A system and related methods for repairing a tissue defect having a locating or centering member configured to extend into the tissue defect and to locate one or more components of the system relative to the tissue defect. The locating member can define a non-circular outside shape.

A soft tissue augmentation implant for surgically reinforcing soft tissue, such as a rotator cuff tendon in the shoulder. The implant comprises one or more slots for passing a suture through the implant. In a two-slot design, the suture may pass through the slots in a buckle configuration. The suture secures the implant to the target soft tissue. The bottom side of the implant has a rough surface or has one or protrusions. This feature facilitates mechanical integration of the implant to the target soft tissue. Also disclosed are soft tissue augmentation assemblies, surgical kits, and methods for reinforcing soft tissue (such as rotator cuff repair).

A suture anchor for knotless fixation of tissue. The suture anchor includes an implant configured to hold a suture to be anchored in bone without requiring suture knots. The suture is secured in bone by inserting the implant holding the suture into a hole in the bone, and advancing a fixation device, such as a cannulated interference screw, over a shaft at the proximal end of the implant.

An anchoring system includes an anchor including an anchor body and a distal member located at a distal end of the anchor body, the distal member having a suture receiving aperture; and an implant delivery device, comprising: a cannulated outer shaft, the cannulated outer shaft configured to engage a proximal end of the anchor body for driving the anchor into a bore; and an inner shaft slidably received in the cannulated outer shaft, wherein a distal end of the inner shaft is extendable distally beyond a distal end section of the cannulated outer shaft such that, when the cannulated outer shaft is engaging the proximal end of the anchor body, the distal end of the inner shaft is extendable through the anchor body to a distance beyond the distal end of the anchor body to engage a suture located within the suture receiving aperture, wherein the anchoring system is configured such that the suture can be tensioned at a location within the bore distal from the anchor body before the anchor body is implanted within the bore.

A multiple-firing clip device comprises a shaft comprising an exterior surface, an interior receiving therein suture fixation clips, and a distal end opening shaped to eject a suture fixation clip therefrom. The shaft defines a lateral opening and a distal shaft portion between the lateral opening and the distal end opening. A shuttle moves on the shaft and comprises a shuttle body, a snare having a distal snare portion, and a snare extension slide movable from the shuttle body along a given extent defining a slide distance and a distal end. The shuttle extends at least the distal snare portion distally through the lateral opening from the environment into the interior, through the distal shaft portion, and through the distal end opening along a length that is at least equal to the slide distance when the snare extension slide moves to the distal end of the given extent.

An apparatus and methods are provided for a suture anchor to fixate sutures and tissue to bone. The suture anchor comprises an elongate member to be inserted into a bone hole. Barbs along the length of the elongate member engage with an inner wall of the bone hole. An eyelet in a distal aspect of the elongate member is configured to receive a suture. First and second channels extend helically along opposite sides of the elongate member. The eyelet includes first and second openings on opposite sides of the distal aspect. The first opening and the first channel enable applying tension to the suture after implantation into the bone hole. The second opening enables placing the suture into a final position along the barbs after implantation into the bone hole. A proximal aspect of the elongate member receives an instrument for implanting the suture anchor into the bone hole.

An all-suture anchor assembly includes an all-suture anchor composed of at least one suture strand and an all-suture anchoring element threaded along the suture strand. The all-suture anchor assembly also includes a capture member integrated with the all-suture anchor for controlled capture of various elements, the capture member includes an elongated body having a forward first end, a rear second end, a catch member, and a lateral aperture with a suture passing therethrough.

A multi-suture knotless anchor and related method for securing soft tissue, such as tendons, to bone are described. The suture anchor includes a body, a sleeve, and an outer deformable bone locking structure. The bone locking structure has a first low profile configuration for insertion into the bone, and a second larger profile configuration for engaging the bone when actuated. The bone anchor and methods permit a suture attachment that lies beneath the cortical bone surface and does not require tying of knots in the suture.

Some disclosed suture securement devices comprise a flat, thin, generally planar body that has one or more suture engagement slots extending into the body from a perimeter inlet for receiving sutures laterally into the device. The slots can be resiliently widened to receive a suture and then released to clamp onto the suture. Some embodiments include two or more such suture engagement slots that independently receive and secure different sutures. Some embodiments include one or more locking tabs that have a closed position that retains the slots against widening and blocks the inlet to the slot. In some embodiment two or more slots are position next to each other on the same side of the device, while in other embodiments slots are positioned on opposite sides of the device. Other types of suture securement devices are also disclosed.

A heart valve annulus repair device having a tissue engaging member and a plurality of anchors. The tissue engaging member includes a loop of wire. Each of the anchors has a pointy front end and a back end and a slot that runs in a front-to-back direction. The anchors are distributed about the loop of wire with the front ends of the plurality of anchors facing the heart valve annulus and with the loop of wire passing through the slots. The device further includes means for implanting the anchors into the heart valve annulus tissue so that the tissue engaging member becomes affixed to the heart valve annulus.