Abstract: A fluid pump system having a first fluid pump for pumping fluid from a source to a surgical site and a second fluid pump for removing fluid from the surgical site at a first predetermined rate, wherein said fluid pump system intermittently operates in conjunction with a surgical tool which, when operational, removes fluid from the surgical site at a second predetermined rate greater than said first predetermined rate, the improvement including a sensor for sensing a predetermined parameter of the surgical tool and providing an output signal indicating that the surgical tool is operating; and an actuating means responsive to said output signal to actuate said second fluid pump to remove fluid from the surgical site at second predetermined rate.

Abstract: A fluid pump system having a first fluid pump for pumping fluid from a source to a surgical site and a second fluid pump for removing fluid from the surgical site at a first predetermined rate, wherein said fluid pump system intermittently operates in conjunction with a surgical tool which, when operational, removes fluid from the surgical site at a second predetermined rate greater than said first predetermined rate, the improvement including a sensor for sensing a predetermined parameter of the surgical tool and providing an output signal indicating that the surgical tool is operating; and an actuating means responsive to said output signal to actuate said second fluid pump to remove fluid from the surgical site at second predetermined rate.

Abstract: A workstation having a pair of posts on either side of a clamping plate where a donor bone may be placed on sequentially cut in three separate cutting paths. Cutting gates are attached to the posts and used to provide cutting paths that can be precisely oriented with respect to the meniscus of the donor bone part using visual alignment without any manual measurements. The graft is affixed to a machining clamp and shaved to appropriately shape the sides and form a radius on the bottom of the graft. A tibia is then prepared by using a drill guide to form a pilot hole and then to drill out a large hole for the graft. The drilled hole is expanded and shaped using a rod guide and chisel and then a rasp. The shaped graft may then be implanted into the shaped hole and sutured in place.

Abstract: A workstation having a pair of posts on either side of a clamping plate where a donor bone may be placed on sequentially cut in three separate cutting paths. Cutting gates are attached to the posts and used to provide cutting paths that can be precisely oriented with respect to the meniscus of the donor bone part using visual alignment without any manual measurements. The graft is affixed to a machining clamp and shaved to appropriately shape the sides and form a radius on the bottom of the graft. A tibia is then prepared by using a drill guide to form a pilot hole and then to drill out a large hole for the graft. The drilled hole is expanded and shaped using a rod guide and chisel and then a rasp. The shaped graft may then be implanted into the shaped hole and sutured in place.

Abstract: A suspensory fixation device has an elongated anchor member adapted to be transversely situated at the exit of a bone tunnel. A graft supporting loop member formed of a pair of parallel suture limbs extending from a bight portion is suspended transversely from the anchor member and has a loop length which is adjustable so the graft ligament can be supported in the bone tunnel at varying distances from the anchor member. When a graft ligament is attached to the saddle end of the loop member, the length may be shortened by pulling distally on the pair of limbs to pull the graft ligament into the bone tunnel. When tension is applied to the loop member by the graft pulling the loop proximally, the bight portion of the suture automatically locks the graft supporting loop member in place.

Abstract: A knotless suture anchor assembly for engaging a bone tunnel and holding suture therein to knotlessly secure said suture to soft tissue including an elongated generally cylindrical hollow outer member having an axial lumen, an outer surface with projections for engaging the wall of the bone tunnel, a distal end and a proximal end; and an elongated, generally cylindrical inner member having an axis, a proximal end and a distal end, the distal end having a transverse passage for receiving suture therethrough, the transverse passage having a proximal and distal end and adapted to receive a plurality of sutures in said eyelet, the inner member adapted to move coaxially relative to the outer member between a distal, suture-unlocked position and a proximal, suture-locked position.

Abstract: A suspensory fixation device has an elongated anchor member adapted to be transversely situated at the exit of a bone tunnel. A graft supporting loop member formed of a pair of parallel suture limbs extending from a bight portion is suspended transversely from the anchor member and has a loop length which is adjustable so the graft ligament can be supported in the bone tunnel at varying distances from the anchor member. When a graft ligament is attached to the saddle end of the loop member, the length of the loop member may be shortened by simply pulling distally on the pair of limbs at one end of the loop member to pull the graft ligament into the bone tunnel a predetermined distance or until it bottoms out at the floor of the bone tunnel. When tension is applied to the loop member by the graft pulling the loop proximally, the bight portion of the suture automatically locks the graft supporting loop member in place.

Abstract: A method for knotlessly securing suture in a bone tunnel including securing a suture to a tissue to be fixated by a suture anchor; preloading a proximal threaded component of an anchor onto a drive shaft; preloading a distal component of the anchor onto an actuator shaft, passing the suture through an eyelet of the distal component of the anchor, inserting the distal component of the anchor and then the proximal component of the anchor into the bone hole; confirming the placement of the proximal component of the anchor relative to the distal component of the anchor by viewing an indicator on the driver handle; and pivoting a trigger device about a pivot axis to translate the actuator shaft to a second position to compress the suture at the distal end of the proximal anchor and to lock the distal anchor to the proximal anchor.

Abstract: An anchor is provided for placement in or against tissue. The anchor includes a fibrous construct and at least a first filament. Each filament passes through the construct in at least three passing locations including a first location nearest a first end of the construct, a last location nearest a second end of said construct, and at least one intermediate location between said first passing location and said last passing location. In an undeployed state, each filament extends a first length between said first location and said last location. In a deployed state, each filament extends a second length between the first location and the last location. The second length is shorter than said first length.

Abstract: A suspensory fixation device has an elongated anchor member adapted to be transversely situated at the exit of a bone tunnel. A graft supporting loop member formed of a pair of parallel suture limbs extending from a bight portion is suspended transversely from the anchor member and has a loop length which is adjustable so the graft ligament can be supported in the bone tunnel at varying distances from the anchor member. When a graft ligament is attached to the saddle end of the loop member, the length of the loop member may be shortened by simply pulling distally on the pair of limbs at one end of the loop member to pull the graft ligament into the bone tunnel a predetermined distance or until it bottoms out at the floor of the bone tunnel. When tension is applied to the loop member by the graft pulling the loop proximally, the bight portion of the suture automatically locks the graft supporting loop member in place.

Abstract: A suspensory fixation device has an elongated anchor member adapted to be transversely situated at the exit of a bone tunnel. A graft supporting loop member formed of a pair of parallel suture limbs extending from a bight portion is suspended transversely from the anchor member and has a loop length which is adjustable so the graft ligament can be supported in the bone tunnel at varying distances from the anchor member. When a graft ligament is attached to the saddle end of the loop member, the length of the loop member may be shortened by simply pulling distally on the pair of limbs at one end of the loop member to pull the graft ligament into the bone tunnel a predetermined distance or until it bottoms out at the floor of the bone tunnel. When tension is applied to the loop member by the graft pulling the loop proximally, the bight portion of the suture automatically locks the graft supporting loop member in place.

Abstract: An anchor is provided for placement in or against tissue. The anchor includes a flat fibrous construct having a first end and a second end; and a filament having a first end and a second end passing through the fibrous construct in two locations including a first passing location nearest a first end of the fibrous construct, a second passing location nearest a second end of the fibrous construct, the filament remaining free to slide through the first passing location and the second passing location such that the filament can be removed from the flat fibrous construct from the first end of the fibrous construct and the second end of the fibrous construct.

Abstract: A method for knotlessly securing suture in a bone tunnel including securing a suture to a tissue to be fixated by a suture anchor; preloading a proximal threaded component of an anchor onto a drive shaft; preloading a distal component of the anchor onto an actuator shaft, passing the suture through an eyelet of the distal component of the anchor, inserting the distal component of the anchor and then the proximal component of the anchor into the bone hole; confirming the placement of the proximal component of the anchor relative to the distal component of the anchor by viewing an indicator on the driver handle; and pivoting a trigger device about a pivot axis to translate the actuator shaft to a second position to compress the suture at the distal end of the proximal anchor and to lock the distal anchor to the proximal anchor.

Abstract: A suture anchor for deployment in a preformed bone hole to secure soft tissue to bone in a knotless manner. The suture anchor comprises a hollow outer member and an inner member longitudinally movable within the outer member. Suture is directed distally between the wall of the bone hole and the outer anchor member from the soft tissue to be attached to the bone transversely across an eyelet situated at the distal end of the inner member and proximally between the wall of the bone hole and the outer anchor member. A rib/groove suture-locking mechanism is provided by moving the inner member proximally relative to the outer member in order to engage the suture-locking mechanism.

Abstract: A workstation having a pair of posts on either side of a clamping plate where a donor bone may be placed on sequentially cut in three separate cutting paths. Cutting gates are attached to the posts and used to provide cutting paths that can be precisely oriented with respect to the meniscus of the donor bone part using visual alignment without any manual measurements. The graft is affixed to a machining clamp and shaved to appropriately shape the sides and form a radius on the bottom of the graft. A tibia is then prepared by using a drill guide to form a pilot hole and then to drill out a large hole for the graft. The drilled hole is expanded and shaped using a rod guide and chisel and then a rasp. The shaped graft may then be implanted into the shaped hole and sutured in place.

Abstract: A suture anchor that is configured to pull repair sutures into a pre-formed hole in bone or boney tissue, having a fibrous construct having a first side and a second side; and a first filament body passing through the fibrous construct, the first filament body forming a first pair of loops that interleave with one another on one of the first side or the second side of the fibrous construct.

Abstract: A fluid pump system having a first fluid pump for pumping fluid from a source to a surgical site and a second fluid pump for removing fluid from the surgical site at a first predetermined rate, wherein said fluid pump system intermittently operates in conjunction with a surgical tool which, when operational, removes fluid from the surgical site at a second predetermined rate greater than said first predetermined rate, the improvement including a sensor for sensing a predetermined parameter of the surgical tool and providing an output signal indicating that the surgical tool is operating; and an actuating means responsive to said output signal to actuate said second fluid pump to remove fluid from the surgical site at second predetermined rate.

Abstract: A suture anchor for deployment in a preformed bone hole to secure soft tissue to bone in a knotless manner. The suture anchor comprises a hollow outer member and an inner member longitudinally movable within the outer member. Suture is directed distally between the wall of the bone hole and the outer anchor member from the soft tissue to be attached to the bone transversely across an eyelet situated at the distal end of the inner member and proximally between the wall of the bone hole and the outer anchor member. A rib/groove suture-locking mechanism is provided by moving the inner member proximally relative to the outer member in order to engage the suture-locking mechanism.

Abstract: A dual pump irrigation/aspiration pump system that is capable of operating in a plurality of different modes suitable for a variety of different endoscopic surgical procedures. The system monitors actual or calculated intra-articular pressure and adjusts flow to maintain surgeon requested pressure at the surgical site while controlling outflow. The irrigation/aspiration pump system has an inflow pump and tubing dedicated to communicating fluid to the surgical work site and an outflow pump and tubing dedicated to removing fluid from the work site at a controlled rate. The system has the ability to alter the outflow fluid flow rate to accommodate a surgical tool to declog the surgical tool in the event of blockage.

Abstract: An inserter for simultaneously creating a bone tunnel and delivering an all-suture anchor. The inserter is capable of inserting into the bone tunnel a soft, non-rigid suture anchor by forming a bone tunnel (to serve as an anchor receiving area) and simultaneously, in one motion, delivering the soft suture anchor to the anchor receiving area. The soft suture anchor is made entirely of non-rigid materials including, but not limited to, filaments of soft, malleable materials such as those commonly used to make sutures. The inserter is able to not only carry or deliver the all-suture anchor into a bony substrate, but is able to do so without having to preform a hole in the bone.