A suture delivery system is described. The system includes an anchor and a cooperating driver, the driver facilitating a delivery of the anchor into the abdominal cavity. The system allows for the deployment of a suture internally into an abdominal wall.

Collapsible tube embodiments may be used to promote hemostasis at surgical sites or any other suitable location. In some cases, vascular closure device embodiments may include collapsible tube embodiments in order to promote hemostasis at a surgical site during a vascular closure procedure.

A method for closing an opening in biological tissue of intra-abdominal structures, which includes the steps of (i) providing a tissue closure system that includes a suture guide sub-system for engaging tissue disposed proximate the tissue opening and a suture passer sub-system that slideably engages the suture guide sub-system, (ii) inserting the suture guide sub-system into and through a tissue opening, (iii) inserting the suture passer sub-system with a section of suture engaged thereto into and through a first tissue region, (iv) rotating the suture guide sub-system, (v) inserting the suture passer sub-system with another section of suture engaged thereto into and through a second tissue region, (vi) withdrawing suture guide sub-system, (vii) releasing both sections of the suture captured by the suture guide sub-system, and (viii) drawing both sections of the suture together, wherein the first and second tissue regions are drawn together and the tissue opening is closed.

A trocar assembly includes a housing, an elongated cannula extending from the housing to an insertion tip, and skirt. The skirt has a leading end portion and a trailing end portion. The leading end portion is secured to the insertion tip. The skirt has an outer surface supporting an antimicrobial material and an inner surface supporting a medical adhesive material.

A prosthesis and a method of plugging or covering a trocar tract with the prosthesis is disclosed. The prosthesis includes a tubular body having a proximal end and a distal end, a respective opening at each end, and a channel extending between the proximal end of the tubular body and the distal end of the tubular body. The prosthesis is removably mounted along a trocar. The trocar is removable from the prosthesis such that the prosthesis is left at the trocar tract when the trocar is removed from the tract. The prosthesis includes a delivery configuration and a deployed configuration. In the deployed configuration, the opening at the distal end of the tubular body is smaller than the opening at the proximal end of the tubular body.

A port site closure instrument includes a pair of wings and a body having proximal, central, and distal portions. The proximal portion defines a proximal suture aperture and first and second needle apertures. The central portion defines third and fourth needle apertures. A first needle channel is defined through the body communicating the first and third needle apertures. A second needle channel is defined through the body communicating the second and fourth needle apertures. The distal portion defines distal suture apertures. A first suture channel is defined by the body communicating the proximal and distal suture apertures. The pair of wings is pivotally supported by the distal portion of the body. Each of the wings define a suture slot such that a suture exiting one of the distal suture apertures and positioned in the suture slots is aligned with one of the first or second needle channels.

Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.

Devices for approximating multiple tissue edges internal to a body are disclosed.

The present invention provides devices and methods for laparoscopic access and wound closure. The device is in the form of a unitary needle device, which enables performance of several tasks, including penetration or puncture of fascia layers, insufflation of a body cavity with gas, and placing a suture for wound closure. In particular, the device features a blunt-tipped stylet having a hook or notch at the proximal end, which can be used to capture a suture.

The present invention provides for implant device delivery apparatuses and related methods of use. The delivery systems of the present invention incorporate a stretch resistant tube that advantageously makes the implant device, such as an embolic coil, stretch resistant while a delivery system is being used to position the implant device at a desired target site.