Method and apparatus for coupling anatomical features
First Claim
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1. A method for use in coupling a first portion of an anatomy to a second portion of the anatomy comprising:
- passing a suture through a first fastener;
coupling a second fastener to the suture;
passing a first end of the suture through a first aperture defined by a body of the suture into a passage portion defined by the body of the suture and out a second aperture defined by the body of the suture so as to place the first end outside of the passage portion and form a first adjustable loop;
passing a second end of the suture through a third aperture defined by the body of the suture into the passage portion and out a fourth aperture defined by the body of the suture so as to place the second end outside of the passage portion and form a second adjustable loop, the first fastener being positioned at the passage portion of the suture;
coupling the first fastener to the first portion of the anatomy;
coupling the second fastener to the second portion of the anatomy; and
applying tension onto at least one of the first and second ends to constrict the first and second adjustable loops.
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Accused Products
Abstract
A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel.
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Citations
35 Claims
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1. A method for use in coupling a first portion of an anatomy to a second portion of the anatomy comprising:
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passing a suture through a first fastener; coupling a second fastener to the suture; passing a first end of the suture through a first aperture defined by a body of the suture into a passage portion defined by the body of the suture and out a second aperture defined by the body of the suture so as to place the first end outside of the passage portion and form a first adjustable loop; passing a second end of the suture through a third aperture defined by the body of the suture into the passage portion and out a fourth aperture defined by the body of the suture so as to place the second end outside of the passage portion and form a second adjustable loop, the first fastener being positioned at the passage portion of the suture; coupling the first fastener to the first portion of the anatomy; coupling the second fastener to the second portion of the anatomy; and applying tension onto at least one of the first and second ends to constrict the first and second adjustable loops. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for use in coupling a first portion of an anatomy to a second portion of the anatomy comprising:
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forming a first bore in a first bone of the anatomy; forming a second bore in a second bone of the anatomy; positioning a first anchor relative to the first bore, the first anchor having an adjustable suture construct extending therefrom; positioning a second anchor relative to the second bore; positioning the adjustable suture construct between the first and second bones; tensioning at least one end of the adjustable suture construct to position the first bone relative to the second bone; and coupling soft tissue to first and second adjustable loops of the adjustable suture construct; wherein the adjustable suture construct includes a passage portion defined by a body of a suture used to form the adjustable suture construct, the passage portion being positioned at the first anchor and allowing portions of the first and second adjustable loops to slide relative to and through the passage portion to adjust a size of the first and second adjustable loops, the soft tissue being coupled to an end of the first and second adjustable loops opposite the passage portion. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18)
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19. A method for use in coupling a first portion of an anatomy to a second portion of the anatomy comprising:
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forming a first bore in a first bone of the anatomy; forming a second bore in a second bone of the anatomy; positioning a first anchor relative to the first bore, the first anchor having an adjustable suture construct extending therefrom, the adjustable suture construct formed from a suture having a body forming a passage portion that defines an internal bore, where first and second ends of the suture pass through the internal bore and extend therefrom to form first and second adjustable loops, the first and second adjustable loops having a first end at the passage portion and a second opposite end configured to receive the soft tissue, the first anchor being positioned at the passage portion; positioning a second anchor relative to the second bore; coupling soft tissue to the first and second adjustable loops; positioning the adjustable suture construct and soft tissue between at least a portion of the first and second bones; and tensioning at least one end of the adjustable suture construct to reduce a size of the first and second loops and position the first bone relative to the second bone. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26)
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27. A method for use in coupling a first portion of an anatomy to a second portion of the anatomy comprising:
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forming a first bore in a first bone of the anatomy; forming a second bore in a second bone of the anatomy; positioning a first anchor relative to the first bore, the first anchor having an adjustable suture construct extending therefrom, the adjustable suture construct formed from a suture having a body that defines a longitudinal internal bore, wherein a first end of the suture passes through a first aperture defined by the suture body and into the longitudinal internal bore and out a second aperture defined by the suture body to form a first adjustable loop, and wherein a second end of the suture passes through a third aperture defined by the suture body and into the longitudinal internal bore and out a fourth aperture defined by the suture body to form a second adjustable loop; positioning a second anchor relative to the second bore; coupling soft tissue to the first and second adjustable loops; positioning the adjustable suture construct and soft tissue between at least a portion of the first and second bones; and tensioning at least one end of the adjustable suture construct to reduce a size of at least one of the first and second adjustable loops. - View Dependent Claims (28, 29, 30)
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31. A method for use in coupling a first portion of an anatomy to a second portion of the anatomy comprising:
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forming a first bore in a first bone; positioning soft tissue over at least a portion of first and second adjustable loops of an adjustable suture construct having a body defining a longitudinal internal bore, wherein a first end of the suture passes through a first aperture defined by the suture body and into the longitudinal internal bore and out a second aperture defined by the suture body to form the first adjustable loop, and wherein a second end of the suture passes through a third aperture defined by the suture body and into the longitudinal internal bore and out a fourth aperture defined by the suture body to form the second adjustable loop; pulling a first anchor in a first profile into the first bore in the first bone to position the soft tissue relative to the first bone, the first anchor coupled to the adjustable suture construct; adjusting the first anchor to a second profile to engage a positive locking surface of the first bone adjacent the first bore; and tensioning at least one end of the adjustable suture construct to reduce a size of at least one of the first and second adjustable loops and apply tension to the soft tissue. - View Dependent Claims (32)
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33. A method for use in coupling a first portion of an anatomy to a second portion of the anatomy comprising:
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forming a bore in a bone passing a first fastener having first and second adjustable loops of an adjustable suture construct extending therefrom into the bore, wherein at least a portion of the first and second adjustable loops are coupled to a second fastener; passing soft tissue over the second fastener; positioning the second fastener into the bore; engaging the first fastener with a positive locking surface of the bone; and tensioning at least one end of the adjustable suture construct to reduce a size of at least one of the first and second adjustable loops and apply tension to the soft tissue, wherein the adjustable suture construct has a body defining a longitudinal internal bore and a first end of the suture passes through a first aperture defined by the suture body and into the longitudinal internal bore and out a second aperture defined by the suture body to form the first adjustable loop, and wherein a second end of the suture passes through a third aperture defined by the suture body into the longitudinal internal bore and out a fourth aperture defined by the suture body to form the second adjustable loop. - View Dependent Claims (34, 35)
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Specification