Abstract: Systems and methods for fastening tissue include a hollow element and an elongate insertion element. The insertion element has a delivery device including a cone, suture, and needle at a delivery end, and an anchor at an opposite end. The hollow element includes an engagement structure in its interior surface that permits movement of the insertion element through the hollow element in a first direction, and prevents movement of the insertion element through the hollow element in a second direction opposite the first direction. The engagement structure may include a braid or mesh that operates on a finger-trap principle. The hollow element may include an elongate element with a cone, suture, and needle at a delivery end, and an anchor at an opposite end. Alternatively, the hollow element may include a button that incorporates the braid or mesh.

Abstract: A device including a self-locking suture including both a braided section and a monofilament section is provided. The monofilament includes a single strand. The braided section includes three or more strands that are intertwined or woven together. The terminal end of the braid is compressible to take on a radially expanded configuration. The braided structure is temporarily fixable in the open configuration providing a wide berth opening. A needle at the terminal end of the monofilament is insertable through the wide berth opening and pushed out through the back wall of the expanded braid, after which the braid can be pulled on to collapse it down onto the barbed monofilament. The construct may then be tightened onto the tissues to be joined, and the one-way locking mechanism between the braided trap and the directionally biased suture automatically engages. Another aspect includes a method of fastening tissue using the device.

Abstract: Self-locking knotless sutures and associated methods are disclosed. A system for securing tissue includes a monofilament and a braid having a fixed end and a capture end. A first end of the monofilament is connected to the fixed end of the braid. A second end of the monofilament opposite the first end is a free end. The capture end of the braid has a first opening and a second opening. The monofilament and braid are structured and arranged for the free end of the monofilament to be inserted into the first opening, passed through a tunnel formed by the braid, and passed out of the second opening, all while moving in a first direction. After insertion of the monofilament into the braid, the braid prevents movement of the monofilament in a second direction opposite the first direction to prevent the monofilament from being pulled out of the braid.

Abstract: A device including a self-locking suture including both a braided section and a monofilament section is provided. The monofilament includes a single strand. The braided section includes three or more strands that are intertwined or woven together. The terminal end of the braid is compressible to take on a radially expanded configuration. The braided structure is temporarily fixable in the open configuration providing a wide berth opening. A needle at the terminal end of the monofilament is insertable through the wide berth opening and pushed out through the back wall of the expanded braid, after which the braid can be pulled on to collapse it down onto the barbed monofilament. The construct may then be tightened onto the tissues to be joined, and the one-way locking mechanism between the braided trap and the directionally biased suture automatically engages. Another aspect includes a method of fastening tissue using the device.

Abstract: Self-locking knotless sutures and associated methods are disclosed. A system for securing tissue includes a monofilament and a braid having a fixed end and a capture end. A first end of the monofilament is connected to the fixed end of the braid. A second end of the monofilament opposite the first end is a free end. The capture end of the braid has a first opening and a second opening. The monofilament and braid are structured and arranged for the free end of the monofilament to be inserted into the first opening, passed through a tunnel formed by the braid, and passed out of the second opening, all while moving in a first direction. After insertion of the monofilament into the braid, the braid prevents movement of the monofilament in a second direction opposite the first direction to prevent the monofilament from being pulled out of the braid.

Abstract: Disclosed are medical devices and methods for tendon, ligament, and soft tissue repair. A method includes introducing a first segment having a delivery assembly into a first soft tissue, and removing the delivery assembly to expose an opening of a hollow body of the first segment. The method also includes introducing a second segment having a second delivery assembly and a second body into a second soft tissue, guiding the second delivery assembly through the opening, and advancing the second body into the hollow body, thereby joining the first soft tissue and the second soft tissue.

Abstract: Disclosed are medical devices and methods for tendon, ligament, and soft tissue repair. A method includes introducing a first segment having a delivery assembly into a first soft tissue, and removing the delivery assembly to expose an opening of a hollow body of the first segment. The method also includes introducing a second segment having a second delivery assembly and a second body into a second soft tissue, guiding the second delivery assembly through the opening, and advancing the second body into the hollow body, thereby joining the first soft tissue and the second soft tissue.

Abstract: Disclosed are medical devices and methods for tendon, ligament, and soft tissue repair. A method includes introducing a first segment having a delivery assembly into a first soft tissue, and removing the delivery assembly to expose an opening of a hollow body of the first segment. The method also includes introducing a second segment having a second delivery assembly and a second body into a second soft tissue, guiding the second delivery assembly through the opening, and advancing the second body into the hollow body, thereby joining the first soft tissue and the second soft tissue.