Apparatus and methods to reduce ventricular volume are disclosed. The device takes the form of a transventricular anchor, which presses a portion of the ventricular wall inward, thereby reducing the available volume of the ventricle. The anchor is deployed using a curved introducer that may be inserted into one ventricle, through the septum and into the opposite ventricle. Barbs or protrusions along the anchor body combined with a mechanical stop and a sealing member hold the device in place once deployed.

A method for providing support to a urethra in treating urinary incontinence includes passing first and second elongate members coupled to a urethral support through an incision in the vaginal wall, around sides of the urethra and behind a pubic bone. The method includes locating the urethral support under the urethra applying tension to one of the elongate members with a rotary force tensioner and adjusting tension of the urethral support.

A surgical device that is implantable to treat female urinary incontinence includes a support, a first suspending member connected to the support, a second suspending member connected to the support, a first anchor connected to the first suspending member, and a second anchor connected to the second suspending member. A distance measured along the second suspending member between the second anchor and the support is adjustable.

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity; and a headless insertion member configured for arrangement within the anchor cavity, the insertion member including a body having a threaded proximal portion, a non-threaded distal portion, and a cannulation extending a partial length of the insertion member. Other anchor assemblies, anchors, and delivery devices are also disclosed.

A method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman is disclosed. The method includes passing a support through an incision and locating the support under a urethra. The support is a porous mesh adapted to allow tissue in-growth. The method include adjusting the support by applying tension to one of a first member that is secured to a first end of the support or a second member that is secured to a second end of the support. The first member and the second member each has an end that exits the skin. The first and second members are adapted to prevent tissue in-growth into the first member and the second member.

An anchor arrangement is provided for surgical tissue repair, such as in particular for repair of a meniscus tear, having at least one first anchor and one second anchor, which are movable along a hollow needle for placement on a tissue to be repaired and connected to each other via a seam element. The first anchor and the second anchor each extend between a distal end and a proximal end and form a guide surface on the outside thereof for contacting an inside of a hollow needle at least in part. In addition, there are deflectors on the anchors, via which a torque can be applied at least in part to the anchors during or after setting. At least one of the anchors has at least two anchor sections, which are movable relative to each other and which can be pivoted relative to each other between a folded position, in which the guide surface spans a cross-section deviating from a circular profile, and an unfolded position.

An apparatus and method for affixing soft tissue to bone is provided. The apparatus comprises first and second arms including first and second jaws on distal ends. The second arm is mated to the first arm at a hinge located between the proximal ends of the first and second arms and distal ends of the first and second arms. To enter into an engaged position, the first and second arms pivot around the hinge such that the distal ends of the first and second arms close towards one another, and the proximal ends of the first and second arms move apart from one another. The engaged position causes the first jaw on the distal end of the first arm and the second jaw on the distal end of the second arm to compress and hold soft tissue.

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity; and a headless insertion member configured for arrangement within the anchor cavity, the insertion member including a body having a threaded proximal portion, a non-threaded distal portion, and a cannulation extending a partial length of the insertion member. Other anchor assemblies, anchors, and delivery devices are also disclosed.

A system for an anatomical joint includes a first fastener, a second fastener, a prosthetic ligament member, and a biasing member associated with at least one of the first and second fasteners. The first fastener is operable to be connected to a first bone portion. The second fastener is operable to be connected to a second bone portion. The prosthetic ligament member is flexible and is directly coupled to both the first and second fasteners to support the first bone portion and the second bone portion for relative movement. A portion of the prosthetic ligament member extends from the first fastener to the second fastener and has an adjustable length. The biasing member is operable to bias the prosthetic ligament member to thereby maintain tension in the prosthetic ligament member.

The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.