself and is configured to slide in a single direction when under tension. In an exemplary embodiment, the knot is located along a length of the suture that is closer than the finger trap to a tail of the suture that is being pulled to tension the suture.

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

Meniscal repair devices, systems, and methods are provided. 1. A surgical system , comprising:a pledget configured to be implanted in a body of a patient, the pledget having an inner lumen extending therethrough such that the pledget is cannulated, the pledget having a longitudinal axis, the pledget having a first plurality of holes formed through a sidewall of the pledget on a first side thereof, the pledget having a second plurality of holes formed through the sidewall of the pledget on a second side thereof, the first side being opposite to the second side, and each of the first plurality of holes being aligned with a corresponding one of the second plurality of holes, wherein the inner lumen has a first constant diameter in a distal portion of the pledget and a second, larger constant diameter in a proximal portion of the pledget.2. The system of claim 1 , wherein a junction between the first and second diameters defines a step within the inner lumen.3. The system of claim 2 , wherein the distal and proximal portions define an entire longitudinal length of the pledget.4. The system of claim 1 , wherein one part of the first plurality of holes and the second plurality of holes each intersect with the inner lumen and another part of the first plurality of holes and the second plurality of holes each partially do not intersect with the inner lumen.5. The system of claim 1 , further comprising a suture configured to extend through each aligned pair of the first and second holes and extend across the inner lumen substantially perpendicular to the longitudinal axis such that the suture has at least two lengths thereof extending across the inner lumen.6. The system of claim 5 , further comprising a second pledget claim 5 , the second pledget having an inner lumen extending therethrough such that the second pledget is cannulated claim 5 , the second pledget having a longitudinal axis claim 5 , the second pledget having a first plurality of holes formed through a ...

Fenestrated locking suture anchor assembly

The technology includes an anchor assembly for tissue repair having an open helical coil sleeve and a tip structure. The tip structure includes an aperture for passing a suture and a suture capture member for capturing a suture. The technology also includes an anchor driver for installing an anchor into bone. The anchor driver includes an outer shaft and a sleeve advancement member for advancing the sleeve as well as an inner shaft and a suture capture advancement member for advancing the suture capture member. The technology also includes a system for tissue repair having an anchor assembly and an anchor driver for installing the anchor assembly into bone.

Flexible anchor delivery system

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.

micro-anchor

resumo patente de invenção: "microâncora". exemplos de uma âncora de sutura (100) tendo um diâmetro pequeno e tendo uma ponte de sutura macia (110) ou olhal de sutura (155) são descritos aqui. a ponte de sutura macia/olhal de sutura permite uma sutura de reparo deslizar, que é desejável ao atar nós. em alguns casos, a ponte de sutura macia/olhal de sutura propriamente dita é feita a partir de um comprimento de sutura. patent summary: "micro-anchor". Examples of a suture anchor (100) having a small diameter and having a soft suture bridge (110) or suture eye (155) are described herein. The soft suture bridge / suture eye allows a sliding repair suture, which is desirable when tying knots. In some cases, the soft suture bridge / suture eye itself is made from a suture length.

Meniscal repair devices, systems, and methods

A surgical system: first (206) and second (208) implants to be implanted in the body of the patient; a suture (216) attached to each of the first and second implants; a needle (204) having the first implant releasably mated thereto and having the second implant releasably mated thereto at a location that is proximal to the first implant; a cannula (210) configured to guide the needle to a surgical site, e.g. meniscus (218) with a tear (220); and a first actuator configured to be actuated in a first actuation to advance the first implant and a distal portion of the needle out of the cannula and configured to be actuated in a second actuation after the first actuation to advance the second implant and the distal portion of the needle out of the cannula. A method is also claimed. 206 220 206 FIG. 63 FIG. 64 208 218 206 FIG. 65 FIG. 66

Flexible anchor delivery system

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.

Composite anchor

The present disclosure relates to a composite anchor. The anchor includes a cannulated proximal portion having a threaded outer surface and a distal portion coupled to the proximal portion, the distal portion including a top portion, a bottom portion, and a through hole, wherein the top portion is configured to be disposed within the cannulation of the proximal portion.

Fenestrated locking suture anchor assembly

C:\nte ven\NRPrbl\CC\PLW\I85546641do-6/03/2019 ABSTRACT An anchor driver comprising: a grooved outer shaft engageable with a sleeve; an inner shaft engageable with a suture capture member of a tip structure; and a handle assembly comprising: a suture capture advancement member operatively coupled to the inner shaft, wherein the suture capture advancement member advances the suture capture member into a distal, suture-locked position, and; a sleeve advancement member operatively coupled to the grooved outer shaft wherein the sleeve advancement member advances the sleeve into engagement with the tip structure. 26 1/21 1'1 0 Lf0 0 0A 0 I-N rnr 00 jj0 0 0 I-1 0-

DEVICES, SYSTEMS AND METHODS FOR MENISCO REPAIR

a presente invenção refere-se a dispositivos, sistemas e métodos para reparo de menisco. The present invention relates to meniscal repair devices, systems and methods.

Microanchor

Examples of a suture anchor (100) having a small diameter and having a soft suture bridge (110) or suture eyelet (155) are described herein. The soft suture bridge/suture eyelet allows a repair suture to slide, which is desirable when tying knots. In some cases, the soft suture bridge/suture eyelet itself is made from a length of suture.

Surgical devices

The present disclosure relates to a surgical device including a shaft having an outer member and an inner member slidably received within the outer member, a handle coupled to the shaft, and a means for providing movement to the inner member coupled to the inner member. A method of tissue repair is also disclosed.

Meniscal repair devices and systems

Anchor assembly

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. The insertion member may include a body having a proximal end portion and a flat distal end portion. A method of tissue repair and other anchor assemblies are also disclosed.

Anchor

The present disclosure relates to an anchor. The anchor includes an outer member including a body having an inner cavity, wherein the inner cavity includes a proximal portion configured for receipt of a delivery device and a distal portion having area of increased diameter. The anchor also includes an inner member coupled to the outer member, wherein the inner member includes a proximal portion having a projection configured for receipt in the area of increased diameter and a distal portion having a transverse through hole. A delivery device and method for tissue repair are also disclosed.

Seal assembly for a cannula

The present disclosure relates to a seal assembly for a cannula. The cannula includes a housing having a proximal portion and a distal portion. The seal assembly is located in the proximal portion of the housing and includes a first seal including a first tri-slit, a second seal disposed co-axially and proximal to the first seal and including a second tri-slit, and a third seal disposed co-axially to the first seal and the second seal and including a central opening. A cap is coupled to the proximal portion of the housing and adjacent the third seal and includes a plurality of suture retaining features, such as tabs, for management of sutures during surgery. Fluid leakage out of the cannula, during surgery, is substantially reduced due to the leakage being limited to a channel defined by the first tri-slit, the second tri-slit, and the central opening.

Meniscal repair devices, systems, and methods

A surgical method: advancing first needle (162) with first pledget (26) through a tissue (e.g. meniscus (158) with tear(156) to move first pledget through to a far side of tissue , suture coupled to first (26) and second (26) pledget; removing the first needle so first pledget remains on the far side of the tissue and the suture extends through the tissue from the first pledget; advancing a second needle (162) having the second pledget to move the second pledget through to the far side of the tissue; and removing the second needle from the patient, the second pledget remaining within the patient on the far side of the tissue and the suture extending through the tissue from the second pledget. Also claimed a pledget with sets of aligned suture holes and a method using a single needle with two pledgets. 162 162 162 162 26 164 170 26 FIG. 42 FIG. 43 156 154a 154a 154b 158 1 54b- 152b 15 5 152b 8 51 F60b 160aG 48 FIG. 44 FIG. 45 1 54a 1 54b 158 154b 154a 154b 154a 1 521bI 0d15 1 60b 160b 160b 160a FIG. 46 FIG. 47 FIG. 48

Knotless suture anchor with breakaway tip

A one-piece knotless suture anchor with a breakaway distal tip is disclosed. The suture anchor includes a thin section connecting a distal anchor portion and proximal anchor portion. The thin section has a cutaway geometry allowing it to break in a repeatable manner. Force from a driver breaks the thin section connecting the distal and proximal anchor portions. The proximal anchor portion slides distally over the elongated member (either distal or proximal to the distal eyelet) and a repair suture is pinched between the distal and proximal anchor portions, or in between the bone tunnel walls and outer diameter of the sleeve, thereby fixing the repair suture in place without tying an arthroscopic knot.

Microanchor

Suture passer

The present disclosure concerns a surgical instrument (10) for manipulating suture. In particular, the present disclosure relates to an instrument for passing suture through tissue. There is described a surgical instrument having a shaft (11) and a handle (12) connected to the proximal end of the shaft. The shaft is formed from a tubular member having a proximal end and a distal end, with a lumen extending between the proximal and distal ends, and a tip (14) distal to the tubular member. The shaft also includes a distal portion (13) having an opening in a sidewall, proximal to the tip. The opening is in communication with the lumen through a side channel (23). The instrument further includes a suture snare (15), the snare being slidably receivable within the lumen and side channel, and movable between extended and retracted positions for capturing suture.

Suture anchor with deformable cap

An expanding suture anchor in which a distal end of the rigid anchor body includes at least one annular protrusion. A mating deformable cap includes at least one annular slot or ridge that engages the annular protrusion such that the annular slot and annular protrusion are coupled when the deformable cap is pushed or pulled onto the rigid anchor body. The engagement of the annular slot and the annular protrusion may lock the deformable cap and rigid anchor body into a mated position and inhibits distal retraction of the deformable cap from the anchor body.

Finger traps for collapsible suture loops

Finger traps for collapsible suture loops are provided. In general, a suture coupled to an implant can be tensioned to facilitate desirable positioning of the implant relative to tissue in a patient's body. The suture can include a finger trap and a knot. In general, the finger trap is a hollow area of the suture through which the suture passes through itself and is configured to slide in a single direction when under tension. In an exemplary embodiment, the knot is located along a length of the suture that is closer than the finger trap to a tail of the suture that is being pulled to tension the suture. 3641381vl 1/4 166 12 22 10 20r-- * 14 24 12 D2 21 FIG. 1 FIG. 2 26 28 FIG. 3 FIG. 4 38tn84 40 44 42 FIG. 5 381 D2 38 46 40 44 42 FIG. 6

Meniscal repair devices and systems

Flexible anchor delivery system

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.

Fenestrated locking suture anchor assembly

The technology includes an anchor assembly for tissue repair having an open helical coil sleeve and a tip structure. The tip structure includes an aperture for passing a suture and a suture capture member for capturing a suture. The technology also includes an anchor driver for installing an anchor into bone. The anchor driver includes an outer shaft and a sleeve advancement member for advancing the sleeve as well as an inner shaft and a suture capture advancement member for advancing the suture capture member. The technology also includes a system for tissue repair having an anchor assembly and an anchor driver for installing the anchor assembly into bone.

Meniscal repair devices, systems, and methods

Meniscal repair devices, systems, and methods are provided.

Flexible anchor delivery system

Meniscal repair devices, systems, and methods

Meniscal repair devices, systems, and methods are provided.

Meniscal repair devices and systems

Meniscal repair devices, systems, and methods

Knotless suture anchor with breakaway tip

A one-piece knotless suture anchor with a breakaway distal tip is disclosed. The suture anchor includes a thin section connecting a distal anchor portion and proximal anchor portion. The thin section has a cutaway geometry allowing it to break in a repeatable manner. Force from a driver breaks the thin section connecting the distal and proximal anchor portions. The proximal anchor portion slides distally over the elongated member (either distal or proximal to the distal eyelet) and a repair suture is pinched between the distal and proximal anchor portions, or in between the bone tunnel walls and outer diameter of the sleeve, thereby fixing the repair suture in place without tying an arthroscopic knot.

Threaded suture anchor

The present disclosure relates to a suture anchor. The suture anchor includes a body having a proximal end and a distal end, the body including threads along at least a partial length of the body and at least one through hole, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape. Delivery devices and anchor dilators are also disclosed.

Anchor assembly

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. The insertion member includes a body having a proximal end portion and a flat distal end portion, and a head coupled to the proximal end portion of the body. A method of tissue repair and other anchor assemblies are also disclosed.

Anchor

The present disclosure relates to an anchor. The anchor includes an outer member including a body having an inner cavity, wherein the inner cavity includes a proximal portion configured for receipt of a delivery device and a distal portion having area of increased diameter. The anchor also includes an inner member coupled to the outer member, wherein the inner member includes a proximal portion having a projection configured for receipt in the area of increased diameter and a distal portion having a transverse through hole. A delivery device and method for tissue repair are also disclosed.

Threaded suture anchor

The present disclosure relates to a suture anchor. The suture anchor includes a body having a proximal end and a distal end, the body including threads along at least a partial length of the body and at least one through hole, the threads including a profile such that the threads located near the distal end of the body include a first shape and the threads located near the proximal end of the body include a second shape different from the first shape. Delivery devices and anchor dilators are also disclosed.

Flat suture anchor

A suture anchor for anchoring a suture to a bone, including a distal end having a bifurcated tip, in which the bifurcated tip defines a suture-engaging slot, a proximal end, a longitudinal axis between the distal end and the proximal end, and two substantially flat surfaces extending between the distal end and the proximal end, in which the two substantially flat surfaces are substantially parallel, in which the two substantially flat surfaces are separated by a thickness of no more than about 0.1 inches, and in which the two substantially flat surfaces extend along an axis perpendicular to the longitudinal axis by a width of no more than about 0.4 inches.

Flexible anchor delivery system

An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.

Composite anchor

The present disclosure relates to a composite anchor. The anchor includes a cannulated proximal portion having a threaded outer surface and a distal portion coupled to the proximal portion, the distal portion including a top portion, a bottom portion, and a through hole, wherein the top portion is configured to be disposed within the cannulation of the proximal portion.