Smith + Nephew

Smith & Nephew Orthopaedics Ag

Smith Nephew Asia Pacific Pte. Limited

Nehal Navinbhai Patel

Geoffrey I Karasic

Matthew Edwin Koski

Marc Joseph Balboa

Mark Edwin Housman

Benjamin M Hall

Timothy Young

Tatsuya Arai

Jon-Paul Rogers

Paul Alexander Torrie

Rebecca Ann Blough

Jason Hamilton

Kangqiao Li

Kyle Turner

Zenan Qi

Jay A Shah

Kyle Steven Frederick Turner

Geoffrey Ian Karasic

A knotless tissue repair construct is disclosed herein. The construct includes a soft anchor body, with a proximal end, a distal end, and a longitudinal axis extending therebetween. The construct also includes a repair suture fixedly coupled to the anchor body. The construct also includes a transfer suture interwoven repeatedly through and along the anchor body defining a transfer path. Tension on at least one of the repair suture and transfer suture may deploy the anchor body. A transfer suture first end may transfer the repair suture through the anchor body to form a repair loop that may knotless lock the tissue repair construct.

Knotless soft anchor system

A tissue repair assembly is disclosed, including a soft anchor body and at least a first suture operably coupled to the anchor body. Tensioning on first and/or second ends of first suture may deploy the anchor body to a second configuration, in which the anchor body is axially compressed and radially extended. The tissue repair assembly may also include a means to cinch around a portion of a first and/or second suture and knotlessly lock the tissue repair assembly. Some embodiments may include a pre-formed knot. In some embodiments, the preformed knot may be a nail knot, provided wrapped around an insertion instrument and configured to receive and cinch around a suture extending therethrough.

Soft anchoring tissue repair assembly and system

An anchor delivery system includes both a straight and curved drill guide along with a flexible drill, a flexible obturator and a flexible anchor inserter. The curved drill guide has a distal tip with approximately a 15° bend from the primary axis of the drill guide. Both the drill and the obturator have a reduced diameter section to improve flexibility during passage through the curved drill guide. Additionally, a surface of the inserter shaft has a laser cut pattern which permits flexing of the inserter around the inner diameter of the curved drill guide.

Anchor delivery system

Surgical drill guides having a guide shaft and a set of distal guide teeth extending from the guide shaft. The guide shaft has proximal and distal portions having two distinct inner and outer diameters, with a tapered zone extending between the two portions. Wall thickness is maintained or increased from the proximal portion to the distal portion of the shaft, reinforcing the rigidity of both the shaft and the distal guide teeth.

Surgical drill guides and systems

Anchor delivery systems include markings on the surfaces of the delivery device which are visually exposed to the user through openings or fenestrations in the anchor, providing visual feedback to the user on the progress of the anchor's insertion. A suture-locking plug is deformable within the anchor tip, thereby enhancing suture entrapment within the tip of the anchor. A compliant component of the handle places the handle components in tension, thereby absorbing built-in axial looseness in the handle. The handle further includes a spin cavity which allows for free spin of the inserter shaft to finalize insertion of the anchor into bone when the anchor has not been fully seated flush with or below the cortical bone surface.

Anchor delivery systems

A suture anchor system including an anchor, a plug and an inserter. The anchor inserter includes a tubular outer shaft having a cannulation dimensioned to receive an inner shaft. The distal end of the outer shaft cannulation is threaded for engagement with the plug. The anchor includes a longitudinal cannulation formed within the anchor body, including a smooth-sided portion and a threaded portion. An eyelet, dimensioned to receive a suture therein, extends transverse to the longitudinal axis of the anchor and intersects the distal portion of the cannulation. The plug is a generally elongated, tubular threaded rod comprising a cannulation adapted to receive a distal end of the inner inserter shaft.

Suture anchor system with threaded plug

Bone anchors having improved fixation are discussed. The bone anchors include an anchor body and radially protruding ribs that extend approximately parallel to a longitudinal axis of the bone anchor. A leading distal edge of each rib may be configured in a tapered 'knife-edge' configuration. Such ribs may mitigate the plow-out effect, preserving contact between the ribs and the surrounding bone along the length of the anchor. Furthermore, such ribs provide increased surface area, improving fixation strength.

Bone anchor having improved fixation strength

An anchor delivery system includes both a straight and curved drill guide along with a flexible drill, a flexible obturator and a flexible anchor inserter. The curved drill guide has a distal tip with approximately a 15&#xb0; bend from the primary axis of the drill guide. Both the drill and the obturator have a reduced diameter section to improve flexibility during passage through the curved drill guide. Additionally, a surface of the inserter shaft has a laser cut pattern which permits flexing of the inserter around the inner diameter of the curved drill guide.

A suture anchor assembly includes a suture anchor and a suture anchor inserter. The anchor includes a flexible distal tip and a rigid proximal anchor body. The distal tip includes a transverse suture eyelet and a cavity formed in a proximal end of the tip. The anchor body includes a lumen extending between proximal and distal ends of the body. The anchor inserter includes a tubular outer shaft and an inner inserter slidably received therein. The anchor assembly is actuatable to move the anchor tip and inner shaft proximally while the outer shaft and anchor body remain in place, urging the proximal end of the anchor tip against the distal end of the anchor body. The proximal end of the tip is deformable to accommodate at least a portion of the distal end of the anchor body within the anchor tip cavity.

Two-piece knotless suture anchor

A suture securing assembly comprises a two-bodied anchor and an associated delivery system which enhances fixation of a micro anchor in a bone hole or tunnel, as well as improving suture lock within bone. Initially, the two bodies are separated by a length of an inner shaft of the delivery system. The proximal body is fixed on the inner shaft of the delivery system and cannot move relative to the handle until after insertion into the bone, when the delivery system is disengaged from the anchor. The distal body further includes expansion wings and/or other features for increasing suture lock within the bone hole.

Suture securing assemblies

Embodiments of the invention include methods and devices for securing a suture, graft, or other material to tissue with an anchor. The anchor of some embodiments includes an eyelet through which the suture, graft, or other material may be passed and mechanisms for selectively engaging the suture, graft, or other material through the eyelet. The mechanisms of some embodiments may also reinforce the anchor to provide a strengthened anchor to withstand actions such as impacting the anchor during insertion or applying bending stress to the anchor.

Growing community of inventors

Boston, MA, United States of America

Nehal Navinbhai Patel