A surgical suturing and knotting integrated device includes a knotting assembly and an operation/control apparatus. The knotting assembly has a suture pre-tied with a slipknot and a loop. In use, the knotting assembly is mounted on a front end of the operation/control apparatus and the front end of the operation/control apparatus is extended into a patient's abdominal cavity to perform laparoscopic surgery. In suturing process, the operation/control apparatus is used to enlarge the loop of the suture, whereby the suture and one end of the suturing needle can be easily passed through the loop. Then, the operation/control apparatus is used to minify the loop and detach the slipknot of the suture from the knotting assembly and change the slipknot into a fixed knot.

There is provided a suture passer device used in procedures of robotic assisted minimally invasive suspension of the hyoid and tongue base in treatment of sleep apnea. The suture passer device is a dual use suture passer, having both suture insertor and extractor functionality on a single unitary instrument section of the device by means of insertion and extraction hooks positioned on an elongated needlelike body which is connected to a handle grip. The insertion and extraction hooks receive a suture via an opening in the body of the instrument, with the suture capable of removal and fastening to the extraction hook by robotic forceps. Procedures for using the device are disclosed which include a single point of entry on a patient and the device moved to first and second positions above and below the hyoid bone during robotic assisted surgery.

The suture holding sleeve for laparoscopic instruments includes a hollow tubular member having a first opening and a second opening, as well as a smooth inner surface and a knurled outer surface. The knurled outer surface may include a plurality of lines positioned lengthwise along the outer surface of the suture holding sleeve, a plurality of rings positioned along the outer surface of the suture holding sleeve, and/or a combination of the plurality of lines positioned lengthwise and the plurality of rings positioned along the outer surface of the suture holding sleeve.

Devices and methods are described herein directed to an adaptor for use with a medical device used to suture tissue within a patient's body and/or for delivering and/or securing another medical device within a patient's body. In one embodiment, an apparatus to aid in the placement of a suture at a location within a body of a patient using a medical device includes a body and a coupler configured to couple the body to the medical device. The apparatus further includes a suture mounting portion disposed on the body that defines a suture slit configured to laterally receive therethrough a portion of a suture coupled to the medical device and to apply a frictional force to the suture to resist movement of the suture longitudinally therethrough. A magnitude of the frictional force being less than a longitudinal force applied to the suture by actuation of the medical device.

A suture passer comprising: a hollow tube, the hollow tube comprising a distal end, a proximal end, and a lumen extending from the distal end to the proximal end; and a clamping rod slidably received in the lumen of the hollow tube, the clamping rod comprising a distal end and a proximal end, the distal end being bifurcated into a first arm and a second arm, one of the first and second arms extending distally of the other of the first and second arms and including a clamping surface; wherein at least one of the first arm and the second arm comprises a friction-enhancing surface for facilitating manipulation of a suture via engagement of the suture with the friction-enhancing surface.

Disclosed is a suturing device comprising a lower jaw rigidly attached to an elongated suturing device body, an upper jaw mobile with respect to the lower jaw, and an activation mechanism for actuating movement of the upper jaw, wherein each jaw comprises at least two apertures or channels within the lower jaw configured and dimensioned to allow a suture thread to pass through. Also disclosed is a suturing device comprising an elongated drive shaft, a handle assembly comprising a tubular handle body, at least one movable element connected to the drive shaft, and an activation mechanism comprising an rotatable activation knob for actuating movement of the at least one movable element. A suturing device combining the above-described jaw elements and activation mechanism is additionally provided. Further, kits comprising disclosed devices and surgical methods utilizing the same are also provided.

Described here are closure devices and methods for ligating tissue, such as the left atrial appendage. Generally, the closure devices include an elongate body, a snare loop assembly comprising a snare and a suture loop, and a shuttle connected to the snare and releasably coupled to the elongate body and retractable therein. In some variations, the shuttle may be configured to fit into the lumen. In other variations, a handle may be attached to the elongate body, and the handle may comprise a track and a snare control coupled to the track. The handle may be configured to release the shuttle from the elongate body and allow movement of the snare control along the track to retract the snare loop and the shuttle into a lumen of the elongate body.

A surgical access assembly comprises a trocar and a surgical instrument. The trocar comprises a housing and an access tube extending distally from the housing. The housing comprises a hollow light emitter. The housing and the access tube define a lumen extending through the housing and the access tube. The hollow light emitter is configured to project light in the lumen. The surgical instrument comprises an end effector and a shaft extending proximally from the end effector. The shaft comprises an optical receiver positioned within reach of the light from the hollow light emitter. The shaft further comprises a light guide extending from the optical receiver along at least a portion of the shaft toward the end effector.

A medical device includes a clevis, a first jaw, and a second jaw. The first jaw includes a first proximal gripping portion and a first distal gripping portion, and the first proximal gripping portion includes a first needle alignment portion. The second jaw is coupled to the clevis and includes a second proximal gripping portion and a second distal gripping portion, and the second proximal gripping portion includes a second needle alignment portion. The first and second needle alignment portions are located opposite each other when in the closed orientation. The first and second needle alignment portions define a clamp path when in the closed orientation within which the curved portion of the needle is received when the second jaw is in the open orientation. The first and second needle alignment portions are configured to rotate the needle when moving to the closed orientation.

Systems for delivering a sheet-like implant including a means of deploying and orienting the sheet-like implant within the body.