Various exemplary devices, systems, and methods for knotless anchor inserter tool extraction are provided. In general, an inserter tool is configured for knotless anchor insertion in a soft tissue repair surgical procedure. The inserter tool is configured to insert an anchor into a bone of a patient to secure a soft tissue relative to the bone. The inserter tool includes a retraction mechanism configured to cause the inserter tool to be removed from within the anchor.

A micro needle holder capable of cutting sutures, configured for holding needles and cutting sutures during microsurgeries, includes a needle holding unit and a suture cutting unit. The needle holding unit includes a pair of first plier bodies and a first shaft, where each of the first plier bodies has a needle holding end, a first shaft connecting part, and a first plier arm. The suture cutting unit includes a pair of second plier bodies and a second shaft, where each of the second plier bodies includes a suture cutting end, a second shaft connecting part, and a second plier arm. Moreover, the first plier arms are respectively connected with the second plier arms and are configured to elastically open and close corporately.

An instrument for performing thorascopic repair of heart valves includes a shaft for extending through the chest cavity and into a heart chamber providing access to a valve needing repair. A movable tip on the shaft is operable to capture a valve leaflet and a needle is operable to penetrate a capture valve leaflet and draw the suture therethrough. The suture is thus fastened to the valve leaflet and the instrument is withdrawn from the heart chamber transporting the suture outside the heart chamber. The suture is anchored to the heart wall with proper tension as determined by observing valve operation with an ultrasonic imaging system.

A suture tool includes a handle portion and a hook portion. The handle portion is preferably a solid shaft of metal material enabling handling by the surgeon. An outside surface of the hook portion is interconnected to one end of the handle portion. The hook portion comprises a hollow U-shaped tube of medical grade stainless steel.

Suture passer devices and methods of using the devices having one or more protective interlocks preventing or limiting operation of the suture passer when deployment of the needle may damage the apparatus or harm the patient. For example, described herein are suture passer devices that include an interlock preventing deployment of the tissue penetrator (needle) when the jaws are not clamped onto a tissue. Also described herein are interlocks preventing retraction of a jaw axially until the needle is retracted.

A system loads an endoscopic needle into an endoscopic suturing device. The system includes a loading tool having a handle portion configured to be manipulated by a medical professional. The system also includes a needle cover coupling portion configured to removably couple with a needle cover. The needle cover is configured to couple with a delivery housing. The needle cover is further configured to secure a needle within a needle track of the delivery housing when coupled with the delivery housing. The loading tool is configured to couple the needle cover with the delivery housing. The loading tool is further configured to uncouple the needle cover from the delivery housing.

A system for passing suture through biological tissue using a cannula, introducer or other minimally invasive means, to approximate, ligate, fixate, and/or close biological tissue. The system includes a hand actuator mechanism, an elongated tubular member housing a deformable tubular needle therein in operative communication with the hand actuator mechanism, and a jaw mechanism disposed on the tubular member distal end. The jaw mechanism having top and bottom members and a floating pivot mechanism, the top and bottom members in operative communication with the floating pivot mechanism. The floating pivot mechanism providing pivotal and axial articulation of the top member with respect to the bottom member.

A surgical tool incorporates a suture guide with and ananchor driver supporting an anchor where the anchor is maintained at a distance from the suture guide until release of a detent mechanism. Thereafter, the anchor is allowed to move into proximity to the suture guide, fixing a suture supported by the suture guide to a substrate, the entire procedure being achievable with a single hand.

A graft preparation system includes a fixation implant including a strand of suture wrapped around a graft preparation card. A tenaculum includes a first arm having a first tooth and a second arm having a second tooth that are pivotally connected at a pivot. The first arm includes a slot between the first tooth and the pivot that receives the graft preparation card. A tape suture assembly includes a tape suture and a first suture strand. The tape suture is positioned on a graft, and the tape suture is attached to the graft with a stitch formed with the first suture strand.

A suture passer comprising: a shaft having an axis; a first jaw mounted to the shaft in alignment with the axis, the first jaw being configured to releasably support a length of suture thereon; a second jaw movably mounted to the shaft; and a needle movably mounted to the shaft, the needle having a hook and being configured to reciprocate in alignment with the axis so that the hook can selectively pass by the second jaw and engage suture releasably supported on the first jaw; wherein the first jaw comprises a spring for selectively binding the suture to the first jaw, and further wherein the spring comprises a recess for receiving the suture therein.