Various exemplary methods, systems, and devices for surgical suturing are provided. In general, a loading element can be configured to facilitate loading of a plate into a surgical instrument configured to facilitate passage of a suture through tissue. The surgical instrument can be configured to advance the suture through a tissue of a patient, to capture a free end or looped end of the suture after the suture's advancement through the tissue, and to pull the captured suture out of the patient's body with a portion of the suture remaining passed through the tissue within the patient's body.

A method for suture lacing includes providing a suture with a needle attached thereto, inserting the needle and suture into an organ through a passageway, throwing a single stitch through a first tissue member, throwing a single stitch through an opposed and spaced apart second tissue member, repeating the preceding step at least once, bringing the first and second tissue members in contact by tensioning the suture, whereby suture drag is minimized during the tensioning and even tissue compression substantially achieved, and securing the suture.

A suture fastener delivery device includes a handle, a fastener delivery end comprising a suture fastener and crimping jaws, and a shaft extending between the handle and the fastener delivery end. The shaft comprises a rail, a plurality of reserve suture fasteners, a side suture slot positioned on a side of the shaft to allow the suture ends to exit the delivery device, and a suture cutting blade adjacent to the rail. The suture fastener delivery device can capture a suture within a side slot of the suture device, and upon activation of a trigger on the handle, crimp and bend the suture fastener to secure the fastener, and cut the excess suture ends via the cutting blade. A slider on the handle can then be used to reload a reserve suture fastener, such that additional fasteners can be deployed without removal of the delivery device from the surgical site.

A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device and a plurality of anchor assemblies. The delivery system is configured to deliver a first anchor using loaded energy and reload the energy required to deliver an addition anchor.

A number of surgical element carriers, housings, structures, contents, and accessories are described. An example surgical element carrier includes a housing dimensioned for insertion through a surgical incision during a surgery. The housing includes a first housing portion, a second housing portion attached and movable relative to the first housing portion between closed and open positions of the housing, and a cover over the second housing portion. The cover forms a boundary of an interior space within the second housing portion. In one example, the cover includes a plurality of slits that intersect with each other for a passageway through the cover, from outside to within the interior space within the second housing portion.