Abstract: A device and method for achieving load-bearing living-tissue-to-living-tissue coupling comprises a myriad of fine fibers extending directly from within the substance of one tissue to within the substance of the other tissue. Fibers are similar in cross-sectional area to, or smaller than, host tissue cells. This enables fibers to provide a scaffolding into which proliferating cells of each tissue may grow to form a collagenous matrix enveloping individual fibers and transferring mechanical loads between each tissue's extracellular matrix and the fibers. Also taught are devices and methods (1) for delivering bundles of independent fibers into soft or hard tissue, (2) for transiently reducing tissue drag during insertion, (3) for temporarily stabilizing position during tissue ingrowth, and (4) for spatial distribution of fiber bending stress in the event of a hard tissue.

Abstract: An actuation system for assisting the operation of the natural heart includes an actuator element adapted to be positioned proximate a portion of a heart wall. The actuator element is operable for acting on the heart wall portion to effect a change in the shape of the heart. A shape-limiting element is configured for being positioned proximate a heart wall. The shape-limiting element is operable for flexing to assume a curvature no greater than a predetermined curvature when the heart wall is acted upon and maintaining that predetermined curvature to control the shape of the actuated heart.

Abstract: An actuation system for assisting the operation of the natural heart includes an actuator element adapted to be positioned proximate a portion of a heart wall. The actuator element is operable for acting on the heart wall portion to effect a change in the shape of the heart. A shape-limiting element is configured for being positioned proximate a heart wall. The shape-limiting element is operable for flexing to assume a curvature no greater than a predetermined curvature when the heart wall is acted upon and maintaining that predetermined curvature to control the shape of the actuated heart.

Abstract: A system for studying a beating explanted heart comprises a fluid inflow circuit configured for coupling to an explanted heart to direct fluid for flowing into a ventricle of the heart, and a fluid outflow circuit configured for coupling to an explanted heart to direct fluid flowing out of the ventricle of the beating heart. A flow meter coupled with the inflow circuit measures the inflow rate of fluid into the heart ventricle and a flow meter coupled with the outflow circuit measures the outflow rate of fluid out of the heart ventricle. A processing system converts the inflow and outflow rates into incremental volume changes in the volume of the heart ventricle and adds and subtracts the incremental volume changes from a relative volume of the heart ventricle to study volume changes in the explanted heart while it is beating.

Abstract: A system for studying a beating explanted heart comprises a fluid inflow circuit configured for coupling to an explanted heart to direct fluid for flowing into a ventricle of the heart, and a fluid outflow circuit configured for coupling to an explanted heart to direct fluid flowing out of the ventricle of the beating heart. A flow meter coupled with the inflow circuit measures the inflow rate of fluid into the heart ventricle and a flow meter coupled with the outflow circuit measures the outflow rate of fluid out of the heart ventricle. A processing system converts the inflow and outflow rates into incremental volume changes in the volume of the heart ventricle and adds and subtracts the incremental volume changes from a relative volume of the heart ventricle to study volume changes in the explanted heart while it is beating.