An apparatus and method for the repair of disruptions between bones. The apparatus defines a combination of sleeves, strands and crimps are provided to secure the bones, using a dual sided drill guide to prepare the bones for installation of the apparatus, which is adjusted upon installation to suit the appropriate alignment and tension of the apparatus. The method includes the preparation of the bones, the installation of the apparatus and the adjustment of the apparatus to properly align and tension the apparatus for repair of the bone.

A medical device for creating an artificial knee joint or an artificial cruciate ligament in a mammal patient, the medical device comprising a transversal member adapted to be placed through at least three layers of cortical bone of the distal portion of the femoral bone, out of totally four cortical layers along a prolongation of the transversal member. The transversal member is adapted to be involved in the artificial knee joint or the artificial cruciate ligament, wherein the transversal member comprises at least one fixation portion adapted to be involved in fixation of the transversal member to at least one of the at least four layers of femoral cortical bone.

An implant delivery system for delivering a sheet-like implant is disclosed. The implant delivery system includes a distal guidewire port for receiving the proximal end of guidewire after the guidewire distal end has been affixed to a first point on bone or other tissue. The implant delivery system is tracked over the guidewire to a selected position defined by the guidewire attachment. The device includes an implant spreader assembly disposed proximate the distal end of a delivery shaft. The implant spreader assembly includes a first arm and a second arm. The arms are coupled to the delivery shaft such that the first arm and second arm are moveable between a closed position and an open position. When pivoting to the open position the distal end of each arm travels in a generally transverse direction to spread a sheet-like implant.

Systems and tools are provided for anchoring a ligament or tendon to bone. In one embodiment, a sheath is provided having a first sidewall with proximal and distal ends and a second sidewall with proximal and distal ends. The distal ends of the first and second sidewalls can be coupled to one another by a hinge pin such that the first and second sidewalls pivot relative to one another about the hinge pin. A sheath inserter tool is also provided and it can be configured to couple to the sheath and to advance the expandable sheath, with a tendon disposed therearound, into a bone hole. An expander is also provided for expanding the sheath. In this way, a tendon or ligament is delivered into the bone hole and the sheath and tendon are locked within the bone hole.

A system (100) for a controlled stressing of a reconstructed or re-natured ligament of a human or animal body comprises an anchoring element (10) for implantation in a first bone (50), at least one connecting element (120) and a holding element (30), which fixes the at least one connecting element (20) in a second bone. According to the invention, an elastomer element (125) is arranged in the anchoring element and/or in the connecting element (120) and provides a defined elastic action through the cooperation of elastomer element (125) with the connecting element (120).

An implant for attaching a tendon or ligament to a hard tissue is provided. The implant includes a shaft, a convex first surface, a flat or concave second surface, first pillars for contacting a hard tissue, first slots to be occupied by the hard tissue, second pillars for contacting a tendon or ligament, and second slots to be occupied by the tendon or ligament. The implant has a first surface ratio of the sum of the volumes of the first slots to the sum of the volumes of the first pillars and the volumes of the first slots of 0.40:1 to 0.90:1, and a second surface ratio of the sum of the volumes of the second slots to the sum of the volumes of the second pillars and the volumes of the second slots of 0.60:1 to 0.98:1. The second surface ratio is greater than the first surface ratio.

An implant for attaching a tendon or ligament to a hard tissue is provided. The implant includes a shaft, a convex first surface, a flat or concave second surface, first pillars for contacting a hard tissue, first slots to be occupied by the hard tissue, second pillars for contacting a tendon or ligament, and second slots to be occupied by the tendon or ligament. The implant has a first surface ratio of the sum of the volumes of the first slots to the sum of the volumes of the first pillars and the volumes of the first slots of 0.40:1 to 0.90:1, and a second surface ratio of the sum of the volumes of the second slots to the sum of the volumes of the second pillars and the volumes of the second slots of 0.60:1 to 0.98:1. The second surface ratio is greater than the first surface ratio.

A medical device for creating an artificial knee joint or an artificial cruciate ligament in a mammal patient, the medical device comprising a transversal member adapted to be placed through at least three layers of cortical bone of the distal portion of the femoral bone, out of totally four cortical layers along a prolongation of the transversal member. The transversal member is adapted to be involved in the artificial knee joint or the artificial cruciate ligament, wherein the transversal member comprises at least one fixation portion adapted to be involved in fixation of the transversal member to at least one of the at least four layers of femoral cortical bone.

Devices, systems and/or methods for fixating soft tissue to bone are provided. In one embodiment, a repair device for fixating soft tissue to bone with a bone anchor includes a soft tissue anchor and one or more flexible members. The soft tissue anchor includes a base with multiple legs extending from the base. The one or more flexible members are coupled to the base and configured to extend from the base to the bone anchor with a fixed length. With this arrangement, the fixed length of the one or more flexible members is configured to maintain a substantially fixed pre-determined distance between the soft tissue anchor and the bone anchor such that, as the bone anchor is seated into bone, the one or more flexible members pulls the soft tissue anchor down against the soft tissue to fixate the soft tissue to the bone.

Suture delivered patches adapted for interposition, augmentation or repair devices for use in tendon and ligament repair, including rotator cuff repair, have been developed as well as methods for their delivery using suture guided arthroscopic methods. The repair patches may be provided from suitable biocompatible materials. The patches may be delivered using anchored sutures already in use during a surgical repair including, open, minimally invasive, endoscopic, and arthroscopic repair procedures. Additionally, fixation of the suture delivered repair patch is secured along with the normal suture securing workflow of the one or more sutures used to deliver the patch.