# US 10,368,855 B2 · Surgical constructs for tissue repair > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,368,855 B2 - Document ID: US10368855B2 - Status: Granted - Kind: B2 - Application number: 14/918,401 - Filed: 2015-10-20 - Published: 2017-04-20 - Granted: 2019-08-06 - Earliest claimed: 2015-10-20 - Assignees: Arthrex, Inc. - Applicants: Arthrex, Inc. - Inventors: Stephen S. Burkhart - Web page: https://patentgrep.com/patent/US10368855B2 ## CPC - A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)} - A61B 17/0485: {Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet} - A61B 2017/00004: {(bio)absorbable, (bio)resorbable or resorptive} - A61B 2017/0409: {Instruments for applying suture anchors} - A61B 2017/0412: {having anchoring barbs or pins extending outwardly from suture anchor body} - A61B 2017/0414: {having a suture-receiving opening, e.g. lateral opening} - A61B 2017/044: {with a threaded shaft, e.g. screws} - A61B 2017/0445: {cannulated, e.g. with a longitudinal through-hole for passage of an instrument} - A61B 2017/045: {snug fit within the anchor} - A61B 2017/0454: {the anchor being crimped or clamped on the suture} - A61B 2017/0458: {Longitudinal through hole, e.g. suture blocked by a distal suture knot} - A61B 2017/0464: {for soft tissue} - A61B 2017/06185: {hollow or tubular} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract Systems and methods for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) to achieve novel remplissage and soft tissue repairs. ## Claims ### Claim 1 A device for tissue repairs, comprising: a fixation device comprising a cannulated body, a longitudinal axis, a proximal end, a most distal end, and a bore housing a recessed eyelet, said recessed eyelet being located at the most distal end of the fixation device, the bore being in communication with a most distal surface of the most distal end; and a tensionable construct secured to the fixation device, said tensionable construct comprising a flexible strand and a shuttling device having an eyelet, said shuttling device being provided within the flexible strand, wherein the flexible strand passes through a channel in a body of the recessed eyelet, and wherein both the flexible strand and the shuttling device extend through the cannulated body of the fixation device. ### Claim 2 (depends on 1) The device of claim 1, wherein the tensionable construct is secured to the fixation device at a surface of the body of the recessed eyelet adjacent the channel. ### Claim 3 (depends on 1) The device of claim 1, wherein the recessed eyelet further comprises an opening in the body of the recessed eyelet. ### Claim 4 (depends on 3) The device of claim 3, further comprising at least one sliding suture threaded through the opening of the recessed eyelet. ### Claim 5 (depends on 3) The device of claim 3, wherein the channel in the body of the recessed eyelet extends into the opening of the recessed eyelet. ### Claim 6 (depends on 3) The device of claim 3, wherein the channel in the body of the recessed eyelet extends to a hole on a surface of the body of the recessed eyelet. ### Claim 7 (depends on 1) The device of claim 1, wherein the tensionable construct consists of the flexible strand and the shuttling device attached to the flexible strand. ### Claim 8 (depends on 1) The device of claim 1, wherein the fixation device is an anchor with a fully-threaded body having a corkscrew profile. ### Claim 9 (depends on 1) The device of claim 1, wherein the recessed eyelet is formed of a metal, a biocompatible plastic, or a bioabsorbable material. ### Claim 10 (depends on 1) The device of claim 1, wherein the shuttling device is configured to be pulled out of the cannulated body of the fixation device while the flexible strand extends through the eyelet of the shuttling device, to pass the flexible strand through itself to form a knotless closed loop with an adjustable perimeter and a splice. ### Claim 11 A device for tissue repairs, comprising: a fixation device comprising a cannulated body, a longitudinal axis, a proximal end, a most distal end, and a bore therethrough; a recessed eyelet separate from the fixation device and housed in the bore, the recessed eyelet being located at the most distal end of the fixation device; and a tensionable construct secured to the recessed eyelet, said tensionable construct comprising a flexible strand and a shuttling device within the flexible strand, wherein the flexible strand passes through the cannulated body of the fixation device. ### Claim 12 (depends on 11) The device of claim 11, wherein the fixation device is an anchor with a fully-threaded body having a corkscrew profile. ### Claim 13 (depends on 11) The device of claim 11, wherein the flexible strand and the shuttling device of the tensionable construct extend through the cannulated body of the fixation device. ### Claim 14 (depends on 11) The device of claim 11, wherein the shuttling device is configured to be pulled out of the cannulated body of the fixation device while the flexible strand extends through an eyelet of the shuttling device, to pass the flexible strand through itself to form a knotless closed loop with an adjustable perimeter and a splice. ### Claim 15 (depends on 11) The device of claim 11, wherein the recessed eyelet comprises a body that has a channel disposed therein configured to receive the flexible strand and an opening separate from the channel extending through the body of the recessed eyelet. ### Claim 16 A device for tissue repairs, comprising: a fixation device comprising a cannulated body, a longitudinal axis, and a bore housing a recessed eyelet having a body and a channel disposed in the body of the recessed eyelet, said recessed eyelet being located at a most distal end of the fixation device; and a tensionable construct secured to said fixation device, said tensionable construct comprising a flexible strand and a shuttling device provided within the flexible strand, wherein the flexible strand passes through the channel of the recessed eyelet, and wherein both the flexible strand and the shuttling device of the tensionable construct extend through the cannulated body of the fixation device, wherein the cannulated body of the fixation device encloses the recessed eyelet such that the recessed eyelet is exposed only at the most distal end of the fixation device. ### Claim 17 (depends on 16) The device of claim 16, wherein the recessed eyelet further comprises an opening in the body of the recessed eyelet. ### Claim 18 (depends on 17) The device of claim 17, further comprising at least one sliding suture threaded through the opening of the recessed eyelet. ### Claim 19 (depends on 16) The device of claim 16, wherein the channel in the body of the recessed eyelet extends to a hole on a surface of the body of the recessed eyelet, and wherein the tensionable construct is secured to the surface of the body of the recessed eyelet adjacent the hole. ### Claim 20 (depends on 16) The device of claim 16, wherein the fixation device is an anchor with a fully-threaded body having a corkscrew profile. ### Claim 21 (depends on 16) The device of claim 16, wherein the body of the recessed eyelet comprises a plurality of ridges. ### Claim 22 (depends on 16) The device of claim 16, wherein the body of the recessed eyelet is smooth. ### Claim 23 (depends on 16) The device of claim 16, wherein the recessed eyelet is formed of a metal, a biocompatible plastic, or a bioabsorbable material. ### Claim 24 (depends on 16) The device of claim 16, wherein the shuttling device is configured to be pulled out of the cannulated body of the fixation device while the flexible strand extends through an eyelet of the shuttling device, to pass the flexible strand through itself to form a knotless closed loop with an adjustable perimeter and a splice. ### Claim 25 (depends on 16) The device of claim 16, wherein the bore of the fixation device is wider than a cannulation of the cannulated body of the fixation device.