Innovasive Devices, Inc.

Depuy Mitek, Inc.

Ethicon, Gmbh

Biohorizons Implant Systems, Inc.

Depuy Mitek, Llcr

K2m, Inc.

Rickey D Hart

John T Rice

James E Nicholson

Daniel F Justin

Alan Chervitz

Thomas Wade Fallin

Allen L Carl

Richard B Caspari

Josef K Winkler

James C Chow

J Todd Strong

Daniel A Perkins

Prasad Nalluri

F Alan Barber

Richard M Winters

Mark A Johanson

R Steven Boggan

R Steve Boggan

An anchor assembly for autologous or artificial tendon grafts comprises an insertion element and a stabilizing element. The insertion element has a stem and a head containing an aperture large enough to receive a graft. The stabilizing element is adapted to be embedded in bone, and comprises a sleeve with a cavity arranged to receive and hold the insertion element stem. In use, the stabilizing element is affixed in the bone, and the stem of the insertion element is placed therein. A tendon graft may be secured to the insertion element either before or after its placement in the stabilizing element. Two such anchors may be linked with one or multiple grafts, in either a two-ply or four-ply arrangement.

Method of anchoring autologous or artificial tendon grafts in bone

A device for snaring cord-like objects is provided. The device comprises a hollow shaft having a pointed distal end, a rod having a pair of wires attached to its distal end, the wires being spring biased away from one another, and housing. The rod and wires are located in the lumen of the shaft in reciprocally movable relationship with each other. The housing is attached to the proximal ends of the shaft and the rod so as to allow controlled movement of the rod and wires relative to the shaft. One of the wire-like elements defines a hook-shaped configuration at its distal end. The device allows the wire-like elements to be selectively located within the distal end of the shaft or in a configuration where the wire-like elements extend outwardly from the distal end of the shaft in flaring relationship to one another.

Suture grasping device

A surgical fastening system for attaching one piece of tissue to another piece of tissue. The system comprises a surgical fastener, an installation tool for deploying the surgical fastener in tissue, and a method for using the same.

Surgical fastening system and method for using the same

Various methods of ligament reconstruction are provided that can include extending a filament from at least one end of a graft having at least two ends, threading the graft through a first aperture in a first bone anchor, using the filament to affix the at least two ends of the graft to a second aperture of a second bone anchor, affixing the first bone anchor in hone, and affixing the second bone anchor in bone.

Methods for anchoring autologous or artificial tendon grafts using first and second bone anchors

A method for anchoring autologous or artificial tendon grafts in bone is provided. In one embodiment, the method includes affixing a stabilizing element in bone; and placing the stem of an insertion element therein. A tendon graft may be secured to the insertion element either before or after its placement in the stabilizing element. Two such anchors may be linked with one or multiple grafts, in either a two-ply or four-ply arrangement.

Method for anchoring autologous or artificial tendon grafts in bone

A device for snaring cord-like objects is provided. The device comprises a hollow shaft having a pointed distal end, a rod having a pair of wires attached to its distal end, the wires being spring biased away from one another, and activation means. The rod and wires are located in the lumen of the shaft in reciprocally movable relationship therewith. The activation means is attached to the proximal ends of the shaft and the rod so as to allow the controlled movement of the rod and wires relative to the shaft. One of the wire-like elements defines a hook-shaped configuration at its distal end. The device allows the wire-like elements to be selectively located within the distal end of the shaft or in a configuration wherein the wire-like elements extend outwardly from the distal end of the shaft in flaring relationship to one another.

Surgical fastening system

A rivet-like bone anchor has a floating washer at its head that can adapt to an angled bone surface and, thereby, better secure a tissue thereto. The anchor includes a rivet, an expandable sleeve, and a washer. The rivet includes a head and an elongate body having proximal and distal ends, the head being mounted on the proximal end of the elongate body. The expandable sleeve has an inner bore adapted to receive the rivet body. The washer 'floats' at a proximal end of the sleeve. As the rivet is inserted into sleeve, the sleeve expands into an interference fit with the bone. The head of the rivet, moreover, forces the floating washer into contact with the tissue at an angle that conforms to that of the underlying bone surface. A deployment tool permits the anchor to be deployed without application of unnecessary counterforce. The tool includes an outer tube, the distal end of which can hold the anchor housing, e.g., via a screw fit. A rod, which is slidably disposed within the bore of the tube, can be used to push the rivet into the expandable sleeve so that the sleeve expands into the bone, so that the floating washer is forced into position against the bone surface, and so that anchor is broken away from the housing. This can be effected, for example, by squeezing the distal ends of the outer tube and the rod together, e.g., in the manner that the end of a syringe is squeezed.

Bone anchor and deployment device therefor

A surgical fastener system is disclosed. The system includes a surgical fastener, a surgical fastener holder sized and shaped to receive the surgical fastener at least partially therein, and a surgical fastener driver having a seat sized and shaped to frictionally receive a head of the surgical fastener therein. The fastener driver is constructed and arranged to selectively urge the fastener, and more particularly the fastener head, out of the seat. The surgical fastener driver thus includes an elongate body with the seat defined at an end thereof, and a drive piston disposed within the body. The drive piston has a first retracted position, and a second extended position in which at least a portion of the piston extends into the seat to urge the fastener out of the seat during usage. Also disclosed is a surgical fastener and a surgical fastener holder, respectively, for use with the system.

Surgical fastener system

Apparatus for anchoring autologous or artificial tendon grafts in bone

Bone fastener

A surgical fastener driver has a handle and a tube extending therefrom. The handle defines a cavity therein. The tube is in communication with the cavity and is affixed to the handle. The tube extends outwardly from the cavity to a seat. The cavity is shaped so as to receive a surgical fastener therein. A piston, having a outward end, is disposed within the tube and extends from the cavity to the seat. The piston has a retracted position, in which the outward end does not extend into the seat, and an extended position, in which the outward end extends into the seat. A trigger is integrated with the handle and has a first state in which the piston is held in the retracted position and a second state in which the piston is released so as to allow the piston to move to the extended position. A driver, that is disposed within the cavity, exerts outward force on the piston so as to drive the piston into the extended position when the trigger is in the second state.

Surgical fastener driver

A bone plug removal and emplacement tool includes a cylindrical cutting element having a proximal cutting edge and a cutting tooth. The outer surface of the cutting element can include an integral shoulder (e.g., in lieu of a replaceable outer sheath) that is spaced-apart from the proximal cutting edge and that engages the surface of the bone to define a depth stop for the cutting edge. An additional cylindrical element can be disposed within the cutting element. The proximal end of that additional element, which is referred to as a 'harvester,' is substantially aligned with the proximal end of the cutting element to receive a plug cut from the bone. The harvester can be slidably withdrawn from the cutting element to facilitate transplating the bone plug at another location. For this purpose, a stem or plunger can be slidably inserted and moved in the harvester to dislodge the plug.

Apparatus and methods for articular cartilage defect repair

A bone fastener including an expandable member having an axial channel and an elongated element insertable into the axial channel is described. The expandable member is configured to be insertible into a bore drilled in bone. The distal end of the expandable member also may include a structure for axially releasing the expandable member from an emplacement device that places the expandable member into a bone opening. In one embodiment, the structure for axially releasing includes a frangible membrane capable of being severed from the expandable member during emplacement of the expandable member in a bone opening. A rivet for coupling an object to bone for use with an expandable member is also described. The distal end of the elongated element is shaped into a radially projecting portion adapted for engagement with a washer that contacts the object to be coupled. The washer, having upper and lower surfaces and a bore defined between the surfaces, is disposed around a portion of the shaft. The elongated element is adapted for movement independent of the washer since the radial projection of the element has a different radius of curvature than the washer. An apparatus for use within an endoscope is described. The apparatus includes an elongated, substantially hollow holding means for emplacing a bone fastener of the invention in a bone opening. The expandable member includes a structure for axially releasing the expandable member from the holding means. A method of attaching soft tissue to bone is also described. The invention also includes a surgical fastener kit.

Growing community of inventors

North Attleboro, MA, United States of America

Rickey D Hart