Abstract: Methods and devices for tissue fixation. A cortical button with a rib between two slotted openings. The rib increases the cortical button structural rigidity without increasing palpability. An adjustable loop construct with two discrete locking passages that provides manageable loop reduction and improved tissue coupling. The adjustable loop construct may be coupled to tissue via a passing construct. An assembly with a reduction bar, a button and an adjustable loop construct, the assembly provided assembled in a first configuration that disassembles to guide steps of tissue fixation. The reduction bar may be assembled to the reduction bar for reducing the adjustable loop construct.

Abstract: Tissue repair devices include an advancement assembly comprising a rod portion configured to advance through a needle to expel first and second implants from the needle, a ratchet coupled to a proximal section of the rod portion and configured to advance the rod through the needle by axial and rotational movement, and an advancement member having a linear travel axis including a first bore connected to a second bore. A diameter of the first bore is smaller than a diameter of the second bore such that the first bore and the second bore comprise a stop. The rod portion has mechanical properties optimized to both conform to a needle curvature and provide sufficient compressive strength to expel implants from the devices.

Abstract: Depth penetration limiters for use with meniscal repair devices which have a built-in, self-stopper feature to prevent the limiter from disengaging from the device housing. The self-stopper feature is a cantilevered flexure on a bottom surface of the limiter that deflects as it is moved through the housing. As the flexure passes the edge of a recess in the housing, the flexure returns to its original shape, trapping the flexure within the recess and preventing further distal movement of the limiter/depth tube. A connection feature on the limiter provides increased pull-off resistance of the depth tube from the limiter.

Abstract: Methods and devices for tissue graft fixation include fixation devices attached to an adjustable fixation loop of suture without compromising the graft or requiring additional material to complete the repair. Other fixation devices are attachable to an independent adjustable suture system. Adjustable fixation loops minimize slip/creep of the suture within the loop.

Abstract: A single-patient-use disposable tool comprises a molded, single-piece body with a curved upper surface having a predetermined bend radius for bending a needle slidably disposed in a sheath. A distal end of the curved surface has a slot for insertion of a tip of a needle, while the proximal end of the curved surface has a guide member for slidably receiving the sheath. Two finger loops or similar ergonomic features allow the user to rotate the bending tool relative to the sheath to bend the needle about the predetermined bend radius. After completing the bend, the tool is removed from the needle and disposed of.