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IPP-0051-US14 cross roads
FIG. 86 is a bottom perspective view of a grip plate of the system of FIG. 66 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 87 is a perspective view of a fastener of the system of FIG. 66 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 88 is a perspective view of part of a fastener of the system of FIG. 66 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 89 is a bottom view of part of a fastener of the system of FIG. 66 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 90 is a top view of part of a fastener of the system of FIG. 66 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 91 is a perspective view of the system of FIG. 66 with portions exploded according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 92 is a perspective exploded view of the system of FIG. 66 according to one embodiment;
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IPP-0051-US14 cross roads
FIGS. 93-96 are a sequence of perspective views illustrating use of the system of FIG. 66 and the implant of FIG. 52 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 97 is a perspective view of a driver for use with the system of FIG. 66 and the implant of FIG. 52 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 98 is a perspective view illustrating use of the system of FIG. 66 and the implant of FIG. 52 according to one embodiment in another stage of the sequence illustrated in FIGS. 93-96;
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IPP-0051-US14 cross roads
FIG. 99 is a perspective view of a driver for use within the system of FIG. 66 and the implant of FIG. 52 according to one embodiment;
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IPP-0051-US14 cross roads
FIGS. 100-101 are a sequence of perspective views illustrating use of the system of FIG. 66 and the implant of FIG. 52 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 102 is a section view illustrating use of the system of FIG. 66 and the implant of FIG. 52 according to one embodiment;
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IPP-0051-US14 cross roads
FIG. 103 is a close-up section view illustrating part of FIG. 102 according to one embodiment; and
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IPP-0051-US14 cross roads
FIG. 104 is a close-up section view illustrating part of FIGS. 102 and 103 according to separation stage of the implant of FIG. 52 according to one embodiment.
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IPP-0051-US14 cross roads
The following illustrative examples depict implants, instruments and methods to anchor a suture to a bone. The illustrative examples depict anchoring a round suture in a bone tunnel to attach soft tissue to the bone. However, examples of instruments and methods of the present disclosure may be used to anchor other elements in a bone tunnel including suture tapes, cables, soft tissues, grafts, and other elements. While illustrative examples of methods depict the attachment of the soft tissue of the rotator cuff to a humeral bone, it will be understood that examples of instruments and methods of the present disclosure may be used to anchor any member in any bone, at surgical sites anywhere in a patient’s body, and for any purpose.
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IPP-0051-US14 cross roads
Standard medical planes of reference and descriptive terminology are employed in this specification. While these terms are commonly used to refer to the human body, certain terms are applicable to physical objects in general. A standard system of three mutually perpendicular reference planes is employed. A sagittal plane divides a body into right and left portions. A coronal plane divides a body into anterior and posterior portions. A transverse plane divides a body into superior and inferior portions. A mid-sagittal, mid-coronal, or mid-transverse plane divides a body into equal portions, which may be bilaterally symmetric. The intersection of the sagittal and coronal planes defines a superior-inferior or cephalad-caudal axis. The intersection of the sagittal and transverse planes defines an anterior-posterior axis. The intersection of the coronal and transverse planes defines a medial-lateral axis. The superior-inferior or cephalad-caudal axis, the anterior-posterior axis, and the medial-lateral axis are mutually perpendicular. Anterior means toward the front of a body. Posterior means toward the back of a body. Superior or cephalad means toward the head. Inferior or caudal means toward the feet or tail. Medial means toward the midline of a body, particularly toward a plane of bilateral symmetry of the body. Lateral means away from the midline of a body or away from a plane of bilateral symmetry of the body. Axial means toward a central axis of a body. Abaxial means away from a central axis of a body. Ipsilateral means on the same side of the body. Contralateral means on the opposite side of the body.
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IPP-0051-US14 cross roads
Proximal means toward the trunk of the body. Proximal may also mean toward a user or operator. Distal means away from the trunk. Distal may also mean away from a user or operator. Dorsal means toward the top of the foot. Plantar means toward the sole of the foot. Antegrade means forward moving from a proximal location/position to a distal location/position or moving in a forward direction. Retrograde means backward moving from a distal location/position to a proximal location/position or moving in a backwards direction.
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IPP-0051-US14 cross roads
The terms “suture” and/or “suture strand” are used herein to mean any strand or flexible member, natural or synthetic, able to be anchored in a bone tunnel and useful in a surgical procedure. In certain embodiments, “suture” and/or “suture strand” refers to a flexible line or flexible member of natural material, natural biological material, biomaterial, biomimetic materials, manmade material, or a combination of these either in a single structure, a composite structure, or a plurality of tissue structures that extend in parallel and/or may be woven or bonded together. In certain embodiments, a suture may be long and thin. In certain embodiments, a suture may be planar or may be elastic or inelastic. Examples of a suture include, but are not limited to, a thread, a suture, suture tape, a woven structure, a fibrous material, a cord, and/or any of these in combination with each other, and the like. The term “transverse” is used herein to mean to cross at an angle; i.e. not parallel. The term includes but is not limited to right angles.
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FIGS. 1-12 depict an illustrative example of a suture anchor. The anchor 100 has an anchor body 102, a proximal member 104 joined to the anchor body 102 by a frangible connection 106 and a suture locking member 160. The frangible connection may include, for example, a thin wall (as shown), a perforated section, an intermediate material such as an adhesive, and/or other suitable frangible constructions. In the illustrative example of FIGS. 1-12, the anchor body 102 is generally cylindrical and has a sidewall 103 (FIG. 10) defining an exterior surface, a proximal end 108, a distal end 110, and a longitudinal axis 112 extending between the proximal and distal ends 108, 110. An interior longitudinal passageway 114 extends at least partway from the proximal end 108 toward the distal end 110. A proximal opening communicates with the longitudinal passageway nearer the proximal end 108 and a distal opening communicates with the longitudinal passageway nearer the distal end 110. In the illustrative embodiment of FIGS. 1-12, the proximal opening 116 communicates through the proximal end 108 of the anchor body 102 along the axis 112 with the passageway 114. The distal opening comprises a plurality of distal openings that communicate from the exterior surface of the anchor body 102 through the sidewall 103 to the passageway 114.
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