A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. A collapsible tube is positioned about the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel and the collapse of the tube to form an anchor.

An apparatus for implantation at an annulus (75) of an intracardiac valve includes an annuloplasty ring (110) comprising a plurality of rotatably adjoining segments (112). The ring is configured to pass over multiple threads (58), respective distal ends of which are distributed over the annulus, and, while passing over the threads, expand from a collapsed state to an expanded state by virtue of the segments rotating with respect to each other. The apparatus further comprises a lock (114), configured to lock the ring in the expanded state at the valve by inhibiting rotation of the segments with respect to each another. Other embodiments are also described.

Body lumen occlusion apparatus and methods are described.

An apical pad for securing a prosthetic heart valve within a native valve annulus. The apical pad includes a first collar, a second collar and plurality of struts extending between the first collar and the second collar. The plurality of struts has a delivery condition in which the plurality of struts collectively form a first cross-section and a deployed condition in which the plurality of struts collectively form a second cross-section greater than the first cross-section. The apical pad may be coupled to a tether extending from a prosthetic heart valve and may transition from the delivery condition to the deployed condition by tensioning the tether.

A prosthetic heart valve may include a valve portion, a tether connected to the valve portion, and an anchor for connecting the tether to the wall of the heart. The prosthetic heart valve system includes a collapsible and expandable stent, a plurality of prosthetic leaflets coupled to the stent, a collapsible anchor, and a tether configured to couple the stent to the anchor, wherein the collapsible anchor includes a flexible frame body defining a plurality of collapsible cells, each cell having at least one side shared with a neighboring cell, a center adjoining point defined by the cells formed in the flexible frame body, the center adjoining point configured to receive the tether, and a first tip end and a second tip end defining a major axis of the flexible frame body, the major axis passing through the center adjoining point.

Meniscal repair devices, systems, and methods are provided.

A tether system for securing a prosthetic heart valve within a patient, the tether system comprising a tether defining a longitudinal axis, and a deformable element coupled to the tether, the deformable element having a first deformed shape in a first condition of the deformable element, and having a second substantially straight shape in a second condition of the deformable element so that, when the deformable element is in the second condition, the deformable element extends in a direction along the longitudinal axis.

The present invention discloses a ring contraction device and a mounting method thereof, and relates to the field of medical instruments. The ring contraction device includes a plugging piece, a hemostatic disc, a puncture tube and a push rod. One end of the push rod penetrates through an inner cavity of the puncture tube and extends to the outside of the inner cavity of the puncture tube. The push rod is configured to push out the plugging piece in the puncture tube to be propped open. The hemostatic disc is further arranged at a pull wire to be connected to the plugging piece. A distance between the plugging piece and the hemostatic disc can be effectively adjusted through the pull wire, so as to achieve a ring contraction effect. The ring contraction device has a reasonable structure.

An intervertebral disc repair system comprises an implant and a delivery tool configured to deploy the implant at least partially in a vertebral body of a patient. The implant includes an anchor member and an adjustable suture assembly coupled thereto. The delivery tool includes a proximal handle, an outer tubular member extending distally from the handle, a needle cannula slidably received within the outer tubular member having a sharpened tip for penetrating tissue (e.g., the vertebral body), an inner pusher member slidably received within the needle cannula, and an actuating mechanism coupled to the handle for selectively retracting the needle cannula relative to the outer tubular member and the inner pusher member. At least the anchor member of the implant is releasably received within the needle cannula.

Embodiments of the invention are related to an apparatus for suturing a tissue. The apparatus includes an outer tube, a thread threaded in the outer tube and at least one anchoring element located inside the outer tube and configured to be inserted into the tissue from an outlet end of the outer tube. The outer tube is configured to freely accommodate the thread and the at least one anchoring element, and the anchoring element includes a body adapted to be threaded on the thread and having at least locking element for locking the thread to the anchoring element.