Abstract: A barbed suture including a body with barbs on the periphery, a pointed end, and an anchor at one end to resist movement of the suture in the direction of the pointed end is provided. One or more limbs on the anchor may be provided, which may be arcuate, of varying lengths, and of varying distribution about the periphery of the suture body. Other anchor designs are provided. Methods of placing single-directional and bi-directional barbed sutures to approximate the tissue on each side of a wound and to position and support tissue in the absence of a wound, as in cosmetic surgery, are provided, and may include terminal J-stitches or S-stitches. Methods of placement may be made with sharp, pointed ends, which may be needles, or insertion devices. Sinusoidal patterns of sutures that have amplitudes generally perpendicular to the resultant holding force of the suture are provided.

Abstract: A composite suture needle configured for passing through a smaller cannula used in minimally invasive surgery includes a curved elongated body made of stainless steel. The curved elongated body has a proximal end and a distal end with a pointed tip. The composite suture needle includes a sheath overlying the curved elongated body. The sheath is curved for conforming to the shape of the curved elongated body. The sheath is made of a material that is more elastic than the curved elongated body. The pointed tip of the curved elongated body extends distally beyond the distal end of the sheath. The curved elongated body is made of stainless steel and the sheath is made of a material, such as nitinol, that is more elastic than the elongated body.

Abstract: An assembly for use in repairing a severed tendon comprises an elongate threading element adapted to transit along a lumen of a tendon sheath, for covering a curved needle and carrying the needle within the lumen. The assembly can also comprise a liner for lining an internal surface of the tendon sheath, defining an internal passage along which a tendon stump coupled to the curved needle can pass. The liner can have a collapsed, rest configuration in which it is adapted to be inserted into the lumen of the tendon sheath, and an expanded, operating configuration, the liner being movable to the expanded configuration by contact with the tendon stump. Once released from the liner, the threading element receives the curved needle, for covering and carrying the curved needle through the liner and along the lumen of the tendon sheath trailing the connected tendon stump.

Abstract: A needle sheath includes a tubular shaft having a chamfered edge at a distal end thereof. A stop flange is secured to a proximal end of the tubular shaft. A needle relief slot is formed in a bottom side of the tubular shaft. The needle relief slot has a length that extends along an axis that is parallel to the longitudinal axis of the tubular shaft. A needle point slot formed in a top side of the tubular shaft. The needle point slot has a length that extends along an axis that is perpendicular to both the longitudinal axis of the tubular shaft and the needle relief slot axis. A suture needle is disposed within the tubular shaft of the needle sheath. The suture needle has a curved body that passes through the needle relief slot and a needle point captured within the needle point slot.

Abstract: A breast shaping method using a barbed suture and a suture handling device. The breast shaping method includes inserting a tensioning barbed suture in medialmost and lateralmost portion of the inframammary fold from deep soft tissues (muscle/pericondrium-periostium to and along the subdermal layer of the inframammary fold, with an end portion of the barbed suture being left outside of the skin, thereby allowing the barbed suture to be tensioned, tensioning the end portion of the barbed suture arranged by the insertion of the barbed suture, so that the barbed suture pulls tissues of the subdermal layer, thereby lifting the inframammary fold and defining a nice indentation of the inframammary fold, and cutting the end portion of the barbed suture outside of the skin after the tensioning of the barbed suture.

Abstract: A medical device includes a surgical needle, an elongated suture, and an intervening segment. The elongated suture has a first end proximate to the needle and a second end located away from the needle. The elongated suture also includes a plurality of fibers defining a mesh wall between the first and second ends. A plurality of pores extend through the mesh wall, at least some which are in the macroporous size range of greater than 200 microns for facilitating tissue integration when introduced into a body. The intervening segment is disposed between and connected to either or both ends of the elongated suture and the needle. The intervening segment includes one or more fibers of the plurality of fibers and has a cross-sectional dimension smaller than a cross-sectional dimension of the mesh wall such that the intervening segment facilitates indirect attachment of the elongated macroporous mesh suture to the needle.

Abstract: There is disclosed a synthetic joint stabilisation device (10) and associated assembly, the device having a particular use in a method of stabilising a dislocated acromioclavicular joint. The joint stabilisation device (10) comprises a first elongate portion (22) forming a first free end (24); a second elongate portion (26) forming a second free end (28) which is opposite the first free end; and an integral eye (30) provided at a location which is between the first and second free ends, the eye serving for securing the device to a bone (19) of a patient. The device (10) is at least partly tubular so as to define an internal cavity (32), said part, of the device being of a woven material.

Abstract: A method and device for securing a tissue graft within a bone passage includes providing a graft fixation device that houses a closed loop having both braided and non-braided portions. A tissue graft is looped through the closed loop at the non-braided portion to attach the tissue graft to the graft fixation device. The graft fixation device is passed through the bone passage and seated against the surface of the bone to secure the tissue graft within the bone passage.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices, loops and inserts that are pre-loaded onto knotless anchors to position the self-locking, adjustable construct at the repair site. The splice incorporates an insert in the form of a flexible strand with at least one barb, or simply in the form of a cut length of suture or braid that is inserted into the center of the cinching loop to create a thicker portion. When the cinching loop is tightened, the insert prevents loosening of the loop, locking in the cinching loop and preventing movement of the loop.

Abstract: A size-adjustable seton (1) for treating fistulae (32) is provided with first and second wire ends (4, 6), which are provided with connecting means (8, 10) for, in a connected state, forming a smooth connection (12); in such a way, the seton (1) is a smooth, closed loop (3). The invention also relates to a method of forming the closed loop using the aforesaid seton (1), and a melt clamp (40) for use when placing the seton (1) in a person (30).

Abstract: A wound closure device having a filamentary element having a proximal end and a distal end, and a stop element coupled thereto and having a leading edge area defined by thickness and a width and having a total surface area. The leading edge area is substantially perpendicular to a longitudinal axis of the filamentary element. The device may have a ratio of the leading edge area to the total surface area that is less than 10%, a ratio of the length to the maximum thickness of the stop element that is at least 4, or a ratio of the length to the width of the stop element is at least 1 for any given thickness.

Abstract: A kit for stabilizing an intervertebral disc space, wherein the kit includes a cage, a suture and a plurality of suture anchors. The suture anchors are pressed into the anterior faces of the vertebral bodies holding the cage, while the ends of the suture are formed into a loose, preformed Giant Knot to allow their tightening to be accomplished through a minimally invasive portal.

Abstract: An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having a first segment, a second segment, and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the portion of the suture segment connected therewith. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.

Abstract: A suture device including an improved welded fixation device at its distal end, to provide improved holding strength during and after implantation of the suture in tissue.

Abstract: Various exemplary methods and devices are provided for improved surgical sutures, suture systems, and methods for suturing. In general, the sutures, suture systems, and methods can allow a suture to form a secure, closed loop without tying a knot. The suture can include a barbed portion configured to be threaded through a hollow portion. The barbed portion can have a plurality of barbs thereon, which can grasp onto an inner wall of the hollow portion when disposed therein to help secure the loop at a desired size. The barbs can all be oriented in one direction that corresponds to a direction of movement of the suture when the loop is being tightened. Thus, the barbs can be configured to allow for a size of the loop to be easily reduced to any desired size to approximate tissue, but can be configured to resist subsequent expansion of the loop to ensure that the tissue remains in place.

Abstract: The field of the disclosure relates generally to sutures and, more specifically, to enhancing suture repair mechanics using adhesives.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices, loops and inserts that are pre-loaded onto knotless anchors to position the self-locking, adjustable construct at the repair site. The splice incorporates an insert in the form of a flexible strand with at least one barb, or simply in the form of a cut length of suture or braid that is inserted into the center of the cinching loop to create a thicker portion. When the cinching loop is tightened, the insert prevents loosening of the loop, locking in the cinching loop and preventing movement of the loop.

Abstract: Methods and compositions are provided that load and encapsulate an agent, such as a protein, in a porous self-healing polymer. A delivery system includes a porous self-healing polymer, an ionic affinity trap within the pores of the self-healing polymer, and an agent associated with the ionic affinity trap. Methods of encapsulating an agent in a polymer include providing a porous self-healing polymer comprising an ionic affinity trap within the pores. The polymer is incubated with an agent having an affinity for the ionic affinity trap. At least a portion of the pores in the polymer are then healed. Active encapsulation of macromolecules at low concentrations may be achieved due to affinity of the agent for the ionic affinity trap within the pores.

Abstract: A method of ankle syndesmosis repair according to an exemplary aspect of the present disclosure includes, among other things, drilling a hole through a fibula and a tibia of an ankle joint, pulling a first button device through the hole using a pull-through suture until the first button device exits on a medial side of the tibia, flipping the first button device so it rests against a medial cortex of the tibia, and positioning a second button device at a lateral side of the fibula.

Abstract: A system is provided including an elongate needle body and an aqueous humor drainage device. The drainage device includes an elongated tube that is operatively coupled to a proximal end of the needle body. Methods for the implantation of the aqueous humor drainage device in the eye are provided. A system including an elongate needle body and drainage device is also provided for draining other body cavities.

Abstract: A device for manipulating tissue at a vessel includes an elongated member having a proximal end and a distal end, a guide member at the distal end of the elongated member, the guide member having a blunt distal tip for engagement against an interior wall of the vessel, and a tissue cutting device at the distal end of the elongated member, wherein the tissue cutting device has a sharp tip that is proximal to the blunt distal tip of the guide member.

Abstract: Various exemplary methods and devices are provided for improved surgical sutures, suture systems, and methods for suturing. In general, the sutures, suture systems, and methods can allow a suture to form a secure, closed loop without tying a knot. The suture can include a barbed portion configured to be threaded through a hollow portion. The barbed portion can have a plurality of barbs thereon, which can grasp onto an inner wall of the hollow portion when disposed therein to help secure the loop at a desired size. The barbs can all be oriented in one direction that corresponds to a direction of movement of the suture when the loop is being tightened. Thus, the barbs can be configured to allow for a size of the loop to be easily reduced to any desired size to approximate tissue, but can be configured to resist subsequent expansion of the loop to ensure that the tissue remains in place.

Abstract: A suture thread having: a thread-shaped main body with spikes and a stopper cylinder having a diameter enlarged with respect to the main body is described.

Abstract: A medical device includes a surgical needle attached to a hollow tubular suture. The suture is constructed of macroporous hollow tubular wall that facilitates and allows tissue integration into the suture core subsequent to introduction to the body, thereby preventing suture pull-through and improving biocompatibility.

Abstract: A method of closing a tissue wound includes providing a wound closure device having a first fastener, a second fastener, and a flexible member extending between the first and second fasteners and movably attached to the second fastener by a one-way knot formed in the flexible member between the first and second fastener, positioning the first fastener against tissue, passing the flexible member across the wound, positioning the second fastener against tissue, and pulling on a free end of the flexible member to shorten a length of the flexible member between the first and second fasteners, thereby closing the wound.

Abstract: The present invention relates to an implantable attachment device comprising an elongate element which is tubular flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the portion of said tubular element in said internal volume between intake and outlet openings distant by a length. The device comprises blocking means of said portion in the internal volume of said elongate element, which can be deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference.

Abstract: An anchoring device having an elongate body at a proximal portion, a distal portion of the elongate body forming a loop at a distal portion of the anchoring device. The loop further includes a plurality of anchors disposed along a surface thereof and the loop also including an end effector. Methods for securing anchoring devices of the present disclosure are also disclosed.

Abstract: The present disclosure provides filaments and/or surgical sutures which include an inner core, an outer sheath and a plurality of barbs on a surface thereof. The filaments and/or surgical sutures further include at least one adhesive precursor material which transitions from a non-adherent material to an adhesive material to attach a portion of the filament and/or suture to the surrounding area, such as tissue and/or other portions of the filament.

Abstract: A system and method are disclosed for the securement of tissue and in particular for placement of a tongue base suspension fiber for the treatment of obstructive sleep apnea. The system incorporates disposable connectors with releasable needles to facilitate the placement of fibers with minimal increase in suture site dilation or trauma.

Abstract: A crimping die including a fixed die and a moving die which moves away from or toward the fixed die, and a thread guide arranged closely to the edge of the stop hole formed in the proximal end face of an eyeless needle held by the crimping die and having a surface for guiding the suture thread to the stop hole. The thread guide is arranged such that an external force does not act on the suture thread on the outside of the stop hole formed in the eyeless needle as a crimping operation progresses when the proximal end face of the eyeless needle is crimped by the crimping die, or arranged to move in the direction in which an external force does not act.

Abstract: This invention provides a suture system and method that does not require knots. A locking suture includes a needle and a thread that is provided with a plurality of locking barbs. The needle is applied over an end of the thread by conventional systems. The exterior surface of the thread is covered with barbs. The barbs can be arranged in rows of at least one barb each, circumscribing the thread of the suture and are oriented so that they are uniformly feathered, being closed in the direction of the needle and open toward the terminal (posterior) end. The feathering provides for the barbs to lie flat when drawn through a membrane or other material, and the bias causes them to splay open when a tension towards the terminal/posterior end is exerted. This splaying creates a locking force.

Abstract: A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.

Abstract: A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.

Abstract: A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose on a first portion of at least a first limb and has a second portion connected to the filament engagement feature of the anchor. Preferably, at least one free filament limb, which in some embodiments is a length of the first filament and in other embodiments is a second filament, is capable of being passed through tissue to be repaired and has at least one end passable through the noose to enable incremental tensioning of the tissue after the anchor is fixated in bone. The noose strangulates the free filament limb when tension is applied to at least one of the free filament limb and the noose.

Abstract: A suture retaining device, which has an elongate body having a cross section that is at least partially circular, and a head portion joined to the elongate body. The head portion has a sidewall that defines a cavity for receipt of a suture. The sidewall also has an internal surface that is at least partially flat, and the cavity is enclosed by the sidewall. The suture retaining device may be utilized in conjunction with a suture passing device, which has a body that includes a distal end, proximal end and outer surface; an internal passageway extending through the body from the distal end to the proximal end; and a contoured portion defining a recess in the body, the recess extending radially from the outer surface to the internal passageway, the contoured portion is homogenous.

Abstract: Knotless suture anchors are disclosed for surgical use, which contain one or more types of ratcheting mechanisms that will allow a surgeon to pull a suture strand through an anchor device in one direction, without allowing the suture strand to travel or creep backward, in the other direction. This will allow a surgeon to emplace a number of such anchors in hard bone(s) or soft tissue(s), during installation of an implant device, while the various suture strands remain loose and do not interfere with proper positioning of the implant. When the implant device is roughly in position, the surgeon can gently “snug” all of the suture strands (which preferably should be braided, to provide a non-smooth surface that will enable a stronger and more secure grip by the ratcheting mechanism), so that they will all reach a moderate plateau of gentle yet firm tension.

Abstract: A suture thread is used to perform suturing without tying part of or the whole of knots that are supposed to be tied during suturing. A suture thread support body prevents an end of the suture thread from being pulled into a suturing site. A needle accommodation body has a shape of a tube having a through-hole through both ends. The suture thread has the suture thread support body and the needle accommodation body.

Abstract: A system and method for tissue repair employing a continuous loop of suture attached to a free floating needle. The free floating needle is not swaged on the suture so that, after passing the suture loop construct through the tissue to be treated, the needle may be recentered if the suture strands are uneven.

Abstract: A barbed suture including a body with barbs on the periphery, a pointed end, and an anchor at one end to resist movement of the suture in the direction of the pointed end is provided. One or more limbs on the anchor may be provided, which may be arcuate, of varying lengths, and of varying distribution about the periphery of the suture body. Other anchor designs are provided. Methods of placing single-directional and bi-directional barbed sutures to approximate the tissue on each side of a wound and to position and support tissue in the absence of a wound, as in cosmetic surgery, are provided, and may include terminal J-stitches or S-stitches. Methods of placement may be made with sharp, pointed ends, which may be needles, or insertion devices. Sinusoidal patterns of sutures that have amplitudes generally perpendicular to the resultant holding force of the suture are provided.

Abstract: Sutures are provided having a first elongate body and a separate, second elongate body. The first elongate body includes a first connection structure and the second elongate body may include a second connection structure.

Abstract: A medical device includes a surgical needle attached to a hollow tubular suture. The suture is constructed of macroporous hollow tubular wall that facilitates and allows tissue integration into the suture core subsequent to introduction to the body, thereby preventing suture pull-through and improving biocompatibility.

Abstract: A surgical suture material and a method to the use thereof are represented by different needles and surgical threads. The main embodiments comprises a needle (6), consisting of two needles (7, 8) jointed by a temporary connection having a tetrahedral, diamond or another shape in such a way that a single needle point (9) is formed, and a surgical thread (10) provided with shaped design projections embodied on the thread surface in the form of notches. The method consists in introducing, during a surgical intervention, the twin needle in one puncture at a small depth, wherein the needle is divided into two needles, and in leading each needle along a required contour. The surgical suture material can be extensively used for surgical and cosmetic interventions.

Abstract: A needle assembly comprises a shaft with two opposite tissue piercing ends. The assembly includes a shuttle which is moveable relative to the shaft between the two ends. The shuttle comprises means to secure a suture to the shuttle member.

Abstract: Systems and methods for approximating tissue using suture are described. The systems include at least one suture with a locking portion that is integral to the suture. The locking portion may be an expanded portion of the suture body. The locking portion may receive a plurality of snares that work to carry the at least one end of the suture through the locking portion. The systems may also include suture anchors and external locking mechanisms such as a tubular sheath. The systems may be used to approximate two soft tissue portions together, or a soft tissue and a bone portion together.

Abstract: Multifilament sutures are prepared by permeating the suture with an antimicrobial solution and applying an antimicrobial coating to the suture.

Abstract: A suture passer device includes a shaft, a handle, an end effector, and a suture capturing member. The shaft has a shaft proximal end and a shaft distal end. The handle assembly is coupled to the shaft proximal end. The end effector is coupled to the shaft distal end. The suture capturing member is coaxial with and slideably coupled to the end effector, is coupled to the handle assembly, and is configured to capture a suture within the end effector. A suture needle includes a suture needle body and a suture needle tip, the suture needle body having a first portion and a second portion. The first portion is thicker than the second portion, and the first portion is configured to mate with a needle spacer that enables actuation of a suture needle passer device.

Abstract: A bone anchor provides stable, durable anchorage of sutures used for repair of soft tissues torn, or cut, away from bones. The anchor includes a plurality of prongs angled in the direction of loading. The prongs-are inserted into holes drilled in the bone. The angled nature of the prongs causes them to dig into the bone under functional loading. A suture is attached to the anchor via an integral bead and led through the anchor eyelet. In use, the suture does not glide anywhere at its interface to the anchor, nor does if flex on itself at a knot. Instead, it only flexes around the pillar of the eyelet with a fully circular cross-section.

Abstract: Cosmetic threads for reducing wrinkle size include at least one synthetic collagen fiber that wells after placement under the skin.

Abstract: The present disclosure relates to a method of manufacturing a biodegradable surgical suture with a distal end shaped like a loop by using a twist braider. The surgical suture enables a doctor to easily tie the suture with a knot in a bodily region through which a needle passes after the needle passes through a bodily incision to be sutured once without making the knot.

Abstract: Methods are disclosed for binding together human or animal tissue using one-way sutures having barbs on their exterior surfaces, allowing passage of a needle-drawn suture in one direction through tissue, but not in the opposite direction. In closing a wound, the sutures are passed through tissue at each of the opposed sides of the wound, forming suture pairs in which trailing ends of the sutures are juxtaposed in the wound. The number of suture pairs is selected in accordance with the size of the wound. The wound is closed and ends of the sutures of each suture pair are secured together, which may be by heat bonding or surgical knots. In a variation of this procedure double-armed sutures are used. In another variation detachable needles are used to leave the barbed sutures below the skin. The invention avoids loop stitching, minimizing scarring.