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US7153312: Closure device and method for tissue repair

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Filing Information

Inventor(s) Paul A. Torrie · George Sikora · Raymond A. Bojarski ·
Assignee(s) Smith & Nephew Inc. ·
Attorney/Agent(s) Fish & Richardson P.C. ·
Primary Examiner John J. Calvert ·
Assistant Examiner Shaun R Hurley ·
Application Number US9704926
Filing date 11/02/2000
Issue date 12/26/2006
Predicted expiration date 01/12/2022
Patent term adjustment 772
U.S. Classifications 606/144  ·
International Classifications A61B1704  ·
Kind CodeB1
Related U.S. Application DataThis application is a continuation-in-part of U.S. Ser. No. 09/453,120, filed Dec. 2, 1999, entitled WOUND CLOSURE DEVICES AND METHODS, now abandoned and hereby incorporated herein by reference in its entirety.
61 Claims, 29 Drawings


Abstract

A surgical method includes positioning a fixation member relative to tissue, moving a flexible member coupled to the fixation member relative to the fixation member to bring two tissue surfaces together, and moving a retaining element coupled to the flexible member relative to the fixation member. The retaining element acts to limit loosening of the flexible member relative to the fixation member. An apparatus for repairing a tear in soft tissue includes first and second fixation members, a flexible member substantially immovably secured to the first fixation member and movably coupled to the second fixation member, and a retaining element coupled to the flexible member. In another embodiment, an apparatus for repairing a tear in soft tissue includes a fixation member, and a flexible member movably coupled to the fixation member. A first end of the flexible member is looped back and secured to the flexible member.

Independent Claims | See all claims (61)

  1. 1. A flexible member holder, comprising: a tube, a shaft extending from the tube, a first tine at an end region of the shaft defining a first region for receiving a first portion of a loop of a flexible member, a second tine at the end region of the shaft defining a second region for receiving a second portion of the loop of the flexible member; and a tissue penetration device slidably received within the tube and configured to extend between the first and second regions.
  2. 16. A flexible member holder, comprising: a tube, a shaft extending from the tube and having: a first region for receiving a first portion of a loop of a flexible member, a second region for receiving a second portion of the loop of the flexible member; and a tissue penetration device slidably received within the tube and configured to extend between the first and second regions.
  3. 22. A method of delivering an implant to body tissue, the method comprising: positioning a first portion of a loop of a flexible member at a first region of a shaft that extends from a tube, positioning a second portion of the loop of the flexible member at a second region of the shaft, sliding a tissue penetration device though the tube such that the tissue penetrating device extends between the first and second regions of the shaft.
  4. 36. A flexible member holder, comprising: a tube, a shaft extending from the tube and having: a first region for receiving a first portion of a loop of a flexible member, and a second region for receiving a second portion of the loop of the flexible member; and a tissue penetrating elongate rigid member within the tube, the elongate rigid member being the sole elongate rigid member advanceable within the tube.
  5. 47. A flexible member holder, comprising: a tube, a shaft extending from the tube, and a tissue penetrating elongate rigid member within the tube, the tissue penetrating elongate rigid member being the sole elongate rigid member advanceable within the tube, wherein the shaft includes a distal portion with formations for receiving a flexible member and defining an opening for receiving the tissue penetrating elongate rigid member.
  6. 58. A method of delivering an implant to body tissue, the method comprising: positioning a first portion of a loop of a flexible member at a first region of a shaft that extends from a tube, positioning a second portion of the loop of the flexible member at a second region of the shaft, advancing an elongate rigid member through the tube, the elongate rigid member being the only elongate rigid member advanceable within the tube, and piercing tissue with the elongate rigid member.
  7. 60. A method of delivering an implant to body tissue, the method comprising: positioning a flexible member at formations of a distal portion of a shaft extending from a tube to define an opening, advancing an elongate rigid member through the tube, the elongate rigid member being the only elongate rigid member advanceable within the tube, and piercing tissue with the elongate rigid member.

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Referenced By

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