39 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 biocompatible meniscal repair device is disclosed. The tissue repair device includes a scaffold adapted to be placed in contact with a defect in a meniscus, the scaffold comprising a high-density, dry laid nonwoven polymeric material and a biocompatible foam. The scaffold provides increased suture pull-out strength.

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.

A biocompatible meniscal repair device is disclosed. The tissue repair device includes a scaffold adapted to be placed in contact with a defect in a meniscus, the scaffold comprising a high-density, dry laid nonwoven polymeric material and a biocompatible foam. The scaffold provides increased suture pull-out strength.

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.

A biocompatible meniscal repair device is disclosed. The tissue repair device includes a scaffold adapted to be placed in contact with a defect in a meniscus, the scaffold comprising a high-density, dry laid nonwoven polymeric material and a biocompatible foam. The scaffold provides increased suture pull-out strength.

A surgical fastener system that utilizes a very intense electrical discharge in a captured fluid volume to cause fluid vaporization thereby to drive a fastener body distally from an open-ended channel in an introducer member. More in particular, the fastener system comprises proximal and distal fastener components that are carried in a channel in an introducer. The proximal fastener component is a fluid sealed in a volume proximal to the head of a fastener body. The distal component of the fastener system is the fastener body itself, which typically defines a head portion and extending leg portion. The system further provides a high voltage electrical source coupled to 1.sup.st and 2.sup.nd electrode terminations that are in substantial contact with the captured fluid volume. Upon actuation of a switch mechanism, an electrical discharge is induced between the 1.sup.st and 2.sup.nd electrodes which causes an intense thermal effect within the captured fluid which generates a vapor bubble therein. The explosive expansion pressures caused by such bubble formation thereby imparts driving forces against the fastener body to drive the fastener outwardly into or through the targeted structure. The driving force applied to the fastener head can be selected by controlling the power level of the electrical discharge.

A method for in situ repair of meniscal injuries comprising induction of meniscal repair and regeneration by introducing an adhesive collagen-polyethylene glycol (PEG) hydrogel to a site of injury alone, supplemented with a synovial tissue or in conjunction with a support matrix.

A method for in situ repair of meniscal injuries comprising induction of meniscal repair and regeneration by introducing an adhesive collagen-polyethylene glycol (PEG) hydrogel to a site of injury alone, supplemented with a synovial tissue or in conjunction with a support matrix.

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.

An apparatus for suturing tissue includes a housing. The apparatus also includes a first needle attached to the housing and a second needle attached to the housing. A suture having a leading portion and a trailing portion is also included. A first structure is operably associated with the first needle for passing the leading portion of the suture from a near side of body tissue to a far side of the body tissue. A second structure is operably associated with the second needle for retracting the leading portion of the suture from the far side of the body tissue back to the near side of the body tissue.

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.

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.

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.

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.