Abstract: A suturing device allows a physician to remotely seal an incision in a blood vessel or other biological tissue. The device comprises an elongated tubular body having a distal portion which is adapted to be inserted percutaneously through the incision and into the blood vessel. The distal portion has first and second retractable arms which extend from the distal portion of the body and releasably hold a suture within the blood vessel. First and second retractable needles, each of which is configured to catch the suture from a respective arm, are provided along the body proximal to the retractable arms. The arms and the needles are remotely movable by the physician using a handle or other control mechanism provided at a distal portion of the device. In operation, the arms are initially deployed within the blood vessel to hold the ends of the suture beyond the circumference of the tubular body.

Abstract: Apparatus for needle grasping and performing a second modality comprising a sheath axially extending between distal and proximal ends thereof. The device includes an inner hollow tube with a slot formed therein for receiving a needle at the distal end. Retraction and extension of the inner tubular member relative to the sheath enable the grasping and releasing of a suture needle received in the slot. A handle is provided at the proximal end of the apparatus for selectively extending and retracting the inner tube relative to the sheath and for retaining the inner tube in its extended and retracted positions. A second switch can be provided in the handle to actuate a catheter slidably inserted through the inner tube to perform a second therapeutic modality. The catheter preferably includes a distal bight that forms a loop when extended from the distal end of the sheath for facilitating intracorporeal knot tying thereat.

Abstract: An instrument and method for suturing anatomical tissue with a suture needle and typing a knot in the suture material includes a barrel having two needle holders therein which can be manipulated from a proximal end of the barrel to cause the needle to pass through tissue and to pass the needle from one needle holder to the other to tie a knot in the suture material.

Abstract: A twirlable suture needle holder is operable by one hand. A palm piece (300) rests against the palm and a finger piece is held between the thumb and fingers. The finger piece has a sleeve (100) and a stylet (200) which slide telescopically to grip and release the needle (N). The finger piece is rotatably relative to the palm piece, and the point at which the needle is grasped is offset from the rotation axis by the radius (R) of the arcuate needle. When the surgeon twirls a grip portion (135) of the sleeve while retracting the sleeve to grip the needle; the body of the needle follows the arcuate path traced out by the needle point moving around the axis. The suturing motion uses only small inner muscles of the forearm and requires no rotation of the wrist.

Abstract: A surgical device is described for assisting a surgeon in suturing bodily tissue using a curved, surgical needle with a suture filament attached. The surgical device comprises a handle, an elongated shaft having a proximal end, a distal end, and a longitudinal axis extending in between. The device further comprises a stationary arm having a first holder fixedly attached to and extending from the distal end of the shaft, and used for operationally engaging with the needle. The device also has a movable arm having a second holder extending from the distal end of the shaft and rotatable around the longitudinal axis of the device. The movable arm also is operationally engageable with the needle. An actuator is provided for cooperatively actuating the first and second holders, so as to be able to pass a needle along a circular path transverse to the longitudinal axis of the device through the tissue, and thus place the suture filament into the tissue.

Abstract: A combination needle holder and suture cutter medical instrument is disclosed. The surgical instrument includes a first handle pivotally joined to a second handle to define opposing jaws at a distal end of the surgical instrument, each of the jaws including a distal clamping portion and at least one of the jaws includes a blade portion proximate a clamping portion. The blade portion includes a recessed cutting edge so as to define an aperture between the jaws in a closed position of the surgical instrument. The distal clamping portions cooperate to clamp a needle and the recessed cutting edge is adapted to independently sever a suture.

Abstract: A method and device for the placement of sutures and for the purpose of approximating tissue. The invention relates to devices for approximation, ligation and fixation of tissue using a suture, to various constituent parts comprising said devices, and particularly to the placement of sutures into certain difficult to access ligamental structures, to the approximation of tissue separated by means of an endosurgical trocar being inserted into a body cavity, and to approximation, ligation, and fixation of body tissue using both traditional open surgical and endosurgical techniques and instruments.

Abstract: An incontinence needle includes a needle, a finger grip, and a suture. The needle has an atraumatic tip on one end and the suture swaged on the other end thereof. The finger grip includes a rocker arm, a slidable base and a pivot pin. The slidable base contains a bore which passes through the length thereof. The rocker arm has a cam surface on the bottom thereof which prevents movement of the finger grip relative to the needle in a first position and allows sliding in a second position. The rocker arm is pivotal mounted to the slidable base. The finger grip is used to drive the needle through body tissue. The incontinence needle is used in the following manner. An incision is made in the abdomen above the public bone. The finger grip is locked at a comfortable position along the length of the needle. A forefinger and thumb of one hand are used to guide the needle through the tissue and the forefinger and thumb of the other hand is used to drive the needle into the incision and body tissue.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a housing, an elongate shaft having a proximal end mounted by the housing and a distal end with a peripheral edge, a first needle holder protruding from the distal end of the elongate shaft and having a needle holding member at a distal end operable to grasp and release a suture needle, and a second needle holder protruding from the distal end of the elongate shaft and having a needle holding member at a distal end operable to grasp and release a suture needle. Distal portions of the first and second needle holders extend laterally outward at an angle from first and second longitudinal axes of the elongate shaft to positions where at least a portion of the corresponding needle holding members are spaced laterally outward of the peripheral edge of the elongate shaft.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a housing, an elongate shaft having a proximal end mounted by the housing and a distal end with a peripheral edge, and a needle holder protruding from the distal end of the elongate shaft and having a needle holding member at a distal end operable to grasp and release a suture needle. A distal portion of the needle holder extends laterally outward at an angle from a first longitudinal axis of the elongate shaft to a position where at least a portion of the corresponding needle holding members are spaced laterally outward of the peripheral edge of the elongate shaft. In addition, the needle holder is rotatable about the first longitudinal axis of the elongate shaft to cause the corresponding needle holding members to move along an arcuate path.

Abstract: A mirror for use during eye surgery comprises a handle, a reflective surface oriented at a skewed angle with respect to the handle and a needle holder oriented with respect to the reflective surface to allow viewing of the distal end of the needle as it is passed under the iris and inserted into the tissue of a patient's eye.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a housing, an elongate tubular member mounted by the housing, a needle driver having a distal end movable between an undeployed position disposed laterally inward of a peripheral edge of the elongate tubular member and a deployed position disposed laterally outward of the peripheral edge, and a needle catcher having a distal end movable between an undeployed position disposed laterally inward of the peripheral edge of the elongate tubular member and a deployed position disposed laterally outward of the peripheral edge. At least one of the needle driver and the needle catcher is coupled with the housing for arcuate movement about a longitudinal axis of the elongate tubular member such that a corresponding distal end of the needle holder is caused to move along an arcuate path having a radius of curvature greater than a radial dimension of the elongate tubular member.

Abstract: A surgical suturing tool comprising a suture needle holder and suture needle is disclosed. The needle includes a groove in its sidewall which leads to a blind hole to receive one end of a suture which is secured therein by swedging.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a housing, an elongate tubular member mounted by the housing, and a needle holder having a distal end movable between an undeployed position disposed laterally inward of a peripheral edge of the elongate tubular member and a deployed position disposed laterally outward of the peripheral edge. The needle holder is coupled with the housing for arcuate movement about a longitudinal axis of the elongate tubular member such that a corresponding distal end of the needle holder is caused to move along an arcuate path extending outwardly of the peripheral edge and having a radius of curvature commensurate with the radius of curvature of the suture needle.

Abstract: An instrument for performing a surgical procedure includes a housing, an elongate shaft having a proximal end mounted by the housing and a distal end with a peripheral edge, a first end effector assembly protruding from the distal end of the elongate shaft and having an end effector at a distal end, and a second end effector assembly protruding from the distal end of the elongate shaft and having an end effector at a distal end. Distal portions of the first and second end effector assemblies extend laterally outward at an angle from first and second longitudinal axes of the elongate shaft to positions where at least a portion of the corresponding end effectors are spaced laterally outward of the peripheral edge of the elongate shaft. In addition, the end effector assemblies are rotatable about the first and second longitudinal axes of the elongate shaft to cause the corresponding end effectors to move along first and second arcuate paths.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a handle, a needle driver mounted by the handle for rotation along a first arcuate path having a radius of curvature commensurate with a radius of curvature of the suture needle, and a needle catcher mounted by the handle for rotation along a second arcuate path coplanar with the first arcuate path and having a radius of curvature commensurate with the radius of curvature of the suture needle.

Abstract: A surgical needle holder for use in open or laparoscopic surgery, that grasps a needle or a suture filament . The needle holder has a lower jaw, and an upper jaw moveable from an open to a closed position. The lower jaw has a pair of lower jaw ledge surfaces and a groove. The upper jaw has a grasping protrusion surface that can be embedded within a groove in the lower jaw, when the upper jaw is closed. When the jaws are closed on a needle, it is grasped with a three point needle contact system. The needle contact points are the two lower jaw ledges and the upper jaw grasping protrusion surface. Closure of the jaws on a curved needle "rights" the needle. When the jaws are closed on a suture filament, the upper jaw protrusion surface and the groove form a labyrinth path that effectively grasps the suture filament relative to the end effector. This enables the surgeon to apply tension to a suture to produce a tight knot or, when proximating tissue, tension a suture loop.

Abstract: An electrocautery probe includes a pair of arms between which a roller electrode is rotatably mounted. The arms are joined at their proximal ends to an electrode lead and a mounting sleeve is provided intermediate of the arms and the lead for slideably coupling the probe to a resectoscope. According to one aspect of the invention, the roller electrode includes a cylindrical member having a central bore and an outer surface, and an insert extending longitudinally through the central bore. Preferably the cylindrical member is made of a first conductive material and the insert is made of a second conductive material. The insert has a plurality of corners and an axial bore. The roller electrode is preferably made of stainless steel, while the insert is preferably made of copper or tungsten. The outer diameter of the roller electrode is preferably approximately 0.

Abstract: In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again.

Abstract: A surgical fastener in the form of a ferruled loop, instrument and method are provided for constructing a graft to artery anastomosis and other soft tissue anastomoses, particularly by minimally invasive (or endoscopic) surgery. The ferruled loop fastener is comprised of a needle, a suture and a ferrule. The needle and suture member allow this fastener to be sewn through, for example, a graft and artery to be joined. The ferrule member allows a ferruled loop to be formed without knotting the suture member, and that serves as a suture stitch to fasten the graft and artery together. The instrument holds the needle and ferrule at its distal end, and controls in the handle allow manipulation of the needle and controllable application of the fastener. The method employs the ferruled loop and instruments to join soft tissues and to construct graft to artery anastomoses.

Abstract: A surgical suturing device for repairing wounds and incisions. In a first aspect of the invention, a slender elongated rod is connected to a movable handle to bring together a pair of pivotally connected needle holders. The needle holders have a pair of phased latches which control wire-like retainers which move in and out of end portions of the pivotally connected needle holders. The wire-like retainers interlock with circular grooves in opposite thread and point end portions of a surgical needle. Each time the slender rod is advanced toward the needle holders, the needle holders pivot toward each other and the rod simultaneously contacts the latches to alternately hold and release the thread and end portions of the needle. In a second aspect of the invention, each time the slender rod is advanced toward the needle holders, resilient members on sides of the needle holders simultaneously depress to alternately hold and release the thread and point end portions of the needle.

Abstract: A suturing device capable of suturing biological tissue including the walls of arterial blood vessels comprises suture clasps for insertion inside the central passage way of an arterial vessel. The device utilizes a suture introducer housing to aid insertion of the suture clasps in the vessel. A suture catch operates to catch a suture held by the suture clasps, remove the suture from the suture clasps, and pull the suture through the arterial wall, so the suture can be completed.

Abstract: The invention is a needle holder for doing surgery in the oral cavity, especially those deep areas, and the hard to reach areas (palate, jaw joint, vestibular of the inferior and superior maxilla). The holder is an improved version of the present holders. It operates on the principle of off axis rotation and is held like a pencil or pen with the thumb and the index finger. It provides ease of use for the surgeon and better control in addition to an unobstructed field of view due to its smaller size when compared with the traditional holder. It does not employ locking teeth to hold the needle which prevents it from vibrating.

Abstract: The single system ligature carrier and tissue clamp for sacrospinous colpopexy has an elongated body with a fixed handle on its proximal end. An additional movable handle is connected to a movable clamp jaw and a needle jaw on its distal end so that, at a distance, tissue can be engaged and pierced with a needle facilitated by clamp fingers passing a suture therethrough, as well as clamping and securing the embraced tissue. The positioning, clamping and suture penetration are accomplished by a single instrument.

Abstract: A suture needle grasping and manipulating instrument includes first and second pivotally-connected arms each having a proximal end and a distal end, and first and second jaw assemblies or units pivotally mounted on the distal ends of the first and second arms respectively, said arms being disposed so as to permit relative pivotal movement thereof between a first closed jaw position wherein the jaw assemblies or units are adjacent one another and a second open position wherein the jaw assemblies or units are spaced from one another far enough to permit a needle to be inserted therebetween. The device further includes first selectively-operable means for causing said relative pivotal movement of said arms and second selectively-operable means for pivoting said jaw assemblies or jaw units relative to said arms.

Abstract: A surgical instrument for holding a suture needle is provided. The instrument is of a scissors configuration with elongated arms having finger loops at one end and jaws at the other end to grasp a suture needle. This improved instrument has specialized jaws containing a transverse channel that securely holds a suture needle at a right angle to the axis of the needle holder jaws. The width of the transverse channel adjusts to the size of the suture needle by means of a cam and spring loaded camming surface which move a sliding member against the side of a suture needle as the jaws of the needle holder are closed. This improved configuration significantly reduces the long standing problem of suture needle twisting or rotation in the needle holder jaws as the surgeon passes the needle through tissue.

Abstract: A device or apparatus for manipulating matter in a confined or inaccessible space, comprises a manipulator at least partly constructed of one or more bent or twisted elongate metallic members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the metallic member(s) in a relatively straightened state, and an actuator for extending the metallic member(s) from the housing to manipulate matter within the space and for withdrawing the metallic member(s) into the housing, the arrangement being such that the metallic member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the temperature.

Abstract: An abdominal incision suturing apparatus includes a guide element that is inserted and maintained in an abdominal incision by a guide handle. The guide element has a passage for receiving slidably the shaft of a reverse needle. The shaft can be moved axially and rotationally with respect to the guide element by a shaft handle. The reverse needle has a needle at the distal end of the shaft, with a pointed end and an eye for receiving a suture. The guide element defines a sheath for receiving the pointed end of the needle. The guide element and the reverse needle together present a substantially airtight surface for maintaining the pneumoperitoneum pressure in a cannula site incision. Further, the guide element includes markings on its surface, for the user to monitor the depth of insertion via a laparoscope. The shaft handle has a specially shaped groove, and the guide element has an internal pin that protrudes into the groove.

Abstract: An automatic suturing instrument generally includes a proximal actuation handle assembly, a flexible tubular member, a control wire, and an end effector assembly. The control wire extends through the tubular member and the end effector-assembly is coupled to the distal end of each of the tubular member and the control wire, while the handle is coupled to the proximal end of each of the tubular member and the control wire. Actuation of the handle moves the control wire relative to the tubular member and thereby moves the end effector assembly from an open to a closed position. The end effector assembly generally includes two end effectors, a needle engaged by one of the end effectors (but which can be engaged by either end effector alternately), and a suture material. The end effector assembly further includes a needle passing mechanism that automatically alternates which end effector engages the needle each time the end effectors are moved into a closed position.

Abstract: An endoscopic intracorporeal suture tying aid allows a suture to be looped around itself multiple times and cinched, enabling a throw of a surgeon's knot to be easily made. The tying aid includes a needle holder connected to a proximal end of a shaft for releasably holding a needle; a hook that slides longitudinally with respect to the beaks; and the shaft being axially rotatable with respect to the hook.

Abstract: A surgical needle holder has the facing surfaces of its jaws lined with memory alloy which is soft enough to distort around a needle when gripped between the jaws. A better grip on the needle is thus achieved. The surfaces of the inserts may be profiled with ribs to allow the alloy to be subject to a greater pressure per square centimeter locally and so more readily deformed.

Abstract: A surgical instrument including a handle, an end effector including jaws, an elongated tube connecting the handle to the end effector, a connector within the tube connecting the handle to the jaw members; and a first slot in the first jaw and a second slot in the jaw wherein the first and second slots are arranged such that only a portion of the slots overlap when the first and second jaws are closed to create a hole in the jaw which may be used for positioning a suture in the tissue. The first slot in the first jaw extends to a side of the first jaw and the second slot in the second jaw extends to a side of the second jaw creating pathways for removing the suture when the jaws are opened. The surgical instrument may also include a retractable tying pin adjacent the end effector and a knot pusher at the distal end of the end effector.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a handle, a needle driver mounted by the handle for rotation along a first arcuate path having a radius of curvature commensurate with a radius of curvature of the suture needle, and a needle catcher mounted by the handle for rotation along a second arcuate path coplanar with the first arcuate path and having a radius of curvature commensurate with the radius of curvature of the suture needle.

Abstract: Apparatus for needle grasping and performing a second modality comprising a sheath axially extending between distal and proximal ends thereof. The device includes an inner hollow tube with a slot formed therein for receiving a needle at the distal end. Retraction and extension of the inner tubular member relative to the sheath enable the grasping and releasing of a suture needle received in the slot. A handle is provided at the proximal end of the apparatus for selectively extending and retracting the inner tube relative to the sheath and for retaining the inner tube in its extended and retracted positions. A second switch can be provided in the handle to actuate a catheter slidably inserted through the inner tube to perform a second therapeutic modality. The catheter preferably includes a distal bight that forms a loop when extended from the distal end of the sheath for facilitating intracorporeal knot tying thereat.

Abstract: A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off.

Abstract: A semi-automatic suturing device passes a single or double pointed needle back and forth between two needle holders in order to avoid the need for manually grasping and otherwise manipulating the needle after it has passed through body tissue or other material being sewn. The needle holders are provided in the form of respective sets of vise-like jaws on a pair of arms which are pivotally attached to each other. The holders are thereby manually movable into and out of proximity with each other. The needle holding jaws are automatically alternatingly actuated to open and close when they are pivoted into proximity with each other, such that a hand-off of the needle can occur. Actuation of the needle gripping jaws is power driven, e.g., by a solenoid, and automatically initiated by a proximity switch which detects when the jaws have been brought together.

Abstract: An endoscopic apparatus for suturing vascular tissue including a body portion having a first and a second jaw mounted for movement on a distal end thereon and moveable between an open position spaced apart to a closed position wherein the first and second jaws are in close cooperative alignment and a handle member for moving the first and second jaws to move them between the open and closed positions. The apparatus further includes a reciprocating mechanism associated with the first and second jaws and movable between a first position securing a surgical needle within the first jaw and a second position releasing the surgical needle from the first jaw and a cam actuating lever engagable with the reciprocating mechanism such that the cam actuating lever cams the reciprocating mechanism between the first and second positions in response to predetermined movement of the handle member.

Abstract: A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off.

Abstract: A suturing instrument (10) is disclosed having a handle (11) with finger rings (16, 17), a surgical needle (14) pivotably mounted to the handle, and grasping jaws (12, 13) for securing the pivotal position of the needle. The needle has a suture receiving recess (26) and a latch (27) pivotable between a closed position overlying the recess and an open positioning unobstructing the recess.

Abstract: An endoscopic intracorporeal suture tying aid allows a suture to be looped around itself multiple times and cinched, enabling a throw of a surgeon's knot to be easily made. The tying aid includes a needle holder connected to a proximal end of a shaft for releasably holding a needle; a hook that slides longitudinally with respect to the beaks; and the shaft being axially rotatable with respect to the hook.

Abstract: A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off.

Abstract: A surgical instrument for holding a suture needle is disclosed. The instrument is of scissors configuration with elongated arms having finger loops at one end and jaws at the other end to grasp a suture needle. This improved instrument has specialized jaws containing a transverse channel that securely holds a suture needle at a right angle to the axis of the needle holder. The width of the transverse channel automatically adjusts to the size of the suture needle as it is being placed in the needle holder. This improved configuration significantly reduces the long standing problem of suture needle twisting or rotation in the needle holder jaws as the surgeon passes the needle through tissue.

Abstract: A wound closure device which maintains pneumoperitoneum while allowing a surgeon to capture an mount of tissue which is substantially wider than the diameter of a trocar cannula through which the device is inserted. The wound closure device includes, an elongated guide member, a hook shaped needle and a retracting mechanism for moving the needle from an open position to a closed position. In the closed position, the tip of the needle is positioned within the guide member so that the needle can be easily inserted into a body. In the open position, the needle tip is positioned outside of the guide member at a distance from the guide member which is greater than the diameter of the guide member.

Abstract: A suture tensioning device is described that comprises first and second jaws in facing relationship and oriented in parallel to each other. The first and second jaws are disposed in relative slidable engagement so that one of the jaws is adapted for parallel movement towards and away from the other jaw to define a variable gap between them. A suture retainer is engaged with a surface of the second jaw to enable a suture to be tied so that the suture exerts a variable tension on the surface caused by the variable gap between the first and second parallel jaws. Preferably, the first jaw has defined therein a shape designed to engage with a surface from which a suture emanates. Methods for adjustably tensioning a suture and a kit for performing suspension of a tissue are described.

Abstract: A surgical apparatus for suturing body tissue comprising first and second jaws relatively movable between an open and closed position, a first needle retaining section having a first securing mechanism mounted therein removably mounted to the first jaw, and a second needle retaining section having a second securing mechanism mounted therein removably mounted to the second jaw. The surgical needle is transferable between the first and second sections upon closing of the jaws such that the surgical needle can be retained in either of the first and second sections by the respective securing mechanism.

Abstract: A surgical apparatus and method of use for maintaining tension upon a length of suture material extending from body tissue is provided. The surgical apparatus deforms and compresses a securing member about a length of suture material which is received therethrough so as to maintain a prescribed amount of tension on the suture material which extends from body tissue and is engaged in the compressed securing member.

Abstract: A surgical apparatus includes a needle having an outer surface and an anchor bar disposed in sliding engagement with the needle. A suture has a first end attached to the anchor bar and a second end extending laterally of the anchor bar and outwardly of the needle. A pusher is movable coaxially of the needle to engage the anchor bar and to separate the anchor bar from the needle to form an anchor relative to a body wall. The anchor bar may have an outer surface with an inclined relationship to its longitudinal axis in order to facilitate axial insertion of the anchor bar through the body wall. An associated method for anchoring a pair of body walls includes the step of attaching a bolster to the second end of the suture and separating the anchor bar from the needle with the anchor bar and the first end of the suture disposed on one side of the body wall and the second end of the suture disposed on the other side of the body wall.

Abstract: A trocar wound closure device includes an elongated body having a distal end for insertion through a trocar puncture wound, a proximal end, and a first and second retractable needle holders disposed at the distal end of the body. The needle holders are movable between a retracted position and an extended position. An actuator disposed at the proximal end of the body moves the needle holders from the retracted position to the extended position, so that the needle holders can be retracted to allow the device to be inserted through a trocar wound preferably through a cannula inserted into the wound, and extended to position the needles adjacent the wound, to allow the wound to be sutured.

Abstract: A suturing device includes a first needle retaining member for causing the basal end part of an arcuate needle to be held in place at the leading end of an insertion lever, a second needle retaining member capable of holding the leading end part of said needle, open-close mechanism swingably supporting the first needle retaining member and the second needle retaining member and switching the needle retaining members between the "close" posture in which the leading end of the needle is abutted against the leading end of the second needle retaining member and the "open" posture in which the abutting leading ends are separated to allow insertion of the needle through a trocar, and rotary mechanism for rotating the two needle retaining members in each of the "open" and "close" postures. The insertion lever is provided at the basal end thereof with a manipulating part for effecting remote control of the rotary means and the open-close means.

Abstract: The invention described herein is a device for tying knots intracorporeally during laparoscopic surgery. It is intended to simplify the process of tying intracorporeal knots to the point that the average laparoscopist can quickly learn to suture laparoscopically with confidence. The unique features of this invention include: a driven shuttle; integral grasper or needle driver; the system is reloadable; and the system may have a detachable end effector. The system also may have a multi function handle, and incorporates an integral needle driver mechanism.