# US 10,441,265 B2 · Adjustable graft fixation device

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- Number: US 10,441,265 B2
- Document ID: US10441265B2
- Status: Granted
- Kind: B2
- Application number: 15/665,585
- Filed: 2017-08-01
- Published: 2017-11-16
- Granted: 2019-10-15
- Earliest claimed: 2013-07-31
- Assignees: Medos International Sarl
- Applicants: Medos International Sàrl
- Inventors: Meghan A. Pasquali; Adam C. Gustafson
- Web page: https://patentgrep.com/patent/US10441265B2

## 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 17/06166: {Sutures (suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M)}
- A61F 2/0811: {Fixation devices for tendons or ligaments}
- A61B 2017/0404: {Buttons}
- A61B 2017/0414: {having a suture-receiving opening, e.g. lateral opening}
- A61B 2017/0459: {Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied}
- A61B 2017/0475: {using sutures having a slip knot}
- A61F 2002/0852: {Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes}
- A61F 2002/0882: {Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

Systems and methods for securing a soft tissue graft to bone are provided herein. In one embodiment, a surgical implant can include an elongate body having a longitudinal axis extending therealong and having first and second through-holes that are offset to a first side of the longitudinal axis and a third through-hole that is offset to a second side of the longitudinal axis and that is positioned between the first and second through-holes. The implant can also include a suture length extending through the first, second, and third through-holes such that a self-locking knot is formed on a first side of the body and a plurality of suture loops are formed on a second side of the body opposite the first side.

## Claims

### Claim 1

A surgical implant, comprising:
an elongate body having a longitudinal axis extending therealong and having first and second through-holes that are offset to a first side of the longitudinal axis and a third through-hole that is offset to a second side of the longitudinal axis and that is positioned between the first and second through-holes; and
a suture length extending through the first, second, and third through-holes such that a self-looking knot is formed on a first side of the body, wherein the self-locking knot is positioned into at least one of the first and second through-holes and a plurality of suture loops are formed on a second side of the body opposite the first side.

### Claim 2 (depends on 1)

The surgical implant of claim 1, wherein a diameter of each of the first and second through-holes is greater than a diameter of the third through-hole.

### Claim 3 (depends on 2)

The surgical implant of claim 2, wherein a diameter of each of the first and second through-holes is about 1.6 mm.

### Claim 4 (depends on 1)

The surgical implant of claim 1, wherein the self-locking knot is formed by first and second terminal ends of the suture length extending through the third through-hole and passing through a loop formed from a mid-portion of the suture length that extends from the first through-hole.

### Claim 5 (depends on 4)

The surgical implant of claim 4, wherein the first and second terminal ends are spliced together.

### Claim 6 (depends on 1)

The surgical implant of claim 1, further comprising a fourth through-hole and a fifth through-hole centered on the longitudinal axis, the first and second through-holes being positioned between the fourth and fifth through-holes.

### Claim 7 (depends on 6)

The surgical implant of claim 6, wherein the second side of the body further includes cut-outs that extend along the longitudinal axis and are in communication with the fourth and fifth through-holes.

### Claim 8 (depends on 1)

The surgical implant of claim 1, wherein a length of the body extending along the longitudinal axis is in a range of about 5 mm to about 20 mm, a width of the body extending along the first side or the second side of the body is in a range of about 2 mm to about 6 mm, and a thickness of the body extending between the first side and the second side of the body is in a range of about 1 mm to about 3 mm.

### Claim 9 (depends on 8)

The surgical implant of claim 8, wherein the length of the body extending along the longitudinal axis is about 12 mm, the width of the body extending along the first side or the second side of the body is about 4.25 mm, and a thickness of the body extending between the first side and the second side of the body is about 2 mm.

### Claim 10 (depends on 1)

The surgical implant of claim 1, wherein the body is formed from titanium.

### Claim 11

A surgical implant, comprising:
an elongate body having a longitudinal axis extending therealong and having first and second through-holes that are centered on the longitudinal axis and a third through-hole that is offset from the longitudinal axis and that is positioned between the first and second through-holes; and
a suture length extending through the first, second, and third through-holes such that a self-locking knot is formed on a first side of the body, wherein the self-locking knot is positioned into at least one of the first and second through-holes and a plurality of suture bops are formed on a second side of the body opposite the first side.
