Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

A distal biceps tendon repair device is disclosed. The device allows for anatomically correct biceps tendon repair using a single incision anterior approach without the risk associated with a double incision posterior approach. The distal biceps tendon repair device eliminates the necessity of cutting supinator muscle and greatly reduces the risk of contact or damage to vital structures such as arteries or nerves. The device has a bone drill guide mechanically coupled to a cannulated bone hook. A retrieval wire passes through the cannulated bone hook to grasp a suture or suture guide that has passed through a cannulated drill bit retained by the bone drill guide. The retrieval wire brings the suture through the cannulated bone hook, thus bringing the suture through and around the bone for subsequent anatomically correct attachment and placement of sutures used to reattach the distal biceps tendon to the bone.

A suture transport system is disclosure for placing a flexible member along a tunnel, the system including a means of transporting a flexible member along a tunnel from a first opening in the tunnel through to a second opening at an opposite end of the tunnel, such that the flexible member extends from both the first and second opening. The system also includes a means of capturing a portion of the flexible member at the second opening, to inhibit the flexible member from retracting into the tunnel second opening. The means of capturing includes an aperture for capturing the portion of the flexible member.

Various exemplary methods, systems, and devices for instability repair are provided. In general, a surgical device can be configured to drill a hole in bone and to deliver a suture anchor into the hole. In this way, a single surgical device can drill the hole and deliver the anchor into the hole for securing soft tissue to the bone. The anchor can be configured to allow the soft tissue to be secured to the bone using a suture coupled to a suture anchor without the need to knot or otherwise tie the suture to secure the soft tissue in place relative to the bone.

Instruments and methods for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a passer able to pass a member through the bone tunnels.

A coracoid drill guide assembly includes a body having a cylindrical channel on each side of the body for receiving a drill guide sleeve. The sleeves of the assembly have a 1.4 mm inner diameter to guide a 1.3 mm (or smaller) K-wire through the sleeve. An aimer arm extends from the body at a non-intersecting angle with the drill sleeve. The assembly also has a self-locking ratchet mechanism to lock the sleeve in place once the assembly has been secured to bone.

A bone drill guiding device including a drill entry part comprising a cannula having a distal end portion and sized to receive a bone drill, a drill exit part comprising a fixation tip portion and a coupling that rigidly couples the drill entry part and the drill exit part so that longitudinal axes of the cannula distal portion and the fixation tip portion are arranged on a single mutual axis. In some embodiments, the coupling is a linear sliding coupling that parallels the single mutual axis.

A medical positioning bracket is described that provides users with the ability to attach and secure multiple bone tunnel drill guides into a single working unit. Users can manipulate each drill guide independently and lock the drill guides at desired locations relative to one another to achieve precise bone tunnel angles and locations.

There is provided herein and improved anterior cruciate ligament reconstruction technique which comprises drilling a guide wire straight through a tibial passage and then at an angle from an ACL insertion point straight through a femoral passage. A reamer is then attached to a proximal end of the guidewire. The reamer has a distal cutting head, a distal flexible shaft, a proximal cutting head and a proximal flexible shaft. The proximal cutting head has a greater diameter than that of the distal cutting head. The reamer is drilled to follow the guidewire until the distal cutting head passes through the femoral cortex. The reamer is then retrieved at a proximal end thereof, thereby having created a larger diameter medial passage portion and a smaller diameter lateral passage portion within the femoral passage in a single pass, thereafter being ready for insertion of a graft, including by endobutton fixation.