The Company’s first product is comprised of an adjustable annuloplasty ring that will be implanted during open surgery and sutured into position “on-pump.” Adjustments to the mitral annulus for reduction in MR will be made “off-pump” on a beating heart with an adjustment tool via the superior pulmonary veins (a familiar route of access for the surgeon) for confirmation of MR reduction under normal conditions. The “one-size only” annuloplasty ring eliminates the need for sizing at the time of implant and completely covers the mitral annulus. This initial product will allow the surgeon to suture the annuloplasty ring into place, adjust or customize the diameter of the annulus under normal physiologic conditions and confirm total reduction in MR prior to ending the procedure.