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IPP-0051-US14 cross roads The head 934 is cylindrical and has a larger diameter than the shank 936. The longitudinal opening 938 pass through the head 934 and the shank 936. At the proximal end 930, the head 934 includes internal threads 942 within the longitudinal opening 938. At the distal end 932, the shank 936 includes internal threads 944 (See FIG. 70) within the longitudinal opening 938. The internal threads 944 are configured to engage the external threads 914 of the shaft 902. 156 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads The collar 908 can include proximal end 930, a distal end 932, and a head 934 connected to a shank 936. The collar 908 serves to secure the puller 1004 to the shaft 902. The collar 908 includes longitudinal opening 938 coaxial to a longitudinal axis of the collar 908. The shaft 902 includes a longitudinal opening 940 coaxial to a longitudinal axis of the shaft 902. Together the longitudinal opening 938 and longitudinal opening 940 can form an inserter longitudinal passageway 941. The inserter longitudinal passageway 941 is in communication with a longitudinal passageway 114, 514, 714 of the suture anchor 100, 500, 700. The inserter longitudinal passageway 941 enables instruments and other components to pass through the collar 908 and shaft 902 and into the suture anchor 700 or to engage with components of the suture anchor 700. 155 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads The third section 922 connects to and extends from the second section 920, just as the second section 920 connects to and extends from the first section 918. In one embodiment, the third section 922 includes a second diameter that is smaller than the first diameter. In certain embodiments, the planar surface(s) 924 can extend into the third section 922. The extending planar surfaces 924 can form one or more lips 928 between the second section 920 and the third section 922. These one or more lips 928 may serve to restrict movement of a puller 1004 towards the distal end 906 of the shaft 902 past the one or more lips 928. In one embodiment, the puller 1004 is connected to the shaft 902 near a proximal end 904 of the shaft 902. 154 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads In the illustrated embodiment, the second section 920 includes two opposite planar surfaces 924. In addition, the planar surfaces 924 may form one or more lips 926 or edges. The one or more lips 926 may serve to restrict movement of a carriage 1002 towards the distal end 906 of the shaft 902 past the one or more lips 926. 153 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads Referring to FIGS. 67-70, in one embodiment, the shaft 902 has an elongate cylindrical body 916. The shaft 902 may include three sections: first section 918, second section 920, third section 922. The first section 918 may have a first diameter and an exterior surface. The second section 920 may have a second diameter that is the same as the first diameter. In one embodiment, the second section 920 may include one or more planar surfaces 924. The planar surface 924 can serve to restriction rotation of the carriage 1002 about the shaft 902. In certain embodiments, having a single planar surface 924 the planar surface 924 creates a D-shaped cross-section within the second section 920. 152 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads Referring to FIGS. 66-70, the inserter 900 can include a shaft 902 having a proximal end 904 and a distal end 906, a collar 908, and a driver 910. The shaft 902 is operable and configured to engage the proximal member 704 of the suture anchor 700 at the distal end 906 of the shaft 902. In one embodiment, the shaft 902 includes internal threads 912 that engage external helical threads 760 (See FIG. 54) of the proximal member 704. The shaft 902 can also include external threads 914 (See FIG. 68) at or near the proximal end 904 of the shaft 902. The tensioner 1000 may include a carriage 1002, a puller 1004, and the shaft 902 and the collar 908 of the inserter 900. The tensioner 1000 is configured to engage the proximal member 704 of the suture anchor 700 and to secure a suture that may extend from the anchor body 702. In certain embodiments, the tensioner 1000 is operable and configured to apply tension to a suture, or portion of suture, that extends from the anchor body 702 of a suture anchor 700. 151 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads The suture anchor system 800 can be used to insert a suture anchor 700 into tissue of a patient or into a cavity, such as a bone tunnel of a patient. Alternatively, or in addition, the suture anchor system 800 can be used to tension and secure one or more sutures and/or one or more portions of sutures. In one embodiment, the one or more sutures and/or one or more portions of sutures may extend from the suture anchor 700. 150 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads FIG. 66 is a perspective view of a suture anchor system 800 useable with the implant of FIG. 52 according to one embodiment. The suture anchor system 800 may serve one or more different or related purposes or functions. Consequently, the suture anchor system 800 may be referred to by different names. In one embodiment, the suture anchor system 800 is referred to as a tensioner. Alternatively, or in addition, the suture anchor system 800 can be referred to as an inserter. In still another embodiment, such as the examples illustrated, the suture anchor system 800 may also be referred to as an inserter 900 that includes a tensioner 1000. 149 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads FIGS. 71-73 illustrate a carriage 1002 of the tensioner 1000 of FIG. 66 according to one embodiment. The carriage 1002 can include a body 1006, a first handle 1008, and a suture grip member 1010. The first handle 1008 is configured and sized for easy grasping and use by a user’s hands and figures. 157 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads FIG. 62 is a perspective view of the interference member of FIG. 52 according to one embodiment. FIG. 63 is a side view of the interference member of FIG. 52 according to one embodiment. FIG. 64 is a right side view of the interference member of FIG. 52 according to one embodiment. 147 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads Advantageously, the interference member 770 is configured to permit the interference member 770 to secure or lock a suture, or portion of a suture, in the anchor body 702 or release a suture, or portion of a suture, that is locked within the anchor body 702. In other words, the interference member 770 can be locked or unlocked (i.e., engaged or disengaged, secured or unsecured) within the anchor body 702 by way of the external helical threads 782 of the interference member 770, internal helical threads 717 of the anchor body 702, and the drive recess 790. 146 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads In the illustrative example of FIGS. 52-61, the interference member 770 can be inserted distally into the longitudinal passageway 714. In one embodiment, one or more of the external helical threads 782 may engage or interface with one or more internal helical threads 717 of the anchor body 702 to secure a portion of a suture within the longitudinal passageway 714 by compressing the portion of the suture between the interference member 770 and the anchor body 702. Said another way, the interference member 770 can be placed in the axial through bore 756 of the proximal member 704 at the proximal end 752 in axial sliding relationship so that the interference member 770 can exit the proximal member 704 and engage and/or interface with one or more internal helical threads 717 of the anchor body 702 to lock a suture in the anchor body 702. 145 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads The interference member 770 includes one or more external helical threads 782 on an external surface of the interference member 770. In various embodiments, the interference member 770 can include a variety of thread designs, each having one or more of a number of thread pitch configurations and/or sizes. In the illustrated embodiment, the external helical threads 782 of the interference member 770 are knuckle threads. The knuckle threads may have an external helical thread pitch that differs from an internal helical thread pitch of the internal helical threads 717 of the anchor body 702. 144 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads In the illustrative example of FIGS. 61-65, the interference member 770 has a body 772 having a proximal end 774, a distal end 776, and a longitudinal axis 778 extending between the proximal and distal ends 774, 776. The body 772 has a dimension perpendicular to the longitudinal axis 778 less than or equal to the diameter of the longitudinal passageway 714. Preferably the body 772 tapers distally. More preferably the body 772 tapers to a point 780. 143 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads In the illustrative example of FIGS. 52-61, the interference member 770 is operable to axially slide into the longitudinal passageway 714 of the anchor body 702 to secure a suture within the longitudinal passageway 714 by compressing the suture between the interference member 770 and the anchor body 702. In certain embodiments, the interference member 770 is embodied as a set screw. In one embodiment, the interference member 770 is a set screw that may be similar, or the same, in structure, function, and construction to embodiments of a set screw recited in US Patent 10,682,131, issued June 16, 2020, which is hereby incorporated by reference in its entirety. 142 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads The proximal member 704 includes an engagement portion for engaging a driver, inserter, tensioner, or other instrument. In the illustrative example of FIGS. 52-61, the engagement portion includes external helical threads 760 operable to engage a driver, inserter, tensioner, or other instrument for deployment of the suture anchor 700. 141 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads The “U”-shaped openings intersect the frangible connection 706. While the proximal member 704 and anchor body 702 are joined, the “U”-shaped openings 758, 759 each have a closed perimeter. When the proximal member 704 and anchor body 702 are separated at the frangible connection 706, the distal perimeter of each opening 758, 759 is removed such that separation of the proximal member 704 and anchor body 702 at the frangible connection 706 transforms the opening 758, 759 into open, “U”-shaped slots with the open side facing distally. 140 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads In one embodiment, the inferior grip plate 1038 can be integrated into the body 1006 of the carriage 1002. The inferior grip plate 1038 and/or the body 1006 can include an opening 1044 that extends at least partially into the body 1006 and may or may not connect to the opening 1012. The opening 1044 may include internal threads that are configured to engage external threads of the fastener 1040. The inferior grip plate 1038 can have a variety of shapes such as circular, oval, ovoid, square, elliptical, rectangular, or the like. In the illustrated embodiment, the inferior grip plate 1038 has a rectangular shape with two opposite curved ends that together form a slot shape. 165 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads The suture anchor system 800 can include one or more sutures 1034 that may have been threaded through the suture anchor 700. The one or more sutures 1034 have been looped or wrapped around the boss 1046 and are positioned between the superior grip plate 1036 and inferior grip plate 1038. The one or more sutures 1034 may be under no tension and may set loose between the suture grip member 1010 and the suture anchor 700. 173 Added by DJM 9 2021 9/2/21, 12:00 AM
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IPP-0051-US14 cross roads FIG. 91 illustrates in a suture anchor system 800 how the fastener 1040 can pass through the superior grip plate 1036 and engage the inferior grip plate 1038. The boss 1046 fits within the recess 1050. The fastener 1040 may operate as a set screw to compress the superior grip plate 1036 and inferior grip plate 1038 to secure suture between the plates and/or the recess 1050 and boss 1046. 172 Added by DJM 9 2021 9/2/21, 12:00 AM

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