A repaired tendon includes a proximal tendon section having a free end, and a distal tendon section having a free end that opposes the free end of the proximal tendon section. Four bidirectional barbed sutures are implanted in the repaired tendon for approximating the free end of the proximal tendon section with the free end of the distal tendon section. Each of the four bidirectional barbed sutures includes a proximal section having proximal barbs that engage the proximal tendon section, a distal section having distal barbs that engage the distal tendon section, and a stop located between the proximal and distal barbs that engages the approximated free ends of the proximal and distal tendon sections. The bidirectional barbed sutures have first suture bites and second suture bites that are shorter than the first suture bites.

The present disclosure describes a medical construct. The medical construct includes a first layer comprising an array of collagen fibers, the first layer forming a core of the medical construct, and a second layer comprising a plurality of braided collagen fibers, wherein the second layer surrounds the core of the medical construct. In some embodiments, the medical construct may further include a third layer comprising a plurality of braided collagen fibers, wherein the third layer surrounds the second layer. Methods of manufacturing a medical construct also provided.

An exemplary surgical device includes a handle including a bore, and a trigger configured to advance or retract a needle through the bore of the handle. The trigger is configured to rotate about a pivot axis and is further configured to slide in distal and proximal directions. The device may be operated using one hand, and permits a user, such as a surgeon, to advance a needle through the device using intuitive, relatively easy thumb movements. While the device may be used in other techniques, it is particularly useful in meniscal repairs, including inside-out meniscal repairs.

Synthetic chord devices and methods for using the same for connecting tissues are provided. Aspects of the synthetic chord device include a flexible cord having an attachment element at both a first and a second end, wherein each attachment element includes a piercing member coupled to a securing member that attaches the flexible cord to a first tissue. At least a portion of the flexible cord can be configured to be secured to a second tissue. Aspects of the invention also include sets of the synthetic chord device with pre-measured flexible cords. The devices and methods of the invention find use in a variety of applications, such as in applications in which it is desired to repair a heart valve.

A sternal tie assembly having a pair of hook-shaped needles, a length of sternal tie extending from a proximal end of each of the needles, and a pair of posterior plugs, each of the posterior plugs being slidably mounted on the tie and tethered, via suture material, to the proximal end of a respective one of the needles. A method of use of the sternal tie assembly includes creation of a hole or channel in sternum, manubrium, rib, rib cartilage, intercostal muscle, or other tissue, drawing a portion of the tie and the suture material through the channel formed in the tissue by the needle, severing the needle from the tie and suture material, continuing to advance the suture material until a post of each of the posterior plugs is pulled into the respective channel in the tissue, or at least until a head of the plug is disposed against the channel in the tissue, then threading an anterior plug onto each exposed end of the sternal tie, securing the anterior plugs into respective anterior openings in the tissue, then crossing and twisting the sternal tie ends together until the tissue ends are closed together.

A tissue repair system for securing a first tissue to a second tissue is disclosed including an instrument with a handle, a shaft extending distally from the handle and a housing having a locked cover. A tissue anchor is disposed at a distal end of the shaft, and operatively coupled to an actuation member of the handle via a deployment member. The actuation member is configured to actuate the deployment member, deploy the tissue anchor and thereby couple the tissue anchor with the first tissue. The system also includes a repair member, for coupling the tissue anchor to the second tissue. Repair member has a first end operatively coupled to the tissue anchor and a second end attached to at least one coupling means. The repair member second end and coupling means are housed within the instrument housing. Actuation of the actuation member is configured to unlock the housing cover.

The present invention relates to a barbed suture capable of suturing a treated tissue without a knot. The barbed suture may include a suture body having a predetermined length, formed in a cylindrical shape, and having a needle formed at one end or at each of both ends to be inserted into a cartilage plate; and a plurality of barbs formed on an outer surface of the suture body along a longitudinal direction of the suture body, disposed symmetrically about a central portion of the suture body, protruding outwardly from the suture body, and inserted into the cartilage plate and a subcutaneous layer to fix the suture body to the cartilage plate and the subcutaneous layer.

Techniques are described for closure of a defect in material, such as closure of a laparoscopic surgical defect. A defect closure device can be inserted into the defect to capture first material adjacent to the defect. The device houses at least first and second suture pins coupled together by a suture. A first interaction with a trigger structure can force the first suture pin through the captured first material and into a containment sub-assembly. After rotating the device to capture second material adjacent to the defect, a second interaction with the trigger structure can force the second suture pin through the captured second material and into the containment sub-assembly. As such, the suture is passed through the first and second portions of the material, and the ends of the suture can be cinched, and cut to form a stitch.

An interlocking two-part sewing needle includes a first needle portion having a needle tip and a second needle portion configured to be inserted into the first needle portion for removably connecting the first needle portion and the second needle portion together. A needle receiver is formed in the first needle portion and is configured to receive the second needle portion when the second needle portion is inserted into the first needle portion. The needle receiver includes one or more non-resistance sections. Each non-resistance section is configured to exert only a friction force on the second needle portion when the second needle portion is inserted into the needle receiver. Additionally, the needle receiver includes one or more resistance sections. Each resistance section is configured to exert a compressive force on the second needle portion when the second needle portion is inserted into the needle receiver.

A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole.