Adjustable knotless loops
First Claim
Patent Images
1. A method of attaching soft tissue to a bone at a defect site, the method comprising:
- obtaining a fastener that has a longitudinal axis extending between a proximal end and a distal end of the fastener with an adjustable loop of a flexible construct being offset from a longitudinal interior bore of a fastener, wherein the adjustable loop being offset from the longitudinal interior bore includes the flexible construct;
(i) entering the fastener through a first opening in the proximal end of the fastener which leads to the longitudinal interior bore;
(ii) extending along the longitudinal interior bore;
(iii) extending along a transverse passage in the fastener that connects the longitudinal interior bore to a longitudinal exterior channel that extends along an outer surface of the fastener;
(iv) exiting the fastener through a second opening in a side wall of the fastener; and
(v) extending along the longitudinal exterior channel;
passing the adjustable loop through the soft tissue after releasing the adjustable loop from a driver carrying the fastener;
passing the fastener back through the adjustable loop to fold the adjustable loop upon itself;
fixing the fastener to an area adjacent the defect such that the adjustable loop and a proximal end of the fastener abuts the defect; and
engaging an adjusting arm on the flexible construct to reduce the size of the adjustable loop and to retain the fastener proximal end in abutment with the soft tissue.
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Accused Products
Abstract
Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. An adjustable loop region of a flexible construct contained in a bore defined by a fastener is passed through a tissue. The adjustable loop is passed through the tissue. The fastener is passed back through the adjustable loop to fold the adjustable loop upon itself. The fastener is attached to the bone. An adjusting arm on the flexible construct is engaged to reduce the size of the adjustable loop and secure the soft tissue to the bone.
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Citations
23 Claims
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1. A method of attaching soft tissue to a bone at a defect site, the method comprising:
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obtaining a fastener that has a longitudinal axis extending between a proximal end and a distal end of the fastener with an adjustable loop of a flexible construct being offset from a longitudinal interior bore of a fastener, wherein the adjustable loop being offset from the longitudinal interior bore includes the flexible construct;
(i) entering the fastener through a first opening in the proximal end of the fastener which leads to the longitudinal interior bore;
(ii) extending along the longitudinal interior bore;
(iii) extending along a transverse passage in the fastener that connects the longitudinal interior bore to a longitudinal exterior channel that extends along an outer surface of the fastener;
(iv) exiting the fastener through a second opening in a side wall of the fastener; and
(v) extending along the longitudinal exterior channel;passing the adjustable loop through the soft tissue after releasing the adjustable loop from a driver carrying the fastener; passing the fastener back through the adjustable loop to fold the adjustable loop upon itself; fixing the fastener to an area adjacent the defect such that the adjustable loop and a proximal end of the fastener abuts the defect; and engaging an adjusting arm on the flexible construct to reduce the size of the adjustable loop and to retain the fastener proximal end in abutment with the soft tissue. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method of attaching soft tissue to a bone at a defect site comprising:
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forming a hole in the bone; positioning a driver carrying a fastener and a flexible construct having an adjustable loop adjacent to the hole in the bone; releasing the adjustable loop that is offset from a bore defined by the fastener from the driver, wherein said releasing the adjustable loop includes releasing the adjustable loop from being removeably secured to the driver, and wherein the adjustable loop being removeably secured to the driver includes the adjustable loop contacting the driver; passing the adjustable loop through the soft tissue after said releasing; passing the fastener back through the adjustable loop to fold the adjustable loop upon itself; inserting the fastener in the hole in the bone; and pulling an adjusting arm of the flexible construct to reduce the size of the adjustable loop and secure the soft tissue to the bone. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19)
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20. A method of attaching soft tissue to a bone at a defect site comprising:
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positioning a driver carrying a fastener and a flexible construct having an adjustable loop adjacent to the defect site; releasing the adjustable loop that is offset from a bore defined by the fastener from the driver; passing the adjustable loop through the soft tissue after said releasing; passing the fastener back through the adjustable loop to fold the adjustable loop upon itself; fixing the fastener to the bone at the defect site; and engaging an adjusting arm on the flexible construct to reduce a size of the adjustable loop to secure the soft tissue to the bone after fixing the fastener to the bone. - View Dependent Claims (21, 22, 23)
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Specification