SUTURE METHODS FOR FORMING LOCKING LOOPS STITCHES
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Abstract
Methods for suturing tissue by forming a locking loop of suture material. In particular, method of using a suture passer to arthroscopically create a locking loop of suture in difficult to access tissues. As used herein a locking loop of suture is a loop of suture that is passed through a tissue from a first side to a second side of the tissue; one or more of the legs of the loop extending from the first side are passed through the tissue to the second side of the tissue and are then passed through the loop, and the loop is cinched to tighten closed over the one or more legs. The resulting locking loops stitches are extremely strong and distribute the stresses across the tissue in a desirable manner.
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Citations
17 Claims
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1. (canceled)
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2. A method of arthroscopically repairing a knee tissue with a length of suture having a distal limb region, a proximal limb region and a central loop region there between, the method comprising:
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arthroscopically positioning a first jaw of a suture passer on a superior side of a meniscus and a second jaw of the suture passer on an inferior side of the meniscus; extending a needle between the first and second jaws to pass a first loop of the loop region of the suture through the tissue with the suture passer, from a first side of the tissue to a second side of the tissue; moving the distal limb region of the suture from the first side of the tissue to the second side of the tissue; moving the distal limb region though the first loop; and cinching the first loop region closed. - View Dependent Claims (3, 4, 5, 6, 7)
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8. A method of arthroscopically repairing a knee tissue with a length of suture having a distal limb region, a proximal limb region and a central loop region therebetween, the method comprising:
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arthroscopically positioning a first jaw of a suture passer on a superior side of a meniscus and a second jaw of the suture passer on an inferior side of the meniscus; extending a needle between the first and second jaws to pass a first loop of the loop region of the suture from the inferior to the superior surface of a meniscus with the suture passer; passing the distal limb region of the suture from the inferior to the superior surface of the meniscus with the suture passer; passing the distal limb region though the first loop; and cinching the first loop region closed. - View Dependent Claims (9, 10, 11, 12)
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13. A method of arthroscopically repairing a knee tissue with a length of suture having a distal limb region, a proximal limb region and a central loop region therebetween, the method comprising:
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arthroscopically positioning a first jaw of a suture passer on a superior side of a meniscus and a second jaw of the suture passer on an inferior side of the meniscus; extending a needle between the first and second jaws to pass a first loop of the loop region of the suture from the inferior to the superior surface of a meniscus with the suture passer; passing the proximal limb region of the suture from the inferior to the superior surface of the meniscus with the suture passer; passing the distal limb region of the suture from the inferior to the superior surface of the meniscus with the suture passer; passing the distal limb region though the first loop; and cinching the first loop region closed. - View Dependent Claims (14, 15, 16)
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17. A method of repairing a tissue by arthroscopically forming a locking loop of suture through the tissue, the suture formed of a length of suture material having a distal limb region, a proximal limb region and a central loop region therebetween, the method comprising:
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arthroscopically positioning a first jaw of a suture passer on a superior side of a meniscus and a second jaw of the suture passer on an inferior side of the meniscus; extending a needle between the first and second jaws to pass a loop of the central loop region of the suture from a first side of the tissue to a second side of the tissue; passing the distal limb region through the tissue from the first side to the second side of the tissue; passing the distal limb region through the loop; and cinching the loop over the distal limb.
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Specification