System with reloadable handle for delivering an anchor

1. A system for deploying an anchor assembly having a distal anchor and a proximal anchor, comprising:

a replaceable cartridge including a proximal anchor delivery structure and a needle assembly, the needle assembly carrying the distal anchor; and

a handle configured to couple with the replaceable cartridge, wherein the handle includes:

(i) a reloading linkage connected to a reloading lever integrated into the handle (ii) a sliding trigger integrated into the handle and connected to a pinion which is meshed with a fixed rack integrated into the handle, (iii) a trigger sleeve configured to move in response to action of the sliding trigger.

2. The system of claim 1 , wherein the sliding trigger is operatively connectable to the needle assembly of the cartridge.

3. The system of claim 2 , wherein the pinion and the fixed rack are configured to provide a stroke multiplier to the sliding trigger.

4. The system of claim 1 , wherein the handle further comprises a needle spring and a suture spring, the needle spring and suture spring being arranged laterally side by side within the handle.

5. The system of claim 1 , wherein the needle assembly comprises a needle configured to be released by movement of the trigger sleeve.

6. The system of claim 1 , wherein the needle assembly comprises a needle configured to be retracted by movement of the trigger sleeve.

7. The system of claim 1 , wherein the cartridge further comprises a suture.

8. The system of claim 7 , wherein the suture is operatively connected to a suture spring and a suture sled within the handle.

9. The system of claim 8 , wherein the suture spring and the suture sled are configured to impart tension on the suture.

10. The system of claim 9 wherein imparting tension on the suture is controlled by the trigger sleeve.