Fixation device cartridges

1. A bone anchor cartridge comprising:

a first tube defining a first tube central axis, the first tube includes a slot extending from a proximal end of the first tube to distal end of the first tube;

a second tube defining a second tube central axis, the second tube includes a slot extending from a proximal end of the second tube to a distal end of the second tube;

a first spacer disposed between the first tube and the second tube such that the slots of the first and second tubes face each other;

a second spacer disposed between the first tube and the second tube, the first and second spacers defining a suture volume between the slots of the first and second tubes, and the slot of the first tube and the slot of the second tube open into the suture volume;

a first bone anchor within the first tube, and a first suture line associated with the first bone anchor and extending through the slot of the first tube into the suture volume;

a second bone anchor within the second tube and coupled to the first suture line; and

a suture sleeve defining an interior volume disposed within the suture volume, the first suture line disposed within the suture sleeve.

2. The bone anchor cartridge of claim 1 wherein the first suture line comprises:

a first slipknot tied to the first bone anchor;

a first loop;

a first tightening line, the first loop disposed within the interior volume of the suture sleeve, and first tightening line extending through the interior volume of the suture sleeve and having a terminal end outside the suture sleeve; and

the first loop coupled to the second bone anchor.

3. The bone anchor cartridge of claim 1 further comprising:

a third tube defining a third tube central axis, the third tube includes a slot extending from a proximal end of the third tube to a distal end of the third tube;

a fourth tube defining a fourth tube central axis, the fourth tube includes a slot extending from a proximal end of the fourth tube to a distal end of the fourth tube;

a third spacer coupled to the third tube the fourth tube;

a fourth spacer coupled to the third tube and the fourth tube, the first, second, third, and fourth spacers defining the suture volume, and the slot of the third tube and the slot of the fourth tube open into the suture volume;

a third bone anchor within the third tube, and a second suture line extending through the slot of the fourth tube into the suture volume; and

a fourth bone anchor within the fourth tube and coupled to the second suture line.

4. The bone anchor cartridge of claim 3 :

wherein the first suture line comprises:

a first slipknot tied to the first bone anchor;

a first loop;

a first tightening line, the first loop disposed within the interior volume of the suture sleeve, and first tightening line extending through the interior volume of the suture sleeve and having a terminal end outside the suture sleeve; and

the first loop coupled to the second bone anchor;

wherein the second suture line comprises:

a second slipknot tied to the third bone anchor;

a second loop; and

a second tightening line, the second loop disposed within the interior volume of the suture sleeve, and second tightening line extending through the interior volume of the suture sleeve and having a terminal end outside the suture sleeve;

the first loop coupled to the fourth bone anchor, and the second loop extends around the first loop.

5. The bone anchor cartridge of claim 1 further comprising the slots of the first and second tubes face each other across the suture volume.

6. The bone anchor cartridge of claim 1 further comprising:

the first bone anchor has a length;

the second bone anchor has a length;

the first tube has a length measured parallel to the first tube central axis, the length of the first tube at least twice the length the first bone anchor; and

the second tube has a length measured parallel to the second tube central axis, the length of the second tube at least twice the length of the second bone anchor.

7. The bone anchor cartridge of claim 6 :

wherein the length of the first tube is at least four times the length of the first bone anchor; and

wherein the length of the second tube is at least four times the length of the second bone anchor.

8. The bone anchor cartridge of claim 6 wherein the first suture line comprises a first slipknot defining a first loop and a first tightening line, the first loop disposed within the interior volume of the suture sleeve, and the first tightening line extending through the interior volume of the suture sleeve and having a terminal end outside the suture sleeve.

9. The bone anchor cartridge of claim 8 further comprising:

a second suture line tied to a proximal end of the second bone anchor, and the second suture line extending through the slot of the second tube into the suture volume;

the second suture line comprises a second slipknot defining a second loop and a second tightening line, the second loop disposed within the interior volume of the suture sleeve and looped through the first loop, and the second tightening line extending through the interior volume of the suture sleeve and having a terminal end outside the suture sleeve.

10. The bone anchor cartridge of claim 9 :

wherein the first loop is defined by a length of the first suture line measured from the first slipknot, and the length of the first suture line of the first loop is longer than the length of the first tube; and

wherein the second loop is defined by a length of the second suture line measured from the second slipknot, and the length of the second suture line of the second loop is longer than the length of the second tube.

11. The bone anchor cartridge of claim 1 further comprising:

a first projection defined at the distal end of the first tube, the first projection extends beyond a distal end of the first and second spacers; and

a second projection defined at the distal end of the second tube, the second projection extends beyond a distal end of the first and second spacers.

12. The bone anchor cartridge of claim 11 further comprising at least one selected from a group comprising: the first projection is bulbous; the second projection is bulbous; the first projection is conical; the second projection is conical; the first projection is hemispherical; and the second projection is hemispherical.

13. The bone anchor cartridge of claim 1 further comprising a first flange defined at the proximal end of the first tube, the first flange has a diameter greater than an outside diameter of the first tube, and the first flange defines an aperture aligned with the first tube central axis.

14. The bone anchor cartridge of claim 13 wherein the first flange further comprises a notch with an open top and a closed bottom, the notch opening outward at a first radial location opposite a direction of a location of the slot of the first tube.

15. The bone anchor cartridge of claim 14 further comprising a trough extending longitudinally along an outside surface of the first tube, the trough defining an open top and a closed bottom, and the closed bottom of the trough aligned with the closed bottom of the notch of the first flange.

16. The bone anchor cartridge of claim 14 further comprising a second flange defined at the proximal end of the second tube, the second flange has a diameter greater than an outside diameter of the second tube, and the second flange defines an aperture aligned with the second tube central axis.

17. The bone anchor cartridge of claim 16 wherein the second flange further comprises a notch with an open top and a closed bottom, the notch opening outward at a first radial location opposite a direction of the slot of the second tube.

18. The bone anchor cartridge of claim 17 further comprising a trough extending longitudinally along an outside surface of the second tube, the trough defining an open top and a closed bottom, and the closed bottom of the trough aligned with the closed bottom of the notch of the first flange.

19. The bone anchor cartridge of claim 1 wherein the first tube central axis is parallel to the second tube central axis.

20. The bone anchor cartridge of claim 1 further comprising:

the first bone anchor defines a distal tip that protrudes from the distal end of the first tube; and

the second bone anchor defines a distal tip that protrudes from the distal end of the second tube.