Abstract: Tissue repair systems and methods are provided for reducing and fixating tissue to bone. The proposed systems and methods utilize one or more suture anchors and one or more surgical buttons for reducing and fixating the tissue to the bone. Additional suture anchors may be used as part of a multi-row fixation technique for providing a desired area of footprint compression over top of the tissue.

Abstract: A soft anchor assembly according to an exemplary aspect of the present disclosure includes, among other things, a sheath and a flexible strand at least partially surrounded by the sheath.

Abstract: Soft anchor constructs and methods for soft tissue to bone repairs. The soft anchors may be knotted or knotless constructs. The soft anchors include a body formed of various soft materials (including, but not limited to, suture) and provided in various shapes and configurations that confer the anchors the ability to be easily inserted within bone tunnels or sockets and be bunched up within the bone tunnels or sockets. At least one closed loop or soft eyelet is attached to the soft anchor to allow additional sliding strands and/or shuttle/pull devices (suture passing devices) to pass through the eyelet and aid in the knotted or knotless fixation of tissue to bone.

Abstract: Graft fixation systems and methods are provided for securing a graft within a bone tunnel. An exemplary graft fixation system may include an interference screw adapted for fixating both a graft and a reinforcement suture relative to bone.

Abstract: A method of tissue repair that includes installing a surgical construct in a bone hole. The surgical construct has a fixation device that is preloaded with a primary flexible strand. After installing the surgical construct in the bone hole, the method includes coupling at least one secondary flexible strand to the primary flexible strand for subsequent use in repairing the tissue.

Abstract: Systems and methods are provided for performing tensionable knotless cardiac valve procedures. A locking ferrule that includes a one-way locking mechanism may be utilized as part of the tensionable knotless cardiac valve procedure for tensioning and locking one or more strands of suture. In other implementations, the one-way locking mechanism may be integrated as part of a prosthetic device or other surgical device that can be utilized in combination with the prosthetic device.

Abstract: Systems and methods are provided for performing tensionable knotless tissue repairs. A locking ferrule that includes a one-way locking mechanism may be utilized as part of the tensionable knotless tissue repairs for tensioning and locking one or more strands of suture. The one-way locking mechanism may be established by one or more locking barbs of the locking ferrule.

Abstract: Graft fixation systems and methods are provided for securing a graft within a bone tunnel. An exemplary graft fixation system may include a surgical locking button adapted for fixating both a graft and a reinforcement suture relative to bone.

Abstract: A suture anchor for knotless fixation of tissue. The suture anchor includes an implant configured to hold a suture to be anchored in bone without requiring suture knots. The suture is secured in bone by inserting the implant holding the suture into a hole in the bone, and advancing a fixation device, such as a cannulated interference screw, over a shaft at the proximal end of the implant.

Abstract: A surgical construct includes a loop configured to be anchored in a bone tunnel, a tail extending from the loop and configured to pull the loop into the bone tunnel, and a repair strand having a section received in the loop. The repair strand extends from the loop in a direction away from the tail and has a free end configured to engage a tissue. A method of tissue repair using the surgical construct involves pulling the loop into the bone tunnel with the tail, bunching the loop to anchor it in the bone tunnel, and engaging a tissue with the repair strand.

Abstract: This disclosure details a surgical system and method for changing one or more dimensions of harvested tissue, such an autograft, which is harvested from one location in a patient's body and used for a surgical repair or reconstruction procedure in another location in the patient's body. An example surgical system includes a first press component defining a cavity configured to receive harvested tissue, and a second press component including a projection insertable into the cavity. Further, at least one of the first and second press components are made of a transparent or semi-transparent material such that when harvested tissue is in the cavity and when the projection is inserted into the cavity, the harvested tissue is visible through at least one of the first and second press components.

Abstract: A suture anchor includes an anchor body having a longitudinal axis, a proximal end, and a distal end. The anchor body includes a central bore located at the proximal end and a passage extending between the central bore and the distal end. The central bore has a first dimension substantially perpendicular to the longitudinal axis, and the passage has a second dimension substantially perpendicular to the longitudinal axis less than the first dimension. The suture anchor includes a flexible strand extending through the passage, and a first knot formed in the flexible strand at the distal end has a third dimension greater than the second dimension to prevent the first knot from passing through the passage. A closed loop is positionable at least partially within the central bore and formed entirely by the flexible strand without forming any additional knots on the flexible strand extending proximally from the first knot.

Abstract: Surgical constructs and methods of use for tissue repair, in which the surgical constructs include a soft fixation device formed of flexible material, the soft fixation device having a head portion formed of a bunching material for anchoring the soft fixation device in a bone tunnel, and a tail portion for pulling the soft fixation device into the bone tunnel. The surgical constructs include one ore repair flexible strands coupled to the head portion of the soft fixation device for engaging tissue to be repaired.

Abstract: Methods for tissue repairs with soft anchor locking staples are disclosed. A locking staple is created with a surgical construct using two soft anchors connected by a fixed length of suture and without the need for any additional tensioning steps.

Abstract: This disclosure details a surgical system and method for changing one or more dimensions of harvested tissue, such an autograft, which is harvested from one location in a patient's body and used for a surgical repair or reconstruction procedure in another location in the patient's body. An example surgical system includes a first press component defining a cavity configured to receive harvested tissue, and a second press component including a projection insertable into the cavity. Further, at least one of the first and second press components are made of a transparent or semi-transparent material such that when harvested tissue is in the cavity and when the projection is inserted into the cavity, the harvested tissue is visible through at least one of the first and second press components.

Abstract: A method of tissue repair that includes installing a surgical construct in a bone hole. The surgical construct has a fixation device that is preloaded with a primary flexible strand. After installing the surgical construct in the bone hole, the method includes coupling at least one secondary flexible strand to the primary flexible strand for subsequent use in repairing the tissue.

Abstract: A suture anchor includes an anchor body having a longitudinal axis, a proximal end, and a distal end. The anchor body includes a central bore located at the proximal end and a passage extending between the central bore and the distal end. The central bore has a first dimension substantially perpendicular to the longitudinal axis, and the passage has a second dimension substantially perpendicular to the longitudinal axis less than the first dimension. The suture anchor includes a flexible strand extending through the passage, and a first knot formed in the flexible strand at the distal end has a third dimension greater than the second dimension to prevent the first knot from passing through the passage. A closed loop is positionable at least partially within the central bore and formed entirely by the flexible strand without forming any additional knots on the flexible strand extending proximally from the first knot.

Abstract: Methods for tissue repairs with surgical constructs having cinch loops and stoppers that do not require tying of knots are disclosed. A surgical construct includes a loop with a racking hitch terminating in a single tail. Mechanical pressure is applied to the single tail to deform an area of the surgical construct and form a bulge that acts as a stopper. A ferrule with internal features can be attached to a cerclage construct adjacent a racking hitch to act as a stopper and prevent the cerclage construct from loosening.

Abstract: A surgical construct provides a dual purpose of a suture retainer and a finger protector. The surgical construct efficiently allows for surgeon's protection when using tensionable fixation devices (such as tensionable anchors) without extra steps or added cost. The surgical construct can retain suture and can be also worn on fingers to prevent glove and/or finger cuts when tensioning sutures.

Abstract: A suture anchor for knotless fixation of tissue. The suture anchor includes an implant configured to hold a suture to be anchored in bone without requiring suture knots. The suture is secured in bone by inserting the implant holding the suture into a hole in the bone, and advancing a fixation device, such as a cannulated interference screw, over a shaft at the proximal end of the implant.