Method and apparatus for surgical repair
DCFirst Claim
1. A method for performing a surgical repair, comprising:
- providing a first hole in a body portion;
positioning a first portion of a guide relative to the first hole, the first portion extending at least partially into the first hole;
forming a second hole transverse to the first hole using a second portion of the guide so that the second hole is aligned with the second portion of the guide and intersects with the first hole and forms a passageway with the first hole through the body portion;
using the first and second portions of the guide, while the first and second portions of the guide remain fixed in place relative to each other and relative to the first and second holes, to provide a suture through the passageway by providing the suture through a passage extending along a length of the first or second portion of the guide and into the passageway and retrieving the suture using the other of the first or second portion;
securing a repair suture to a material to be secured relative to the body portion;
positioning at least a portion of the repair suture in the passageway; and
securing the material relative to the body portion using the repair suture.
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Accused Products
Abstract
A method and apparatus for performing a surgical repair may involve the use of a guide to form a passageway through the body portion, such as bone. In addition, or alternately, the guide may be used to provide a suture or suture-like material through a passageway, e.g., to secure to a material relative to the body portion. The passageway may be formed by first and second intersecting holes formed in the body portion. Both ends of a suture may be positioned in the passageway, and be secured relative to the body portion near one of the openings into the passageway. A straightened pathway between the first and second openings of the passageway may be formed, e.g., using a flossing operation.
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Citations
26 Claims
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1. A method for performing a surgical repair, comprising:
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providing a first hole in a body portion; positioning a first portion of a guide relative to the first hole, the first portion extending at least partially into the first hole; forming a second hole transverse to the first hole using a second portion of the guide so that the second hole is aligned with the second portion of the guide and intersects with the first hole and forms a passageway with the first hole through the body portion; using the first and second portions of the guide, while the first and second portions of the guide remain fixed in place relative to each other and relative to the first and second holes, to provide a suture through the passageway by providing the suture through a passage extending along a length of the first or second portion of the guide and into the passageway and retrieving the suture using the other of the first or second portion; securing a repair suture to a material to be secured relative to the body portion; positioning at least a portion of the repair suture in the passageway; and securing the material relative to the body portion using the repair suture. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. A method for forming a passageway in bone, comprising:
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providing a first hole into bone of a humerus, the first hole extending into but not through the bone; securing a first guide member relative to, and at least partially in, the first hole the first guide member including a first guide tube; positioning the first guide member with respect to a reference structure at a first position; positioning a second guide member with respect to the reference structure, the second guide member including a second guide tube, and positioning of the second guide member being independent of the first guide member; drilling or punching a second hole in the humerus bone using the second guide member positioned with respect to the reference structure and using the second guide member to guide the orientation in which the second hole is formed, the second hole being formed so as to be aligned with the second guide member, and be transverse to and intersect the first hole and form a passageway though the humerus bone, the second hole extending into but not through the bone; positioning the second guide member with respect to the reference structure at a second position such that distal ends of the first and second guide tubes are adjacent each other in the bone; passing at least a portion of a suture through the passageway in the humerus bone by positioning at least a portion of the suture in the first or second guide tube and retrieving the suture from the other of the first or second guide tube; and securing a rotator cuff tendon to the humerus bone using the suture. - View Dependent Claims (21, 22, 23, 24, 25, 26)
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Specification