Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUSRE36020 E
Publication typeGrant
Application numberUS 08/547,645
Publication dateDec 29, 1998
Filing dateOct 5, 1995
Priority dateJun 8, 1992
Fee statusPaid
Also published asUS5250055
Publication number08547645, 547645, US RE36020 E, US RE36020E, US-E-RE36020, USRE36020 E, USRE36020E
InventorsRobert R. Moore, Arnold K. Cohn
Original AssigneeOrthopedic Systems, Inc.
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Method and apparatus for tying suture to bone
US RE36020 E
Abstract
A method and apparatus for arthroscopic attachment of a suture to bone by drilling parallel holes in the bone with a cannula and drill guide and passing a suture down one hole through soft bone into the other hole and retrieving the suture through the second hole.
Images(3)
Previous page
Next page
Claims(7)
I claim:
1. Apparatus for attaching a suture to bone under soft tissue comprising in combination:
a cannula having an inner bore,
a drill guide telescopically received in the cannula and having at least two generally parallel bores, and
a suture pusher comprising a tool having a straight section telescopically received in one of the bores of the drill guide, a laterally extending handle on one end and on the other end a suture holding section .Iadd.laterally .Iaddend.movable .Iadd.relative to the straight section .Iaddend.in response to manipulation of the handle to push a suture loop through soft bone material between two parallel holes in bone aligned with two of the bores in the drill guide.
2. A suture pusher comprising a strand of resiliently deformable wire having a straight section, a laterally extending handle on one end and on the other end an appertured and naturally curved suture pushing section which in unstressed condition extends laterally from the straight section and a sleeve telescopically surrounding the strand of wire and supporting the naturally curved suture pushing section aligned with the straight section whereby the suture pushing section deforms to said unstressed laterally extending condition responsive to manipulation of the handle to move the wire telescopically from the sleeve.
3. The method of attaching a suture to bone under soft tissue which comprises:
inserting a cannula through soft tissue substantially to the bone,
inserting into the cannula a drill guide having at least two generally parallel spaced apart bores,
drilling two non-intersecting holes aligned with the bores of the drill guide into the bone through the hard surface of the bone into softer inner bone material,
inserting through one of the bores and holes a suture pusher having a suture carrying end and pushing the suture carrying end, with a suture loop thereon, through the inner bone material from the one hole to the other hole,
retrieving one strand of the suture loop through the other bone hole and bore,
removing the pusher and the drill guide,
tying a knot in the suture and passing it down the suture through the cannula, and
removing the cannula leaving the suture tied to the bone with the suture encircling a bridge of hard surface bone material between the two holes.
4. The method of claim 3, in which the suture pusher is a strand of a resiliently flexible TiNi alloy having a straight section, a laterally extending handle on one end and on the other end a curved suture pushing section extending laterally from the straight section and resiliently deformable to pass through a bore in a generally straightened condition.
5. The method of claim 4 in which a tube is inserted through the one bore and into the one hole in the bone before inserting the suture pusher so that the tube guides the suture pusher down into the bone before pushing the suture from the one hole to the other hole. .Iadd.
6. Apparatus for attaching a suture to bone under soft tissue, comprising, in combination:
a drill guide having at least two generally parallel bores; and
a suture pusher having a proximal section and a distal section, the distal section including a suture holding section laterally movable relative to the proximal section in response to manipulation of the proximal section to push a suture loop carried by the distal section through soft bone material between two parallel holes in the bone aligned with two of the bores in the drill guide..Iaddend..Iadd.7. The apparatus of claim 6 wherein the suture pusher includes a straight section and is formed of resiliently deformable material, and wherein the distal section has an unstressed condition in which it curves laterally away from the straight section..Iaddend..Iadd.8. A suture pusher comprising:
a strand of resiliently deformable wire having a straight section extending between proximal and distal sections, the distal section including a naturally curved suture carrying section which in an unstressed condition extends laterally from the straight section in a direction;
a sleeve telescopically surrounding the strand of wire and supporting the naturally curved suture pushing section in approximate alignment with the straight section, whereby the suture pushing section deforms to said unstressed laterally extending condition responsive to manipulation of the proximal section to move the wire telescopically from a distal portion of the sleeve; and
means remote from the distal section of the strand for visually indicating the direction in which the distal section will laterally extend when moved from the distal portion of the sleeve..Iaddend..Iadd.9. The method of attaching a suture to bone under soft tissue which comprises:
forming an incision through soft tissue substantially to an underlying bone;
inserting into the incision a drill guide having at least two generally parallel spaced apart bores,
drilling two non-intersecting holes aligned with the bores of the drill guide into the bone through the hard surface of the bone into softer inner bone material,
inserting through one of the holes a suture pusher having a suture carrying end and pushing the suture carrying end, with a suture loop thereon, through the inner bone material from the one hole to the other hole,
retrieving one strand of the suture loop through the other bone hole and bore,
removing from the incision the suture pusher and the drill guide, and
tying a knot in the suture, leaving the suture tied to the bone with the suture encircling a bridge of hard surface bone material between the two
holes..Iaddend..Iadd.10. The method of attaching a suture to bone under soft tissue which comprises:
forming an incision through soft tissue substantially to an underlying bone;
forming a pair of non-intersecting holes in the bone;
inserting a sleeve having at least one bore into the incision,
inserting a suture pusher into the sleeve, the suture pusher having a suture carrying end carrying a suture loop,
with the suture carrying end of the suture pusher disposed within the sleeve and with the sleeve disposed within the incision and substantially longitudinally aligned with a first one of the holes, advancing the suture carrying end out of the bore and into the inner bone material
causing the suture carrying end to push the suture loop from the first hole to a second one of the holes,
retrieving a strand of the suture loop through the second hole,
removing the suture pusher and sleeve from the incision, and
tying a knot in the suture, leaving the suture tied to the bone with the suture encircling a bridge of hard surface bone material between the two holes..Iaddend.
Description
BACKGROUND OF THE INVENTION

This invention relates to a method and apparatus for attaching sutures to bone and more particularly to doing so arthroscopically.

It is desirable to be able to attach a suture to bone with the suture encircling a portion of the hard material which forms the surface portion of the bone so that the strength of that hard portion of the bone forms a strong anchor for the suture. Apparatus for anchoring sutures in this way is sold by Orthopedic Systems Inc. under the name COHN Suture Fixation Device. That apparatus provides two intersecting drilled holes into the bone through which a suture can be passed, but it is not readily adapted to arthroscopic surgery because it requires that a large opening be made for access to the bone.

SUMMARY OF INVENTION

In accordance with this invention, a suture can be attached to the bone with the same final strength that is achieved with the COHN S.F.D. and the procedure may be performed arthroscopically. The procedure is performed by insertion of a small cannula to the bone through overlying sort tissue. A drill guide with at least two generally parallel bores is inserted in the cannula and used for drilling two parallel holes in the bone through the hard material near the surface of the bone down into the soft interior material of the bone. The two holes in the bone need not intersect.

A suture pusher is then inserted through one of the bores in the drill guide and operated to push a suture loop through the soft bone material from one hole to the other. The suture pusher may take the form of a scissors-like device or a thin flexible wire made from a strong resilient material such as a TiNi alloy with a 90 bend at one end for pushing the suture from one hole to the other. The suture pusher preferably has a laterally extending handle at one end extending in the opposite direction from the suture pushing end so that the surgeon knows what direction the suture pushing end extends.

The suture pushing end extends laterally from the stem of the suture pusher a sufficient distance to extend from one hole to the other through the bone, and the wire embodiment has a radius of curvature which is large enough that the wire will not break when the suture pushing end is resiliently deformed to near-straightness as it is inserted through the drill guide.

The suture pusher is provided with an eye to carry the suture or it may be provided with a notched end similar to that employed in the COHN S.F.V. so that when the suture pusher is inserted through one hole and passes to the other hole it carries the loop of the suture which may be retrieved through the second hole in the manner in which a suture is retrieved with a COHN S.F.D. Once the suture is in place extending into and out of the bone, the suture pusher and drill guide are withdrawn; knots may be tied in the suture and passed along the suture through the cannula to the bone; the ends of the suture clipped off and the cannula removed.

It may be possible to fix a suture using the drill guide alone without the cannula where the drill guide performs the function of the cannula, but it is preferred to use separate drill guides and cannulas so that knots can be passed down the suture to the bone while surrounding soft tissue is held back.

In this manner a suture can be attached to the bone firmly anchored by encircling the bridge of hard bone material between the two parallel drill holes, and the attachment is accomplished without leaving metal anchoring materials in the bone. The suture may be used for attaching any desired material to the bone as for instance where the end of a ruptured tendon may be initially held to the bone by the cannula and then attached to the bone by the suture.

In order to facilitate penetration of the suture pushing end of the wire suture pusher into the soft part of the bone before it resiliently resumes its curved shape and penetrates to the second hole, a tube may be inserted through one bore of the drill guide and into the hole drilled in the bone to guide the suture pusher to a predetermined depth in the bone before its tip emerges into the bone.

DETAILED DESCRIPTION

In the accompanying drawings

FIG. 1 is an exploded view of the apparatus of this invention with a schematic diagram of a shoulder to which a ruptured tendon is to be attached;

FIG. 2 is a cross sectional view of the cannula with the drill guide in place;

FIG. 3 is a cross sectional view showing all parts assembled as the suture is inserted;

FIGS. 4, 5, 6, 7, 8 and 9 are a series of figures similar to FIG. 3 showing the sequence of steps performed in accordance with the invention, and FIG. 7A illustrates an alternative to FIG. 7; and

FIG. 10 is a view similar to FIG. 1 showing an alternative form of apparatus useful in this invention, and FIGS. 11, 12, 13 and 14 are views similar to FIGS. 3, 7 and 8 showing the operation of the apparatus of FIG. 10.

Referring now in detail to the drawings and particularly to FIG. 1 a cannula 10 having a handle 12 is used to form a passageway for arthroscopic surgery to attach a tendon 14 to a bone 16 through overlying soft tissue 18.

The end of the cannula may contain a removable plug 20 to facilitate insertion of the cannula through the soft tissue, and the inner end of the cannula may contain teeth 22 by which the tendon 14 may be grasped by the cannula. A drill guide 24 contains two generally parallel bores 26 and 28 preferably 1/8 inch in diameter separated by a central web 30 1/8 inch in diameter.

A suture pusher 32 has a central wire stem with a curved end portion 34 projecting laterally from the central stem and a handle portion 36 projecting laterally opposite to the projection 34 on the opposite end of the stem. The suture pusher contains an eye 38 through which a suture 40 is threaded as illustrated in FIG. 3. Preferably the suture pushing end 34 of the suture pusher projects laterally from the stem of the suture pusher by a sufficient distance to penetrate from one hole in the bone to the other as shown in FIG. 3. This lateral projection may be approximately 3/8 inch with the preferred dimensions set forth above for the drill guide.

As explained above this apparatus is used as follows: The cannula 7A is inserted into the tissue as illustrated in FIG. 4 until it engages the bone where a suture is to be attached. Where the tendon 14 is to be attached to the bone by the suture the tendon is grasped and held to the bone by the cannula as the cannula is inserted and the drill guide 24 is then inserted as shown in FIG. 5. A drill is then used as shown in FIG. 6 to drill two holes 40 and 42 aligned with the bores 26 and 28 respectively of the drill guide.

A suture 41 is then threaded through the eye 38 in the suture pusher 32 and the suture pusher is forced into the bore 26 of the drill guide which causes the resilient TiNi alloy wire to straighten out resiliently in the bore 26 as illustrated at 34' in FIG. 7. The suture pusher 32 is pushed into the hole 40, and as the tip 34 emerges from the drill guide, the resiliency of the wire forces the tip to move out laterally in a direction opposite the handle 36 and the surgeon orients the handle 36 so that the top 34 moves from the hole 40 to the hole 42.

As illustrated in FIG. 7A a tube 46 may be inserted in the drill guide bore 26 and into the hole 40 to receive and guide the tip 34 to a predetermined depth inside the bone before releasing the tip 34 from its straightened out condition, and a suitable index may be provided on the outer end of the tube 46 for this purpose.

Once the tip 34 penetrates from the hole 40 to the hole 42 as illustrated in FIG. 8, one end of the suture may be retrieved through the drill bore 28 by a suitable suture hook 50.

Finally once the suture has been retrieved out through the bore 28, the suture pusher and the drill guide may be withdrawn. Knots are then tied in the suture and passed down the cannula to attach the tendon 14 to the bone 16, and the excess ends of the suture may be cut off and the cannula withdrawn leaving the suture attached as shown in FIG. 9.

In the alternative shown in FIGS. 10-14, the drill guide 24a has a handle 50 and may be used with a cannula as described above. In place of the suture pusher 32 of FIG. 1, the apparatus of FIGS. 10-14 uses a suture pusher which is constructed somewhat like an arthroscopic grabber. Two parallel arms 52 and 54 extend through one bore of the drill guide 24a, and operation of the scissors handles 56 and 58 about pivots 60 and 62 slides the arms with respect to each other to cause a suture pushing end 64 to move in the direction of arrow 66 via pivots 68 and 70 to push the suture 41 from one hole 42a in the bone to the other hole 40a.

While certain details of the invention have been illustrated and described herein it is obvious that many modifications thereof may be made.

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US722105 *Nov 10, 1902Mar 3, 1903Ben E HerveyNeedle-awl.
US2543780 *Dec 9, 1946Mar 6, 1951Hipps Herbert EBone graft apparatus
US2725053 *Oct 26, 1953Nov 29, 1955Bambara JohnSurgical nail guide
US4590929 *May 3, 1983May 27, 1986Klein Harvey ATools for orthopaedic surgery and the like
US4625717 *Jun 17, 1985Dec 2, 1986Covitz William MInterosseous wiring system
US4744353 *Apr 18, 1986May 17, 1988Mcfarland Joseph RMethod for attaching soft tissue to bone tissue
US4779616 *Jul 20, 1987Oct 25, 1988Johnson Lanny LSurgical suture-snagging method
US5026350 *May 26, 1989Jun 25, 1991Hakko Electric Machine Works Co., Ltd.Set of double needles for injecting liquid medicine
US5037422 *Jul 2, 1990Aug 6, 1991Acufex Microsurgical, Inc.Bone anchor and method of anchoring a suture to a bone
US5037433 *May 17, 1990Aug 6, 1991Wilk Peter JEndoscopic suturing device and related method and suture
US5054501 *May 16, 1990Oct 8, 1991Brigham & Women's HospitalSteerable guide wire for cannulation of tubular or vascular organs
US5102421 *Jun 14, 1990Apr 7, 1992Wm. E. Anpach, IIISuture anchor and method of forming
US5234443 *Jul 26, 1991Aug 10, 1993The Regents Of The University Of CaliforniaEndoscopic knot tying apparatus and methods
US5250054 *May 1, 1992Oct 5, 1993Li Medical Technologies, Inc.Intracorporeal knot tying apparatus and method
US5281238 *Mar 3, 1993Jan 25, 1994Chin Albert KEndoscopic ligation instrument
SU166102A1 * Title not available
SU172957A1 * Title not available
SU1115736A1 * Title not available
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US6342057Apr 28, 2000Jan 29, 2002Synthes (Usa)Remotely aligned surgical drill guide
US6379364Apr 28, 2000Apr 30, 2002Synthes (Usa)Dual drill guide for a locking bone plate
US6540753 *Mar 23, 2001Apr 1, 2003Howmedica Osteonics Corp.Instrumentation for implant insertion
US6562041Nov 21, 2000May 13, 2003Sulzer Spine-Tech Inc.Apparatus and method for spinal stabilization
US6929606May 13, 2003Aug 16, 2005Depuy Spine, Inc.Retractor and method for spinal pedicle screw placement
US6951538 *Jan 29, 2002Oct 4, 2005Depuy Spine, Inc.Retractor and method for spinal pedicle screw placement
US6966910Apr 4, 2003Nov 22, 2005Stephen RitlandDynamic fixation device and method of use
US7008431Oct 30, 2001Mar 7, 2006Depuy Spine, Inc.Configured and sized cannula
US7081119Jul 30, 2004Jul 25, 2006Hfsc CompanyDrill guide assembly for a bone fixation device
US7166073Mar 28, 2005Jan 23, 2007Stephen RitlandMethod and device for microsurgical intermuscular spinal surgery
US7207992Sep 30, 2002Apr 24, 2007Stephen RitlandConnection rod for screw or hook polyaxial system and method of use
US7214186Dec 22, 2003May 8, 2007Stephen RitlandMethod and device for retractor for microsurgical intermuscular lumbar arthrodesis
US7232448Jun 17, 2004Jun 19, 2007Ethicon, Inc. - UsaMinimally invasive stitching device
US7357804Aug 13, 2003Apr 15, 2008Synthes (U.S.A.)Quick-release drill-guide assembly for bone-plate
US7510558 *Jul 14, 2003Mar 31, 2009Arthrosurface, Inc.System and method for joint resurface repair
US7569059Apr 20, 2005Aug 4, 2009Arthroscopic Innovations LlcMethod and apparatus for surgical repair
US7637918Aug 11, 2005Dec 29, 2009Zimmer Spine, Inc.Helical suturing device
US7651509Aug 16, 2004Jan 26, 2010Smith & Nephew, Inc.Methods and devices for tissue repair
US7655025Feb 2, 2010Stephen RitlandAdjustable rod and connector device and method of use
US7682375May 8, 2003Mar 23, 2010Stephen RitlandDynamic fixation device and method of use
US7695498Jan 30, 2007Apr 13, 2010Stephen RitlandConnection rod for screw or hook polyaxial system and method of use
US7713305Feb 22, 2006May 11, 2010Arthrosurface, Inc.Articular surface implant
US7731721Jul 16, 2003Jun 8, 2010Synthes Usa, LlcPlating system with multiple function drill guide
US7753939Feb 10, 2004Jul 13, 2010Stephen RitlandPolyaxial connection device and method
US7763047Feb 20, 2003Jul 27, 2010Stephen RitlandPedicle screw connector apparatus and method
US7771441Apr 20, 2005Aug 10, 2010Arthroscopic Innovations LlcMethod and apparatus for providing suture in a passageway
US7776047 *Feb 11, 2004Aug 17, 2010Depuy Spine, Inc.Guide for spinal tools, implants, and devices
US7785333 *Aug 31, 2010Olympus Medical Systems Corp.Overtube and operative procedure via bodily orifice
US7824410Aug 10, 2004Nov 2, 2010Depuy Spine, Inc.Instruments and methods for minimally invasive spine surgery
US7828853Feb 22, 2006Nov 9, 2010Arthrosurface, Inc.Articular surface implant and delivery system
US7833230Nov 16, 2010Arthroscopic Innovations LlcMethod and apparatus for providing a passageway
US7833244Nov 16, 2010Arthroscopic Innovations LlcSuture fixation device and method for surgical repair
US7857817Mar 31, 2009Dec 28, 2010Arthrosurface Inc.System and method for joint resurface repair
US7881770 *Feb 1, 2011Medtronic Navigation, Inc.Multiple cannula image guided tool for image guided procedures
US7887551Feb 15, 2011Smith & Nephew, Inc.Soft tissue attachment and repair
US7896883Mar 3, 2009Mar 1, 2011Arthrosurface, Inc.Bone resurfacing system and method
US7896885Mar 1, 2011Arthrosurface Inc.Retrograde delivery of resurfacing devices
US7909829Jun 27, 2003Mar 22, 2011Depuy Spine, Inc.Tissue retractor and drill guide
US7909843Mar 22, 2011Thompson Surgical Instruments, Inc.Elongateable surgical port and dilator
US7909848Feb 11, 2004Mar 22, 2011Depuy Spine, Inc.Tissue retractor and guide device
US7914545Mar 29, 2011Arthrosurface, IncSystem and method for retrograde procedure
US7918868 *May 22, 2007Apr 5, 2011Scandius Biomendical, Inc.Method and apparatus for meniscal repair
US7935123Sep 17, 2003May 3, 2011Depuy Acromed, Inc.Drill guide with alignment feature
US7951163May 31, 2011Arthrosurface, Inc.Retrograde excision system and apparatus
US7955341May 3, 2007Jun 7, 2011Arthroscopic Innovations LlcMethod and apparatus for providing suture in a passageway
US7959564Jun 14, 2011Stephen RitlandPedicle seeker and retractor, and methods of use
US7985245Nov 18, 2005Jul 26, 2011Stephen RitlandConnection rod for screw or hook polyaxial system and method of use
US8021399Jul 19, 2006Sep 20, 2011Stephen RitlandRod extension for extending fusion construct
US8043308 *Dec 14, 2006Oct 25, 2011Depuy Mitek, Inc.Bone suture
US8147559Oct 20, 2009Apr 3, 2012Arthrosurface IncorporatedSystem and method for joint resurface repair
US8172853 *May 6, 2003May 8, 2012Warsaw Orthopedic, Inc.Instrumentation for creating an intervertebral space for receiving an implant
US8177841May 15, 2012Arthrosurface Inc.System and method for joint resurface repair
US8192437Jun 5, 2012Depuy Spine, Inc.Configured and sized cannula
US8221459Jul 17, 2012Stephen RitlandPedicle screw connector apparatus and method
US8235999May 10, 2010Aug 7, 2012Depuy Spine, Inc.Configured and sized cannula
US8241279Feb 23, 2006Aug 14, 2012Olympus Medical Systems Corp.Overtube and natural opening medical procedures using the same
US8262571May 24, 2004Sep 11, 2012Stephen RitlandIntermuscular guide for retractor insertion and method of use
US8267948Nov 24, 2009Sep 18, 2012Tyco Healthcare Group LpMethod and apparatus for meniscal repair
US8277464 *Oct 2, 2012Depuy Mitek, Inc.Bone suture
US8317862Nov 27, 2012Marcus TrogerMethod for replacing a ligament in a knee
US8323315Dec 4, 2012Depuy Mitek, Inc.Suture locking device
US8361151Jun 14, 2012Jan 29, 2013Depuy Spine, Inc.Configured and sized cannula
US8361159Jun 28, 2005Jan 29, 2013Arthrosurface, Inc.System for articular surface replacement
US8366744Sep 23, 2011Feb 5, 2013Smith & Nephew, Inc.Apparatus for tissue repair
US8382762 *Feb 26, 2013James K BrannonEndoscopic bone debridement
US8388624Feb 25, 2010Mar 5, 2013Arthrosurface IncorporatedTrochlear resurfacing system and method
US8394107Mar 12, 2013Depuy Spine, Inc.Guide for spinal tools, implants, and devices
US8409225Apr 20, 2007Apr 2, 2013Medical Device Innovations LimitedTendon repair
US8444678May 21, 2013Depuy Spine, Inc.Instruments and methods for minimally invasive spine surgery
US8486111Jun 22, 2006Jul 16, 2013Stephen RitlandDynamic fixation device and method of use
US8491595Sep 27, 2007Jul 23, 2013Depuy Mitek, LlcMethods and devices for ligament repair
US8512374Jan 15, 2004Aug 20, 2013Depuy Mitek, LlcSoft tissue locking device
US8512375Dec 30, 2004Aug 20, 2013Smith & Nephew, Inc.Closure device and method for tissue repair
US8523872Jan 16, 2007Sep 3, 2013Arthrosurface IncorporatedTibial resurfacing system
US8540717Mar 16, 2010Sep 24, 2013Arthrosurface IncorporatedSystem and method for joint resurface repair
US8551123Nov 13, 2008Oct 8, 2013Rajiv D. PandyaDevice for the intraosteal seizing of sutures
US8556902Mar 8, 2011Oct 15, 2013Arthrosurface IncorporatedSystem and method for retrograde procedure
US8556905Dec 27, 2012Oct 15, 2013Depuy Spine, Inc.Configured and sized cannula
US8585739Mar 23, 2010Nov 19, 2013Stephen RitlandDynamic fixation device and method of use
US8617176Aug 24, 2011Dec 31, 2013Depuy Mitek, LlcCross pinning guide devices and methods
US8623051Aug 2, 2011Jan 7, 2014Smith & Nephew, Inc.Tissue repair device
US8663230Mar 1, 2011Mar 4, 2014Arthrosurface IncorporatedRetrograde delivery of resurfacing devices
US8685062Mar 23, 2010Apr 1, 2014Stephen RitlandDynamic fixation device and method of use
US8690922Mar 1, 2010Apr 8, 2014Stephen RitlandDynamic fixation device and method of use
US8721657Apr 15, 2008May 13, 2014Olympus Medical Systems Corp.Medical instrument
US8728121Jan 3, 2007May 20, 2014Olympus Medical Systems Corp.Puncture needle and medical procedure using puncture needle that is performed via natural orifice
US8845694Sep 19, 2011Sep 30, 2014Warsaw Orthopedic, Inc.Rod extension for extending fusion construct
US8852244Sep 13, 2013Oct 7, 2014DePuy Synthes Products, LLCConfigured and sized cannula
US8864827May 14, 2012Oct 21, 2014Arthrosurface Inc.System and method for joint resurface repair
US8876842Mar 16, 2010Nov 4, 2014Covidien LpMeniscal repair device
US8926615Mar 29, 2011Jan 6, 2015Arthrosurface, Inc.System and method for retrograde procedure
US8926638Nov 3, 2010Jan 6, 2015Covidien LpMethod and apparatus for meniscal repair
US8932334Sep 9, 2005Jan 13, 2015Stephen RitlandDynamic fixation device and method of use
US8936611May 23, 2011Jan 20, 2015Raptor Surgical, LLCApparatus and methods for achilles tendon repair
US8961614Nov 9, 2010Feb 24, 2015Arthrosurface, Inc.Articular surface implant and delivery system
US9028551Sep 2, 2014May 12, 2015DePuy Synthes Products, Inc.Configured and sized cannula
US9044343Jan 29, 2013Jun 2, 2015Arthrosurface IncorporatedSystem for articular surface replacement
US9055955Mar 1, 2011Jun 16, 2015Arthrosurface Inc.Bone resurfacing system and method
US9066716Mar 30, 2012Jun 30, 2015Arthrosurface IncorporatedSuture coil and suture sheath for tissue repair
US9173653Dec 23, 2013Nov 3, 2015Smith & Nephew, Inc.Tissue repair device
US9173654Dec 11, 2012Nov 3, 2015Raptor Surgical, LLCSystem for tissue repair
US9204873Apr 3, 2012Dec 8, 2015Arthrosurface IncorporatedSystem and method for joint resurface repair
US9220494Jan 8, 2010Dec 29, 2015Smith & Nephew, Inc.Methods for tissue repair
US9226782May 8, 2013Jan 5, 2016DePuy Synthes Products, Inc.Instruments and methods for minimally invasive spine surgery
US9232967Apr 7, 2014Jan 12, 2016Stephen RitlandDynamic fixation device and method of use
US9271745Nov 25, 2013Mar 1, 2016Depuy Mitek, LlcCross pinning guide devices and methods
US9283076Apr 19, 2010Mar 15, 2016Arthrosurface IncorporatedGlenoid resurfacing system and method
US9289205Jul 8, 2013Mar 22, 2016Raptor Surgical, LLCSystems for soft tissue repair
US9295461Nov 10, 2014Mar 29, 2016Smith & Nephew, Inc.Methods for tissue repair
US9314235 *Feb 5, 2003Apr 19, 2016Smith & Nephew, Inc.Tissue anchor and insertion tool
US9351745Mar 5, 2013May 31, 2016Arthrosurface IncorporatedTrochlear resurfacing system and method
US9357989Dec 28, 2010Jun 7, 2016Arthrosurface IncorporatedSystem and method for joint resurface repair
US9358029Dec 11, 2007Jun 7, 2016Arthrosurface IncorporatedRetrograde resection apparatus and method
US9408646Feb 11, 2011Aug 9, 2016DePuy Synthes Products, Inc.Bone plate with captive clips
US9414870Jul 13, 2012Aug 16, 2016DePuy Synthes Products, Inc.Translatable carriage fixation system
US20020123668 *Jan 29, 2002Sep 5, 2002Stephen RitlandRetractor and method for spinal pedicle screw placement
US20030195517 *May 6, 2003Oct 16, 2003Michelson Gary K.Instrumentation for creating an intervertebral space for receiving an implant
US20040015168 *May 13, 2003Jan 22, 2004Sulzer Spine-Tech Inc.Apparatus and method for spinal stabilization
US20040204716 *Sep 17, 2003Oct 14, 2004Jonathan FangerDrill guide with alignment feature
US20040267274 *Jun 27, 2003Dec 30, 2004Tushar PatelTissue retractor and drill guide
US20050107801 *Nov 1, 2002May 19, 2005Brian DaviesApparatus for surgical instrument location
US20050283170 *Jun 17, 2004Dec 22, 2005Battles Christopher AMinimally invasive stitching device
US20060036265 *Aug 11, 2005Feb 16, 2006Zimmer Spine, Inc.Helical suturing device
US20060229726 *Feb 22, 2006Oct 12, 2006Ek Steven WArticular surface implant
US20070197864 *Feb 23, 2006Aug 23, 2007Olympus Medical Systems Corp.Overtube and natural opening medical procedures using the same
US20070198000 *Feb 21, 2006Aug 23, 2007Olympus Medical Systems Corp.Overtube and operative procedure via bodily orifice
US20070213702 *Mar 8, 2006Sep 13, 2007Olympus Medical Systems Corp.Medical procedure carried out via a natural opening
US20070219411 *Jan 3, 2007Sep 20, 2007Olympus Medical Systems Corp.Overtube and endoscopic treatment system
US20080103506 *Sep 27, 2007May 1, 2008Depuy Mitek, Inc.Methods and devices for ligament repair
US20080147094 *Dec 14, 2006Jun 19, 2008Depuy Mitek, Inc.Bone Suture
US20080275453 *Jun 23, 2005Nov 6, 2008T.A.G. Medical Products A Limited PartnershipMethod and Apparatus for Repairing Separations in the Capsular Labrum Structure
US20080288006 *Jul 28, 2008Nov 20, 2008Brannon James KEndoscopic Bone Debridement
US20090069846 *Apr 20, 2007Mar 12, 2009Imperial Innovations LimitedTendon repair
US20090192516 *Mar 31, 2009Jul 30, 2009Arthrosurface Inc.System and Method for Joint Resurface Repair
US20090216285 *Mar 3, 2009Aug 27, 2009Arthrosurface, Inc.Bone Resurfacing System and Method
US20100070048 *Mar 18, 2010Arthrosurface, Inc.System and Method for Joint Resurface Repair
US20100121354 *Nov 13, 2008May 13, 2010Pandya Rajiv DDevice for the intraosteal seizing of sutures
US20100222824 *Sep 2, 2010Depuy Spine, Inc.Configured and sized cannula
US20100264394 *Oct 21, 2010Sony CorporationSemiconductor memory and method of manufacturing the same
US20110118593 *May 19, 2011Medtronic Navigation, Inc.Multiple Cannula Image Guided Tool for Image Guided Procedures
US20120083805 *Apr 5, 2012Depuy Mitek, Inc.Bone suture
US20130158596 *Dec 16, 2011Jun 20, 2013Depuy Mitek, Inc.Methods and systems for attaching tissue to bone
USRE42525Jun 10, 2002Jul 5, 2011Depuy Spine, Inc.Cannula and sizing insertion method
USRE45571Dec 17, 2010Jun 23, 2015DePuy Synthes Products, Inc.Cannula and sizing insertion method
WO2003043504A2 *Nov 1, 2002May 30, 2003The Acrobot Company LimitedApparatus for surgical instrument location
WO2003043504A3 *Nov 1, 2002Apr 15, 2004Acrobot Company LtdApparatus for surgical instrument location
WO2006001010A1 *Jun 23, 2005Jan 5, 2006T.A.G. Medical Products A Limited PartnershipMethod and apparatus for repairing separations in the capsular labrum structure
WO2007125279A3 *Apr 20, 2007Dec 27, 2007Imp Innovations LtdTendon repair
Classifications
U.S. Classification606/144, 606/139, 606/148, 606/96
International ClassificationA61B17/00, A61B17/04, A61F2/08, A61F2/00, A61B17/28, A61B17/17
Cooperative ClassificationA61B17/0401, A61B17/29, A61B2017/00349, A61F2002/0888, A61B2017/00473, A61B17/1796, A61F2/0811, A61B17/0469, A61F2210/0019, A61B2017/1778, A61B17/1714, A61F2/0805, A61F2002/30093
European ClassificationA61B17/17V, A61F2/08F, A61B17/04E
Legal Events
DateCodeEventDescription
Apr 19, 2001FPAYFee payment
Year of fee payment: 8
Apr 19, 2001SULPSurcharge for late payment
Year of fee payment: 7
Feb 11, 2002ASAssignment
Owner name: UNITED CALIFORNIA BANK, CALIFORNIA
Free format text: SECURITY INTEREST;ASSIGNOR:ORTHOPEDIC SYSTEMS, INC.;REEL/FRAME:012376/0539
Effective date: 20020208
Mar 23, 2005FPAYFee payment
Year of fee payment: 12