Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	HAR-1	fixing the tissue graft at a first end of the bone tunnel;	98	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	HAR-1	threading the tissue graft through an opening in a one-way tissue fixation device; and	99	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	HAR-1	sliding the tissue graft through the opening in a first direction such that teeth within the opening of the one-way tissue fixation device engage the tissue graft and the one-way tissue fixation device contacts bone at a second end of the bone tunnel.	100	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	HAR-1	8.The method of claim 7, further comprising:	101	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	HAR-1	tensioning the tissue graft by pulling the tissue graft through the opening in the first direction such that the teeth retain the tissue graft from moving in the second direction.	102	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	A variety of surgical procedures require the attachment of something relative to a surgical site. For example, in surgery relating to the skeletal system, it is often advantageous to attach soft tissue, suture, implants, and/or other items in or adjacent to a bone. For example, soft tissues such as ligaments, tendons, fascia, other capsular material, and/or muscle may be attached to a bone. Such soft tissues may be adjacent bones at skeletal joints including but not limited to the joints of the hands and feet, ankle, wrist, knee, elbow, hip, shoulder, and spine. For example, it is often advantageous to pass a suture through a portion of a bone to form a transosseous attachment to the bone.	2	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	The various apparatus, devices, systems, and/or methods of the present disclosure have been developed in response to the present state of the art, and in particular, in response to the problems and needs in the art that have not yet been fully solved by currently available suture anchors and related instrumentation. One general aspect of the present disclosure can include, a knotless suture anchor system that includes an anchor body having an exterior surface, a proximal end, a distal end, a longitudinal axis extending between the proximal and distal ends, an interior longitudinal passageway extending at least partway from the proximal end toward the distal end, a proximal opening communicating with the longitudinal passageway nearer the proximal end, and a distal opening communicating with the longitudinal passageway nearer the distal end; an interference member insertable distally into the longitudinal passageway to secure a portion of a suture within the longitudinal passageway by compressing the portion of the suture between the interference member and the anchor body, and a frangible connection that joins a proximal member to the anchor body.	3	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	Implementations may include one or more of the following features. The knotless suture anchor system may include a driver operable to urge the interference member into the anchor body, and operable to move the interference member out of the anchor body. The driver may include: a drive shaft having a proximal end and a distal end; a drive coupler connected to the drive shaft at the proximal end; a drive feature connected to the drive shaft at the distal end; and external drive threads between the proximal end and the distal end, the external drive threads configured to engage internal drive threads of an inserter. The driver is configured to apply a torque to the interference member that engages at least one external helical thread of the interference member with an internal thread of the anchor body. The proximal end of the anchor body includes internal helical threads, and the interference member may include a set screw having external helical threads configured to interface with the internal helical threads in a clearance fit having a length of thread engagement shorter than a length of the external helical threads.	4	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	The external helical threads of the set screw may include knuckle threads having an external helical thread pitch different from an internal helical thread pitch of the internal helical threads. The knotless suture anchor system may include a tensioner operable to engage the proximal member and secure a suture extending from the anchor body. The shaft, carriage, and second handle are coaxial with the longitudinal axis and include an inserter longitudinal passageway in communication with the longitudinal passageway of the anchor body. The suture grip member may include: a superior grip plate having ridges; an inferior grip plate having ridges; and a fastener that compresses the superior grip plate against the inferior grip plate and secure a portion of the suture between the superior grip plate and inferior grip plate.	5	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	The fastener may include a thumb screw and the superior grip plate may include a recess that accepts a boss of the inferior grip plate, the boss having ridges. The knotless suture anchor system may include an inserter operable to engage the proximal member in an axial force transmitting relationship in a first direction, the inserter having a pushrod mounted for axial translation within the inserter, the pushrod operable to engage one of the interference member and the anchor body in an axial force transmitting relationship in a second direction opposite the first direction and break the frangible connection between the proximal member and the anchor body in response to axial translation of the pushrod relative to the inserter.	6	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	One general aspect of the present disclosure can include the knotless suture anchor system having an anchor body having an exterior surface, a proximal end, a distal end, a longitudinal axis extending between the proximal and distal ends, an interior longitudinal passageway extending at least partway from the proximal end toward the distal end, a proximal opening communicating with the longitudinal passageway nearer the proximal end, and a first distal opening communicating with the longitudinal passageway nearer the distal end; and a tensioner connected to the anchor body and operable to engage the proximal end, secure a suture extending from the anchor body, and apply tension to the suture.	7	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	Implementations may include one or more of the following features. The knotless suture anchor system may include an interference member insertable distally into the longitudinal passageway to secure a portion of a suture within the longitudinal passageway by compressing the portion of the suture between the interference member and the anchor body. The knotless suture anchor system may include a proximal member connected to the proximal end of the anchor body by a frangible connection. The knotless suture anchor system may include an inserter operable to engage the proximal member in an axial force transmitting relationship in a first direction, the inserter having a pushrod mounted for axial translation within the inserter, the pushrod operable to engage the interference member in an axial force transmitting relationship in a second direction opposite the first direction and break the frangible connection between the proximal member and the anchor body in response to axial translation of the pushrod relative to the inserter.	8	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	The inserter may include a shaft having a proximal end and a distal end, the shaft operable to engage the proximal member at the distal end of the shaft, the shaft coupled to a tensioner may include: a carriage having a suture grip member that removably secures a portion of the suture to the carriage, the carriage having first threads; a puller connected to the shaft near the proximal end of the shaft, the puller having second threads that engage the first threads; where the shaft, carriage, and puller are coaxial with the longitudinal axis and include an inserter longitudinal passageway in communication with the longitudinal passageway of the anchor body. The proximal member may include external helical threads configured to engage internal helical threads of the shaft.	9	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	One general aspect of the present disclosure can include the knotless suture anchor system having an anchor body having an exterior surface, a proximal end, a distal end, a longitudinal axis extending between the proximal and distal ends, an interior longitudinal passageway extending at least partway from the proximal end toward the distal end, a proximal opening communicating with the longitudinal passageway nearer the proximal end, and a first distal opening communicating with the longitudinal passageway nearer the distal end; a proximal member joined to the anchor body, the proximal member having external threads at a proximal end of the proximal member; a set screw insertable distally into the longitudinal passageway to releasably secure a first portion of a suture within the longitudinal passageway by compressing the first portion of the suture between external knuckle threads of the set screw and internal helical threads at the proximal end of the anchor body; a frangible connection that joins the proximal member to the anchor body; and a tensioner connected to an inserter operable to engage the proximal member, the tensioner operable to secure a second portion of the suture contiguous to the first portion and extending from the anchor body, the tensioner also operable to apply tension to the second portion of the suture.	10	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	Implementations may include one or more of the following features. The knotless suture anchor system where the inserter is operable to engage the proximal member in an axial force transmitting relationship in a first direction, the inserter having a pushrod mounted for axial translation within the inserter, the pushrod operable to engage the set screw in an axial force transmitting relationship in a second direction opposite the first direction and break the frangible connection to separate the anchor body from the proximal member in response to axial translation of the pushrod relative to the inserter.	11	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	FIG. 1 is a perspective view of an implant according to one embodiment;	12	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	FIG. 2 is a top view of the implant of FIG. 1;	13	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	FIG. 3 is a left side view of the implant of FIG. 1;	14	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	FIG. 4 is a front view of the implant of FIG. 1;	15	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	FIG. 5 is a right side view of the implant of FIG. 1;	16	Added by DJM 9 2021	9/2/21, 12:00 AM

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