Paragraph Number

47

Once the one-way tissue engagement feature 404 engages the tissue 408 the user has full control of how much tension is placed within the graft. Advantageously, as the tissue 408 pass through the fixation device 400, the fixation device 400 advances along the tissue 408 (e.g., graft) and seats within the bone tunnel 416. This process of moving the fixation device 400 along the tissue 408 may be referred to herein as synching of the fixation device 400. During the steps of synching of the fixation device 400, a surgeon may advantageously check, monitor, and manage tension in the graft with the knee in different positions of flexion. Once sufficient checks of tension are done at one or more flexion positions of the knee, the user may further tighten or synch the fixation device 400. Advantageously, the fixation device 400 secures the tissue 408 with a sufficient force within the bone tunnel 416 to enable the patient to return to regular activities quickly. In one embodiment, the fixation device 400 secures the tissue 408 to retain the tissue 408, such as a graft, when graft experiences 150-500 Newtons (N) of force due to activities of daily living and rehabilitation exercises.

Added by DJM 9 2021