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US20070005067A1 - Arthoscopic method and apparatus for tissue attachment to bone - Google Patents

Arthoscopic method and apparatus for tissue attachment to bone Download PDF

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Publication number
US20070005067A1
US20070005067A1 US11/157,631 US15763105A US2007005067A1 US 20070005067 A1 US20070005067 A1 US 20070005067A1 US 15763105 A US15763105 A US 15763105A US 2007005067 A1 US2007005067 A1 US 2007005067A1
Authority
US
United States
Prior art keywords
bone
tunnel
tissue
suture
attachment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11/157,631
Other languages
English (en)
Inventor
Brian Dross
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to US11/157,631 priority Critical patent/US20070005067A1/en
Priority to EP06773860.9A priority patent/EP1898812B1/fr
Priority to AU2006261992A priority patent/AU2006261992B2/en
Priority to PL06773860T priority patent/PL1898812T3/pl
Priority to CA002612692A priority patent/CA2612692A1/fr
Priority to PCT/US2006/024523 priority patent/WO2007002432A1/fr
Priority to JP2008518447A priority patent/JP5347129B2/ja
Priority to ES06773860.9T priority patent/ES2523664T3/es
Publication of US20070005067A1 publication Critical patent/US20070005067A1/en
Priority to US11/954,612 priority patent/US8282643B2/en
Priority to US13/490,003 priority patent/US9044222B2/en
Abandoned legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483—Hand-held instruments for holding sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1642—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for producing a curved bore
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1684—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the shoulder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1796—Guides or aligning means for drills, mills, pins or wires for holes for sutures or flexible wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06028—Means for attaching suture to needle by means of a cylindrical longitudinal blind bore machined at the suture-receiving end of the needle, e.g. opposite to needle tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0608—J-shaped

Definitions

  • the invention relates to methods and devices and more specifically relates to the arthroscopic fixation of tissue to bone using sutures.
  • Invasive and open surgery methods of attachment of tissue to bone to repair tissue is known and used.
  • An example of this method is rotator cuff surgery.
  • foreign objects such as suture anchors, staples or screws, are implanted and used to connect tissue to bone.
  • the present invention overcomes the invasive nature of tissue repairs by open surgical processes, and reduces the reliance on implants associated with arthroscopic repairs.
  • the invention uses the bone constructs of the patient to attach sutures to torn or dysfunctional tissue. Suture is passed through intersecting tunnels formed in the bone. An end of the suture extends from each of the tunnels, and the ends are used to secure the tissue to the bone, such as by arthroscopic tying of the ends, and pulling the tissue against the bone.
  • FIG. 1 illustrates a rotator cuff drill guide in place with a trephine piercing a torn rotator cuff.
  • a single stand of suture is shown passing through the drill guide, rotator cuff tissue, into and out of the humeral head, and exiting the central lumen of the trephine.
  • FIG. 2 illustrates three arthroscopic simple stitches, a repaired rotator cuff, and two lateral vertical portals.
  • FIG. 3 illustrates two arthroscopic mattress stitches where the initial suture in the center bone tunnel was used to pass two sutures.
  • FIG. 4A is the drill guide assembly having an arcuate drill guide, a straight drill guide and a handle.
  • FIG. 4B is the stylus for the arcuate drill guide lumen.
  • FIG. 4C is the trephine guide pin that will fit into the straight drill guide lumen with enough clearance for the trephine.
  • FIG. 4D is the arthroscopic trephine.
  • FIG. 4E is an offset hook probe that will pass into the trephine.
  • FIG. 4F is a suture stylus with suture loosely attached.
  • FIG. 5 illustrates insertion of the arcuate lumen rotator cuff drill guide leading with the stylus.
  • FIG. 6 illustrates the stylus that has been passed through the straight drill guide lumen.
  • FIG. 7 illustrates the trephine inserted to a calibration point that advances the tip past the bone void left by the stylus.
  • FIG. 8 illustrates the trephine partially retracted to a second calibration mark, the suture stylus with suture being advanced and the hook probe in a readied position.
  • FIG. 9 illustrates the suture lodged in the bone void left by the stylus after being left behind by the suture stylus, and the hook probe which has been passed through the trephine to capture the suture.
  • FIG. 10 demonstrates an embodiment of the device using straight, but non-parallel drill guides.
  • FIG. 11 demonstrates an embodiment of the device showing an additional configuration of an arcuate drill guide.
  • a preferred embodiment of the invention is demonstrated in repairing a rotator cuff.
  • Two arthroscopic portals 30 , 32 are formed in the shoulder 34 , such as by a scalpel.
  • the humeral head 36 and rotator cuff tendons 38 are present.
  • An arcuate drill guide 16 having a central lumen is inserted into one of the portals. If required, cortical bone may be removed prior to insertion of the arcuate drill guide.
  • the central lumen of the arcuate drill guide has a protruding flexible stylus 4 therein that is advanced into the humeral head lateral of the torn rotator cuff.
  • the stylus may be formed of nitinol.
  • the stylus may have a cutter formed in an end thereof, such as a drill or mill type cutter.
  • the forward end of the arcuate drill guide is curved.
  • Advancement of the arcuate drill guide may be by manual pressure or by assisted manual force using, for example, a mallet, or by a power tool, such as a drill.
  • the arcuate drill guide forms an arcuate tunnel in the bone. After the arcuate drill guide is fully advanced, the drill guide stylus is withdrawn, leaving a small void in the bone that is present beyond the leading edge of the arcuate drill guide.
  • FIG. 6 The arcuate drill guide forms an arcuate tunnel in the bone. After the arcuate drill guide is fully advanced, the drill guide stylus is withdrawn, leaving
  • straight drill guide 2 is placed through the other portal.
  • the straight drill guide has a lumen therein.
  • a stylus is 24 positioned within this lumen.
  • the stylus may be formed of nitinol. Sufficient space is present within the lumen for placement of the trephine 6 , so that the stylus has a sloppy fit within the drill guide. The stylus pierces the tissue.
  • the trephine is inserted into the lumen of the straight drill guide.
  • the trephine has a larger diameter than the stylus, but will rotate within the lumen.
  • the trephine enlarges the tunnel, and is moved past the arcuate shaped tunnel formed using the arcuate drill guide. FIG. 7 .
  • the trephine is retracted. As shown in FIG. 8 the trephine may have calibration marks 20 , 22 to indicate the depth of insertion and retraction of the trephine. The bone tunnels intersect as shown.
  • one or more strands of suture 14 are passed through the lumens of the drill guides, through a reapproximated rotator cuff tear, and through the two converging bone tunnels.
  • the suture also passes through the humeral head (bone), and exits the central lumen of the trephine.
  • the suture is advanced through the arcuate drill guide by the suture stylus 12 .
  • the hook probe 10 is inserted through the lumen of the trephine to hook the suture advanced by the suture stylus at approximately the intersection of the tunnels. FIG. 9 .
  • FIG. 3 shows two arthroscopic mattress stitches 42 where the initial suture in the center bone tunnel was used to pass two sutures.
  • the two sutures were tied twice with their adjacent sutures to form mattress stitches.
  • the outside suture strands could have been used to pull the corresponding central suture into the outside tunnel, resulting in one less knot left in the patient, and the opportunity to use a sliding knot.
  • the arcuate drill guide and the straight drill guide may be connected by a handle 44 .
  • the handle positions the relative angles of the drill guides for forming the tunnels as described.
  • the drill guides are positioned by the handle so that intersecting tunnels are formed as disclosed herein. Both drill guides could be straight, with the drill guides angled in a non-parallel fashion to form intersecting tunnels.
  • the handle may also be used to receive and transfer a force for advancing the drill guides, such as by striking the handle with a mallet.
  • Benefits of the present invention over the use of suture anchors include the introduction of minimal foreign material in the patient, a larger “healing footprint” (which is variable with the distance between lumens) and the use of lumens as injection ports for plate rich/poor blood/growth factors.
  • This method of arthroscopic bone/suture tunnel creation also has applications in shoulder laberal repair and posterior cruciate ligament and anterior cruciate ligament repair, without, or at least reducing, the requirement of suture anchors, staples or screws.
  • the geometry of the apparatus relates to an arthroscopic creation of bone tunnels and simultaneous suture passing to repair a torn or partially torn rotator cuff.
  • FIG. 10 shows the method of arthroscopic attachment of tissue to bone where different drill guide configurations are used to address the anatomic structure of the genohumeral joint, which are different that rotator cuff repair.
  • FIG. 10 shows parallel drill guide lumens 102 , 103 that are useful for superior labrum deficiencies or tears.
  • FIG. 11 shows a drill guide that is similar to the rotator cuff guide, having one arcuate lumen 216 and one straight lumen 202 but having a different converging angle for inferior laberal repair. Aside from these differences in the apparatus, the method of arthroscopic securing tissue to the glenoid is the same as described for attaching the rotator cuff to the humeral head.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
US11/157,631 2005-06-21 2005-06-21 Arthoscopic method and apparatus for tissue attachment to bone Abandoned US20070005067A1 (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
US11/157,631 US20070005067A1 (en) 2005-06-21 2005-06-21 Arthoscopic method and apparatus for tissue attachment to bone
PCT/US2006/024523 WO2007002432A1 (fr) 2005-06-21 2006-06-21 Procede et appareil arthroscopiques pour la fixation de tissus sur des os
AU2006261992A AU2006261992B2 (en) 2005-06-21 2006-06-21 Arthroscopic Method and Apparatus for Tissue Attachment to Bone
PL06773860T PL1898812T3 (pl) 2005-06-21 2006-06-21 Artroskopowy przyrząd do mocowania tkanek do kości
CA002612692A CA2612692A1 (fr) 2005-06-21 2006-06-21 Procede et appareil arthroscopiques pour la fixation de tissus sur des os
EP06773860.9A EP1898812B1 (fr) 2005-06-21 2006-06-21 Appareil arthroscopique pour la fixation de tissus sur des os
JP2008518447A JP5347129B2 (ja) 2005-06-21 2006-06-21 骨に対する組織結合のための関節鏡視下固定用ドリルガイドアセンブリ
ES06773860.9T ES2523664T3 (es) 2005-06-21 2006-06-21 Aparato artroscrópico para la unión de tejido al hueso
US11/954,612 US8282643B2 (en) 2005-06-21 2007-12-12 Arthroscopic method and apparatus for tissue attachment to bone
US13/490,003 US9044222B2 (en) 2005-06-21 2012-06-06 Arthroscopic method and apparatus for tissue attachment to bone

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/157,631 US20070005067A1 (en) 2005-06-21 2005-06-21 Arthoscopic method and apparatus for tissue attachment to bone

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/954,612 Continuation-In-Part US8282643B2 (en) 2005-06-21 2007-12-12 Arthroscopic method and apparatus for tissue attachment to bone

Publications (1)

Publication Number Publication Date
US20070005067A1 true US20070005067A1 (en) 2007-01-04

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Family Applications (3)

Application Number Title Priority Date Filing Date
US11/157,631 Abandoned US20070005067A1 (en) 2005-06-21 2005-06-21 Arthoscopic method and apparatus for tissue attachment to bone
US11/954,612 Expired - Fee Related US8282643B2 (en) 2005-06-21 2007-12-12 Arthroscopic method and apparatus for tissue attachment to bone
US13/490,003 Expired - Fee Related US9044222B2 (en) 2005-06-21 2012-06-06 Arthroscopic method and apparatus for tissue attachment to bone

Family Applications After (2)

Application Number Title Priority Date Filing Date
US11/954,612 Expired - Fee Related US8282643B2 (en) 2005-06-21 2007-12-12 Arthroscopic method and apparatus for tissue attachment to bone
US13/490,003 Expired - Fee Related US9044222B2 (en) 2005-06-21 2012-06-06 Arthroscopic method and apparatus for tissue attachment to bone

Country Status (8)

Country Link
US (3) US20070005067A1 (fr)
EP (1) EP1898812B1 (fr)
JP (1) JP5347129B2 (fr)
AU (1) AU2006261992B2 (fr)
CA (1) CA2612692A1 (fr)
ES (1) ES2523664T3 (fr)
PL (1) PL1898812T3 (fr)
WO (1) WO2007002432A1 (fr)

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US20060241694A1 (en) * 2005-04-20 2006-10-26 Daniel Cerundolo Suture fixation device and method for surgical repair
US20080228224A1 (en) * 2007-03-13 2008-09-18 Michael Sauer Device For Securing A Surgical Suture To A Bone
US20090187244A1 (en) * 2008-01-21 2009-07-23 Brian Dross Method of arthroscopically assisted ligament reconstruction
ITMI20091178A1 (it) * 2009-07-03 2011-01-04 Matteo Regusci Strumento ortopedico per la riparazione delle lesioni tendinee della cuffia dei rotatori della spalla per via artroscopica
US20110009867A1 (en) * 2008-02-28 2011-01-13 T.A.G. Medical Products Corporation Ltd. Medical apparatus and method for attaching a suture to a bone
WO2013102909A3 (fr) * 2012-01-08 2014-10-02 Mininvasive Ltd. Dispositif chirurgical arthroscopique
US20140303625A1 (en) * 2011-08-24 2014-10-09 Mininvasive Ltd. Arthroscopic surgical device
CN104470446A (zh) * 2012-04-23 2015-03-25 迷你纳瓦斯武有限公司 关节镜手术装置
US9770248B2 (en) 2010-07-11 2017-09-26 Mininvasive Ltd. Circular bone tunneling device
US20170281153A1 (en) * 2014-03-10 2017-10-05 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9820754B2 (en) 2011-08-24 2017-11-21 Mininvasive Ltd. Circular bone tunneling device employing a stabilizing element
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US20180153566A1 (en) * 2015-07-17 2018-06-07 Kator, Llc Transosseous guide and method
US10143462B2 (en) 2015-08-04 2018-12-04 Kator, Llc Transosseous suture anchor method
US10154868B2 (en) 2015-07-17 2018-12-18 Kator, Llc Transosseous method
US20190029743A1 (en) * 2017-07-31 2019-01-31 DePuy Synthes Products, Inc. Correction guide for femoral neck
US10206672B2 (en) 2013-03-18 2019-02-19 Mininvasive Ltd. Arthroscopic surgical device
US10792029B2 (en) 2014-09-09 2020-10-06 Mininvasive Ltd. Padded transosseous suture
US10835234B2 (en) 2015-12-31 2020-11-17 Mininvasive Ltd. Arthroscopic surgical device
US10849613B2 (en) 2015-09-24 2020-12-01 Mininvasive Ltd. Arthroscopic surgical device
US11617590B2 (en) * 2009-01-27 2023-04-04 Vishal Mahul Mehta Arthroscopic tunnel guide for rotator cuff repair
US20240091029A1 (en) * 2013-11-13 2024-03-21 Tornier Sas Shoulder patient specific instrument
US12383253B2 (en) 2015-08-04 2025-08-12 Crossroads Extremity Systems, Llc Suture anchor

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CA2660292C (fr) 2006-07-31 2016-03-08 T.A.G. Medical Products A Limited Partnership Procedure de transplantation osseuse arthroscopique, et instruments medicaux utiles pour cette procedure
CA2687935C (fr) 2007-05-30 2015-06-23 T.A.G. Medical Products A Limited Partnership Instrument de percage particulierement utile comme instrument medical pour percer un tissu, et procede d'utilisation d'un tel instrument pour suturer un tissu
KR101038073B1 (ko) * 2010-06-25 2011-06-01 양현진 의료용 튜브형 바늘 유닛 및 다수의 의료용 봉합사를 튜브형 바늘 내에 장착하는 방법
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US9782165B2 (en) 2011-11-11 2017-10-10 VentureMD Innovations, LLC Transosseous attachment
US10136883B2 (en) 2011-11-16 2018-11-27 VentureMD Innovations, LLC Method of anchoring a suture
US10675014B2 (en) 2011-11-16 2020-06-09 Crossroads Extremity Systems, Llc Knotless soft tissue attachment
US10548585B2 (en) 2011-11-16 2020-02-04 VentureMD Innovations, LLC Soft tissue attachment
US10470756B2 (en) 2011-11-16 2019-11-12 VentureMD Innovations, LLC Suture anchor and method
EP2617370B1 (fr) * 2012-01-19 2017-12-20 Stryker European Holdings I, LLC Manchon en particulier pour chirurgie sus-rotulienne
US20130274768A1 (en) 2012-02-29 2013-10-17 Marker Medical, Llc Surgical apparatus and method
US9101373B2 (en) 2012-10-15 2015-08-11 Biomet Sports Medicine, Llc Self-centering drill guide
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US20150216541A1 (en) * 2014-02-03 2015-08-06 Arthrex, Inc. Pointing device and drilling tool
CN103860217B (zh) * 2014-03-05 2016-04-06 复旦大学附属华山医院 一种内窥镜下软组织缝合导向装置和方法
CN103989492B (zh) * 2014-06-10 2016-01-20 中国人民解放军第三军医大学第二附属医院 一种经皮腹膜缝合系统
US20160015379A1 (en) * 2014-07-15 2016-01-21 Microaire Surgical Instruments, Llc Curvilinear Transosseous Rotator Cuff Repair Tools
US10251639B1 (en) * 2015-11-20 2019-04-09 Ronald Yamada Meniscus repair system
CN105919631B (zh) * 2016-06-13 2018-06-19 赵春霞 一种用于足底韧带重建的医疗器械及使用方法
US10631884B2 (en) 2017-06-05 2020-04-28 Conmed Corporation Multi-barrel drill guide
US11471173B2 (en) 2017-06-05 2022-10-18 Conmed Corporation Multi-barrel drill guide and anchor deployment assembly
US12220121B2 (en) * 2018-06-26 2025-02-11 Leonard Gordon Suture transfer device
US12082861B2 (en) * 2020-05-11 2024-09-10 Sambhu N. Choudhury Cable passer device
US11819425B2 (en) * 2021-04-29 2023-11-21 Cc-Instruments Oy Coracoid guiding system and a method for using thereof

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US9044222B2 (en) 2015-06-02
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ES2523664T3 (es) 2014-11-28
PL1898812T3 (pl) 2015-02-27
US8282643B2 (en) 2012-10-09
JP2008546489A (ja) 2008-12-25
AU2006261992A1 (en) 2007-01-04
JP5347129B2 (ja) 2013-11-20
CA2612692A1 (fr) 2007-01-04
US20080091217A1 (en) 2008-04-17
AU2006261992B2 (en) 2011-10-20
EP1898812A1 (fr) 2008-03-19
EP1898812B1 (fr) 2014-08-27
US20120323248A1 (en) 2012-12-20

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