A method and apparatus are disclosed for loading a closing device onto a delivery device at the point of use and for using the apparatus for treating the intervertebral disc. The apparatus includes a cartridge for loading a closing device onto a delivery device at the point of use, the cartridge comprising a tab holding feature for holding one or more tabs of the closing device and a tab loading feature for loading tabs onto the delivery device. A method of treating an intervertebral disc includes the steps of loading a closing device into a delivery device at the point of use, the closing device comprising at least two tabs coupled to a connecting element, and substantially approximating a defect in the intervertebral disc using the closing device delivered by the delivery device.

A suturing device includes first and second holding members, a plurality of needles, a needle moving mechanism, and a suture hook. The first and second holding members are configured to move toward and away from each other to sandwich therebetween edges of a cut. The needles are disposed at the first holding member and aligned in a needle arrangement direction with their points pointing to the second holding member. The needles are configured to hold a suture at tips thereof. The needle moving mechanism is configured to move the plurality of needles toward the second holding member. The suture hook is disposed at the second holding member and configured to move along the needle arrangement direction to catch the suture that has reached the second holding member via the edges of the cut by movement of the needles toward the second holding member by the needle moving mechanism.

Various exemplary methods, systems, and devices for instability repair are provided. In general, a surgical device can be configured to drill a hole in bone and to deliver a suture anchor into the hole. In this way, a single surgical device can drill the hole and deliver the anchor into the hole for securing soft tissue to the bone. The anchor can be configured to allow the soft tissue to be secured to the bone using a suture coupled to a suture anchor without the need to knot or otherwise tie the suture to secure the soft tissue in place relative to the bone.

A suturing system including apparatus and methods for disposing stitches in a substrate comprising a thread carrier which inserts a thread in the substrate at a first location and withdraws the thread from the substrate at a second location.

A surgical port is disclosed. The surgical port has a multi-level flange defining one or more suture channels therethrough. Adjacent levels of the multi-level flange are configured to pinch one or more sutures placed therebetween. The surgical port also has a cannular frame defining one or more cannular channels in communication with the one or more suture channels.

A prosthetic suturing device is disclosed. The prosthetic suturing device has a housing and a needle press slideably engaged with the housing. The prosthetic suturing device also has a plurality of needles coupled to the needle press. The prosthetic suturing device further has a prosthetic retainer. The prosthetic suturing device also has a ferrule platen having a plurality of ferrule holders, each corresponding to one of the plurality of needles. The prosthetic suturing device further has an actuator configured to move the needle press from a retracted position where needle tips of the plurality of needles are away from the ferrule platen to an engaged position where the needle tips of the plurality of needles are at least partially within the ferrule holders of the ferrule platen.

A valve annulus repair system joins anchors at one or both of their proximal and distal ends to construct an implant to reshape the annulus. A removable frame may be used to position the anchors proximate to the annulus and to adjust the shape of the annulus. The frame may support the anchors during deployment of the system, release the anchors during construction of the implant, adjust the shape of the implant (and concomitantly the shape of the reconstructed valve) during an adjustment/cinching process, retain the adjusted shape of the valve annulus while relative anchor positions are secured, and release the anchors to enable the frame to be removed from the deployment site following implant construction. With such a system, a low-profile, flexile annular valve implant with reduced the risks of migration, fracture, embolism and thrombus may be provided.

A suture device is provided comprising an elongate body having a longitudinal axis and opposite proximal and distal ends. The distal end inserts into a wound and the proximal end operates the device. A suture needle connects with the elongate body at or near the distal end and is movable relative to the elongate body in longitudinal direction along a needle trajectory having a suturing space. A spreader connects with the elongate body at or near the distal end and engages tissue to be sutured adjacent the needle trajectory and provides a pulling force on the tissue to pull a portion of the tissue into the suturing space; and/or comprises a spring. The device is configured to urge at least a portion of the suture needle from a first position to a second position along a needle trajectory past a suturing space by a spring action of the spring.

A suturing device includes an elongate body, a needle holder, an actuator, a needle and a needle retainer. The needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The needle holder includes a distal end section having a distal-most tip, and defines a needle passage and a distal opening adjacent the distal-most tip. The actuator is operable between a first operating position and a second operating position. Movement of the actuator from the first operating position toward the second operating position moves the needle in an advance direction. The needle is in the needle passage. The needle retainer engages the needle holder and the needle when the actuator is in the first operating position and inhibits movement of the needle toward distal opening while the actuator is in the first operating position.

A SURGICAL ACCESSORY TO BE USED WITHIN THE BODY WHICH IS ATTACHED TO THE ABDOMINAL WALL, FOR HOLDING AND POSITIONING TISSUE AND SURGICAL IMPLEMENTS DURING LAPEROSCOPIC OR ROBOTIC SURGERY.

THIS CONSIST OF A COLLAPSABLE TABLE WITH ATTACHED FLEXABLE OR FIXED ARMS WITH ACCESSORIES FOR HOLDING SURGICAL TOOLS OR MANIPULATING TISSUES OR ORGANS.

A SURGICAL CLIP THAT ATTACHES TO OTHER INSTRUMENTS OFFERING MULTIPLE APPLICATIONS FOR CAPTURING AND SECURING OTHER ACCESSORIES SUCH AS CAMERAS OR INTRA OPERATIVE ULTRASOUND PROBES.