Abstract: A bone transport system includes a nail having a proximal end and a distal end, the proximal end configured for securing to a first portion of bone, the distal end configured for securing to a second portion of bone. The system includes a housing having a wall with a longitudinal opening extending a length along a portion thereof. The system further includes a transport sled having a length that is shorter than the length of the longitudinal opening, the transport sled configured for securing to a third portion of bone, the transport sled further configured to be moveable along the longitudinal opening. The system further includes a magnetic assembly disposed within the nail and configured to be non-invasively actuated by a moving magnetic field, wherein actuation of the magnetic assembly moves the transport sled along the longitudinal opening. The system further includes a ribbon extending on opposing sides of the transport sled and substantially covering the longitudinal opening.

Abstract: An interlocking intramedullary rod assembly for treating a fracture of a bone, said interlocking intramedullary rod assembly comprising: an intramedullary rod comprising a distal section and a proximal section; a distal interlocking screw; and a proximal interlocking screw; wherein said distal section of said intramedullary rod comprises a static distal seat for receiving said distal interlocking screw, and said proximal section of said intramedullary rod comprises a dynamic proximal seat for receiving said proximal interlocking screw; and further wherein said static distal seat is configured to secure said distal interlocking screw to said intramedullary rod such that said distal interlocking screw cannot move relative to said intramedullary rod, and said dynamic proximal seat is configured to secure said proximal interlocking screw to said interlocking rod such that a first end of said proximal interlocking screw cannot move relative to said intramedullary rod and the second end of said proximal interloc

Abstract: A surgical apparatus having a locking mechanism that receives a cutting burr and that may include a loading and running position. The locking mechanism may include a motor driven spindle that carries a locking pawl and a detent pawl that lock the cutting burr in place an prevent the cutting burr from inadvertently falling out of the surgical drill instrument when in its load position. A diamond-shaped portion of the cutting burr may be formed in a six-sided diamond configuration and a perpendicular back end surface. The end of the cutting burr may include another diamond-shaped portion formed in a six-sided diamond shape surface that mates with a complementary surface formed in the receiving end of the spindle of the motor/locking mechanism. In an aspect, the attachment of the cutting burr is such that the cutting burr has substantially zero axial movement and runs true in the running condition.

Abstract: A surgical system for cutting tissue of a patient includes an outer housing and a reciprocating assembly structurally configured to carry a cutting tool in a reciprocating motion. An actuator knob is manually accessible to the user and may be fixed axially to the outer housing. The reciprocating assembly may reciprocate relative to the actuator knob. The actuator knob may be configured for rotational movement between a lock position and an unlock position. The system may also include a locking mechanism configured to retain a cutting tool within the reciprocating assembly. The locking mechanism may be responsive to movement of the actuator knob to maintain the tool within the output shaft when the actuator knob is in the lock position and permit removal of the tool when the actuator knob is in the unlock position. Surgical cutting tools, such as blades include thickness enhancing features.

Abstract: In various examples, an apparatus includes an instrument body including a protrusion configured to be sized according to an anatomy of a bone of a patient. A guide is configured to guide an aspect of a resection procedure of the bone, wherein the protrusion, when sized, is configured to abut the patient's bone to maintain the instrument body in a first position with respect to the bone during at least part of the resection procedure.

Abstract: A cutting guide with a sagittal guide plate is made available for generating an outer contour on a bone in order to apply a joint endoprosthesis, in particular a femoral component of a knee endoprosthesis. The cutting guide according to the invention can be oriented relative to the bone and has at least two sagittal guide slits for guiding a bone-cutting tool, wherein the sagittal guide slits extend through the sagittal guide plate and are arranged at an angle to each other.

Abstract: A fixation assembly having a driver, a holding sleeve, and an alignment mechanism is disclosed. The driver may include a driver body and a coupling extending from a distal end of the driver body. The holding sleeve may have a holding sleeve body, a channel extending through the holding sleeve body, and a fixation element coupler disposed at a distal portion of the holding sleeve body. The channel may be configured to receive the driver, and the fixation element coupler may be configured to temporarily hold a fixation element. The alignment mechanism may extend from the holding sleeve, and may have at least one alignment member configured to engage an underlying structure to which the fixation element is to be affixed so as to align the fixation element and driver assembly with respect to the underlying structure.

Abstract: A driver instrument for engaging and transferring rotational torque to a bone anchor already screwed into a bony structure. The driver instrument may be advanced through an incision while disengaged from the bone anchor and thereafter engaged in a driver socket of the bone anchor. The driver instrument includes an elongate shaft extending distally from a handle, a tapered distal tip, and a driver engagement feature located proximally of the tapered distal tip. The tapered distal tip and the driver engagement feature are configured such that the longitudinal rotational axis of the driver instrument automatically moves into parallel alignment with the longitudinal rotational axis of the bone anchor as the driver engagement feature of the driver instrument is advanced into the driver socket of the bone anchor.

Abstract: A tube insertion device which inserts a tube into a line path to perform an operation has an elongated hollow tube, an end effector connected to a front end of the tube such that the direction of the end effector is changed with respect to the tube, a plurality of wires connected to the end effector and extended into the tube and a tension controller controlling tensions of the plurality of wires. The tension controller controls tensions of a pair of wires facing each other in the opposite directions, in order to change the direction of the end effector.

Abstract: An introducer is configured to distinguish an introducer provided with a sheath tube whose wall thickness is reduced, from an introducer provided with a sheath tube whose wall thickness is not reduced, and to recognize the relationship between the inner diameter and the outer diameter for the sheath tube in which the wall thickness is reduced. The introducer includes an introducer sheath and a three-way stopcock portion. The introducer further includes a first information piece on at least one of the introducer sheath and the three-way stopcock portion and has an inner diameter dimension of the sheath tube as an index. Furthermore, a second information piece having an outer diameter dimension of the sheath tube as an index is on at least one of the introducer sheath and the three-way stopcock portion.

Abstract: An endoscopic device includes a longitudinal member, a pair of jaws installed at a distal end of the longitudinal member and configured to be freely opened and closed, a first grasping member supported by a first jaw of the pair of jaws, a second grasping member supported by a second jaw of the pair of jaws, the second body having a wire shape, flexibility, and being curved in a loop shape, a long operating transmission member having a distal end portion connected to the pair of jaws and installed to advance and retreat along a longitudinal axis of the longitudinal member, and an open-close operating portion installed at a proximal end portion of the operating transmission member and configured to be manipulated to open and close the pair of jaws.

Abstract: Thrombus aspiration may be performed using manual negative intermittent suction (e.g., provided by a syringe) or using an automated negative suction device (e.g., provided by a vacuum pump). The suction device may be connected through suction tubing to a hub of a catheter. The automated negative suction device may include an external control panel for the operator configured to allow the operator to choose from any of a plurality of suction patterns during an aspiration procedure.

Abstract: Aspiration catheters may include parameters for facilitating aspiration of thrombi within blood vessels. For example, parameters of the catheters (e.g., inner lumen diameter, slot pitch) may be varied along a length of the catheter to cause changes in suction pressure, thereby resulting in improved thrombus aspiration. The aspiration catheters may include a balloon to temporarily occlude flow during an aspiration procedure.

Abstract: Methods of providing suction may include providing suction patterns having varying intensity levels, such as a “crescendo suction” pattern. Cycles of crescendo suction patterns may comprise variable intensities of negative suction in a crescendo pattern (such as a small intensity negative suction pressure, a medium intensity negative suction pressure, and a large intensity negative suction pressure). The suction patterns may include pauses or temporary stops to the negative suction pressure.

Abstract: An electrode guide bridge is used for inserting a cochlear implant electrode into a cochlea scala of a patient cochlea. An electrode holder encloses at least a portion of a cochlear implant electrode while allowing the electrode to slide freely without friction. A pointed distal tip of the electrode holder is sized to fit within a posterior tympanotomy during electrode insertion surgery and into an electrode opening in an outer surface of the patient cochlea without entering the cochlea scala to prevent an apical tip of the enclosed electrode from contacting tissues around the electrode opening during the insertion surgery.

Abstract: An electrode insertion support device is used for inserting a cochlear implant electrode into a cochlea scala of a patient cochlea. A stiff electrode holder encloses at least a portion of a cochlear implant electrode while allowing the electrode within to slide freely. A pointed distal tip of the electrode holder is adapted to pierce an electrode opening through an outer surface of the patient cochlea into the cochlea scala. The insertion support device prevents an apical tip of the enclosed electrode from contacting tissues around the electrode opening during the insertion surgery.

Abstract: A minimally invasive surgical instrument is provided, comprising a shaft and an end effector connected to the shaft, wherein the end effector operates in the pitch or yaw direction against the shaft when a first wire and a second wire conveyed through the shaft operate cooperatively according to a first aspect; and the end effector operates in the roll direction against the shaft when the first wire and the second wire operate cooperatively according to a second aspect, wherein the first wire and the second wire operate in the same direction when the cooperative operation is according to one aspect of the first aspect and the second aspect; and the first wire and the second wire operate in the opposite directions when the cooperative operation is according to the other aspect of the first aspect and the second aspect.

Abstract: Telerobotic, telesurgical, and/or surgical robotic devices, systems, and methods employ surgical robotic linkages that may have more degrees of freedom than an associated surgical end effector n space. A processor can calculate a tool motion that includes pivoting of the tool about an aperture site. Linkages movable along a range of configurations for a given end effector position may be driven toward configurations which inhibit collisions. Refined robotic linkages and method for their use are also provided.

Abstract: Methods and devices for repairing a cardiac valve. A minimally invasive procedure includes creating an access in the apex region of the heart through which one or more instruments may be inserted. The device can implant artificial heart valve chordae tendineae into cardiac valve leaflet tissues to restore proper leaflet function and prevent reperfusion. The device punctures the apex of the heart and travels through the ventricle. The tip of the device rests on the defective valve and punctures the valve leaflet. A suture or a suture/guide wire combination is inserted, securing the top of the leaflet to the apex of the heart. A resilient element or shock absorber mechanism adjacent to the outside of the apex of the heart minimizes the linear travel of the device in response to the beating of the heart or opening/closing of the valve.

Abstract: Apparatus (10) is provided, including a skin-application portion (30), configured to move across a skin surface (75) of a subject. At least one acoustic element (80) is coupled to the skin-application portion and configured to be placed in acoustic contact with the skin, and to apply ultrasound energy to the skin. Additionally, at least one hair removal element (20) is coupled to the skin-application portion and removes hair from the skin of the subject. Other applications are also described.

Abstract: Tools and methods are provided for removing biological units from a body surface utilizing a removal tool. The tools may incorporate retention members and mechanisms configured to impede movement of the biological unit in the direction of a distal end of the tool and to improve retention of the biological unit in the tool. Some of the retention members are stationary and some are movable within the lumen of the biological unit removal tools. The distal tips of the tools are desirably configured to reduce the chance of transection of a biological unit, such as by including both cutting segments and blunt relief segments. A number of dual concentric tube embodiments permit a division of removal functions. Distal fluid or gas delivery may be used to help separating biological units from surrounding tissue.

Abstract: A surgical fastener is disclosed, and includes a head section and a tissue snaring section. The head section includes an engagement member pivotably disposed on an outer surface of the head section. The tissue snaring section defines a longitudinal axis and extends away from the head section. At least one helical thread defined along an outer surface of the tissue snaring section. The tissue snaring section is configured to rotate about the longitudinal axis in a first radial direction, and the engagement member is configured pivot outwardly from the head section in the first radial direction.

Abstract: An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.

Abstract: Surgical methods for closing a gastrotomy. The surgical method for closing an opening in an organ wall comprises positioning a distal end portion of a steerable overtube adjacent a portion of the organ wall through which the opening extends. The surgical method further comprises inserting a flexible clip magazine into the steerable overtube. The surgical method comprises grasping tissue through which the opening extends and drawing a portion of the grasped tissue into a clamping position between upper and lower clip arms of a distal-most tissue apposition clip supported within a distal end of the clip magazine. The surgical method further comprises advancing the distal-most tissue apposition clip onto the portion of grasped tissue.

Abstract: The invention relates to a system for performing an anastomosis between an organic wall having an opening and an organic hollow tube, comprising: a body inserted inside the tube and through the opening; external clamping elements defining with said body a tubular portion on the wall and forming an anchoring clamp; a device for connecting said tube and said tubular portion, comprising: suture elements connecting the external clamping elements to the body and each having a first end connected to a tightening device and a second end adapted for being retained on an external clamping element; and a suturing device adapted for moving the second end of the suture elements between a retracted configuration where it is located inside the tube, and an anchored configuration where it is retained on an external clamping element after passing through the tube.

Abstract: The invention concerns an implant for adjusting the position of at least one tissue holder (6) for soft tissue, whereby this implant can be fixed to bone tissue at a distance from said tissue holder (6) and has a guide (3) for an elongate pulling member (4), whereby this pulling member (4) is connected to said tissue holder (6), and whereby the implant includes a fixing element (10) which can be moved between a fixing position in which the pulling member (4) is clamped by the fixing element (10) and a free position in which said pulling member (4) can freely move through said guide (3), characterised in that said fixing element (10) cooperates with a control element (14) which makes it possible to move this fixing element (10) between said fixing position and said free position when the implant is attached to said bone tissue and when the implant is covered with soft tissue such as muscle tissue or skin tissue.

Abstract: An implantable tissue support structure for supporting tissue, the tissue support structure comprising a plurality of non-braided monofilament thread sections, the non-braided monofilament thread sections defining a surface, the tissue support structure inducing substantially no foreign body reaction when supporting the tissue other than the reaction associated with the healing of tissue being in contact with a single non-braided monofilament thread and allowing for substantially unimpeded ingrowth of healing tissue, by maintaining the number of monofilament thread intersections to be smaller than 10,000 intersections per one-hundred square centimeters, the thread intersection being defined as the crossing of two of the thread sections resulting from at least one of braiding, weaving, entangling, intertwining and affixing the thread sections.

Abstract: A method of mending a groinal defect such as an indirect inguinal hernia, a direct inguinal hernia, and/or a femoral hernia. A space between the external oblique aponeurosis and the internal oblique aponeurosis is dissected superiorly and laterally to create a site for receiving a lateral portion of a prosthetic repair patch. Dissection medially and inferiorly between the two aponeuroses leads to a transversalis fascia, which is explored downwardly and, at the pubic bone, dissected to reach the preperitoneal space of Retzius. A medial portion of a prosthetic repair patch may be positioned in the space of Retzius with a lateral portion of the prosthetic repair patch positioned in the dissected space between the two aponeuroses. So positioned, the prosthetic repair patch protects the myopectineal orifice that is susceptible to each of the indirect inguinal hernia, direct inguinal hernia, and femoral hernia.

Abstract: A biphasic material and devices comprising the same are provided for the development of conductive conduits that may be used for the treatment of peripheral nerve injury. These devices or conduits are designed such that repeated electric field gradients can be initiated to promote neurite and axonal outgrowth. Conducting conduits using doped synthetic and/or natural polymers create specifically patterned high and low conducting segmented materials, which are mechanically used to produce the electrical properties needed for nerve conduits. These electrical properties stimulate neurite outgrowth and axonal repair following a peripheral nerve transection.

Abstract: A thrombectomy system may include an elongate shaft that defines a high pressure lumen and a low pressure lumen. The high pressure lumen may terminate near an end of the low pressure lumen. An expandable capture basket may be disposed near the end of the low pressure lumen. A thrombectomy apparatus may include an elongate shaft, an evacuation lumen extending within the elongate shaft and a high pressure lumen extending within the elongate shaft. A capture apparatus may be disposed within a wire lumen that extends within the elongate shaft such that the capture apparatus extends distally from the wire lumen.

Abstract: A surgical instrument includes a movable member having a proximal portion, the movable member defining an opening at the proximal portion. The instrument includes a stationary member defining an aperture. The stationary member is arranged relative to the movable member with a close fit between the stationary member and the movable member such that aspiration occurs through the movable member substantially only during a portion of a repetitive motion of the movable member. The instrument includes a surgical handpiece coupled to the movable member and the stationary member to provide suction and motion to the movable member.

Abstract: Surgical tools and kits for performing methods include a grommet with cylindrical shaft, cutting tip, annular flange with suture retaining anchoring fixture; a grommet jig for extending between adjacent grommets and guiding a needle therebetween; a family of needles with single and double pointed ends, reinforced eyelets, stops to limit inadvertent exiting, double shaft construction with a longitudinal gap and sharpened, slicing ends, including a “J” shape embodiment; a bone anchor with ring to secure sutures about a patient's clavicle; a tissue dissector having radially extending cones to nick taut connecting tissues; a tissue rasp having a series of crisscrossing grooves along an end; a tissue mesher comprising one or more blocks having a matrix of holes for clamping a plurality of needles and a supporting framework; and a kit device and a method of surgically inserting an internal mesh brassiere under the breast skin.

Abstract: Occlusion bypassing apparatuses are disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The occlusion bypassing apparatuses include a shaft component and a needle component slidably disposed within the shaft component and having an angled configuration when deployed. In embodiments hereof, the needle component has an angled distal tip segment that may be utilized to selectively bend a flexible distal portion of the shaft component in order to extend the flexible distal portion towards the true lumen of the vessel. The needle component is distally advanced relative to the shaft component to pierce through the intima of the vessel and thereafter enter the true lumen.

Abstract: Occlusion bypassing apparatuses are disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The occlusion bypassing apparatuses include a shaft component and a needle component slidably disposed within the shaft component and having an angled configuration when deployed. In embodiments hereof, the needle component has an angled distal tip segment that may be utilized to selectively bend a flexible distal portion of the shaft component in order to extend the flexible distal portion towards the true lumen of the vessel. The needle component is distally advanced relative to the shaft component to pierce through the intima of the vessel and thereafter enter the true lumen.

Abstract: Surgical tools and kits for performing methods include a grommet with cylindrical shaft, cutting tip, annular flange with suture retaining anchoring fixture; a grommet jig for extending between adjacent grommets and guiding a needle therebetween; a family of needles with single and double pointed ends, reinforced eyelets, stops to limit inadvertent exiting, double shaft construction with a longitudinal gap and sharpened, slicing ends, including a “J” shape embodiment; a bone anchor with ring to secure sutures about a patient's clavicle; a tissue dissector having radially extending cones to nick taut connecting tissues; a tissue rasp having a series of crisscrossing grooves along an end; a tissue mesher comprising one or more blocks having a matrix of holes for clamping a plurality of needles and a supporting framework; and a kit device and a method of surgically inserting an internal mesh brassiere under the breast skin.

Abstract: A device for treating a thrombus in a blood vessel includes a treatment section and a filter section. The treatment section can be generally cylindrical and comprise a plurality of individual filaments and individual cells, as well as a first edge and a second edge along a longitudinal axis of the device. A varying degree of overlap of the first edge and the second edge may be provided as the device transitions from a volume-reduced form to an expanded form. The filter section can be generally conical and accommodate the variable degree of overlap by providing a first section, distal to the treatment section, that has a variable degree of overlap with a non-continuous, interrupted surface. A second section, distal to the first section, has a continuous surface for providing effective filtering of debris and emboli dislodged from the thrombus during action upon the thrombus by the treatment section.

Abstract: An expandable substantially spherical structure for deployment in a blood vessel or other body lumen, comprising: an open frame formed out of a closed loop of filament and configured to assume (i) a collapsed configuration in the form of a substantially two-dimensional elongated loop structure so as to facilitate insertion into the blood vessel or other body lumen, and (ii) an expanded configuration in the form of a three-dimensional substantially spherical structure so as to facilitate retention at a site in the blood vessel or other body lumen; and a flow-restricting face carried by the open frame; wherein the open frame is configured so as to permit substantially normal flow therethrough when the open frame is in its expanded configuration, and further wherein the flow-restricting face is configured so as to restrict flow therethrough.

Abstract: A vascular device may include a tubular element. The tubular element may include a plurality of longitudinal sections. The plurality of longitudinal sections may include a first longitudinal section having a first austenitic finish temperature and a second longitudinal section having a second austenitic finish temperature different than the first austenitic finish temperature. The first longitudinal section may include a first material. The second longitudinal section may include a second material different than the first material. The first longitudinal section may include a first shape set. The second longitudinal section may include a second shape set different than the first shape set. The first longitudinal section may be configured to provide torquability. The second longitudinal section may be configured to provide flexibility. At least one of the first longitudinal section and the second longitudinal section may be shape set to a straight configuration. The tubular element may include a pattern.

Abstract: A device for treating a lumen may include a proximal portion, a distal portion, and a joint reversibly coupling the proximal portion and the distal portion. The joint may include a plurality of filaments and pores between the filaments being engaged with a wire and with the tubular element. The joint may include a proximal part of the distal portion mechanically forced into a socket of the proximal portion. The joint may include a plurality of ridges of the proximal portion mechanically forced into a plurality of grooves of the distal portion.

Abstract: A device includes a protection sleeve (10) and a retractable sheath (14) operatively connected to the protection sleeve (10), and a catheter (16) that passes through a main lumen (26) of the sleeve (10). The catheter (16) includes a heart valve treatment device arranged to pass into a lumen of the catheter (16).

Abstract: A portable pneumatic abdominal aortic tourniquet for occlusion of the abdominal descending aorta to restrict blood supply to a non-compressible arterial hemorrhage in or below the inguinal region is presented. The tourniquet includes an adjustable waist strap for securing it around the abdomen of a patient and a windlass rod connected to the waist strap to selectively tighten the strap as needed to tightly secure it to patient. A directed air bladder is mounted to the waist strap having a generally “V” shaped construction and is expanded for exerting directed pressure against the abdomen. Upon inflation of the air bladder and adjustment of the windlass, occlusion or restriction of blood flow through the abdominal descending aorta will occur which will achieve cessation of hemorrhage in or below the inguinal area or achieve other therapeutic effects like elevated blood pressure to enhance CPR or blood flow control to the lower extremities.

Abstract: This manipulator is provided with: a shaft; a tip operation section having a gripper; and a handle that causes the operation of the gripper. The tip operation section is provided with: a bowing section that is provided between the gripper and the shaft and that causes the tip operation section to bow in a direction differing from the axial direction of the shaft by means of a bending-direction operating force transmitted from the handle; and a hollow tube that is provided to a position overlapping the bowing section, can bow following the bowing section, and transmits to the gripper operating force transmitted from the handle in the rotational direction rotating centered on the axis of the gripper, thus being able to unlimitedly rotate the gripper.

Abstract: This medical manipulator is provided with: an opening/closing drive transmission unit that transmits driving force for an opening/closing operation to a tip operation section from a handle side; and a rotary driving transmission unit that transmits rotary force for a rolling operation to the tip operation section from the handle. The rotary driving transmission unit has: a rolling drive transmission tube disposed rotatably within a shaft; a bevel gear provided to the joint between the shaft and the tip operation section; and a rotating sleeve that meshes with the bevel gear. A pull-wire having flexibility and configuring a portion of the opening/closing drive transmission unit extends through the inside of the joint to the inside of the tip operation section.

Abstract: In a medical gripping tool with several branches, one branch includes a first flexurally elastic spar, a second flexurally elastic spar, of which the distal end is connected to the distal end of the first flexurally elastic spar, a rib, which is spaced apart from the proximal ends and from the distal ends of the flexurally elastic spars, and a linear guide for coupling the second flexurally elastic spar to the rib, in such a way that a linear movement of the second flexurally elastic spar relative to the rib is possible.

Abstract: Devices, systems and methods are described herein for sealing openings in an anatomical wall. A sealing system includes an elongate tubular support for delivery to an anatomical opening to be sealed, a cover of bio-compatible material covering a distal portion of the tubular support, and an anchor assembly, the anchor assembly being designed to secure the cover material to the opening. The anchor assembly can include a plurality of distal anchors and a plurality of proximal anchors, a button, ring or donut, and/or a C-clip. In some embodiments, the system further comprises a closure member for closing off an end of the cover material after removal of the tubular support.

Abstract: A method for repairing a soft tissue includes boring a first nest in a portion of a bone at a first location, boring a second nest through a portion of the bone at a second location, shuttling a suture from a top surface of the soft tissue to a bottom surface of the soft tissue, disposing a first suture anchor in the first nest and fixating the first suture anchor to the first location, passing the suture through the first suture anchor, the bottom surface of the soft tissue and the top surface of the soft tissue to form a medial row, disposing a second suture anchor in the second nest and fixating the second suture anchor to the second location, passing the suture through the second suture anchor from the top surface of the soft tissue to form a lateral row, and tensioning the suture.

Abstract: A hybrid monofilament/braided surgical suture that combines a monofilament with a braided construction. The hybrid surgical suture may be formed by braiding yarns of high tenacity fibers tightly over a core in the form of a monofilament yarn. The monofilament may be any type of material, for example, a nylon, silk, polyester, polyethylene or polypropylene filament, among many others. The stiffness properties of the hybrid surgical suture allow the suture to be pushed through small and very small diameter tubes and cannulations (such as Lasso instruments, for example) yet fix securely with existing fixation devices (such as knotless suture anchors like PushLock® anchors).

Abstract: A surgical suture system, suture, and tissue engaging member for tissue repair and reattachment of torn tissue to a tissue substrate, medical prosthesis or medical implant. The system includes the elongated flexible suture member having a plurality of longitudinally spaced protuberances along a length thereof and one or a plurality of the tissue engaging members each of which include two closely spaced apart locking apertures sized and configured to receive one of the suture members passed therethrough or a unique single locking aperture to allow longitudinal tensioning and/or restraining movement of the suture member in only one direction through the locking apertures for suture member tightening.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices and loops having attached flexible materials that are pre-loaded onto modified knotless anchors (for example, swivel and/or screw-in suture anchors and/or push-in suture anchors with a distal eyelet) to position the self-locking, adjustable construct at the repair site. The systems allow for knotless tensioning of the tissue after the knotless anchors have been implanted.

Abstract: The present invention describes a system, devices and methods for percutaneous pedicle screw revision procedures. The present invention utilizes a tulip rod stub/connector adapted to be used to extend pedicle screw/rod constructs with minimal disruption to surrounding soft tissue and without having to remove existing hardware.