Tissue repair
An apparatus includes a flexible fixation member having a body with a longitudinal extent and a width, the body defining a plurality of openings through the body, each of the plurality of openings formed substantially cross wise through the width of the body, and a suture having two terminal ends, the suture being interwoven through each of the plurality of openings in the body of the fixation member such that multiple portions of the fixation member are slidably coupled to the suture and configurable to form a cluster within a surgical site.
1. An apparatus for insertion into a bone hole comprising:
a flexible fixation member comprising a single, unitary body formed by first and second legs and a U-shaped bend joining the first and second legs, each of the first and second legs terminating in a free end, the U-shaped bend having an apex, and wherein the apex of the U-shaped bend does not define an opening; and
a non-looped suture strand passing through the fixation member along a length of the body between the free ends of the body such that portions of the fixation member are slidable relative to the suture strand, the suture strand having first and second end regions, the first end region extending freely from an opening in the first leg of the body without passing through the second leg, and the second end region extending freely from an opening in the second leg of the body without passing through the first leg, the suture strand extending along the U-shaped bend of the fixation member in a single direction without intersecting itself;
wherein the suture strand does not include a knot formed from the suture strand; and
wherein, upon tensioning the suture strand, the fixation member is configured to form an anchor within the bone hole.
2. The apparatus of claim 1 , wherein the fixation member comprises suture, tape, braid or mesh.
3. The apparatus of claim 1 , wherein the suture strand extends longitudinally down the first leg of the fixation member and longitudinally up the second leg of the fixation member.
4. The apparatus of claim 1 , wherein the first end region of the suture strand only extends a single time through the opening in the first leg and wherein the second end region of the suture strand only extends a single time through the opening in the second leg.
5. The apparatus of claim 1 , wherein the anchor is defined by a cluster comprising a group of folds within the bone hole.
6. An assembly comprising:
an apparatus comprising:
a flexible fixation member comprising a single, unitary body formed by first and second legs and a U-shaped bend joining the first and second legs, each of the first and second legs terminating in a free end, the U-shaped bend having an apex and wherein the apex of the U-shaped bend does not define an opening; and
a non-looped suture strand passing through the fixation member along a length of the body between the free ends of the body such that portions of the fixation member are slidable relative to the suture strand, the suture strand having first and second end regions, the first end region extending freely from an opening in the first leg of the body without passing through the second leg, and the second end region extending freely from an opening in the second leg of the body without passing through the first leg, the suture strand extending along the U-shaped bend of the fixation member in a single direction without intersecting itself;
wherein the suture strand does not include a knot formed from the suture strand; and
wherein, upon tensioning the suture strand, the fixation member is configured to form an anchor within the bone hole; and
a delivery device.
7. The assembly of claim 6 , wherein the delivery device comprises an elongated member configured to slide from a retracted position to an advanced position within the bone hole, and wherein the U-shaped bend of the fixation member is positioned toward a distal end of the elongated member.