A bone anchor includes a flexible strand defining a first adjustable loop and a friction knot coupled to a proximal end of the first adjustable loop. The friction knot is configured to allow adjustment of the first adjustable loop in a first configuration and is configured to prevent adjustment of the first adjustable loop in a second configuration. A knot capsule includes a body defining an internal knot cavity. The friction knot and a portion of the first adjustable loop are positioned within the internal knot cavity. The internal knot cavity defines one or more impingement surfaces configured to maintain the friction knot in a fixed position within the internal knot cavity when the friction knot is in the second configuration.

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. A collapsible tube is positioned about the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel and the collapse of the tube to form an anchor.

A tissue repair apparatus includes a housing, a rotatable shaft at least partially disposed within the housing, and first and second curved needles coupled to the shaft. The housing defines a gap between a first edge of the housing and a second edge of the housing, the gap adapted to receive tissue. The first and second needles curved needles being articulable within the housing from a delivery position, at which the first and second needles are spaced from the gap, to a deployed position, at which the first and second needles extend through the gap. Actuation of the shaft simultaneously articulates the first and second needles and the first needle enters the gap before the second needle enters the gap.

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. A collapsible tube is positioned about the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel and the collapse of the tube to form an anchor.

A suture construct apparatus, including a self-cinching suture member having a first strand, a second strand, a sleeve defined on the second strand, and a self-cinching suture member fixed loop with a sheath positioned on the self-cinching suture member. The suture construct apparatus may further include an anchor disposed on the self-cinching suture member, a self-cinching suture member shuttling suture disposed on the self-cinching suture member fixed loop, and a sheath removably disposed around at least a portion of the self-cinching suture member. The first strand may pass through the sleeve and form a self-cinching suture member free end. The first strand may also be axially moveable through the sleeve.

A surgical knot assembly for tying a surgical knot is disclosed. The surgical knot assembly for tying a surgical knot includes an outer tube, an inner tube slidably interconnected within the outer tube and having a distal end protruding from the outer tube as a neck and a strand of suture material having a portion of a length configured as pre-tied knot and a loop. The loop is adapted to receive at least a strand of suture filaments therein, and fastening of the loop, the pre-tied knot and the suture filament to form a surgical knot. While the inner tube is retracted, the loop is closed to hold the at least one suture material and receive the at least one suture filament to form the surgical knot successfully.

The present invention reveals a needle set of laparoscopic surgery and knotting device thereof, the needle set comprising a body and an axis sleeve. Near the body side is formed a barrier, and the other side have a concave groove. The axis sleeve is hollow tube and fixedly run through the body. Therefore the needle set can axial insert into to the axis sleeve, and achieve the effect that minimizing the complicate of overall structure, reducing the length of a knotting device, and more convenient to operate.

A knotting assembly for surgical suture line has an outer tube and an inner tube being slidably mounted in the outer tube. The inner tube protrudes from the outer tube and forms a loop section between a distal end thereof and a distal end of the outer tube. A suture line is looped surround the loop section to form a pre-knot and a loop. The suture has an inner section being moveably inserted in the inner tube. The loop is inserted by at least one second suture line. While the inner section is pulled, the second loop is closed to hold the at least one second suture line and folds the second suture line and pulls the folded second suture into the inner tube to finish the knot.

Referenced Numbers List in the Representational Drawing:

TABLE-US-00001 10 outer tube 11 inner tube 111 neck 112 cavity 20 suture material 21 pre-tied knot 22 loop 30 suture filament 31 knotted segment

Described herein are methods and apparatus for approximating targeted tissue using locking sutures. The locking sutures can be configured to receive suture ends that are interweaved through portions of the locking sutures. In a pre-deployment configuration, a locking suture can slide along suture tails and can be positioned at a target location within a target region. Once a desired position and/or tension is achieved, the locking suture can be transitioned to a post-deployment configuration where the locking suture constricts around the suture tails to inhibit relative movement between the suture tails and the locking suture.

A knotless self-cinching suture construct device includes a shuttling suture, a continuous loop and a self-cinching suture member. The shuttling suture is configured for insertion into a passage hole in injured soft tissue, such as a torn or damaged meniscus in the knee. The shuttling suture and continuous loop are passed entirely through the passage hole in the tissue, and the self-cinching suture member is inserted through the continuous loop to form a hitch using the continuous loop around the tissue. The self-cinching suture member is then pulled tight, allowing a first strand to slide through both the hitched continuous loop and a self-cinching sleeve on the suture member. When tension is applied, the sleeve tightens around the strand much like a finger trap, preventing inadvertent release of the applied suture tension. The suture construct is configured for use through a transosseous tunnel with a suture button in some embodiments.