Surgical clip appliers are disclosed comprising a plurality of clips which are stored in a compressed state. When a stored clip is moved into the crimping chamber of the surgical clip applier, the clip can assume a configuration which is different than its stored configuration before it is crimped.

An adjustable anchor system provides for securing tissue to bone and includes an anchor with a collapsible suture loop affixed thereto and a tissue suture connected to the collapsible suture loop. After the tissue suture is loaded into the tissue and the anchor implanted into the bone the collapsible loop is collapsed to tension the tissue suture.

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 machine for winding suture into a suture tray package includes a base platform with package nests, each nest including upwardly-extending locating pins. A workstation places an empty tray onto one nest. Another workstation feeds a needle with attached suture in the tray and parks the needle in the tray. A winding station for winding the suture into a tray winding channel includes a rotatable winding head with configurable suture guiding pins, a stripper plate pushing the wound suture off the guiding pins, a suture control arm with proximal and distal ends and top and bottom sides, the distal end having a front standoff and a rear standoff incorporating a suture guiding channel, and a base member mounting the arm to base platform. A lid placement station places a lid onto a nest, a lid attachment station attaches lid to tray and an offloading station removes trays from nests.

A loading unit assembly for use with a surgical suturing apparatus includes a surgical needle and a support structure configured for releasably securing the surgical needle. The support structure may include a first finger and a second finger adjacent to the first finger. The first and second fingers may define a first channel therebetween. The support structure may also include a third finger defining a seat portion and a back portion. The seat and back portions may be in facing relation with the first and second fingers. The third finger and the first and second fingers may define a second channel therebetween. The surgical needle may be loaded in the second channel and may be in abutment with at least the seat portion.

A surgical instrument system comprising a handle assembly is disclosed. The handle assembly comprises an actuation trigger comprising a curved proximal portion and a curved cylinder surrounding the curved proximal portion of the actuation trigger. The curved cylinder comprises an electroactive polymer. The surgical instrument system comprises an actuation rod which is configured to transmit an actuation force and a sensor system which is configured to detect the magnitude of the actuation force. The electroactive polymer is responsive to the actuation force and provides feedback to a user of the surgical instrument system.

A surgical suturing device has an elongate shaft has a proximal end, a distal end, and a longitudinal axis between the proximal and distal ends. An actuator is connected to the proximal end of the elongate shaft. A circular needle applier is on the distal end of the elongate shaft. The circular needle applier has an arced needle and a needle driver operatively connected to the actuator to rotate the arced needle in a circular path. A joint is positioned between the proximal and distal ends of the elongate shaft. The joint is operatively connected to the actuator to selectively articulate the shaft. A bearing is on the shaft positioned distally of the joint. The bearing is operatively connected to the actuator to selectively rotate the circular needle applier about the longitudinal axis.

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 suturing device includes a needle, a suture, an elongate body, an actuator and a needle holder. The suture connects with the needle. 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 for holding the needle and a distal opening. At least a portion of the suture extends through the distal opening when the needle is received in the needle passage and the actuator is in a first operating position. At least a portion of the suture extends along the needle passage toward the distal opening between the needle and an inner surface of the needle holder when the needle is received in the needle passage and the actuator is in the first operating position.

A suturing kit includes a double-armed suture, at least one suturing device and a suture holding structure. The double-armed suture has a first needle at a first end and a second needle at a second, opposite, end. The at least one suturing device includes a first needle holder configured to receive the first needle in a retracted position, a second needle holder configured to receive the second needle in a retracted position and at least one actuator configured to drive the first needle or the second needle in an advance direction toward a released condition. The suture holding structure holds at least a portion of the suture between the first end and the second end, and the suture holding structure is separate from the at least one suturing device so as not to be inserted into the patient during the surgical procedure.