Rotator Cuff Repair Innovation

Ending the Era of Failed Repairs

Reinforcing what matters most — the suture-tendon interface. TENOGARDE™ is a novel bio-absorbable eyelet implant that eliminates the root cause of rotator cuff repair failure.

Learn More ↓ Contact Us
2×
Increase in load capacity
150+
Procedures performed
0
Device complications
TENOGARDE™ eyelet implant — front view TENOGARDE™ eyelet implant — side profile TENOGARDE™ eyelet implant — perspective view TENOGARDE™ eyelet implant — rear view

TENOGARDE™ Eyelet Implant

The Clinical Challenge

The Hidden Crisis in
Rotator Cuff Surgery

Current repair techniques suffer from the "cheese-wiring" effect — sutures cut through weakened tendon tissue, leading to repair failure and costly revision surgery.

01

The Cheese-Wiring Effect

Animated demonstration of cheese-wiring effect — suture cutting through tendon tissue under tension

High-tension sutures cut through degenerative tendon tissue like wire through cheese, causing the repair to fail.

02

The Weakest Link

Close-up of suture pulling through tendon tissue at the suture-tendon interface

The suture-tendon interface is the weakest point in the entire repair construct — yet current solutions don't address it.

03

The Revision Burden

40% Re-tear rate WITHIN 2 YEARS OF SURGERY Intact Failed

Up to 40% of rotator cuff repairs fail within 2 years, requiring costly revision surgery with worse outcomes.

Our Solution

A Smarter Point
of Fixation

TENOGARDE™ is a novel bio-absorbable eyelet implant that fundamentally changes how sutures interact with tendon tissue.

  • 01

    Eyelet Placement

    Surgeon places the bio-absorbable eyelet through the tendon using standard arthroscopic instruments.

  • 02

    Suture Redirection

    Sutures pass through the eyelet — not through the tendon tissue — eliminating the cheese-wiring effect entirely.

  • 03

    Load Transfer to Bone

    Mechanical load transfers directly to bone, protecting fragile tendon tissue and dramatically reducing re-tear risk.

Recovery Timeline

Minimum 3-month healing period allows secure biological integration before the implant is gradually absorbed by the body.

TENOGARDE™ eyelet implant in rotator cuff repair — anatomical view
TENOGARDE™ front view with sutures
TENOGARDE™ side view with sutures
TENOGARDE™ wide surgical view
Proven in Practice

Performance Data &
Versatile Applications

TENOGARDE™ delivers measurable improvements in repair strength across multiple suture configurations.

2×
Increase in load capacity
150+
Procedures performed
0
Device-related complications
Single Row Repair with TENOGARDE™

Single Row Repair

Knotless Double Row with TENOGARDE™

Knotless Double Row

Suture Bridge with TENOGARDE™

Suture Bridge

Massively Retracted Repair with TENOGARDE™

Massively Retracted

✓
Cadaveric Trials
3
Animal Evaluations
★
JLAB QuickFire Award
3
Patent Families
Our Team

Designed for Surgeons

An experienced execution team and board with deep expertise in orthopedics, medical devices, and clinical translation.

Ryan Kua

Ryan Kua

CEO
More than ten years of experience in research and development.
LinkedIn
Dr James Tan

Dr James Tan, MD

Clinical Advisor
Medical Director. Quantum Orthopaedics, Mount Elizabeth Medical.
LinkedIn
Alan Horner

Alan Horner, PhD

Scientific Advisor
Previously Head Translation Science at Convatec, Scientific Director at Smith+Nephew, CTO at Gelmetix.
LinkedIn

Board of Directors

Andy Weymann

Andy Weymann, MD MBA

Chairman of the Board
Orthopedics Surgeon. Previously Chief Medical Officer and Senior Vice President at Smith+Nephew.
LinkedIn
Todd Dollinger

Todd Dollinger

Board Member
Founder & Chair Emeritus, The Trendlines Group, Ltd.
LinkedIn
Eric Loh

Eric Loh

Board Member
Founding CEO, Trendlines Medical Singapore. Previously Senior Vice President, Biosensors International Ltd.
LinkedIn
Meinrad Lugan

Meinrad Lugan, PhD

Board Member
BVMed Honorary Chairman, Medtech Europe board member. Previously CEO of B.Braun Hospital Care and OPM Division.
LinkedIn
Partner With Us

Let's Talk

Whether you're a surgeon interested in clinical collaboration, or an investor exploring opportunities in orthopedic innovation — we'd love to hear from you.

Email
info@tendonplus.com
Office
77 Ayer Rajah Crescent, #02-21/26
Singapore 139954
Web
tendonplus.com.sg
Send us a message

We typically respond within 1–2 business days.