Source: https://patents.google.com/patent/US9820731B2/en
Timestamp: 2019-07-20 02:31:46
Document Index: 699829869

Matched Legal Cases: ['Application No. 12702737', 'application No. 13712402', 'Application No. 2013', 'Application No. 201380013146', 'Application No. 2014136769', 'Application No. 201380066543', 'Application No. 2013230095', 'Application No. 201380013146', 'Application No. 201380013146', 'Application No. 201380066543', 'Application No. 12702737', 'Application No. 12702737', 'Application No. 13712402', 'Application No. 2014', 'Application No. 2014', 'Application No. 2014136769', 'Application No. 13786021', 'Application No. 2013230095', 'Application No. 2012211072', 'Application No. 2013331427', 'Application No. 201380013146', 'Application No. 201380013146', 'Application No. 201380013146']

US9820731B2 - Suture-based knotless repair - Google Patents
US9820731B2
US9820731B2 US14/739,257 US201514739257A US9820731B2 US 9820731 B2 US9820731 B2 US 9820731B2 US 201514739257 A US201514739257 A US 201514739257A US 9820731 B2 US9820731 B2 US 9820731B2
US14/739,257
US20150272566A1 (en
2012-03-09 Priority to US13/416,584 priority Critical patent/US9084597B2/en
2015-06-15 Application filed by Smith and Nephew Inc filed Critical Smith and Nephew Inc
2015-06-15 Priority to US14/739,257 priority patent/US9820731B2/en
2015-10-01 Publication of US20150272566A1 publication Critical patent/US20150272566A1/en
2016-02-11 Assigned to SMITH & NEPHEW, INC reassignment SMITH & NEPHEW, INC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ARAI, TATSUYA, KOSKI, MATTHEW EDWIN
2017-11-21 Publication of US9820731B2 publication Critical patent/US9820731B2/en
This application is a divisional of U.S. patent application Ser. No. 13/416,584, filed on Mar. 9, 2012 and entitled “SUTURE-BASED KNOTLESS REPAIR,” the entirety of which is hereby incorporated herein by reference.
FIG. 2b is a schematic of a suture-based knotless repair system in a closed configuration.
FIGS. 3a-3d are schematics of different implementations of insertion needles.
FIG. 4a is a perspective view of a deployment device for use with a suture-based knotless repair system.
FIG. 4b is a side view of the deployment device of FIG. 4 a.
FIG. 4c is a partial cutaway view of the insertion needles in the deployment device of FIG. 4 a.
FIG. 4d is an end view of the deployment device of FIG. 4 a.
FIG. 4e is an end perspective view of the deployment device of FIG. 4 a.
FIGS. 5a-5g are schematics showing a uni-cortical method of using a suture-based knotless repair system.
FIGS. 6a-6g are schematics showing a bi-cortical method of using a suture-based knotless repair system.
FIGS. 7a-7f are schematics showing a method of using a suture-based knotless repair system with multiple anchors.
FIGS. 9a-9g illustrate another implementation of a suture-based knotless repair system.
FIG. 10a is a schematic of a suture-based knotless repair system with an anchor on a terminal end of the suture and an anchor on a single closable loop.
FIG. 10b is a schematic of a suture-based knotless repair system with an anchor on a terminal end of the suture and multiple anchors on a single closable loop.
As will be described in more detail below, in use, when the sliding terminal end 118 of the suture 110 is pulled, the loop 115 decreases in size, bringing the anchors 122 and 124 closer together. Referring to FIGS. 2a and 2b , the placement of two anchors 222 and 224 on a single loop 215 of the suture 210 allows the anchors 222 and 224 to be brought very close together when the loop is closed (FIG. 2b ). With such a configuration, it is possible to virtually eliminate the distance between the anchors 222 and 224 along a length of the suture 210. In addition, such a construct provides infinite adjustability and/or tightening of suture slack between the anchors, which provides for a higher degree of fixation. This configuration also can provide a significant advantage in labral repairs, because an anchored labrum can be shifted as close to an anchored glenoid as possible.
Referring to FIGS. 3a-3d , a delivery device 300 a, 300 b, 300 c, and 300 d, respectively, for deploying and implanting a suture-based knotless repair system 305, which includes a suture 310 and one or more anchors 315, in tissue includes an inserter needle 330 a, 330 b, 330 c, and 330 d, respectively. The inserter needles 330 a, 330 b, 330 c, and 330 d include notches 340 a, 340 b, and 340 c, respectively, or a hole 340 d, defined in a distal tip 350, 360, 370, and 380 of the needles 330 a, 330 b, 330 c, and 330 d. In use, the notches 340 a, 340 b, 340 c, and or hole 340 d receive at least one of the anchors 315 such that the anchors 315 can be retained within the notches 340 a, 340 b, 340 c or the hole 340 d, during, for example, delivery of the repair system 305 to the surgical site. The notches 340 a, 340 b, and 340 c and the hole 340 d open towards the distal end of the needles 330 a, 330 b, 330 c, and 330 d and this so-called “forward-facing” design allows the anchor 315 to remain in the notch 340 a, 340 b, and 340 c and the hole 340 d during insertion into tissue, and allows the inserter needle 330 a, 330 b 330 c, and 330 d to be retracted from the tissue, such as the glenoid and labrum/capsule, once the anchor 315 has been deployed, without disturbing the deployed anchor 315 in the tissue. The suture 310 may be wrapped around the back of the inserter needle 330 a, 330 b, and 330 c as shown in FIGS. 3a-3c , respectively, to further aid in holding the anchor 315 in place within the notches 340 a, 340 b, and 340 c during delivery. Holding the anchor 315 in the notch also can help to limit deformation of the flexible anchor 315, like that shown in FIGS. 3a-3c , before the anchor 315 has been placed into tissue by the surgeon.
Referring to FIGS. 4a-4e , two or more inserter needles 410, 415 (similar to, for example, inserter needles 330 a in FIG. 3a ) are located within a delivery device 400. The delivery device 400 includes a handle 420 coupled to an outer tube or cannula 430. The outer tube 430 can be made from plastic or metal. The handle 420 includes two actuating sliders 440 a, 440 b slidably disposed on opposite sides of the handle 420. The sliders 440 a, 440 b are coupled to a proximal end (not shown) of the inserter needles 410, 415 for advancing and retracting the inserter needles 410, 415 within the outer tube 430. The distance that the inserter needles 410, 415 extend from the outer tube 430 helps to determine the penetration depth of the needles 410, 415 into tissue. In some implementations, the delivery device 400 can be supplied to the surgeon with the suture-based anchor system preloaded in the device 400.
Referring to FIG. 4c , the inserter needles 410 and 415 are shown with anchors, such as suture anchors 1122, 1124, loaded in the notches 450 and 460, respectively. The anchors 1122 and 1124 are attached to a single loop 1115 of suture 1110. In this implementation, a second suture 1111 is used to engage and tension a portion of the first suture 1110, for example, the single loop 1115, during delivery and surgery to assist in preventing one of the anchors 1122 and 1124 from slipping out of the notches 450 and 460, while, for example, another of the anchors is being advanced through the outer tube 430 and into tissue. The user may remove the second suture 1111 from the system after inserting the anchors 1122 and 1124 into tissue.
Referring to FIG. 4e , sliding end 1118 of the suture 1110 can exit the outer tube 430 and pass through a longitudinal slot 475 a in the handle 420. The sliders 440 a, 440 b can include one or more slots 471 a and 471 b that can be used to secure a fixed terminal end 1116 of the suture 1110 such that when a surgeon advances sliders 440 a or 440 b, the fixed end 1116 does not move relative to the slider, which permits the sutures 1112 or 1124 to come off the notches 450 or 460 (FIG. 4C).
Referring to FIGS. 5a-5g , a method for using a suture-based knotless repair system 500 to make a uni-cortical labral repair, for example, in the shoulder area 530, is shown. The repair system 500 includes a suture 510 and at least two anchors 522, 524 coupled to the suture 510, and in particular, to a single loop 515 (FIG. 5f ) formed by the suture 510. The suture 510 has a fixed terminal end 516 and a sliding terminal end 518 as described above (FIG. 5f ). In use, preferably under arthroscopic guidance, a user inserts a drill 542 (FIG. 5a ) through a guide 540 to drill a hole 550 through glenoid cortex bone 532 and into cancellous bone tissue 534. The guide can be straight or curved. The user can then use a first inserter needle 544 to pass the anchor 522 through the glenoid cortex bone 532 and into the cancellous bone tissue 534 (FIG. 5b ). When the first inserter needle 544 is removed from the tissue 534 (FIG. 5c ), the anchor 522 is left behind. The guide 540 is then moved and the drill can again be used (not shown) to drill a hole 552 in the labrum 538 and the capsule 536.
A second inserter needle 546 can be used to pass a second anchor 524 through the labrum 538 and capsule 536. When the second inserter needle 546 is removed, the second anchor 524 is left behind (FIG. 5e ). Once each of the anchors 522 and 524 have been deployed into the tissue, the user may pull the sliding terminal end 518 of the suture 510 to shorten the length of the loop 515 thus bringing the anchors 522 and 524 closer together. If flexible anchors, such as the suture anchors 522, 524 shown, are used, the anchors will tend to bunch up as seen in FIG. 5g when force is applied to the anchors 522 and 524 from the loop 515 being pulled closed. The bunching up of the anchors 522, 524 assist in preventing pull-out of the anchors when the sliding terminal end 518 of the suture 510 is pulled, and provides for a more secure repair construct. A knot pusher (not shown) may also be used in conjunction with pulling on the sliding end 518 of the suture 510 to aid in closing the loop 515.
Referring to FIGS. 6a-6g , a method for using a suture-based knotless repair system 600 to make a bi-cortical labral repair, for example, in the shoulder area 630, is shown. The repair system 600 includes a suture 610 and at least two anchors 622, 624 coupled to the suture 610, and in particular, to a single loop 615 (FIG. 6f ) formed by the suture 610. The suture 610 has a fixed terminal end 616 and a sliding terminal end 618 as described above (FIG. 6f ). In use, preferably under arthroscopic guidance, a user inserts a drill 642 (FIG. 6a ) through a guide 640 to drill a hole 650 through glenoid cortex bone 632 from a first side 632 a completely through the cancellous bone tissue 634 and through the other side of the cortex bone 632 b. The user can then use a first inserter needle 644 to pass the anchor 622 through the first side of the glenoid cortex bone 632 a, into the cancellous bone tissue 634, and through the second side of the glenoid cortex bone 632 b (FIG. 6b ). When the first inserter needle 644 is removed from the tissue 632, 634 (FIG. 6c ), the anchor 622 is left behind. The guide 640 is then moved and the drill can again be used (not shown) to drill a hole 652 in the labrum 638 and the capsule 636.
A second inserter needle 646 can be used to pass a second anchor 624 through the labrum 638 and capsule 636 (FIG. 6d ). When the second inserter needle 646 is removed, the second anchor 624 is left behind (FIG. 6e ). Once each of the anchors 622 and 624 have been deployed into the tissue, the user may pull the sliding terminal end 618 of the suture 610 to shorten the length of the loop 615 thus bringing the anchors 622 and 624 closer together. If flexible anchors, such as the suture anchors 622, 624, are used, the anchors will tend to bunch up as seen in FIG. 6g when force is applied to the anchors 622 and 624 from the loop 615 being pulled closed. The bunching up of the anchors 622, 624 assists in preventing pull-out of the anchors 622, 624 when the sliding terminal end 618 of the suture 610 is pulled, and provides for a more secure repair construct. A knot pusher (not shown) may also be used in conjunction with pulling on the sliding end 618 of the suture 610 to aid in closing the loop 615.
FIGS. 7a-7f show a suture-based knotless repair system having four anchors in use. The method is similar to the method shown in FIGS. 5a-5g for a system with two anchors. First, a user uses a first inserter needle 744 to pass an anchor 722 through a supraspinatus tendon 765 (FIG. 7a ). When the first inserter needle 744 is removed (FIG. 7b ) by, for example, sliding a slider on a delivery handle as described above, the anchor 722 is left behind in the tissue. The anchor 722 is attached to a suture 710. A second inserter needle 746 is then used to pass a second anchor 724 into the humeral head 760. When the second inserter needle 746 is removed (FIG. 9d ), the second anchor 724 is left in the humeral head 760. This process is repeated with the third 725 and fourth 728 anchors. Once all of the anchors 722, 724, 725, and 728 have been deployed into the respective target tissue, one or more ends 716, 718 (FIG. 7f ) of the suture 710 can be pulled in order to tighten the loop 715 in the suture 710 and bring the anchors 722, 724, 725, and 728 closer together. If flexible anchors, such as those shown, are used, the anchors will bunch up as seen in FIGS. 7e and 7f when force is applied to the anchors 722, 724, 725, and 728 from the loop 715 being pulled closed. A knot pusher (not shown) may be used to aid in closing the loop 715.
FIG. 8 illustrates another possible implementation of the outer tube and inserter needle construction. In this implementation, the outer tube 881 has a trocar tip 820 and a slot 882 formed at a distal end of the trocar tip 820. An anchor or fixation member 824 is placed within the outer tube 881 and a portion of the anchor 824 protrudes through the slot 882 and above the outer surface of the outer tube 881. The outer tube 881 also houses at least one inserter needle 844. A second anchor 822 is loaded onto the inserter needle 844 as described above. Both anchors 822 and 824 can be connected on a single loop of a suture 810 as described above. In use, the outer tube 881 may be inserted through a tissue and then removed; leaving behind the anchor 824 that at least partially protrudes through the slot 882 past the outer surface of the cannula 881. The anchor(s) 822 secured to inserter needle(s) can be placed as described previously with regard to FIGS. 5a-5g and 7a -7 f.
FIGS. 9a-9c show another implementation of an outer tube 940 and an anchor 922 used in the suture-based knotless repair system of the present disclosure. A pusher 944 is disposed within the outer tube 940. The pusher 944 may be an inserter needle such as those shown in FIGS. 3c-3d , or other suitable device to pass an anchor through the tube 940. The outer tube 940, which can have a sharpened, angled distal tip 940 a, is inserted into and through a labrum tissue 938. The pusher 944 can then be used to pass a flexible anchor 922 through the tube 940 and labrum 938. The outer tube 940 and pusher 944 can then be removed from the labrum 938, leaving behind the anchor 922, which is connected to a suture 910. The flexible anchor 922 is in the form of an umbrella, which can collapse as it passes through the outer tube 940 and through the labrum tissue 938. Once the anchor 922 is passed into and through the labrum tissue 938, the anchor 922 can then expand (FIG. 9c ), which prevents it from pulling back through the labrum 938 when tension is applied to the suture 910.
FIGS. 9d-9g show another implementation of an outer tube 940 and an anchor 924 used in the suture-based knotless repair system of the present disclosure. The anchor 924 attached on the suture 910 is installed from the proximal or distal end of the outer tube 940. The outer tube 940, which can have a sharpened, angled distal tip 940 a, is inserted into and through a labrum tissue 938. A pusher 944 can then be used to pass the anchor 924 through the tube 940 and labrum 938 (FIG. 9f ). The outer tube 940 and pusher 944 can then be removed from the labrum 938, leaving behind the anchor 924, which is connected to a suture 910. Once the anchor 924 is passed into and through the labrum tissue 938, the anchor 924 can then be deployed (FIG. 9g ), which prevents it from pulling back through the labrum 938 when tension is applied to the suture 910.
While only certain implementations have been set forth, alternatives and modifications will be apparent from the above description to those skilled in the art. For example, as shown in FIG. 10a , instead of placing two anchors on a closed loop 1015 of the suture 1010, one anchor 1026 may be provided on the fixed terminal end 1016 of the suture 1010. This anchor 1026 is secured with, for example, a square knot 1017. The anchor 1026 can remain at a fixed distance from the slipknot 1014 or a distance from anchor 1022 while anchor 1022 on the closable loop 1015 is brought closer to the slipknot 1014 when the sliding terminal end 1018 of the suture 1010 is pulled. This may be used in surgical procedures, for example, when the known distance between the slipknot 1014 and the square knot 1017 is acceptable for tissue repair. As shown in FIG. 10b , in addition to having two anchors 1022, 1023 on the closed loop 1015 of the suture 1010, a third anchor 1026 may be provided on the fixed terminal end 1016 of the suture 1010. Again, the anchor 1026 can remain at a fixed distance from the slipknot 1014 or a distance from anchors 1022, 1023 while anchors 1022, 1023 on the closable loop 1015 are brought closer to the slipknot 1014.
1. A method of repairing labral tissue comprising:
wherein the first fixation member and the second fixation member each define first and second free ends and at least one bend between the first and second free ends and are slidably received on a single closeable loop formed by the flexible member, the single closable loop including first and second loop portions extending from opposing ends of a first bend within the closeable loop and third and fourth loop portions extending from opposing ends of a second bend within the closeable loop, wherein the first fixation member alternatingly extends between the first and second loop portions and the second fixation member alternatingly extends between the third and fourth loop portions; and
2. The method of claim 1, wherein the tissue at the first location is soft tissue and the tissue at the second location is bone tissue.
3. The method of claim 1, wherein, the tissue at the first location is soft tissue and the tissue at the second location is soft tissue.
4. The method of claim 1, wherein, the tissue at the first location is bone tissue and the tissue at the second location is bone tissue.
5. The method of claim 1, wherein, for each fixation member, the closable loop is configured to sequentially extend through at least a first portion of the fixation member proximal to the first free end, a second portion of the fixation member proximal to the second free and a third portion of the fixation member proximal to a bend between the first and second free ends.
6. The method of claim 5, wherein the closable loop extending through a third portion of the fixation member proximal to the bend includes extending through the fixation member on a first side of the bend and then back through the fixation member on a second side of the bend.
7. The method of claim 5, wherein the first and second fixation members each define first and second bends sequentially between the first and second free ends.
8. The method of claim 7, wherein the first and second fixation members are each generally S-shaped.
9. The method of claim 7, wherein, for each fixation member, the closable loop is configured to sequentially extend through at least a first portion of the fixation member proximal to the first free end, a second portion of the fixation member proximal to the second bend between the first and second free ends, a third portion of the fixation member proximal to the second free end and a fourth portion of the fixation member proximal to the first bend between the first and second free ends.
10. The method of claim 5, wherein the first and second fixation members each define first, second and third bends sequentially between the first and second free ends.
11. The method of claim 10, wherein the first and second fixation members are each generally M-shaped.
12. The method of claim 1, wherein the first fixation member zigzags back and forth between the first and second loop portions a plurality of times and the second fixation member zigzags back and forth between the third and fourth loop portions a plurality of times.
13. The method of claim 1, wherein the first fixation member is passed through a glenoid cortex bone into cancellous bone and the second fixation member is passed through labral tissue and into a joint capsule.
14. The method of claim 13, wherein the first fixation member is passed through a first side of the glenoid cortex bone and back out a second side of the glenoid cortex bone.
US14/739,257 2012-03-09 2015-06-15 Suture-based knotless repair Active US9820731B2 (en)
US14/739,257 US9820731B2 (en) 2012-03-09 2015-06-15 Suture-based knotless repair
US13/416,584 Division US9084597B2 (en) 2012-03-09 2012-03-09 Suture-based knotless repair
US20150272566A1 US20150272566A1 (en) 2015-10-01
US9820731B2 true US9820731B2 (en) 2017-11-21
US13/416,584 Active 2032-09-30 US9084597B2 (en) 2012-03-09 2012-03-09 Suture-based knotless repair
US14/739,257 Active US9820731B2 (en) 2012-03-09 2015-06-15 Suture-based knotless repair
JPH0852155A (en) 1994-04-29 1996-02-27 Ethicon Inc Wedge-shaped suture anchor method and device for implanting same
GB2370227A (en) 2000-11-21 2002-06-26 Ahmed Mohamed Hosny Khashaba Ligament tensioning device
RU2318458C2 (en) 2001-06-29 2008-03-10 Куилл Медикал, Инк. Method for suturing body tissue
US20080208204A1 (en) 2007-02-13 2008-08-28 Arthrex, Inc. Intraarticular graft length gauge
US20100114163A1 (en) 2008-11-03 2010-05-06 Martin Daniel L T-type suture anchor
EP2277456A1 (en) 2009-07-24 2011-01-26 DePuy Mitek, Inc. Surgical apparatus for repairing tissue
WO2012048050A1 (en) 2010-10-06 2012-04-12 Smith & Nephew, Inc. A system for use in tissue repair
US20120116450A1 (en) 2010-11-04 2012-05-10 Mcdevitt Dennis Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing suture to bone
WO2013134277A1 (en) 2012-03-09 2013-09-12 Smith & Nephew, Inc. Suture-based knotless repair
US20140114330A1 (en) 2012-10-18 2014-04-24 Smith & Nephew, Inc. Flexible anchor delivery system
JP2006503655A (en) 2002-10-23 2006-02-02 スミス アンド ネフュー インコーポレーテッドＳｍｉｔｈ ＆ Ｎｅｐｈｅｗ，Ｉｎｃ． Soft tissue attachment and repair
US20080255557A1 (en) 2003-12-18 2008-10-16 Ilya Koyfman High strength suture with absorbable core and suture anchor combination
US20130123813A1 (en) 2006-02-03 2013-05-16 Biomet Sports Medicine, Llc Soft Tissue Repair Device and Associated Methods
JP2010500912A (en) 2006-08-16 2010-01-14 ウィルソン−クック・メディカル・インコーポレーテッドＷｉｌｓｏｎ−Ｃｏｏｋ Ｍｅｄｉｃａｌ Ｉｎｃｏｒｐｏｒａｔｅｄ Suturing device
JP2010537746A (en) 2007-08-31 2010-12-09 ケン，クリストファー，ジー．エム．ＫＥＮ，Ｃｈｒｉｓｔｏｐｈｅｒ，Ｇ．Ｍ． Medical device for wound treatment
CN101888810A (en) 2007-08-31 2010-11-17 克里斯多佛·G·M·肯恩 Closure medical device
JP2011025036A (en) 2009-07-24 2011-02-10 Depuy Mitek Inc Apparatus and method for repairing tissue
US20120215257A1 (en) 2010-11-04 2012-08-23 Mcdevitt Dennis Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone
WO2012103536A1 (en) 2011-01-28 2012-08-02 Smith & Nephew, Inc. Tissue repair
RU2014136769A (en) 2012-03-09 2016-04-27 Смит Энд Нефью, Инк. Knotless reconstruction based on the suture
WO2014062684A1 (en) 2012-10-18 2014-04-24 Smith & Nephew, Inc. Flexible anchor delivery system
AU2013331427A1 (en) 2012-10-18 2015-04-30 Smith & Nephew, Inc. Flexible anchor delivery system
"Endobutton CL," Smith and Nephew, Inc., reprinted from http://endo.smith-nephew.com/es/Standard.asp?NodeID=2715, on Nov. 22, 2010, 1 page.
"Endobutton Direct: Fixation Device," Smith & Nephew, Inc., reprinted from http://global.smith-nephew.com/us/product23376-5895.htm, on Nov. 22, 2010, 3 pages.
"Technique for ACL reconstruction with Acufex Director Drill Guide and Endobutton CL" copyright 1999, Smith & Nephew, Inc., 20 pages.
"Endobutton Direct: Fixation Device," Smith & Nephew, Inc., reprinted from http://global.smith-nephew.com/us/product23376—5895.htm, on Nov. 22, 2010, 3 pages.
Communication Pursuant to Article 94(3) EPC for European Application No. 12702737.3, dated Feb. 24, 2016.
Communication pursuant to Article 94(3) EPC for related European application No. 13712402.0 mailed Jan. 8, 2016.
Decision of Rejection from related Japanese Application No. 2013-551405 issued Jul. 25, 2016.
First Office Action from related Chinese Application No. 201380013146.3 issued Apr. 14, 2016.
From, Stuart, "ACL Reconstruction with Bone-Tendon-Bone Transplants using the Endobutton CL BTB Fixation System," Smith & Nephew, Inc., copyright 2004, printed on Apr. 4, 11 pages.
Game Plan: Innovative Products to be Launched AAOS 2010, Biomet Sports Medicine, Spring 2010, vol. 2, No. 3, 1 page.
Glousman, R., et al., "JuggerKnot Soft Anchor Surgical Technique," Biomet Sports Medicine, 2010, 1 page.
Inquiry made in Course of Substantive Examination of Russian Application No. 2014136769-14(059452), issued Mar. 23, 2017.
International Search Report Application No. PCT/US2013/029143, mailed Jun. 13, 2013.
International Search Report Application No. PCT/US2013/065064, mailed Feb. 21, 2014.
International Search Report for International Application No. PCT/US2012/023056, mailed Jun. 13, 2012.
International Search Report for International Application No. PCT/US2014/018512, dated May 20, 2014.
Lawhorn, K., "MaxFire MarXmen Device Surgical Technique," Biomet Sports Medicine, 2010, 1 page.
Office Action from Chinese Application No. 201380066543.7 dated Sep. 27, 2016.
Office Action from related Australian Application No. 2013230095 issued Nov. 2, 2016.
Office Action from related Chinese Application No. 201380013146.3 dated Apr. 16, 2016.
Office Action from related Chinese Application No. 201380013146.3 dated Dec. 26, 2016.
Office Action from related Chinese Application No. 201380066543.7 issued Sep. 27, 2016.
Office Action from related European Application No. 12702737.3-1664 issued Feb. 21, 2007.
Office Action from related European Application No. 12702737.3-1664 issued Feb. 21, 2017.
Office Action from related European Application No. 13712402.0-1654 issued Nov. 4, 2016.
Office Action from related Japanese Application No. 2014-561043 dated Jan. 16, 2017.
Office Action from related Japanese Application No. 2014-561043 issued Jan. 16, 2017.
Office Action from related Russian Application No. 2014136769/14(059452) issued Dec. 30, 2016.
Office Communication from related European Application No. 13786021.9-1654 issued Dec. 13, 2016.
Patent Examination Report from related Australian Application No. 2013230095 issued Nov. 2, 2016.
Patent Examination Report No. 1 for Australian Application No. 2012211072, dated Aug. 12, 2015.
Patent Examination Report No. 1 for Australian Application No. 2013331427, dated Jun. 20, 2017.
Scope This Out, vol. 10, No. 2, Summer 2008, 8 pages.
Scope this Out, vol. 12, No. 1, Spring 2010, 8 pages.
Scope This Out, vol. 12, No. 2, Fall 2010, 8 pages.
Second Office Action from related Chinese Application No. 201380013146.3 issued Dec. 26, 2016.
Shoulder Restoration System: Arthroscopic Bankart Repair Using the Y-KnotTM 1.3mm All-Suture Anchor, ConMedTM Linvatec, 2011, 4 pages.
Shoulder Restoration System: Y-KnotTM 1.3mm All-Suture Anchor, ConMedTM Linvatec, 2011, 4 pages.
ToggleLOC: Femoral Fixation Device with Zip Loop Technology, Biomet Sports Medicine, Inc., 2007, 8 pages.
Translation of Office Action from related Chinese Application No. 201380013146.3 dated Apr. 14, 2016.
Translation of Search Report from related Chinese Application No. 201380013146.3 issued May 26, 2016.
U.S. Appl. No. 61/328,251, filed Apr. 27, 2010, Overes.
U.S. Appl. No. 61/398,699, filed Jun. 29, 2010, Overes et al.
U.S. Appl. No. 61/410,027, filed Nov. 4, 2010, McDevitt et al.
U.S. Appl. No. 61/419,334, filed Dec. 3, 2010, McDevitt et al.
U.S. Appl. No. 61/422,859, filed Dec. 14, 2010, McDevitt et al.
U.S. Appl. No. 61/432,755, filed Jan. 14, 2011, Henrichsen et al.
U.S. Appl. No. 61/443,142, filed Feb. 15, 2011, Overes.
U.S. Appl. No. 61/443,325, filed Feb. 16, 2011, McDevitt et al.
U.S. Appl. No. 61/461,490, filed Jan. 18, 2011, Henrichsen et al.
U.S. Appl. No. 61/517,203, filed Apr. 15, 2011, Lombardo et al.
U.S. Appl. No. 61/517,221, filed Apr. 15, 2011, Lombardo et al.
U.S. Appl. No. 61/517,230, filed Apr. 15, 2011, Lombardo.
U.S. Appl. No. 61/518,519, filed May 6, 2011, Lombardo et al.
U.S. Appl. No. 61/538,163, filed Sep. 23, 2011, Burkhart et al.
U.S. Appl. No. 61/559,672, Nov. 14, 2011, Brown et al.
Written Opinion of the International Searching Authority and the and International Preliminary Report on Patentability for International Application No. PCT/US2012/023056, mailed Jun. 13, 2012.
CN104394778B (en) 2017-07-14
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:ARAI, TATSUYA;KOSKI, MATTHEW EDWIN;REEL/FRAME:037709/0063