Suture based clamping device

A suture-button system comprising:

• (a) a plurality of sub-systems, each sub-system comprising:
• (i) a suture strand;
• (ii) a primary button having a primary aperture configured to receive the suture strand therethrough;
• (iii) a secondary button having a secondary aperture configured to receive the suture strand therethrough, such that the suture-button system is configured to clamp at least one targeted tissue of a subject between a distal surface of the primary button and a proximal surface of the secondary button upon applying a tension to the suture strand;
• and
• (iv) a lock, wherein the lock is configured to be removably coupled to the primary button, wherein coupling the lock to the primary button secures the at least one targeted tissue clamped between the primary button and the secondary button, the lock further comprising a driver feature, an alignment feature, or both;
• (b) an insertion plate comprising a plurality of insertion plate apertures, wherein each insertion plate aperture is configured to receive i) the primary button of a sub-system of the plurality of sub-systems, or ii) the secondary button of a sub-system of the plurality of sub-systems;
• (c) an insertion screw configured to be removably coupled to a screw hole disposed through the insertion plate;
• and
• (d) a tensioning system having a tensioning feature configured to i) rotate the driver feature or couple to the alignment feature, ii) apply tension to the suture strand, or both
• wherein the tensioning system comprises
• (a) a handle rod having the tensioning feature at a distal portion thereof, the tensioning feature configured to rotate the driver feature of the lock;
• (b) a threaded rod configured to be coupled to a threaded feature within a channel of the handle rod;
• (c) a knob coupled to a proximal end of the threaded rod, the knob located proximal to the handle rod;
• and
• (d) a spinner disposed between the knob and the handle rod, wherein the spinner comprises i) an aperture accepting the threaded rod, and ii) a terminator channel configured to accept an end of the suture strand.