Transosseous attachment
First Claim
Patent Images
1. A method of placing a suture transosseously through a bone, the method comprising:
- forming a first bone tunnel in the bone;
positioning a portion of a suture in the first bone tunnel;
indexing a guide to the first bone tunnel while the suture is in the first bone tunnel;
guiding a tunnel forming instrument with the guide to form a second bone tunnel transverse to and intersecting the first bone tunnel while the guide is indexed to the first bone tunnel; and
withdrawing the portion of the suture from the first bone tunnel through the second bone tunnel, wherein the first bone tunnel is formed by impacting a tunnel forming instrument into the bone and wherein the portion of suture is positioned in the first bone tunnel simultaneously with impacting a tunnel forming instrument into the bone to form the first bone tunnel.
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Accused Products
Abstract
Techniques and instruments for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a retriever able to retrieve a suture through the bone tunnels.
311 Citations
15 Claims
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1. A method of placing a suture transosseously through a bone, the method comprising:
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forming a first bone tunnel in the bone; positioning a portion of a suture in the first bone tunnel; indexing a guide to the first bone tunnel while the suture is in the first bone tunnel; guiding a tunnel forming instrument with the guide to form a second bone tunnel transverse to and intersecting the first bone tunnel while the guide is indexed to the first bone tunnel; and withdrawing the portion of the suture from the first bone tunnel through the second bone tunnel, wherein the first bone tunnel is formed by impacting a tunnel forming instrument into the bone and wherein the portion of suture is positioned in the first bone tunnel simultaneously with impacting a tunnel forming instrument into the bone to form the first bone tunnel. - View Dependent Claims (2)
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3. A method of placing a suture transosseously through a bone, the method comprising:
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forming a first bone tunnel in the bone; positioning a portion of a suture in the first bone tunnel; indexing a guide to the first bone tunnel while the suture is in the first bone tunnel; guiding a tunnel forming instrument with the guide to form a second bone tunnel transverse to and intersecting the first bone tunnel while the guide is indexed to the first bone tunnel; and withdrawing the portion of the suture from the first bone tunnel through the second bone tunnel, wherein the step of indexing a guide to the first bone tunnel comprises engaging a portion of the guide with a member inserted in the first bone tunnel, the member being separately inserted into the first bone tunnel prior to engaging the portion of the guide with the member and the member remaining in the first bone tunnel and engaged with the guide while the second bone tunnel is formed. - View Dependent Claims (4, 5, 6)
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7. A method of placing a suture transosseously through a bone, the method comprising:
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forming a first bone tunnel in the bone; positioning a portion of a suture in the first bone tunnel; indexing a guide to the first bone tunnel while the suture is in the first bone tunnel; guiding a tunnel forming instrument with the guide to form a second bone tunnel transverse to and intersecting the first bone tunnel while the guide is indexed to the first bone tunnel; and withdrawing the portion of the suture from the first bone tunnel through the second bone tunnel, wherein the guide includes an indexing probe, the indexing probe being inserted into the first bone tunnel to index the guide to the first bone tunnel, the portion of the suture being delivered to the first bone tunnel from the indexing probe and wherein the indexing probe is hollow and the guide further comprises a suture passer with an end moveable within the indexing probe between a first retracted position and a second extended position in which the suture passer moves the suture into engagement with a suture retriever positioned in the second bone tunnel. - View Dependent Claims (8)
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9. A method of placing a suture transosseously through a bone, the method comprising:
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forming a first bone tunnel in the bone; positioning a portion of a suture in the first bone tunnel; indexing a guide to the first bone tunnel while the suture is in the first bone tunnel; guiding a tunnel forming instrument with the guide to form a second bone tunnel transverse to and intersecting the first bone tunnel while the guide is indexed to the first bone tunnel; withdrawing the portion of the suture from the first bone tunnel through the second bone tunnel; reinforcing at least one of the first and second bone tunnels by simultaneously inserting a reinforcing member into the one of the first and second bone tunnels as the one of the first and second bone tunnels is formed to create a reinforced bone tunnel, the reinforcing member remaining in the reinforced bone tunnel after a tunnel forming instrument is removed from the reinforced bone tunnel and after the suture is withdrawn through the second bone tunnel; and leaving the suture and reinforcing member in the reinforced bone tunnel as implants after completing a surgical procedure. - View Dependent Claims (10)
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11. A method of placing a suture transosseously through a bone, the method comprising:
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forming a first bone tunnel in the bone; inserting a member extending from a guide into the first bone tunnel to index the guide to the first bone tunnel; while the member is inserted into the first bone tunnel, guiding a tunnel forming instrument with the guide to form a second bone tunnel transverse to and intersecting the first bone tunnel; after forming the second bone tunnel and while the member is inserted into the first bone tunnel and without removing the tunnel forming instrument from the second bone tunnel, advancing a portion of a suture in the first bone tunnel so that it engages the tunnel forming instrument; and withdrawing the portion of the suture through the second bone tunnel with the tunnel forming instrument. - View Dependent Claims (12, 13, 14, 15)
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Specification