Abstract: Various embodiments and methods for improved joint repair are disclosed. At least some of the embodiments may include an adjustable loop construct with at least one anchor. At least some of the embodiments may include an all-suture anchor. At least some of the embodiments may include an adjustable loop construct with a locking passage. Embodiments may implement a method that reduces or avoids material removal from the bones of the joint. Embodiments may include means to reduce elongation of the repair over time.

Abstract: Disclosed herein is a method of both repairing a ligament and augmenting the repair. A single anchor may provide a single anchoring location for both a repair member and an augmenting member at a first end of the ligament.

Abstract: A tissue repair system for securing a first tissue to a second tissue is disclosed including an instrument with a handle, a shaft extending distally from the handle and a housing having a locked cover. A tissue anchor is disposed at a distal end of the shaft, and operatively coupled to an actuation member of the handle via a deployment member. The actuation member is configured to actuate the deployment member, deploy the tissue anchor and thereby couple the tissue anchor with the first tissue. The system also includes a repair member, for coupling the tissue anchor to the second tissue. Repair member has a first end operatively coupled to the tissue anchor and a second end attached to at least one coupling means. The repair member second end and coupling means are housed within the instrument housing. Actuation of the actuation member is configured to unlock the housing cover.

Abstract: Suture anchor insertion assemblies include needles pre-attached to suture or suture tape, which reside within a housing of an inserter. The suture extends around a suture bridge of a suture anchor having at least one rib extending through the internal volume. An outer surface of the shaft of the inserter includes a groove sized to receive both the rib of the suture anchor and the length of suture while still allowing the suture to slide relative to the inserter.

Abstract: Anchor delivery systems include markings on the surfaces of the delivery device which are visually exposed to the user through openings or fenestrations in the anchor, providing visual feedback to the user on the progress of the anchor's insertion. A suture-locking plug is deformable within the anchor tip, thereby enhancing suture entrapment within the tip of the anchor. A compliant component of the handle places the handle components in tension, thereby absorbing built-in axial looseness in the handle. The handle further includes a spin cavity which allows for free spin of the inserter shaft to finalize insertion of the anchor into bone when the anchor has not been fully seated flush with or below the cortical bone surface.

Abstract: A suture anchor assembly is disclosed herein. The assembly includes an anchor body for anchoring within a target tissue, the anchor body including a proximal connecting portion. The assembly also includes an insertion instrument for inserting the anchor body within the target tissue. The insertion instrument includes a connecting portion at a distal end thereof that interdigitates with the anchor body connecting portion to provide rotational stability between the anchor body and insertion instrument. The connecting portions, when assembled, forms a tubular shape with a shared inner diameter and a shared outer diameter. The shared inner diameter defines a cannulation that received a plug therethrough. The plug may axially advance into the anchor body, to knotlessly lock a suture of the suture anchor assembly.

Abstract: Methods of tissue repair with a knotless tissue repair construct system is disclosed. System may include multiple anchor constructs that are soft anchor constructs. The multiple anchor constructs may include at least one knotless construct and may be inserted separately and coupled to each other as part of the method. The method may form a knotless all-suture staple construct. The method may form a knotless all-suture construct in a chain configuration. The method may include coupling a graft or bio-inductive material to the repair site. The method may include augmenting a ligament repair.

Abstract: Disclosed herein is a kit for augmenting a primary repair construct in an articulating joint. The kit includes a flexible member, a first implant that fixes a first end of the flexible member in a first bone adjacent to the primary repair construct and a second implant that may selectively couple to the flexible member, and thereby fix a second end of the flexible member in a second bone adjacent to the primary repair construct. The kit also includes a tension adjusting construct that may operatively couple to the flexible member and controllable adjust a tension on the flexible member disposed between the first and second implant, the tension adjustable so as to define an angle of joint articulation at which the flexible member changes from being passive to augment the primary repair construct.

Abstract: A suture anchor assembly includes an eyelet of a pound-in tip formed through both of a distal portion and a proximal portion of the tip. An anchor body of the assembly is configured to be inserted over the proximal portion of the tip such that it partially occludes the tip eyelet, allowing for a shorter overall total length of the anchor assembly.

Abstract: Anchor delivery systems include markings on the surfaces of the delivery device which are visually exposed to the user through openings or fenestrations in the anchor, providing visual feedback to the user on the progress of the anchor's insertion. A suture-locking plug is deformable within the anchor tip, thereby enhancing suture entrapment within the tip of the anchor. A compliant component of the handle places the handle components in tension, thereby absorbing built-in axial looseness in the handle. The handle further includes a spin cavity which allows for free spin of the inserter shaft to finalize insertion of the anchor into bone when the anchor has not been fully seated flush with or below the cortical bone surface.

Abstract: A system for tissue repair includes an anchor body having a proximal end, a distal end, and a plurality of turns of a screw thread extending between the proximal and distal ends. The plurality of turns of the screw thread define an internal volume communicating with a region exterior to the anchor body through a spacing defined between the plurality of turns of the screw thread, and at least one rib disposed within the internal volume connected to at least two of the plurality of turns of the screw thread. The system includes an anchor driver comprising an elongated shaft extending between a proximal end and a distal end. A distal portion of the shaft includes an open slot defined by at least two distally-extending prongs. The at least one rib of the anchor body is engageable with the open slot of the shaft of the anchor driver.

Abstract: An anchor assembly can include an anchor comprising a proximal portion, a distal portion having a tip, and a surface extending between the tip and the proximal portion and can include a protrusion extending along a length of the surface. The anchor can define a cavity therein with a wall of the cavity having threads, an opening to the cavity located in the proximal anchor portion, and a through hole defined in a distal portion of the tip. Further, the anchor assembly can include a plug having a threaded proximal outer portion and a non-threaded distal outer portion disposed within the cavity of the anchor. The threaded proximal outer portion can be engaged with the cavity wall threads and the non-threaded distal outer portion can be configured to move axially within the anchor cavity. The anchor assembly can include a sleeve having an opening to receive the protrusion.

Abstract: A suture anchor assembly includes an eyelet of a pound-in tip formed through both of a distal portion and a proximal portion of the tip. An anchor body of the assembly is configured to be inserted over the proximal portion of the tip such that it partially occludes the tip eyelet, allowing for a shorter overall total length of the anchor assembly.

Abstract: A one-piece knotless suture anchor with a breakaway distal tip is disclosed. The suture anchor includes a thin section connecting a distal anchor portion and proximal anchor portion. The thin section has a cutaway geometry allowing it to break in a repeatable manner. Force from a driver breaks the thin section connecting the distal and proximal anchor portions. The proximal anchor portion slides distally over the elongated member (either distal or proximal to the distal eyelet) and a repair suture is pinched between the distal and proximal anchor portions, or in between the bone tunnel walls and outer diameter of the sleeve, thereby fixing the repair suture in place without tying an arthroscopic knot.

Abstract: Embodiments of the invention include an anchoring system and methods of inserting an anchor (100, 1100, 2100, 3100). Suture (300) and soft tissue graft (510) may be implanted with anchors (100, 1100, 2100, 3100) of some embodiments. Some anchor embodiments (100, 1100, 2100, 3100) may be segmented and be configured to have proximal portions broken off after insertion of the anchor (100, 1100, 2100, 3100) into tissue such as bone (500).

Abstract: A surgical assembly includes a first guidewire and a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop. The locking component has a hole formed therethrough, in which the hole of the locking component is configured to receive the suture, and may be tethered to a suture by knots engaging a counterbore at opposed ends of a bore defined by the hole.

Abstract: A one-piece knotless suture anchor with a breakaway distal tip is disclosed. The suture anchor includes a thin section connecting a distal anchor portion and proximal anchor portion. The thin section has a cutaway geometry allowing it to break in a repeatable manner. Force from a driver breaks the thin section connecting the distal and proximal anchor portions. The proximal anchor portion slides distally over the elongated member (either distal or proximal to the distal eyelet) and a repair suture is pinched between the distal and proximal anchor portions, or in between the bone tunnel walls and outer diameter of the sleeve, thereby fixing the repair suture in place without tying an arthroscopic knot.

Abstract: A surgical assembly includes a first guidewire and a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop. The locking component has a hole formed therethrough, in which the hole of the locking component is configured to receive the suture, and may be tethered to a suture by knots engaging a counterbore at opposed ends of a bore defined by the hole.

Abstract: A surgical assembly includes a first guidewire and a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop. The locking component has a hole formed therethrough, in which the hole of the locking component is configured to receive the suture, and may be tethered to a suture by knots engaging a counterbore at opposed ends of a bore defined by the hole.

Abstract: A microfracture pick having features configured to aid a user in advancing the microfracture pick through bone. The microfracture pick has an elongated member with a proximal end, a distal end, a sharp, optionally angled tip disposed adjacent the distal end of the elongated member, and at least one engaging feature disposed at one or more locations on the elongated member for engaging a complementary feature of a strike instrument. By striking an impact surface of the strike instrument, the user can produce a force that is translated via the elongated member of the microfracture pick through the tip, thereby making penetration of the tip through the bone more effective.