is performed similarly to the sinusoidal and coil methods previously discussed and may start from either the cuff 342 or the tissue 344 various configurations may be used to install the valve 340 in accordance with the knowledge of one of ordinary skill in the art such as only one suture for the full periphery of the valve or multiple sutures that each include a portion of the valve 39 s periphery and providing redundancy of sutures as appropriate the replacement heart valve may be a bioprosthetic valve or an artificial prosthetic mechanical valve in addition this method may be used on any foreign element that has a periphery and requires attachment to tissue for example a patch for closing a septal defect in the heart the method according to the present invention may also be used to secure devices to tissue both inside and outside of a body a central line device 360 as used for intravenous access is shown in fig4 and is attached to a person 39 s leg 362 examples of other devices that are required to be secured include catheters and monitors tumor monitors in particular are an example of an internal device that may benefit from the method of the present invention eyelets 364 a 364 b are provided on the device 360 and the.