Abstract: A device can pierce and hold tissue and then pass suture through tissue. The device can have a shuttle that can removably attach to a suture and jaws that can be rotatably opened and closed with respect to each other. A method for using the device to repeatedly pass the suture through the tissue without removing the suture or device from the target site is also disclosed.

Abstract: Devices, systems and methods for passing a suture. In general, described herein are suturing devices, such as suture passers, as well as methods of suturing tissue. These suture passing devices may include dual deployment suture passers in which a first distal jaw member is moveable at an angle with respect to the longitudinal axis of the elongate body of the device and the second distal jaw member is retractable proximally to the distal end region of the elongate body and/or the first jaw member. Also described herein are suture passers in which the tissue penetrator passing the suture travels in an approximately sigmoidal pathway, with the distal end of the tissue penetrator extending distally from one jaw of the device.

Abstract: A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of 3.0 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extended out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient.

Abstract: A laparoscopic suturing device that allows the insertion and formation of intracorporeal knots in a safe and speedy manner during laparoscopic procedures. The laparoscopic suturing device includes an ergonomic handle and a long tubular shaft that contains a connecting rod inside. The proximal end of said connecting rod is attached to a deploying knob and its distal end is linked to a movable needle support that contains a suturing needle. The suturing device is inserted into the gas distended abdominal cavity with the needle in a straight position through a laparoscopic cannula and then by moving backwards said deploying knob the needle is deployed in a right angle allowing the insertion of a variety of sutures. The laparoscopic suturing device is provided with an encasement to keep a spool of suture material in place.

Abstract: An end effector assembly for use with a forceps includes a pair of jaw members, a knife assembly, and one or more cam assemblies. One or more of the jaw members are moveable relative to the other about a pivot between open and closed positions. One or more of the jaw members include a knife channel. The pivot includes first and second sections defining a passage therebetween. The knife assembly includes a knife blade and an actuation shaft. The knife blade is disposed distally relative to the pivot. The actuation shaft is configured for slidable translation through the passage to allow selective advancement of the knife blade through the knife channel. The one or more cam assemblies are operably coupled to the one or more moveable jaw members and are actuatable to move the one or more jaw members between the open and closed positions for grasping tissue therebetween.

Abstract: An electrosurgical instrument includes a housing including an elongated shaft. A stationary actuation member is axially disposed within the elongated shaft and includes a cam pin. An actuating mechanism is operably coupled to the elongated shaft and is moveable relative to the housing to selectively cause movement of the elongated shaft. An end effector includes a pair of opposing first and second jaw members operably coupled about a common pivot. One or both of the jaw members includes a camming slot configured to engage the cam pin. Each jaw member includes an electrically conductive tissue sealing surface adapted to connect to a source of electrosurgical energy. A knife blade is supported in the elongated shaft and moveable in a longitudinal direction to cut tissue disposed between the jaw members. A switch is configured to be engaged by the actuating mechanism to initiate delivery of electrosurgical energy to tissue.

Abstract: A device for suturing an incision in an artery has a handle, a supply of suture stored on spindle housed in the handle, a tube extending from the handle having a lumen through which suture extends, and a curved needle at a distal end of the handle, the curved needle having an opening through which a free end of the suture extends. A method for suturing an incision in an artery includes creating sequential openings in first and second flaps of the incision, with loops of suture extending through openings in one flap, with a free end of suture extending through the second flap being pulled through the loops and secured to another free end of suture extending through the first flap, to close the incision.

Abstract: Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue.

Abstract: A suture drill apparatus and method includes a drill shaft with a first end and a second end where the drill shaft is conformed to connect with a drill and where the drill shaft includes a first diameter and a second diameter and the first diameter is larger than the second diameter and a suture is connected with the drill shaft.

Abstract: A surgical instrument includes a shaft defining a proximal end, a distal end, an interior surface, and an exterior surface. The shaft includes a pair of channels defined in the interior surface thereof towards the distal end of the shaft. A drive member is movably disposed within the shaft. An end effector assembly is pivotably coupled to the shaft towards the distal end of the shaft. A cam pin operably couples the end effector assembly and the drive member such that movement of the drive member relative to the shaft manipulates the end effector assembly. Ends of the cam pin extend outwardly from the end effector assembly and are received within the channels of the shaft to guide movement of the cam pin relative to the shaft in response to movement of the drive member relative to the shaft.

Abstract: A packaging for a surgical needle comprises a cartridge. The cartridge comprises a surgical needle and a needle driver configured to engage and move the needle relative to the cartridge. The packaging further comprises a spool comprising a helical channel and a length of suture connected to the needle. At least a portion of the length of suture is wound around the spool. At least a portion of the length of suture is positioned within the helical channel. The suture may include a plurality of barbs.

Abstract: A method of surgery includes positioning a cannula within an opening in tissue and inserting a guide member into the cannula. The cannula includes an elongated portion having a base and an elongated tubular member extending distally from the base. The elongated tubular member includes an annular wall defining a longitudinal passageway. At least one slot extends through the annular wall and is disposed in communication with the longitudinal passageway. The guide member includes a guide housing and an elongated guide shaft. The guide member defines at least one lumen extending therethrough. The method further includes releasably engaging the guide housing with the base. Upon engagement of the guide housing with the base, the at least one lumen is aligned with the at least one slot to define a guide passageway through the guide member and cannula.

Abstract: Methods for repairing a meniscus, and particularly a torn meniscus. A method of repairing a meniscus may include using a suture passer to pass a suturing element from the region between the superior surface of the meniscus and the femoral condyle, through the meniscus tissue, into the region between the inferior surface of the meniscus and the tibial plateau, across the inferior surface of the meniscus, and back to the superior surface of the meniscus, without deeply penetrating the posterior capsular region of the knee. Equivalently, the suture element may be passed from the inferior surface of the meniscus to the superior surface and back to the inferior surface.

Abstract: An introducer assembly having a handle, at least one fiber operatively coupling at least one handle with one or more functions of the handle; and having a fiber routing system that allows a predetermined amount of slack to be created during assembly in at least one fiber so as to delay by a desired amount of time actuation of the one or more functions of the handle associated with the at least one fiber during operation of the handle.

Abstract: Method and system for treating a patient using an inflatable device. A removal device may be used to remove the inflatable device from the body. The removal device can have at least one manually-actuatable member and at least two opposing jaws at a distal end. At least one of the at least two jaws can be movable by actuation of the at least one manually-actuatable member. At least one of the at least two jaws can have a puncturing member.

Abstract: A suture needle driving instrument comprises a shaft, an end effector, and a handle assembly. The end effector is located at the distal end of the shaft and includes a pair of grasping arms having a respective pair of jaws driven by a respective drive shaft. Each pair of jaws is operable to cooperate to grasp and release a suture needle. The handle assembly includes a control assembly that is operable to rotate the drive shafts to transfer the suture needle between the grasping arms. In some versions, the control assembly may include an actuatable rack. The rack may include one or more control features that selectively rotate the drive shafts as the rack is actuated. The rack may further include cam surfaces to selectively restrict the motion of the drive shafts as the rack is actuated. In some versions the rack may actuate vertically.

Abstract: Disclosed therein are instruments necessary for a surgical operation performed to keep a length of lengthened tissues, for instance, a raised nose on the face, using an improved thread embedded in a living body. More particularly, the present invention provides instruments for a fiber reinforced anti-compressive adherent suture method used to lengthen or separate soft tissues in the living body, which includes a tissue-implantable thread inserted into the living body by an injector needle and having wedge-shaped protrusions of different directionalities formed in two sections thereof, an injector for inserting the injector needle into the living body and moving it forwardly and backwardly, an instrument for inserting the tissue-implantable thread into the injector, and an instrument for vertically splitting an end of the thread to make the thread act in the living body.

Abstract: A vascular filter system and method are disclosed. In one embodiment, the filter system comprises a dispensing needle releasably attached to a filter dispenser which stores a length of filter wire. The filter wire dispenser has a guide tube which guides the filter wire into the needle and then into a vein during surgical implantation. The filter wire is configured to coil into a predetermined shape as it is deployed from the needle. The shape of the filter wire captures blood clots in the blood stream. Once the filter wire is deployed, the needle may be removed and a portion of the filter wire may be left protruding from the patient's skin surface to allow the filter wire to be secured by a fixation device. A syringe may be used to draw blood to confirm that the needle is properly positioned within a vein before the filter wire is deployed.

Abstract: An endoscopic tissue suturing device may include a suturing head configured to capture tissue at a tissue capture region. A needle can move through the region to place stitches in the tissue. A control handle includes an actuator coupled to the needle. The control handle supports a suture spool about an axis of rotation. The axis of the spool may be parallel to the direction of movement of the actuator. The spool surface may be tapered at an angle relative to the axis of rotation. A spool end wall may be configured to urge the spool in an axial direction. The handle may provide external access to a portion of the suture. A cover may be provided to cover the spool. The cover may be rotatably supported on the handle independent of the spool. Suture material may be wound onto the spool by rotating the cover.

Abstract: A device for dispensing, looping and tying ligature comprising a housing, a spool, a cannula, a lock-unlock mechanism and a snare is disclosed. The spool has surgical or non surgical thread/cord wound thereon in a plurality of turns. The spool is rotatably and removably mounted in the housing. The cannula is removably and rotatably mounted to the base of the housing. The lock-unlock mechanism is configured to control dispensing of the thread/cord. The snare includes a steel wire to form a Y shape or hook shape with a narrow pointed tip to thread the cannula.

Abstract: A system for repairing separated body tissues includes a tensioning device having a movable housing, a pair of stationary tensioning tips distal to and attached to the movable housing, and suture tensioning jaws on a proximal end of the movable housing. The tensioning jaws are pivotable between open and closed orientations. A buckle is provided for securing and tensioning suture and the like, having a first plate, a second plate spaced from the first plate so that there is a gap between the first and second plates, and a lock bar within the gap and movable between a first position wherein suture may be freely passed through the gap as tensioning of the suture proceeds, and a second locking position wherein the suture is clamped in place within the gap. A tension tab is provided for securing the lock bar in its first position until tension on the suture exceeds a predetermined level.

Abstract: A device for suturing tissue includes a handle that has a proximal end and a distal end. The device also includes a generally hollow suturing needle including a pointed distal end, an opposite proximal end and an inner lumen having an suture exit port through which the suture exits. The device further includes a suture dispensing mechanism disposed within the handle and including an actuator which when manipulated by a user is configured to advance suture material within the handle such that the suture material is guided into the inner lumen of the hollow suturing needle and exits through the suture exit port. The device includes a safety mechanism that shields at least a portion of the needle.

Abstract: The distal portion of a shape-memory filament extends from a needle containing at least one filament gripping element. To implant the shape-memory filament in tissue, the needle is inserted into a cannula with a flexible and removable hook. During partial withdrawal of the needle, the hook holds the distal portion of the filament stationary to deposit a section of filament in the distal portion of the cannula. The needle is re-advanced, pushing the section of the shape-memory filament to coil or fold within the tissue. Rotation of the needle with the filament gripping element further tightens the coiled or folded filament. Partial withdrawal, re-advancement, rotation and pushing of the needle are repeated to fill, pack, strengthen, enlarge or augment the tissue with the shape-memory filament.

Abstract: A suture anchor of a T-type is inserted into and through a small-diameter hole formed in a bone and, when deployed, is oriented substantially transversely with respect to the small-diameter hole. Prior to deployment, the suture anchor is coupled to an insertion shaft through a deformable portion and is aligned with the shaft axis so that the insertion shaft and the suture anchor can be inserted into the small-diameter hole.

Abstract: Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot of the device can be inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot can carry suturing attachment cuffs with one end of the cuff adapted to receive a needle, while the other end receives suture. A portion of the foot and/or lumen of the shaft can receive a portion of the suture and can include friction reducing structure that aid with movement of the sutured during removal of the cuffs from within the penetration.

Abstract: A medical implement particularly useful in arthroscopic sutures, includes: a handle having a proximal end configured for manual gripping by a user, a distal end, an internal passageway extending between the proximal end and the distal end, and an intermediate portion formed with a recess extending from the outer surface to the internal passageway. A shuttle is movable through the passageway and has an intermediate portion exposed within the recess for manipulation by a user gripping the handle, and a suture-receiving-element at its distal movable axially through the distal end of the handle. A roller is rotatably mounted to the handle to underlie the exposed portion of the shuttle such that, after a suture has been received by the suture-receiving-element of the shuttle, a user, gripping the handle, may manipulate the shuttle with respect to the distal end of the handle by thumb-pressing the exposed portion of the shuttle against the roller and rotating the roller.

Abstract: A valve repair device with a replaceable suture cartridge for repair of a valve leaflet in a beating heart of a patient includes a valve repair device and a replaceable suture cartridge. The valve repair device can include a handle with an actuator, a capture assembly including one portion of a jaw assembly adapted to grasp the leaflet and a needle head for penetrating the leaflet. The replaceable suture cartridge can include a secondary shaft including a second portion of the jaw assembly integrally couplable to the capture assembly and a channel within which a suture is carried.

Abstract: A distal portion of a filament is extended beyond the distal end of a needle with a gripper. The needle with the extended filament is inserted into a cannula with snagging points at the distal opening of the cannula in tissue. The snagging points of the cannula hook and retain the distal portion of the filament. During partial withdrawal of the needle, a section of filament is deposited in the lumen of the cannula between the distal ends of the needle and cannula. When the needle is re-advanced, the section of filament is expelled or pushed out of the cannula into tissue. The needle is then rotated; the gripper engages and spirals the expelled filament, burrowing into tissue. The needle can further advanced to push and pack the spiral of filament deep into the tissue. The knot-like filament spiral is individually formed by rotation of the needle and friction between the extended filament and tissue.

Abstract: A suturing and ligating method includes a needle piercing step of inserting a needle of a suture-needle assembly through a tissue in a body cavity, a needle gripping step of gripping the needle with a first gripper, a winding step of winding a suture strand of the suture-needle assembly in at least one turn around a first distal-end working unit by rolling the first distal-end working unit in at least one revolution, a transferring step of transferring the suture-needle assembly from the first gripper to a second gripper, a suture strand gripping step of gripping a portion of the suture strand that has not passed through the tissue, with the first gripper, a pulling step of pulling the first distal-end working unit out of a loop of the suture strand, and a tightening step of forming a knot of the suture strand.

Abstract: Medical implant delivery devices and systems are disclosed. In general, an exemplary delivery device comprises a shaft and a handle. An exemplary system includes any number of the following: a delivery device, a sling assembly, guide members, and connectors that interconnect the above. Embodiments of all the above components and their combinations are disclosed. Methods of using the above system in trans-obturator approaches are disclosed.

Abstract: A medical suturing instrument comprises: a loop introduction needle; a suture thread introduction needle into which suture thread is inserted; a housing for holding the loop introduction needle and the suture thread introduction needle substantially parallel a prescribed distance apart; a loop forming part which has a loop formed at the tip end thereof and is movably housed inside the loop introduction needle; a loop feed/return mechanism provided inside the housing for moving the loop forming part in the axial direction; a suture thread feed mechanism provided inside the housing for feeding out the suture thread on the tip end side; and a thread housing part provided in the housing for accommodating the suture thread which is supplied to the suture thread feed mechanism.

Abstract: A method of suturing tissue includes driving a needle from a tool through tissue to form a channel in the tissue; inserting the needle into a capsule that is connected to a first length of suture attached to the capsule; engaging the needle with a second length of suture that is inserted through the capsule; and pulling both the first length of suture and the second length of suture through the channel formed in the tissue.

Abstract: A tissue anchoring system includes a tissue anchor member that is suitable for anchoring against tissue. The system also includes a tensioning member operatively connected to the anchor member such that the anchor member can slide relative to the tensioning member, the tensioning member capable of being pulled to cause the anchor member to move relative to the tensioning member into a position seated against the tissue. A hand operated deployment catheter is operable to extend and deploy the anchor member therefrom. The deployment catheter includes a rotatable member about which the tensioning member is routed and a clutch assembly for limiting tension within the tensioning member to prevent the deployed anchor from being pulled through the tissue.

Abstract: A surgical incision suturing device particularly suited for minimally invasive surgical procedures comprising a suturing mechanism built into a trocar stern that enables a surgeon to stitch a patient by utilizing controls on the exposed top portion of the trocar.

Abstract: This invention is a device and method for reducing blood flow into an aneurysm, especially a cerebral aneurysm, in order to promote therapeutic embolization of the aneurysm. The device comprises: at least one core member that is inserted into the aneurysm; and at least one longitudinal flexible member that is wound repeatedly around the core member within the aneurysm. The longitudinal flexible member is wound around the core member until the rotational accumulation of the flexible member reduces blood flow into the aneurysm and promotes therapeutic embolization of the aneurysm.

Abstract: A medical suturing implement which greatly improves manipulability and operability is provided. In a suturing implement, the movement of an operating part is transferred with a time differential to a loop forming part and suture thread by a loop feeding/returning mechanism and a suture thread feeding mechanism, and after the loop is fed out from the tip end of a loop introduction needle, the suture thread is fed out from the tip end of a suture thread introduction needle.

Abstract: An apparatus and method for forming retainers on a continuous strand such as, for example, of suture material and a suture produced by the same. The apparatus may include a retainer forming member configured to rotate about a first axis. The retainer forming member may include a cutter, the cutting edge of which may directed substantially inward toward, or outward away from, the first axis to define a retainer forming zone when the retainer forming member rotates about the first axis. The apparatus may further include a support member arranged adjacent to the retainer forming member and configured to receive and support the continuous strand in the retainer forming zone. When the retainer forming member rotates about the first axis, the passing strand may be intermittently or continuously cut by the cutting edge of the cutter.

Abstract: A suture system spool is configured to retain suture having a suture diameter and tension the suture between a distal and proximal end portions of a suturing tool. The spool includes a monolithically formed disc defining a central opening that provides the disc with an inside diameter. The disc includes a base and a flap joined with the base at the inside diameter, and the flap extends from the inside diameter to an outer periphery of the disc to define a cavity between the flap and the base. The flap is spaced away from the base at a location between the inside diameter and the outer periphery of the disc by a factor of at least two times the suture diameter, and the flap is spaced away from the base at the outer periphery of the disc by a distance that is approximately equal to the suture diameter.

Abstract: A device for suturing tissue includes a handle that has a proximal end and a distal end. The device also includes a generally hollow suturing needle including a pointed distal end, an opposite proximal end and an inner lumen having an suture exit port through which the suture exits. The device further includes a suture dispensing mechanism disposed within the handle and including an actuator which when manipulated by a user is configured to advance suture material within the handle such that the suture material is guided into the inner lumen of the hollow suturing needle and exits through the suture exit port. The device includes a safety mechanism that shields at least a portion of the needle.

Abstract: Methods and devices are provided for deploying and applying a suture anchor. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body and to deliver a suture anchor with a coil of suture attached thereto to tissue. The shaft can be configured to deploy the suture anchor through tissue and to deliver the coil of suture into a body cavity such that the suture extending from the coil extends through the tissue to allow the anchor to engage the tissue. The coil can remain in the body cavity for subsequent use.

Abstract: Suture passing devices that may be used in both open and endoscopic surgical procedures and that are designed to continuously deploy suture. The surgical device is provided with a handle assembly including an actuator in communication with a pair of advancement wheels and a built-in spool of suture (with a long length of material that can be fed through tissue and cut at desired locations). By moving the actuator linearly, the advancement wheels rotate, causing the spool to rotate and advance the suture through a shaft of the instrument to the tissue to be sutured, in a continuous manner.

Abstract: A laparoscopic port closure device is described. The device allows for the deployment of a suture internally into an abdominal wall and the subsequent use of that deployed suture to effect a closing of the wound that was used for the port. The deployed suture may be used during the surgical procedure to effect a securing or anchoring of the device.

Abstract: A device (10) is used for moving a thread of a surgical sewing instrument (60). The device comprises a clamp (18) for detachably clipping said device (10) on the surgical sewing instrument (60). The device has an arm (24) having a first end connected to said clamp (18). A freely rotatable roller (50) being arranged at a second end of said arm (24), said roller (50) resting on the thread of the surgical instrument (60) having clipped on the device (10).

Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

Abstract: A suture system spool is configured to retain suture having a suture diameter and tension the suture between a distal and proximal end portions of a suturing tool. The spool includes a monolithically formed disc defining a central opening that provides the disc with an inside diameter. The disc includes a base and a flap joined with the base at the inside diameter, and the flap extends from the inside diameter to an outer periphery of the disc to define a cavity between the flap and the base. The flap is spaced away from the base at a location between the inside diameter and the outer periphery of the disc by a factor of at least two times the suture diameter, and the flap is spaced away from the base at the outer periphery of the disc by a distance that is approximately equal to the suture diameter.

Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

Abstract: An implantable port with an integral attachment mechanism. The implantable port includes one or more suture needles enclosed within a port body, the suture needle(s) coupled to a movable member such that movement of the movable member results in movement of the suture needle(s) out of the port body and into the tissue of a body into which it is implanted. The movable member can be a cam or tensioning member that rotates about a central port axis. The movable member can be coupled to a gear to permit movement of the movable member following implantation of the port within a subcutaneous pocket.

Abstract: Provided is a suture apparatus for selecting an appropriate suture from among various sutures and supplying the selected suture. In accordance with one aspect of the present invention, there is provided a suture apparatus including: a suture keeping unit for keeping at least two types of sutures, and a suture supply unit for selectively supplying at least one of the at least two types of sutures.

Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

Abstract: An apparatus for delivering a closure element can include a splittable carrier tube and a splitter to split the tube. The carrier tube can have an outer surface retaining a closure element in a tubular configuration and can be split into radially-expandable flaps. A closure element has can have shape-memory body having a relaxed configuration with a planar-annular body defining a lumen with tines directed inwardly from the body. The clip can be held in a retaining configuration having a substantially asymmetrically-elongated tubular shape with a trapezoidal longitudinal cross-sectional profile and a proximal end having the tines being longitudinally directed with a first tine being more distally oriented compared to a substantially opposite second tine being more proximal, and retracting to a deploying configuration having a tubular shape with a rectangular longitudinal cross-sectional profile with the first tine being even with the second tine when being delivered.