# US 11,896,475 B2 · Implant having adjustable filament coils > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,896,475 B2 - Document ID: US11896475B2 - Status: Granted - Kind: B2 - Application number: 17/082,904 - Filed: 2020-10-28 - Published: 2021-02-11 - Granted: 2024-02-13 - Earliest claimed: 2013-03-11 - Assignees: Medos International Sarl - Applicants: Medos International Sàrl - Inventors: Mehmet Ziya Sengun; Hugh S. West; Meghan A. Pasquali; David B. Spenciner; William Reiser; Jeff Parrish - Web page: https://patentgrep.com/patent/US11896475B2 ## CPC - A61F 2/0811: {Fixation devices for tendons or ligaments} - 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 2017/0404: {Buttons} - A61B 2017/0458: {Longitudinal through hole, e.g. suture blocked by a distal suture knot} - A61B 2017/0475: {using sutures having a slip knot} - A61B 2017/06185: {hollow or tubular} - A61F 2002/0829: {without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins} - 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} - 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) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A device having one or more adjustable loops or coils associated with an implant body for use in soft tissue reconstructions is provided. One exemplary embodiment of a device includes a body and a suture filament, with the filament being used to form a self-locking sliding knot disposed on a top side of the body and a plurality of adjustable coils that are substantially disposed on the body's bottom side. Terminal ends of the filament located above the body's top side can be passed through an opening of a Lark's Head knot from opposite sides, thus forming a self-locking sliding knot, and then the terminal ends can be tensioned to adjust a circumference of the coils. Changing a coil's circumference changes a location of a ligament graft disposed on the coil. Other configurations of devices and systems, as well as methods for performing ACL repairs, are also provided. ## Claims ### Claim 1 A surgical implant, comprising: a body having a plurality of thru-holes formed therein; a first suture filament extending through the body and configured to form: a self-locking knot, the self-locking knot defining a collapsible opening that is located on a top side of the body, and one or more coils arranged such that each coil is formed as a result of the suture filament being disposed through at least two of the plurality of thru-holes of the body such that a portion of each coil is disposed on the top side of the body and a portion of each coil is disposed on a bottom side of the body, and a second suture filament extending longitudinally through the body, wherein the self-locking knot has: a first portion of the first suture filament that is intermediate a first terminal end thereof and the one or more coils, is disposed on the top side of the body and extending through the collapsible opening from a first side of the opening, and a second portion of the first suture filament that is intermediate a second terminal end thereof and the one or more coils disposed on the top side of the body and passed through the collapsible opening from a second, opposite side of the opening, and wherein the collapsible opening is configured to collapse and move toward the body when tension is applied to at least one of the first and second terminal ends. ### Claim 2 (depends on 1) The implant of claim 1, wherein the one or more coils comprises a first coil and a second coil formed by a third portion of the suture filament extending between the self-locking knot and the first terminal end, and a third coil and a fourth coil formed by a fourth portion of the suture filament extending between the self-locking knot and the second terminal end. ### Claim 3 (depends on 2) The implant of claim 2, wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, each outer thru-hole being located adjacent to respective opposed terminal ends of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first and third coils pass through each of the outer thru-holes and the second and fourth coils pass through each of the inner thru-holes. ### Claim 4 (depends on 2) The implant of claim 2, wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, each outer thru-hole being located adjacent to respective opposed terminal ends of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first, second, third, and fourth coils each pass through each of the inner thru-holes. ### Claim 5 (depends on 1) The implant of claim 1, wherein at least one coil of the one or more coils is configured such that a circumference thereof can be changed by applying tension to at least one of the first and second terminal ends. ### Claim 6 (depends on 1) The implant of claim 1, wherein the one or more coils is configured such that a circumference of one coil of the one or more coils can be adjusted independent of adjusting a circumference of another coil of the one or more coils. ### Claim 7 (depends on 1) The implant of claim 1, wherein the self-locking knot comprises a Lark's Head knot. ### Claim 8 (depends on 1) The implant of claim 1, wherein the body includes a longitudinal bore through which the second suture filament extends, and wherein the second suture filament includes a protrusion positioned outside of the longitudinal bore that has a diameter larger than the longitudinal bore to prevent passage of the protrusion through the longitudinal bore. ### Claim 9 (depends on 8) The implant of claim 8, wherein the protrusion is a knot. ### Claim 10 (depends on 1) The implant of claim 1, further comprising; a first sleeve disposed over a third portion of the suture filament that extends between the self-locking knot and the first terminal end, the first sleeve being located on the top side of the body; and a second sleeve disposed over a fourth portion of the suture filament that extends between the self-locking knot and the second terminal end, the second sleeve being located on the top side of the body. ### Claim 11 (depends on 10) The implant of claim 10, wherein the first sleeve disposed over the third portion of the suture filament and the second sleeve disposed over the fourth portion of the suture filament are a same sleeve, and a portion of the same sleeve is disposed around the bottom side of the body. ### Claim 12 A surgical implant, comprising: a body having a longitudinal axis, a longitudinal bore, and a plurality of thru-holes, the plurality of thru-holes extending in a direction transverse to the longitudinal axis of the body from a top side to a bottom side of the body; a first suture filament having first and second terminal ends; and a second suture filament extending through the longitudinal bore, the second suture filament including a protrusion positioned outside of the longitudinal bore that has a diameter larger than the longitudinal bore to prevent passage of the protrusion through the longitudinal bore, the first suture filament being associated with the body to form: a self-locking knot, the self-locking knot including a collapsible opening, located on the top side of the body, and a plurality of coils formed as a result of the terminal ends of the first suture filament passing through a thru-hole from the top side of the body to the bottom side of the body and then passing through a different thru-hole of the body back to the top side of the body, wherein the self-locking knot is formed with the first terminal end passing through the collapsible portion from a first side of the opening and the second terminal end passing through a second, opposite side of the opening, and wherein the collapsible opening is configured to collapse and move toward the body when tension is applied to at least one of the first and second terminal ends. ### Claim 13 (depends on 12) The implant of claim 12, wherein the plurality of coils comprises a first coil and a second coil formed by a first portion of the suture filament extending between the self-locking knot and the first terminal end, and a third coil and a fourth coil formed by a second portion of the suture filament extending between the self-locking knot and the second terminal end. ### Claim 14 (depends on 13) The implant of claim 13, wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, each outer thru-hole being located adjacent to respective opposed terminal ends of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first and third coils pass through each of the outer thru-holes and the second and fourth coils pass through each of the inner thru-holes. ### Claim 15 (depends on 13) The implant of claim 13, wherein the plurality of thru-holes comprises two outer thru-holes and two inner thru-holes, each outer thru-hole being located adjacent to respective opposed terminal ends of the body and the inner thru-holes being disposed between the outer thru-holes, and wherein the first, second, third, and fourth coils each pass through each of the inner thru-holes. ### Claim 16 (depends on 12) The implant of claim 12, wherein at least one coil of the plurality of coils is configured such that a circumference thereof can be changed by applying tension to at least one of the first and second terminal ends. ### Claim 17 (depends on 12) The implant of claim 12, wherein the plurality of coils is configured such that a circumference of one coil of the plurality of coils can be adjusted independent of adjusting a circumference of another coil of the plurality of coils. ### Claim 18 (depends on 12) The implant of claim 12, wherein the self-locking knot comprises a Lark's Head knot. ### Claim 19 (depends on 12) The implant of claim 12, wherein protrusion is a knot. ### Claim 20 (depends on 12) The implant of claim 12, further comprising; a first sleeve disposed over a third portion of the suture filament that extends between the self-locking knot and the first terminal end, the first sleeve being located on the top side of the body; and a second sleeve disposed over a fourth portion of the suture filament that extends between the self-locking knot and the second terminal end, the second sleeve being located on the top side of the body. ### Claim 21 (depends on 20) The implant of claim 20, wherein the first sleeve disposed over the third portion of the suture filament and the second sleeve disposed over the fourth portion of the suture filament are a same sleeve, and a portion of the same sleeve is disposed around the bottom side of the body.