Abstract: A quick disconnect assembly including a tubular housing. The housing includes a cam pin secured to the housing and a nut positioned within the housing cannulation. The nut has a first threaded channel adapted to engage a threaded shaft, a second, non-threaded channel extending at an angle to the first channel, and an arcuate groove formed on an outer surface of the nut. When the cam pin of the housing engages the groove at about a distal end of the nut, the nut is positioned in a loading position where the second channel extends approximately parallel to the longitudinal axis of the housing. When the cam pin engages the groove at about a proximal end of the nut, the nut is positioned in a locking position where the first channel extends approximately parallel to the longitudinal axis of the housing.

Abstract: An instrument for securing a knot disposed in surgical suture is provided. The instrument includes a side-loading channel disposed along the side of a knot pusher, the side-loading channel configured to receive the suture into the knot pusher. A method of operation is disclosed.

Abstract: The present disclosure relates to an assembly for fixing a ligament in bone. The assembly includes a suspension member and an implant having a mechanism for fixedly receiving the suspension member and at least partially suspending the suspension member and the received bone graft within the implant, allowing for bony in-growth. A method of fixing a ligament in bone is also disclosed.

Abstract: A drill guide system provides a means of improved tunnel placement accuracy by allowing the drill guide to articulate to seat against the bone being drilled. The drill guide includes an articulating drill guide adapter constructed in four parts: a top cap, a thumbscrew, a lock tab, and a spring mechanism. The drill guide adapter is part of an aimer arm which mates with a handle on the proximal end and an aimer guide on the distal end. The drill guide adaptor allows the aimer guide to articulate relative to an irregular mating surface, allowing for increased area contact between the aimer guide template and bone. Examples of the drill guide adaptor also include a means for locking the aimer guide into place relative to the aimer arm.

Abstract: A tissue repair device including a handle, an elongated needle body defining an axial bore extending from the handle, first and second implants connected by a suture and disposed at least partially within the axial bore of the needle. A ratchet assembly includes a pusher member that incrementally advances through the needle body to urge the first and second implants therefrom in a predefined sequence, a proximally-biased rotatable ratchet coupled to the pusher member, and an axially translatable drive mechanism configured to provide axial and rotational driving forces causing the ratchet to alternately engage and disengage from successively more distal teeth of a toothed surface within the handle. One or more implant retention features impeded undesired expulsion of implants from the needle.

Abstract: Embodiments of the present disclosure are directed to instrumentation that facilitate coracoid-glenoid fixation in Latarjet procedures. For example, a single instrument, a coracoid resection tool, may be provided/utilized to prepare a coracoid bone graft for size, flatness, and hole drilling. A glenoid drill guide may further be provided/utilized that uses sized offsets for placement of the coracoid graft flush with the glenoid. Further embodiments of the disclosure are directed to corresponding methods that employ this instrumentation. For example, a surgeon may employs the coracoid resection tool as a guide to plane the inferior coracoid surface that will serve as the coracoid graft surface. The coracoid resection tool may further guide the placement of coracoid holes along the length of the coracoid and orient the holes approximately perpendicular to the planed coracoid graft surface. For example a proximal coracoid hole may be positioned towards the proximal end (i.e.

Abstract: Apparatus for tissue graft fixation. A tissue graft fixation device includes a main body part (15) provided with a pair of suture through holes (20, 25) positioned on opposite sides of a spherically radiused screw through hole (30), the pair of suture through holes sized to receive sutures, the spherically radiused screw through hole sized to receive a radiused head of a securing screw, and two spike parts (35, 40) extending substantially parallel to each other from an underside of the main body, the spike parts spaced apart at a predetermined distance slightly shorter than a diameter of a formed bone tunnel and adapted be stricken into a bone.

Abstract: A graft suspension device for suspending a ligament in a bone hole having a first loop and a second loop suspending from an 8-hole anchor, and a cradle at the opposite end of the loops to the anchor. The loose ends of the suture are routed through holes in the anchor separate from the loops and are joined together to form a single tail. A finger loop allows a surgeon to adjust the distance of the cradle from the anchor with the cradle staying centered with respect to the anchor as the distance is adjusted.

Abstract: A coracoid drill guide including a hollow shaft for passage of a drill sleeve. The shaft is fitted with a cap having a distally-extending finger. A longitudinal axis of the finger is offset from the longitudinal axis of the shaft by a first fixed distance. The shaft is disposed within a first cannulation of sliding and rotating block that has two cannulations at a second fixed distance apart. The drill guide ensures that a first drill hole will always be placed at the first fixed distance from both the distal tip and the lateral edge of the coracoid, and that a second drill hole will always be placed at the first fixed distance from the lateral edge of the coracoid and at the second fixed distance from the first drill hole.

Abstract: The present disclosure relates to an assembly for fixing a ligament in bone. The assembly includes a suspension member and an implant having a mechanism for fixedly receiving the suspension member and at least partially suspending the suspension member and the received bone graft within the implant, allowing for bony in-growth. A method of fixing a ligament in bone is also disclosed.

Abstract: An assembly and method for reattaching tissue to bone from which the tissue had detached including a tissue fixation member will with a narrow cross section and a suture securely attached to the fixation member, the fixation member being configured to secure the detached tissue, a suture anchor fixable in bone at the region of reattachment, the anchor having an eyelet, the anchor including a textured outer surface, the suture having a free end passable through the eyelet to enable the detached tissue to be drawn into engagement with the bone at the region of reattachment.

Abstract: Methods for arthroscopic bone graft for anterior inferior glenohumeral instability repair are disclosed. The method includes providing a bone graft not attached to soft tissue. Respective passageways are formed through the bone graft and a patient's glenoid. A first implant is further provided, where the first implant is secured to a first end of a suture. The first implant is positioned on the cortical side of the bone graft and the cancellous surface of the bone graft is urged into contact with the anterior surface of the glenoid. A second implant is provided, including an eyelet extending there through. The second end of the suture is inserted through the eyelet of the second implant. The second implant is further placed in contact with the posterior surface of the glenoid. Subsequently, the second end of the suture is secured to the second implant.

Abstract: The present disclosure relates to an assembly for fixing a ligament in bone. The assembly includes a suspension member and an implant having a mechanism for fixedly receiving the suspension member and at least partially suspending the suspension member and the received bone graft within the implant, allowing for bony in-growth. A method of fixing a ligament in bone is also disclosed.

Abstract: Embodiments of the invention include implants, instruments, and methods for attaching or reattaching soft tissue (200, 2200) to a bone (100), that enable independent tensioning of multiple connectors such as sutures (60, 160, 2060, 2160) and enable redundant fixation between bone (100) and soft tissue (200, 2200). Some embodiments provide for improved accuracy of the placement of substantially parallel tunnels through which soft tissue (200, 2200) to bone (100) connectors such as sutures (60, 160, 2060, 2160) are passed.

Abstract: Embodiments of the invention include a system and method for coupling a graft to a bone. A graft preparation tool may be used to place one or more holes in a graft and an offset measurement tool may be used to determine the distance of the one or more holes from an edge of the graft to be aligned with a portion of the bone. One or more complementary holes may then be created in the bone and fasteners applied through the holes to couple the graft to the bone.

Abstract: A surgical instrument for use during arthroscopic surgery comprising an elongated member, a handle, a tool disposed at the opposite end from the handle of the elongated member, and a reflecting member disposed along the elongated member and configured to reflect a line of sight of an arthroscope during arthroscopic surgery. Methods of using the surgical instrument, and a sterilizable kit comprising one or more surgical instruments, are also disclosed.

Abstract: A deformable or flexible suture anchor having apertures secures a suture to a skeletal structure via holes drilled through the skeletal structure, and passing the suture therethrough. A deformable structure permits the anchor to resiliently deform or bend for passing through an aperture, and resume a size larger than the passed aperture for securement on an opposed side of the aperture.

Abstract: The present disclosure provides instruments and systems for accessing and removing hyaline cartilage from desired donor sites. The present disclosure also provides instruments/systems for implantation of hyaline cartilage grafts, e.g., to fill osteochondral defects. The apparatus/systems may be used in connection with mapping techniques and systems. Thus, in exemplary embodiments of the present disclosure, a clinician may be guided in his use of the disclosed apparatus/systems by articular joint surface mapping data in locating/identifying harvest sites for “best fit” grafts, i.e., grafts that exhibit desired geometric and/or surface attributes for use in particular implantation site(s). Alternatively, the disclosed instruments/systems may be employed to access anatomical sites independent of such mapping techniques/systems.

Abstract: The present invention provides a device for impart tension to a flexible material, for example, a suture. The device may be used during surgical procedures to ensure the proper tension is exerted.

Abstract: A bone screw assembly includes a tulip-shaped seat, a bone fixation device, a ring-shaped washer, a rod and a cap. The tulip-shaped seat comprises a through opening dimensioned to receive the bone fixation device and a horizontal channel dimensioned to receive the rod. The washer is placed into the seat on top of the bone fixation device head and comprises first and second side tabs and a first pair of upward extending projections separated by a first gap and a second pair of upward extending projections separated by a second gap. The side tabs interface with a groove formed in the bottom portion of the seat. The rod is placed within the channel and positioned within a groove formed on the top surface of the washer. The cap includes first and second projections extending downward from its bottom surface and each of the first and second downward projections comprises first and second sidewise extending ridges.