# US 2026/0090876 A1 · Methods and devices for tissue graft fixation > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2026/0090876 A1 - Document ID: US20260090876A1 - Status: Published application - Kind: A1 - Application number: 19/413,793 - Filed: 2025-12-09 - Published: 2026-04-02 - Earliest claimed: 2019-06-18 - Assignees: Smith & Nephew Orthopaedics AG; Smith & Nephew Asia Pacific Pte. Limited - Applicants: Smith & Nephew, Inc.; Smith & Nephew Orthopaedics AG; Smith & Nephew Asia Pacific Pte. Limited - Inventors: Miles Malone; Christopher D. MacCready; Ali Hosseini; Mark Edwin Housman; Chun Liu; James Hunt; Jacob Peabody; Paul McGovern; Han Teik Yeoh; Paul Alexander Torrie; Mason James Bettenga; Anil S. Ranawat; Lawrence Ferraiuolo; Geoffrey Ian Karasic - Web page: https://patentgrep.com/patent/US20260090876A1 ## 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)} - 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 2017/0451: {Cams or wedges holding the suture by friction} - A61B 2017/0459: {Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied} - A61B 2017/06185: {hollow or tubular} - A61F 2002/0823: {Modular anchors comprising a plurality of separate parts} - 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 2250/0012: for adjusting elasticity, flexibility, spring rate or mechanical tension - 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 Methods and devices for tissue graft fixation include fixation devices attached to an adjustable fixation loop of suture without compromising the graft or requiring additional material to complete the repair. Other fixation devices are attachable to an independent adjustable suture system. Adjustable fixation loops minimize slip/creep of the suture within the loop. ## Claims ### Claim 1 A graft suspension device comprising: a cortical anchor having a plurality of holes; and an adjustable suture loop construct including a cradle, a first side including a first adjustable suture loop and first free end and a second side including a second adjustable suture loop and second free end; and a suture passer including a first loop and a second loop wherein the first adjustable suture loop is pre-assembled to the cortical anchor via at least one of the plurality of holes and wherein the second adjustable suture loop and the second free end are pre-assembled to the first loop and the second loop respectively of the suture passer. ### Claim 2 (depends on 1) The graft suspension device of claim 1 wherein at least one of the plurality of holes is configured to receive the suture passer therethrough. ### Claim 3 (depends on 2) The graft suspension device of claim 2 wherein the suture passer is configured to thread the second free end through a graft, before threading the second through at least one of the plurality of holes. ### Claim 4 (depends on 1) The graft suspension device of claim 1 wherein at least one of the plurality of holes is configured to receive the second adjustable loop therethrough to assemble the second adjustable suture loop to the cortical anchor, after the second side has been passed through a graft. ### Claim 5 (depends on 1) The graft suspension device of claim 1 wherein a first of the plurality of holes is configured to receive the second adjustable loop therethrough to assemble the second adjustable suture loop to the cortical anchor, after the second side has been passed through a graft and wherein a second of the plurality of holes, different than the first of the plurality of holes is configured to receive the suture passer. ### Claim 6 (depends on 1) The graft suspension device of claim 1 wherein the suture passer loops are continuous loops. ### Claim 7 (depends on 1) The graft suspension device of claim 1 wherein the suture passer loops are configured to sequentially pass the second free end followed by the second adjustable suture loop through a graft. ### Claim 8 (depends on 1) The graft suspension device of claim 1 wherein the first and second loops are different sizes. ### Claim 9 (depends on 1) The graft suspension device of claim 1 wherein the suture passer includes a threading member and wherein the first loop is configured to couple directly to the second adjustable suture loop and hold the second adjustable suture loop a first distance from the threading member, and the second loop is configured to couple directly to the second free end and hold the second free end a shorter distance than the first distance from the threading member. ### Claim 10 (depends on 1) The graft suspension device of claim 1 wherein the suture passer includes a threading member and wherein the first and second loops extend different maximum distances from the threading member. ### Claim 11 (depends on 1) The graft suspension device of claim 1 wherein the suture passer includes a threading member and wherein the first and second loops are both cinched at a threading member connecting end. ### Claim 12 (depends on 1) The graft suspension device of claim 1 wherein the first and second loops are formed without knots. ### Claim 13 (depends on 1) The graft suspension device of claim 1 wherein the second free end includes a finger loop and wherein the second loop of the suture passer is enclosed around the finger loop. ### Claim 14 A graft suspension device comprising: a cortical anchor having a plurality of holes extending through a thickness of the cortical anchor; and an adjustable suture loop construct including a cradle, a first side including a first adjustable suture loop and first free end and a second side including a second adjustable suture loop and second free end; a suture passer having a first loop and a second loop, wherein the first adjustable suture loop is pre-assembled to the cortical anchor via the plurality of holes and wherein the second adjustable loop is preassembled to the first suture passer loop and the second free end is pre-assembled the second suture passer loop, the first and second loop configured to axially space the second free end from the second adjustable suture loop while passing the second side through a graft. ### Claim 15 (depends on 14) The graft suspension device of claim 14 wherein at least one of the plurality of holes is configured to receive the suture passer therethrough. ### Claim 16 (depends on 14) The graft suspension device of claim 14 wherein a first and a second of the plurality of holes is configured to receive the second adjustable loop therein configured to assemble the second adjustable suture loop to the cortical anchor, after the second side has been passed through a graft and wherein another of the plurality of holes, different than the first and second of the plurality of holes, is configured to receive the suture passer therethrough. ### Claim 17 (depends on 14) The graft suspension device of claim 14 wherein the first and second loops have different loop sizes to each other. ### Claim 18 (depends on 14) The graft suspension device of claim 14 wherein the suture passer includes a threading member and wherein the first and second loops extend different maximum distances from the threading member. ### Claim 19 (depends on 1) The graft suspension device of claim 1 wherein the second free end includes a finger loop and wherein the second loop of the suture passer construct is enclosed around the finger loop.