Adjustable fixation device

An adjustable fixation system, comprising:

• an adjustable fixation device, the adjustable fixation device comprising a cleat comprising first and second cleat openings and a connector seat between the openings, and a flexible connector having first and second cleat loops through the first and second openings of the cleat and a tensioning end portion, the connector comprising an intra-connector sliding loop engagement portion and a connector-device sliding loop engagement portion, the tensioning end portion of the flexible connector further comprising an axial sliding connector-connector engagement portion and a transverse sliding connector-connector engagement portion transversely engaging the first and second cleat loops and extending between portions of the cleat loops and the connector seat;
• and, an implantable medical device slidably connected to the adjustable fixation device at the connector-device sliding loop engagement portion.

An adjustable fixation device comprising:

• a cleat, said cleat including a body member, said body member having an upper surface and a lower surface, said upper surface being disposed in substantially parallel spaced relation to said lower surface, said cleat having disposed therethrough between said upper and lower surfaces a first symmetric hole and a second tapered hole;
• and
• a suture portion, wherein a first region of said suture portion is disposed within said first symmetric hole and a second region of said suture portion is disposed within said tapered hole, said suture being configured to include an adjustable splice.

An adjustable fixation device comprises a cleat portion and a suture portion, said suture portion including a suture tail, said suture tail being configured, when placed in tension, to tighten a loop of said suture portion so as to convey a mechanical advantage from said tail portion to said loop.