A top locking rotatable suture anchor device secures one or more sutures with the suture anchor device, installed within a bone at a surgical treatment site, providing rotation of the suture while secured within the suture anchor device and providing adjustment to the tension of the suture during the surgical procedure, the suture anchor device including a delivery tool cooperating with the suture device to conduct the installation of the suture anchor device and tensioning of the suture within suture anchor device.

A lock and method for suspending suture(s) from bone and providing a secure fixation of the suture(s) within the lock including a generally cylindrical outer shell having a tapered interior cavity or canal and tapered inner wall and a distal end, a generally cylindrical plug having a tapered exterior peripheral surface sized and adapted to be insertable into the outer shell cavity and to form a tight, compression holding or fixation of the suture to the lock, and the plug having a radially extending shoulder or protrusion, whereby insertion of the inner plug into the shell causes, the shoulder or protrusion to expand or snap outwardly and over the distal end of the outer shell and to lock the plug to the outer shell, whereby the suture(s) are locked into place within and to the shell, thereby providing rigid fixation and compression of the suture material.

Driver apparatus and methods for adjusting suture tension while driving a suture anchor into a bone tunnel during connective tissue repair surgery, such as hip or shoulder repair. The driver apparatus includes a drive shaft, a driver tip at a distal end for engaging a suture anchor, and a driver handle at a proximal end that includes a manually actuatable suture brake associated or integrated with the handle. The driver apparatus can be used in a method for inserting a suture anchor into a bone tunnel while making adjustments to suture tension by selectively actuating or releasing the suture brake while the suture anchor is being driven into a bone tunnel. The driver apparatus can be adapted for use with single stage push anchors, two-stage push anchors, two-stage threaded anchors, and knotless suture anchors having internal locking means.

Disclosed herein is a catheter device (2) for implanting a leaflet anchor (10) and a papillary anchor (9) into the heart as part of a procedure for implanting an artificial chordae line (14) that extends between the leaflet anchor (10) and the papillary anchor (9), the catheter device (2) comprising: a two-part housing section extending from a distal end (8) of the catheter device (2) along the length of the catheter device (2) toward the proximal end (4) of the catheter device (2), the two-part housing section being arranged to be placed between the papillary muscle and a leaflet (12) of the heart during use of the catheter device (2), and the two-part housing section comprising a distal part (8) at the distal end of the catheter device (2) and a proximal part (4) located on the proximal side of the distal part (8); a leaflet anchor deployment mechanism at the proximal part (4) of the housing section for deploying a leaflet anchor (10) for attachment to the leaflet (12) of the heart; a papillary anchor deployment mechanism at the distal part (8) of the housing section for deployment of a papillary anchor (9) for attachment to the papillary muscle, wherein the papillary anchor deployment mechanism is arranged for deployment of the papillary anchor (9) by moving it outward in the distal direction relative to the distal part (4); and a flexible joint (34) located between the proximal part (4) and the distal part (8) of the two-part housing section, wherein the flexible joint (34) allows a centreline of the distal part (8) to be angled relative to a centreline of the proximal part (4).

A transcatheter atrio-ventricular valve prosthesis for functional replacement of an atrio-ventricular valve in a connection channel, having a circumferential connection channel wall structure, between atrial and ventricular chambers of a heart, including an inner device to be disposed in the interior of the connection channel, the inner device having a circumferential support structure which is radially expandable and having a valve attached to the circumferential support structure, and an outer device to be disposed on the exterior of the connection channel, wherein the outer device at least partly extends around the inner device at a radial distance to the inner device, wherein the inner and outer devices form a securing mechanism for securing the circumferential connection channel wall structure therebetween.

A method and suture anchor for treatment of spinal stenosis. The method includes the steps of cutting off a muscle origin or insertion from a spinous process, cutting off the spinous process at the transition to the lamina arcus vertebrae, at least partial resection of the lamina arcus vertebrae and thereby decompression of the spinal cord within the foramen vertebral, performing osteosynthesis of the spinous process, and placing a suture anchor within the spinous process and reattaching the muscle origin or insertion to the spinous process. Further methods for spine stabilization are provided wherein suture anchors are used to implement a tension band wiring. Further methods for reduction of unwanted effects after spinal treatment are provided.

Methods for the treatment of a ligament injury include the insertion of at least one suture anchor into a bone opening and anchoring the at least one suture anchor and thereafter threading two ends of a suture of at least one anchored suture anchor through the ligament and pulling the ligament to the bone with the opening and fixing the ligament to that bone by tying a knot in the suture.

The disclosure provides devices and methods of use pertaining to extra joint stabilization. Embodiments include a number of suture returning and locking anchors that feature both a suture return element and a suture locking feature that employs an interference fit between a flexible synthetic strand, a receiver of the anchor, and a set screw, where the receiver and the set screw each have a number of gradual, opposing tapers to facilitate gradual proximal-to-distal gripping and releasing of the flexible strand to achieve an optimal locking force while preventing severing of the flexible strand. Embodiments also include a counter-torque anchor driver configured to resist torsional forces generated during and translated to the anchor during set-screw insertion. Further embodiments include extra joint reinforcement, stabilization, and attachment constructs formed using the disclosed devices. Other embodiments are disclosed.

Disclosed herein is an anchor system for implantation in body tissue to hold a line (18). The anchor system comprises an anchor (9), the anchor (9) comprising a number of hooks (62) for engagement with the body tissue and having a folded configuration and an unfolded configuration. The anchor (9) is made of an elastic material such that it can be elastically deformed into the folded configuration by application of a constraining force, and will return to the unfolded configuration when no constraining force is applied. The end of each of the hooks (62) comprises a tip (160′), wherein the tips (160′) are formed to curve towards a central axis of the anchor (9) when the anchor (9) is in the folded configuration.

An anchor (9) for implantation in body tissue (26) to hold a line (14) comprises a number of hooks (62) for engagement with the body tissue (26) and having a folded position and an unfolded position, wherein the anchor (9) is made of an elastic material such that it can be elastically deformed into the folded position by application of a constraining force, and will return to the unfolded position when no constraining force is applied, and wherein the hooks (62) are formed with openings (64, 66) along their length, wherein the openings (64, 66) in the hooks (62) comprise slits extending along some or all of the length of the hooks (62).