Described are devices, implants, kits, and related methods for treating pelvic conditions such as urinary in incontinence, in a male or a female patient. The invention includes, in one embodiment, a multi-piece implant, including a tissue support piece, extension portion, and one or more self-fixating tips. The device may be employed through a medial incision in the pelvic region of the patient.

A surgical fastener comprising a generally flat, circular body and a generally cylindrical post fixedly coupled to a center of the body extending perpendicular to the body. Both of the body and the post include through holes configured for passage of a suture. A length of the post is selected to extend through both of a bone graft and at least a portion of bone for providing shear and/or anti-rotational support to the surgical fastener across a fracture line in the bone.

Medical devices, systems, and methods reduce the distance between two points in tissue, often for treatment of congestive heart failure and often in a minimally invasive manner. An anchor is inserted along an insertion path through a first wall of the heart. An arm of the anchor is deployed and rotationally positioned according to a desired alignment. Application of tension to the anchor may draw the first and second walls of the heart into contact along a desired contour so as to effect a desired change in the geometry of the heart. Additional anchors may be inserted and aligned with the first anchor to close off a portion of a ventricle such that the ventricle is geometrically remodeled and disease progression is reversed, halted, and/or slowed.

A suturing device, in particular for suturing lacerations of the meniscus, comprises an elongated body provided with a longitudinal cavity extending along a main direction, at least a first and a second implant slidably inserted in the cavity and arranged in sequence along the main direction and a surgical thread slidably inserted in the cavity and connected to the first and second implant. Such first and second implant comprise, respectively, a first and a second wedge-shaped element arranged in sequence and extending from an enlarged portion to a tapered portion along the main direction.

A mitral valve leaflet repair system may include a delivery catheter having at least one lumen extending proximally from a distal end of the delivery catheter, a plurality of anchor elements disposed within the at least one lumen, each of the plurality of anchor elements being configured to extend through one layer of mitral valve leaflet tissue, and a securing element configured to secure at least two of the plurality of anchor elements together on one side of the mitral valve leaflet tissue. The at least one lumen may include a suction lumen configured to grasp a mitral valve leaflet prior to extending the plurality of anchor elements through one layer of mitral valve leaflet tissue.

A tendon reinforcement assembly includes a rivet having a female portion having a female free end, a female connecting end, and a female portion axial passage extending therethrough. A male portion has a male free end, a male connecting end adapted to be inserted into the female free end, and a male portion axial passage extending therethrough. The male portion axial passage extends coaxially with the female portion axial passage. A suture extends through the male portion axial passage and the female portion axial passage. The suture has a first suture end extending outwardly of the male free end and a second suture end extending outwardly of the female free end.

Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue capture anchor is described that includes an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and spreader and inside surfaces of a bone hole to secure the tissue within the hole. A bone anchor is described that includes an anchor body with expandable tines and a spreader that expands the tines into bone. The spreader captures tissue via a suture loop at the distal end of the bone anchor. Also described is an inserter that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that allow the use of bone anchors to secure tissue to bone.

An endoscopic gastric apparatus including an applier having a distal end and a proximal end. The applier further includes two gastric wall engagement elements opposing one another and in cooperative arrangement for engaging an anterior gastric wall and a posterior gastric wall into abutment and deploying a plurality of tissue fasteners, simultaneously or sequentially. and adapted for applying the tissue fasteners to fix the anterior and posterior gastric walls together for the creation of a septum within a stomach. The septum allows for fluid communication between cavities through a pathway defined by the septum adjacent the antrum.

A bone suture assembly including a flexible sleeve, at least one lockable suture associated with the flexible sleeve and having a series of mutually spaced suture engagement elements extending along at least a portion thereof and at least one suture locking element defining a loop which can be lockably tightened in locking engagement with a corresponding one of the at least one lockable suture by application of tension to the at least one suture locking element, without requiring knotting thereof.

A device having a plurality of anchors configured to be driven into a tissue, and a closure element extending between the anchors and configured to urge the anchors toward each other, closing a wound and complying with motion of the tissue.