Methods and devices for tissue repair
First Claim
Patent Images
1. An apparatus, comprising:
- first and second fixation members, a flexible member coupled to the first and second fixation members, and a limiting element coupled to the flexible member, the limiting element being movable relative to the second fixation member and acting to limit loosening of the flexible member relative to the second fixation member.
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Accused Products
Abstract
An apparatus includes first and second fixation members, a flexible member coupled to the first and second fixation members, and a limiting element coupled to the flexible member. The limiting element is movable relative to the second fixation member and acts to limit loosening of the flexible member relative to the second fixation member. The limiting element can be slidably received by the flexible member. The flexible member can be coupled to the fixation members such that pulling on a free end of the flexible member shortens a length of the flexible member between the fixation members.
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Citations
49 Claims
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1. An apparatus, comprising:
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first and second fixation members, a flexible member coupled to the first and second fixation members, and a limiting element coupled to the flexible member, the limiting element being movable relative to the second fixation member and acting to limit loosening of the flexible member relative to the second fixation member. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. An apparatus, comprising:
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first and second fixation members, a flexible member coupled to the first and second fixation members, and a limiting element coupled to the flexible member, the limiting element being slidably received by the flexible member and acting to limit loosening of the flexible member relative to the second fixation member.
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19. An apparatus, comprising:
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a fixation member, and a flexible member movably coupled to the fixation member, a first end of the flexible member being looped back and secured to the flexible member for forming a loop, the loop being remote from the fixation member.
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20. A surgical assembly comprising:
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a first fastener;
a second fastener; and
a flexible member connecting the first fastener to the second fastener, the flexible member being movably attached to the second fastener, such that pulling on a free end of the flexible member shortens a length of the flexible member between the first and second fasteners. - View Dependent Claims (21, 22)
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23. A surgical assembly comprising:
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a fastener configured to be secured within bone tissue;
a retainer for engaging tissue; and
a flexible member connecting the fastener to the retainer, the flexible member being movably attached to the retainer such that pulling on a free end of the flexible member shortens a length of the flexible member between the fastener and the retainer to urge the tissue against the bone tissue.
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24. A surgical assembly comprising:
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a delivery device comprising a handle and a cannula, the cannula extending from the handle and including a longitudinal channel and a longitudinal slot in the cannula along at least a portion of the length of the channel; and
a surgical device comprising a first fixation member, a second fixation member, a flexible member coupling the first fixation member and the second fixation member, the flexible member being movably attached to the first fixation member such that pulling on a free end of the flexible member shortens a length of the flexible member between the first fixation member and the second fixation member, wherein the first fixation member is positioned within the longitudinal channel, the second fixation member is positioned adjacent to an outer surface of the cannula, and the flexible member passes from the longitudinal channel through the longitudinal slot. - View Dependent Claims (25, 26, 27, 28)
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29. A device for repairing a tear in a tissue, comprising:
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a needle having a distal region and a proximal region, the distal region being defined between two holding elements, a first fixation member positioned within the distal region and a second fixation member positioned within the proximal region, and a flexible member coupled to the first and second fixation members.
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30. A wound closure kit comprising:
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a needle having an open tip and defining a longitudinal bore that connects to the open tip;
first and second fasteners disposed within the needle bore; and
a flexible member connecting the first fastener to the second fastener. - View Dependent Claims (31, 32, 33, 34, 35)
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36. A method of closing a tissue wound comprising:
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providing a wound closure device having a first fastener, a second fastener, and a flexible member movably attached to the second fastener;
positioning the first fastener against tissue;
passing the flexible member across the wound;
positioning the second fastener against tissue; and
pulling on a free end of the flexible member to shorten a length of the flexible member between the first and second fasteners, thereby closing the wound. - View Dependent Claims (37, 38, 39, 40, 41, 42)
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43. A surgical method, comprising:
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positioning a fixation member relative to tissue, moving a flexible member coupled to the fixation member relative to the fixation member to bring two tissue surfaces together, and moving a limiting element coupled to the flexible member relative to the fixation member, the limiting element acting to limit loosening of the flexible member relative to the fixation member.
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44. A method for repairing a tear in soft tissue, comprising:
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advancing a fixation member coupled to a flexible member through tissue on either side of the tear and through a loop of the flexible member, and tensioning the flexible member to bring two tissue surfaces on either side of the tear together.
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45. A surgical method comprising:
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positioning a fastener within bone tissue;
positioning a retainer against soft tissue to be attached to the bone tissue, the fastener and retainer being connected by a flexible member, the flexible member being movably attached to the retainer; and
pulling a free end of the flexible member to shorten a length of the flexible member between the fastener and the retainer to urge the soft tissue against the bone tissue.
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46. A surgical method comprising:
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drilling a channel through bone tissue and soft tissue;
pulling a first flexible member to pull a fastener in a first direction through the channel such that the fastener passes through the bone tissue and the soft tissue;
pulling a second flexible member to pull the fastener in a second direction against the soft tissue, the second flexible member connecting the fastener to a retainer; and
pulling a free end of the second flexible member to shorten a length of the second flexible member between the fastener and the retainer, whereby pulling the free end of the second flexible member positions the retainer against the bone.
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47. A surgical method comprising:
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positioning a fastener within bone tissue;
positioning a first retainer against soft tissue to be attached to the bone tissue, the fastener and first retainer being movably attached by a flexible member;
positioning a second retainer against soft tissue to be attached to the bone tissue, the fastener, the first retainer, and the second retainer being movably attached by the flexible member;
pulling a free end of the flexible member to shorten a length of the flexible member between at least any two of the fastener, the first retainer and the second retainer.
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48. A surgical method comprising:
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positioning a fastener within bone tissue;
advancing a delivery device including a needle under a first soft tissue member;
advancing the curved delivery device through a second soft tissue member and positioning a retainer against the second soft tissue member, the fastener and retainer being connected by a flexible member, the flexible member being movably attached to the retainer; and
pulling a free end of the flexible member to shorten a length of the flexible member between the fastener and the retainer.
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49. A surgical method for repairing a meniscal tear comprising:
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positioning a delivery device comprising a needle against a first position on soft tissue;
advancing the needle through the soft tissue, a first fixation member being positioned within a longitudinal channel of a lumen of the needle and including a protrusion extending from the first fixation member through a longitudinal slot in the needle;
withdrawing the needle from the soft tissue such that the first fixation member is pulled from the needle by the interaction of the protrusion and the soft tissue;
positioning the delivery device against a second position on the soft tissue;
advancing the delivery device and the needle through the soft tissue, a second fixation member being positioned within the longitudinal channel of the lumen and including a protrusion extending from the second fixation member through the longitudinal slot in the needle; and
withdrawing the delivery device from the soft tissue such that the second fixation member is pulled from the needle by the interaction of the protrusion and the soft tissue.
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Specification