This present invention provides a surgical rivet, a rivet deployment
actuator, a rivet cutting instrument and a method for securing a
prosthetic valve to the heart which has the potential to substantially
decrease the ischemic time required for valve implantation and allow
larger prostheses to be inserted in small annuli. The surgical rivet is
comprised of two flexible preformed elements capable of assuming a
preconfigured shape once it is delivered and secured with the deployment
actuator. The deployment actuator is a reusable instrument that lowers
the prosthesis to the annulus, secures the prosthesis with an "O" ring
and cuts and deploys the flexible elements so that they rest on the
sewing ring of the prosthetic valve. The present invention eliminates the
tedious and time-consuming tasks of tying sutures which may be
particularly difficult in small annuli. It also automatically cuts the
sutures to the appropriate length. The use of single rivets allows for
expansion to the annulus and insertion of one full size larger (2 mm)
prosthesis than what is possible using the classical horizontal pledget
mattress technique. This feature is of particular importance in small
annuli where prosthesis/patient mismatch can lead to suboptimal long term
results. .sup.1