Abstract: Methods and constructs for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) and with the flexible strands provided through tissue, around tissue, or through and around tissue to be repaired or fixated.

Abstract: Methods and constructs for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) and with the flexible strands provided through tissue, around tissue, or through and around tissue to be repaired or fixated.

Abstract: Systems and methods for AC joint dislocation surgical repairs, without knot tying. The surgical systems include two fixation devices (for example, a button and an anchor) joined by strand of flexible material having a knotless, self-cinching, adjustable loop with two splices that attach to the two fixation devices. The knotless, adjustable loop/fixation devices allow for tensioning of the AC repair after the anchor implantation.

Abstract: Instrumentation for elbow reconstruction, specifically, for repairs of the ulnar collateral ligament (UCL). The instrumentation provides for precise formation of sockets and tunnels along with easy suture/graft passage while accommodating all forms of elbow UCL reconstruction techniques. A V-drill guide is provided with a handle and two drill sleeves having intersecting trajectories for creating an intersecting V-shaped bone tunnel in the ulna. An adjustable humeral guide has an adjustable arm with an arc shape, and a peg and a block extending from each end of the adjustable arm. The peg is shaped to fit within an already-formed humeral socket. The block allows a drill to pass through and form other tunnels which intersect with the originally-formed tunnel at various positions.

Abstract: Knotless, adjustable anchor systems that allow for knotless tensioning of tissue (such as the rotator cuff) after anchor implantation. The knotless, adjustable anchor system includes knotless anchors (for example, swivel and/or screw-in suture anchors and/or push-in suture anchors) that are modified to carry a self-locking, adjustable construct (for example, a suture assembly with a spliced suture loop) and to position the self-locking, adjustable construct at the repair site. The system allows for knotless tensioning of the tissue after the knotless anchors have been implanted. The medial row anchors are implanted and passed through tissue in a similar fashion as the current Corkscrew® or SwiveLock® C anchors are. The lateral row anchors are similar to a knotless SutureTak® but modified to accommodate a larger suture to hold a larger load. The suture is interconnected to the medial row and returned back to the lateral row for loading into the splice.

Abstract: Techniques and instrumentation for elbow reconstruction, specifically, for repairs of the ulnar collateral ligament (UCL). The instrumentation provides for precise formation of sockets and tunnels along with easy suture/graft passage while accommodating all forms of elbow UCL reconstruction techniques. A V-drill guide is provided with a handle and two drill sleeves having intersecting trajectories for creating an intersecting V-shaped bone tunnel in the ulna. An adjustable humeral guide has an adjustable arm with an arc shape, and a peg and a block extending from each end of the adjustable arm. The peg is shaped to fit within an already-formed humeral socket. The block allows a drill to pass through and form other tunnels which intersect with the originally-formed tunnel at various positions.

Abstract: A method of fixating soft tissue to bone using a bone anchor connected to a construct formed of a suture strand passing through the anchor and a shuttle device passing through a splice region of the suture strand. After installing the anchor in bone, an end of the suture strand is passed around or through soft tissue to be fixated, and then the end of the suture strand is inserted into an eyelet of the shuttling device. By pulling on the opposite end of the shuttling device, the end of the suture strand is passed through the splice region of the flexible strand, thereby forming a knotless closed loop having an adjustable perimeter. As the loop is tightened, the soft tissue is tensioned against the bone.

Abstract: A cannula with a tri-slot dam assembly including two primary dams as the main fluid seal and an adjacent outer “baffle-like dam” that prevents fluid pressure build-up and allows the fluid to leak out and not squirt out of the cannula. The baffle-like dam has a body formed of a low profile material and is provided with a plurality of small through holes or perforations to allow fluid to gently leak out. Fluid that enters the outer chamber leaks out of the through holes so that the fluid pressure between the baffle and the primary dams is very low. A spacer is optionally provided between the two primary dams and the outer dam to prevent the dams from interfering with each other and allow them to remain open.

Abstract: A flexible obturator configured to dilate soft tissue without abrading the adjacent bone surface area. The flexible obturator consists of at least one flexible strand (for example, flexible wire, suture or similar malleable flexible material) that is overmolded with a material that allows the device to bend/flex in multiple planes. The overmolded material has an increasing taper to provide graduated dilation through soft tissue.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with a fixation device, a flexible construct having a flexible strand abutting a suture tape, and a shuttle/pull device attached to the flexible strand and provided within the body of the fixation device. A splice is formed by pulling on the shuttle/pull device subsequent to the fixation device being secured into the bone, to allow the wide tape to be positioned over the tissue (for best compression and minimum tissue cut-thru) and suture for the implanted portion (for most efficient and least bone removal).

Abstract: A delivery device (suture passer or suture snare) that may be used in both open and endoscopic surgical procedures. The delivery device is designed with an internal member terminating in a snare and a retractable outer sheath (sleeve). The device is passed through tissue, and the outer sheath is retracted (moved back), allowing the snare to open. The suture is captured by the snare, and the outer sheath is then released so that it returns to its distal position, closing the snare and securing the captured suture. Since the snare is exposed by retracting the outer sheath (sleeve), rather than advancing the snare, the space requirement for the device is reduced, as is the possibility that the snare will undesirably contact sensitive tissue.

Abstract: A cannula with a tri-slot dam assembly including two primary dams as the main fluid seal and an adjacent outer “baffle-like dam” that prevents fluid pressure build-up and allows the fluid to leak out and not squirt out of the cannula. The baffle-like dam has a body formed of a low profile material and is provided with a plurality of small through holes or perforations to allow fluid to gently leak out. Fluid that enters the outer chamber leaks out of the through holes so that the fluid pressure between the baffle and the primary dams is very low. A spacer is optionally provided between the two primary dams and the outer dam to prevent the dams from interfering with each other and allow them to remain open.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices, loops and inserts that are pre-loaded onto knotless anchors to position the self-locking, adjustable construct at the repair site. The splice incorporates an insert in the form of a flexible strand with at least one barb, or simply in the form of a cut length of suture or braid that is inserted into the center of the cinching loop to create a thicker portion. When the cinching loop is tightened, the insert prevents loosening of the loop, locking in the cinching loop and preventing movement of the loop.

Abstract: Systems and methods for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) and with the flexible strands provided through tissue, around tissue, or through and around tissue to be repaired or fixated. The tensionable knotless anchors may be used to achieve simple stitch repairs, mattress stitch repairs or interlocked looped mattress repairs, among others. The tensionable knotless anchors may be also provided in a daisy chain configuration, i.e., with the suture from one anchor passed through the eyelet/loop of the shuttle/pull device of another anchor and repeated in a pattern.

Abstract: Methods and constructs for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) and with the flexible strands provided through tissue, around tissue, or through and around tissue to be repaired or fixated.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with a fixation device, a flexible strand and a shuttle/pull device attached to the flexible strand and provided within the body of the fixation device. A splice is formed by pulling on the shuttle/pull device subsequent to the fixation device being secured into the bone, to allow desired tensioning of soft tissue to be fixated or repaired relative to the bone.

Abstract: Systems and methods for AC joint dislocation surgical repairs, without knot tying. The surgical systems include two fixation devices (for example, a button and an anchor) joined by strand of flexible material having a knotless, self-cinching, adjustable loop with two splices that attach to the two fixation devices. The knotless, adjustable loop/fixation devices allow for tensioning of the AC repair after the anchor implantation.

Abstract: Techniques and instrumentation for elbow reconstruction, specifically, for repairs of the ulnar collateral ligament (UCL). The instrumentation provides for precise formation of sockets and tunnels along with easy suture/graft passage while accommodating all forms of elbow UCL reconstruction techniques. A V-drill guide is provided with a handle and two drill sleeves having intersecting trajectories for creating an intersecting V-shaped bone tunnel in the ulna. An adjustable humeral guide has an adjustable arm with an arc shape, and a peg and a block extending from each end of the adjustable arm. The peg is shaped to fit within an already-formed humeral socket. The block allows a drill to pass through and form other tunnels which intersect with the originally-formed tunnel at various positions.