One embodiment is directed to a system for closing a wound created at least partially across a tissue structure wall, comprising: a helical needle; a suture member coupled to the helical needle and configured to be pulled along a helical pattern with helical movement of the helical needle; an outer delivery member rotatably coupled to the helical needle; a drive shaft axially movably coupled to the outer delivery member; and a plurality of suture guide struts projecting distally from the outer delivery member; wherein upon helical insertion of the helical needle relative to the outer delivery member, the helical needle is advanced such that it becomes disposed around the guide struts, such that the guide struts prevent radial migration of the suture as it is helically wound into the tissue structure.

Tissue repair systems which use knotless all-suture anchors and have the ability to lock multiple repair sutures within the anchor construct. The anchor construct includes a tension suture wrapped or looped upon itself to create an open eyelet, through which multiple repair sutures originating in soft tissue are passed. The location of the eyelet may be anywhere inside the all-suture anchor or adjacent to the exterior of the anchor body. Tensioning of the tension suture causes the eyelet to restrict movement of the repair sutures and secures them within or against the anchor body.

Devices, systems, and methods to improve both the reliability of soft tissue repair procedures and the speed at which the procedures are completed are provided. The devices and systems include one or more tissue augmentation constructs, which include constructs that are configured to increase a footprint across which suture applied force to tissue when the suture is tied down onto the tissue. The tissue augmentation constructs can be quickly and easily associated with the repair suture, and can be useful in many different tissue repair procedures that are disclosed in the application. In one exemplary embodiment, one or more constructs are disposed on a suture threader, which can be used to associate the construct(s) with a repair suture(s) being used to repair the soft tissue. Tissue augmentation constructs can include various blocks and patches, among other formations. Exemplary methods for manufacturing the tissue augmentation constructs are also provided.

Fixation device cartridges. At least one example embodiment is a cartridge including: a first tube; a second tube parallel to first tube; a first spacer coupled to the first tube and the second tube such that slots of the first and second tubes face each other; a second spacer coupled to the first tube and the second tube, the first and second spacers defining a suture volume between the slots of the first and second tubes, and the slot of the first tube and the slot of the second tube open into the suture volume; a first bone anchor disposed within the first tube, a first suture line associated with the first bone anchor and extending through the slot; and a second bone anchor disposed within the second tube and coupled to the first suture line.

An anchorage device includes a substrate extending along a longitudinal axis between a first end having a first bonding area and an opposite second end having a second bonding area. The substrate has a third bonding area between the first and second bonding areas. Kits, systems and methods are disclosed.

A repair system including at least one anchor, screw, or plate with a body and a suture capture element formed in the body for attaching at least one suture to the anchor, screw, or plate. The suture capture element being configured so as to permit the suture to be snared by the suture-capture element after the anchor, screw, or plate has been attached to bone.

A surgical instrument having an anchor and a plug is capable of anchoring a suture. The suture anchor has an anchor body having a top surface, a bottom surface distal to the top surface, a transverse bore and a well, the well having an outer surface, an inner surface, and an inner bottom surface. The plug has a post, a head, and a bottom face. The anchor body and the anchor plus form a suture anchor. The suture anchor may be used during surgical procedures and can be used in the re-tensioning of a suture.

Among other things, embodiments of a retaining mechanism for holding a portion of the suture of a suture anchor are disclosed. When a suture anchor is inserted into a patient, the portion of the suture extending from the body is held in tension by a two-piece snap-fit mechanism. One piece has a base with an extending shaft portion and a bulbous head, and a lumen runs through the shaft. The second piece has a hole or space for snapping the second piece onto the first piece. The extending portion of the suture runs through the lumen in the first piece and can be wrapped around the shaft. Snapping the second piece onto the first contains the suture and prevents loss of tension in it.

A system for securing a suture to a wound, durotomy, or other hole. A first anchor is anchored against an insertion point and a suture thread is passed through a loop on the first anchor. The wound is then stitched. A second anchor at an end of the wound holds the other end of the suture thread, to keep the tension in the suture. The suture thread is connected to the second anchor via clipping.

Apparatus for securing an object to bone, the apparatus comprising an anchor comprising a body comprising a passageway; and a movable element comprising a deformable portion; wherein the deformable portion is configured so that, (i) at a first level of force, the deformable portion restricts proximal movement of the movable element, and (ii) at a second, greater level of force, the deformable portion deforms and permits proximal movement of the movable element.