Abstract: A suture anchor assembly includes a main suture strand, a plurality of suture arms, and a plurality of suture anchor elements connected to the main suture strand by a suture arm. The suture anchor elements are configured to rest against a cortex of a bone to provide an anchor when they are in a deployed configuration. The suture anchor assemblies can be employed in place of or in addition to traditional suture anchors. The assemblies, kits, and methods described herein can be utilized in a variety of procedures and locations in the body where anchoring a graft or tissue adjacent a bone is desired, including, for example, rotator cuff repair and ligament (e.g., the anterior cruciate ligament or ACL) reconstruction and/or repair.

Abstract: A syndesmosis system includes a bone plate and an anchor. The bone plate includes a body extending between first and second surfaces. The body defines a strand-locking hole extending from the first surface to the second surface. A first locking element and a second locking element each extend from a first side wall of the strand-locking hole to a second side wall of the strand-locking hole. Each of the first anchor and the second anchor extend transverse to a central axis of the anchor hole. The anchor includes a body defining a first wing and a second wing. The first and second wings are coupled at a distal end and are biased away from a longitudinal axis of the body. The first and second wings are configured to maintain the anchor in a fixed position when inserted into a hole formed in a bone.

Abstract: A one-way knot pusher and/or locking device is provided and can be used for the adjustment of soft tissue anchoring components that create or improve continence. The device can be generally button- or disc-shaped and can include a carrier and a pin. When the device is pushed in the free sliding direction it acts as a knot pusher. However, when reversed the suture (e.g., the knot) jams or wedges inside of the cavity of the carrier, restricting or preventing motion in the opposite direction.

Abstract: A bone fixation screw comprises a proximal head being configured to lockingly engage a bone plate hole and a substantially helical shaft extending distally from the head along a substantially helical path. The head and the shaft are rotatably coupled to each other so that the shaft can rotate about a central longitudinal axis thereof with respect to the head.

Abstract: Disclosed is a fracture fixation device, for reducing and compressing fractures in a bone. The fixation device includes an elongate body. An axially moveable proximal anchor is carried by the proximal end of the fixation device and comprises a tubular sleeve that includes a plurality of graduations positioned on an outer surface of the tubular sleeve. The device is rotated into position across the femoral neck and into the femoral head, and the proximal anchor is distally advanced to lock the device into place. In certain embodiments, the elongated body includes a distal anchor with a distal cutting tip.

Abstract: The present disclosure relates to a two-piece implant. The implant includes a first piece having at least two prongs and a protrusion located between the prongs and a second piece coupled to the first piece, wherein the second piece is configured to rotate relative to the first piece. A method of tissue repair is also disclosed.

Abstract: A system, including methods, apparatus and kits for connecting bones and/or bone portions using a multi-part bone connector with one or more rotating joints is disclosed. A flexible bone fusion apparatus is provided having an anchor and a compressor, each of which engages with a coupler to provide axial and/or linear rotation of the apparatus. Alternatively, a compressor and an anchor may directly join with each other at a shared interface. Tools for installing and compressing the apparatus are provided. Also provided is a method for fusing two bones or bone portions to create a non-linear post-fusion orientation. A further aspect of the disclosure is a method for maintaining thread synchronization of a bone fusion apparatus having a discontinuous thread.

Abstract: Implementations of the present disclosure provide a fastener including a tip portion, a proximal portion, an advancement mechanism and an expandable member. The tip portion has a first surface. The proximal portion is configured for coupling to the tip portion and has a second surface. The mechanism advances the first surface toward the second surface. The expandable member includes a first end abutting the first surface of the tip portion and a second end abutting the second surface of the proximal portion. Advancement of the two surfaces toward each other advances the first end of the expandable member toward the second end of the expandable member. The expandable member is configured to expand in response to the advancement. At least one of the ends of the expandable member is a free end extending under and configured to rotate with respect to an abutting one of the first or second surfaces.

Abstract: The present invention relates to surgical clamps and clamp devices that provide a handle-free surgical field. The clamp jaws may be opened or closed by a rotationally or translationally moveable drive element that may be actuated from a position proximal or distal to the jaws. The surgical clamps may also be deployed using a clamp applier which slidably engages the clamp along a wire to releasably attach itself to the clamp.

Abstract: A device for clamping a fixation element which may allow for repositioning of the fixation element. The device may include a body comprising a front end, a rear end, an outer surface, a through bore extending between the front end and the rear end, a structure enabling deformation of at least a portion of the body, and a thread along at least a portion of the outer surface. The body may be tapered and the through bore may be sized and configured to receive a fixation element. The clamping device may also comprise a receiving member having a tapered bore with an inner thread sized and configured to receive the thread of the body. Insertion of the body into the tapered bore of the receiving member may result in at least a portion of the body being deformed. As the body is inserted into the tapered bore, the dimension of the through bore may decrease so that the body firmly engages the fixation element.

Abstract: A teething holder for use with a child's teething item, and more particularly a teething device having a flexible and elastic loop, a lock for releaseably locking the loop around a teething object, such as a biscuit, and an attachment element, for attaching the teething device, such as to a baby's bib or chair.

Abstract: A surgical anchor device for the repair of a torn ligament or tendon, primarily the anterior cruciate ligament in the knee, is used to affix the ligament within a femoral bone tunnel in the distal portion of the femur from the intra-articular surface, the device providing a pulley for a suture, wherein a free end of the suture may be pulled away from the device to draw the suture attached to the ligament graft within the femoral bone tunnel securing the ligament graft within the bone tunnel. Installation of the device is provided by insertion of the device through a tibial hole, through the femoral tunnel out of the lateral femoral cortex, pulling the attached sutures simultaneously to flatten the device against the lateral femoral cortex, attaching one end of the suture to the ligament graft and pulling the other end of the suture until the graft is situated properly within the femoral bone tunnel and tying the free end of the suture to retain the graft within the femoral bone tunnel.

Abstract: This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imagable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imagable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.

Abstract: An anchor is implantable into a bone in a patient's body and, when implanted, is resistant to toggling in the bone and to being pulled from the bone. The anchor includes a head end portion having a surface that extends transverse to a central axis of the anchor and is engagable with the bone. A plurality of helical spikes extend from the surface on the head end portion and are engagable with the bone. Each of the plurality of helical spikes has a helical central axis that forms a helix around the central axis of the anchor. Each of the plurality of helical spikes further has a circular cross-sectional configuration as viewed in a plane extending perpendicular to the helical central axis of each of the helical spikes and a distal end portion with a tip that penetrates the bone as the head end portion is rotated relative to the bone.

Abstract: A shape-changing anatomical anchor includes an activation means arranged to convert the anchor from a de-activated state to an activated state, and one or more members which extend away from the activation means and thereby change the shape of the anchor when the anchor is activated. The anchor is installed within bone and/or soft tissue when de-activated; when activated, the shape change acts to increase the force with which the anchor is retained within the tissue in which it is installed. Both piloted and non-piloted versions are described.

Abstract: Tissue anchors comprise a head and a fastening structure attached to the head. In one example, the fastening structure can include a helical structure disposed about an axis with a first end portion attached to the head and a second end portion including a distal end of the helical structure.