A suture anchor for knotless fixation of tissue. The suture anchor includes an implant configured to hold a suture to be anchored in bone without requiring suture knots. The suture is secured in bone by inserting the implant holding the suture into a hole in the bone, and advancing a fixation device, such as a cannulated interference screw, over a shaft at the proximal end of the implant.

A bone anchor, including: a bone engaging member including: a first proximal bone engaging portion and a second distal bone engaging portion; and an expansion feature configured to allow radial expansion of the first bone engaging portion and the second bone engaging portion; an expander having a first proximal expansion portion and a second distal expansion portion and displaceable between a first position relative to the bone engaging member and a second position relative to the bone engaging member; a tissue capture feature; and wherein the first expansion portion of the expander is configured to expand the first bone engaging portion of the bone engaging member and the second expansion portion of the expander is configured to expand the second bone engaging portion of the bone engaging member when the expander is in the second position.

A suture anchor retaining a suture is fixated in hard tissue, in particular in bone tissue, using any per se known method and is then secured using a securing element including a material having thermoplastic properties, which is liquefied in situ and made to penetrate the hard tissue in which the suture anchor is fixated. The securing element is e.g. a thermoplastic plug or thermoplastic sleeve which is anchored above the suture anchor in a mouth area of the same hard tissue opening. Alternatively the securing element is a thermoplastic pin which is introduced into an inner cavity of the suture anchor, wherein the material having thermoplastic properties is liquefied in this cavity and, in a liquid state is pressed through passages connecting the cavity with outer surfaces of the anchor.

A suspension fixation device includes a first fastener assembled to an adjustable loop of suture. The second fastener has a slot configured to allow the second fastener to be assembled to the suture loop once the suture loop has been passed through a drill hole. The second fastener further comprises a suture bridge formed through a post of the fastener for housing the suture loop while the slot is configured to prohibit the suture loop from migrating back out of the suture bridge.

A suture anchor for knotless fixation of tissue. A swivel suture anchor has an anchor tip for receiving a suture strand, for surgical tissue repair without requiring suture knots. Tension on the repair constructs is adjustable. The swivel anchor is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, over the body of the anchor.

The invention relates to an implantable suspension device (1) for fixing an elongated flexible implant (G) in a desired position, comprising a suspension plate (100) and a suture element (200) engaging with the suspension plate (100), the suture element (200) comprising a first end section (201) and a second end section (202), wherein the second end section (202) comprises a connecting section (240) configured to be connected to said implant (G) or a medical textile (500).

The invention further relates to an assembly device (2) comprising a holder (400) configured to hold said suspension plate (100) and a guiding rope (300) configured to be moved together with said suture element (200) relative to the holder (400) resulting in the suture element (200) engaging with the suspension plate (100) to assemble said implantable suspension device (1) and a method for assembling an implantable suspension device (1).

A tissue anchor for use in holding a tissue to a bone is provided. The anchor includes a distal tip, a proximal end, and an elongated body extending from the distal tip to the proximal end along a longitudinal axis. The elongated body can include a cannulated tunnel having an opening at the proximal end. An engagement member can be disposed inside of the elongated body and configured to enable the loading of a first thread-like fixation element through the cannulated tunnel. The distal tip of the tissue anchor can include an opening dimensioned and configured to capture and retain a second thread-like fixation element.

A swivel suture anchor for knotless fixation of tissue. The suture anchor includes an anchor tip configured to capture suture, the anchor tip being rotatably received within a fixation device upon advancement of the fixation device over a shaft of the anchor tip. The anchor tip is configured to receive a suture to be anchor in bone without requiring suture knots. The anchor tip can be a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The anchor tip includes a closed aperture to allow free sliding of a suture strand. The suture is secured in a hole in bone by inserting the anchor tip into bone, and advancing a fenestrated fixation device, such as a cannulated interference screw, over a shaft of the anchor tip.

Apparatus for securing an object to bone, the apparatus comprising: an anchor assembly comprising an anchor and an actuation element extending from the anchor, wherein applying a force to the actuation element when the anchor is disposed in a hole formed in a bone secures the anchor to the bone; and an inserter for deploying the anchor assembly in a hole formed in a bone, the inserter comprising: a shaft for releasably engaging the anchor; and a force delivery mechanism mounted to the shaft and connected to the actuation element, the force delivery mechanism being constructed so as to receive an input force from an external source and to selectively apply an output force to the actuation element, with the force delivery mechanism being constructed so that the magnitude of the output force is limited regardless of the magnitude of the input force.

A suture cleating system for arthroscopic or endoscopic cannula to facilitate suture management while preserving seal functionality. The suture cleating system includes an end cap with an aperture extending therethrough and one or more cleats extending therefrom. A cannula body extends distally from the end cap. A seal is connected between the cannula body and the end cap. The seal has a seal slit extending therethrough and the seal slit is substantially aligned with the aperture of the end cap. In use, a suture extends through the cannula, the seal slit, and the aperture in the end cap. The suture can be tensioned from the aperture in the end cap and secured in a suture slot between two cleats.