Abstract: In one embodiment, the present invention include a method of securing tissue using a filamentary construct, the method including the steps of passing a length of filament through or around tissue; implanting a filamentary sleeve, formed of filament, into tissue; and passing at least a portion of the length of filament at least partially through the filamentary sleeve to form a one-way cleat. The present invention also provides for various devices, systems, assemblies, kits and methods of use, assembly and manufacture thereof.

Abstract: An inserter assembly for inserting anchors into bone includes a handle having a handle body. A first inserter is disposed within the handle body and is fixedly connected thereto. The first inserter has an insertion end configured to retain a first anchor for insertion thereof into bone. A second inserter is slidably disposed within the handle body and has an insertion end configured to retain a second anchor for insertion thereof into bone. A sleeve is slidably disposed within the handle body and is releasably connected to the second inserter.

Abstract: A method of assembling an adjustable continuous filament assembly whereby a single length of filament is spliced to form a nonadjustable portion and a single free segment. The single free segment is introduced into the inner core of the nonadjustable portion at a first position. The single free segment is passed through at least a portion of the inner core of the nonadjustable portion. The single free segment is withdrawn from the nonadjustable portion at a second position, thereby forming an adjustable portion secured to the nonadjustable portion and adjustable by the single free segment.

Abstract: In one embodiment of the present invention, a fixation device including a sleeve member including an interior and an exterior surface along a length defined between a first end and a second end, and at least two openings positioned along the length and extending from the interior and through the exterior surface; and a filament including a first free end and a second free end and a length therebetween, the filament positioned relative to the sleeve member such that the free ends extend from the sleeve member at the first and second ends of the sleeve member, the filament being disposed inside the interior from the first end to a first opening, outside the sleeve member from the first opening to a second opening, and inside the interior from the second opening to the second end of the sleeve member.

Abstract: In one embodiment, the present invention include a method of securing tissue using a filamentary construct, the method including the steps of passing a length of filament through or around tissue; implanting a filamentary sleeve, formed of filament, into tissue; and passing at least a portion of the length of filament at least partially through the filamentary sleeve to form a one-way cleat. The present invention also provides for various devices, systems, assemblies, kits and methods of use, assembly and manufacture thereof.

Abstract: In one embodiment, the present invention is a method of preparing a bioactive filamentary fixation device in situ, including (a) providing a filamentary fixation device including a sleeve member and a filament; (b) providing a physiological solution; (c) providing bioactive material; (d) wetting the sleeve of the fixation device with the physiological solution to produce a wetted sleeve; and (e) applying the bioactive material to the wetted sleeve to coat the sleeve, thus producing a bioactive filamentary fixation device at the time of surgery in situ.

Abstract: A method for securing a sleeve in a bore hole in bone. The method includes disposing at least a portion of a length of filament into the bore hole, and implanting the sleeve into the bore hole such that a first pathway extending through first and second ends of the sleeve opens in a direction toward the opening of the bore hole and in a direction toward the base of the bore hole. The method also includes pulling at least a portion of the length of filament through the first pathway of the sleeve, thereby forming a first loop configuration extending from the first end and at least one free end of the length of filament extending from the second end. Also included is passing the at least one free end through the first loop configuration to create a one-way cinch.

Abstract: In a first embodiment, the present invention includes an instrumentation system for preparing a bone for soft tissue repair, the instrumentation system including a flexible drill pin capable of bending along a curved path; an aimer capable of engaging the flexible pin to bend the flexible pin; and a flexible reamer having a flexible portion along at least a portion of its length, the flexible portion comprising a plurality of laser cuts.

Abstract: One embodiment of the present invention includes a surgical instrument including an instrument body including a shaft having a distal end, a proximal end and a length therebetween; and a bushing having a length, wherein at least a portion of the length of the bushing includes a spring portion including a resilient member, wherein the bushing is cannulated such that the shaft of the instrument is positioned therethrough.

Abstract: One embodiment of the present invention includes a surgical instrument including an instrument body including a shaft having a distal end, a proximal end and a length therebetween; and a bushing having a length, wherein at least a portion of the length of the bushing includes a spring portion including a resilient member, wherein the bushing is cannulated such that the shaft of the instrument is positioned therethrough.

Abstract: Disclosed are femoral and tibial drill guides for use in posterior cruciate ligament replacement surgery. Each of the drill guides includes an arc shaped member and an elongate guide member, a stopper member, and an alignment arm member coupled thereto. Prior to preparing a tibial tunnel with a tibial drill guide and a femoral tunnel with a femoral drill guide, a rasp and/or cutter can be used to remove any remnants of the posterior cruciate ligament left prior to replacement thereof. The tibial drill guide includes a concave blocking surface and a viewing aperture on the alignment arm member to block the advancement and view the location of a guide pin exiting from a posterior portion of a tibia, respectively.

Abstract: A bone cutting device for forming an undercut in bone. The device includes a rotatable body having an inner surface and outer surface. The inner surface defines an aperture. The inner and outer surfaces are disposed opposite each other and define a sidewall. The sidewall includes a recess extending from the outer surface into the aperture. A cutting arm is cantilevered to the sidewall and disposed within the recess. The cutting arm includes a flexible depression extending into the aperture. An actuating member is longitudinally slidable within the aperture such that sliding the actuating member longitudinally interfaces with the flexible depression and pushes the cutting arm radially outwardly.

Abstract: In one embodiment, the present invention includes a toggle bolt suture anchor system including a toggle bolt suture anchor having at least one groove; and a toggle bolt delivery device having at least one push pin for pivotable interconnection with the groove.

Abstract: A system for securing a length of filament in working communication with tissue. The system includes a first filamentary sleeve having a length along a longitudinal axis and a passageway therethrough. The passageway is dimensioned to allow slidable movement therein of a length of filament. Also included within the system is and a filament engagement device that includes a pathway. The pathway has a first configuration and second configuration, wherein a portion of the length of filament is slidable within the pathway when the pathway is in the first configuration and is restricted from sliding when the pathway is in the second configuration.

Abstract: In a first embodiment, the present invention includes an instrumentation system for preparing a bone for soft tissue repair, the instrumentation system including a flexible drill pin capable of bending along a curved path; an aimer capable of engaging the flexible pin to bend the flexible pin; and a flexible reamer having a flexible portion along at least a portion of its length, the flexible portion comprising a plurality of laser cuts.

Abstract: Filamentary fixation devices may be used in a variety of surgical procedures to secure soft tissue to bone. The present invention provides various devices, systems, kits and instrumentation for performing such surgical procedures including preparation of soft tissue and bone, preparation and manipulation of such filamentary fixation devices, and insertion and utilization of the fixation devices within a patient's anatomy. In one embodiment, a method for securing soft tissue to bone, the method includes accessing the soft tissue and the bone, passing a filament through the soft tissue, preparing a bore hole in the bone, loading the filament into a filamentary fixation device, implanting the filamentary fixation device, with the filament, into the bore hole, and tensioning the filament so that the filamentary fixation device and filament are secured within the bore hole.

Abstract: One embodiment of the present invention includes a surgical instrument including an instrument body including a shaft having a distal end, a proximal end and a length therebetween; and a bushing having a length, wherein at least a portion of the length of the bushing includes a spring portion including a resilient member, wherein the bushing is cannulated such that the shaft of the instrument is positioned therethrough.

Abstract: A flexible reamer for preparing a hole in a tissue includes a shaft that extends along a longitudinal axis between a proximal end and a distal end. The shaft is cannulated through and has a flexible portion along at least a portion of its length. The flexible portion includes a plurality of discrete, interlocking portions. An asymmetric tip at the distal end of the shaft has at least one flute positioned off-axis relative to a longitudinal axis of the flexible reamer.

Abstract: In one embodiment, the present invention includes a method for securing tissue to bone, including drilling a bone hole into the bone; passing a filament through the tissue, the filament including a first end, a second end and a length therebetween, the second end having a loop; passing the first end of the filament through the loop of the filament; pulling on the first end of the filament such that the loop travels along the length of the filament and to the tissue; passing an anchor along the length of the filament, from the first end towards the loop and tissue; engaging the loop with a distal end of the anchor; positioning the distal end of the anchor, with the loop of the filament, into the bone hole; and securing the anchor in the bone.

Abstract: A method of assembling an adjustable continuous filament assembly whereby a single length of filament is spliced to form a nonadjustable portion and a single free segment. The single free segment is introduced into the inner core of the nonadjustable portion at a first position. The single free segment is passed through at least a portion of the inner core of the nonadjustable portion. The single free segment is withdrawn from the nonadjustable portion at a second position, thereby forming an adjustable portion secured to the nonadjustable portion and adjustable by the single free segment.