SUTURE PULLER

1 . A suture puller comprising:

a tubular body member having a first end and a second end;

a first conical end member coupled to the first end of the tubular body member; and

a second conical end member coupled to the second end of the tubular body member;

wherein the first conical end member and the tubular body member define a slot that extends through the first conical end member and at least a portion of the tubular body member along a central axis of the suture puller, the slot being configured to receive a suture.

2 . The suture puller of claim 1 wherein the tubular body member defines a locking slot on a surface of the tubular body member, the locking slot being configured to receive and hold part of the suture.

3 . The suture puller of claim 1 wherein a majority of the surface of the tubular body member is textured.

4 . The suture puller of claim 1 wherein the slot is lined with a material configured to prevent slipping of the suture.

5 . The suture puller of claim 1 wherein the slot is configured to be compressed such that the compression stops motion of the suture in the slot.

6 . The suture puller of claim 1 wherein the tubular body member is a cylindrical body member such that the cylindrical body member does not have edges.

7 . The suture puller of claim 1 wherein the suture puller is less than approximately eight inches long from an end of the first conical end member to an end of the second conical end member.

8 . The suture puller of claim 7 wherein the suture puller is less than approximately 6 inches long from the end of the first conical end member to the end of the second conical end member.

9 . The suture puller of claim 8 wherein the suture puller is approximately 4.5 inches long from the end of the first conical end member to the end of the second conical end member.

10 . A method comprising:

forming a bone tunnel;

coupling a tissue graft to a graft attachment device

coupling a first end of a suture to the graft attachment device;

passing a second end of the suture through the bone tunnel;

coupling the second end of the suture to a suture puller, the suture puller including a tubular body member having a first end and a second end, a first conical end member coupled to the first end of the tubular body member, and a second conical end member coupled to the second end of the tubular body member; and

manipulating the suture puller to draw the suture, graft attachment device, and tissue graft through the bone tunnel

11 . The method of claim 10 wherein:

the first conical end member and the tubular body member define a slot that extends through the first conical end member and at least a portion of the tubular body member along a central axis of the suture puller; and

coupling the second end of the suture to the suture puller comprises placing the second end of the suture into the slot.

12 . The method of claim 11 wherein coupling the second end of the suture to the suture puller comprises wrapping a portion of the suture around the tubular body member after placing the second end of the suture in the slot.

13 . The method of claim 11 comprising compressing the slot such that the compression stops motion of the suture in the slot.

14 . The method of claim 11 wherein the slot is lined with a material configured to prevent slipping of the suture.

15 . The method of claim 10 wherein the suture puller comprises a locking slot on a surface of the tubular body member, the method further comprising engaging a portion of the suture with the locking slot to hold the suture.

16 . The method of claim 10 wherein a majority of the surface of the tubular body member is textured.

17 . The method of claim 10 wherein the tubular body member is a cylindrical body member such that the cylindrical body member does not have edges.

18 . The method of claim 10 wherein the suture puller is less than approximately eight inches long from an end of the first conical end member to an end of the second conical end member.

19 . The method of claim 18 wherein the suture puller is less than approximately 6 inches long from the end of the first conical end member to the end of the second conical end member.

20 . The method of claim 19 wherein the suture puller is approximately 4.5 inches long from the end of the first conical end member to the end of the second conical end member.