An apparatus comprising a body having an inner cavity. First and second pluralities of anchor pins are positioned within in the inner cavity. The inner cavity includes a central cavity between the anchor pins. The inner cavity includes a media channel outside of the anchor pins. The media channel is in fluid communication with the central cavity through openings between the anchor pins. The anchor pins restrict complete fluid transfer while allowing molecular migration between the media channel and the central cavity. Posts are positioned in the central cavity and tissue may be connected between the posts. First and second ports are positioned in the central cavity and enable tissue to be positioned within the inner cavity. Third and fourth ports are located in the exterior of the body. The third and fourth ports are in fluid communication with the media channel.

Systems and methods for opposing abnormal motion of an adjacent bone are provided. One exemplary embodiment of a surgical method includes delivering and securing a bone barrier to a bone bed of a glenoid such that at least a portion of the bone barrier extends laterally beyond the bone bed and can oppose, prevent, and/or reduce abnormal motion of an adjacent bone (e.g., a humeral head). The bone barrier can be secured along a periphery of a glenoid of a shoulder. More particularly, the bone barrier can be placed and secured such that at least a portion of the bone barrier extends laterally over the glenoid and can oppose abnormal motion of the humeral head. In some embodiments at least one suture anchor and suture can secure the bone barrier to the bone bed.

An inserter including a hollow elongated shaft extending along a central longitudinal axis and having a proximal end and a distal end with a lumen extending therethrough; a sharp point at the distal end of the hollow elongated shaft, the sharp point disposed eccentric to the longitudinal axis of the hollow elongated shaft; a handle at the proximal end of the hollow elongated shaft; and a drive shaft movably disposed within the lumen of the hollow elongated shaft.

An adjustable, knotless button/loop construct for fixation of ankle syndesmosis tibio-fibular diastasis and an associated method of ankle repair using the same. The knotless construct comprises a pair of buttons attached to a flexible, continuous, self-cinching, adjustable loop integrated with two splices that are interconnected. The knotless construct is passed through fibular and tibia tunnels and the buttons are secured on the cortical surfaces of tibia and fibula. One of the buttons (for example, an oblong button) is secured on the medial side of the tibia by passing the button and the flexible, adjustable loop though the fibular and tibia tunnels and then flipping and seating the button outside the tibia. The length of the flexible adjustable loop is adjusted so that the second button (for example, a round button) is appropriately secured on the lateral fibula.

Suture anchors and associated methods are disclosed having suture securing features able to lock suture ends extending from a body tissue, such as from a bone tunnel.

A suture anchor retaining a suture is fixated in hard tissue, in particular in bone tissue, using any per se known method and is then secured using a securing element including a material having thermoplastic properties, which is liquefied in situ and made to penetrate the hard tissue in which the suture anchor is fixated. The securing element is e.g. a thermoplastic plug or thermoplastic sleeve which is anchored above the suture anchor in a mouth area of the same hard tissue opening. Alternatively the securing element is a thermoplastic pin which is introduced into an inner cavity of the suture anchor, wherein the material having thermoplastic properties is liquefied in this cavity and, in a liquid state is pressed through passages connecting the cavity with outer surfaces of the anchor.

A system for treating valvular regurgitation in a heart valve includes a flexible canopy and an elongated tether including an elastic portion and an inelastic portion. When the system is in a deployed configuration, a proximal end of the flexible canopy is coupled to an annulus of the heart valve and a distal end of the elongated tether is coupled to a ventricle. The flexible canopy is configured to overlay a first native leaflet of the heart valve, and tension on the elongated tether is applied and/or adjusted to prevent the first leaflet from prolapsing, to maximize coaptation of the flexible canopy with a second native leaflet of the heart valve, and to minimize regurgitation of the heart valve.

The present invention relates to a laparoscopic stapler for suturing body tissue cut during laparoscopic surgery, and more particularly, to a laparoscopic stapler in which implant binding pins to be continuously fired can be correctly positioned using an implant alignment unit for aligning an implant assembly, and an implant assembly pressing member. Therefore, malfunctioning is prevented, and implant loading, transport, and discharge can proceed smoothly.

Embodiments of knotless button-suture assemblies for orthopedic stabilization are disclosed. The button-suture assembly includes a button having a first opening, a second opening and a center opening. The assembly further includes a tensioning member having two tensioning member ends exiting from the first opening and the second opening of the button and disposed in the proximal direction. The assembly further includes a locking pin mated with the button through the center opening of the button in such a manner that allows a proximal movement of the tensioning member when a pulling force is applied to the tensioning member ends towards a proximal direction and prevents a distal move-ment of the tensioning member when the pulling force applied to the loose ends of the tensioning member ceases to exist.

A fistula treatment system comprises a guide such as a guide coil 1101 which is adapted to extend partially around a tissue tract and an implant element 1102. The implant element 1102 is activated to draw tissue surrounding the tract inwardly.