This disclosure includes soft-tissue fasteners for coupling an implant to soft tissue, bone fasteners for coupling an implant to bone, fastener-delivery apparatuses (e.g., tools) for delivering such soft-tissue fasteners and bone fasteners, fastener cartridges for use with certain of the fastener-delivery apparatuses. The present fasteners generally include at least one barbed shaft and an enlarged head spaced from a distal end of the shaft. Some of the present fasteners include two barbed shafts and an enlarged head spanning the two shafts. This disclosure also includes kits that comprise a plurality of fasteners (e.g., a plurality of soft-tissue fasteners, a plurality of bone fasteners, or both). Some of the present kits also include one or more of the present fastener-delivery apparatuses or tools; for example, a plurality of fasteners with a single, reloadable tool; a plurality of tools each pre-loaded with a fastener; and/or a plurality of cartridges each pre-loaded with a fastener and a common tool for use with the cartridges.

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.

Methods and devices are provided for anchoring a ligament or tendon to bone. In one embodiment, a surgical implant is provided having a sheath and an expander that is received within the sheath. Various delivery tools, including a sheath inserter and a driver, are also provided. In use, the sheath inserter can be used to position a tendon within a prepared bone hole, and it can be used to deliver the sheath with a guidewire coupled thereto into the bone hole. The driver can be provided for delivering the expander into the sheath. A loader can optionally be used to load the driver and expander onto the guidewire coupled to the implanted sheath.

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 and devices for tensioning grafts are provided. In general, a surgical device can include a grip and a frame. The frame can have two opposed segments. The segments can be spaced apart from one another and can each be configured to have at least one suture attached thereto. The sutures attached to the frame can each be configured to attach to a graft. The two segments can be configured to dynamically move toward and away from each other in response to tension that is applied to the sutures attached to the frame. The frame can include an indicator configured to provide an indication of the tension applied to the sutures. The grip can have at least one opening therein. The at least one opening can be configured to have a surgical instrument passed therethrough.

An anchor for anchoring tensile members to bone includes: a housing extending along a central axis, with a hollow interior; a collet in the hollow interior having a central bore for accepting tensile members and an exterior surface, the collet being configured to swage around and against tensile members; a sleeve having a peripheral wall defining interior and exterior surfaces, the sleeve disposed in the housing's hollow interior axially adjacent to the collet, and movable parallel to the central axis between first and second positions; and wherein at least one of the collet exterior surface and the sleeve interior surface is tapered and the sleeve and the collet are arranged so movement of the sleeve from the first position to the second position causes the sleeve interior surface to bear against the collet exterior surface, causing the collet to swage radially inwards around and against one or more tensile members.

Methods of bioprinting a bio-ink construct on an internal tissue defect or a chondral defect during a minimally invasive surgery on an individual in need thereof are provided, comprising: visualizing the defect; positioning a bioprinter comprising a printhead within proximity of or in contact with the defect; and ejecting a bio-ink from the printhead onto the defect to form a bio-ink layer, thereby generating a bio-ink construct. Further provided are systems for bioprinting a bio-ink construct on an internal tissue defect during a minimally invasive surgery on an individual in need thereof, comprising a control system, an endoscope, and a bioprinter comprising a printhead.

Apparatus for locating an attachment position for a reconstructed anterior cruciate ligament on an attachment surface of a bone comprises locating means 51, 61 arranged to locate at least one reference surface 4 of the bone and guide means 53, 54 arranged to define the attachment position in two dimensions on the attachment surface relative to the reference surface.

Implant delivery systems are disclosed. One implant delivery system includes an outer shaft, an inner shaft movable within the outer shaft, a yoke coupled to the distal end of the inner shaft, and an implant retainer pivotably coupled to the yoke. The implant retainer is configured to retain a sheet-like implant for implantation at a treatment site. Another implant delivery system includes a handle, a delivery sheath extending from the handle, and a delivery shaft extending through the delivery sheath to a frame attachable to a sheet-like implant. A tether extends from the frame within the lumen of the delivery shaft. An actuation member is translatable within a channel of the handle to deploy the frame from the delivery sheath. A tether clamp, positioned within the handle, is manipulatable by the actuation member to selectively unlock the tether within the handle.

Devices, systems and/or methods for repairing soft tissue adjacent a soft tissue repair site. In one embodiment, the repair device includes an anchor member having a base with at least four legs extending from the base. The base extends with a generally flat circular profile defining an upper surface and an underside surface with a central opening extending therethrough. Further, the at least four legs extend from the base with an elongated angled portion, the elongated angled portion being oriented at an angle less than seventy-five degrees relative to the underside surface of the base. With this arrangement, the anchor member may be fixated to soft tissue by rotating the base with a delivery tool so that the elongated angled portion of the at least four legs facilitates the anchor member sinking into the soft tissue and fixating thereto.