A medical manipulator system includes: an insertion manipulator extending in a longitudinal direction and having a lumen; a treatment manipulator capable of passing through the lumen; a first drive unit that drives the insertion manipulator, and a second drive unit that drives the treatment manipulator, and the first drive unit is disposed at a distal end side of the second drive unit and is provided so as to be movable forward and backward in the longitudinal direction.

Disclosed is a surgical device, the surgical device comprises a first jaw coupled with a second jaw to define a clamp for receiving a tissue; a purse-string suture profile formed along a first longitudinal portion of the clamp, the purse-string suture profile adapted to receive a pair of purse-string suture needles; a staple anvil formed on the first jaw and along a second longitudinal portion of the clamp; a stapling unit formed on the second jaw along the second longitudinal portion of the clamp; and an anchor attachment assembly operable to urge the pair of purse-string suture needles to deliver a suture through the tissue to form an anchorage.

Cartridges configured to hold anchors and associated locking sutures and a common suture used in an array of anchors. A suture anchor array is connected in series by a single working suture and each of the suture anchors allows tensioning of the working suture between itself and the prior anchor implanted in the serial string. Further, each anchor includes a suture lock having a free tail that can be pulled to lock the working suture in place subsequent to tensioning. This creates an independently tensioned suture bridge between each implanted suture anchor and the just previously implanted anchor. The cartridges are configured to securely hold an individual anchor and store the tail of the suture lock, while allowing flossing of anchors along the common suture.