A suture securing assembly comprises a two-bodied anchor and an associated delivery system which enhances fixation of a micro anchor in a bone hole or tunnel, as well as improving suture lock within bone. Initially, the two bodies are separated by a length of an inner shaft of the delivery system. The proximal body is fixed on the inner shaft of the delivery system and cannot move relative to the handle until after insertion into the bone, when the delivery system is disengaged from the anchor. The distal body further includes expansion wings and/or other features for increasing suture lock within the bone hole.

A mitral cerclage annuloplasty apparatus comprises a tissue protective device and a knot delivery device. The tissue protective device comprises a first protective tube and a second protective tube. The knot delivery device comprises a tube wherein a loose knot is looped around its distal end through a hole and wherein tight knot is formed when the distal end of the tube is cut open. Alternatively, the knot delivery device comprises an inner tube and outer tube. The inner tube is insertable and rotatable inside the outer tube. When the tubes are in a closed position by rotating either the outer tube or the inner tube, a hole is created near its distal end. When the tubes are in open position by rotating either the outer tube or the inner tube, the hole joins the opening of the outer tube and lengthens.

The invention describes an artificial knee joint, which includes a femoral condyle prosthesis and a tibial plateau prosthesis, and said tibial plateau prosthesis includes a medial tibial plateau prosthesis and a lateral tibial plateau prosthesis respectively disposed at both sides of the tibial plateau intercondylar eminence. The artificial knee joint further includes a locating pin for fixing the tibial plateau prosthesis. The bottom surface of said tibial plateau prosthesis is provided with a prosthetic notch, and the tibia below said tibial plateau prosthesis is provided with a tibial notch. Said prosthetic notch corresponds to said tibial notch, together forming a limiting hole for accommodating the locating pin. The cooperation between the locating pin and the limiting hole can ensure relative position stability and balance between the medial tibial plateau prosthesis and the lateral tibial plateau prosthesis.

A semi-condylar artificial knee joint includes a femoral prosthesis and a tibial prosthesis, and the cross-section of said tibial prosthesis is of a kidney-like type. The tibial prosthesis is disposed at one side of the tibial plateau intercondylar eminence and is located below the femoral prosthesis. The artificial knee joint further includes a locating pin for fixing the tibial prosthesis. The bottom surface of said tibial prosthesis is provided with a prosthetic notch, and below said tibial prosthesis is provided with a tibial notch. Said prosthetic notch corresponds to said tibial notch, and together forming a limiting hole for accommodating the locating pin. The cooperation between the locating pin and the limiting hole can ensure relative position stability and balance between the tibial prosthesis and the tibial plateau intercondylar eminence.

A method of repairing a heart valve provides intravascular access for repair of a heart valve through a ventricular trans-septal approach. An external guide catheter can be inserted through a vein of a patient into the right ventricle via the right atrium. An internal guide catheter can be inserted through the external guide and can provide access to the septum for a puncture tool to create an opening through the septum to the left ventricle. The internal guide can then be advanced into the left ventricle and used to guide a deployment catheter that deploys a repair device onto the heart valve.

Embodiments of the present invention are directed to microscale and millimeter scale tissue scaffolding structures that may be static or expandable and which may be formed of biocompatible metals or other materials that may be coated to become biocompatible. Scaffold structures may include features for holding desired biological or physiological materials to enhance selected tissue growth. Scaffolding devices may be formed by multi-layer, multi-material electrochemical fabrication methods.

A hybrid prosthetic heart valve configured to replace a native heart valve and having a support frame configured to be expanded post implant in order to receive and/or support an expandable prosthetic heart valve therein (a valve-in-valve procedure). The prosthetic heart valve may be configured to have a generally rigid and/or expansion-resistant configuration when initially implanted to replace a native valve (or other prosthetic heart valve), but to assume a generally expanded form when subjected to an outward force such as that provided by a dilation balloon or other mechanical expander. An inflow stent frame is expandable for anchoring the valve in place, and may have an outflow end that is collapsible for delivery and expandable post-implant to facilitate a valve-in-valve procedure.

Vascular stent, in particular made of an in vivo degradable plastic material, having individual ring segments (2), the webs (4) of which are of meandering configuration, and comprising connecting webs (3) arranged between adjacent ring segments (2), said webs converging in connection points (7) with the webs (4) of the ring segments (2), with recesses (9a, 9b) being arranged at angles of the connection points (7) that are compressed when the vascular stent (1) is expanded, said recesses being open towards the edge and extending through the ring segment webs (4) and connecting webs (3), with a view to reducing stresses arising during the expansion of the vascular stent (1).

Systems and methods are provided for performing tensionable knotless surgical procedures. A suture locking device that includes a one-way locking mechanism may be utilized for tensioning and locking one or more strands of suture during the surgical procedure. The one-way locking mechanism may be established by one or more locking barbs of the suture locking device.

An adjustable fixation device includes a cleat portion and a suture portion, where the suture portion has a loop portion and a suture tail. Pulling on the suture tail places in tension a graft coupled to the loop portion. The suture is arranged to convey a mechanical advantage so that substantial force can be readily and controllably applied to the graft.