38 results about "Meniscal repairs" patented technology

Methods and apparatus for treating meniscal tissue damage are disclosed, including a biocompatible meniscal repair device comprising a stent. The tissue repair device is adapted to be placed in contact with a defect in the meniscus and can preferably provide a structure for supporting meniscal tissue and/or encouraging tissue growth through contact with vascularized portions of the meniscus or as a conduit for introduction of exogenous healing therapies.

Systems and methods for repairing tears in soft tissue, e.g., meniscal tissue, by employing cinch stitching. More specifically, the present invention provides apparatus and methods for meniscal repair using a suture implant construct. The suture implant construct includes a first and second implant which are connected to each other via a length of suture. The implants are designed to be loaded on external surfaces of the first and second trocars.

A system and surgical methods for repairing tears in meniscal tissue using meniscal darts. In a preferred embodiment, the system includes a cannulated insertion sheath, a meniscal dart, and a disposable dart driver preloaded with a meniscal dart at its distal end. The insertion sheath is located near a meniscal tear, and sharp prongs on the tip of the sheath are used to secure and position the central fragment of the torn meniscus. The dart driver with a preloaded dart is advanced through the cannulation of the insertion sheath such that the preloaded meniscal dart at the distal end of the driver is inserted through the meniscal tear.

A cleat for securing suture to tissue, the cleat comprising an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section. A method for securing a first object to a second object, the method comprising providing a suture and a plurality of cleats slidably mounted on the suture; passing one end of the suture and a first cleat through the first object and the second object; tensioning the suture so as to secure the suture to the first cleat; passing a subsequent portion of the suture and a second cleat through the first object and the second object; and tensioning the suture so as to secure the suture to the second cleat.

A device for repairing a tear in a portion of tissue comprises a proximal actuator portion, a transfer needle extending distally from the proximal actuator portion and a catch needle extending distally from the proximal actuator portion. A suture needle is disposed in the transfer needle, and is extendable from the transfer needle toward the catch needle and retractable from the catch needle toward the transfer needle. An extendable catch plunger is disposed in the catch needle for capturing suture therein when it is transferred from the transfer needle. A retractable insertion sheath is provided for covering the transfer needle and the catch needle when the device is inserted into a procedural site. A depth limiting apparatus limits the depth of insertion of the needle into the procedural site.

Biologic partial menisci (biologic partial meniscal replacements/constructs) used to replace at least a part of a meniscus, and methods of forming such biologic partial menisci. Meniscal cartilage is employed to form a moldable allograft paste. A sterile mold that replicates a meniscus (for example, the medial or lateral meniscus) is provided in various sizes and is used as a biologic mold to recreate the anatomic shape of the meniscus. The moldable paste is inserted (for example, injected) into the mold and allowed to set into a stable, anatomically shaped meniscus (the biologic partial meniscus). Fibrin glue or other biologic adhesives or strengtheners may be optionally added to provide further biomechanical strength. Once the biologic partial meniscus is removed from the mold, it is provided at the surgical site and attached to the excised meniscus (placed into the correct anatomical shape) to complete the meniscal repair.

An anchor for securing suture to tissue, the anchor comprising:

• an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body;
• the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

The present application discloses a bidirectional suture passing instrument arranged to vertically approach soft tissue, enabling safer and more efficient surgical repair, using minimally invasive techniques, and can be used, for example, in annulus repair, meniscus repair, shoulder arthroscopy Examination, hernia repair, laparoscopic repair and wound closure.

An assembly for meniscal repair including a first tissue fixation member configured to secure a meniscal tissue, a suture anchor having a proximal end, a distal end, a central axis defined therethrough, an eyelet on the proximal end of the suture anchor, and a textured outer surface, and a first suture configured to be coupled to the first tissue fixation member and configured to be received through the eyelet of the suture anchor.

Shaped constructs for repair of a defect in a body part or tissue of a subject are discussed herein. More specifically, implants suitable for delivery to a subject, such as a subject having a defect in a body part or body tissue, are discussed. Even more specifically, implants for intervertebral disc repair comprising corticocancellous bone, which can extend into the nucleus pulposus of an intervertebral disc and can be integrally attached to the annulus fibrosus of the disc to keep the implant in position, are described. Also, implants for meniscal repair comprising corticocancellous bone, which can extend from the outer edge of the meniscus to the inner region of the meniscus and can be integrally attached to the meniscal rim to keep the implant in position, are described. Implants for the repair of defects in bone, cartilage, and fibrocartilage are further described. Further described are methods for making such implants and for delivering the implants to a defect in a body part or body tissue of a subject.

An instrument kit for performing a repair procedure on a meniscal tear in a knee for use in combination with a mechanical repair device is disclosed. The instrument kit includes at least one template including an elongate body defining X, Y and Z axes. The elongate body adapted for insertion in a knee of the patient to approximate a path to a meniscal tear within the knee. The elongate body has a length defining the X-axis. The instrument kit including a first template having a linear elongate body, a second template having a distal end portion which is offset in a direction of the Y-axis, and a third template having a distal end portion which is offset in a direction of the Z-axis.

An implant for repairing tears in soft tissue, such as a meniscus, may include a lead anchoring member and a trailing anchoring member interlaced by a looped strand member. The lead anchoring member and the trailing anchoring member may be formed of a suture material having a diameter greater than a diameter of the strand member. The lead anchoring member and the trailing anchoring member may deform into a suture mass in response to a lead of the strand member being placed under tension to thereby cinch the looped portion. A self-locking locking knot may prevent loosening of the looped portion.

Featured is an implant/anchor deployment device/module, a device kit concept using such an implant/anchor deployment device/module, a system for deploying an implant/anchor into tissue, and a method for treating damaged tissue using such an implant/anchor deployment device/module such as for example, a method for deploying one or more anchors/implants during a meniscal repair procedure. Such a deployment device/module includes a body member having a proximal end portion and a distal end portion, the distal end portion being configured so that an implant/anchor can be deployed therefrom. Also, the proximal end portion is configured so as to be removably attached to a first end portion of the surgical device. In exemplary embodiments, the surgical device includes a suture cutter as known in the endoscopy arts.

Featured is an implant/anchor deployment device/module (100), a device kit (300) concept using such an implant/anchor deployment device/module, a system for deploying an implant/anchor (120) into tissue, and a method for treating damaged tissue using such an implant/anchor deployment device/module such as for example, a method for deploying one or more anchors/implants during a meniscal repair procedure. Such a deployment device/module includes a body member (110) having a proximal end portion (114) and a distal end portion (112), the distal end portion being configured so that an implant/anchor can be deployed therefrom. Also, the proximal end portion is configured so as to be removably attached to a first end portion of a surgical device (200). In exemplary embodiments, the surgical device includes a suture cutter as known in the endoscopy arts.

An arthroscopic needle having partial cuts or serrations along one side of a circular, hollow needle shaft allows the needle to bend, or articulate, by drawing a pull strip bar, defined by a thin strip along the interior side closet to the serrations in the hollow shaft, for compressing along the cuts to draw uncut segments into closer arrangement for curving the needle in the direction of the compressed side. The selectively articulating, or "bendable" needle that curves in response to a rotating knob provides for insertion of surgical attachment anchors in difficult-to-reach areas of meniscal tissue. The disclosed articulating needle has the ability to bend and access more anterior and posterior zones of meniscal repairs than conventional rigid needle approaches.

A surgical rivet device for the repair of torn menisci and other intra-articular bodily tissues is disclosed in which the device comprises a shaft, projecting fins and a penetration head at one end and a wide rear portion. The device is inserted by a driving mechanism through both sides of the torn meniscus, compressing the tear in the meniscus between the fins near the head and the wide rear portion, holding the tear together. After insertion, the driving mechanism is separated from the rivet, leaving the rivet device in the patient. The rivet device is entirely biodegradable and absorabable by the body.