Knotless Surgical Fixation With Independent Loop Locking

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Solution Overview

Problem

Existing surgical methods often require knots to secure sutures, which can be time-consuming and may compromise the integrity of the repair, particularly in knotless surgical procedures.

Innovation Solution

A surgical fixation system featuring adjustable loops with independent locking mechanisms, allowing for knotless repairs by adjusting the loop size using free braid strands and spliced sections, combined with fixation devices that provide additional locking mechanisms.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If traditional knot-tying methods are used to secure sutures, then the surgical repair can be secured, but the surgical procedure becomes time-consuming and may compromise the integrity of the repair

Engineering Contradiction:
Improveintegrity of repairVSAvoidsurgical procedure time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent extracts the knot-tying step from the surgical procedure by using pre-formed loops with integrated locking mechanisms that secure sutures without requiring manual knot tying. The locking mechanism is built into the loop structure itself, eliminating the need for separate knot-tying actions.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The loops are pre-formed with integrated locking mechanisms before surgery. The locking feature is prepared in advance as part of the loop structure, allowing for rapid deployment during surgery without requiring time-consuming knot-tying operations.

Inventive Principle:
Principle #10Preliminary action

2Productivity

If adjustable loops with locking mechanisms are used, then knotless surgical repairs can be performed efficiently, but the device complexity increases

Engineering Contradiction:
Improvesurgical procedure efficiencyVSAvoidfixation device structure
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The patent merges the loop structure with the locking mechanism into a single integrated component. The locking feature is combined with the loop geometry itself, creating a unified structure that provides both the adjustable loop function and the securing mechanism without requiring separate parts.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The loop structure serves multiple functions simultaneously: it provides the adjustable configuration capability, the securing function through its locking mechanism, and the suture attachment point. This multi-functionality reduces the need for additional separate components.

Inventive Principle:
Principle #6Universality (Multi-functionality)

3Reliability

If independent locking mechanisms are implemented, then the reliability of the fixation is improved, but the manufacturing complexity increases

Engineering Contradiction:
Improvefixation securityVSAvoiddevice fabrication
Core Design Contradiction:
ReliabilityVSEase of manufacture

Solution Approach 1:

The locking mechanism is segmented into distinct geometric features within the loop structure, such as separate engagement surfaces and locking elements. This segmentation allows for modular manufacturing processes where each feature can be created independently and then assembled or integrated into the final loop component.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS12458338B2Surgical fixation systems and associated methods
Publication Date: 2025.11.04 ARTHREX INC
  • US12458338B2 patent drawing
  • US12458338B2 patent drawing
  • US12458338B2 patent drawing

AI summary

This disclosure relates to surgical fixation systems and methods. The surgical fixation systems of this disclosure may include various combinations of fixation devices, soft suture constructs, and/or adjustable loops and are configured for use in various knotless surgical methods, including but not limited to, syndesmosis, AC joint, UCL, bunion, anterior cruciate ligament (ACL), and posterior cruciate ligament (PCL) surgical methods.