Abstract: A tool and method for drilling a bone for receipt of a first and second bundle includes drilling a first tunnel in the bone. A locating instrument may be positioned into the first bone tunnel thereby defining a reference axis. A tool may be inserted through a portal defined in surrounding tissue. The tool may engage the locating instrument thereby identifying a relative orientation between the reference axis and the drill axis for preparation of a second bone tunnel. The second bone tunnel may be drilled along the drill axis.

Abstract: A flexible member managing device is provided. The flexible member managing device includes a biocompatible body having a base, an extension projecting from the base, and a plurality of flexible member-receiving slots to organize a plurality of flexible members. The flexible member managing device can be repeatedly fixed to allow movement and temporary fixation of the flexible member managing device intraoperatively.

Abstract: A method for attaching soft tissue to bone. The method includes forming a bore in a bone, placing the soft tissue adjacent to the bone and above the bore, at least partially inserting a fixation device into the bore, and delivering biologic material through the soft tissue at an interface area between the soft tissue and the bone.

Abstract: The present teachings provide a flexible member securing assembly. The flexible member securing assembly includes a shaft, an arm extendable from the shaft, an anchor, and a flexible member grasper formed on a distal end of the arm. Methods of securing a flexible member are also provided.

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.

Abstract: A method of distributing a load to a cartilage defect repair plug is provided. A load is applied to a first articulation layer. The load is distributed to a second layer and the load is transferred in the normal direction to the first density of subchondral bone. The load is distributed to a third layer and the load is transferred in the normal direction to a second density of subchondral bone. The load is then distributed to a fourth layer and the load is transferred in the normal direction to a third density of subchondral bone.

Abstract: Methods of ligament repair are provided. A ligament graft is arranged in a tensioning device and placed adjacent to a heating surface. The heating surface is activated to heat the graft. The graft is tensioned while on the substantially dry heating surface to provide laxity to the graft. The size of the relaxed graft remains the same until the graft is implanted in a bone tunnel as either an anterior or posterior cruciate ligament graft.

Abstract: A method and apparatus for surgically coupling a soft tissue replacement into a tunnel of a bone are disclosed. The method includes forming a loop of a soft tissue or soft tissue replacement. A pair of prosthetics are coupled to the loop of soft tissue to form an artificial bone-tendon-bone graft. The prosthetics and soft tissue are then placed within a tunnel formed in a bone. The relative position of the prosthetic is then fixed with respect to the tunnel.

Abstract: An apparatus and method for fixing a selected graft relative to a selected anatomical portion. An anchor may be provided that may be interconnected with a selected graft portion that is operable to pass through a selected bore and then moved into an operable position to engage a selected portion of the bore to substantially eliminate the possibility of the graft moving in an unselected direction through the bore.

Abstract: A tissue repair device. The tissue repair device includes a tubular shaft having a longitudinal bore for delivering biological material to a soft tissue defect, and an awl having a distal end configured for microfracturing bone underlying the defect. The tubular shaft and the awl are movable relative to one another such that the awl is at least partially positioned within the longitudinal bore of the tubular shaft.

Abstract: Provided are procedures and instruments for preparing and transplanting osteochondral allograft plugs to a host bone to repair an articular cartilage defect. An allograft bone plug having a cartilage plate and cancellous bone tissue attached thereto is removed from a donor bone. The allograft plug is further shaped by removing or cutting away cancellous bone tissue to form a cancellous stalk extending from the cartilage plate. The formed cancellous stalk can have any suitable shape including cylindrical, conical, and rectilinear. At the recipient site of the host bone, a cutout is formed corresponding in shape to the allograft plug. The allograft plug is inserted into the cutout such that the cancellous stalk is retained in the host bone and the cartilage plate aligns with the condyle surface of the host bone. Aspects of the invention may also be applicable to preparing and transplanting osteochondral autograft plugs.

Abstract: A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member.

Abstract: An apparatus and method for performing a surgery, especially an ACL replacement surgery, where a flexible strand insertion rod co-operates with a U-Guide apparatus to insert a flexible strand into a tunnel formed in a bone portion and to guide a pair of drill points to form a pair of tunnels transversely to the tunnel of the insertion rod. The drill points are guided through the insertion rod and the flexible strand is held over the drill points as the transverse tunnels are formed. The insertion rod is then removed from the tunnels formed in the bone and the flexible strand is held looped over the second drill point. Subsequently, a soft tissue replacement is affixed to one end of the flexible strand and pulled over up to the first drill point with the other end of the flexible strand. The first drill point is then used to pull a cross pin through the transverse tunnel to hold the looped end of the soft tissue replacement in place.

Abstract: Suture anchor and associated method and system. In one embodiment, the suture anchor includes a bone anchoring portion, and a suture securing portion coupled to the bone anchoring portion. The suture securing portion has an eyelet through which a suture is threaded. The eyelet has a surface finish provided by a coating process, such as a titanium nitride or a titanium anodize process that increases the life of the suture.

Abstract: A soft tissue repair method. The method includes providing a flaccid tubular member having a longitudinal bore and first and second ends, the tubular member defining first and second portions integral with the tubular member. The method includes coupling the tubular member to a flexible strand, inserting the tubular member from a first side of the soft tissue to a second side of soft tissue, such that a first portion of the tubular member exits the second side of the soft tissue and a second portion of the tubular member remains inside the soft tissue, tensioning the flexible strand, deforming the first portion of the tubular member to an anchoring shape, and forming a vascularization conduit from the second portion of the tubular member.

Abstract: A medical device for placement in an anatomy and for use with a guide wire that generally includes a cannula member configured to be inserted into the anatomy. The cannula member has a wall that includes an outer wall surface and an inner wall surface. The inner wall surface defines an inner passage that extends along a longitudinal axis of the medical device. A guide wire holding member is formed in the wall of the cannula member. The guide wire holding member defines a cavity in the wall of the cannula member and an aperture in the inner wall surface in communication with the cavity that can receive the guide wire from the inner passage of the cannula member.

Abstract: A device and method for fastening one or more graft strands to a bone. The device may include a first member having a first opening and a second member having a second opening. The first member may include a plurality of radial projections defining recesses, wherein each graft is separately received in a corresponding recess. The device may also include a fastener passing through the first and second openings. The fastener may have a first portion engaging the first member and a second portion received into the bone, such that tightening the fastener against the first member compresses the graft strands between opposing faces of the first and second members.

Abstract: A felt for repairing soft tissue defects comprising a membranous collagen substrate and a bioresorbable fiber felted onto the collagen substrate. Methods of preparing a felt and methods of repairing soft tissue damage with a felt are also provided.

Abstract: An implantable interference screw for use in a soft tissue repair, the screw having a bioresorbable body comprising a plurality of interconnected pores, the body having an instrument interface in one end and a thread around an exterior of the body starting from distal end. The plurality of interconnected pores of the resorbable body are substantially filled with a bioresorbable polymer.

Abstract: A medical device for placement in an incision. The medical device includes a cannula member configured to be inserted into the incision. The medical device also includes a guide wire holding member having a base member connected to the cannula member. Wall members are connected to said base member and form an open channel along said cannula member. A guide wire or fixation pin can be inserted into the guide wire holding member. The guide wire holding member can be configured as an open c-shaped channel or a plurality of curled tabs to hold the guide wire. The various configurations of the guide wire holding member can be constructed without the use of tapered or flared pins in an injection molding manufacturing process.