Abstract: An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.

Abstract: A drill pin and a method of fixating tissue to bone is described herein. A method of fixating tissue to a bone with a fixation button is described that includes advancing a drill pin from a first surface of a bone to a second surface of the bone to form a tunnel.

Abstract: An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.

Abstract: A drill pin and a method of fixating tissue to bone is described herein. A method of fixating tissue to a bone with a fixation button is described that includes advancing a drill pin from a first surface of a bone to a second surface of the bone to form a tunnel.

Abstract: A flexible construct according to an exemplary aspect of the present disclosure includes, inter alia, a sheath and a suture connected to the sheath to form an adjustable loop. The suture includes a plurality of barbs that permit movement of the suture in a first direction relative to the sheath and restrict movement in a second direction relative to the sheath.

Abstract: A drill pin and a method of fixating tissue to bone is described herein. A method of fixating tissue to a bone with a fixation button is described that includes advancing a drill pin from a first surface of a bone to a second surface of the bone to form a tunnel.

Abstract: A tendon stripper according to an exemplary aspect of the present disclosure includes, inter alia, a shaft including a tip tapering to a point at the distal end of the shaft, and a retention structure moveable between an open position and a closed position to capture and retain a tendon relative to the tip. The tip arrangement increases the ease of separating a tendon from adjacent muscle tissue.

Abstract: A specialized obturator that has a curved configuration designed specifically for entry through the anterior joint and out the back of the knee in the ideal position for a posterior portal. The curved obturator is shaped to avoid intact knee ligaments and femoral condyles. The obturator is provided with an eyelet located at the tip and may be employed with a cannula similar to a PassPort™ Button cannula, but with one or more sutures placed through the “neck” behind the collar. A standard “inside-out” cannula may be used as well, but dimensioned for the specialized obturator.

Abstract: An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.

Abstract: An adjustable suture-button construct for ligament reconstruction. The construct is a knotless, adjustable, flexible suture loop, a first fixation device (a free or removable slotted button) and optionally a second fixation device (a fixed, non-removable button). Suture ends of the knotless suture loop provide a variable-length graft support that can be adjusted prior to, during, or after deployment of the constructs. The removable, detachable fixation device is provided with attachment feature(s) to permit assembly onto the adjustable loop. The removable, detachable fixation device is attached to the tibia end of the loop construct after the loop construct is passed through the tibial tunnel (i.e., once the loop exits the anterior tibia cortex). If a fixed, non-removable button is employed, the fixed, non-removable button is securely attached (by stitching, for example) to the graft.

Abstract: A specialized obturator that has a curved configuration designed specifically for entry through the anterior joint and out the back of the knee in the ideal position for a posterior portal. The curved obturator is shaped to avoid intact knee ligaments and femoral condyles. The obturator is provided with an eyelet located at the tip and may be employed with a cannula similar to a PassPort™ Button cannula, but with one or more sutures placed through the “neck” behind the collar. A standard “inside-out” cannula may be used as well, but dimensioned for the specialized obturator.

Abstract: Graft compression and sizing tubes, methods of graft sizing and compression using such graft tubes, and kits of graft tubes are disclosed. A graft tube aids in graft preparation for a surgery by quickly and consistently compressing a graft to a desired diameter and measuring the length of the graft.

Abstract: A combined tissue grasper and suture retriever instrument and methods for surgical repairs are disclosed. An instrument allows grasping of tissue with simultaneous passage of a flexible strand from a suture passer.

Abstract: An adjustable suture-button construct for ligament reconstruction. The construct is a knotless, adjustable, flexible suture loop, a first fixation device (a free or removable slotted button) and optionally a second fixation device (a fixed, non-removable button). Suture ends of the knotless suture loop provide a variable-length graft support that can be adjusted prior to, during, or after deployment of the constructs. The removable, detachable fixation device is provided with attachment feature(s) to permit assembly onto the adjustable loop. The removable, detachable fixation device is attached to the tibia end of the loop construct after the loop construct is passed through the tibial tunnel (i.e., once the loop exits the anterior tibia cortex). If a fixed, non-removable button is employed, the fixed, non-removable button is securely attached (by stitching, for example) to the graft.

Abstract: Techniques and reconstruction systems for fixation of bone to bone, or soft tissue to bone, that allow a double-bundle type construct with only three tunnels, a single graft and individual tensioning in each of the three tunnels. Alternative double-bundle ACL/PCL fixation techniques are provided that employ a double-bundle type construct with only a single graft and three tunnels/sockets. The double-bundle ACL and PCL techniques and constructs allow individual tensioning of each of the bundles (e.g., tensioning of each of the anteromedial (AM) and posterolateral (PL) bundles of the ACL) and eliminate the need for additional fixation devices (for example, interference screws) to secure the bundles within the bone tunnels/sockets.

Abstract: Instruments, implants and methods to concomitantly perform unicompartmental knee resurfacing and cruciate ligament reconstruction procedures. Unicondylar knee resurfacing is conducted with concomitant knee ligament reconstruction (such as, for example, GraftLink® All-Inside ACL Reconstruction using TightRope® ABS) and employing retrograde drilling. Retrograde drilling, which starts at the level of the resurfacing implants and travels away from the joint line and resurfacing implants, allows for more precise placement of the drill holes and also the drill trajectory, to avoid undermining the resurfacing implants. Retrograde drills also allow the surgeon to see the drill hole footprint at the joint line and resurfacing implant level more accurately, so the surgeon can place the starting point of the drill hole away from the resurfacing implants.

Abstract: An adjustable suture-button construct for ligament reconstruction. The construct is a knotless, adjustable, flexible suture loop, a first fixation device (a free or removable slotted button) and optionally a second fixation device (a fixed, non-removable button). Suture ends of the knotless suture loop provide a variable-length graft support that can be adjusted prior to, during, or after deployment of the constructs. The removable, detachable fixation device is provided with attachment feature(s) to permit assembly onto the adjustable loop. The removable, detachable fixation device is attached to the tibia end of the loop construct after the loop construct is passed through the tibial tunnel (i.e., once the loop exits the anterior tibia cortex). If a fixed, non-removable button is employed, the fixed, non-removable button is securely attached (by stitching, for example) to the graft.

Abstract: Surgical constructs and methods for tissue to bone repair employing a tissue construct reinforced with a reinforcement (reinforcing) material such as suture, tape, weave or mesh, among many others. The reinforced construct preferably includes a stitched reinforced region formed by employing a suture loop construct with a free floating needle that is attached to the suture loop, and also with a piece of material (a reinforcement or reinforcing material) attached to the suture loop. The reinforced construct may be attached to any fixation device and/or any bone tunnel.

Abstract: A method and apparatus for anatomical tissue repair, such as ligament repair and reconstruction with suture and/or graft passage, employing a pin with a suture passing mechanism. The suture passing mechanism may include a loop (for example, a wire loop or suture loop) securely attached to a pin (for example, a drill pin). The loop may be crimped onto the pin, or welded on the end of the drill pin (in place of the eyelet formed within the pin), to alleviate the difficulty in threading the eyelet and to lower the manufacturing cost of the pin. The suture passing mechanism may alternatively include a slotted suture eyelet (i.e., a longitudinal slot) provided at a proximal end of a pin, to allow suture loading from the side of the instrument.

Abstract: A system for repairing tears in soft tissue, e.g., meniscal tissue, by employing cinch stitching. More specifically, the present invention provides an apparatus for meniscal repair using a suture implant construct. The suture implant construct includes a first and second implant which are connected to each other via a length of suture. The implants are designed to be loaded on external surfaces of the first and second trocars.