An implant delivery system including a fixation member delivery system including an elongate shaft, first and second rails, a plurality of fixation members with each fixation member slidably disposed on the first and second rails and an actuation assembly. The actuation assembly includes a first elongate member including a first plurality of engagement members disposed along the first elongate member with a distal end region of each engagement member in engagement with one of the fixation members, a second elongate member including a second plurality of engagement members disposed along the second elongate member with a distal end region of each engagement member in engagement with one of the fixation members. Additionally, cyclical actuation of the actuation assembly is configured to incrementally move the fixation members distally along the first and second rails to deploy each of the plurality of fixation members in sequence.

A fibrous tissue repair device includes first and second tubular anchors having corresponding longitudinal passages. The tissue repair device includes corresponding first and second inserters. Each inserter has a shaft with a distal portion received in the longitudinal passage of the corresponding tubular anchor. A flexible strand couples the first and second anchors.

A soft tissue repair device. The device includes an inserter having a distal portion, a first anchor carried externally onto the distal portion, a second anchor carried externally onto the distal portion, and a flexible strand coupling the first and second anchors and forming an adjustable knotless loop.

The invention is a staple comprising a bridge member having a top surface and an opposing bottom surface defining a thickness between and two lateral edges defining a width therebetween and either the thickness or the width includes a center flared area, such as a “diamond-like” shape meaning that it has a v-shape on opposing lateral edges flanked by opposing fillets to form an inserter mount area and the staple has a pair of legs spaced apart along the axis and each joined at a rounded flared shoulder to the bridge member. In a four-legged version the bridge has a waist.

Systems and methods for deploying a prosthesis in a tissue region in a hollow body organ or blood vessel provide a first prosthesis and a second prosthesis, each having a prosthetic material and a scaffold that supports the prosthetic material. The first prosthesis has a proximal neck region, and the second prosthesis has an end region. The end region is sized and configured to telescopically fit with the proximal neck region to form a composite prosthesis. The systems and methods manipulate a fastener attachment assembly to implant at least one fastener to secure the composite prosthesis in the tissue region.

A tendon repair apparatus includes a tendon bridge having oppositely disposed proximal and distal bridge ends spaced longitudinally apart by a bridge body. A plurality of engagement legs is provided. Each engagement leg has a proximal leg end attached directly to a corresponding one of the proximal and distal bridge ends and a distal leg end spaced transversely apart from the tendon bridge. At least one receiver plate, transversely spaced from the tendon bridge and extending substantially longitudinally and laterally parallel to the tendon bridge, is provided. The receiver plate includes a plurality of receiver apertures. Each receiver aperture corresponds to a selected engagement leg. Each receiver aperture is configured to selectively engage with a corresponding selected engagement leg. Engagement between the receiver aperture and the engagement leg maintains the receiver plate in transversely spaced indirect connection with the tendon bridge.

The present invention is directed to devices for inserting bone staples into segments of bone. More specifically, embodiments of the present invention are adapted for accurately, selectively and simply providing for decompression of compression staples through application of a decompression force thereon, for placement of the legs of the decompressed compression staple in provided leg holes in adjacent bone segments while the compression staple remain decompressed, and for selective removal of the decompression force. In this respect, a staple inserter configured in accordance with an embodiment of the present invention is beneficial and useful in surgical procedure requiring bone tissue to join or rejoin with adjacent bone segments.

The invention is a staple comprising a bridge member having a top surface and an opposing bottom surface defining a thickness between and two lateral edges defining a width therebetween and either the thickness or the width includes a center flared area, such as a “diamond-like” shape meaning that it has a v-shape on opposing lateral edges flanked by opposing fillets to form an inserter mount area and the staple has a pair of legs spaced apart along the axis and each joined at a rounded flared shoulder to the bridge member. In a four-legged version the bridge has a waist.

Devices, systems and methods for passing a suture. In general, described herein are suturing devices, such as suture passers, as well as methods of suturing tissue. These suture passing devices may include dual deployment suture passers in which a first distal jaw member is moveable at an angle with respect to the longitudinal axis of the elongate body of the device and the second distal jaw member is retractable proximally to the distal end region of the elongate body and/or the first jaw member. Also described herein are suture passers in which the tissue penetrator passing the suture travels in an approximately sigmoidal pathway, with the distal end of the tissue penetrator extending distally from one jaw of the device.

A soft tissue repair assembly. The assembly includes a flexible member having first and second ends, and a strand passing through the flexible member. The strand has first and second strand ends extending through the flexible member, such that pulling at least one of the first and second strand ends changes the flexible member from a first shape suitable for insertion through soft tissue to a second shape suitable for securely lodging the soft tissue repair assembly relative to soft tissue.