A tissue fixation system including a delivery tube and an elongated fastener with a loop at a proximal end and a distal end. A proximal end of an elongated curved needle is attached to the delivery tube. A distal end of the needle is configured to penetrate tissue. The needle includes an open channel sized to receive the elongated fastener with the loop located near the proximal end of the elongated curved needle and the distal end of the elongated fastener located near the distal end of the elongated curved needle. A capture needle is slidably positioned in the delivery tube to slide through the loop in the proximal end of the elongated fastener. The capture needle is configured to grasp the distal end of the elongated fastener and pull the distal end of the elongated fastener through the loop to cinch the elongated fastener.

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.

A suture needle holder device and method including a handle assembly and an elongate body including an outer hollow cannula and an inner push rod. A distal end of the outer hollow has at a suture release slot between two fenestrations configured as suture needle entry and exit points. The suture needle holder device is configured to be operable between an open position wherein the inner push rod is proximal to the at least two fenestrations, a closing position wherein a tapered face of the inner push rod is configured to engage a curved suture needle, an arrestment position wherein the inner push rod is disposed at the most remote distal position within the outer hollow cannula, and a snap-back position wherein a first spring within the distal end of an outer hub case causes a retraction of the outer hollow cannula and inner push rod.

A suturing device includes a plurality of suture needles, a first-thread holding mechanism, a needle moving mechanism, and a thread turning structure. The thread turning structure is configured to locally turn a portion of a first thread hooked on a distal end portion of each of a plurality of suture needles in the first thread stretched in a first direction around a needle axis thereof such that the portion of the first thread extends in a direction along a third direction intersecting the first direction and a second direction, in a state where the plurality of suture needles have been moved in the second direction. Each of the plurality of suture needles has a side surface formed with a threading recessed groove extending through the side surface in the first direction in a state where each of the plurality of suture needles has been moved in the second direction.

A flexible portal cannula for use in arthroscopic surgery. Distally positioned flaps extend radially outwardly from the outer surface of the cannula and are resiliently foldable to lie against the outer surface of the cannula during insertion into a surgical portal, and resiliently biased to return to the radially outwardly extending position when unconstrained. A clip disposed on the cannula outer surface outside of an arthroscopic workspace acts to clamp tissue disposed between the clip and the flaps. The clip has an extension to receive pairs of slots to sort and engage the sutures.

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.

Systems and methods for preparing a ligament graft for a ligament reconstruction procedure are provided. In general, the described techniques utilize a graft preparation system having a holder and a delivery suture assembly removably coupled thereto. The delivery suture assembly can include a spine coupled with an anchor suture configured to form a self-tightening knot used to position the assembly around a graft and a plurality of suture windings configured to be affixed to the graft when the assembly is deployed. The assembly is delivered to the graft using the holder and the sutures can be affixed to the graft without penetrating therethrough. The spine helps to evenly distribute the load among the windings compressing the graft which are thus are capable of withstanding increased loads. Thus, an improved, simplified, and time- and labor-saving approach to preparing ligament grafts is provided.

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.

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.

Methods for delivering a sheet-like implant to a target site including a means of deploying and orienting the sheet-like implant within the body.