A suturing device includes an elongate body, a needle holder, a needle actuator mechanism, and a needle capture mechanism. The needle holder extends away from or is provided as part of a distal end portion of the elongate body. The needle holder defines a needle passage and a distal opening. The needle actuator interacts with a needle to move the needle from a retracted position toward the distal opening. The needle capture mechanism includes a needle capture member having a needle receiving portion. The needle receiving portion is capable of being positioned adjacent to and aligned with the distal opening in the needle holder to receive the associated needle exiting the needle passage through the distal opening and the needle receiving portion is capable of being offset from the distal opening so as to receive tissue between the needle capture member and the needle holder.

An apparatus including a suture instrument including a handle and a post extending from the handle, the handle including a cavity; a cover slidably attached to the handle to cover the cavity; a post extending upward from a bottom surface of the cavity; and a suture spool removably positioned over the post; wherein the post includes a force member configured to provide upward force on the spool when the cover is slid off of the spool.

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle.

A surgical equipment holder is disclosed. The surgical equipment holder includes a first arm pivotable relative to a base, a second arm pivotably coupled to the first arm and an end effector pivotable relative to the second arm. The surgical equipment holder may also include features on the first arm and the second arm configured to allow enhanced cleanability of the surgical instrument holder. The surgical equipment holder also includes a lever configured to actuate between a locked and unlocked position by use of a single hand by an operator. The end effector of the surgical equipment holder is configured to support and finely adjust the position of any number of surgical accessories during surgical procedures.

An apparatus and method is disclosed for securing tissue to a bone comprising a novel screw anchor for insertion into a bone by a novel rotational driver. The screw anchor and rotation driver enables the screw to be completely embedded into the bone while permitting a suture to be threaded through a transverse aperture in the screw. The rotation driver facilitates insertion and engagement of a capture with one of a series of protuberance formed along a length of a suture. In addition, the method is disclosed of forming the series of protuberance.

A cassette is disclosed for use in a prosthetic suturing device. The cassette has a base. The base has a pair of pivots, a pair of alignment tabs, and at least one retention latch. The cassette also has a cover coupled to the base. The cover has at least one retention latch. The cover also defines one or more ferrule holders. The cassette further has one or more needles guided by the base and the cover. A surgical suturing device is also disclosed for use with a cassette. The suturing device has a cassette receiver and one or more needle drivers, each needle driver having a needle receiver positioned within the cassette receiver.

A simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a socket in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the socket, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture is disclosed. Alternate embodiments of the anchor placement system and method of the present invention may forego tensioned sutures in favor of direct engagement with the soft tissue graft, whereby an end or a portion of the graft is trapped between an outer surface of the anchor and the boney surface of the wall of the socket such that friction force between the inserted portions of graft and socket maintains the position of graft relative to socket and bone. In either case, particularly preferred embodiments allow for the one-handed operation. Particularly preferred embodiments allow relative axial movement between the inner tensioning device and outer driver device to be optionally physically constrained, for example by means of cooperating and/or compressive elements disposed in the respective hub and handle portions.

A rack and an apparatus for suture management are disclosed. The apparatus for suture management includes one or more racks, each rack including a plurality of cassette locations, each cassette location having an inside suture holder, an outside suture holder, and a cassette receiver. The apparatus for suture management also includes a plurality of suture grooves. The apparatus for suture management further includes a plurality of rack connection points. The apparatus for suture management also includes an attachment feature which may accept another surgical tool or mounting adapter.

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle.

A trans-xiphoid procedure for gaining entry to the chest cavity of a patient, sometimes also referred to herein as a TRAX procedure. The procedure may be used for, among other things, mobilization of the mammary arteries and performing coronary artery bypass surgery in which the mammary artery of the patient or other conduit is joined to a coronary artery of the patient, such as the left anterior descending (LAD) coronary artery.