Abstract: An implant system includes an implant having a body having a proximal end, a distal end, a central cavity disposed between the proximal and distal end, and a proximal end opening disposed proximal to the central cavity. A toggle is at least partially housed within the central cavity and connected to the body by a toggle hinge connection, the toggle having a toggle lumen extending therethrough. An inserter includes an inserter lumen, and an actuator having a distal actuator tip configured to advance into the proximal end opening. An implant system, kit, method for placing an implant device, devices and systems using a pivot suture, suture loading device and related surgical procedures are also disclosed.

Abstract: The present invention provides knotless suture anchor systems and devices for attaching soft tissue to bone. The systems and devices include suture anchors configured to engage and fasten sutures using set screws such that the locked sutures are free from frictional engagement with bone, screw threading, or internal walls of the anchors and set screws. Fastened sutures may also be re-tensioned by loosening a set screw to unfasten the sutures, adjusting the positioning of the sutures, and tightening the set screw to refasten the sutures. In some embodiments, the systems and devices enable the insertion of a suture anchor without preloading sutures, such that one or more sutures may be fastened to the suture anchor after implanting the suture anchor into a subject.

Abstract: The present invention provides fastener anchoring devices with protruding fasteners releasably attached to graspers for insertion into a target site such as soft tissue. The devices include a retaining mechanism that can be actuated to release the fasteners from the grasper. The devices can include support material preloaded onto the fasteners.

Abstract: A suture anchor is described. The suture anchor includes an elongate anchor body having a proximal end and a distal end, at least one suture secured within the anchor body, and at least one piercing structure secured within the body extending proximally out of the proximal end of the body, wherein the at least one piercing structure is engaged with the at least one suture. A method of attaching soft tissue to bone in a subject is also described. The method includes the steps of securing an anchor device into a bore formed in the bone, the anchor device comprising an anchor body and at least one pre-loaded piercing structure with at least one suture attached to both the anchor body and the piercing structure, piercing a soft tissue by forcing the at least one piercing structure through the soft tissue, such that at least a portion of the at least one suture passes through the soft tissue, and tying the at least one suture against the soft tissue to secure the soft tissue to the bone.

Abstract: A suture anchor is described. The suture anchor includes an elongate anchor body having a proximal end and a distal end, at least one suture secured within the anchor body, and at least one piercing structure secured within the body extending proximally out of the proximal end of the body, wherein the at least one piercing structure is engaged with the at least one suture. A method of attaching soft tissue to bone in a subject is also described. The method includes the steps of securing an anchor device into a bore formed in the bone, the anchor device comprising an anchor body and at least one pre-loaded piercing structure with at least one suture attached to both the anchor body and the piercing structure, piercing a soft tissue by forcing the at least one piercing structure through the soft tissue, such that at least a portion of the at least one suture passes through the soft tissue, and tying the at least one suture against the soft tissue to secure the soft tissue to the bone.