Abstract: Surgical anchor constructs, fixation devices, and methods for tissue repairs are disclosed. A soft suture anchor has a cannulated sheath (that is fixed in bone), at least one repair suture attached to the sheath, and a plurality of flexible couplers attached to the sheath. At least one of the flexible couplers may be an anchor passing suture. At least one of the flexible couplers may be an anchor deployment suture.

Abstract: Surgical anchor constructs, fixation devices, and methods for tissue repairs are disclosed. A soft suture anchor has a cannulated sheath (that is fixed in bone) and a plurality of repair sutures attached to the sheath and forming a plurality of knotless loops. Soft tissue is secured to bone with two or more knotless loops that secure the soft tissue similar to a cam buckle strap.

Abstract: Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical construct may be in the form of a repair suture with an attached shuttle/pull device to aid in formation of splices and tensionable, knotless loops.

Abstract: Systems and methods are provided for performing tensionable knotless surgical procedures. A suture locking device that includes a one-way locking mechanism may be utilized for tensioning and locking one or more strands of suture during the surgical procedure. The one-way locking mechanism may be established by one or more locking barbs of the suture locking device.

Abstract: Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical repair system includes two or more soft anchors. The soft anchors may be all-suture anchors that are interconnected by a flexible coupler extending from one suture anchor to another suture anchor.

Abstract: A method of prophylactically reducing acromial fracture incidence may include locating a lateral border of an acromion of an intact scapula. A posterior entry location may be located on the acromion at a first predefined distance from a posterolateral corner of the acromion. A first incision may be made at the posterior entry location. A first pin may be inserted into the acromion at the posterior entry location and guided toward a scapular spine of the intact scapula. An anterior entry location may be located on the acromion, which is a second predefined distance from the posterior entry location. A second incision may be made at the anterior entry location. A second pin may be inserted into the acromion at the anterior entry location and guided toward the scapular spine of the intact scapula. The first and second pins are trimmed at the edge of the acromion.

Abstract: A suture assembly may include a suture having first and second suture ends. A first needle may be coupled to the first suture end. A second needle may be coupled to the second suture end. A tube pledget may be disposed along the suture between the first and second needles. The tube pledget may include a tubular structure defining a lumen. The suture may extend from a first end region of the tubular structure to the first needle and from a second end region of the tubular structure to the second needle.

Abstract: Surgical constructs, assemblies and methods of tissue fixation are disclosed. A surgical construct includes a spreadable web attached to a plurality of peripheral strands. The spreadable web may be tensionable and may include one or more flexible filaments or strands. At least one of the filaments is coupled to the peripheral strands. The filaments may extend from the peripheral strands in different directions and/or orientations. The spreadable web is expandable and can be adjusted to various widths. The spreadable web may be knotless. The spreadable web may be tensionable. The surgical construct may be attached to one or more knotted or knotless fixation devices.

Abstract: Surgical constructs, assemblies, and methods for rotator cuff reinforcement are disclosed. Side tissue of a reconstructed rotator cuff is secured with at least one flexible coupler and at least one fixation device secured to bone.

Abstract: Systems and methods here include a meniscal allograft with a bone block and a technique for making a desired shape in the bone block to be used to implant in a patient. A clamp and/or jig arrangement are disclosed that are able to secure the tissue and allow three corresponding cuts to the tissue using the clamp as a guide to a saw to obtain the desired shape.

Abstract: Exemplary intramedullary implant systems are provided for performing surgical procedures. The intramedullary implant systems may be used for performing bone fracture, bone fusion, or osteotomy procedures within joints.

Abstract: Surgical constructs, assemblies and methods of elbow repair and reconstruction. A center of rotation guide has specific dimensions configured to be secured on either the lateral or medial side of the elbow. At one end, the guide is provided with a plurality of full concentric through-holes (circles of different diameters) with bisecting lines every 90 degrees to identify the center of rotation on the lateral and medial epicondyle. At another end, the guide is provided with a linear pattern of through-holes or apertures located about the centerline of the guide. The linear pattern of through-holes identifies the attachment point on the ulnar tuberosity. The concentric and linear pattern through-holes of the guide are sized to receive instrumentation such as K-wire guides and/or drill guides. One or more spikes or tines are provided on the bottom of the guide for stabilization during use.

Abstract: Compression/reduction drivers are provided for performing surgical methods. Exemplary surgical methods that may be performed using the compression/reduction drivers described herein include, but are not limited to, arthrodesis procedures (i.e., bone fusion procedures), fracture fixation procedures, etc. The compression/reduction drivers are configured to simultaneously and independently apply a force against a bone segment and drive a fixation device into the bone segment.

Abstract: A handheld rotary medical device configured to harvest material from a patient and create particulates of the material within an inner drive shaft is disclosed. As such, material collected at a distal end of an outer shaft is processed via an inner drive shaft working member before the material is evacuated out of the outer shaft.

Abstract: Medical instruments and methods that can be used in conjunction with surgical procedures that involve inserting one or more anchors into a joint. In an example, the disclosed instrument can be used in conjunction with surgical procedures in which the one or more anchors are to be inserted at an offset from a reference location in the joint. The disclosed instrument allows for inserting the anchor at a precise location from the reference location in the joint.

Abstract: Surgical constructs, assemblies and methods for surgical repairs are disclosed. A soft suture anchor with a fixed suture limb or limbs is secured within tissue. The suture limb may be passed through soft tissue and within the tissue at various locations and in a sequential manner to form a stitching pattern over the soft tissue. The suture limb may be fixated laterally within the tissue with an independent fixation device.

Abstract: Surgical constructs methods of tissue fixation are disclosed. A textured structure on a bone surface provides increased friction and increased surface area for soft tissue coming down on it.

Abstract: Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical construct may be in the form of a soft suture anchor with a braid that may have tapered areas on one or both sides of the braid. The surgical construct may include one or more shuttle/pull devices to aid in formation of splices and tensionable, knotless loops.

Abstract: Surgical constructs and methods for surgical repairs are disclosed. A surgical construct is in the form of a soft suture anchor with a single flexible limb. The single suture limb may be passed through soft tissue and remains outside the bone for tensioning and/or alternative usage.